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Healthpeak Properties

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FY2018 Annual Report · Healthpeak Properties
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Sky Ridge 
Medical Office 
Lone Tree, CO 

2018Annual ReportWEI 18. 

All!! 

Letter from Our CEO

DEAR FELLOW Stockholders,

2018 was another transformational year for HCP as we substantially completed our portfolio and balance sheet repositioning efforts and 
shifted focus to our opportunity for future growth. 

Our  accomplishments  during  2018  included  selling  or  transitioning  over  $2.5  billion  of  non-core  assets,  repaying  $2.3  billion  of  debt, 
reducing our exposure to assets managed or leased by Brookdale Senior Living, Inc. from 28% to 16% of net operating income (“NOI”), 
expanding our development pipeline to $1.25 billion, solidifying our management team, and refreshing our Board. 

As a result of actions undertaken over the last three years, which included $12 billion of assets sold, spun-off and transitioned, equivalent 
to about a third of the Company, we now have a higher quality portfolio and differentiated business model focused on delivering real 
estate in our three core asset classes of Medical Office, Life Science and Senior Housing. We ended the year with a balance sheet that 
will support our strategy: to increase shareholder value through stable growth in earnings, cash flow and dividends over the long term.

THE OPPORTUNITY IN HEALTHCARE REAL ESTATE
We believe private-pay U.S. healthcare real estate is a compelling investment opportunity given the favorable demographic trends and 
needs of the aging population. The “baby boomers,” which refers to the generation born between 1946 and 1964, start reaching age 75 in 
2020 and it is expected that the population of those aged 75+ will grow rapidly over the next two decades. 

We believe HCP’s portfolio and strategy are well-positioned to benefit from the demand created by these demographic tailwinds. 
As seniors age, they will increasingly visit specialist physicians for outpatient diagnoses and treatment in our on-campus medical 
office buildings; they will utilize new and innovative treatments created by our life science tenants; and many will choose to live 
in our amenity-rich senior housing communities offering a continuum of care including social activities, daily living assistance, 
and coordination with outside healthcare providers.

In addition to the favorable demographic backdrop, the $1.1 trillion U.S. healthcare real estate industry’s size and fragmented ownership 
create  unique  opportunities  for  future  investment.  We  intend  to  be  a  partner  of  choice  for  leading  private-pay  healthcare  providers, 
companies and operators by delivering high-quality healthcare real estate solutions, being easy to work with and always doing what we 
say we are going to do.

Aurora Timber Ridge, Aurora, COHCP, INC. | 2018 ANNUAL REPORT2018  AN N UAL  REPO RT

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Hayden Research Campus, Lexington, MA

OUR PORTFOLIO
Our real estate portfolio is well-balanced across our three asset classes with 54% of our portfolio income derived from Medical Office 
and Life Science, and 37% from Senior Housing (including our CCRC JV). As such, we are well-positioned to allocate capital across these 
three dynamic, private-pay healthcare sectors, and expect our diversification will reduce earnings volatility and allow us to find attractive 
investment opportunities through the inevitable cycles. 

While all three of our asset classes benefit from the same aging population, they each operate within their own cycle. Currently, two of our 
asset classes, Medical Office and Life Science, are benefiting from strong fundamentals, while Senior Housing is experiencing elevated 
new supply growth which is negatively impacting occupancy, and wage growth, which are both putting pressure on the bottom line.

OUR PORTFOLIO
Portfolio Income as of December 31, 2018(1)

2%
Other Unconsolidated JVs
7%
Hospital
5%
CCRC JV

32%
Senior Housing

29%
Medical Office

25%
Life Science

o 

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JípI "  ZIFNIC 
110 
,jtkit.001 

(1) 

Portfolio Income represents 4Q2018 cash NOI plus interest income, 
including our pro rata share of cash NOI from unconsolidated joint ventures. 
Portfolio Income, net debt to adjusted EBITDA and cash NOI are non-GAAP 
financial measures. For definitions of these non-GAAP financial measures 
and reconciliations of such measures to the most directly comparable GAAP 
measures, see the section titled “Non-GAAP Financial Measures” in our Annual 
Report, as well as the document titled “4Q 2018 Discussion and Reconciliation 
of Non-GAAP Financial Measures” available in the Investor Relations section of 
our website at www.ir.hcpi.com.

Patewood Medical Office, Greenville, SC

3

HCP, INC. | 2018 ANNUAL REPORT 
 
 
 
 
 
 
 
 
 
20 18  ANNUAL REP ORT

Parker Adventist, Denver, CO

Sunrise, Beverly Hills, CA

The Cove at Oyster Point, South San Francisco, CA

4

MEDICAL OFFICE
Our  Medical  Office  portfolio  totals  19  million  square  feet  and 
represents  approximately  29%  of  our  portfolio  income  as  of 
December  31,  2018.  Our  portfolio  is  uniquely  positioned  within 
the industry, as 82% of our square footage is located on-campus 
of  the  hospitals  they  serve.  This  leads  to  a  high  concentration 
of  specialty  tenants  such  as  orthopedists,  cardiologists  and 
oncologists,  resulting  in  stable  occupancy  and  consistent  NOI 
growth in our Medical Office portfolio generally ranging from 2% 
to 3%+ annually over the last decade. 

We believe our on-campus Medical Office space will continue to be 
a preferred solution for specialist physicians, hospitals and health 
systems.  The  nature  of  the  services  provided  by  on-campus 
specialists is more immune to competition from urgent care and 
retail clinics, which are sought out by consumers who seek more 
affordable alternatives for lower-acuity needs. 

2018  was  another  eventful  year  for  our  Medical  Office  portfolio, 
where  we  used  our  deep  relationships  to  acquire  and  develop 
well-located real estate where HCP and its partners have expertise. 
We  expanded  our  relationship  with  Morgan  Stanley  Real  Estate 
Investment  as  our  joint  venture  partner  for  the  acquisition  of 
a  $285  million  portfolio  that  is  95%  on-campus  and  leased  to 
Greenville  Health,  the  leading  hospital  system  in  South  Carolina. 
We  also  established  a  program  with  HCA  Healthcare,  one  of  the  
largest  hospital 
nation’s 
affiliation,  to  develop  on-campus,  HCA-anchored,  medical  office 
buildings.  Our  relationship  with  HCA  spans  three  decades  and 
we  expect  this  program  to  result  in  approximately  $100  million  of  
annual attractive investment opportunities over the next few years. 

largest  for-profit  operators  and  our 

We  will  also  continue  to  allocate  capital  to  certain  of  our  older, 
well-located  properties  that  present  attractive  redevelopment 
opportunities.  Over  the  next  several  years,  we  expect  our 
redevelopment program to average $75 to $100 million annually,  
with projected cash-on-cash returns ranging from 9% to 12%.

LIFE SCIENCE
Our seven million square foot Life Science portfolio represents 
25%  of  our  portfolio  income  as  of  December  31,  2018,  and 
is  located  primarily  in  San  Francisco,  San  Diego  and  greater 
Boston. Our strategy of owning clusters of real estate in these 
key  life  science  markets  allows  us  to  creatively  work  with  our 
tenants to meet their evolving real estate needs while limiting 
vacancy downtime.

Real  estate  fundamentals  in  this  sector  remain  favorable  as  our 
tenants  and  the  industry  continue  to  see  active  venture  capital 
funding,  an  open  IPO  market  and  increased  partnerships  and 
collaborations  between  pharma  and  biotech  companies.  These 
healthy fundamentals have been a tailwind in our efforts to lease 
our  life  science  development  projects.  We  have  had  excellent 
success  at  our  $800  million  Class-A  development  project,  The 
Cove  at  Oyster  Point,  which  is  now  100%  leased.  During  2018, 
we also pre-leased 100% of our $224 million Phase I of The Shore 
at Sierra Point, which gave us the momentum and confidence to 
accelerate  the  two  remaining  phases  of  the  development  with  a 
combined anticipated spend of $385 million. 

HCP, INC. | 2018 ANNUAL REPORT201 8  AN NUAL  REPO RT

Our  Life  Science  development  pipeline  now  totals  $1.2  billion, 
of  which  $500  million  is  already  completed,  with  the  remaining 
funding  fully  captured  for  in  our  strategic  plan.  The  pipeline  has 
been expanded in 2019 to take advantage of some very attractive 
is 
opportunities  that  exist  today.  Additionally,  our  pipeline 
significantly de-risked as it is already ~65% pre-leased.

During  2018,  we  took  decisive  actions  to  create  a  stronger 
Senior  Housing  business.  We  sold  approximately  $1.5  billion  of 
non-core  Senior  Housing  assets,  transitioned  38  properties  to 
new  operators,  and  started  redevelopments  on  10  well-located, 
but older assets, which we believe will position these communities 
to better perform over the long-term.

We have been actively allocating capital to select, complementary 
acquisitions, such as 87 CambridgePark Drive in West Cambridge, 
Massachusetts, which we acquired earlier this year. This $71 million 
investment  expanded  our  footprint  in  the  greater  Boston  area 
through  our  relationship  with  King  Street  Properties.  We  also 
acquired  a  vacant  land  parcel  that  is  directly  adjacent  to  this 
property  that  we  intend  to  develop  a  second  building  within  the 
next few years, creating a Class-A campus.

Although  these  actions  caused  near-term  dilution,  we  expect 
operations to improve over time as we recapture the embedded 
upside in these assets. As an example, we added two best-in-class 
operating  partners:  Discovery  Senior  Living  and  Life  Care 
Services.  Relationships  with  high-quality  operators  like  them  will 
be instrumental to our success in senior housing. We also exited, 
or  went  under  contract  to  exit,  five  small  operator  relationships, 
which will make our platform more efficient.

In  addition  to  our  expansion  in  Boston,  we  are  under  contract  to 
acquire Sierra Point Towers in South San Francisco. This $245 million 
property is in a highly strategic location next to our development 
at The Shore at Sierra Point, which gives us the unique opportunity 
to integrate the campuses and drive both leasing and operational 
synergies  over  time.  With  this  strategic  and  coordinated  capital 
deployment,  we  are  creating  an  integrated  $850  million  Class-A 
life science campus with more than one million square feet in this 
dynamic and growing sub-cluster.

Finally,  we  made  excellent  progress  building  out  our  Senior 
Housing systems and team.

While  we  continue  to  be  cautious  on  near-term  senior  housing 
fundamentals in 2019, we are encouraged by three important trends. 
First,  the  penetration  rate  is  growing  as  the  physical,  cognitive  and 
social  benefits  of  senior  housing  are  becoming  better  understood. 
Second, new starts have declined to a level where supply and demand 
should  be  more  in  balance  within  the  next  year  or  two.  Finally,  the 
growth rate for the 85+ cohort, which hit a trough in 2018, is now at 
the beginning of a gradual but powerful upward slope that will drive 
growth  for  several  decades.  We  fully  expect  our  Senior  Housing 
business will stabilize and be a strong growth engine over time.

OUR BALANCE SHEET 
The  ability  to  source  strategic  investments  and  fund  them 
with  attractively  priced  capital  is  a  key  driver  for  HCP’s  future 
growth.  Our  capital  recycling  and  refinancing  activities 
in 
2018  further  strengthened  our  balance  sheet,  de-risked  our 
value-creating  development  pipeline  and  positioned  us  to 
generate  superior  risk-adjusted  growth  over  time  with  a  more 
predictable earnings stream. 

VI 
It 

$2.3B

$650M

Strengthened balance sheet with 
$2.3 billion of debt payments

Raised $650 million in the equity 
capital markets

The Solana Senior Living, Germantown, TN

SENIOR HOUSING 
Our Senior Housing portfolio of over 26,000 units is well-diversified 
across  the  core  product  offerings  of  independent  living,  assisted 
living and memory care, and is concentrated along the East and West 
Coasts, as well as in the high-growth Texas and Denver, CO markets. 
It  includes  both  triple-net  (“NNN”)  and  senior  housing  operating 
portfolio (“SHOP”) structures. We currently have a higher weighting 
in  NNN,  but  over  time  we  will  look  for  opportunities  to  convert 
some of our NNN assets to SHOP to better align our interests with 
those of our operators.

5.6x

5.6x annualized net debt 
to adjusted EBITDA(1) as of 
the three months ended 
December 31, 2018.

$1.9B

$1.9 billion of capacity 
under our line of credit as of 
December 31, 2018

In  2018,  we  utilized  the  net  proceeds  from  dispositions  to  help 
repay $2.3 billion of debt. Our leverage was subsequently reduced 
by over a full turn to 5.6x annualized net debt to adjusted EBITDA. 
These achievements were recognized by the credit rating agencies 
as  we  recently  received  ratings  upgrades  to  BBB+  from  S&P  and 
Baa1 from Moody’s.

(1) 

See footnote (1) on page three for disclosure on net debt to adjusted EBITDA.

5

HCP, INC. | 2018 ANNUAL REPORT20 18  ANNUAL REP ORT

At the end of 2018, we also accessed the equity capital markets, 
raising  approximately  $650  million  and  completing  our  first 
follow-on  equity  deal  in  over  six  years.  As  of  December  31, 
2018,  we  had  $1.9  billion  of  capacity  under  our  line  of  credit  and 
approximately  $430  million  of  undrawn  capital  from  a  forward 
equity offering we completed in December.

OUR TEAM

Over  the  past  two  years,  we  have  completely  revamped  our 
C-Suite,  assembling  a  cohesive  team  of  energized  individuals 
averaging over 20 years of real estate experience.

Scott Brinker joined our team in March 2018 as Chief Investment 
Officer  and  Head  of  Senior  Housing,  after  a  15-year  career  at 
Welltower, Inc. He has an outstanding track record of building and 
asset-managing  large  scale  portfolios  through  strong  industry 
relationships  and  a  disciplined  investment  process.  His  addition 
rounded out our talented leadership team.

the 

Earlier  this  year  we,  also  took  steps  to  further  advance  our 
competitive  performance  by  expanding 
leadership 
responsibilities  for  Pete  Scott,  our  Chief  Financial  Officer,  and 
Tom  Klaritch,  our  Chief  Operating  Officer.  Pete  has  assumed 
leadership  of  our  Life  Science  portfolio,  where  he  will  lead  a 
seasoned  team  with  expertise  and  relationships  in  the  major 
life  science  markets.  Tom  has  assumed  responsibility  for  the 
management of HCP’s development and redevelopment pipeline 
in  the  newly-created  role  of  Chief  Development  Officer  in  order 
to centralize management and further scale our resources.

Troy  McHenry,  our  General  Counsel,  continues  to  lead  the  legal 
execution  and  regulatory  compliance  aspects  of  our  initiatives, 
with  particular  focus  this  past  year  on  our  repositioning  and 
governance efforts.

In  2018  we  also  appointed  Brian  Cartwright,  former  General 
Counsel  of  the  U.S.  Securities  and  Exchange  Commission,  as 
the  Independent  Chairman  of  our  Board,  and  named  three  new 
independent  Board  members:  Kent  Griffin,  Lydia  Kennard  and 
Katherine  Sandstrom.  Further,  in  order  to  encourage  ongoing 
Board refreshment, we adopted a mandatory director retirement 
age of 75.

CORPORATE RESPONSIBILITY
HCP is committed to sustainable corporate governance practices 
that  promote 
long-term  value  creation,  transparency  and 
accountability. We have proven ourselves as an industry leader and 
we  continue  to  build  on  the  progress  made  since  committing  to 
focus on environmental, social and governance (“ESG”) initiatives 
over a decade ago. 

Our  recent  efforts  were  again  recognized  by  prominent  ESG 
reporting  organizations.  For  the  seventh  consecutive  year,  we 
achieved the Green Star designation from the Global Real Estate 
Sustainability Benchmark (GRESB) and were named a constituent 
in  the  FTSE4Good  index.  Additionally,  for  the  sixth  consecutive 
year, we were named to the Dow Jones Sustainability Index - North 
America and CDP’s Leadership Band. 

Our  cumulative  efforts  related  to  our  ESG  initiatives  have  resulted 
in an ISS Environmental QualityScore of 1, Social QualityScore of 2, 
and  an  overall  Governance  QualityScore  of  2.  These  results  reflect 
the hard work and emphasis our team places on ESG initiatives.

AWARDS AND RECOGNITION

Our  ESG  initiatives  have  earned  us  many 
accolades,  and  we  are  committed  to 
continuing our leadership in the industry. For 
additional  information  regarding  our  ESG 
sustainability  initiatives,  please  visit  our 
website at www.hcpi.com/sustainability.

CDP Leadership 
Band Constituent

GRESB Green 
Star Recipient

DJSI Series Constituent 
(N. America Index)

The Sustainability 
Yearbook Constituent

FTSE4Good Index 
Series Constituent

ENERGY STAR Partner 
of the Year

6

HCP, INC. | 2018 ANNUAL REPORTThe Shore at Sierra Point (rendering), South San Francisco, CA

IN CLOSING
Just a year ago, our focus was on completing the restructuring of 
our portfolio and fine tuning our strategy.  Fast forward to  today, 
we now have stability in our portfolio, our balance sheet and team, 
and  we  have  created  a  differentiated  way  for  investors  to  own 
healthcare  real  estate  in  the  three  private-pay  asset  classes  of 
Medical Office, Life Science and Senior Housing.

I would like to thank all of our employees and our Board of Directors 
for  their  contributions  in  2018,  and  send  a  special  thank  you  to 
our stockholders for your continued support. We look forward to 
another productive and rewarding year.

Tom Herzog
President and Chief Executive Officer 
HCP, Inc.

2018  AN N UAL  REPO RT

7

HCP, INC. | 2018 ANNUAL REPORTThis page intentionally left blank.

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

(Mark One)

Form 10-K

x  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT  

OF 1934.

For the fiscal year ended December 31, 2018
or
¨  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT  

OF 1934

For the transition period from

 to 

Commission file number 001-08895

HCP, Inc.
(Exact name of registrant as specified in its charter)

Maryland 

(State or other jurisdiction of 
incorporation or organization)
1920 Main Street, Suite 1200 
Irvine, California
(Address of principal 
executive offices)

33-0091377

(I.R.S. Employer  
Identification No.)

92614
(Zip Code)

Registrant’s telephone number, including area code (949) 407-0700
Securities registered pursuant to Section 12(b) of the Act:

Title of each class
Common Stock

Name of each exchange on which registered
New York Stock Exchange

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities  

Act. Yes  x  No  ¨

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the  

Act. Yes  ¨  No  x

Indicate by check mark whether the registrant; (1) has filed all reports required to be filed by Section 13 or 15(d) of the 
Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required 
to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes  x  No  ¨

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be 
submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such 
shorter period that the registrant was required to submit such files). Yes  x  No  ¨

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§ 229.405 of this chapter) 

is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information 
statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K.  x

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  x

Accelerated 
filer  ¨

Non-accelerated filer  ¨ Smaller reporting 

company  ¨

Emerging growth 
company  ¨

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition 

period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the 
Exchange Act. ¨

Indicate by check mark whether the registrant is a shell company (as defined by Rule 12b-2 of the Act.) Yes  ¨  No  x
State the aggregate market value of the voting and non-voting common equity held by non-affiliates computed by 
reference to the price at which the common equity was last sold, or the average bid and asked price of such common equity, 
as of the last business day of the registrant’s most recently completed second fiscal quarter: $8.7 billion.

As of February 11, 2019 there were 477,771,756 shares of common stock outstanding.

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the definitive Proxy Statement for the registrant’s 2019 Annual Meeting of Stockholders have been 

incorporated by reference into Part III of this Report.

  
TABLE OF CONTENTS

HCP, INC. 
Form 10-K 
For the Fiscal Year Ended December 31, 2018 

135

135

135
135

135

135

136

136
140

CAUTIONARY LANGUAGE 
REGARDING FORWARD-
LOOKING STATEMENTS
PART I

Item 1.  Business
Item 1A.  Risk Factors
Item 1B.  Unresolved Staff Comments
Item 2.  Properties
Item 3.  Legal Proceedings
Item 4.  Mine Safety Disclosures

PART II

Item 5. 

 Market for Registrant’s Common Equity, 
Related Stockholder Matters and Issuer 
Purchases of Equity Securities

Item 6.  Selected Financial Data
Item 7. 

 Management’s Discussion and Analysis 
of Financial Condition and Results 
of Operations

Item 7A.   Quantitative and Qualitative Disclosures 

Item 8. 

Item 9. 

About Market Risk
 Financial Statements and 
Supplementary Data
 Changes in and Disagreements with 
Accountants on Accounting and 
Financial Disclosure

Item 9A.  Controls and Procedures
Item 9B.  Other Information

3

PART III

Item 10.   Directors, Executive Officers and 
Corporate Governance

Item 11.  Executive Compensation
Item 12.   Security Ownership of Certain Beneficial 

Owners and Management and Related 
Stockholder Matters

Item 13.   Certain Relationships and Related 

Transactions, and Director Independence

Item 14.   Principal Accounting Fees and Services

PART IV

Item 15.   Exhibits, Financial Statement Schedules
Item 16.   Form 10-K Summary

5

5
12
31
31
34
34

35

35

38
39

65

66

132

132
134

All references in this report to “HCP,” the “Company,” “we,” “us” or “our” mean HCP, Inc., together with its consolidated 
subsidiaries. Unless the context suggests otherwise, references to “HCP, Inc.” mean the parent company without its subsidiaries.

2

http://www.hcpi.com

CAUTIONARY LANGUAGE REGARDING 
FORWARD-LOOKING STATEMENTS 

Statements in this Annual Report on Form 10-K that are 
not historical factual statements are “forward-looking 
statements” within the meaning of Section 27A of the 
Securities Act of 1933, as amended, and Section 21E of 
the Securities Exchange Act of 1934, as amended (the 
“Exchange Act”). Forward-looking statements include, 
among other things, statements regarding our and our 
officers’ intent, belief or expectation as identified by the use 
of words such as “may,” “will,” “project,” “expect,” “believe,” 
“intend,” “anticipate,” “seek,” “target,” “forecast,” “plan,” 
“potential,” “estimate,” “could,” “would,” “should” and 
other comparable and derivative terms or the negatives 
thereof. Forward-looking statements reflect our current 
expectations and views about future events and are subject 
to risks and uncertainties that could significantly affect 
our future financial condition and results of operations. 
While forward-looking statements reflect our good faith 
belief and assumptions we believe to be reasonable based 
upon current information, we can give no assurance that 
our expectations or forecasts will be attained. Further, 
we cannot guarantee the accuracy of any such forward-
looking statement contained in this Annual Report, and 
such forward-looking statements are subject to known 
and unknown risks and uncertainties that are difficult to 
predict. As more fully set forth under “Item 1A, Risk Factors” 
in this report, these risks and uncertainties include, among 
other things:

•  our reliance on a concentration of a small number of 

• 

• 

tenants and operators for a significant percentage of our 
revenues and net operating income;
the financial condition of our existing and future 
tenants, operators and borrowers, including potential 
bankruptcies and downturns in their businesses, and 
their legal and regulatory proceedings, which results in 
uncertainties regarding our ability to continue to realize 
the full benefit of such tenants’ and operators’ leases 
and borrowers’ loans;
the ability of our existing and future tenants, operators 
and borrowers to conduct their respective businesses 
in a manner sufficient to maintain or increase their 
revenues and manage their expenses in order to 
generate sufficient income to make rent and loan 
payments to us and our ability to recover investments 
made, if applicable, in their operations;

•  our concentration in the healthcare property sector, 

particularly in senior housing, life sciences and medical 
office buildings, which makes our profitability more 
vulnerable to a downturn in a specific sector than if we 
were investing in multiple industries;

•  operational risks associated with third party 

• 

management contracts, including the additional 
regulation and liabilities of our RIDEA lease structures;
the effect on us and our tenants and operators 
of legislation, executive orders and other legal 
requirements, including compliance with the Americans 
with Disabilities Act, fire, safety and health regulations, 
environmental laws, the Affordable Care Act, licensure, 
certification and inspection requirements, and laws 
addressing entitlement programs and related services, 
including Medicare and Medicaid, which may result 
in future reductions in reimbursements or fines 
for noncompliance;

•  our ability to identify replacement tenants and operators 

• 

• 
• 

and the potential renovation costs and regulatory 
approvals associated therewith;
the risks associated with property development 
and redevelopment, including costs above original 
estimates, project delays and lower occupancy rates and 
rents than expected;
the potential impact of uninsured or underinsured losses; 
the risks associated with our investments in joint 
ventures and unconsolidated entities, including our lack 
of sole decision making authority and our reliance on our 
partners’ financial condition and continued cooperation;
•  competition for the acquisition and financing of suitable 
healthcare properties as well as competition for tenants 
and operators, including with respect to new leases and 
mortgages and the renewal or rollover of existing leases;

•  our ability to achieve the benefits of acquisitions or 

• 

other investments within expected time frames or at all, 
or within expected cost projections;
the potential impact on us and our tenants, operators 
and borrowers from current and future litigation 
matters, including the possibility of larger than 
expected litigation costs, adverse results and 
related developments;

•  changes in federal, state or local laws and regulations, 
including those affecting the healthcare industry that 
affect our costs of compliance or increase the costs, 
or otherwise affect the operations, of our tenants 
and operators;

•  our ability to foreclose on collateral securing our real 

estate-related loans;

2018 Annual Report 

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CAUTIONARY LANGUAGE REGARDING FORWARD-LOOKING STATEMENTS

•  volatility or uncertainty in the capital markets, the 

•  competition for skilled management and other 

availability and cost of capital as impacted by interest 
rates, changes in our credit ratings, and the value of 
our common stock, and other conditions that may 
adversely impact our ability to fund our obligations or 
consummate transactions, or reduce the earnings from 
potential transactions;

•  changes in global, national and local economic and other 

conditions, including currency exchange rates;
•  our ability to manage our indebtedness level and 
changes in the terms of such indebtedness;

key personnel;

•  our reliance on information technology systems and 

the potential impact of system failures, disruptions or 
breaches; and

•  our ability to maintain our qualification as a real estate 

investment trust (“REIT”).

Except as required by law, we do not undertake, and hereby 
disclaim, any obligation to update any forward-looking 
statements, which speak only as of the date on which they 
are made.

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PART I

ITEM 1.  BUSINESS

General Overview
HCP, an S&P 500 company, invests primarily in real estate 
serving the healthcare industry in the United States 
(“U.S.”). We are a Maryland corporation organized in 1985 
and qualify as a self-administered real estate investment 
trust. We are headquartered in Irvine, California, with 
offices in Nashville and San Francisco. Our diverse portfolio 
is comprised of investments in the following reportable 
healthcare segments: (i) senior housing triple-net, (ii) senior 

Business Strategy
We invest and manage our real estate portfolio for the 
long-term to maximize the benefit to our stockholders and 
support the growth of our dividends. The core elements of 
our strategy are to:

•  Acquire, develop, lease, own and manage a diversified 
portfolio of quality healthcare properties across 
multiple geographic locations and business segments, 
including senior housing, life science, and medical office, 
among others; 

•  Maintain an investment grade balance sheet with 
adequate liquidity and long-term fixed rate debt 
financing with staggered maturities in order to support 
the longer-term nature of our investments, while 
reducing our exposure to interest rate volatility and 
refinancing risk at any point in the interest rate or 
credit cycles;

•  Align ourselves with leading healthcare companies, 

operators and service providers which, over the long-
term, should result in higher relative rental rates, net 
operating cash flows and appreciation of property 
values; and 

•  Pursue operational excellence to maximize the value of 

our investments.

Internal Growth Strategies
We believe our real estate portfolio holds the potential for 
increased future cash flows as it is well-maintained and in 
desirable locations. Our strategy for maximizing the benefits 
from these opportunities is to: (i) work with new or existing 
tenants and operators to address their space and capital 
needs; and (ii) provide high-quality property management 
services in order to motivate tenants to renew, expand or 
relocate into our properties.

housing operating portfolio (“SHOP”), (iii) life science and 
(iv) medical office. At December 31, 2018, we had 201 
full-time employees.

For a description of our significant activities during 2018, 
see “Item 7, Management’s Discussion and Analysis of 
Financial Condition and Results of Operations—2018 
Transaction Overview” in this report.

We expect to continue our internal growth as a result of our 
ability to:

•  Build and maintain long-term leasing and management 
relationships with quality tenants and operators. In 
choosing locations for our properties, we focus on 
their physical environment, adjacency to established 
businesses (e.g., hospital systems) and educational 
centers, proximity to sources of business growth and 
other local demographic factors.

•  Replace tenants and operators at the best available 

market terms and lowest possible transaction costs. 
We believe that we are well-positioned to attract new 
tenants and operators and achieve attractive rental 
rates and operating cash flow as a result of the location, 
design and maintenance of our properties, together 
with our reputation for high-quality building services and 
responsiveness to tenants, and our ability to offer space 
alternatives within our portfolio.

•  Extend and modify terms of existing leases prior 

to expiration. We structure lease extensions, early 
renewals or modifications, which reduce the cost 
associated with lease downtime or the re-investment 
risk resulting from the exercise of tenants’ purchase 
options, while securing the tenancy and relationship 
of our high quality tenants and operators on a 
long-term basis.

Investment Strategies
The delivery of healthcare services requires real estate and, 
as a result, tenants and operators depend on real estate, 
in part, to maintain and grow their businesses. We believe 
that the healthcare real estate market provides investment 
opportunities due to the: (i) compelling long-term 
demographics driving the demand for healthcare services; 
(ii) specialized nature of healthcare real estate investing; and 
(iii) ongoing consolidation of the fragmented healthcare real 
estate sector.

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PART I

While we emphasize healthcare real estate ownership, we 
may also provide real estate secured financing to, or invest 
in equity or debt securities of, healthcare operators or 
other entities engaged in healthcare real estate ownership. 
We may also acquire all or substantially all of the securities 
or assets of other REITs, operating companies or similar 
entities where such investments would be consistent with 
our investment strategies. We may co-invest alongside 
institutional or development investors through partnerships 
or limited liability companies.

•  our track record and reputation for executing 

acquisitions responsively and efficiently, which provides 
confidence to domestic and foreign institutions and 
private investors who seek to sell healthcare real estate 
in our market areas;

•  our relationships with nationally recognized financial 
institutions that provide capital to the healthcare and 
real estate industries; and

•  our control of sites (including assets under contract with 

radius restrictions).

We monitor, but do not limit, our investments based on 
the percentage of our total assets that may be invested in 
any one property type, investment vehicle or geographic 
location, the number of properties that may be leased to 
a single tenant or operator, or loans that may be made 
to a single borrower. In allocating capital, we target 
opportunities with the most attractive risk/reward profile 
for our portfolio as a whole. We may take additional 
measures to mitigate risk, including diversifying our 
investments (by sector, geography, tenant or operator), 
structuring transactions as master leases, requiring tenant 
or operator insurance and indemnifications, and obtaining 
credit enhancements in the form of guarantees, letters of 
credit or security deposits.

We believe we are well-positioned to achieve external 
growth through acquisitions, financing and development. 
Other factors that contribute to our competitive 
position include:

• 

• 

Financing Strategies
Our REIT qualification requires us to distribute at least 90% 
of our REIT taxable income (excluding net capital gains); 
therefore, we do not retain a significant amount of capital. 
As a result, we regularly access the public equity and debt 
markets to raise the funds necessary to finance acquisitions 
and debt investments, develop and redevelop properties, 
and refinance maturing debt.

We may finance acquisitions and other investments through 
the following vehicles:

•  borrowings under our credit facility;
• 

issuance or origination of debt, including unsecured 
notes, term loans and mortgage debt;
sale of ownership interests in properties or other 
investments; or
issuance of common stock or preferred stock or 
its equivalent.

•  our reputation gained through over 30 years of 

successful operations and the strength of our existing 
portfolio of properties;

•  our relationships with leading healthcare operators 
and systems, investment banks and other market 
intermediaries, corporations, private equity firms, 
non-profits and public institutions seeking to monetize 
existing assets or develop new facilities;

•  our relationships with institutional buyers and sellers of 

high-quality healthcare real estate;

Segments
Senior housing (triple-net and senior housing operating 
portfolio, or SHOP)

Our senior housing properties are owned either through 
triple-net leases with third party tenant-operators or 
through so-called RIDEA structures, which is permitted 
by the Housing and Economic Recovery Act of 2008, and 
includes most of the provisions previously proposed in the 
REIT Investment Diversification and Empowerment Act of 

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We maintain a disciplined balance sheet by actively 
managing our debt to equity levels and maintaining multiple 
sources of liquidity. Our debt obligations are primarily 
long-term fixed rate with staggered maturities.

We finance our investments based on our evaluation of 
available sources of funding. For short-term purposes, we 
may utilize our revolving line of credit facility, arrange for 
other short-term borrowings from banks or other sources, 
or issue equity securities pursuant to our at-the-market 
equity offering program. We arrange for longer-term 
financing by offering debt and equity securities, placing 
mortgage debt and obtaining capital from institutional 
lenders and joint venture partners.

2007 (commonly referred to as “RIDEA”). Our senior housing 
properties include independent living facilities (“ILFs”), 
assisted living facilities (“ALFs”), memory care facilities 
(“MCFs”), and continuing care retirement communities 
(“CCRCs”), which cater to different segments of the elderly 
population based upon their personal needs. The services 
provided by our third party tenant-operators under triple-
net leases or by our third-party manager-operators under 
a RIDEA structure at our properties are primarily paid for by 

the residents directly or through private insurance and are 
less reliant on government reimbursement programs such 
as Medicare and Medicaid.

Our triple-net leases are typically long-term agreements 
with third party tenant-operators. Under triple-net leases, 
our tenant-operators are typically responsible for the 
ongoing expenses of the property, including real estate 
taxes, insurance, and maintenance, in addition to paying the 
rent and utilities. Additionally, operational risks and liabilities 
are the responsibility of our tenant-operator, including 
with respect to any employment matters, compliance with 
healthcare and other laws and liabilities relating to personal 
injury-tort matters, resident-patient quality of care claims 
and governmental reimbursement matters.

A RIDEA structure allows us, through a taxable REIT 
subsidiary (“TRS”), to receive cash flow from the operations 
of a healthcare facility (as compared to only receiving 
contractual rent from a third-party tenant-operator under 
a triple-net lease structure) in compliance with REIT tax 
requirements. The criteria for operating a healthcare facility 
through a RIDEA structure require us to lease the facility to 
an affiliate TRS under a triple-net lease, and for such affiliate 
TRS to engage an independent qualifying management 
company (also known as an eligible independent contractor 
or third-party operator) to manage and operate the 
day-to-day business of the facility in exchange for a 
management fee. As a result, under a RIDEA structure, 
we are required to rely on a third-party operator to hire 
and train all facility employees, enter into all third-party 
contracts for the benefit of the facility, including resident/
patient agreements, comply with laws, including but not 
limited to healthcare laws, and provide resident care. We are 
substantially limited in our ability to control or influence day-
to-day operations under a RIDEA structure, and thus rely 
on the third-party tenant-operator to manage and operate 
the business.

Unlike our triple-net leased properties, through our TRS, 
we bear all operational risks and liabilities associated with 
the operation of these properties, with limited exceptions, 
such as a third-party operator’s gross negligence or willful 
misconduct. These operational risks and liabilities include 
those relating to any employment matters of our operator, 
compliance with healthcare and other laws and liabilities 
relating to personal injury-tort matters, resident-patient 
quality of care claims, and any governmental reimbursement 
matters, even though we have limited ability to control 
or influence our third-party operators’ management of 
these risks.

We view RIDEA as an important structure for senior housing 
properties that present attractive valuation entry points 
and/or growth profiles, and this structure has become 
the preferred structure (as opposed to triple-net leases) 

PART I

among most high-quality operators in the senior housing 
industry. Many of the management agreements we have 
in RIDEA structured transactions have terms ranging 
from 5 to 15 years, with mutual renewal options. The base 
management fees are typically 4.5% to 5.0% of gross 
revenues (as defined) generated by the RIDEA properties. 
In addition, there are sometimes incentive management 
fees payable to our third-party operators if operating 
results of the RIDEA properties exceed pre-established 
thresholds. Conversely, there are sometimes provisions 
in the management agreements that reduce management 
fees payable to our third-party operators if operating results 
do not meet certain pre-established thresholds.

Our senior housing property types under both triple-net 
leases and RIDEA structures are further described below:

• 

Independent Living Facilities. ILFs are designed to 
meet the needs of seniors who choose to live in an 
environment surrounded socially by their peers with 
services such as housekeeping, meals and activities. 
Additionally, the programs and services may include 
transportation, social activities, exercise and fitness 
programs, beauty or barber shop access, hobby and 
craft activities, community excursions, meals in a dining 
room setting and other activities sought by residents. 
These residents generally do not need assistance with 
activities of daily living (“ADL”). However, in some of 
our facilities, residents have the option to contract for 
these services.

•  Assisted Living Facilities. ALFs are licensed care facilities 

that provide personal care services, support and housing 
for those who need help with ADL, such as bathing, 
eating, dressing and medication management, yet 
require limited medical care. These facilities are often 
in apartment-like buildings with private residences 
ranging from single rooms to large apartments. Certain 
ALFs may have a dedicated portion of a facility that 
offers higher levels of personal assistance for residents 
requiring memory care as a result of Alzheimer’s 
disease or other forms of dementia. Levels of personal 
assistance are based in part on local regulations.
•  Memory Care Facilities. MCFs address the unique 

challenges of residents with Alzheimer’s disease or other 
forms of dementia. Residents may live in semi-private 
apartments or private rooms and have structured 
activities delivered by staff members trained specifically 
on how to care for residents with memory impairment. 
These facilities offer programs that provide comfort and 
care in a secure environment.

•  Continuing Care Retirement Communities. CCRCs offer 
several levels of service, including independent living, 
assisted living and skilled nursing home care. CCRCs 
are different from other housing and care options 
for seniors because they usually provide written 

2018 Annual Report 

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PART I

agreements or long-term contracts between residents 
and the communities (frequently lasting the term of the 
resident’s lifetime), which offer a continuum of housing, 
services and healthcare on one campus or site. CCRCs 

are appealing as they allow residents to “age in place.” 
CCRCs typically require the individual to be in relatively 
good health and independent upon entry.

The following table provides information about our senior housing triple-net tenant concentration for the year ended 
December 31, 2018:

Tenant
Brookdale Senior Living, Inc. (“Brookdale”)(1)

Percentage of 
Segment Revenues

Percentage of  
Total Revenues

38%

6%

(1)  Excludes facilities operated by Brookdale in our SHOP segment, as discussed below. Percentages of segment and total revenues include 

partial-year revenue earned from senior housing triple-net facilities that were sold during 2018. Accordingly, the percentages of segment 
and total revenues are expected to decrease in 2019 (see Note 3 in the Consolidated Financial Statements).

As of December 31, 2018, Brookdale operated, in our SHOP 
segment, approximately 7% of our real estate investments 
based on total assets. Because third-party operators 
manage our RIDEA properties in exchange for the receipt of 
a management fee, we are not directly exposed to the credit 
risk of these operators in the same manner or to the same 
extent as our triple-net tenants.

Life science. These properties contain laboratory and office 
space primarily for biotechnology, medical device and 
pharmaceutical companies, scientific research institutions, 
government agencies and other organizations involved 
in the life science industry. While these properties have 
characteristics similar to commercial office buildings, they 
generally contain more advanced electrical, mechanical, 
and heating, ventilating and air conditioning systems. The 
facilities generally have specialty equipment including 
emergency generators, fume hoods, lab bench tops and 

related amenities. In many instances, life science tenants 
make significant investments to improve their leased space, 
in addition to landlord improvements, to accommodate 
biology, chemistry or medical device research initiatives.

Life science properties are primarily configured in business 
park or campus settings and include multiple buildings. 
The business park and campus settings allow us the 
opportunity to provide flexible, contiguous/adjacent 
expansion to accommodate the growth of existing tenants. 
Our properties are located in well-established geographical 
markets known for scientific research and drug discovery, 
including San Francisco (56%) and San Diego (31%), 
California, Boston, Massachusetts, and Durham, North 
Carolina (based on square feet). At December 31, 2018, 91% 
of our life science properties were triple-net leased (based 
on leased square feet).

The following table provides information about our life science tenant concentration for the year ended December 31, 2018:

Tenants
Amgen, Inc.

Medical office. Medical office buildings (“MOBs”) typically 
contain physicians’ offices and examination rooms, and 
may also include pharmacies, hospital ancillary service 
space and outpatient services such as diagnostic centers, 
rehabilitation clinics and day-surgery operating rooms. 
While these facilities are similar to commercial office 
buildings, they require additional plumbing, electrical and 
mechanical systems to accommodate multiple exam rooms 
that may require sinks in every room, and special equipment 
such as x-ray machines. In addition, MOBs are often built to 
accommodate higher structural loads for certain equipment 

Percentage of 
Segment Revenues

Percentage of 
Total Revenues

14%

3%

and may contain vaults or other specialized construction. 
Our MOBs are typically multi-tenant properties leased to 
healthcare providers (hospitals and physician practices), 
with approximately 82% of our MOBs located on hospital 
campuses and 94% affiliated with hospital systems (based 
on square feet). Occasionally, we invest in MOBs located on 
hospital campuses, which may be subject to ground leases. 
At December 31, 2018, approximately 55% of our MOBs 
were net leased (based on leased square feet) with the 
remaining leased under gross or modified gross leases.

The following table provides information about our medical office tenant concentration for the year ended 
December 31, 2018:

Tenant
Hospital Corporation of America (“HCA”)(1)

Percentage of 
Segment Revenues

Percentage of 
Total Revenues

16%

6%

(1)  Percentage of total revenues from HCA includes revenues earned from both our medical office and other non-reportable segments.

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PART I

Other non-reportable segments. At December 31, 2018, we 
had interests in 14 hospitals, one post-acute/skilled nursing 
facility (“SNF”) and debt investments. Additionally, we had 
interests in 25 senior housing facilities, 68 care homes in the 
United Kingdom (“U.K.”), three MOBs and three SNFs owned 
and operated by our unconsolidated joint ventures. Services 
provided by our tenants and operators in hospitals are paid 
for by private sources, third-party payors (e.g., insurance 
and HMOs) or through Medicare and Medicaid programs. 
Our hospital property types include acute care, long-term 
acute care, and specialty and rehabilitation hospitals. Care 

homes offer personal care services, such as lodging, meal 
services, housekeeping and laundry services, medication 
management and assistance with ADL. Care homes are 
registered to provide different levels of services, ranging 
from personal care to nursing care. Some homes can be 
further registered for a specific care need, such as dementia 
or terminal illness. SNFs offer restorative, rehabilitative and 
custodial nursing care for people following a hospital stay 
or not requiring the more extensive and complex treatment 
available at hospitals. All of our care homes in the U.K., 
hospitals, and SNFs are triple-net leased.

Competition
Investing in real estate serving the healthcare industry is 
highly competitive. We face competition from other REITs, 
investment companies, pension funds, private equity 
investors, sovereign funds, healthcare operators, lenders, 
developers and other institutional investors, some of whom 
may have greater flexibility (e.g., non-REIT competitors), 
resources and lower costs of capital than we do. Increased 
competition makes it more challenging for us to identify 
and successfully capitalize on opportunities that meet our 
objectives. Our ability to compete may also be impacted 
by global, national and local economic trends, availability 
of investment alternatives, availability and cost of capital, 
construction and renovation costs, existing laws and 
regulations, new legislation and population trends.

Income from our investments depends on our tenants’ 
and operators’ ability to compete with other companies 
on multiple levels, including: the quality of care provided, 
reputation, success of product or drug development, the 
physical appearance of a facility, price and range of services 
offered, alternatives for healthcare delivery, the supply of 
competing properties, physicians, staff, referral sources, 
location, the size and demographics of the population in 
surrounding areas, and the financial condition of our tenants 
and operators. For a discussion of the risks associated with 
competitive conditions affecting our business, see “Item 1A, 
Risk Factors” in this report.

Government Regulation, Licensing and Enforcement

Overview
Our healthcare facility operators (which include our TRSs 
when we use a RIDEA structure) and tenants are typically 
subject to extensive and complex federal, state and 
local healthcare laws and regulations relating to quality 
of care, licensure and certificate of need, government 
reimbursement, fraud and abuse practices, and similar 
laws governing the operation of healthcare facilities, 
and we expect that the healthcare industry, in general, 
will continue to face increased regulation and pressure 
in the areas of fraud, waste and abuse, cost control, 
healthcare management and provision of services, among 
others. These regulations are wide ranging and can 
subject our tenants and operators to civil, criminal and 
administrative sanctions. Affected tenants and operators 
may find it increasingly difficult to comply with this 
complex and evolving regulatory environment because 
of a relative lack of guidance in many areas as certain of 
our healthcare properties are subject to oversight from 
several government agencies, and the laws may vary from 
one jurisdiction to another. Changes in laws, regulations, 
reimbursement enforcement activity and regulatory non-
compliance by our tenants and operators can all have a 
significant effect on their operations and financial condition, 
which in turn may adversely impact us, as detailed below and 
set forth under “Item 1A, Risk Factors” in this report.

The following is a discussion of certain laws and regulations 
generally applicable to our operators, and in certain cases, 
to us.

Fraud and Abuse Enforcement
There are various extremely complex U.S. federal and 
state laws and regulations (and in relation to our facilities 
located in the U.K., national laws and regulations of England, 
Scotland, Northern Ireland, and Wales) governing healthcare 
providers’ relationships and arrangements and prohibiting 
fraudulent and abusive practices by such providers. These 
laws include: (i) U.S. federal and state false claims acts and 
U.K. anti-fraud legislation and regulation, which, among 
other things, prohibit providers from filing false claims 
or making false statements to receive payment from 
Medicare, Medicaid or other U.S. federal or state or U.K. 
healthcare programs; (ii) U.S. federal and state anti-kickback 
and fee-splitting statutes, including the Medicare and 
Medicaid anti-kickback statute, which prohibit or restrict 
the payment or receipt of remuneration to induce referrals 
or recommendations of healthcare items or services, and 
U.K. legislation and regulations on financial inducements 
and vested interests; (iii) U.S. federal and state physician 
self-referral laws (commonly referred to as the “Stark 
Law”), which generally prohibit referrals by physicians to 
entities with which the physician or an immediate family 

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PART I

member has a financial relationship; and (iv) the federal 
Civil Monetary Penalties Law, which prohibits, among other 
things, the knowing presentation of a false or fraudulent 
claim for certain healthcare services. Violations of U.S. and 
U.K. healthcare fraud and abuse laws carry civil, criminal 
and administrative sanctions, including punitive sanctions, 
monetary penalties, imprisonment, denial of Medicare and 
Medicaid reimbursement and potential exclusion from 
Medicare, Medicaid or other federal or state healthcare 
programs. These laws are enforced by a variety of federal, 
state and local agencies and in the U.S. can also be enforced 
by private litigants through, among other things, federal 
and state false claims acts, which allow private litigants 
to bring qui tam or “whistleblower” actions. Many of our 
tenants and operators are subject to these laws, and may 
become the subject of governmental enforcement actions 
or whistleblower actions if they fail to comply with applicable 
laws. Additionally, beginning in November 2019, the licensed 
operators of our U.S. long-term care facilities will be 
required to have compliance and ethics programs that meet 
the requirements of federal laws and regulations relating 
to the Social Security Act. We have begun the process of 
developing and implementing such programs.

Laws and Regulations Governing 
Privacy and Security
There are various U.S. federal and state and U.K. privacy 
laws and regulations, including the privacy and security 
rules contained in the Health Insurance Portability and 
Accountability Act of 1996 (commonly referred to as 
“HIPAA”) and the U.K. Data Protection Act 1998, which 
provide for the privacy and security of personal health 
information. An increasing focus of the U. S. Federal Trade 
Commission’s (“FTC’s”) consumer protection regulation 
is the impact of technological change on protection of 
consumer privacy. The FTC, as well as state attorneys 
general, have taken enforcement action against companies 
that do not abide by their representations to consumers 
regarding electronic security and privacy. To the extent we 
or our affiliated operating entities are a covered entity or 
business associate under HIPAA and the Health Information 
Technology for Economic and Clinical Health Act (the 
“HITECH Act”), compliance with those requirements would 
require us to, among other things, conduct a risk analysis, 
implement a risk management plan, implement policies 
and procedures, and conduct employee training. In most 
cases, we are dependent on our tenants and management 
companies to fulfill our compliance obligations, and we are in 
the process of developing programs to comply with aspects 
of these laws that cannot be delegated to third parties. 
Because of the far reaching nature of these laws, there can 
be no assurance that we would not be required to alter one 
or more of our systems and data security procedures to be 

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in compliance with these laws. Our failure to protect health 
information could subject us to civil or criminal liability and 
adverse publicity, and could harm our business and impair 
our ability to attract new customers and residents. We may 
be required to notify individuals, as well as government 
agencies and the media, if we experience a data breach.

Reimbursement
Sources of revenue for some of our tenants and operators 
include, among others, governmental healthcare programs, 
such as the federal Medicare programs and state Medicaid 
programs and, in the U.K., the National Health Service 
(“NHS”) and local authority funding, and non-governmental 
third-party payors, such as insurance carriers and HMOs. As 
federal and state governments focus on healthcare reform 
initiatives, and as the federal government and many states 
face significant current and future budget deficits, efforts 
to reduce costs by these payors will likely continue, which 
may result in reduced or slower growth in reimbursement 
for certain services provided by some of our tenants and 
operators. Similarly, in the U.K., the NHS and the local 
authorities are undertaking efforts to reduce costs, which 
may result in reduced or slower growth in reimbursement 
for certain services provided by our U.K. tenants and 
operators. Additionally, new and evolving payor and provider 
programs in the U.S., including but not limited to Medicare 
Advantage, Dual Eligible, Accountable Care Organizations, 
and Bundled Payments could adversely impact our tenants’ 
and operators’ liquidity, financial condition or results 
of operations.

Healthcare Licensure and Certificate  
of Need
Certain healthcare facilities in our portfolio (including 
our facilities located in the U.K.) are subject to extensive 
national, federal, state and local licensure, certification 
and inspection laws and regulations. A healthcare facility’s 
failure to comply with these laws and regulations could 
result in a revocation, suspension, restriction or non-
renewal of the facility’s license and loss of a certificate of 
need, which could adversely affect the facility’s operations 
and ability to bill for items and services provided at the 
facility. In addition, various licenses and permits are required 
to handle controlled substances (including narcotics), 
operate pharmacies, handle radioactive materials and 
operate equipment. Many states in the U.S. require certain 
healthcare providers to obtain a certificate of need, which 
requires prior approval for the construction, expansion or 
closure of certain healthcare facilities. The approval process 
related to state certificate of need laws may impact the 
ability of some of our tenants and operators to expand or 
change their businesses.

Product Approvals
While our life science tenants include some well-established 
companies, other tenants are less established and, in some 
cases, may not yet have a product approved by the Food 
and Drug Administration, or other regulatory authorities, for 
commercial sale. Creating a new pharmaceutical product or 
medical device requires substantial investments of time and 
capital, in part because of the extensive regulation of the 
healthcare industry; it also entails considerable risk of failure 
in demonstrating that the product is safe and effective and 
in gaining regulatory approval and market acceptance.

Senior Housing Entrance 
Fee Communities
Certain of our senior housing facilities, primarily the CCRCs 
in our unconsolidated joint ventures, are operated as 
entrance fee communities. Generally, an entrance fee is an 
upfront fee or consideration paid by a resident, a portion 
of which may be refundable, in exchange for some form of 
long-term benefit, typically consisting of a right to receive 
certain personal or health care services. Some of the 
entrance fee communities are subject to significant state 
regulatory oversight, including, for example, oversight 
of each facility’s financial condition, establishment and 
monitoring of reserve requirements and other financial 
restrictions, the right of residents to cancel their contracts 
within a specified period of time, the right of residents to 
receive a refund of their entrance fees, lien rights in favor 
of the residents, restrictions on change of ownership and 
similar matters.

Americans with Disabilities Act  
(the “ADA”)
Our properties must comply with the ADA and any similar 
state or local laws to the extent that such properties are 
“public accommodations” as defined in those statutes. The 
ADA may require removal of barriers to access by persons 
with disabilities in certain public areas of our properties 

Insurance
We obtain various types of insurance to mitigate the 
impact of property, business interruption, liability, flood, 
windstorm, earthquake, fire, environmental and terrorism-
related losses. We attempt to obtain appropriate policy 
terms, conditions, limits and deductibles considering the 
relative risk of loss, the cost of such coverage and current 
industry practice. There are, however, certain types of 
extraordinary losses, such as those due to acts of war 
or other events that may be either uninsurable or not 
economically insurable. In addition, we have a large number 
of properties that are exposed to earthquake, flood and 
windstorm occurrences which carry higher deductibles.

PART I

where such removal is readily achievable. To date, we 
have not received any notices of noncompliance with 
the ADA that have caused us to incur substantial capital 
expenditures to address ADA concerns. Should barriers to 
access by persons with disabilities be discovered at any of 
our properties, we may be directly or indirectly responsible 
for additional costs that may be required to make facilities 
ADA-compliant. Noncompliance with the ADA could 
result in the imposition of fines or an award of damages to 
private litigants. The obligation to make readily achievable 
accommodations pursuant to the ADA is an ongoing 
one, and we continue to assess our properties and make 
modifications as appropriate in this respect.

Environmental Matters
A wide variety of federal, state and local environmental and 
occupational health and safety laws and regulations affect 
healthcare facility operations. These complex federal and 
state statutes, and their enforcement, involve a myriad of 
regulations, many of which involve strict liability on the part 
of the potential offender. Some of these federal and state 
statutes may directly impact us. Under various federal, state 
and local environmental laws, ordinances and regulations, 
an owner of real property or a secured lender, such as us, 
may be liable for the costs of removal or remediation of 
hazardous or toxic substances at, under or disposed of in 
connection with such property, as well as other potential 
costs relating to hazardous or toxic substances (including 
government fines and damages for injuries to persons and 
adjacent property). The cost of any required remediation, 
removal, fines or personal or property damages and any 
related liability therefore could exceed or impair the value 
of the property and/or the assets. In addition, the presence 
of such substances, or the failure to properly dispose of or 
remediate such substances, may adversely affect the value 
of such property and the owner’s ability to sell or rent such 
property or to borrow using such property as collateral 
which, in turn, could reduce our earnings. For a description 
of the risks associated with environmental matters, see 
“Item 1A, Risk Factors” in this report.

We maintain property insurance for all of our properties. 
Tenants under triple-net leases, primarily in our senior 
housing triple-net segment, are required to provide primary 
property, business interruption and liability insurance. 
We maintain separate general and professional liability 
insurance for our SHOP facilities. Additionally, our corporate 
general liability insurance program also extends coverage 
for all of our properties beyond the aforementioned. We 
periodically review whether we or our RIDEA operators will 
bear responsibility for maintaining the required insurance 
coverage for the applicable SHOP properties, but the 

2018 Annual Report 

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PART I

costs of such insurance are facility expenses paid from the 
revenues of those properties, regardless of who maintains 
the insurance.

Sustainability
We believe that sustainability initiatives are a vital part of 
corporate responsibility, which supports our primary goal 
of increasing stockholder value through profitable growth. 
We continue to advance our commitment to sustainability, 
with a focus on achieving goals in each of the environmental, 
social and governance (“ESG”) dimensions of sustainability.

Our environmental management programs strive to capture 
cost efficiencies that ultimately benefit our investors, 
tenants, operators, employees and other stakeholders, 
while providing a positive impact on the communities in 
which we operate. Our social responsibility committee leads 
our local philanthropic and volunteer activities, and our 
transparent corporate governance initiatives incorporate 
sustainability as a critical component in achieving our 
business objectives and properly managing risks.

Available Information
Our website address is www.hcpi.com. Our Annual Reports 
on Form 10-K, Quarterly Reports on Form 10-Q, Current 
Reports on Form 8-K and any amendments to those 
reports filed or furnished pursuant to Section 13(a) or 15(d) 
of the Securities Exchange Act of 1934 (the “Exchange 
Act”) are available on our website, free of charge, as soon 
as reasonably practicable after we electronically file such 

We also maintain directors and officers liability insurance 
which provides protection for claims against our directors 
and officers arising from their responsibilities as directors 
and officers. Such insurance also extends to us in 
certain situations.

Our 2018 sustainability achievements include being 
recognized by the CDP (formerly the Carbon Disclosure 
Project) 2018 Climate Change Program. We completed 
CDP’s annual investor survey for the seventh consecutive 
year, received a score of A- for our disclosure and 
were named to the Leadership Band. CDP collects and 
publishes the environmental data on behalf of more than 
650 investors. We were also named a constituent in the 
FTSE4Good Index for the seventh consecutive year. We 
achieved the Green Star designation from the Global 
Real Estate Sustainability Benchmark (GRESB). We were 
named a constituent in the North America Dow Jones 
Sustainability Index (“DJSI”) for the sixth consecutive year. 
The list is compiled according to the results of RobecoSAM’s 
annual Corporate Sustainability Assessment, which also 
determines constituency for the DJSI series. For additional 
information regarding our ESG sustainability initiatives and 
our approach to climate change, please visit our website at 
www.hcpi.com/sustainability.

materials with, or furnish them to, the U.S. Securities and 
Exchange Commission (“SEC”). Additionally, the SEC 
maintains a website that contains reports, proxy and 
information statements, and other information regarding 
issuers that file electronically with the SEC, including us, at 
www.sec.gov.

ITEM 1A.  RISK FACTORS
The section below discusses the most significant risk factors that may materially adversely affect our business, results of 
operations and financial condition.

As set forth below, we believe that the risks we face generally fall into the following categories:

• 
• 
• 
• 

risks related to our business and operations;
risks related to our capital structure and market conditions;
risks related to other events; and
risks related to tax, including REIT-related risks.

Risks Related to Our Business and Operations
We depend on one tenant and operator, Brookdale, for a 
significant percentage of our revenues and net operating 
income. Continuing adverse developments, including 
operational challenges, in Brookdale’s business and affairs 
or financial condition would likely have a materially adverse 
effect on us.

We own our senior housing properties utilizing triple-net 
lease and RIDEA structures. As of December 31, 2018, 
Brookdale (i) leased 43 properties in our senior housing 
triple-net segment, (ii) managed on our behalf 35 properties 
in our SHOP segment, and (iii) managed 15 CCRCs and one 
additional SHOP property owned by our unconsolidated 

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joint ventures with Brookdale in our Other segment. These 
properties represent a significant portion of our portfolio, 
revenues and operating income.

Properties managed by Brookdale in our SHOP segment 
as of December 31, 2018, accounted for 7% of our real 
estate investments based on total assets. Under RIDEA, 
we are required to engage a third-party operator, such 
as Brookdale, that meets the requirements of an “eligible 
independent contractor” to manage and operate the 
day-to-day business of the properties. As required under 
RIDEA, the operator provides comprehensive property 
management and accounting services for these properties 
and we are limited in our ability to control or influence 
operations. Accordingly, we rely on the operator’s 
personnel, expertise, technical resources, regulatory 
compliance programs, information systems, proprietary 
information, good faith and judgment to manage and 
operate these properties efficiently and effectively. We 
also must rely on the operator to set appropriate resident 
fees, manage occupancy, provide accurate and complete 
property-level financial results for these properties in a 
timely manner and otherwise operate them in compliance 
with the terms of our management agreements and all 
applicable laws and regulations. However, as the owner of 
the property under a RIDEA structure, we are ultimately 
responsible for any operating deficits and other liabilities 
resulting from the operation of these properties, subject 
to limited exceptions such as gross negligence or willful 
misconduct by our operators. See, “—We assume 
operational risks with respect to our SHOP properties 
managed in RIDEA structures that could have a material 
adverse effect our business, results of operations and 
financial condition.”

Properties leased by Brookdale in our triple-net segment 
accounted for 6% of our total revenues for the year 
ended December 31, 2018. In its capacity as a triple-net 
tenant, Brookdale is contractually obligated to pay all 
insurance, tax, utilities, maintenance and repair expenses 
in connection with the leased properties. Brookdale may 
not have sufficient assets, income and access to financing 
to enable it to satisfy its obligations to us, and any failure by 
Brookdale to do so would have a material adverse effect on 
us. In addition, we depend on Brookdale’s maintenance and 
repair of the properties to remain competitive and attract 
and retain patients and residents. Adverse developments 
in Brookdale’s business and related declining rent coverage 
ratios have increased its credit risk. If these adverse 
developments result in prolonged inadequate property 
maintenance or improvements, or impair Brookdale’s access 
to capital necessary for maintenance or improvements, it 
could lead to a reduction in occupancy rates and market 
rents and have a materially adverse effect on us.

PART I

Brookdale has experienced challenges in recent years, 
including with respect to operational performance and 
stockholder activism, among others. Brookdale, as well as 
other operators, have been adversely affected by increased 
competition that has negatively impacted occupancy rates, 
as well as by increases in expenses, including increased labor 
costs. Brookdale’s challenges could divert management’s 
attention, increase employee turnover, and impair its ability 
to operate our properties efficiently and effectively. These 
challenges and any adverse developments in Brookdale’s 
business, affairs and financial results could result in, among 
other adverse events, declining operational and financial 
performance of our properties.

We have been in the process of reducing our exposure to 
Brookdale through asset sales and transitions to other 
operators (see “Management’s Discussion and Analysis 
of Financial Condition and Results of Operations—2018 
Transaction Overview—Brookdale Transactions Update” 
for more information). If we determine to sell or transition 
additional properties currently leased to or managed by 
Brookdale, we may experience operational challenges and/
or significantly declining financial performance for those 
properties, as we did with Brookdale properties sold or 
transitioned in 2018. Any failure of Brookdale to maintain 
the performance of our properties or to meet its obligations 
to us under its leases and management agreements could 
materially reduce our cash flow, net operating income 
and results of operations and have other materially 
adverse effects on our business, results of operations and 
financial condition.

We assume operational risks with respect to our SHOP 
properties managed in RIDEA structures that could have 
a material adverse effect on our business, results of 
operations and financial condition.

RIDEA permits REITs, such as us, to own or partially own 
qualified healthcare properties in a structure through which 
we can participate directly in the cash flow of the properties’ 
operations (as compared to receiving only contractual 
rent payments under a triple-net lease) in compliance with 
REIT requirements. The criteria for operating a qualified 
healthcare property in a RIDEA structure requires us to 
lease the property to an affiliate TRS and for such affiliate 
TRS to engage an independent qualifying management 
company, or operator (also known as an eligible independent 
contractor) to manage and operate the day-to-day business 
of the property. The operator performs its services in 
exchange for a management fee. As a result, under a 
RIDEA structure, we are required to rely on our operator 
to manage and operate the property, including hiring and 
training all employees, entering into all third-party contracts 
for the benefit of the property, including resident/patient 
agreements, complying with laws, including but not limited 

2018 Annual Report 

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PART I

to healthcare laws, and providing resident care. However, 
as the owner of the property under a RIDEA structure, 
our TRS, and hence we, are ultimately responsible for all 
operational risks and other liabilities of the property, other 
than those arising out of certain actions by our operator, 
such as gross negligence or willful misconduct. Operational 
risks include, and our resulting revenues therefore depend 
on, among other things: occupancy rates; the entrance 
fees and rental rates charged to residents; Medicare and 
Medicaid reimbursement rates, to the extent applicable; 
our operator’s reputation and ability to attract and retain 
residents; general economic conditions and market factors 
that impact seniors; competition from other senior housing 
providers; compliance with federal, state, local and industry-
regulated licensure, certification and inspection laws, 
regulations and standards; litigation involving our properties 
or residents/patients; the availability and cost of general 
and professional liability insurance coverage; and the ability 
to control operating expenses. Although we are permitted 
under a RIDEA structure to have certain general oversight 
approval rights (e.g., budgets, material contracts, etc.) 
and the right to review operational and financial reporting 
information, our operators are ultimately in control of 
the day-to-day business of the property. As a result, we 
have limited rights to direct or influence the business or 
operations of our properties in the SHOP segment and we 
depend on our operators to operate these properties in a 
manner that complies with applicable law, minimizes legal 
risk and maximizes the value of our investment.

When we use a RIDEA structure, our TRS is generally 
required to be the holder of the applicable healthcare license 
and is the entity that is enrolled in government healthcare 
programs (i.e., Medicare, Medicaid), where applicable. As 
the holder of a healthcare license, our TRS and we (through 
our ownership interest in our TRS) are subject to various 
regulatory laws. Most states regulate and inspect healthcare 
property operations, patient care, construction and the 
safety of the physical environment. However, we are 
required under RIDEA to rely on our operators to oversee 
and direct these aspects of the properties’ operations 
to ensure compliance with these applicable laws and 
regulations. If one or more of our healthcare properties 
fails to comply with applicable laws, our TRS would be 
responsible (except in limited circumstances, such as the 
gross negligence or willful misconduct of our operators, 
where we would have a contractual claim against them), 
which could subject our TRS to penalties including loss or 
suspension of licenses and certificates of need, certification 
or accreditation, exclusion from government healthcare 
programs (i.e., Medicare, Medicaid), administrative sanctions 
and civil monetary penalties. Some states also reserve 
the right to sanction affiliates of a licensee when they take 
administrative action against the licensee. Additionally, 
when we receive individually identifiable health information 

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relating to residents of our healthcare properties, we are 
subject to federal and state data privacy and security laws 
and rules, and could be subject to liability in the event of 
an audit, complaint, cybersecurity attack or data breach. 
Furthermore, our TRS has exposure to professional liability 
claims that could arise out of resident claims, such as quality 
of care, and the associated litigation costs.

Rents received from the TRS in a RIDEA structure are 
treated as qualifying rents from real property for REIT tax 
purposes only if (i) they are paid pursuant to a lease of a 
“qualified healthcare property” and (ii) the operator qualifies 
as an “eligible independent contractor,” as defined in the 
Internal Revenue Code of 1986, as amended (the “Code”). 
If either of these requirements are not satisfied, then the 
rents will not be qualifying rents.

Decreases in our tenants’, operators’ or borrowers’ 
revenues or increases in their expenses could affect 
their ability to meet their financial and other contractual 
obligations to us.

Our leases consist of triple-net leases, in which we lease 
our properties directly to tenants and operators, as well as 
RIDEA leases, in which we lease our properties to an affiliate 
TRS that enters into a management agreement with an 
eligible independent contractor, or operator, to manage 
and oversee the day-to-day business and operations of the 
properties. We are also a direct or indirect lender to various 
tenants and operators and separately provide loans to 
certain third parties. We have very limited control over the 
success or failure of our tenants’, operators’ and borrowers’ 
businesses, regardless of the structure of our relationship 
with them. Any of our triple-net tenants or operators under 
a RIDEA structure may experience a downturn in their 
business that materially weakens their financial condition. 
As a result, they may fail to make payments or perform 
their obligations when due. Although we generally have 
arrangements and other agreements that give us the right 
under specified circumstances to terminate a lease, evict 
a tenant or terminate our operator, or demand immediate 
repayment of outstanding loan amounts or other obligations 
to us, we may not be able to enforce such rights or we may 
determine not to do so if we believe that enforcement of 
our rights would be more detrimental to our business than 
seeking alternative approaches.

Our senior housing tenants and our SHOP segment under 
a RIDEA structure primarily depend on private sources for 
their revenues and the ability of their patients and residents 
to pay fees. Costs associated with independent and 
assisted living services are not generally reimbursable under 
governmental reimbursement programs such as Medicare 
and Medicaid. Accordingly, our tenants and operators of 
our SHOP segments depend on attracting seniors with 
appropriate levels of income and assets, which may be 

affected by many factors including prevailing economic and 
market trends, consumer confidence and demographics. 
Consequently, if our tenants or operators on our behalf 
fail to effectively conduct their operations, or to maintain 
and improve our properties, it could adversely affect our 
business reputation as the owner of the properties, as well 
as the business reputation of our tenants or operators and 
their ability to attract and retain patients and residents 
in our properties, which could have a materially adverse 
effect on our and our tenant’s or operator’s business, 
results of operations and financial condition.

Our senior housing tenants and our SHOP segment under 
a RIDEA structure also rely on reimbursements from 
governmental programs for a portion of the revenues from 
certain properties. Changes in reimbursement policies and 
other governmental regulation, such as potential changes 
to, or repeal of, the Patient Protection and Affordable Care 
Act, along with the Health Care and Education Reconciliation 
Act of 2010 (the “Affordable Care Act”), that may result 
from actions by Congress or executive orders, may result 
in reductions in our tenants’ revenues or in our revenues 
from our RIDEA structures, operations and cash flows and 
affect our tenants’ ability to meet their obligations to us 
or our financial performance through a RIDEA structure. In 
addition, failure to comply with reimbursement regulations 
or other laws applicable to healthcare providers could result 
in penalties, fines, litigation costs, lost revenue or other 
consequences, which could adversely impact our tenants’ 
ability to make contractual rent payments to us under a 
triple-net lease or our cash flows from operations under a 
RIDEA structure. For a further discussion of the legislation 
and regulation that are applicable to us and our tenants, 
operators and borrowers, see “—The requirements of, or 
changes to, government reimbursement programs such as 
Medicare or Medicaid, may adversely affect our tenants’, 
operators’ and borrowers’ ability to meet their financial and 
other contractual obligations to us.”

Revenues of our senior housing tenants and our SHOP 
segment under a RIDEA structure are also dependent on a 
number of other factors, including licensed bed capacity, 
occupancy, the healthcare needs of residents, the rate 
of reimbursement, the income and assets of seniors in 
the regions in which we own properties, and social and 
environmental factors. For example, due to generally 
increased vulnerability to illness, a severe flu season, an 
epidemic or any other widespread illness could result in 
early move-outs or delayed move-ins during quarantine 
periods, which would reduce our operators’ revenues. 
Additionally, new and evolving payor and provider 
programs in the United States, including but not limited 
to Medicare Advantage, Dual Eligible, Accountable Care 
Organizations, Bundled Payments and other value-based 
reimbursement arrangements, have resulted in reduced 

PART I

reimbursement rates, average length of stay and average 
daily census, particularly for higher acuity patients. If 
our tenants fail to maintain revenues sufficient to meet 
their financial obligations to us, our business, results of 
operations and financial condition would be materially 
adversely affected. Similarly, if our operators under a 
RIDEA structure underperform, our business, results of 
operations and financial condition would also be materially 
adversely affected.

Increased competition and market changes have resulted 
and may further result in lower net revenues for some 
of our tenants, operators and borrowers and may affect 
their ability to meet their financial and other contractual 
obligations to us.

The healthcare industry is highly competitive. The 
occupancy levels at, and rental income from, our properties 
are dependent on our ability and the ability of our tenants, 
operators and borrowers to compete with other tenants 
and operators on a number of different levels, including the 
quality of care provided, reputation, the physical appearance 
of a property, price, the range of services offered, family 
preference, alternatives for healthcare delivery, the supply 
of competing properties, physicians, staff, referral sources, 
location, and the size and demographics of the population in 
the surrounding area. In addition, our tenants, operators and 
borrowers face an increasingly competitive labor market 
for skilled management personnel and nurses. An inability 
to attract and retain skilled management personnel and 
nurses and other trained personnel could negatively impact 
the ability of our tenants, operators and borrowers to meet 
their obligations to us. A shortage of nurses or other trained 
personnel, union activities or general inflationary pressures 
on wages may force tenants, operators and borrowers to 
enhance pay and benefits packages to compete effectively 
for skilled personnel, or to use more expensive contract 
personnel, but they be unable to offset these added costs 
by increasing the rates charged to residents. Any increase 
in labor costs and other property operating expenses or any 
failure by our tenants, operators or borrowers to attract and 
retain qualified personnel could adversely affect our cash 
flow and have a materially adverse effect on our business, 
results of operations and financial condition.

Our tenants, operators and borrowers also compete with 
numerous other companies providing similar healthcare 
services or alternatives such as home health agencies, 
life care at home, community-based service programs, 
retirement communities and convalescent centers. This 
competition, which is due, in part, to over-development 
in some segments in which we invest, has caused the 
occupancy rate of newly constructed buildings to slow 
and the monthly rate that many newly built and previously 
existing properties were able to obtain for their services to 
decrease. Our tenants, operators and borrowers may be 

2018 Annual Report 

15

  
PART I

unable to achieve occupancy and rate levels, and to manage 
their expenses, in a way that will enable them to meet all of 
their obligations to us. Further, many competing companies 
may have resources and attributes that are superior 
to those of our tenants, operators and borrowers. Our 
tenants, operators and borrowers may encounter increased 
competition that could limit their ability to maintain or 
attract residents or expand their businesses or to manage 
their expenses, which could materially adversely affect 
their ability to meet their financial and other contractual 
obligations to us, potentially decreasing our revenues, 
impairing our assets and/or increasing collection and 
dispute costs.

The financial deterioration, insolvency or bankruptcy of 
one or more of our major tenants, operators or borrowers 
may materially adversely affect our business, results of 
operations and financial condition.

A downturn in any of our tenants’, operators’ or borrowers’ 
businesses could ultimately lead to voluntary or involuntary 
bankruptcy or similar insolvency proceedings, including 
but not limited to assignment for the benefit of creditors, 
liquidation, or winding-up. Bankruptcy and insolvency laws 
afford certain rights to a defaulting tenant, operator or 
borrower that has filed for bankruptcy or reorganization 
that may render certain of our remedies unenforceable or, 
at the least, delay our ability to pursue such remedies and 
realize any related recoveries. For example, we cannot evict 
a tenant or operator solely because of its bankruptcy filing.

A debtor has the right to assume, or to assume and assign 
to a third party, or to reject its executory contracts and 
unexpired leases in a bankruptcy proceeding. If a debtor 
were to reject its leases with us, obligations under such 
rejected leases would cease. The claim against the rejecting 
debtor would be an unsecured claim, which would be limited 
by the statutory cap set forth in the U.S. Bankruptcy Code. 
This statutory cap may be substantially less than the 
remaining rent actually owed under the lease. In addition, 
a debtor may also assert in bankruptcy proceedings that 
leases should be re-characterized as financing agreements, 
which could result in our being deemed a lender instead 
of a landlord. A lender’s rights and remedies, as compared 
to a landlord’s, generally are materially less favorable, 
and our rights as a lender may be subordinated to other 
creditors’ rights.

expenses and obligations (e.g., real estate taxes, insurance, 
debt costs and maintenance expenses) to preserve the 
value of our properties, avoid the imposition of liens on our 
properties or transition our properties to a new tenant or 
operator. Additionally, we lease many of our properties to 
healthcare providers who provide long-term custodial care 
to the elderly. Evicting these operators for failure to pay 
rent while the property is occupied may involve specific 
procedural or regulatory requirements and may not be 
successful. Even if eviction is possible, we may determine 
not to do so due to reputational or other risks.

Bankruptcy or insolvency proceedings typically also result 
in increased costs to the operator, significant management 
distraction and performance declines. If we are unable to 
transition affected properties, they would likely experience 
prolonged operational disruption, leading to lower 
occupancy rates and further depressed revenues. Publicity 
about the operator’s financial condition and insolvency 
proceeds may also negatively impact their and our 
reputations, decreasing customer demand and revenues. 
Any or all of these risks could have a material adverse effect 
on our revenues, results of operations and cash flows. These 
risks would be magnified where we lease multiple properties 
to a single operator under a master lease, as an operator 
failure or default under a master lease would expose us to 
these risks across multiple properties.

We depend on investments in the healthcare property 
sector, making our profitability more vulnerable to a 
downturn or slowdown in that specific sector than if we 
were investing in multiple industries.

We concentrate our investments in the healthcare property 
sector. As a result, we are subject to risks inherent to 
investments in a single industry. A downturn or slowdown 
in the healthcare property sector would have a greater 
adverse impact on our business than if we had investments 
in multiple industries. Specifically, a downturn in the 
healthcare property sector could negatively impact the 
ability of our tenants, operators and borrowers to meet their 
obligations to us, as well as the ability to maintain rental and 
occupancy rates. This could adversely affect our business, 
financial condition and results of operations. In addition, a 
downturn in the healthcare property sector could adversely 
affect the value of our properties and our ability to sell 
properties at prices or on terms acceptable to us.

Furthermore, the automatic stay provisions of the U.S. 
Bankruptcy Code would preclude us from enforcing our 
remedies unless we first obtain relief from the court having 
jurisdiction over the bankruptcy case. This would effectively 
limit or delay our ability to collect unpaid rent or interest 
payments, and we may ultimately not receive any payment 
at all. In addition, we would likely be required to fund certain 

In addition, we are exposed to the risks inherent in 
concentrating our investments in real estate, which 
investments are relatively illiquid due to a number of factors, 
including restrictions on our ability to sell properties under 
applicable REIT tax laws, other tax-related considerations, 
regulatory hurdles and market conditions. Our ability to 
quickly sell or transition any of our properties in response to 

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changes in the performance of our properties or economic 
and other conditions is limited. We may be unable to 
recognize full value for any property that we seek to sell for 
liquidity reasons. Our inability to respond rapidly to changes 
in the performance of our investments could adversely 
affect our financial condition and results of operations.

Tenants and operators that fail to comply with federal, 
state, local and international laws and regulations, including 
licensure, certification and inspection requirements, may 
cease to operate or be unable to meet their financial and 
other contractual obligations to us.

Our tenants, operators and borrowers are subject to or 
impacted by extensive, frequently changing federal, state, 
local and international laws and regulations. These laws 
and regulations include, among others: laws protecting 
consumers against deceptive practices; laws relating to 
the operation of our properties and how our tenants and 
operators conduct their business, such as fire, health and 
safety, data security and privacy laws; federal and state 
laws affecting hospitals, clinics and other healthcare 
communities that participate in both Medicare and Medicaid 
that specify reimbursement rates, pricing, reimbursement 
procedures and limitations, quality of services and care, 
background checks, food service and physical plants, and 
similar foreign laws regulating the healthcare industry; 
resident rights laws (including abuse and neglect laws) 
and fraud laws; anti-kickback and physician referral laws; 
the ADA and similar state and local laws; and safety and 
health standards set by the Occupational Safety and Health 
Administration or similar foreign agencies. Certain of our 
properties may also require a license, registration and/or 
certificate of need to operate.

Our tenants’, operators’ or borrowers’ failure to comply with 
any of these laws, regulations or requirements could result 
in loss of accreditation, denial of reimbursement, imposition 
of fines, suspension or decertification from government 
healthcare programs, civil liability, and in certain limited 
instances, criminal penalties, loss of license or closure of 
the property and/or the incurrence of considerable costs 
arising from an investigation or regulatory action, which 
may have an adverse effect on properties that we own 
and lease to a third party tenant, that we own and operate 
through a RIDEA structure or on which we hold a mortgage, 
and therefore may materially adversely impact us. See 
“Item 1—Business—Government Regulation, Licensing 
and Enforcement—Healthcare Licensure and Certificate of 
Need” above.

PART I

If we must replace any of our tenants or operators, we 
may have difficulty identifying replacements and we may 
be required to incur substantial renovation costs to make 
certain of our healthcare properties suitable for other 
tenants and operators.

Our tenants may not renew existing leases or our operators 
may not renew their management agreements beyond their 
current terms. If we or our tenants or operators terminate 
or do not renew the leases or management agreements 
for our properties, we would attempt to reposition those 
properties with another tenant or operator. We may also 
voluntarily change operators for a variety of reasons. 
For example, in November 2017, we announced a plan to 
transition a significant number of properties managed by 
Brookdale to other operators as part of our strategic plan 
to reduce our concentration of properties managed or 
leased by Brookdale. Healthcare properties are typically 
highly customized. The improvements generally required 
to conform a property to healthcare use, such as upgrading 
electrical, gas and plumbing infrastructure, are costly and at 
times tenant-specific and are typically subject to regulatory 
requirements. A new or replacement tenant or operator 
may require different features in a property, depending 
on that tenant’s or operator’s particular business. In 
addition, infrastructure improvements for life science 
properties typically are significantly more costly than 
improvements to other property types due to the highly 
specialized nature of the properties and the greater lease 
square footage often required by life science tenants. We 
may be unable to recover part or all of these higher costs. 
Therefore, if a current tenant or operator is unable to pay 
rent and/or vacates a property, we may incur substantial 
expenditures to modify a property and experience delays 
before we are able to secure another tenant or operator 
or to accommodate multiple tenants or operators. These 
expenditures or renovations and delays may materially 
adversely affect our business, results of operations and 
financial condition.

Additionally, we may fail to identify suitable replacements 
or enter into leases, management agreements or other 
arrangements with new tenants or operators on a timely 
basis or on terms as favorable to us as our current leases, if 
at all. Furthermore, during transition periods to new tenants 
or operators, we anticipate that the attention of existing 
tenants or operators will be diverted from the performance 
of the properties, which would cause the financial and 
operational performance at these properties to decline. 
For example, Brookdale properties we intended to sell 

2018 Annual Report 

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PART I

or transition performed significantly worse during 2018 
than our senior housing properties as a whole. Following a 
decline in performance, we may not be able to rehabilitate 
the property to previous performance levels, which would 
adversely impact our results of operations. We also may be 
required to fund certain expenses and obligations such as 
real estate taxes, debt costs and maintenance expenses, 
to preserve the value of, and avoid the imposition of liens 
on, our properties while they are being repositioned. In 
addition, we may incur certain obligations and liabilities, 
including obligations to indemnify the replacement tenant 
or operator, which could have a materially adverse effect on 
our business, results of operations and financial condition.

We face additional risks associated with property 
development and redevelopment that can render a project 
less profitable or not profitable at all and, under certain 
circumstances, prevent completion of development 
activities once undertaken.

Property development and redevelopment is a significant 
component of our growth strategy. At December 31, 2018, 
our active development and redevelopment pipeline was 
approximately $1.5 billion with remaining costs to complete 
of approximately $913 million. Large-scale, ground-up 
development of healthcare properties presents additional 
risks for us, including risks that:

•  a development opportunity may be abandoned after 

• 

• 

expending significant resources resulting in the loss of 
deposits or failure to recover expenses already incurred;
the development and construction costs of a project 
may exceed original estimates due to increased 
interest rates and higher costs relating to materials, 
transportation, labor, leasing, negligent construction or 
construction defects, damage, vandalism or accidents, 
among others, which could make the completion of the 
development project less profitable;
the project may not be completed on schedule as 
a result of a variety of factors that are beyond our 
control, including natural disasters, labor conditions, 
material shortages, regulatory hurdles, civil unrest and 
acts of war or terrorism, which result in increases in 
construction costs and debt service expenses or provide 
tenants or operators with the right to terminate pre-
construction leases; and

•  occupancy rates and rents at a newly completed 

property may not meet expected levels and could be 
insufficient to make the property profitable.

Any of the foregoing risks could materially adversely affect 
our business, results of operations and financial condition.

Changes within the life science industry may adversely 
impact our revenues and results of operations.

For the year ended December 31, 2018, properties in our 
life science segment accounted for approximately 21% of 
our total revenues. Our life science investments could be 
adversely affected if the life science industry is impacted by 
an economic, financial, or banking crisis or if the life science 
industry migrates from the U.S. to other countries or to 
areas outside of primary life science markets in South San 
Francisco, California, San Diego, California, and greater 
Boston, Massachusetts. Our ability to negotiate contractual 
rent escalations on future leases and to achieve increases 
in rental rates will depend upon market conditions and the 
demand for life science properties at the time the leases are 
negotiated and the increases are proposed. If economic, 
financial or industry conditions adversely affect our life 
science tenants, we may not be able to lease or re-lease 
our properties in a timely manner or at favorable rates, 
which would negatively impact our revenues and results 
of operations. For example, some of our properties may 
be better suited for a particular life science industry client 
tenant and could require modification before we are able to 
re-lease vacant space to another life science industry client 
tenant, which may delay the re-leasing process and result 
in unrecovered costs. Additionally, some of our life science 
properties may not be suitable for lease to traditional 
office client tenants without significant expenditures on 
renovations, which could delay an attempt to reposition 
the property for rent to non-life science tenants. Because 
infrastructure improvements for life science properties 
typically are significantly more costly than improvements 
to other property types due to the highly specialized nature 
of the properties, and life science tenants typically require 
greater lease square footage relative to medical office 
tenants, repositioning efforts would have a disproportionate 
adverse effect on our life science segment performance. 
See “—If we must replace any of our tenants or operators, 
we may have difficulty identifying replacements and we 
may be required to incur substantial renovation costs to 
make certain of our healthcare properties suitable for other 
tenants and operators.”

It is common for businesses in the life science industry 
to undergo mergers or consolidations. Future mergers 
or consolidations of life science entities could reduce the 
amount of rentable square footage requirements of our 
client tenants and prospective client tenants, which may 
adversely impact our revenues from lease payments and 
results of operations.

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Our tenants in the life science industry face high 
levels of regulation, funding requirements, expense 
and uncertainty.

Life science tenants, particularly those involved in 
developing and marketing pharmaceutical products, are 
subject to certain unique risks, including the following:

• 

some of our tenants require significant funding for the 
research, development, clinical testing, manufacture and 
commercialization of their products and technologies, as 
well as to fund their obligations, including rent payments 
due to us. If venture capital firms, private investors, the 
public markets, companies in the life science industry, 
the government or other sources of funding are difficult 
to obtain or unavailable to support such activities, 
including as a result of general economic conditions, 
adverse market conditions or government shutdowns 
that limit our tenants’ ability to raise capital, a tenant’s 
business would be adversely affected or fail; our tenants’ 
ability to raise capital depends on the viability of their 
products and technologies, their financial and operating 
condition and outlook, and the overall financial, banking 
and economic environment;
the research, development, clinical testing, manufacture 
and marketing of some of our tenants’ products require 
federal, state and foreign regulatory approvals which 
may be costly or difficult to obtain, may take several 
years and be subject to delay, may not be obtained at all, 
require validation through clinical trials and the use of 
substantial resources, and may often be unpredictable;
•  even after a life science tenant gains regulatory approval 
and market acceptance, the product may still present 
significant regulatory and liability risks, including, among 
others, the possible later discovery of safety concerns 
and other defects and potential loss of approvals, 
competition from new products and the expiration of 
patent protection for the product;

• 

•  our tenants with marketable products may be adversely 
affected by healthcare reform and the reimbursement 
policies of government or private healthcare payors;
•  our tenants with marketable products may be unable to 
successfully manufacture their drugs economically;
•  our tenants depend on the commercial success of 

certain products, which may be reliant on the efficacy of 
the product, as well as acceptance among doctors and 
patients; negative publicity or negative results or safety 
signals from the clinical trials of competitors may reduce 
demand or prompt regulatory actions; and
•  our tenants may be unable to adapt to the rapid 

technological advances in the industry and to adequately 
protect their intellectual property under patent, 
copyright or trade secret laws and defend against third-
party claims of intellectual property violations.

PART I

If our tenants’ businesses are adversely affected, they may 
fail to make their rent payments to us, which could materially 
adversely affect our business, results of operations and 
financial condition.

The hospitals on whose campuses our MOBs are located 
and their affiliated healthcare systems could fail to remain 
competitive or financially viable, which could adversely 
impact their ability to attract physicians and physician 
groups to our MOBs and our other properties that serve 
the healthcare industry.

Our MOBs and other properties that serve the healthcare 
industry depend on the viability of the hospitals on whose 
campuses our MOBs are located and their affiliated 
healthcare systems in order to attract physicians and other 
healthcare-related users. The viability of these hospitals, 
in turn, depends on factors such as the quality and mix of 
healthcare services provided, competition, demographic 
trends in the surrounding community, market position 
and growth potential, as well as the ability of the affiliated 
healthcare systems to provide economies of scale and 
access to capital. If a hospital whose campus is located 
on or near one of our MOBs is unable to meet its financial 
obligations, and if an affiliated healthcare system is unable 
to support that hospital, the hospital may not be able 
to compete successfully or could be forced to close or 
relocate, which could adversely impact its ability to attract 
physicians and other healthcare-related users. Because we 
rely on our proximity to and affiliations with these hospitals 
to create tenant demand for space in our MOBs, their 
inability to remain competitive or financially viable, or to 
attract physicians and physician groups, could adversely 
affect our MOB operations and have a materially adverse 
effect on us.

In addition, changes to or replacement of the Affordable 
Care Act and related regulations could result in significant 
changes to the scope of insurance coverage and 
reimbursement policies, which could put negative pressure 
on the operations and revenues of our MOBs.

We may be unable to maintain or expand our relationships 
with our existing and future hospital and health 
system clients.

The success of our medical office portfolio depends, to a 
large extent, on past, current and future relationships with 
hospitals and their affiliated health systems. We invest 
significant amounts of time in developing relationships with 
both new and existing clients. If we fail to maintain these 
relationships, including through a lack of responsiveness, 
failure to adapt to the current market or employment of 
individuals with adequate experience, our reputation and 
relationships will be harmed and we may lose business 

2018 Annual Report 

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PART I

to competitors. If our relationships with hospitals and 
their affiliated health systems deteriorate, it could have a 
materially adverse effect on us.

Economic and other conditions that negatively affect 
geographic areas from which a greater percentage of our 
revenue is recognized could materially adversely affect our 
business, results of operations and financial condition.

For the year ended December 31, 2018, 26% of our revenue 
was derived from properties located in California, which is 
also where most of our life science portfolio is located. As 
a result, we are subject to increased exposure to adverse 
conditions affecting California, including downturns in 
local economies, changes in local real estate conditions, 
increased competition or decreased demand, changes 
in state-specific legislation and local climate events and 
natural disasters (such as earthquakes, flooding, wildfires 
and hurricanes), which could cause significant disruption in 
our businesses in the region, harm our ability to compete 
effectively, result in increased costs and divert more 
management attention, any or all of which could adversely 
affect our business and results of operations.

We may experience uninsured or underinsured losses, 
which could result in a significant loss of the capital 
invested in a property, lower than expected future 
revenues or unanticipated expense.

We maintain and regularly review the comprehensive 
insurance coverage on our properties with terms, 
conditions, limits and deductibles that we believe are 
adequate and appropriate given the relative risk and costs of 
such coverage. However, a large number of our properties 
are located in areas exposed to earthquake, windstorm, 
flood and other natural disasters. In particular, a significant 
portion of our life science development projects and 
approximately 90% of our existing life science portfolio 
(based on gross asset value) is concentrated in California, 
which is known to be subject to earthquakes, wildfires 
and other natural disasters. While we purchase insurance 
coverage for earthquake, fire, windstorm, flood and other 
natural disasters that we believe is adequate in light of 
current industry practice and analyses prepared by outside 
consultants, such insurance may not fully cover such losses. 
These losses can result in decreased anticipated revenues 
from a property and the loss of all or a portion of the capital 
we have invested in a property. Following these events, we 
may remain liable for any mortgage debt or other financial 
obligations related to the property. The insurance market 
for such exposures can be very volatile, and we may be 
unable to purchase the limits and terms we desire on a 
commercially reasonable basis. In addition, there are certain 
exposures for which we do not purchase insurance because 
we do not believe it is economically feasible to do so or 
where there is no viable insurance market.

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We maintain earthquake insurance for our properties that 
are located in the vicinity of active earthquake zones in 
amounts and with deductibles we believe are commercially 
reasonable. Because of our significant concentration in the 
seismically active regions of South San Francisco, California 
and San Diego, California, a damaging earthquake in these 
areas could significantly impact multiple properties, which 
may amount to a significant portion of our life science 
portfolio. As a result, aggregate deductible amounts may 
be material, and our insurance coverage may be materially 
insufficient to cover our losses, either of which would 
adversely affect our business, financial condition, results of 
operations and cash flows.

If one of our properties experiences a loss that is uninsured 
or that exceeds policy coverage limits, we could lose 
our investment in the damaged property as well as the 
anticipated future cash flows from such property. If the 
damaged property is subject to recourse indebtedness, we 
could continue to be liable for the indebtedness even if the 
property is irreparably damaged.

In addition, even if damage to our properties is covered by 
insurance, a disruption of business caused by a casualty 
event may result in loss of revenues for us. Any business 
interruption insurance may not fully compensate the lender 
or us for such loss of revenue.

Our use of joint ventures may limit our flexibility with 
jointly owned investments.

We have and may continue to develop and/or acquire 
properties in joint ventures with other persons or 
entities when circumstances warrant the use of these 
structures. Our participation in joint ventures is subject 
to risks that may not be present with other methods of 
ownership, including:

•  our joint venture partners could have investment 

and financing goals that are not consistent with our 
objectives, including the timing, terms and strategies 
for any investments, and what levels of debt to incur 
or carry;

•  we could experience an impasse on certain decisions 

because we do not have sole decision-making authority, 
which could require us to expend additional resources on 
resolving such impasses or potential disputes, including 
litigation or arbitration;

•  our joint venture partners may have competing 

interests in our markets that could create conflict of 
interest issues;

•  our ability to transfer our interest in a joint venture to 
a third party may be restricted and the market for our 
interest may be limited and/or valued lower than fair 
market value;

•  our joint venture partners may be structured differently 
than us for tax purposes, and this could create conflicts 
of interest and risks to our REIT status; and

•  our joint venture partners might become insolvent, fail 
to fund their share of required capital contributions or 
fail to fulfill their obligations as a joint venture partner, 
which may require us to infuse our own capital into 
the venture on behalf of the partner despite other 
competing uses for such capital.

For example, with respect to our minority ownership 
position in our unconsolidated CCRC joint venture with 
Brookdale, we are limited in our ability to control or influence 
operations, and in our ability to exit or transfer our interest 
in the joint venture to a third party. As a result, we may not 
receive full value for our ownership interest if we tried to sell 
it to a third party.

In addition, in some instances, we and/or our joint venture 
partner will have the right to cause us to sell our interest, or 
acquire our partner’s interest, at a time when we otherwise 
would not have initiated such a transaction. Our ability to 
acquire our partner’s interest will be limited if we do not have 
sufficient cash, available borrowing capacity or other capital 
resources. This would require us to sell our interest in the 
joint venture when we would otherwise prefer to retain it. 
Any of the foregoing risks could materially adversely affect 
our business, results of operations and financial condition.

We have now, and may have in the future, contingent rent 
provisions and/or rent escalators based on the Consumer 
Price Index, which could hinder our profitability and growth.

We derive a significant portion of our revenues from leasing 
properties pursuant to leases that generally provide for 
fixed rental rates, subject to annual escalations. Under 
certain leases, a portion of the tenant’s rental payment to us 
is based on the property’s revenues (i.e., contingent rent). 
If, as a result of weak economic conditions or other factors, 
the property’s revenue declines, our rental revenues would 
decrease and our results of operations could be materially 
adversely affected. Additionally, some of our leases 
provide that annual rent escalates based on changes in the 
Consumer Price Index or other thresholds (i.e., contingent 
rent escalators). If the Consumer Price Index does not 
increase or other applicable thresholds are not met, rental 
rates may not increase and our growth and profitability may 
be hindered. Furthermore, if strong economic conditions 
result in significant increases in the Consumer Price Index, 
but the escalations under our leases with contingent rent 
escalators are capped, our growth and profitability also may 
be limited.

PART I

Competition may make it difficult to identify and purchase, 
or develop, suitable healthcare properties to grow our 
investment portfolio, to finance acquisitions on favorable 
terms, or to retain or attract tenants and operators.

We face significant competition from other REITs, 
investment companies, private equity and hedge fund 
investors, sovereign funds, healthcare operators, lenders, 
developers and other institutional investors, some of 
whom may have greater resources and lower costs of 
capital than we do. Increased competition makes it more 
challenging for us to identify and successfully capitalize 
on opportunities that meet our business goals and could 
improve the bargaining power of property owners seeking 
to sell, thereby impeding our investment, acquisition 
and development activities. Similarly, our properties 
face competition for tenants and operators from other 
properties in the same market, which may affect our ability 
to attract and retain tenants and operators, or may reduce 
the rents we are able to charge. If we cannot capitalize on 
our development pipeline, identify and purchase a sufficient 
quantity of healthcare properties at favorable prices, finance 
acquisitions on commercially favorable terms, or attract 
and retain profitable tenants and operators, our business, 
results of operations and financial condition may be 
materially adversely affected.

From time to time we have made, and we may seek to 
make, one or more material acquisitions, which may involve 
the expenditure of significant funds.

We regularly review potential transactions in order to 
maximize stockholder value. Our review process may 
require significant management attention and a potential 
transaction could be abandoned or rejected by us or 
the other parties involved after we expend significant 
resources and time. In addition, future acquisitions may 
require the issuance of securities, the incurrence of debt, 
assumption of contingent liabilities or incurrence of 
significant expenditures, each of which could materially 
adversely impact our business, financial condition or 
results of operations. In addition, the financing required for 
acquisitions may not be available on commercially favorable 
terms or at all.

From time to time, we may acquire other companies, and if 
we are unable to successfully integrate these operations, 
our business, results of operations and financial condition 
may be materially adversely affected.

Acquisitions require the integration of companies that have 
previously operated independently. Successful integration 
of the operations of these companies depends primarily on 
our ability to consolidate operations, systems, procedures, 
properties and personnel, and to eliminate redundancies and 
costs. We may encounter difficulties in these integrations. 
Potential difficulties associated with acquisitions include 

2018 Annual Report 

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PART I

our ability to effectively monitor and manage our expanded 
portfolio of properties, the loss of key employees, the 
disruption of our ongoing business or that of the acquired 
entity, possible inconsistencies in standards, controls, 
procedures and policies, and the assumption of unexpected 
liabilities, including:

• 

liabilities relating to the cleanup or remediation of 
undisclosed environmental conditions;

•  unasserted claims of vendors, residents, patients or 

• 

other persons dealing with the seller;
liabilities, claims and litigation, whether or not incurred in 
the ordinary course of business, relating to periods prior 
to our acquisition;

•  claims for indemnification by general partners, directors, 

officers and others indemnified by the seller;
•  claims for return of government reimbursement 

• 

payments; and
liabilities for taxes relating to periods prior to 
our acquisition.

In addition, the acquired companies and their properties 
may fail to perform as expected, including in respect of 
estimated cost savings. Inaccurate assumptions regarding 
future rental or occupancy rates could result in overly 
optimistic estimates of future revenues. Similarly, we may 
underestimate future operating expenses or the costs 
necessary to bring properties up to standards established 
for their intended use or for property improvements.

If we have difficulties with any of these areas, or if we later 
discover additional liabilities or experience unforeseen costs 
relating to our acquired companies, we might not achieve 
the economic benefits we expect from our acquisitions, and 
this may materially adversely affect our business, results of 
operations and financial condition.

Our tenants, operators and borrowers face litigation and 
may experience rising liability and insurance costs.

In some states, advocacy groups have been created 
to monitor the quality of care at healthcare properties, 
and these groups have brought litigation against the 
tenants and operators of such properties. Also, in several 
instances, private litigation by patients, residents or 
“whistleblowers” has sought, and sometimes resulted in, 
large damage awards. See “Risks Related to Our Business 
and Operations—The requirements of, or changes to, 
governmental reimbursement programs such as Medicare 
or Medicaid, may adversely affect our tenants’, operators’ 
and borrowers’ ability to meet their financial and other 
contractual obligations to us.” The effect of this litigation 
and other potential litigation may materially increase the 
costs incurred by our tenants, operators and borrowers for 
monitoring and reporting quality of care compliance, which 
under a RIDEA structure would be borne by us. In addition, 
their cost of liability and medical malpractice insurance 

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can be significant and may increase or not be available at a 
reasonable cost. Cost increases could cause our tenants 
and borrowers to be unable to make their lease or mortgage 
payments or fail to purchase the appropriate liability and 
malpractice insurance, or cause our borrowers to be unable 
to meet their obligations to us, potentially decreasing our 
revenues and increasing our collection and litigation costs. 
Furthermore, with respect to our senior housing properties 
operated in RIDEA structures, we directly bear the costs of 
any such increases in litigation, monitoring, reporting and 
insurance due to our direct exposure to the cash flows of 
such properties.

In addition, as a result of our ownership of healthcare 
properties, we may be named as a defendant in lawsuits 
arising from the alleged actions of our tenants or operators. 
With respect to our triple-net leases, our tenants generally 
have agreed to indemnify us for various claims, litigation 
and liabilities in connection with their leasing and operation 
of our triple-net leased properties. With respect to our 
RIDEA structured properties, we are responsible for these 
claims, litigation and liabilities, with limited indemnification 
rights against our operator typically based on the gross 
negligence or willful misconduct by the operator. Although 
our leases provide us with certain information rights with 
respect to our tenants, one or more of our tenants may be 
or become party to pending litigation or investigation to 
which we are unaware or do not have a right to participate 
or evaluate. In such cases, we would be unable to determine 
the potential impact of such litigation or investigation on 
our tenants or our business or results. Moreover, negative 
publicity of any of our operators’ or tenants’ litigation, other 
legal proceedings or investigations may also negatively 
impact their and our reputation, resulting in lower customer 
demand and revenues, which could have a material adverse 
effect on our financial condition, results of operations and 
cash flow.

Required regulatory approvals can delay or prohibit 
transfers of our healthcare properties.

Transfers of healthcare properties to successor tenants or 
operators are typically subject to regulatory approvals 
or ratifications, including, but not limited to, change of 
ownership approvals and Medicare and Medicaid provider 
arrangements that are not required for transfers of other 
types of commercial operations and other types of real 
estate. The replacement of any tenant or operator could 
be delayed by the regulatory approval process of any 
federal, state or local government agency necessary for the 
transfer of the property or the replacement of the operator 
licensed to manage the property, during which time the 
property may experience performance declines. If we are 
unable to find a suitable replacement tenant or operator 
upon favorable terms, or at all, we may take possession of 
a property, which could expose us to successor liability, 

require us to indemnify subsequent operators to whom we 
transfer the operating rights and licenses, or require us to 
spend substantial time and funds to preserve the value of 
the property and adapt the property to other uses, all of 
which may materially adversely affect our business, results 
of operations and financial condition.

Compliance with the Americans with Disabilities Act and 
fire, safety and other regulations may require us to make 
expenditures that adversely affect our cash flows.

Our properties must comply with applicable ADA and any 
similar state and local laws. This may require removal of 
barriers to access by persons with disabilities in public 
areas of our properties. Noncompliance could result in the 
incurrence of additional costs associated with bringing the 
properties into compliance, the imposition of fines or an 
award of damages to private litigants in individual lawsuits 
or as part of a class action. While the tenants to whom we 
lease our properties are obligated to comply with the ADA 
and similar state and local provisions, and typically under 
tenant leases are obligated to cover costs associated 
with compliance, if required changes involve greater 
expenditures than anticipated, or if the changes must be 
made on a more accelerated basis than anticipated, the 
ability of these tenants to cover costs could be adversely 
affected. As a result, we could be required to expend funds 
to comply with the provisions of the ADA and similar state 
and local laws on behalf of tenants, which could adversely 
affect our results of operations and financial condition. 
Additionally, with respect to our SHOP properties managed 
in RIDEA structures, we are ultimately responsible for such 
litigation and compliance costs due to our direct exposure 
to the cash flows of the properties.

In addition, we are required to operate our properties in 
compliance with fire and safety regulations, building codes 
and other land use regulations. New and revised regulations 
and codes may be adopted by governmental agencies and 
bodies and become applicable to our properties. For 
example, new safety laws for senior housing properties 
were adopted following the particularly damaging 2018 
hurricane season. Compliance could require substantial 
capital expenditures, and may restrict our ability to renovate 
our properties. These expenditures and restrictions could 
have a material adverse effect on our financial condition and 
cash flows.

The requirements of, or changes to, governmental 
reimbursement programs such as Medicare or Medicaid, 
may adversely affect our tenants’, operators’ and 
borrowers’ ability to meet their financial and other 
contractual obligations to us.

Certain of our tenants, operators and borrowers are 
affected, directly or indirectly, by an extremely complex set 
of federal, state and local laws and regulations pertaining 

PART I

to governmental reimbursement programs. These laws 
and regulations are subject to frequent and substantial 
changes that are sometimes applied retroactively. See 
“Item 1—Business—Government Regulation, Licensing and 
Enforcement.” For example, to the extent that our tenants, 
operators or borrowers receive a significant portion of their 
revenues from governmental payors, primarily Medicare and 
Medicaid, they are generally subject to, among other things:

• 
• 
• 
• 

statutory and regulatory changes;
retroactive rate adjustments;
recovery of program overpayments or set-offs;
federal, state and local litigation and 
enforcement actions;

•  administrative proceedings;
•  policy interpretations;
•  payment or other delays by fiscal intermediaries 

or carriers;

•  government funding restrictions (at a program level or 

• 

• 

with respect to specific properties); 
interruption or delays in payments due to any 
ongoing governmental investigations and audits at 
such properties;
reputational harm of publicly disclosed enforcement 
actions, audits or investigations related to billing 
and reimbursements.

The failure to comply with the extensive laws, regulations 
and other requirements applicable to their business and the 
operation of our properties could result in, among other 
challenges: (i) becoming ineligible to receive reimbursement 
from governmental reimbursement programs; (ii) becoming 
subject to prepayment reviews or claims for overpayments; 
(iii) bans on admissions of new patients or residents; (iv) civil 
or criminal penalties; and (v) significant operational changes, 
including requirements to increase staffing or the scope 
of care given to residents. These laws and regulations are 
enforced by a variety of federal, state and local agencies and 
can also be enforced by private litigants through, among 
other things, federal and state false claims acts, which 
allow private litigants to bring qui tam or “whistleblower” 
actions. Our tenants, operators and borrowers could be 
adversely affected by the resources required to respond 
to an investigation or other enforcement action. In such 
event, the results of operations and financial condition of 
our tenants and the results of operations of our properties 
operated by those entities could be materially adversely 
affected, which, in turn, could have a materially adverse 
effect on us.

We are unable to predict future federal, state and local 
regulations and legislation, including the Medicare and 
Medicaid statutes and regulations, or the intensity of 
enforcement efforts with respect to such regulations 
and legislation. Any changes in the regulatory framework 
could have a materially adverse effect on our tenants and 

2018 Annual Report 

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PART I

operators. If, in turn, such tenants or operators fail to make 
contractual rent payments to us or, with respect to our 
SHOP segment, cash flows are adversely affected, it could 
have a materially adverse effect on us.

Sometimes, governmental payors freeze or reduce 
payments to healthcare providers, or provide annual 
reimbursement rate increases that are smaller than 
expected, due to budgetary and other pressures. Healthcare 
reimbursement will likely continue to be of significant 
importance to federal and state authorities. We cannot 
make any assessment as to the ultimate timing or the 
effect that any future legislative reforms may have on our 
tenants’, operators’ and borrowers’ costs of doing business 
and on the amount of reimbursement by government and 
other third-party payors. The failure of any of our tenants, 
operators or borrowers to comply with these laws and 
regulations, and significant limits on the scope of services 
reimbursed and on reimbursement rates and fees, could 
materially adversely affect their ability to meet their financial 
and contractual obligations to us.

Furthermore, executive orders and legislation may 
amend or repeal the Affordable Care Act and related 
regulations in whole or in part. A federal court in Texas 
recently declared the Affordable Care Act’s individual 
mandate unconstitutional and the remaining provisions 
non-severable from the mandate, thus making them 
invalid (Texas v. United States, Case 4:18-cv-00167-1, Slip 
Opinion (N.D. Tex. Dec. 14, 2018). The decision has been 
stayed pending appeal. We also anticipate that Congress, 
state legislatures, and third-party payors may continue 
to review and assess alternative healthcare delivery and 
payment systems and may propose and adopt legislation 
or policy changes or implementations effecting additional 
fundamental changes in the healthcare system. For 
example, the Department of Health and Human Services 
has focused on tying Medicare payments to quality or 
value through alternative payment models, which generally 
aim to make providers attentive to the total costs of 
treatments. Additionally, the Centers for Medicare and 
Medicaid Services recently finalized a new patient driven 
payment model, which, effective October 1, 2019, will be 
used to calculate reimbursement rates for patients in skilled 
nursing properties. We cannot quantify or predict the likely 
impact of these changes on the revenues and profitability 
of our tenants, operators and borrowers. However, if any 
such changes significantly and adversely affect our tenants’ 
profitability, they could in turn negatively affect our tenants’ 
ability and willingness to comply with the terms of their 
leases with us and/or renew their leases with us upon 
expiration, which could impact our business, prospects, 
financial condition or results of operations.

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Legislation to address federal government operations 
and administration decisions affecting the Centers for 
Medicare and Medicaid Services could have a materially 
adverse effect on our tenants’, operators’ and borrowers’ 
liquidity, financial condition or results of operations.

Congressional consideration of legislation pertaining to 
the federal debt ceiling, the Affordable Care Act, tax reform 
and entitlement programs, including reimbursement rates 
for physicians, could have a materially adverse effect on 
our tenants’, operators’ and borrowers’ liquidity, financial 
condition or results of operations. In particular, reduced 
funding for entitlement programs such as Medicare and 
Medicaid would result in increased costs and fees for 
programs such as Medicare Advantage Plans and additional 
reductions in reimbursements to providers. Amendments 
to or repeal of the Affordable Care Act in whole or in part and 
decisions by the Centers for Medicare and Medicaid Services 
could impact the delivery of services and benefits under 
Medicare, Medicaid or Medicare Advantage Plans and could 
affect our tenants and operators and the manner in which 
they are reimbursed by such programs. Such changes could 
have a materially adverse effect on our tenants’, operators’ 
and borrowers’ liquidity, financial condition or results of 
operations, which could adversely affect their ability to 
satisfy their obligations to us and could have a materially 
adverse effect on us.

We may be unable to successfully foreclose on the 
collateral securing our real estate-related loans, and even 
if we are successful in our foreclosure efforts, we may be 
unable to successfully operate, occupy or reposition the 
underlying real estate, which may adversely affect our 
ability to recover our investments.

If a tenant or operator defaults under one of our mortgages 
or mezzanine loans, we may have to foreclose on the loan 
or protect our interest by acquiring title to the collateral and 
thereafter making substantial improvements or repairs in 
order to maximize the property’s investment potential. In 
some cases, the collateral consists of the equity interests 
in an entity that directly or indirectly owns the applicable 
real property or interests in operating properties and, 
accordingly, we may not have full recourse to assets of 
that entity, or that entity may have incurred unexpected 
liabilities. Tenants, operators or borrowers may contest 
enforcement of foreclosure or other remedies, seek 
bankruptcy protection against our exercise of enforcement 
or other remedies and/or bring claims for lender liability 
in response to actions to enforce mortgage obligations. 
Foreclosure-related costs, high loan-to-value ratios or 
declines in the value of the property may prevent us from 
realizing an amount equal to our mortgage or mezzanine 
loan upon foreclosure, and we may be required to record a 

valuation allowance for such losses. Even if we are able to 
successfully foreclose on the collateral securing our real 
estate-related loans, we may inherit properties for which we 
may be unable to expeditiously secure tenants or operators, 

if at all, or we may acquire equity interests that we are 
unable to immediately resell due to limitations under the 
securities laws, either of which would adversely affect our 
ability to fully recover our investment.

PART I

Risks Related to Our Capital Structure and Market Conditions
Changes or increases in interest rates could result in a 
decrease in our stock price and increased interest costs 
on new debt and existing variable rate debt, which could 
materially adversely impact our ability to refinance existing 
debt, sell properties and conduct acquisition, investment 
and development activities.

us to pay higher interest rates on our debt obligations than 
would otherwise be the case. Failure to hedge effectively 
against interest rate risk could adversely affect our results 
of operations and financial condition.

An increase in interest rates could reduce the amount 
investors are willing to pay for our common stock. Because 
REIT stocks are often perceived as high-yield investments, 
investors may perceive less relative benefit to owning 
REIT stocks as interest rates and the yield on government 
treasuries and other bonds increase.

Additionally, we have existing debt obligations that are 
variable rate obligations with interest and related payments 
that vary with the movement of certain indices. If interest 
rates increase, so would our interest costs for any variable 
rate debt and for new debt. This increased cost would make 
the financing of any acquisition and development activity 
more costly. In addition, an increase in interest rates could 
decrease the amount third parties are willing to pay for our 
properties, thereby limiting our ability to reposition our 
portfolio promptly in response to changes in economic or 
other conditions.

Rising interest rates could limit our ability to refinance 
existing debt when it matures, or cause us to pay higher 
interest rates upon refinancing and increase interest 
expense on refinanced indebtedness. For example, we have 
$800 million of senior notes that are maturing in 2020 on 
which we pay 2.625% interest, which is lower than prevailing 
interest rates throughout 2018. If interest rates remain 
higher than the interest rates of our senior notes reaching 
maturity, we will incur additional interest expense upon any 
replacement debt.

We manage a portion of our exposure to interest rate risk 
by accessing debt with staggered maturities and through 
the use of derivative instruments, primarily interest rate 
swap agreements. However, no amount of hedging activity 
can fully insulate us from the risks associated with changes 
in interest rates. Swap agreements involve risk, including 
that counterparties may fail to honor their obligations 
under these arrangements, that these arrangements may 
not be effective in reducing our exposure to interest rate 
changes, that the amount of income we earn from hedging 
transactions may be limited by federal tax provisions 
governing REITs and that these arrangements may cause 

Cash available for distribution to stockholders may be 
insufficient to make dividend distributions at expected 
levels and are made at the discretion of our Board 
of Directors.

If cash available for distribution generated by our properties 
decreases as a result of our announced dispositions 
or otherwise, we may be unable to make dividend 
distributions at expected levels. Our inability to make 
expected distributions would likely result in a decrease in 
the market price of our common stock. All distributions 
are made at the discretion of our Board of Directors in 
accordance with Maryland law and depend on our earnings, 
our financial condition, debt and equity capital available 
to us, our expectations of our future capital requirements 
and operating performance, restrictive covenants in our 
financial or other contractual arrangements (including those 
in our credit facility agreement), maintenance of our REIT 
qualification, restrictions under Maryland law and other 
factors as our Board of Directors may deem relevant from 
time to time. Additionally, our ability to make distributions 
will be adversely affected if any of the risks described herein, 
or other significant adverse events, occur.

We rely on external sources of capital to fund future 
capital needs, and if access to such capital is unavailable 
on acceptable terms or at all, it could have a materially 
adverse effect on our ability to meet commitments as they 
become due or make future investments necessary to 
grow our business.

We may not be able to fund all future capital needs, 
including capital expenditures, debt maturities and other 
commitments, from cash retained from operations and 
dispositions. If we are unable to obtain enough internal 
capital, we may need to rely on external sources of capital 
(including debt and equity financing) to fulfill our capital 
requirements. Our access to capital depends upon a number 
of factors, some of which we have little or no control over, 
including but not limited to:

•  general availability of capital, including less 

favorable terms, rising interest rates and increased 
borrowing costs;

2018 Annual Report 

25

  
PART I

• 

• 

the market price of the shares of our equity securities 
and the credit ratings of our debt and any preferred 
securities we may issue;
the market’s perception of our growth potential 
and our current and potential future earnings and 
cash distributions;

•  our degree of financial leverage and 

• 

• 
• 

operational flexibility;
the financial integrity of our lenders, which might impair 
their ability to meet their commitments to us or their 
willingness to make additional loans to us, and our 
inability to replace the financing commitment of any 
such lender on favorable terms, or at all;
the stability of the market value of our properties;
the financial performance and general market 
perception of our tenants and operators;

• 

•  changes in the credit ratings on U.S. government debt 
securities or default or delay in payment by the United 
States of its obligations;
issues facing the healthcare industry, including, but not 
limited to, healthcare reform and changes in government 
reimbursement policies; and
the performance of the national and global 
economies generally.

• 

If access to capital is unavailable on acceptable terms or at 
all, it could have a materially adverse impact on our ability 
to fund operations, repay or refinance our debt obligations, 
fund dividend payments, acquire properties and make the 
investments needed to grow our business.

Adverse changes in our credit ratings could impair our 
ability to obtain additional debt and equity financing on 
favorable terms, if at all, and negatively impact the market 
price of our securities, including our common stock.

Our credit ratings can affect the amount and type of capital 
we can access, as well as the terms of any financing we may 
obtain. The credit ratings of our senior unsecured debt are 
based on, among other things, our operating performance, 
liquidity and leverage ratios, overall financial position, 
level of indebtedness and pending or future changes in the 
regulatory framework applicable to our operators and our 
industry. We may be unable to maintain our current credit 
ratings, and in the event that our current credit ratings 
deteriorate, we would likely incur higher borrowing costs, 
which would make it more difficult or expensive to obtain 
additional financing or refinance existing obligations and 
commitments. Also, a downgrade in our credit ratings 
would trigger additional costs or other potentially negative 
consequences under our current and future credit facilities 
and debt instruments.

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Our level of indebtedness may increase and materially 
adversely affect our future operations.

Our outstanding indebtedness as of December 31, 2018 
was approximately $5.6 billion. We may incur additional 
indebtedness, including in connection with the development 
or acquisition of properties, which may be substantial. 
Any significant additional indebtedness would likely 
negatively affect the credit ratings of our debt and require 
us to dedicate a substantial portion of our cash flow to 
interest and principal payments due on our indebtedness. 
Greater demands on our cash resources may reduce funds 
available to us to pay dividends, conduct development 
activities, make capital expenditures and acquisitions or 
carry out other aspects of our business strategy. Increased 
indebtedness can also make us more vulnerable to general 
adverse economic and industry conditions and create 
competitive disadvantages for us compared to other 
companies with relatively lower debt levels. Increased future 
debt service obligations may limit our operational flexibility, 
including our ability to finance or refinance our properties, 
contribute properties to joint ventures or sell properties 
as needed.

Covenants in our debt instruments limit our operational 
flexibility, and breaches of these covenants could 
materially adversely affect our business, results of 
operations and financial condition.

The terms of our current secured and unsecured debt 
instruments and other indebtedness that we may 
incur, require or will require us to comply with a number 
of customary financial and other covenants, such as 
maintaining leverage ratios, minimum tangible net worth 
requirements, REIT status and certain levels of debt service 
coverage. Our continued ability to incur additional debt 
and to conduct business in general is subject to compliance 
with these financial and other covenants, which limit our 
operational flexibility. For example, mortgages on our 
properties contain customary covenants such as those 
that limit or restrict our ability, without the consent of the 
lender, to further encumber or sell the applicable properties, 
or to replace the applicable tenant or operator. Breaches 
of certain covenants may result in defaults under the 
mortgages on our properties and cross-defaults under 
certain of our other indebtedness, even if we satisfy our 
payment obligations to the respective obligee. Covenants 
that limit our operational flexibility as well as defaults 
resulting from the breach of any of these covenants 
could materially adversely affect our business, results of 
operations and financial condition.

Volatility, disruption or uncertainty in the financial markets 
may impair our ability to raise capital, obtain new financing 
or refinance existing obligations and fund real estate and 
development activities.

We may be affected by general market and economic 
conditions. Increased or prolonged market disruption, 
volatility or uncertainty could materially adversely impact 
our ability to raise capital, obtain new financing or refinance 
our existing obligations as they mature and fund real 
estate and development activities. Market volatility could 
also lead to significant uncertainty in the valuation of our 
investments and those of our joint ventures, which may 
result in a substantial decrease in the value of our properties 
and those of our joint ventures. As a result, we may be 
unable to recover the carrying amount of such investments 
and the associated goodwill, if any, which may require us to 
recognize impairment charges in earnings.

We may be adversely affected by fluctuations in currency 
exchange rates.

We have certain investments in international markets 
where the U.S. dollar is not the denominated currency. The 
ownership of investments located outside of the United 

Risk Related to Other Events
We rely on information technology in our operations, and 
any material failure, inadequacy, interruption or security 
failure of that technology could harm our business.

We rely on information technology networks and systems, 
including the Internet, to process, transmit and store 
electronic information, and to manage or support a variety 
of business processes, including financial transactions 
and records, and maintaining personal identifying 
information and tenant and lease data. We purchase some 
of our information technology from vendors, on whom 
our systems depend. We rely on commercially available 
systems, software, tools and monitoring to provide security 
for the processing, transmission and storage of confidential 
tenant and customer data, including individually identifiable 
information relating to financial accounts. Although we 
have taken steps to protect the security of our information 
systems and the data maintained in those systems, it is 
possible that our safety and security measures will not 
prevent the systems’ improper functioning or damage, or 
the improper access or disclosure of personally identifiable 
information such as in the event of cyber-attacks. The risk 
of security breaches has generally increased as the number, 
intensity and sophistication of attacks and intrusions have 
increased. In addition, the pace and unpredictability of cyber 
threats generally quickly renders long-term implementation 
plans designed to address cybersecurity risks obsolete. 
Because our operators also rely on information technology 
networks, systems and software, we may be exposed to 
cyber-attacks on our operators.

PART I

States subjects us to risk from fluctuations in exchange rates 
between foreign currencies and the U.S. dollar. A significant 
change in the value of the British pound sterling (“GBP”) may 
have a materially adverse effect on our financial position, 
debt covenant ratios, results of operations and cash flow.

We may attempt to manage the impact of foreign currency 
exchange rate changes through the use of derivative 
contracts or other methods. For example, we currently 
utilize GBP denominated liabilities as a natural hedge 
against our GBP denominated assets. Additionally, we 
executed currency swap contracts to hedge the risk related 
to a portion of the forecasted interest receipts on these 
investments. However, no amount of hedging activity can 
fully insulate us from the risks associated with changes in 
foreign currency exchange rates, and the failure to hedge 
effectively against foreign currency exchange rate risk, if 
we choose to engage in such activities, could materially 
adversely affect our results of operations and financial 
condition. In addition, any international currency gain 
recognized with respect to changes in exchange rates may 
not qualify under the 75% gross income test or the 95% 
gross income test that we must satisfy annually in order to 
qualify and maintain our status as a REIT.

Security breaches of our or our operators’ networks and 
systems, including those caused by physical or electronic 
break-ins, computer viruses, malware, worms, attacks 
by hackers or foreign governments, disruptions from 
unauthorized access and tampering, including through 
social engineering such as phishing attacks, coordinated 
denial-of-service attacks and similar breaches, could result 
in, among other things, system disruptions, shutdowns, 
unauthorized access to or disclosure of confidential 
information, misappropriation of our or our business 
partners’ proprietary or confidential information, breach 
of our legal, regulatory or contractual obligations, inability 
to access or rely upon critical business records or systems 
or other delays in our operations. In some cases, it may 
be difficult to anticipate or immediately detect such 
incidents and the damage they cause. We may be required 
to expend significant financial resources to protect against 
or to remediate such security breaches. In addition, our 
technology infrastructure and information systems are 
vulnerable to damage or interruption from natural disasters, 
power loss and telecommunications failures. Any failure to 
maintain proper function, security and availability of our and 
our operators’ information systems and the data maintained 
in those systems could interrupt our operations, damage 
our reputation, subject us to liability claims or regulatory 
penalties, harm our business relationships or increase our 
security and insurance costs, which could have a materially 
adverse effect on our business, financial condition and 
results of operations.

2018 Annual Report 

27

  
PART I

We are subject to certain provisions of Maryland law and 
our charter relating to business combinations which may 
prevent a transaction that may otherwise be in the interest 
of our stockholders.

The Maryland Business Combination Act provides that 
unless exempted, a Maryland corporation may not engage 
in business combinations, including a merger, consolidation, 
share exchange or, in circumstances specified in the statute, 
an asset transfer or issuance or reclassification of equity 
securities with an “interested stockholder” or an affiliate 
of an interested stockholder for five years after the most 
recent date on which the interested stockholder became 
an interested stockholder, and thereafter unless specified 
criteria are met. An interested stockholder is generally a 
person owning or controlling, directly or indirectly, 10% or 
more of the voting power of the outstanding voting stock of 
a Maryland corporation. Unless our Board of Directors takes 
action to exempt us, generally or with respect to certain 
transactions, from this statute, the Maryland Business 
Combination Act will be applicable to business combinations 
between us and other persons.

In addition to the restrictions on business combinations 
contained in the Maryland Business Combination Act, 
our charter also contains restrictions on business 
combinations. Our charter requires that, except in certain 
circumstances, “business combinations,” including a merger 
or consolidation, and certain asset transfers and issuances 
of securities, with a “related person,” including a beneficial 
owner of 10% or more of our outstanding voting stock, be 
approved by the affirmative vote of the holders of at least 
90% of our outstanding voting stock.

The restrictions on business combinations provided under 
Maryland law and contained in our charter may delay, defer 
or prevent a change of control or other transaction even if 
such transaction involves a premium price for our common 
stock or our stockholders believe that such transaction is 
otherwise in their best interests.

Unfavorable resolution of litigation matters and 
disputes could have a material adverse effect on our 
financial condition.

From time to time, we are involved in legal proceedings, 
lawsuits and other claims. We may also be named as 
defendants in lawsuits arising out of our alleged actions or 
the alleged actions of our tenants and operators for which 
such tenants and operators have agreed to indemnify, 
defend and hold us harmless. An unfavorable resolution 
of any such litigation may have a materially adverse 
effect on our business, results of operations and financial 
condition. Regardless of the outcome, litigation or other 
legal proceedings may result in substantial costs, disruption 
of our normal business operations and the diversion of 
management attention. We may be unable to prevail in, or 

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achieve a favorable settlement of, any pending or future 
legal action against us. See “Item 3—Legal Proceedings” of 
this Annual Report on Form 10-K.

Loss of our key personnel could temporarily disrupt our 
operations and adversely affect us.

We depend on the efforts of our executive officers for the 
success of our business, and competition for these individuals is 
intense. Although they are covered by our Executive Severance 
Plan and Change in Control Plan, which provide many of the 
benefits typically found in executive employment agreements, 
none of our executive officers have employment agreements 
with us. The loss or limited availability of the services of 
any of our executive officers, or our inability to recruit and 
retain qualified personnel, could, at least temporarily, have a 
materially adverse effect on our business, results of operations 
and financial condition and the value of our common stock.

Environmental compliance costs and liabilities associated 
with our real estate-related investments may be 
substantial and may materially impair the value of 
those investments.

Federal, state and local laws, ordinances and regulations may 
require us, as a current or previous owner of real estate, to 
investigate and clean up certain hazardous or toxic substances 
or petroleum released at a property. We may be held liable to 
a governmental entity or to third parties for property damage 
and for investigation and cleanup costs incurred by the third 
parties in connection with the contamination. The costs of 
cleanup and remediation could be substantial. In addition, 
some environmental laws create a lien on the contaminated 
site in favor of the government for damages and the costs it 
incurs in connection with the contamination.

Although we currently carry environmental insurance on 
our properties in an amount that we believe is commercially 
reasonable and generally require our tenants and operators 
to indemnify us for environmental liabilities they cause, such 
liabilities could exceed the amount of our insurance, the 
financial ability of the tenant or operator to indemnify us or 
the value of the contaminated property. As the owner of a 
site, we may also be held liable to third parties for damages 
and injuries resulting from environmental contamination 
emanating from the site. We may also experience 
environmental liabilities arising from conditions not known 
to us. The cost of defending against these claims, complying 
with environmental regulatory requirements, conducting 
remediation of any contaminated property, or paying 
personal injury or other claims or fines could be substantial 
and could have a materially adverse effect on our business, 
results of operations and financial condition.

In addition, the presence of contamination or the failure to 
remediate contamination may materially adversely affect 
our ability to use, sell or lease the property or to borrow 
using the property as collateral.

Risk Related to Tax, including REIT-Related Risks
Loss of our tax status as a REIT would substantially reduce 
our available funds and would have materially adverse 
consequences for us and the value of our common stock.

Recent changes to the U.S. tax laws could have a significant 
negative impact on the overall economy, our tenants, and 
our business.

PART I

Qualification as a REIT involves the application of numerous 
highly technical and complex provisions of the Code, for 
which there are only limited judicial and administrative 
interpretations, as well as the determination of various 
factual matters and circumstances not entirely within 
our control. We intend to continue to operate in a 
manner that enables us to qualify as a REIT. However, 
our qualification and taxation as a REIT depend upon our 
ability to meet, through actual annual operating results, 
asset diversification, distribution levels and diversity of 
stock ownership, the various qualification tests imposed 
under the Code. For example, to qualify as a REIT, at least 
95% of our gross income in any year must be derived 
from qualifying sources, and we must make distributions 
to our stockholders aggregating annually to at least 90% 
of our REIT taxable income, excluding net capital gains. 
In addition, new legislation, regulations, administrative 
interpretations or court decisions could change the tax laws 
or interpretations of the tax laws regarding qualification 
as a REIT, or the federal income tax consequences of that 
qualification, in a manner that is materially adverse to our 
stockholders. Accordingly, there is no assurance that we 
have operated or will continue to operate in a manner so as 
to qualify or remain qualified as a REIT.

If we lose our REIT status, we will face serious tax 
consequences that will substantially reduce the funds 
available to make payments of principal and interest on 
the debt securities we issue and to make distributions to 
stockholders. If we fail to qualify as a REIT:

•  we will not be allowed a deduction for distributions to 

stockholders in computing our taxable income;

•  we will be subject to corporate-level income tax on our 

taxable income at regular corporate rates;

•  we will be subject to increased state and local income 

taxes; and

•  unless we are entitled to relief under relevant statutory 

provisions, we will be disqualified from taxation as a REIT 
for the four taxable years following the year during which 
we fail to qualify as a REIT.

As a result of all these factors, our failure to qualify as a REIT 
could also impair our ability to expand our business and raise 
capital and could materially adversely affect the value of our 
common stock.

On December 20, 2017, the House of Representatives and 
the Senate passed a tax reform bill, which was signed into 
law on December 22, 2017 (the “Tax Reform Legislation”). 
Among other things, the Tax Reform Legislation:

• 

• 

• 

restricted the deductibility of interest expense by 
businesses (generally, to 30% of the business’ adjusted 
taxable income) except, among others, real property 
businesses electing out of such restriction; generally, 
we expect our business to qualify as a real property 
business, but businesses conducted by our taxable REIT 
subsidiaries may not qualify; 
required real property businesses to use the less 
favorable alternative depreciation system to depreciate 
real property in the event businesses elect to avoid the 
interest deduction restriction above;
restricted the benefits of like-kind exchanges that 
defer capital gains for tax purposes to exchanges of real 
property; and

•  generally allowed a deduction for individuals equal 
to 20% of certain income from pass-through 
entities, including ordinary dividends distributed by 
a REIT (excluding capital gain dividends and qualified 
dividend income).

Many of the provisions in the Tax Reform Legislation expire 
at the end of 2025.

The Tax Reform Legislation was a far-reaching and complex 
revision to the existing U.S. federal income tax laws with 
disparate and, in some cases, countervailing impacts on 
different categories of taxpayers and industries and will 
require subsequent rulemaking and interpretation in a 
number of areas. As a result, we cannot predict the long-
term impact of the Tax Reform Legislation on the overall 
economy, government revenues, our tenants, us, and 
the real estate industry. Furthermore, the Tax Reform 
Legislation may negatively impact certain of our tenants’ 
operating results, financial condition, and future business 
plans. This in turn could negatively impact our operating 
results, financial condition, and operations.

2018 Annual Report 

29

  
PART I

Further changes to U.S. federal income tax laws could 
materially and adversely affect us and our stockholders.

The present federal income tax treatment of REITs may be 
modified, possibly with retroactive effect, by legislative, 
judicial or administrative action at any time, which could 
affect the federal income tax treatment of an investment 
in us. The federal income tax rules dealing with U.S. federal 
income taxation and REITs are constantly under review 
by persons involved in the legislative process, the U.S. 
Internal Revenue Service (the “IRS”) and the U.S. Treasury 
Department, which results in statutory changes as well 
as frequent revisions to regulations and interpretations. 
We cannot predict how changes in the tax laws might 
affect our investors or us. Revisions in federal tax laws and 
interpretations thereof could significantly and negatively 
affect our ability to qualify as a REIT, as well as the tax 
considerations relevant to an investment in us, or could 
cause us to change our investments and commitments.

We could have potential deferred and contingent tax 
liabilities from corporate acquisitions that could limit, delay 
or impede future sales of our properties.

If, during the five-year period beginning on the date we 
acquire certain companies, we recognize a gain on the 
disposition of any property acquired, then, to the extent 
of the excess of (i) the fair market value of such property 
as of the acquisition date over (ii) our adjusted income tax 
basis in such property as of that date, we will be required to 
pay a corporate-level federal income tax on this gain at the 
highest regular corporate rate. There can be no assurance 
that these triggering dispositions will not occur, and these 
requirements could limit, delay or impede future sales of 
our properties.

In addition, the IRS may assert liabilities against us for 
corporate income taxes for taxable years prior to the time 
that we acquire certain companies, in which case we will owe 
these taxes plus interest and penalties, if any.

There are uncertainties relating to the calculation of 
non-REIT tax earnings and profits (“E&P”) in certain 
acquisitions, which may require us to distribute E&P.

In order to remain qualified as a REIT, we are required to 
distribute to our stockholders all of the accumulated non-
REIT E&P of certain companies that we acquire, prior to 
the close of the first taxable year in which the acquisition 
occurs. Failure to make such E&P distributions would result 
in our disqualification as a REIT. The determination of the 
amount to be distributed in such E&P distributions is a 
complex factual and legal determination. We may have less 
than complete information at the time we undertake our 
analysis, or we may interpret the applicable law differently 
from the IRS. We currently believe that we have satisfied 
the requirements relating to such E&P distributions. 
There are, however, substantial uncertainties relating to 

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the determination of E&P, including the possibility that 
the IRS could successfully assert that the taxable income 
of the companies acquired should be increased, which 
would increase our non-REIT E&P. Moreover, an audit 
of the acquired company following our acquisition could 
result in an increase in accumulated non-REIT E&P, which 
could require us to pay an additional taxable distribution 
to our then-existing stockholders, if we qualify under 
rules for curing this type of default, or could result in our 
disqualification as a REIT.

Thus, we might fail to satisfy the requirement that we 
distribute all of our non-REIT E&P by the close of the first 
taxable year in which the acquisition occurs. Moreover, 
although there are procedures available to cure a failure to 
distribute all of our E&P, we cannot now determine whether 
we will be able to take advantage of these procedures or the 
economic impact on us of doing so.

Our international investments and operations may result in 
additional tax-related risks.

We own a 49% noncontrolling interest in a joint venture 
that owns senior housing properties in the U.K. Although we 
expect to sell our remaining 49% interest in the joint venture 
by no later than 2020, we currently remain exposed to risks 
associated with international investments and operations, 
including tax-related risks, which are different from those 
we face with respect to our domestic properties and 
operations. These risks include, but are not limited to:

• 

international currency gain recognized as a result of 
changes in exchange rates may in certain circumstances 
be treated as income that does not qualify under the 
75% gross income test or the 95% gross income test 
that we must satisfy annually in order to qualify and 
maintain our status as a REIT;

•  challenges with respect to the repatriation of foreign 

earnings and cash; and

•  challenges of complying with foreign tax rules (including 
the possible revisions in tax treaties or other laws and 
regulations, including those governing the taxation of 
our international income).

Our charter contains ownership limits with respect to our 
common stock and other classes of capital stock.

Our charter contains restrictions on the ownership and 
transfer of our common stock and preferred stock that are 
intended to assist us in preserving our qualification as a 
REIT. Under our charter, subject to certain exceptions, no 
person or entity may own, actually or constructively, more 
than 9.8% (by value or by number of shares, whichever is 
more restrictive) of the outstanding shares of our common 
stock or any class or series of our preferred stock.

Additionally, our charter has a 9.9% ownership limitation on 
the direct or indirect ownership of our voting shares, which 
may include common stock or other classes of capital stock. 
Our Board of Directors, in its sole discretion, may exempt 
a proposed transferee from either ownership limit. The 

ownership limits may delay, defer or prevent a transaction 
or a change of control that might involve a premium price 
for our common stock or might otherwise be in the best 
interests of our stockholders.

ITEM 1B.  UNRESOLVED STAFF COMMENTS
None.

PART I

ITEM 2.  PROPERTIES
We are organized to invest in income-producing healthcare-
related facilities. In evaluating potential investments, we 
consider a multitude of factors, including:

• 

location, construction quality, age, condition and design 
of the property;

•  geographic area, proximity to other healthcare facilities, 
type of property and demographic profile, including new 
competitive supply;

•  whether the expected risk-adjusted return exceeds the 

incremental cost of capital;

•  whether the rent or operating income provides a 
competitive market return to our investors;

•  duration, rental rates, tenant and operator quality and 

other attributes of in-place leases, including master lease 
structures and coverage;

•  current and anticipated cash flow and its adequacy to 

meet our operational needs;

•  availability of security such as letters of credit, security 

deposits and guarantees;

•  potential for capital appreciation;
•  expertise and reputation of the tenant or operator;
•  occupancy and demand for similar healthcare facilities in 

the same or nearby communities;

•  availability of qualified operators or property managers 

and whether we can manage the property;
•  potential alternative uses of the facilities;
• 

the regulatory and reimbursement environment in which 
the properties operate;
tax laws related to REITs;

• 
•  prospects for liquidity through financing or refinancing; 

and 

•  our access to and cost of capital.

2018 Annual Report 

31

  
PART I

Property and Direct Financing Lease Investments
The following table summarizes our consolidated property and direct financing lease (“DFL”) investments as of and for the 
year ended December 31, 2018 (square feet and dollars in thousands):

Facility Location
Senior housing triple-net—real estate:
California
Virginia
Florida
Texas
Pennsylvania
Washington
Oregon
Other (18 States)

Senior housing—DFLs(3):
Other (12 States)

Total senior housing triple-net

SHOP:
Texas
Florida
Colorado
Maryland
Illinois
Other (18 States)
Total SHOP

Life science:
California
Other (3 States)

Total life science

Medical office:
Texas
Pennsylvania
South Carolina
California
Other (29 States)

Total medical office

Other—Hospital(4):
Texas
California
Other (7 States)

Other—U.K.:
Other (U.K.)(5)
Other—SNF:
Virginia

Total other non-reportable segments

Total properties

Number of 
Facilities

16
9
11
13
2
10
10
48
119

27
146

19
17
5
7
4
41
93

113
11
124

67
4
20
17
159
267

4
2
8
14

—

1
15
645

Capacity
(Units)
1,572
1,157
1,418
1,323
623
670
955
4,157
11,875

3,126
15,001
(Units)
3,171
2,090
687
644
771
4,345
11,708
(Sq. Ft.)
5,805
910
6,715
(Sq. Ft.)
5,910
1,054
1,028
955
10,301
19,248
(Beds)
1,077
111
988
2,176
(Units)
—
(Beds)
120

Gross Asset 
Value(1)

Real Estate 
Revenues(2)

Operating 
Expenses

$

389,349
257,298
228,047
189,144
144,645
137,713
137,180
772,101
2,255,477

$

36,979
25,041
25,453
21,535
13,832
14,552
13,821
86,953
238,166

$

(3,219)
—
(8)
—
—
(1)
(123)
(197)
(3,548)

629,214
$ 2,884,691

37,925
$ 276,091

(70)
(3,618)

$

$

479,786
338,843
206,592
185,982
143,924
707,302
$ 2,062,429

$ 136,560
109,289
35,414
34,768
38,960
192,985
$ 547,976

$ (94,433)
(86,380)
(20,849)
(26,261)
(28,447)
(157,942)
$(414,312)

$ 3,765,565
417,629
$ 4,183,194

$ 357,868
37,196
$ 395,064

$ (79,714)
(12,028)
$ (91,742)

$ 1,103,777
329,054
314,304
302,725
2,042,081
$ 4,091,941

$

$

232,715
143,500
150,965
527,180

$ 143,567
28,875
10,758
35,862
289,957
$ 509,019

$

$

39,196
19,406
28,778
87,380

$ (59,163)
(12,364)
(1,601)
(16,234)
(100,497)
$(189,859)

$

$

(5,240)
(127)
(140)
(5,507)

—

19,492

—

16,780
$
543,960
$13,766,215

1,261
$ 108,133
$1,836,283

—
$
(5,507)
$(705,038)

(1)  Represents gross real estate and the carrying value of DFLs. Gross real estate represents the carrying amount of real estate after adding 
back accumulated depreciation and amortization. Excludes real estate held for sale with an aggregate gross asset value of $131 million.

(2)  Represent the combined amount of rental and related revenues, resident fees and services and income from DFLs.
(3)  Represents leased properties that are classified as DFLs.
(4) 
Includes leased properties that are classified as DFLs.

(5)  Represents real estate revenues generated from real estate assets that were deconsolidated in June 2018 (see Note 5 to the 

Consolidated Financial Statements).

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Occupancy and Annual Rent Trends
The following table summarizes occupancy and average annual rent trends for our consolidated property and DFL 
investments for the years ended December 31 (average occupied square feet in thousands):

PART I

Senior housing triple-net:

Average annual rent per unit(1)
Average capacity (available units)

SHOP:

Average annual rent per unit(1)
Average capacity (available units)

Life science:

Average occupancy percentage
Average annual rent per square foot(1)
Average occupied square feet

Medical office:

Average occupancy percentage
Average annual rent per square foot(1)
Average occupied square feet

Other non-reportable segments:

Average annual rent per bed - Hospital(1)
Average capacity (available beds) - Hospital
Average annual rent per unit - U.K.(1)(2)
Average capacity (available units) - U.K.(2)
Average annual rent per bed - SNF(1)
Average capacity (available beds) - SNF

2018

2017

2016

2015

2014

$16,449
16,914

$15,352
21,536

$14,604
28,455

$14,544
28,777

$13,907
33,917

$48,433
11,248

$41,133
12,758

$42,851
16,028

$41,435
12,704

$38,017
6,408

$

95%
54
7,078

$

96%
52
6,841

$

98%
48
7,332

$

97%
46
7,179

$

93%
46
6,637

$

92%
29
17,280

$

92%
28
16,674

$

91%
28
15,697

$

91%
28
14,677

$

91%
28
13,136

$39,246
2,147

$38,017
2,161
$ — $ 9,097
3,188
$10,298
120

—
$10,504
120

$39,076
2,271
$ 9,200
3,190
$10,803
426

$39,834
2,187
$10,048
2,515
$ 8,292
1,047

$38,756
2,184
$11,240
501
$ 8,062
1,022

(1)  Average annual rent is presented as a ratio of revenues comprised of rental and related revenues and income from DFLs divided by the 
average capacity or average occupied square feet of the facilities. Average annual rent for leased properties (including DFLs) excludes 
termination fees and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash 
interest and the impact of deferred community fee income).

(2)  Our investments in the U.K. were deconsolidated in June 2018 (see Note 5 to the Consolidated Financial Statements).

2018 Annual Report 

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PART I

Tenant Lease Expirations
The following table shows tenant lease expirations, including 
those related to DFLs, for the next 10 years and thereafter 
at our consolidated properties, assuming that none of the 
tenants exercise any of their renewal or purchase options, 

unless otherwise noted below, and excludes properties in 
our SHOP segment and assets held for sale as of and for 
the year ended December 31, 2018 (dollars and square feet 
in thousands):

Expiration Year

Segment
Senior housing triple-net:

Total

2019(1)

2020

2021

2022

2023

2024

2025

2026

2027

2028 Thereafter

Properties
Base rent(2)
% of segment base rent

146

2

22

$ 263,173 $ 2,305 $ 40,753 $

100

1

15

6
7,969 $
3

Life science:

1

24
1,548 $ 46,215 $ 13,445 $
18

5

9

1

6

5

15
9,354 $ 4,316 $12,359 $36,949
14

4

5

4

2

Square feet
Base rent(2)
% of segment base rent

6,488

604

546

850

632

639

$ 285,294 $24,653 $ 19,890 $ 50,365 $ 21,345 $ 36,210 $

100

9

7

18

7

13

111

1,035

338
6,213 $ 46,238 $17,955 $22,898 $15,079
5

379

489

16

6

2

8

Medical office:

Square feet
Base rent(2)
% of segment base rent

2,806

17,731

1,325
$ 415,123 $69,775 $ 63,355 $ 48,606 $ 45,566 $ 39,366 $ 24,008 $ 36,526 $20,040 $15,229 $28,161
7

2,084

1,796

2,444

1,923

1,530

735

888

795

100

17

15

12

11

6

4

9

5

9

52
$ 87,960
32

865
$ 24,448
9

1,405
$ 24,491
5

Other non-reportable segments:

Properties
Base rent(2)
% of segment base rent

$

15
75,370 $
100

—
— $
—

1
8,145 $
11

1

5

1,619 $ 14,099 $

2

19

6
—
— $ 22,972 $ 20,051 $
—

27

30

1

—
— $
—

—
— $
—

—
— $
—

1
8,484
11

Total:

Base rent(2)
% of total base rent

$1,038,960 $96,733 $132,143 $108,559 $ 82,558 $121,791 $ 66,638 $112,169 $42,311 $50,486 $80,189
8

100

11

13

10

12

6

5

4

9

8

$145,383
14

(1) 

Includes month-to-month leases.

(2)  The most recent month’s (or subsequent month’s, if acquired in the most recent month) base rent, including additional rent floors and 
cash income from DFLs, annualized for 12 months. Base rent does not include tenant recoveries, additional rents in excess of floors 
and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest and 
deferred revenues).

See the “Tenant Purchase Options” section of Note 6 to the Consolidated Financial Statements for additional information on 
leases subject to purchase options. See Schedule III: Real Estate and Accumulated Depreciation, included in this report, which 
information is incorporated by reference in this Item 2.

LEGAL PROCEEDINGS

ITEM 3. 
Except as described below, we are not aware of any 
legal proceedings or claims that we believe could have, 
individually or taken together, a material adverse effect on 
our financial condition, results of operations or cash flows.

See “Legal Proceedings” section of Note 11 to the 
Consolidated Financial Statements for information 
regarding legal proceedings, which information is 
incorporated by reference in this Item 3.

ITEM 4.  MINE SAFETY DISCLOSURES
None.

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PART II

ITEM 5. 

 MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED 
STOCKHOLDER MATTERS AND ISSUER PURCHASES OF 
EQUITY SECURITIES

Our common stock is listed on the New York Stock Exchange (“NYSE”) under the symbol “HCP.”

At January 31, 2019, we had 8,945 stockholders of record, and there were 184,033 beneficial holders of our common stock.

Dividends (Distributions)
It has been our policy to declare quarterly dividends to common stockholders so as to comply with applicable provisions of the 
Code governing REITs. All distributions are made at the discretion of our Board of Directors in accordance with Maryland law. 
Distributions with respect to our common stock can be characterized for federal income tax purposes as ordinary dividends, 
capital gains, nondividend distributions or a combination thereof. The following table shows the characterization of our annual 
common stock distributions per share:

Ordinary dividends(1)
Capital gains
Nondividend distributions

Year Ended December 31,
2017
$1.4800
—
—
$1.4800

2016
$1.5561
—
6.7089
$8.2650(2)

2018
$0.9578
0.5222
—
$1.4800

(1)  The 2018 amount includes $0.0164 of qualified dividend income for purposes of Code Section 1(h)(11), and $0.9414 of qualified business 

income for purposes of Code Section 199A.

(2)  Consists of $2.095 per common share of quarterly cash dividends and $6.17 per common share of stock dividends related to the spin-off 

(the “Spin-Off”) of Quality Care Properties, Inc. (“QCP”) (discussed below).

HCP common stockholders on October 24, 2016, the record 
date for the Spin-Off (the “Record Date”), received upon the 
Spin-Off on October 31, 2016 one share of QCP common 
stock for every five shares of HCP common stock they held 
as of the Record Date (the “Distributed Shares”) and cash in 
lieu of fractional shares of QCP. For U.S. federal income tax 
purposes, HCP reported the fair market value of the QCP 
common stock distributed per each share of HCP common 
stock outstanding on the Record Date was $6.17, or $30.85 

for each share of QCP common stock. Accordingly, every 
HCP common stockholder who received a Distributed Share 
has a tax cost basis of $30.85 per Distributed Share.

On January 31, 2019, we announced that our Board of 
Directors declared a quarterly common stock cash dividend 
of $0.37 per share. The common stock dividend will be paid 
on February 28, 2019 to stockholders of record as of the 
close of business on February 19, 2019.

2018 Annual Report 

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PART II

Issuer Purchases of Equity Securities
The table below sets forth the information with respect to purchases of our common stock made by or on our behalf during 
the quarter ended December 31, 2018.

Period Covered
October 1-31, 2018
November 1-30, 2018
December 1-31, 2018

Total

Total Number 
of Shares 
Purchased(1)
448
—
2,798
3,246

Average Price 
Paid per Share
$27.35
—
27.88
$27.81

Maximum 
Number (or 
Approximate 
Dollar Value) 
of Shares  
that May Yet 
be Purchased  
Under the Plans  
or Programs
—
—
—
—

Total Number  
of Shares 
Purchased as 
Part of Publicly 
Announced Plans 
or Programs
—
—
—
—

(1)  Represents restricted shares withheld under our equity incentive plans to offset tax withholding obligations that occur upon vesting of 
restricted shares. The value of the shares withheld is based on the closing price of our common stock on the last trading day prior to the 
date the relevant transaction occurred.

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PART II

of trading on December 31, 2013 and assumes quarterly 
reinvestment of dividends before consideration of income 
taxes. Stockholder returns over the indicated periods 
should not be considered indicative of future stock prices or 
stockholder returns.

Performance Graph
The graph and table below compare the cumulative total 
return of HCP, the S&P 500 Index and the Equity REIT Index 
of NAREIT, from January 1, 2014 to December 31, 2018. 
Total cumulative return is based on a $100 investment in 
HCP common stock and in each of the indices at the close 

Comparison of Five-Year Cumulative Total Return 
Among S&P 500, Equity REITs and Hcp, Inc. 
Rate of Return Trend Comparison 
January 1, 2014–December 31, 2018 
(January 1, 2014 = $100)

Performance Graph Total Stockholder Return

$200

$150

$100

$50

$0
01/01/14

12/31/14

12/31/15

12/31/16

12/31/17

12/31/18

HCP, Inc.

FTSE NAREIT Equity REIT Index

S&P 500

FTSE NAREIT Equity REIT Index
S&P 500
HCP, Inc.

December 31,

2014
$128.03
113.68
127.80

2015
$131.65
115.24
117.53

2016
$143.32
129.02
106.52

2017
$155.75
157.17
98.26

2018
$149.42
150.27
111.71

2018 Annual Report 

37

  
PART II

ITEM 6.  SELECTED FINANCIAL DATA
Set forth below is our selected financial data as of and for each of the years in the five-year period ended December 31 
(dollars in thousands, except per share data):

2018

Year Ended December 31,
2017

2016

2015

2014

Statement of operations data:
Total revenues
Income (loss) from continuing operations
Net income (loss) applicable to common shares
Basic earnings per common share:
Continuing operations
Discontinued operations
Net income (loss) applicable to common shares
Diluted earnings per common share:
Continuing operations
Discontinued operations
Net income (loss) applicable to common shares
Balance sheet data:
Total assets
Debt obligations(1)
Total equity
Other data:
Dividends paid
Dividends paid per common share(2)
Funds from operations (“NAREIT FFO”)(3)
Diluted NAREIT FFO per common share(3)
FFO as adjusted(3)
Diluted FFO as adjusted per common share(3)
Funds available for distribution (“FAD”)(3)

$ 1,846,689 $ 1,848,378 $ 2,129,294
374,171
626,549

1,073,474
1,058,424

422,634
413,013

$ 1,940,489 $ 1,636,833
271,315
919,796

152,668
(560,552)

2.25
—
2.25

2.24
—
2.24

0.88
—
0.88

0.88
—
0.88

0.77
0.57
1.34

0.77
0.57
1.34

0.30
(1.51)
(1.21)

0.30
(1.51)
(1.21)

0.56
1.45
2.01

0.56
1.44
2.00

12,718,553
5,567,908
6,512,591

14,088,461
7,880,466
5,594,938

15,759,265
9,189,495
5,941,308

21,449,849
11,069,003
9,746,317

21,331,436
9,721,269
10,997,099

696,913
1.480
780,189
1.66
857,233
1.82
746,397

694,955
1.480
661,113
1.41
918,402
1.95
803,720

979,542
2.095
1,119,153
2.39
1,282,390
2.74
1,215,696

1,046,638
2.260
(10,841)
(0.02)
1,470,167
3.16
1,261,849

1,001,559
2.180
1,381,634
3.00
1,398,691
3.04
1,178,822

(1) 

Includes bank line of credit, term loans, senior unsecured notes, mortgage debt and other debt.

(2)  Represents cash dividends. Additionally, in October 2016 we issued $6.17 per common share of stock dividends related to the Spin-Off.
(3)  For a more detailed discussion and reconciliation of NAREIT FFO, FFO as adjusted and FAD, see “Results of Operations” and “Non-GAAP 

Financial Measure Reconciliations” in Item 7 of this report.

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ITEM 7. 

 MANAGEMENT’S DISCUSSION AND ANALYSIS OF 
FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The information set forth in this Item 7 is intended to 
provide readers with an understanding of our financial 
condition, changes in financial condition and results of 
operations. We will discuss and provide our analysis in the 
following order:

•  2018 Transaction Overview
•  Dividends

•  Results of Operations
•  Liquidity and Capital Resources
•  Contractual Obligations
•  Off-Balance Sheet Arrangements
• 
•  Non-GAAP Financial Measure Reconciliations
•  Critical Accounting Policies
•  Recent Accounting Pronouncements

Inflation

2018 Transaction Overview

Mountain View Campus Sale
• 

In November 2018, we sold our Shoreline Technology 
Center life science campus located in Mountain View, 
California for $1.0 billion and recognized a gain on sale of 
$726 million.

MSREI MOB JV
• 

In August 2018, HCP and Morgan Stanley Real Estate 
Investment (“MSREI”) formed a joint venture (the 
“MSREI JV”) to own a portfolio of MOBs, which HCP 
owns 51% of and consolidates. To form the MSREI 
JV, MSREI contributed cash of $298 million and HCP 
contributed nine wholly-owned MOBs (the “Contributed 
Assets”). The Contributed Assets are primarily located 
in Texas and Florida and were valued at approximately 
$320 million at the time of contribution. The MSREI 
JV used substantially all of the cash contributed by 
MSREI to acquire an additional portfolio of 16 MOBs in 
Greenville, South Carolina (the “Greenville Portfolio”) for 
$285 million. Concurrent with acquiring the additional 
MOBs, the MSREI JV entered into 10-year leases with an 
anchor tenant on each MOB in the Greenville Portfolio, 
which accounts for approximately 93% of the total 
leasable space in the portfolio.

Brookdale Transactions Update
• 

 In 2018, we sold six agreed upon facilities to Brookdale 
for $275 million.
 In March 2018, we completed the acquisition of 
Brookdale’s noncontrolling interest in RIDEA I for 
$63 million.
 During the fourth quarter of 2018, we completed the 
sale of 11 senior housing triple-net and eight SHOP 
facilities previously leased to Brookdale for $377 million.
 As of December 31, 2018, we had completed the 
transition of 38 assets previously operated by Brookdale 
to other operators. 

• 

• 

• 

See Note 3 to the Consolidated Financial Statements for 
additional information. 

U.K. Investment Update
• 

 In June 2018, we entered into a joint venture with an 
institutional investor (the “U.K. JV”) through which we 
sold a 51% interest in U.K. assets previously owned 
by us (the “U.K. Portfolio”) based on a total value 
of £382 million ($507 million). We retained a 49% 
noncontrolling interest in the joint venture and received 
gross proceeds of $402 million, including proceeds from 
the refinancing of our previously held intercompany 
loans. Upon closing the U.K. JV, we deconsolidated the 
U.K. Portfolio, recognized our retained noncontrolling 
interest investment at fair value ($105 million) and 
recognized a gain on sale of $11 million. We expect to sell 
our remaining 49% interest by no later than 2020.

Other Real Estate and Loan Transactions
• 

In March 2018, we sold our Tandem Health Care 
mezzanine loan (“Tandem Mezzanine Loan”) to a third 
party for approximately $112 million, resulting in an 
impairment recovery, net of transaction costs and fees, 
of $3 million.
In June 2018, we sold our remaining 40% ownership 
interest in RIDEA II for $91 million and caused Columbia 
Pacific Advisors, LLC to refinance our $242 million of 
loans receivable from RIDEA II, which resulted in total 
proceeds of $332 million.
In 2016, we provided a £105 million ($131 million at 
closing) bridge loan (the “U.K. Bridge Loan”) to Maria 
Mallaband Care Group Ltd. (“MMCG”) to fund the 
acquisition of a portfolio of seven care homes in the 
U.K. Under the bridge loan, we retained a call option 
to acquire those seven care homes at a future date 
for £105 million. In March 2018, in conjunction with 
MMCG and HCP satisfying the conditions necessary 
to exercise our call option to acquire the seven care 
homes, we began consolidating the real estate. In 
June 2018, we completed the process of exercising the 
call option. The seven care homes acquired through 
the call option were included in the U.K. JV transaction 

• 

• 

2018 Annual Report 

39

  
PART II

• 

(see U.K. Investment Update above). See Notes 5, 7 
and 19 to the Consolidated Financial Statements for 
additional information.
In November 2018, we acquired the outstanding equity 
interests in three life science joint ventures (which 
owned four buildings) for $92 million, bringing our 
equity ownership to 100% for all three joint ventures. 
As a result, we recognized a gain on consolidation of 
$50 million.

• 

•  Additionally, during the year ended December 31, 2018, 
we sold: (i) 19 SHOP facilities, (ii) four life science assets, 
(iii) four MOBs and (iv) an undeveloped land parcel for a 
total of $451 million.
In November 2018, we entered into definitive 
agreements to acquire two life science buildings in 
South San Francisco, California, adjacent to The Shore 
at Sierra Point development, for $245 million. We made a 
$15 million nonrefundable deposit upon completing due 
diligence and expect to close the transaction during the 
first half of 2019.
In January and February 2019, we acquired a life science 
facility for $71 million and development rights at an 
adjacent undeveloped land parcel for consideration of 
up to $27 million. The existing facility and land parcel are 
located in Cambridge, Massachusetts.

• 

Financing Activities
•  On July 3, 2018, we exercised our right to repay the 

outstanding £169 million balance under our term loan 
and re-borrow $224 million with all other key terms 
unchanged. We repaid the full balance of our term loan in 
November 2018.

•  On July 16, 2018, we repaid all $700 million outstanding 

of our 5.375% senior unsecured notes due 2021 
and recorded a loss on debt extinguishment of 
approximately $44 million.

•  On November 8, 2018, we repaid all $450 million 

outstanding of our 3.75% senior unsecured notes due in 
2019 at par.

•  During the fourth quarter of 2018, we issued 5.4 million 

• 

shares of common stock under our at-the-market equity 
offering program for total net proceeds of $154 million.
In December 2018, we issued two million shares for 
total net proceeds of $57 million and entered into 
a forward equity sales agreement to sell up to an 
aggregate of 15.25 million additional shares on or before 
December 13, 2019 at an initial net price of $28.60 per 
share, after underwriting discounts and commissions.

•  During 2018, we used proceeds from dispositions 
primarily to repay $933 million of outstanding net 
borrowings under our revolving line of credit facility.

Developments and Redevelopments
• 

In March 2018, we acquired the rights to develop a new 
214,000 square foot life science facility on our existing 
Hayden Research Campus in Lexington, Massachusetts 
for $21 million. The development, 75 Hayden, will be a 
four-story, purpose-built Class A life science facility and 
parking garage.
In September and October 2018, we signed two leases 
totaling 222,000 square feet at The Shore at Sierra Point 
in South San Francisco, bringing the $224 million first 
phase of the development to 100% pre-leased. The 
Shore at Sierra Point is a 23-acre waterfront life science 
development offering state-of-the-art laboratory and 
office space along with premier amenities.

• 

•  During the third quarter of 2018, we commenced a 

program with HCA Healthcare to develop primarily on-
campus MOBs. As of December 31, 2018, we had begun 
construction on one MOB with an estimated cost of 
$26 million.

Dividends
Quarterly cash dividends paid during 2018 aggregated to $1.48 per share. On January 31, 2019, our Board of Directors 
declared a quarterly cash dividend of $0.37 per common share. The dividend will be paid on February 28, 2019 to stockholders 
of record as of the close of business on February 19, 2019.

Results of Operations
We evaluate our business and allocate resources among 
our reportable business segments: (i) senior housing 
triple-net, (ii) senior housing operating portfolio (SHOP), 
(iii) life science and (iv) medical office. Under the medical 
office and life science segments, we invest through the 
acquisition and development of MOBs and life science 
facilities, which generally require a greater level of property 
management. Our senior housing facilities are managed 
utilizing triple-net leases and RIDEA structures. We have 
other non-reportable segments that are comprised 

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primarily of our debt investments, hospital properties, 
unconsolidated joint ventures and U.K. investments. 
We evaluate performance based upon: (i) property net 
operating income from continuing operations (“NOI”) and (ii) 
adjusted NOI (cash NOI) in each segment. The accounting 
policies of the segments are the same as those described in 
the summary of significant accounting policies (see Note 2 
to the Consolidated Financial Statements).

Non-GAAP Financial Measures
Net Operating Income
NOI and Adjusted NOI are non-U.S. generally accepted 
accounting principles (“GAAP”) supplemental financial 
measures used to evaluate the operating performance of 
real estate. NOI is defined as real estate revenues (inclusive 
of rental and related revenues, resident fees and services, 
and income from direct financing leases), less property 
level operating expenses (which exclude transition costs); 
NOI excludes all other financial statement amounts 
included in net income (loss) as presented in Note 13 to the 
Consolidated Financial Statements. Management believes 
NOI provides relevant and useful information because it 
reflects only income and operating expense items that 
are incurred at the property level and presents them on an 
unlevered basis. Adjusted NOI is calculated as NOI after 
eliminating the effects of straight-line rents, DFL non-
cash interest, amortization of market lease intangibles, 
termination fees, actuarial reserves for insurance claims 
that have been incurred but not reported, and the impact 
of deferred community fee income and expense. Adjusted 
NOI is oftentimes referred to as “Cash NOI.” NOI and 
Adjusted NOI exclude our share of income (loss) generated 
by unconsolidated joint ventures, which is recognized in 
equity income (loss) from unconsolidated joint ventures in 
the consolidated statements of operations. We use NOI and 
Adjusted NOI to make decisions about resource allocations, 
to assess and compare property level performance, and to 
evaluate our same property portfolio (“SPP”), as described 
below. We believe that net income (loss) is the most directly 
comparable GAAP measure to NOI and Adjusted NOI. 
NOI and Adjusted NOI should not be viewed as alternative 
measures of operating performance to net income (loss) as 
defined by GAAP since they do not reflect various excluded 
items. Further, our definitions of NOI and Adjusted NOI 
may not be comparable to the definitions used by other 
REITs or real estate companies, as they may use different 
methodologies for calculating NOI and Adjusted NOI. For 
a reconciliation of NOI and Adjusted NOI to net income 
(loss) by segment, refer to Note 13 to the Consolidated 
Financial Statements.

Operating expenses generally relate to leased medical office 
and life science properties and SHOP facilities. We generally 
recover all or a portion of our leased medical office and life 
science property expenses through tenant recoveries. We 
present expenses as operating or general and administrative 
based on the underlying nature of the expense.

Same Property Portfolio
SPP NOI and Adjusted (Cash) NOI information allows us to 
evaluate the performance of our property portfolio under 
a consistent population by eliminating changes in the 
composition of our consolidated portfolio of properties. 

PART II

SPP NOI excludes certain non-property specific operating 
expenses that are allocated to each operating segment on a 
consolidated basis.

Properties are included in SPP once they are stabilized for 
the full period in both comparison periods. Newly acquired 
operating assets are generally considered stabilized at the 
earlier of lease-up (typically when the tenant(s) control(s) 
the physical use of at least 80% of the space) or 12 months 
from the acquisition date. Newly completed developments 
and redevelopments are considered stabilized at the earlier 
of lease-up or 24 months from the date the property is 
placed in service. Properties that experience a change 
in reporting structure, such as a transition from a triple-
net lease to a RIDEA reporting structure, are considered 
stabilized after 12 months in operations under a consistent 
reporting structure. A property is removed from SPP when it 
is classified as held for sale, sold, placed into redevelopment, 
experiences a casualty event that significantly impacts 
operations or changes its reporting structure (such as triple-
net to SHOP).

For a reconciliation of SPP to total portfolio Adjusted NOI 
and other relevant disclosures by segment, refer to our 
Segment Analysis below.

Funds From Operations (“FFO”)
FFO encompasses NAREIT FFO and FFO as adjusted, 
each of which is described in detail below. We believe 
FFO applicable to common shares, diluted FFO applicable 
to common shares, and diluted FFO per common share 
are important supplemental non-GAAP measures of 
operating performance for a REIT. Because the historical 
cost accounting convention used for real estate assets 
utilizes straight-line depreciation (except on land), such 
accounting presentation implies that the value of real estate 
assets diminishes predictably over time. Since real estate 
values instead have historically risen and fallen with market 
conditions, presentations of operating results for a REIT 
that use historical cost accounting for depreciation could 
be less informative. The term FFO was designed by the REIT 
industry to address this issue.

NAREIT FFO. FFO, as defined by the National Association 
of Real Estate Investment Trusts (“NAREIT”), is net 
income (loss) applicable to common shares (computed in 
accordance with GAAP), excluding gains or losses from sales 
of depreciable property, including any current and deferred 
taxes directly associated with sales of depreciable property, 
impairments of, or related to, depreciable real estate, plus 
real estate and other real estate-related depreciation and 
amortization, and adjustments to compute our share of 
NAREIT FFO and FFO as adjusted (see below) from joint 
ventures. Adjustments for joint ventures are calculated 
to reflect our pro-rata share of both our consolidated and 
unconsolidated joint ventures. We reflect our share of 

2018 Annual Report 

41

  
PART II

NAREIT FFO for unconsolidated joint ventures by applying 
our actual ownership percentage for the period to the 
applicable reconciling items on an entity by entity basis. 
For consolidated joint ventures in which we do not own 
100%, we reflect our share of the equity by adjusting our 
NAREIT FFO to remove the third party ownership share of 
the applicable reconciling items based on actual ownership 
percentage for the applicable periods. Our pro-rata share 
information is prepared on a basis consistent with the 
comparable consolidated amounts, is intended to reflect our 
proportionate economic interest in the operating results 
of properties in our portfolio and is calculated by applying 
our actual ownership percentage for the period. We do not 
control the unconsolidated joint ventures, and the pro-rata 
presentations of reconciling items included in NAREIT FFO 
do not represent our legal claim to such items. The joint 
venture members or partners are entitled to profit or loss 
allocations and distributions of cash flows according to the 
joint venture agreements, which provide for such allocations 
generally according to their invested capital.

The presentation of pro-rata information has limitations, 
which include, but are not limited to, the following: (i) the 
amounts shown on the individual line items were derived 
by applying our overall economic ownership interest 
percentage determined when applying the equity method 
of accounting and do not necessarily represent our legal 
claim to the assets and liabilities, or the revenues and 
expenses and (ii) other companies in our industry may 
calculate their pro-rata interest differently, limiting the 
usefulness as a comparative measure. Because of these 
limitations, the pro-rata financial information should not be 
considered independently or as a substitute for our financial 
statements as reported under GAAP. We compensate for 
these limitations by relying primarily on our GAAP financial 
statements, using the pro-rata financial information as 
a supplement.

NAREIT FFO does not represent cash generated from 
operating activities in accordance with GAAP, is not 
necessarily indicative of cash available to fund cash needs 
and should not be considered an alternative to net income 
(loss). We compute NAREIT FFO in accordance with the 
current NAREIT definition; however, other REITs may report 
NAREIT FFO differently or have a different interpretation of 
the current NAREIT definition from ours.

FFO as adjusted. In addition, we present NAREIT FFO on 
an adjusted basis before the impact of non-comparable 
items including, but not limited to, transaction-related 
items, impairments (recoveries) of non-depreciable 
assets, losses (gains) from the sale of non-depreciable 
assets, severance and related charges, prepayment costs 
(benefits) associated with early retirement or payment 
of debt, litigation costs (recoveries), casualty-related 
charges (recoveries), foreign currency remeasurement 

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losses (gains) and changes in tax legislation (“FFO as 
adjusted”). Transaction-related items include transaction 
expenses and gains/charges incurred as a result of mergers 
and acquisitions and lease amendment or termination 
activities. Prepayment costs (benefits) associated with early 
retirement of debt include the write-off of unamortized 
deferred financing fees, or additional costs, expenses, 
discounts, make-whole payments, penalties or premiums 
incurred as a result of early retirement or payment of debt. 
Management believes that FFO as adjusted provides a 
meaningful supplemental measurement of our FFO run-
rate and is frequently used by analysts, investors and other 
interested parties in the evaluation of our performance as a 
REIT. At the same time that NAREIT created and defined its 
FFO measure for the REIT industry, it also recognized that 
“management of each of its member companies has the 
responsibility and authority to publish financial information 
that it regards as useful to the financial community.” We 
believe stockholders, potential investors and financial 
analysts who review our operating performance are best 
served by an FFO run-rate earnings measure that includes 
certain other adjustments to net income (loss), in addition to 
adjustments made to arrive at the NAREIT defined measure 
of FFO. FFO as adjusted is used by management in analyzing 
our business and the performance of our properties, and we 
believe it is important that stockholders, potential investors 
and financial analysts understand this measure used by 
management. We use FFO as adjusted to: (i) evaluate our 
performance in comparison with expected results and 
results of previous periods, relative to resource allocation 
decisions, (ii) evaluate the performance of our management, 
(iii) budget and forecast future results to assist in the 
allocation of resources, (iv) assess our performance as 
compared with similar real estate companies and the 
industry in general and (v) evaluate how a specific potential 
investment will impact our future results. Other REITs or 
real estate companies may use different methodologies for 
calculating an adjusted FFO measure, and accordingly, our 
FFO as adjusted may not be comparable to those reported 
by other REITs. For a reconciliation of net income (loss) 
to NAREIT FFO and FFO as adjusted and other relevant 
disclosure, refer to “Non-GAAP Financial Measures 
Reconciliations” below.

Funds Available for Distribution
FAD is defined as FFO as adjusted after excluding the impact 
of the following: (i) amortization of deferred compensation 
expense, (ii) amortization of deferred financing costs, 
net, (iii) straight-line rents, (iv) deferred income taxes, (v) 
amortization of acquired market lease intangibles, net, 
(vi) non-cash interest related to DFLs and lease incentive 
amortization (reduction of straight-line rents), (vii) actuarial 
reserves for insurance claims that have been incurred 
but not reported, and (viii) deferred revenues, excluding 
amounts amortized into rental income that are associated 

with tenant funded improvements owned/recognized by 
us and up-front cash payments made by tenants to reduce 
their contractual rents. Also, FAD: (i) is computed after 
deducting recurring capital expenditures, including second 
generation leasing costs and second generation tenant and 
capital improvements, and (ii) includes lease restructure 
payments and adjustments to compute our share of FAD 
from our unconsolidated joint ventures and those related 
to CCRC non-refundable entrance fees. Certain prior 
period amounts in the “Non-GAAP Financial Measures 
Reconciliation” below for FAD have been reclassified 
to conform to the current period presentation. More 
specifically, recurring capital expenditures, including second 
generation leasing costs and second generation tenant 
and capital improvements (“FAD capital expenditures”) 
excludes our share from unconsolidated joint ventures 
(reported in “other FAD adjustments”). Adjustments for 
joint ventures are calculated to reflect our pro-rata share of 
both our consolidated and unconsolidated joint ventures. 
We reflect our share of FAD for unconsolidated joint 
ventures by applying our actual ownership percentage for 
the period to the applicable reconciling items on an entity 
by entity basis. We reflect our share for consolidated joint 
ventures in which we do not own 100% of the equity by 
adjusting our FAD to remove the third party ownership 
share of the applicable reconciling items based on actual 
ownership percentage for the applicable periods (reported 
in “other FAD adjustments”). See FFO for further disclosure 
regarding our use of pro-rata share information and its 
limitations. Other REITs or real estate companies may 
use different methodologies for calculating FAD, and 
accordingly, our FAD may not be comparable to those 

PART II

reported by other REITs. Although our FAD computation 
may not be comparable to that of other REITs, management 
believes FAD provides a meaningful supplemental measure 
of our performance and is frequently used by analysts, 
investors, and other interested parties in the evaluation of 
our performance as a REIT. We believe FAD is an alternative 
run-rate earnings measure that improves the understanding 
of our operating results among investors and makes 
comparisons with: (i) expected results, (ii) results of previous 
periods and (iii) results among REITs more meaningful. 
FAD does not represent cash generated from operating 
activities determined in accordance with GAAP and is not 
necessarily indicative of cash available to fund cash needs as 
it excludes the following items which generally flow through 
our cash flows from operating activities: (i) adjustments 
for changes in working capital or the actual timing of the 
payment of income or expense items that are accrued 
in the period, (ii) transaction-related costs, (iii) litigation 
settlement expenses, (iv) severance-related expenses and 
(v) actual cash receipts from interest income recognized 
on loans receivable (in contrast to our FAD adjustment to 
exclude non-cash interest and depreciation related to our 
investments in direct financing leases). Furthermore, FAD 
is adjusted for recurring capital expenditures, which are 
generally not considered when determining cash flows from 
operations or liquidity. FAD is a non-GAAP supplemental 
financial measure and should not be considered as an 
alternative to net income (loss) determined in accordance 
with GAAP. For a reconciliation of net income (loss) to FAD 
and other relevant disclosure, refer to “Non-GAAP Financial 
Measures Reconciliations” below.

Comparison of the Year Ended December 31, 2018 to the Year Ended December 31, 2017 and the Year Ended December 31, 
2017 to the Year Ended December 31, 2016

Overview(1)
2018 and 2017
The following table summarizes results for the years ended December 31, 2018 and 2017 (dollars in thousands):

Net income (loss) applicable to common shares

NAREIT FFO

FFO as adjusted

FAD

Year Ended 
December 31,

2018

2017

Change

$1,058,424

$413,013

$645,411

780,189

857,233

746,397

661,113

918,402

803,720

119,076

(61,169)

(57,323)

(1)  For the reconciliation of non-GAAP financial measures, see “Non-GAAP Financial Measure Reconciliations” section below.

2018 Annual Report 

43

  
PART II

Net income (loss) applicable to common shares (“net income 
(loss)”) increased primarily as a result of the following:

•  a larger net gain on sales of real estate during 2018 

compared to 2017, primarily related to the sale of our 
Shoreline Technology Center life science campus in 
November 2018;
increased NOI from: (i) annual rent escalations, (ii) 2017 and 
2018 acquisitions, and (iii) development and redevelopment 
projects placed in service during 2017 and 2018;

• 

•  a gain on consolidation related to the acquisition of the 
outstanding equity interests in three life science joint 
ventures in November 2018; 
impairments of our mezzanine loan facility to Tandem 
Health Care (the “Tandem Mezzanine Loan”) in 2017;

• 

•  a net charge to NOI from the November 2017 

transactions with Brookdale (the “2017 Brookdale 
Transactions” - see Note 3 to the Consolidated 
Financial Statements);

•  a reduction in interest expense as a result of debt 

repayments, primarily in the second and third quarters 
of 2017 and throughout 2018, partially offset by an 
increased average balance under our revolving credit 
facility during 2018;

•  higher income tax expense in 2017 related to the impact 
of new tax rate legislation, partially offset by tax benefits 
from higher sales volume during 2017;

•  a reduction in litigation-related costs from securities 

class action litigation, and a one-time legal settlement 
in 2017;

•  a reduction in loss on debt extinguishment related to the 
repurchases of our senior notes in July 2018 compared 
to July 2017; and

•  casualty-related charges incurred due to hurricanes in 

the third quarter of 2017.

The increase in net income (loss) was partially offset by:

•  a reduction in NOI in our senior housing triple-net 
segment, primarily as a result of the sale of senior 
housing triple-net assets and the transition of senior 
housing triple-net assets to SHOP during 2017 
and 2018;

•  a reduction in NOI in our SHOP segment, primarily as a 
result of occupancy declines and higher labor costs;
•  a loss on consolidation of seven care homes in the U.K. 

during the first quarter of 2018; 

•  a reduction in income related to the gain on sale of our 
£138.5 million par value Four Seasons Health Care’s 
senior notes (the “Four Seasons Notes”) during 2017;
increased impairment charges on real estate asset 
recognized during 2018 compared to 2017;

• 

•  a reduction in income as a result of: (i) asset sales during 
2017 and 2018 and (ii) selling interests into the U.K. JV 
and MSREI JV (see Notes 4 and 5 to the Consolidated 
Financial Statements);

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•  a reduction in interest income due to the: (i) payoff of 

• 

our HC-One mezzanine loan (the “HC-One Facility”) in 
June 2017 and (ii) sale of our Tandem Mezzanine Loan in 
March 2018; 
increased depreciation and amortization expense as a 
result of: (i) assets acquired during 2017 and 2018 and 
(ii) development and redevelopment projects placed 
into operations during 2017 and 2018, primarily in our 
life science and medical office segments, partially offset 
by decreased depreciation and amortization from asset 
sales during 2017 and 2018;

•  a reduction in equity income from unconsolidated joint 
ventures as a result of the sale of our equity method 
investment in RIDEA II in June 2018, partially offset by 
additional equity income from the U.K. JV; and
•  an increase in severance and related charges during 

2018 primarily related to the departure of our former 
Executive Chairman compared to severance and related 
charges primarily related to the departure of our former 
Chief Accounting Officer (“CAO”) in 2017.

NAREIT FFO increased primarily as a result of the 
aforementioned events impacting net income (loss), except 
for the following, which are excluded from NAREIT FFO:

•  gains on sales of real estate, including related 

tax impacts;

•  depreciation and amortization expense; 
• 

impairments of facilities within our senior housing triple-
net and SHOP segments; and

•  net gain on consolidation.

FFO as adjusted decreased primarily as a result of the 
aforementioned events impacting NAREIT FFO, except for 
the following, which are excluded from FFO as adjusted:

• 

• 

the net charge to NOI from the 2017 
Brookdale Transactions;
the impact of tax rate legislation during the fourth 
quarter of 2017;
severance and related charges;
• 
losses on debt extinguishments;
• 
litigation-related costs;
• 
•  casualty-related charges; 
• 

the gain on sale of our Four Seasons Notes during the 
first quarter of 2017; and
the impairments of our Tandem Mezzanine Loan in 2017 
and an undeveloped life science land parcel in 2018.

• 

FAD decreased primarily as a result of the aforementioned 
events impacting FFO as adjusted, except for the impact 
of straight-line rents, which is excluded from FAD. 
The decrease in FAD was partially offset by lower FAD 
capital expenditures.

2017 and 2016
On October 31, 2016, we completed the Spin-Off of QCP. The Spin-Off included 338 properties, primarily comprised of the 
HCR ManorCare, Inc. (“HCRMC”) DFL investments and an equity investment in HCRMC.

The following table summarizes results for the years ended December 31, 2017 and 2016 (dollars in thousands):

PART II

Net income (loss) applicable to common shares
NAREIT FFO
FFO as adjusted
FAD

Net income (loss) decreased primarily as a result of 
the following:

•  a reduction in net income from discontinued operations 

due to the Spin-Off of QCP on October 31, 2016;

•  a loss on debt extinguishment in July 2017, representing 
a premium for early payment on the repurchase of our 
senior notes; 

•  a reduction in rental and related revenues primarily as 

a result of assets sold during 2017, including the sale of 
64 senior housing triple-net assets in the first quarter 
of 2017; 

•  a reduction in NOI primarily related to the net impact of 

the 2017 Brookdale Transactions;

•  a reduction in earnings due to the partial sale and 

• 

• 

deconsolidation of RIDEA II during the first quarter 
of 2017;
impairments related to: (i) the Tandem Mezzanine Loan 
and (ii) 11 underperforming senior housing triple-net 
facilities in the third quarter of 2017;
increased litigation-related costs, including costs from 
securities class action litigation, and a one-time legal 
settlement in 2017;

Year Ended 
December 31,
2017
$ 413,013
661,113
918,402
803,720

2016
$ 626,549
1,119,153
1,282,390
1,215,696

Change
$ (213,536)
(458,040)
(363,988)
(411,976)

•  a larger net gain on sales of real estate during 2017 

compared to 2016, primarily related to the sale of 
64 senior housing triple-net assets and the partial sale 
of RIDEA II during 2017; 

•  an increase in income tax benefit primarily from real 

estate dispositions during 2017, partially offset by an 
income tax expense related to the impact of tax rate 
legislation during the fourth quarter of 2017; and
•  an increase in other income primarily related to the 
gain on sale of our Four Seasons Notes during 2017.

NAREIT FFO decreased primarily as a result of the 
aforementioned events impacting net income (loss), except 
for gain on sales of real estate and impairments of real 
estate, which are excluded from NAREIT FFO.

FFO as adjusted decreased primarily as a result of 
the following:

•  a reduction in net income from discontinued operations 

due to the Spin-Off of QCP on October 31, 2016;
•  a reduction in rental and related revenues primarily as 

a result of assets sold during 2017, including the sale of 
64 senior housing triple-net assets;

•  casualty-related charges due to hurricanes in the third 

•  a reduction in earnings due to the partial sale and 

quarter of 2017; and

•  a reduction in interest income due to: (i) the payoffs of 
our HC-One Facility in June 2017 and a participating 
development loan during the third quarter of 2016 
and (ii) decreased interest received from our Tandem 
Mezzanine Loan during the fourth quarter of 2017, 
partially offset by additional interest income in 2017 
from our U.K. Bridge Loan.

The decrease in net income (loss) was partially offset by:

•  a reduction in interest expense as a result of debt 
repayments in the fourth quarter of 2016 and 
throughout 2017;

•  a reduction in severance and related charges primarily 
related to the departure of our former President and 
Chief Executive Officer (“CEO”) in 2016 compared to 
severance and related charges primarily related to the 
departure of our former CAO in 2017;

deconsolidation of RIDEA II during the first quarter 
of 2017; and

•  a reduction in interest income due to: (i) the payoffs of 
our HC-One Facility in June 2017 and a participating 
development loan during the third quarter of 2016 
and (ii) decreased interest received from our Tandem 
Mezzanine Loan during the fourth quarter of 2017, 
partially offset by additional interest income in 2017 
from our U.K. Bridge Loan.

The decrease in FFO as adjusted was partially offset by a 
reduction in interest expense as a result of debt repayments 
in the fourth quarter of 2016 and throughout 2017.

FAD decreased primarily as a result of the aforementioned 
events impacting FFO as adjusted, (i) increased leasing 
costs and tenant capital improvements and (ii) decreased 
installment payments received from Brookdale for 2014 
lease terminations that were paid over a period of three 
years and concluded in 2017.

2018 Annual Report 

45

  
PART II

Segment Analysis
The tables below provide selected operating information 
for our SPP and total property portfolio for each of our 
reportable segments. For the year ended December 31, 
2018, our SPP consists of 522 properties representing 
properties acquired or placed in service and stabilized 
on or prior to January 1, 2017 and that remained in 
operations under a consistent reporting structure through 

December 31, 2018. For the year ended December 31, 
2017, our SPP consisted of 617 properties acquired or 
placed in service and stabilized on or prior to January 1, 
2016 and that remained in operations under a consistent 
reporting structure through December 31, 2017. Our total 
consolidated property portfolio consisted of 645, 744 and 
851 properties at December 31, 2018, 2017 and 2016, 
respectively, excluding properties in the Spin-Off.

Senior Housing Triple-Net
2018 and 2017
The following table summarizes results at and for the years ended December 31, 2018 and 2017 (dollars in thousands except 
per unit data):

Real estate revenues(2)

Operating expenses

NOI

Adjustments to NOI

Adjusted NOI

Non-SPP adjusted NOI

SPP adjusted NOI

SPP Adjusted NOI % change

Property count(3)

Average capacity (units)(4)

2018

SPP
2017

Change

2018

2017

Change

Total Portfolio(1)

$245,737

$239,273

$ 6,464

$276,091

$ 313,547

$(37,456)

(377)

(371)

(6)

(3,618)

(3,819)

201

245,360

238,902

6,458

272,473

309,728

4,274

5,899

(1,625)

2,127

17,098

$249,634

$244,801

$ 4,833

274,600

326,826

(37,255)

(14,971)

(52,226)

(24,966)

(82,025)

57,059

$249,634

$ 244,801

$ 4,833

2.0%

146

146

15,002

15,000

146

181

16,914

21,536

Average annual rent per unit

$ 16,665

$ 16,345

$ 16,449

$ 15,352

(1)  Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the 

disposition or transition date.

(2)  Represents rental and related revenues and income from DFLs. 
(3)  From our 2017 presentation of SPP, we removed 11 senior housing triple-net properties that were sold and 22 senior housing triple-net 

properties that were transitioned to our SHOP segment.

(4)  Represents average capacity as reported by the respective tenants or operators for the 12-month period and a quarter in arrears from 

the periods presented.

SPP NOI and Adjusted NOI increased primarily as a result 
of annual rent escalations. The increase in Adjusted NOI 
was partially offset by rent reductions under the 2017 
Brookdale Transactions.

Total Portfolio NOI and Adjusted NOI decreased primarily as 
a result of the following Non-SPP impacts:

•  decreased NOI from senior housing triple-net facilities 

sold during 2017 and 2018; and

•  decreased NOI from the transfer of 25 and 22 senior 

housing triple-net facilities to our SHOP segment during 
2017 and 2018, respectively.

The decrease in Total Portfolio NOI and Adjusted NOI is 
partially offset by the aforementioned increases to SPP. The 
decrease in Total Portfolio NOI was further offset by the 
net charge of triple-net lease terminations from the 2017 
Brookdale Transactions.

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2017 and 2016
The following table summarizes results at and for the years ended December 31, 2017 and 2016 (dollars in thousands except 
per unit data):

PART II

Real estate revenues(2)
Operating expenses

NOI

Adjustments to NOI
Adjusted NOI
Non-SPP adjusted NOI
SPP adjusted NOI

SPP Adjusted NOI % change
Property count(3)
Average capacity (units)(4)
Average annual rent per unit

2017
$249,347
(495)
248,852
38,760
$287,612

SPP
2016
$273,984
(197)
273,787
(1,374)
$272,413

Change
$(24,637)
(298)
(24,935)
40,134
$ 15,199

2017
$313,547
(3,819)
309,728
17,098
326,826
(39,214)
$287,612

Total Portfolio(1)

2016

Change
$ 423,118 $ (109,571)
2,891
(106,680)
24,664
(82,016)
97,215
$ 272,413 $ 15,199

(6,710)
416,408
(7,566)
408,842
(136,429)

5.6%

174
17,724
$ 16,255

174
17,741
$ 15,366

181
21,536
$ 15,352

274
28,455
$ 14,604

(1)  Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the 

disposition or transition date.

(2)  Represents rental and related revenues and income from DFLs.
(3)  From our 2016 presentation of SPP, we removed four senior housing triple-net properties that were sold, 25 senior housing triple-net 

properties that were transitioned to our SHOP segment and two senior housing triple-net properties that were classified as held for sale.

(4)  Represents average capacity as reported by the respective tenants or operators for the 12-month period and a quarter in arrears from 

the periods presented.

SPP NOI decreased primarily as a result of the net 
impact of triple-net lease terminations from the 2017 
Brookdale Transactions.

Additionally, Total Portfolio NOI and Adjusted NOI 
decreased primarily as a result of the following 
Non-SPP impacts:

SPP Adjusted NOI increased primarily as a result of 
the following:

•  annual rent escalations; and
•  higher cash rent received from our portfolio of assets 

leased to Sunrise Senior Living.

• 

• 

senior housing triple-net facilities sold during 2016 and 
2017; and
the transfer of 42 senior housing triple-net facilities to 
our SHOP segment during 2016 and 2017.

The decrease to Total Portfolio NOI and Adjusted NOI is 
partially offset by (i) increased non-SPP income from five 
senior housing triple-net facilities acquired in the first 
quarter of 2016 and (ii) the aforementioned increases to SPP 
Adjusted NOI.

2018 Annual Report 

47

  
PART II

Senior Housing Operating Portfolio
2018 and 2017
The following table summarizes results at and for the years ended December 31, 2018 and 2017 (dollars in thousands, except 
per unit data):

Resident fees and services
Operating expenses

NOI

Adjustments to NOI
Adjusted NOI
Non-SPP adjusted NOI
SPP adjusted NOI

SPP Adjusted NOI % change
Property count(2)
Average capacity (units)(3)
Average annual rent per unit

2018
$ 262,887
(182,511)
80,376
2,174
$ 82,550

SPP

2017
$ 256,471
(183,384)
73,087
12,759
$ 85,846

Total Portfolio(1)

2018
$ 547,976
(414,312)
133,664
2,875
136,539
(53,989)
$ 82,550

2017
$ 525,473
(396,491)
128,982
33,227
162,209
(76,363)
$ 85,846

Change
$ 22,503
(17,821)
4,682
(30,352)
(25,670)
22,374
$ (3,296)

Change
$ 6,416
873
7,289
(10,585)
$ (3,296)

(3.8)%

46
6,072
$ 43,219

46
6,058
$ 42,387

93
11,248
$ 48,433

102
12,758
$ 41,133

(1)  Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the 

disposition or transition date.

(2)  From our 2017 presentation of SPP, we removed nine properties that were sold, eight SHOP properties that were placed into 

redevelopment and three SHOP properties that were classified as held for sale.

(3)  Represents average capacity as reported by the respective tenants or operators for the 12-month period and a quarter in arrears from 

the periods presented.

SPP Adjusted NOI decreased primarily as a result of 
the following:

•  occupancy declines and higher labor costs; partially 

offset by
increased rates for resident fees and services.

• 

SPP NOI increased primarily as a result of the net charge 
for management fee terminations from the 2017 Brookdale 
Transactions, partially offset by the aforementioned 
decreases to SPP Adjusted NOI.

Total Portfolio Adjusted NOI decreased primarily as a result 
of the aforementioned impacts to SPP and the following 
Non-SPP impacts:

•  decreased NOI from our partial sale of RIDEA II in the 

first quarter of 2017; and

•  decreased NOI from SHOP assets sold in 2017 and 2018; 

• 

partially offset by
increased NOI from the transfer of 25 and 22 senior 
housing triple-net assets to our SHOP segment during 
2017 and 2018, respectively.

Total Portfolio NOI increased primarily a result of the 
net charge for management fee terminations from the 
2017 Brookdale Transactions, partially offset by the 
aforementioned decreases to Total Portfolio Adjusted NOI.

48

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PART II

2017 and 2016
The following table summarizes results at and for the years ended December 31, 2017 and 2016 (dollars in thousands, except 
per unit data):

Resident fees and services
Operating expenses

NOI

Adjustments to NOI
Adjusted NOI
Non-SPP adjusted NOI
SPP adjusted NOI

SPP Adjusted NOI % change
Property count(2)
Average capacity (units)(3)
Average annual rent per unit

2017
$ 321,209
(239,702)
81,507
32,863
$ 114,370

SPP

2016
$ 317,361
(202,624)
114,737
(1,297)
$ 113,440

Total Portfolio(1)

2017
$ 525,473
(396,491)
128,982
33,227
162,209
(47,839)
$ 114,370

2016
$ 686,822
(480,870)
205,952
(2,686)
203,266
(89,826)
$ 113,440

Change
$(161,349)
84,379
(76,970)
35,913
(41,057)
41,987
930

$

Change
$ 3,848
(37,078)
(33,230)
34,160
930

$

0.8%

48
8,128
$ 44,378

48
8,136
$ 43,842

102
12,758
$ 41,133

130
16,028
$ 42,851

(1)  Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the 

disposition or transition date.

(2)  From our 2016 presentation of SPP, we removed a SHOP property that was placed into redevelopment, two SHOP properties that were 

classified as held for sale and 49 SHOP properties that were deconsolidated.

(3)  Represents average capacity as reported by the respective tenants or operators for the 12-month period and a quarter in arrears from 

the periods presented.

SPP NOI decreased primarily as a result of increased 
operating expenses related to the management fee 
terminations from the 2017 Brookdale Transactions.

Additionally, Total Portfolio NOI and Adjusted NOI 
decreased primarily as a result of the following 
Non-SPP impacts:

SPP Adjusted NOI increased primarily as a result of 
the following:

• 

increased rates for resident fees and services; partially 
offset by

•  higher expense growth and a decline in occupancy.

•  decreased non-SPP income from our partial sale of 

RIDEA II; partially offset by

•  non-SPP income for 42 senior housing triple-net assets 

transferred to SHOP during 2016 and 2017. 

2018 Annual Report 

49

  
PART II

Life Science
2018 and 2017
The following table summarizes results at and for the years ended December 31, 2018 and 2017 (dollars and sq. ft. in 
thousands, except per sq. ft. data):

Rental and related revenues
Operating expenses

NOI

Adjustments to NOI
Adjusted NOI
Non-SPP adjusted NOI
SPP adjusted NOI

2018
$265,120
(58,752)
206,368
596
$206,964

SPP

2017
$258,781
(56,431)
202,350
1,636
$203,986

SPP Adjusted NOI % change
Property count(2)
Average occupancy
Average occupied square feet
Average annual total revenues per 
occupied square foot
Average annual base rent per 
occupied square foot

94
94.8%

5,166

94
95.5%

5,195

$

$

51

41

$

$

50

40

Total Portfolio(1)

2018
$395,064
(91,742)
303,322
(9,589)
293,733
(86,769)
$206,964

2017
$358,816
(78,001)
280,815
(4,517)
276,298
(72,312)
$203,986

Change
$ 36,248
(13,741)
22,507
(5,072)
17,435
(14,457)
$ 2,978

Change
$ 6,339
(2,321)
4,018
(1,040)
$ 2,978

1.5%

124
95.0%

7,078

131
96.2%

6,841

$

$

54

44

$

$

52

42

(1)  Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the 

disposition or transition date.

(2)  From our 2017 presentation of SPP, we removed 12 life science facilities that were sold and three life science facilities that were placed 

into redevelopment.

SPP NOI and Adjusted NOI increased primarily as a result of 
the following:

•  new leasing activity; and
• 

specific to Adjusted NOI, annual rent escalations; 
partially offset by

•  a mark-to-market rent decrease on a 147,000 square 

foot lease in South San Francisco.

Total Portfolio NOI and Adjusted NOI increased primarily 
as a result of the aforementioned increases to SPP and the 
following Non-SPP impacts:

• 

increased NOI from: (i) increased occupancy in portions 
of a development placed into operations in 2017 and 
2018 and (ii) acquisitions in 2017; partially offset by
•  decreased NOI from: (i) sales of life science facilities 

in 2017 and 2018 and (ii) the placement of life science 
facilities into redevelopment in 2017 and 2018.

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PART II

2017 and 2016
The following table summarizes results at and for the years ended December 31, 2017 and 2016 (dollars and sq. ft. in 
thousands, except per sq. ft. data):

Rental and related revenues
Operating expenses

NOI

Adjustments to NOI
Adjusted NOI
Non-SPP adjusted NOI
SPP adjusted NOI

SPP Adjusted NOI % change
Property count(2)
Average occupancy
Average occupied square feet
Average annual total revenues 
per occupied square foot
Average annual base rent 
per occupied square foot

2017
$304,858
(63,612)
241,246
2,427
$243,673

SPP

2016
$292,147
(58,363)
233,784
339
$234,123

108
96.3%

6,105

108
97.7%

6,193

$

$

50

41

$

$

47

39

Total Portfolio(1)

2017
$358,816
(78,001)
280,815
(4,517)
276,298
(32,625)
$243,673

2016
$358,537
(72,478)
286,059
(2,954)
283,105
(48,982)
$234,123

Change
279
$
(5,523)
(5,244)
(1,563)
(6,807)
16,357
$ 9,550

Change
$12,711
(5,249)
7,462
2,088
$ 9,550

4.1%

131
96.2%

6,841

128
97.5%

7,332

$

$

52

42

$

$

48

40

(1)  Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the 

disposition or transition date.

(2)  From our 2016 presentation of SPP, we removed one life science facility that was sold and four life science facilities that were classified as 

held for sale.

SPP NOI and Adjusted NOI increased primarily as a result of 
the following:

Total Portfolio NOI and Adjusted NOI decreased primarily as 
a result of the following impacts to Non-SPP:

•  mark-to-market lease renewals;
•  new leasing activity; and
• 

specific to adjusted NOI, annual rent escalations.

•  decreased income from sales of life science facilities in 

• 

2016 and 2017; partially offset by
increased income from (i) increased occupancy in 
portions of developments placed in operations in 
2016 and 2017 and (ii) life science acquisitions in 2016 
and 2017.

The decrease in Total Portfolio NOI and Adjusted NOI was 
also partially offset by the aforementioned increases to SPP.

2018 Annual Report 

51

  
PART II

Medical Office
2018 and 2017
The following table summarizes results at and for the years ended December 31, 2018 and 2017 (dollars and sq. ft. in 
thousands, except per sq. ft. data):

Rental and related revenues
Operating expenses

NOI

Adjustments to NOI
Adjusted NOI
Non-SPP adjusted NOI
SPP adjusted NOI

SPP Adjusted NOI % change
Property count(2)
Average occupancy
Average occupied square feet
Average annual total revenues 
per occupied square foot
Average annual base rent 
per occupied square foot

2018
$ 422,003
(152,875)
269,128
(307)
$ 268,821

SPP

2017
$ 415,687
(151,234)
264,453
(1,279)
$ 263,174

221
92.3%

221
92.6%

14,892

14,984

$

$

28

24

$

$

28

23

Total Portfolio(1)

2018
$ 509,019
(189,859)
319,160
(2,899)
316,261
(47,440)
$ 268,821

2017
$ 477,459
(183,197)
294,262
(2,952)
291,310
(28,136)
$ 263,174

Change
$ 31,560
(6,662)
24,898
53
24,951
(19,304)
$ 5,647

Change
$ 6,316
(1,641)
4,675
972
$ 5,647

2.1%

267
92.0%

254
91.8%

17,280

16,674

$

$

29

25

$

$

28

24

(1)  Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the 

disposition or transition date.

(2)  From our 2017 presentation of SPP, we removed four MOBs that were sold and three MOBs that were placed into redevelopment.

SPP NOI and Adjusted NOI increased primarily as a result of 
mark-to-market lease renewals. Additionally, SPP Adjusted 
NOI increased as a result of annual rent escalations.

Total Portfolio NOI and Adjusted NOI increased primarily 
as a result of the aforementioned increases to SPP and the 
following Non-SPP impacts:

• 
• 

increased NOI from our 2017 and 2018 acquisitions; and
increased occupancy in redevelopment and 
development properties placed into operations in 2017 
and 2018; partially offset by

•  decreased NOI from sales of eight MOBs during 
2017 and 2018 and the placement of one MOB 
into redevelopment.

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PART II

2017 and 2016
The following table summarizes results at and for the years ended December 31, 2017 and 2016 (dollars and sq. ft. in 
thousands, except per sq. ft. data):

Rental and related revenues
Operating expenses

NOI

Adjustments to NOI
Adjusted NOI
Non-SPP adjusted NOI
SPP adjusted NOI

SPP Adjusted NOI % change
Property count(2)
Average occupancy
Average occupied square feet
Average annual total revenues 
per occupied square foot
Average annual base rent 
per occupied square foot

2017
$ 400,747
(150,329)
250,418
2,183
$ 252,601

SPP

2016
$ 392,166
(146,300)
245,866
(523)
$ 245,343

212
91.9%

212
92.2%

14,224

14,303

$

$

28

24

$

$

27

23

Total Portfolio(1)

2017
$ 477,459
(183,197)
294,262
(2,952)
291,310
(38,709)
$ 252,601

2016
$ 446,280
(173,687)
272,593
(3,536)
269,057
(23,714)
$ 245,343

Change
$ 31,179
(9,510)
21,669
584
22,253
(14,995)
$ 7,258

Change
$ 8,581
(4,029)
4,552
2,706
$ 7,258

3.0%

254
91.8%

242
91.5%

16,674

15,697

$

$

28

24

$

$

28

24

(1)  Total Portfolio includes results of operations from disposed properties and properties that transitioned segments through the 

disposition or transition date.

(2)  From our 2016 presentation of SPP, we removed four MOBs that were sold and two MOBs that were placed into redevelopment.

SPP NOI and Adjusted NOI increased primarily as a result 
of mark-to-market lease renewals and new leasing activity. 
Additionally, SPP Adjusted NOI increased as a result of 
annual rent escalations.

Total Portfolio NOI and Adjusted NOI increased primarily 
as a result of the aforementioned increases to SPP and the 
following impacts to Non-SPP:

• 

• 

increased income from our 2016 and 2017 acquisitions; 
and
increased occupancy in former redevelopment and 
development properties placed into operations; partially 
offset by

•  decreased income from sales of seven MOBs during 
2016 and 2017 and the placement of one MOB 
into redevelopment.

2018 Annual Report 

53

  
PART II

Other Income and Expense Items
The following table summarizes results for the years ended December 31, 2018, 2017 and 2016 (in thousands):

Interest income
Interest expense
Depreciation and amortization
General and administrative
Transaction costs
Impairments (recoveries), net
Gain (loss) on sales of real estate, net
Loss on debt extinguishments
Other income (expense), net
Income tax benefit (expense)
Equity income (loss) from unconsolidated 
joint ventures
Total discontinued operations
Noncontrolling interests’ share in earnings

Year Ended December 31,

2018
$ 10,406
266,343
549,499
96,702
10,772
55,260
925,985
(44,162)
13,316
17,854

2017
$ 56,237
307,716
534,726
88,772
7,963
166,384
356,641
(54,227)
31,420
1,333

2016
$ 88,808
464,403
568,108
103,611
9,821
—
164,698
(46,020)
3,654
(4,473)

2018 vs. 
2017
$ (45,831)
(41,373)
14,773
7,930
2,809
(111,124)
569,344
10,065
(18,104)
16,521

2017 vs. 
2016
$ (32,571)
(156,687)
(33,382)
(14,839)
(1,858)
166,384
191,943
(8,207)
27,766
5,806

(2,594)
—
(12,381)

10,901
—
(8,465)

11,360
265,755
(12,179)

(13,495)
—
(3,916)

(459)
(265,755)
3,714

Interest income. The decrease in interest income for the year 
ended December 31, 2018 was primarily the result of: (i) the 
sale of our Tandem Mezzanine Loan during the first quarter 
of 2018, (ii) the payoff of our HC-One Facility in June 2017, 
and (iii) the conversion of the U.K. Bridge Loan into real 
estate during the first quarter of 2018.

The decrease in depreciation and amortization expense for 
the year ended December 31, 2017 was primarily as a result 
of the sale of 64 senior housing triple-net assets and the 
deconsolidation of RIDEA II during the first quarter of 2017, 
partially offset by depreciation and amortization of assets 
acquired and placed in service during 2016 and 2017.

The decrease in interest income for the year ended 
December 31, 2017 was primarily the result of: (i) the payoff 
of our HC-One Facility in June 2017, (ii) incremental interest 
income received during the second quarter of 2016 due 
to the payoff of three participating development loans, 
and (iii) decreased interest received from our Tandem 
Mezzanine Loan during the fourth quarter of 2017.

Interest expense. The decrease in interest expense for the 
year ended December 31, 2018 was primarily the result of 
senior unsecured notes repayments during 2017 and 2018, 
partially offset by an increased average balance under our 
revolving credit facility during 2018.

The decrease in interest expense for the year ended 
December 31, 2017 was primarily the result of senior 
unsecured notes and mortgage debt repayments, 
which occurred primarily in the second half of 2016 and 
throughout 2017.

Depreciation and amortization. The increase in depreciation 
and amortization expense for the year ended December 31, 
2018 was primarily as a result of: (i) assets acquired during 
2017 and 2018 (primarily in our life science and medical 
office segments) and (ii) development and redevelopment 
projects placed into operations during 2017 and 2018 
(primarily in our life science and medical office segments), 
partially offset by dispositions of real estate throughout 
2017 and 2018.

General and administrative expenses. The increase in 
general and administrative expenses for the year ended 
December 31, 2018 was primarily as a result of increased 
severance and related charges, primarily resulting from the 
departure of our former Executive Chairman in March 2018, 
which exceeded severance and related charges in 2017, 
which were primarily related to the departure of our former 
CAO in the third quarter of 2017.

The decrease in general and administrative expenses for 
the year ended December 31, 2017 was primarily as a result 
of severance and related charges, primarily resulting from 
the departure of our former President and CEO in the third 
quarter of 2016, which exceeded severance and related 
charges in 2017, primarily related to the departure of our 
former CAO in the third quarter of 2017.

Impairments (recoveries), net. During the year ended 
December 31, 2018, we recognized $55 million of 
impairments, primarily related to the following real estate 
assets: (i) 20 SHOP assets (including 17 classified as held for 
sale at the time they were impaired) and (ii) an undeveloped 
life science land parcel classified as held for sale.

During the year ended December 31, 2017, we recognized: 
(i) $144 million of impairments on our Tandem Mezzanine 
Loan (see Note 7 to the Consolidated Financial Statements) 
and (ii) $23 million of impairments on 11 underperforming 
senior housing triple-net facilities.

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For the year ended December 31, 2016, there were no 
impairments recognized.

Gain (loss) on sales of real estate, net. During the year ended 
December 31, 2018, we sold: (i) our remaining interest in 
RIDEA II, (ii) a 51% interest in our U.K. Portfolio, (iii) 31 SHOP 
facilities, (iv) 16 life science assets, (v) 13 senior housing 
triple-net facilities, and (vi) four MOBs and recognized total 
net gain on sales of $926 million.

During the year ended December 31, 2017, we sold: 
(i) 68 senior housing triple-net facilities, (ii) five life science 
facilities, (iii) five SHOP facilities, (iv) four MOBs, and (v) a 
40% interest in RIDEA II and recognized total net gain on 
sales of $357 million.

During the year ended December 31, 2016, we sold: (i) a 
portfolio of five facilities in one of our non-reportable 
segments and two senior housing triple-net facilities, 
(ii) five life science facilities, (iii) seven senior housing 
triple-net facilities, (iv) three MOBs, and (v) three SHOP 
facilities, recognizing total net gain on sales of $165 million.

Loss on debt extinguishments. During the year ended 
December 31, 2018, we repurchased $700 million of our 
5.375% senior notes due 2021 and recognized a $44 million 
loss on debt extinguishment.

During the year ended December 31, 2017, we repurchased 
$500 million of our 5.375% senior notes due 2021 and 
recognized a $54 million loss on debt extinguishment.

During the fourth quarter of 2016, using proceeds from the 
Spin-Off, we repaid $1.1 billion of senior unsecured notes 
that were due to mature in January 2017 and January 2018 
and repaid $108 million of mortgage debt, incurring an 
aggregate loss on debt extinguishments of $46 million.

Other income (expense), net. The decrease in other income 
(expense), net for the year ended December 31, 2018 
was primarily as a result of: (i) a loss on consolidation of 
seven U.K. care homes in March 2018 (see Note 19 to the 
Consolidated Financial Statements) and (ii) a gain on sale 
of our Four Seasons Notes in March 2017. The decrease 
in other income (expense), net was partially offset by: 
(i) a gain on consolidation related to the acquisition of the 
outstanding equity interests in three life science joint 
ventures in November 2018, (ii) casualty-related charges 
due to hurricanes incurred in the third quarter of 2017, 
and (iii) decreased litigation costs in 2018.

Liquidity and Capital Resources
We anticipate that our cash flow from operations, available 
cash balances and cash from our various financing activities 
will be adequate for at least the next 12 months for purposes 
of: (i) funding recurring operating expenses; (ii) meeting 

PART II

The increase in other income (expense), net for the year 
ended December 31, 2017 was primarily as a result of the 
gain on sale of our Four Seasons Notes, partially offset 
by casualty-related charges due to hurricanes in the third 
quarter of 2017 and increased litigation-related expenses 
in 2017.

Income tax benefit (expense). The increase in income tax 
benefit for the year ended December 31, 2018 was primarily 
the result of: (i) a $6 million income tax benefit related to 
our share of operating losses from our RIDEA joint ventures 
and U.K. real estate investments, (ii) a $17 million income 
tax expense related to the impact of tax rate legislation 
during the fourth quarter of 2017, and (iii) partially offset by 
a $6 million benefit from the partial sale of RIDEA II in 2017.

The decrease in income tax expense for the year ended 
December 31, 2017 was primarily the result of: (i) a 
$6 million income tax benefit from the partial sale of RIDEA 
II in 2017, (ii) a $5 million income tax benefit related to our 
share of operating losses from our RIDEA joint ventures, 
(iii) a $1 million deferred tax benefit from casualty-related 
charges recognized in the second half of 2017, and (iv) a 
$11 million income tax expense recognized in 2016 
associated with federal income tax and state built-in gain 
tax for the disposition of certain real estate assets. The total 
tax benefit was partially offset by a $17 million income tax 
expense related to the impact of tax rate legislation during 
the fourth quarter of 2017.

Equity income (loss) from unconsolidated joint ventures. 
The decrease in equity income from unconsolidated 
joint ventures for the year ended December 31, 2018 
was primarily the result of the sale of our equity method 
investment in RIDEA II in June 2018, partially offset by 
additional equity income from our investment in the U.K. JV.

The decrease in equity income from unconsolidated joint 
ventures for the year ended December 31, 2017 was 
primarily the result of income from our share of gains on 
sales of real estate in 2016, partially offset by income from 
our investment in RIDEA II, which was deconsolidated in the 
first quarter of 2017.

Total discontinued operations. Discontinued operations 
for the year ended December 31, 2016 resulted in income 
of $266 million. Income from discontinued operations 
primarily relates to the operations of QCP. There were no 
discontinued operations for the years ended December 31, 
2017 and 2018.

debt service requirements, including principal payments 
and maturities; and (iii) satisfying our distributions to our 
stockholders and non-controlling interest members.

2018 Annual Report 

55

  
PART II

Our principal investing liquidity needs for the next 
12 months are to:

• 

• 

fund capital expenditures, including tenant 
improvements and leasing costs; and
fund future acquisition, transactional and 
development activities.

We anticipate satisfying these future investing needs using 
one or more of the following:

sale or exchange of ownership interests in properties;

• 
•  draws on our credit facilities;
• 

issuance of additional debt, including unsecured notes 
and mortgage debt; and/or
issuance of common or preferred stock.

• 

Access to capital markets impacts our cost of capital and 
ability to refinance maturing indebtedness, as well as our 
ability to fund future acquisitions and development through 
the issuance of additional securities or secured debt. Credit 
ratings impact our ability to access capital and directly 
impact our cost of capital as well. For example, our revolving 
line of credit facility accrues interest at a rate per annum 
equal to LIBOR plus a margin that depends upon our credit 
ratings. We also pay a facility fee on the entire revolving 
commitment that depends upon our credit ratings. As of 
February 11, 2019, we had a credit rating of BBB from Fitch, 
Baa1 from Moody’s and BBB+ from S&P Global on our senior 
unsecured debt securities.

Cash Flow Summary
The following summary discussion of our cash flows is based on the Consolidated Statements of Cash Flows and is not meant 
to be an all-inclusive discussion of the changes in our cash flows for the periods presented below. The following table sets 
forth changes in cash flows (in thousands):

Net cash provided by (used in) operating activities
Net cash provided by (used in) investing activities
Net cash provided by (used in) financing activities

Operating Cash Flows
Operating cash flow increased $2 million between the years 
ended December 31, 2018 and 2017 primarily as the result 
of: (i) 2017 and 2018 acquisitions, (ii) annual rent increases, 
(iii) developments and redevelopments placed in service 
during 2017 and 2018, and (iv) decreased interest paid as 
a result of debt repayments during 2017 and 2018. The 
increase in operating cash flow is partially offset by: (i) 
dispositions during 2017 and 2018, (ii) the partial sale and 
deconsolidation of the U.K. JV in 2018, (iii) the partial sale 
and deconsolidation of RIDEA II during the first quarter of 
2017, (iv) occupancy declines and higher labor costs within 
our SHOP segment, (v) decreased interest received as a 
result of loan repayments during 2017, and (vi) decreased 
distributions of earnings from our unconsolidated joint 
ventures. Our cash flow from operations is dependent upon 
the occupancy levels of our buildings, rental rates on leases, 
our tenants’ performance on their lease obligations, the 
level of operating expenses, and other factors.

Operating cash flow decreased $367 million between the 
years ended December 31, 2017 and 2016 primarily as the 
result of: (i) decreased Adjusted NOI related to the Spin-Off 
and dispositions in 2016 and 2017 and (ii) decreased interest 
received as a result of loan repayments during 2016 and 
2017; partially offset by: (i) 2016 and 2017 acquisitions, (ii) 
annual rent increases, (iii) and decreased interest paid as a 
result of lower balances on our senior unsecured notes and 
term loans.

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Year Ended December 31,

$

2018
848,709
1,829,279
(2,620,536)

$

2017
847,041
1,246,257
(2,148,461)

2016
$ 1,214,131
(428,973)
(1,054,265)

Investing Cash Flows
The following are significant investing activities for the year 
ended December 31, 2018:

• 

received net proceeds of $2.9 billion primarily from: (i) 
sales of real estate assets, (ii) the sale of RIDEA II, (iii) the 
sale of the Tandem Mezzanine Loan, and (iv) the U.K. JV 
transaction; and

•  made investments of $1.1 billion primarily related to 
the acquisition, development, and redevelopment of 
real estate.

The following are significant investing activities for the year 
ended December 31, 2017:

• 

• 

received net proceeds of $1.8 billion from sales of real 
estate, including the sale and recapitalization of RIDEA II;
received net proceeds of $559 million primarily from: (i) 
the sale of our Four Seasons Notes, (ii) the repayment of 
our HC-One Facility, and (iii) a DFL repayment; and

•  made investments of $1.1 billion primarily for the 

acquisition and development of real estate.

The following are significant investing activities for the year 
ended December 31, 2016:

•  made investments of $1.3 billion primarily from: (i) 

development, leasing and acquisition of real estate, (ii) 
investments in unconsolidated joint ventures and loans, 
and (iii) purchases of securities; and 
received proceeds of $908 million primarily from real 
estate and DFL sales.

• 

Financing Cash Flows
The following are significant financing activities for the year 
ended December 31, 2018:

and 2.23%, respectively. For a more detailed discussion 
of our interest rate risk, see “Quantitative and Qualitative 
Disclosures About Market Risk” in Item 3 below.

PART II

• 

repaid $2.4 billion of debt under our: (i) bank line of credit, 
(ii) term loan, (iii) senior unsecured notes (including debt 
extinguishment costs) and (iv) mortgage debt;

•  paid cash dividends on common stock of $697 million;
•  paid $83 million for distributions to and purchases 
of noncontrolling interests, primarily related to our 
acquisition of Brookdale’s noncontrolling interest in 
RIDEA I;
raised net proceeds of $218 million from the issuances 
of common stock, primarily from our at-the-market 
equity program; and
received proceeds of $300 million for issuances of 
noncontrolling interests, primarily related to the MSREI 
MOB JV.

• 

• 

The following are significant financing activities for the year 
ended December 31, 2017:

• 

repaid $1.4 billion of debt under our: (i) term loans, 
(ii) senior unsecured notes (including debt extinguishment 
costs) and (iii) mortgage debt, partially offset by net 
borrowings under our bank line of credit; and

•  paid cash dividends on common stock of $695 million.

The following are significant financing activities for the year 
ended December 31, 2016:

• 
• 

received net proceeds of $1.7 billion from the Spin-Off; 
repaid $1.8 billion of debt under our senior unsecured 
notes (including debt extinguishment costs) and 
mortgage debt, partially offset by net borrowings under 
our bank line of credit; and

•  paid cash dividends on common stock of $980 million.

Debt
See Note 10 in the Consolidated Financial Statements for 
information about our outstanding debt.

See “2018 Transaction Overview” for further information 
regarding our significant financing activities during the year 
ended December 31, 2018.

Approximately 98%, 84% and 83% of our total debt, 
inclusive of $43 million, $44 million and $46 million of variable 
rate debt swapped to fixed through interest rate swaps, was 
fixed rate debt as of December 31, 2018, 2017 and 2016, 
respectively. At December 31, 2018, our fixed rate debt 
and variable rate debt had weighted average interest rates 
of 4.04% and 2.15%, respectively. At December 31, 2017, 
our fixed rate debt and variable rate debt had weighted 
average interest rates of 4.19% and 2.56%, respectively. 
At December 31, 2016, our fixed rate debt and variable 
rate debt had weighted average interest rates of 4.26% 

Equity
At December 31, 2018, we had 477 million shares of 
common stock outstanding, equity totaled $6.5 billion, and 
our equity securities had a market value of $13.5 billion.

At December 31, 2018, non-managing members held 
an aggregate of four million units in five limited liability 
companies (“DownREITs”) for which we are the managing 
member. The DownREIT units are exchangeable for 
an amount of cash approximating the then-current 
market value of shares of our common stock or, at our 
option, shares of our common stock (subject to certain 
adjustments, such as stock splits and reclassifications).

We renewed our at-the-market equity program in May 2018, 
pursuant to which we may sell shares of our common stock 
having an aggregate gross sales price of up to $750 million 
through a consortium of banks acting as sales agents or 
directly to the banks acting as principals. During the year 
ended December 31, 2018, we issued 5.4 million shares 
of common stock at a weighted average net price of 
$28.27 for net proceeds of $154 million (gross proceeds of 
$156 million, net of $2 million of fees paid to sales agents). 
At December 31, 2018, $594 million of our common stock 
remained available for sale under the at-the-market 
program. Actual future sales will depend upon a variety 
of factors, including but not limited to market conditions, 
the trading price of our common stock and our capital 
needs. We have no obligation to sell any shares under our 
at-the-market program.

In December 2018, we entered into a forward equity sales 
agreement to sell up to an aggregate of 15.25 million shares 
of our common stock (including shares issued through the 
exercise of underwriters’ options) at an initial net price 
of $28.60 per share, after underwriting discounts and 
commissions. The agreement has a one year term and 
expires on December 13, 2019. The forward sale price that 
we expect to receive upon settlement of the agreement will 
be subject to adjustments for: (i) the forward purchasers’ 
stock borrowing costs and (ii) certain fixed price reductions 
during the term of the agreement. At December 31, 2018, 
no shares have been issued under the forward equity 
sales agreement.

In December 2018, contemporaneous with the forward 
equity offering discussed above, we completed a public 
offering of two million shares of common stock at a net price 
of $28.60 per share, resulting in net proceeds of $57 million.

2018 Annual Report 

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PART II

Shelf Registration
We filed a prospectus with the SEC as part of a registration 
statement on Form S-3, using an automatic shelf 
registration process. Our current shelf registration 
statement expires in May 2021, at which time we expect to 

file a new shelf registration statement. Under the “shelf” 
process, we may sell any combination of the securities 
described in the prospectus through one or more offerings. 
The securities described in the prospectus include common 
stock, preferred stock, depositary shares, debt securities 
and warrants.

Contractual Obligations
The following table summarizes our material contractual payment obligations and commitments at December 31, 2018 
(in thousands):

Bank line of credit(2)
Senior unsecured notes
Mortgage debt
Construction loan commitments(3)
Development commitments(4)
Ground and other operating leases
Interest(5)
Total

$

Total(1)
80,103
5,300,000
133,334
72,654
299,702
495,035
1,571,843
$ 7,952,671

2019

$

— $
—
3,561
68,365
273,625
5,597
260,860
$612,008

2020-2021
80,103
800,000
14,566
4,289
26,077
11,463
453,196
$1,389,694

2022-2023
$

1,700,000
5,502
—
—
11,845
343,702
$2,061,049

— $

More than 
Five Years
—
2,800,000
109,705
—
—
466,130
514,085
$3,889,920

(1)  Excludes $91 million of other debt that represents life care bonds and demand notes that have no scheduled maturities.
(2) 

Includes £55 million translated into USD.

(3)  Represents commitments to finance development projects. 
(4)  Represents construction and other commitments for developments in progress.
(5) 

Interest on variable-rate debt is calculated using rates in effect at December 31, 2018.

Off-Balance Sheet Arrangements
We own interests in certain unconsolidated joint ventures 
as described in Note 8 to the Consolidated Financial 
Statements. Except in limited circumstances, our risk of 
loss is limited to our investment in the joint venture and any 
outstanding loans receivable. In addition, we have certain 
properties which serve as collateral for debt that is owed 
by a previous owner of certain of our facilities, as described 

Inflation
Our leases often provide for either fixed increases in base 
rents or indexed escalators, based on the Consumer Price 
Index or other measures, and/or additional rent based on 
increases in the tenants’ operating revenues. Most of our 
MOB leases require the tenant to pay a share of property 
operating costs such as real estate taxes, insurance and 
utilities. Substantially all of our senior housing triple-net, 

under Note 11 to the Consolidated Financial Statements. 
Our risk of loss for these certain properties is limited to 
the outstanding debt balance plus penalties, if any. We 
have no other material off-balance sheet arrangements 
that we expect would materially affect our liquidity and 
capital resources except those described above under 
“Contractual Obligations”.

life science, and remaining other leases require the tenant 
or operator to pay all of the property operating costs or 
reimburse us for all such costs. We believe that inflationary 
increases in expenses will be offset, in part, by the tenant 
or operator expense reimbursements and contractual rent 
increases described above.

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Non-GAAP Financial Measure Reconciliations

Funds From Operations and Funds Available for Distribution
The following is a reconciliation from net income (loss) applicable to common shares, the most directly comparable financial 
measure calculated and presented in accordance with GAAP, to NAREIT FFO, FFO as adjusted and FAD (in thousands, except 
per share data):

Year Ended December 31,

PART II

Net income (loss) applicable to common shares
Real estate related depreciation and amortization
Real estate related depreciation and amortization on 
unconsolidated joint ventures
Real estate related depreciation and amortization on 
noncontrolling interests and other
Other real estate-related depreciation and 
amortization
Loss (gain) on sales of real estate, net
Loss (gain) on sales of real estate, net on 
unconsolidated joint ventures
Loss (gain) on sales of real estate, net on 
noncontrolling interests
Loss (gain) upon consolidation of real estate, net(1)
Taxes associated with real estate dispositions(2)
Impairments (recoveries) of depreciable  
real estate, net
NAREIT FFO applicable to common shares
Distributions on dilutive convertible units
Diluted NAREIT FFO applicable to common shares
Weighted average shares outstanding - diluted 
NAREIT FFO
Impact of adjustments to NAREIT FFO:

2018
$1,058,424
549,499

2017
$ 413,013
534,726

2016
$ 626,549
572,998

2015

2014
$ (560,552) $ 919,796
459,995

510,785

63,967

60,058

49,043

48,188

21,303

(11,795)

(15,069)

(21,001)

(14,506)

(8,027)

6,977
(925,985)

9,364
(356,641)

11,919
(164,698)

22,223
(6,377)

18,864
(31,298)

—

(1,430)

(16,332)

(15,003)

—

—
(9,154)
3,913

—
—
(5,498)

224
—
60,451

1,453
—
—

1,001
—
—

44,343
780,189
—
$ 780,189

22,590
661,113
—
$ 661,113

—
1,119,153
8,732
$1,127,885

2,948
(10,841)
—

—
1,381,634
13,799
$ (10,841) $1,395,433

470,719

468,935

471,566

462,795

464,845

$

11,029

$ 62,576

$

96,586

$

32,932

$ (18,856)

Transaction-related items(3)
Other impairments (recoveries) and 
losses (gains), net(4)
Severance and related charges(5)
Loss on debt extinguishments(6)
Litigation costs (recoveries)(7)
Casualty-related charges (recoveries), net
Foreign currency remeasurement losses (gains)
Tax rate legislation impact(8)

7,619
13,906
44,162
363
—
(35)
—
77,044
$
$ 857,233
FFO as adjusted applicable to common shares
Distributions on dilutive convertible units and other
(198)
Diluted FFO as adjusted applicable to common shares $ 857,035
Weighted average shares outstanding - diluted  
FFO as adjusted

470,719

92,900
5,000
54,227
15,637
10,964
(1,043)
17,028
$ 257,289
$ 918,402
6,657
$ 925,059

— 1,446,800
6,713
—
—
—
(5,437)
—
$1,481,008
$1,470,167
13,597
$1,483,764

16,965
46,020
3,081
—
585
—
$ 163,237
$1,282,390
12,849
$1,295,239

35,913
—
—
—
—
—
—
17,057
$
$1,398,691
13,766
$1,412,457

473,620

473,340

469,064

464,845

2018 Annual Report 

59

  
PART II

FFO as adjusted applicable to common shares
Amortization of deferred compensation(9)
Amortization of deferred financing costs
Straight-line rents
FAD capital expenditures
Lease restructure payments
CCRC entrance fees(10)
Deferred income taxes(11)
Other FAD adjustments(12)
FAD applicable to common shares
Distributions on dilutive convertible units
Diluted FAD applicable to common shares
Weighted average shares outstanding - diluted FAD
Diluted earnings per common share
Depreciation and amortization
Loss (gain) on sales of real estate, net
Loss (gain) upon consolidation of real estate, net(1)
Taxes associated with real estate dispositions(2)
Impairments (recoveries) of depreciable real  
estate, net

Diluted NAREIT FFO per common share

$

Transaction-related items(3)
Other impairments (recoveries) and losses  
(gains), net(4)
Severance and related charges(5)
Loss on debt extinguishments(6)
Litigation costs (recoveries)(7)
Casualty-related charges (recoveries), net
Foreign currency remeasurement losses (gains)
Tax rate legislation impact(8)

Diluted FFO as adjusted per common share

$

Year Ended December 31,

2018
$ 857,233
14,714
12,612
(23,138)
(106,193)
1,195
17,880
(18,744)
(9,162)
746,397
—
$ 746,397
470,719
2.24
1.30
(1.96)
(0.02)
0.01

$

2017
$ 918,402
13,510
14,569
(23,933)
(113,471)
1,470
21,385
(15,490)
(12,722)
803,720
—
$ 803,720
468,935
0.88
1.25
(0.76)
—
(0.01)

$

2016
$1,282,390
15,581
20,014
(27,560)
(88,953)
16,604
21,287
(13,692)
(9,975)
1,215,696
13,088
$1,228,784
473,340
1.34
1.30
(0.38)
—
0.13

$

0.09
1.66
0.02

0.02
0.03
0.09
—
—
—
—
1.82

$

$

0.05
1.41
0.13

0.20
0.01
0.11
0.03
0.02
—
0.04
1.95

$

$

—
2.39
0.20

—
0.04
0.10
0.01
—
—
—
2.74

2015
$1,470,167
23,233
20,222
(38,415)
(82,072)
22,657
27,895
(15,281)
(166,557)
1,261,849
14,230
$1,276,079
469,064

2014
$1,398,691
21,885
19,260
(43,857)
(74,464)
9,425
11,121
(4,580)
(158,659)
1,178,822
13,799
$1,192,621
464,845
2.00
1.07
(0.07)
—
—

(1.21) $
1.22
(0.04)
—
—

0.01
(0.02) $
0.07

—
3.00
(0.04)

3.11
0.01
—
—
—
(0.01)
—
3.16

$

0.08
—
—
—
—
—
—
3.04

$

$

$

(1)  For the year ended December 31, 2018, represents the gain related to the acquisition of our partner’s interests in four previously 

unconsolidated life science assets, partially offset by the loss on consolidation of seven U.K. care homes.

(2)  For the year ended December 31, 2016, represents income tax expense associated with the state built-in gain tax payable upon the 

disposition of specific real estate assets, of which $49 million relates to the HCRMC real estate portfolio. 

(3)  For the year ended December 31, 2017, includes $55 million of net non-cash charges related to the right to terminate certain triple-net 
leases and management agreements in conjunction with the 2017 Brookdale Transactions. For the year ended December 31, 2016, 
primarily relates to the Spin-Off. For the year ended December 31, 2015, primarily related to acquisition and pursuit costs. For the year 
ended December 31, 2014, includes a net benefit from the 2014 Brookdale transaction, partially offset by acquisition and pursuit costs. 
(4)  For the year ended December 31, 2018, primarily relates to the impairment of an undeveloped life science land parcel classified as held for 
sale. For the year ended December 31, 2017, relates to $144 million of impairments on our Tandem Mezzanine Loan, net of a $51 million 
impairment recovery upon the sale of our Four Seasons Notes. For the year ended December 31, 2015, include impairment charges of: 
(i) $1.3 billion related to our HCRMC DFL investments, (ii) $112 million related to our Four Seasons Notes and (iii) $46 million related to 
our equity investment in HCRMC, partially offset by an impairment recovery of $6 million related to a loan payoff. For the year ended 
December 31, 2014, relates to our equity investment in HCRMC. 

(5)  For the year ended December 31, 2018, primarily relates to the departure of our former Executive Chairman and corporate restructuring 
activities. For the year ended December 31, 2017, primarily relates to the departure of our former Chief Accounting Officer. For the year 
ended December 31, 2016, primarily relates to the departure of our former President and Chief Executive Officer. For the year ended 
December 31, 2015, relates to the departure of our former Chief Investment Officer. 

(6)  For the year ended December 31, 2018, represents the premium associated with the prepayment of $750 million of senior unsecured 
notes. For the year ended December 31, 2017, represents the premium associated with the prepayment of $500 million of senior 
unsecured notes. For the year ended December 31, 2016, represents penalties of $46 million from the prepayment of $1.1 billion of senior 
unsecured notes and $108 million of mortgage debt using proceeds from the Spin-Off. 

(7)  For the year ended December 31, 2017, relates to costs from securities class action litigation and a legal settlement. For the year 

ended December 31, 2016, primarily relates to costs from securities class action litigation. See Note 11 in the Consolidated Financial 
Statements for additional information.

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PART II

(8)  Represents the remeasurement of deferred tax assets and liabilities as a result of the Tax Cuts and Jobs Act that was signed into 

legislation on December 22, 2017. 

(9)  Excludes amounts related to the acceleration of deferred compensation for restricted stock units and/or stock options that vested 

upon the departure of certain former individuals, which have already been excluded from FFO as adjusted in severance and related 
charges. For the year ended December 31, 2018, excludes $2 million upon the departure of our former Executive Chairman. For the year 
ended December 31, 2017, excludes $0.7 million related to the departure of our former Chief Accounting Officer. For the year ended 
December 31, 2016, excludes $7 million related to the departure of our former President and Chief Executive Officer. For the year ended 
December 31, 2015, excludes $3 million related to the departure of our former Chief Investment Officer. 

(10)  Represents our 49% share of non-refundable entrance fees as the fees are collected by our CCRC JV, net of reserves and CCRC JV 

entrance fee amortization. 

(11)  Excludes $17 million of deferred tax expenses, which is included in tax rate legislation impact for the year ended December 31, 2017. 

Additionally, the year ended December 31, 2017, excludes $1 million of deferred tax benefit from the casualty-related charges, which is 
included in casualty-related charges (recoveries), net. 

(12)  Our equity investment in HCRMC was accounted for using the equity method, which required an elimination of DFL income that is 

proportional to our ownership in HCRMC. Further, our share of earnings from HCRMC (equity income) increased for the corresponding 
elimination of related lease expense recognized at the HCRMC entity level, which we presented as a non-cash joint venture FAD 
adjustment. Beginning in January 2016, as a result of placing our equity investment in HCRMC on a cash basis method of accounting, we 
no longer eliminated our proportional ownership share of income from DFLs to equity income (loss) from unconsolidated joint ventures. 
See Note 5 to the Consolidated Financial Statements for additional discussion.

Critical Accounting Policies
The preparation of financial statements in conformity with 
U.S. GAAP requires our management to use judgment in 
the application of accounting policies, including making 
estimates and assumptions. We base estimates on the best 
information available to us at the time, our experience and 
on various other assumptions believed to be reasonable 
under the circumstances. These estimates affect the 
reported amounts of assets and liabilities, disclosure of 
contingent assets and liabilities at the date of the financial 
statements and the reported amounts of revenue and 
expenses during the reporting periods. If our judgment or 
interpretation of the facts and circumstances relating to 
various transactions or other matters had been different, 
it is possible that different accounting would have been 
applied, resulting in a different presentation of our 
consolidated financial statements. From time to time, we 
re-evaluate our estimates and assumptions. In the event 
estimates or assumptions prove to be different from actual 
results, adjustments are made in subsequent periods to 
reflect more current estimates and assumptions about 
matters that are inherently uncertain. For a more detailed 
discussion of our significant accounting policies, see 
Note 2 to the Consolidated Financial Statements. Below 
is a discussion of accounting policies that we consider 
critical in that they may require complex judgment in their 
application or require estimates about matters that are 
inherently uncertain.

Principles of Consolidation
The consolidated financial statements include the accounts 
of HCP, Inc., our wholly-owned subsidiaries and joint 
ventures that we control, through voting rights or other 
means. We consolidate investments in variable interest 
entities (“VIEs”) when we are the primary beneficiary of 

the VIE. A variable interest holder is considered to be the 
primary beneficiary of a VIE if it has the power to direct 
the activities that most significantly impact the entity’s 
economic performance and has the obligation to absorb 
losses of, or the right to receive benefits from, the entity 
that could potentially be significant to the VIE.

We make judgments about which entities are VIEs based 
on an assessment of whether: (i) the equity investment at 
risk is insufficient to finance that entity’s activities without 
additional subordinated financial support, (ii) substantially 
all of an entity’s activities either involve or are conducted 
on behalf of an investor that has disproportionately few 
voting rights, or (iii) the equity investors as a group lack 
any of the following: (a) the power through voting or 
similar rights to direct the activities of an entity that most 
significantly impact the entity’s economic performance, 
(b) the obligation to absorb the expected losses of an entity, 
or (c) the right to receive the expected residual returns of 
an entity. Criterion (iii) above is generally applied to limited 
partnerships and similarly structured entities by assessing 
whether a simple majority of the limited partners hold 
substantive rights to participate in the significant decisions 
of the entity or have the ability to remove the decision 
maker or liquidate the entity without cause. If neither of 
those criteria are met, the entity is a VIE.

We also make judgments with respect to our level of 
influence or control over an entity and whether we are 
(or are not) the primary beneficiary of a VIE. Consideration of 
various factors includes, but is not limited to:

•  which activities most significantly impact the entity’s 
economic performance, and our ability to direct 
those activities;

•  our form of ownership interest; 

2018 Annual Report 

61

  
PART II

•  our representation on the entity’s governing body;
• 
•  our ability to manage our ownership interest relative to 

the size and seniority of our investment; 

other interest holders; and 

•  our ability and the rights of other investors to participate 
in policy making decisions, replace the manager and/or 
liquidate the entity, if applicable. 

Our ability to correctly assess our influence or control 
over an entity when determining the primary beneficiary 
of a VIE affects the presentation of these entities in our 
consolidated financial statements. When we perform a 
reassessment of the primary beneficiary at a date other 
than at inception of the VIE, our assumptions may be 
different and may result in the identification of a different 
primary beneficiary.

If we determine that we are the primary beneficiary of a VIE, 
our consolidated financial statements include the operating 
results of the VIE rather than the results of our variable 
interest in the VIE. We require VIEs to provide us timely 
financial information and review the internal controls of 
VIEs to determine if we can rely on the financial information 
it provides. If a VIE has deficiencies in its internal controls 
over financial reporting, or does not provide us with timely 
financial information, it may adversely impact the quality 
and/or timing of our financial reporting and our internal 
controls over financial reporting.

Revenue Recognition
Lease Classification
At the inception of a new lease arrangement, including new 
leases that arise from amendments, we assess the terms 
and conditions to determine the proper lease classification. 
For leases entered into prior to January 1, 2019, a lease 
arrangement is classified as an operating lease if none of 
the following criteria are met: (i) transfer of ownership to 
the lessee prior to or shortly after the end of the lease term, 
(ii) the lessee has a bargain purchase option during or at the 
end of the lease term, (iii) the lease term is equal to 75% or 
more of the underlying property’s economic life, or (iv) the 
present value of future minimum lease payments (excluding 
executory costs) is equal to 90% or more of the estimated 
fair value of the leased asset. If one of the four criteria is 
met and the minimum lease payments are determined 
to be reasonably predictable and collectible, the lease 
arrangement is generally accounted for as a DFL.

Concurrent with our adoption of Accounting Standards 
Update No. 2016-02, Leases (“ASU 2016-02”) on 
January 1, 2019, we will begin classifying a lease entered 
into subsequent to adoption as an operating lease if none 
of the following criteria are met: (i) transfer of ownership 
to the lessee by the end of the lease term, (ii) lessee has 
a purchase option during or at the end of the lease term 
that it is reasonably certain to exercise, (iii) the lease term 

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is for the major part of the remaining economic life of the 
underlying asset, (iv) the present value of future minimum 
lease payments is equal to substantially all of the fair value of 
the underlying asset, or (v) the underlying asset is of such a 
specialized nature that it is expected to have no alternative 
use to us at the end of the lease term.

If the assumptions utilized in the above classification 
assessments were different, our lease classification for 
accounting purposes may have been different; thus the 
timing and amount of our revenue recognized would have 
been impacted, which may be material to our consolidated 
financial statements.

Rental and Related Revenues
We recognize rental revenue for operating leases on a 
straight-line basis over the lease term when collectibility of 
all minimum lease payments is reasonably assured and the 
tenant has taken possession or controls the physical use of a 
leased asset. If the lease provides for tenant improvements, 
we determine whether the tenant improvements are owned 
by the tenant or us. When we are the owner of the tenant 
improvements, the tenant is not considered to have taken 
physical possession or have control of the leased asset until 
the tenant improvements are substantially complete. When 
the tenant is the owner of the tenant improvements, any 
tenant improvement allowance funded is treated as a lease 
incentive and amortized as a reduction of revenue over the 
lease term. The determination of ownership of a tenant 
improvement is subject to significant judgment. If our 
assessment of the owner of the tenant improvements was 
different, the timing and amount of our revenue recognized 
would be impacted.

Certain leases provide for additional rents that are 
contingent upon a percentage of the facility’s revenue in 
excess of specified base amounts or other thresholds. Such 
revenue is recognized when actual results reported by the 
tenant, or estimates of tenant results, exceed the base 
amount or other thresholds. The recognition of additional 
rents requires us to make estimates of amounts owed and, 
to a certain extent, is dependent on the accuracy of the 
facility results reported to us. Our estimates may differ from 
actual results, which could be material to our consolidated 
financial statements.

Income from Direct Financing Leases
We use the direct finance method of accounting to record 
income from DFLs. For leases accounted for as DFLs, the 
net investment in the DFL represents receivables for the 
sum of future minimum lease payments receivable and the 
estimated residual values of the leased properties, less 
the unamortized unearned income. Unearned income is 
deferred and amortized to income over the lease terms 
to provide a constant yield when collectibility of the lease 
payments is reasonably assured. The determination of 

estimated useful lives and residual values are subject to 
significant judgment. If these assessments were to change, 
the timing and amount of our revenue recognized would 
be impacted.

Interest Income
Loans receivable are classified as held-for-investment 
based on management’s intent and ability to hold the loans 
for the foreseeable future or to maturity. We recognize 
interest income on loans, including the amortization of 
discounts and premiums, using the interest method (applied 
on a loan-by-loan basis) when collectibility of the future 
payments is reasonably assured. Premiums, discounts and 
related costs are recognized as yield adjustments over the 
term of the related loans. If management determines that 
certain loans should no longer be classified as held-for-
investment, the timing and amount of our interest income 
recognized would be impacted.

Allowance for Doubtful Accounts
We maintain an allowance for doubtful accounts, including 
an allowance for operating lease straight-line rent 
receivables, for estimated losses resulting from tenant 
defaults or the inability of tenants to make contractual rent 
and tenant recovery payments. We monitor the liquidity 
and creditworthiness of our tenants and operators on 
a continuous basis. This evaluation considers industry 
and economic conditions, property performance, credit 
enhancements and other factors. For straight-line rent 
receivable amounts, our assessment is based on income 
recoverable over the term of the lease. We exercise 
judgment in establishing allowances and consider 
payment history and current credit status in developing 
these estimates. These estimates may differ from actual 
results, which could be material to our consolidated 
financial statements.

Loans receivable and DFLs (collectively, “Finance 
Receivables”), are reviewed and assigned an internal rating 
of Performing, Watch List or Workout. Finance Receivables 
that are deemed Performing meet all present contractual 
obligations, and collection and timing of all amounts owed 
is reasonably assured. Watch List Finance Receivables 
are defined as Finance Receivables that do not meet the 
definition of Performing or Workout. Workout Finance 
Receivables are defined as Finance Receivables in which we 
have determined, based on current information and events, 
that: (i) it is probable we will be unable to collect all amounts 
due according to the contractual terms of the agreement, 
(ii) the tenant, operator, or borrower is delinquent on making 
payments under the contractual terms of the agreement, 
and (iii) we have commenced action or anticipate pursuing 
action in the near term to seek recovery of our investment.

PART II

Finance Receivables are placed on nonaccrual status 
when management determines that the collectibility 
of contractual amounts is not reasonably assured (the 
asset will have an internal rating of either Watch List or 
Workout). Further, we perform a credit analysis to support 
the tenant’s, operator’s, borrower’s and/or guarantor’s 
repayment capacity and the underlying collateral values. 
We use the cash basis method of accounting for Finance 
Receivables placed on nonaccrual status unless one of 
the following conditions exist whereby we utilize the cost 
recovery method of accounting: (i) if we determine that it is 
probable that we will only recover the recorded investment 
in the Finance Receivable, net of associated allowances or 
charge-offs (if any), or (ii) we cannot reasonably estimate 
the amount of an impaired Finance Receivable. For cash 
basis method of accounting we apply payments received, 
excluding principal paydowns, to interest income so long 
as that amount does not exceed the amount that would 
have been earned under the original contractual terms. 
For cost recovery method of accounting any payment 
received is applied to reduce the recorded investment. 
Generally, we return a Finance Receivable to accrual status 
when all delinquent payments become current under the 
terms of the loan or lease agreements and collectibility 
of the remaining contractual loan or lease payments is 
reasonably assured.

Allowances are established for Finance Receivables on an 
individual basis utilizing an estimate of probable losses, if 
they are determined to be impaired. Finance Receivables 
are impaired when it is deemed probable that we will be 
unable to collect all amounts due in accordance with the 
contractual terms of the loan or lease. An allowance is based 
upon our assessment of the lessee’s or borrower’s overall 
financial condition, economic resources, payment record, 
the prospects for support from any financially responsible 
guarantors and, if appropriate, the net realizable value of any 
collateral. These estimates consider all available evidence, 
including the expected future cash flows discounted at 
the Finance Receivable’s effective interest rate, fair value 
of collateral, general economic conditions and trends, 
historical and industry loss experience, and other relevant 
factors, as appropriate. Should a Finance Receivable be 
deemed partially or wholly uncollectible, the uncollectible 
balance is charged off against the allowance in the period in 
which the uncollectible determination has been made.

Real Estate
We make estimates as part of our process for allocating 
a purchase price to the various identifiable assets of an 
acquisition based upon the relative fair value of each asset. 
The most significant components of our allocations are 
typically buildings as-if-vacant, land and in-place leases. In 
the case of allocating fair value to buildings and intangibles, 

2018 Annual Report 

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PART II

our fair value estimates will affect the amount of depreciation 
and amortization we record over the estimated useful life 
of each asset acquired. In the case of allocating fair value to 
in-place leases, we make our best estimates based on our 
evaluation of the specific characteristics of each tenant’s 
lease. Factors considered include estimates of carrying 
costs during hypothetical expected lease-up periods, 
market conditions and costs to execute similar leases. Our 
assumptions affect the amount of future revenue and/or 
depreciation and amortization expense that we will recognize 
over the remaining useful life for the acquired in-place leases.

A variety of costs are incurred in the development and 
leasing of properties. After determination is made to 
capitalize a cost, it is allocated to the specific component 
of a project that is benefited. Determination of when 
a development project is substantially complete and 
capitalization must cease involves a degree of judgment. 
The costs of land and buildings under development include 
specifically identifiable costs. The capitalized costs include 
pre-construction costs essential to the development of the 
property, development costs, construction costs, interest 
costs, real estate taxes and other costs incurred during the 
period of development. We consider a construction project 
to be considered substantially complete and available 
for occupancy and cease capitalization of costs upon the 
completion of the related tenant improvements.

Impairment of Long-Lived Assets
We assess the carrying value of our real estate assets and 
related intangibles (“real estate assets”) when events or 
changes in circumstances indicate that the carrying value 
may not be recoverable, but at least annually. Recoverability 
of real estate assets is measured by comparing the 
carrying amount of the real estate assets to the respective 
estimated future undiscounted cash flows. The expected 
future undiscounted cash flows reflect external market 
factors and are probability-weighted to reflect multiple 
possible cash-flow scenarios, including selling the assets 
at various points in the future. Additionally, the estimated 
future undiscounted cash flows are calculated utilizing 
the lowest level of identifiable cash flows that are largely 
independent of the cash flows of other assets and liabilities. 
In order to review our real estate assets for recoverability, 
we make assumptions regarding external market conditions, 
as well as our intent with respect to holding or disposing of 
the asset. If our analysis indicates that the carrying value of 
the real estate assets is not recoverable on an undiscounted 
cash flow basis, we recognize an impairment charge for the 
amount by which the carrying value exceeds the fair value of 
the real estate asset.

The determination of the fair value of real estate assets 
involves significant judgment. This judgment is based on 
our analysis and estimates of fair value of real estate assets, 

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future operating results and resulting cash flows, and the 
period over which we will hold each real estate asset. Our 
ability to accurately predict future operating results and 
resulting cash flows, and estimate fair values, impacts the 
timing and recognition of impairments. While we believe our 
assumptions are reasonable, changes in these assumptions 
may have a material impact on our consolidated 
financial statements.

Investments in Unconsolidated Joint 
Ventures
The initial carrying value of investments in unconsolidated 
joint ventures is based on the amount paid to purchase the 
joint venture interest or the carrying value of the assets 
prior to the sale or contribution of the interests to the joint 
venture. We evaluate our equity method investments for 
impairment by first reviewing for indicators of impairment 
based upon the performance of the underlying real estate 
assets held by the joint venture. If an equity-method 
investment shows indicators of impairment, we compare 
the fair value of the investment to the carrying value. If 
we determine there is a decline in the fair value of our 
investment in an unconsolidated joint venture below 
its carrying value and it is other-than-temporary, an 
impairment charge is recorded. The determination of the 
fair value of investments in unconsolidated joint ventures 
and as to whether a deficiency in fair value is other-than-
temporary involves significant judgment. Our estimates 
consider all available evidence including, as appropriate, the 
present value of the expected future cash flows, discounted 
at market rates, general economic conditions and trends, 
severity and duration of a fair value deficiency, and other 
relevant factors. Capitalization rates, discount rates, and 
credit spreads utilized in our valuation models are based 
upon rates that we believe to be within a reasonable range 
of current market rates for the respective investments. 
While we believe our assumptions are reasonable, changes 
in these assumptions may have a material impact on our 
consolidated financial statements.

Income Taxes
As part of the process of preparing our consolidated 
financial statements, significant management 
judgment is required to evaluate our compliance with 
REIT requirements. Our determinations are based on 
interpretation of tax laws and our conclusions may have an 
impact on the income tax expense recognized. Adjustments 
to income tax expense may be required as a result of: (i) 
audits conducted by federal, state and local tax authorities, 
(ii) our ability to qualify as a REIT, (iii) the potential for built-in 
gain recognition, and (iv) changes in tax laws. Adjustments 
required in any given period are included within the income 
tax provision.

PART II

Recent Accounting Pronouncements
See Note 2 to the Consolidated Financial Statements for the impact of new accounting standards.

ITEM 7A. 

 QUANTITATIVE AND QUALITATIVE DISCLOSURES 
ABOUT MARKET RISK

We are exposed to various market risks, including the 
potential loss arising from adverse changes in interest rates 
and foreign currency exchange rates, specifically GBP. We 
use derivative and other financial 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. Derivatives are 
recorded on the consolidated balance sheets at fair value 
(see Note 22 to the Consolidated Financial Statements).

To illustrate the effect of movements in the interest rate 
markets, we performed a market sensitivity analysis on our 
hedging instruments. We applied various basis point spreads 
to the underlying interest rate curves of the hedging 
portfolio in order to determine the change in fair value. 
Assuming a one percentage point change in the underlying 
interest rate curve, the estimated change in fair value of 
each of the underlying hedging instruments would not 
exceed $1 million. 

Interest Rate Risk
At December 31, 2018, we are exposed to market risks 
related to fluctuations in interest rates primarily on 
variable rate debt. As of December 31, 2018, $43 million of 
our variable-rate debt was hedged by interest rate swap 
transactions. The interest rate swaps are designated as cash 
flow hedges, with the objective of managing the exposure 
to interest rate risk by converting the interest rates on our 
variable-rate debt to fixed interest rates.

Interest rate fluctuations will generally not affect our future 
earnings or cash flows on our fixed rate debt and assets 
until their maturity or earlier prepayment and refinancing. 
If interest rates have risen at the time we seek to refinance 
our fixed rate debt, whether at maturity or otherwise, our 
future earnings and cash flows could be adversely affected by 
additional borrowing costs. Conversely, lower interest rates 
at the time of refinancing may reduce our overall borrowing 
costs. However, interest rate changes will affect the fair value 

of our fixed rate instruments. At December 31, 2018, a one 
percentage point increase or decrease in interest rates would 
change the fair value of our fixed rate debt by approximately 
$252 million and $272 million, respectively, and would not 
materially impact earnings or cash flows. Additionally, a one 
percentage point increase or decrease in interest rates would 
change the fair value of our fixed rate debt investments 
by approximately $3 million and less than $1 million, 
respectively, and would not materially impact earnings or 
cash flows. Conversely, changes in interest rates on variable 
rate debt and investments would change our future earnings 
and cash flows, but not materially impact the fair value of 
those instruments. Assuming a one percentage point change 
in the interest rate related to our variable-rate debt and 
variable-rate investments, and assuming no other changes 
in the outstanding balance as of December 31, 2018, our 
annual interest expense and interest income would change 
by approximately $1 million and $1 million, respectively.

Foreign Currency Exchange Rate Risk
At December 31, 2018, our exposure to foreign currencies 
primarily relates to U.K. investments in leased real estate, 
loans receivable and related GBP denominated cash flows. 
Our foreign currency exposure is partially mitigated through 
the use of GBP-denominated borrowings. Based solely on 
our operating results for the year ended December 31, 2018, 

including the impact of existing hedging arrangements, if the 
value of the GBP relative to the U.S. dollar were to increase 
or decrease by 10% compared to the average exchange rate 
during the year ended December 31, 2018, the increase or 
decrease to our cash flows would not be material.

Market Risk
We have investments in marketable debt securities classified 
as held-to-maturity because we have the positive intent and 
ability to hold the securities to maturity. Held-to-maturity 
securities are recorded at amortized cost and adjusted 
for the amortization of premiums and discounts through 
maturity. We consider a variety of factors in evaluating an 
other-than-temporary decline in value, such as: the length of 
time and the extent to which the market value has been less 

than our current adjusted carrying value; the issuer’s financial 
condition, capital strength and near-term prospects; any 
recent events specific to that issuer and economic conditions 
of its industry; and our investment horizon in relationship to 
an anticipated near-term recovery in the market value, if any. 
At December 31, 2018, both the fair value and carrying value 
of marketable debt securities were $19 million.

2018 Annual Report 

65

  
PART II

ITEM 8. 

FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

HCP, Inc. 
Index to Consolidated Financial Statements

Report of Independent Registered Public Accounting Firm

Consolidated Balance Sheets—December 31, 2018 and 2017
Consolidated Statements of Operations—for the years ended December 31, 2018, 2017 and 2016
Consolidated Statements of Comprehensive Income (Loss)—for the years ended December 31, 2018, 
2017 and 2016
Consolidated Statements of Equity—for the years ended December 31, 2018, 2017 and 2016
Consolidated Statements of Cash Flows—for the years ended December 31, 2018, 2017 and 2016
Notes to Consolidated Financial Statements

67
68
69

70
71
72
73

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PART II

REPORT OF INDEPENDENT REGISTERED PUBLIC  
ACCOUNTING FIRM

To the stockholders and the Board of Directors of HCP, Inc.

Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of HCP, Inc. and subsidiaries (the “Company”) as of 
December 31, 2018 and 2017, the related consolidated statements of operations, comprehensive income (loss), equity, and 
cash flows, for each of the three years in the period ended December 31, 2018, and the related notes and the schedules listed 
in the Index at Item 15 (collectively referred to as the “financial statements”). In our opinion, the financial statements present 
fairly, in all material respects, the financial position of the Company as of December 31, 2018 and 2017, and the results of 
its operations and its cash flows for each of the three years in the period ended December 31, 2018, in conformity with 
accounting principles generally accepted in the United States of America.

We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) 
(PCAOB), the Company’s internal control over financial reporting as of December 31, 2018, based on criteria established 
in Internal Control — Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway 
Commission and our report dated February 14, 2019, expressed an unqualified opinion on the Company’s internal control over 
financial reporting.

Changes in Accounting Principles
As discussed in Note 2, Summary of Significant Accounting Policies—Recent Accounting Pronouncements, to the financial 
statements, the Company has changed its method of derecognizing real estate from partial sales effective January 1, 2018 
due to the adoption of Accounting Standards Update (“ASU”) No. 2017-05, Clarifying the Scope of Asset Derecognition 
Guidance and Accounting for Partial Sales of Nonfinancial Assets on a modified retrospective basis. Further, as discussed in 
Note 2, Summary of Significant Accounting Policies—Recent Accounting Pronouncements, to the financial statements, the 
Company changed its method of accounting for real estate acquisitions effective January 1, 2017 due to the adoption of ASU 
No. 2017-01, Business Combinations (Topic 805): Clarifying the Definition of a Business on a prospective basis.

Basis for Opinion
These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion 
on the Company’s financial statements based on our audits. We are a public accounting firm registered with the PCAOB 
and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the 
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform 
the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether 
due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the financial 
statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included 
examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also 
included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the 
overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.

Los Angeles, California 
February 14, 2019

We have served as the Company’s auditor since 2010.

/s/ Deloitte & Touche LLP

2018 Annual Report 

67

  
PART II

HCP, INC. 
CONSOLIDATED BALANCE SHEETS
(In thousands, except share data)

ASSETS

Real estate:

Buildings and improvements
Development costs and construction in progress
Land
Accumulated depreciation and amortization

Net real estate

Net investment in direct financing leases
Loans receivable, net
Investments in and advances to unconsolidated joint ventures
Accounts receivable, net of allowance of $5,127 and $4,425, respectively
Cash and cash equivalents
Restricted cash
Intangible assets, net
Assets held for sale, net
Other assets, net
Total assets

LIABILITIES AND EQUITY

Bank line of credit
Term loan
Senior unsecured notes
Mortgage debt
Other debt
Intangible liabilities, net
Liabilities of assets held for sale, net
Accounts payable and accrued liabilities
Deferred revenue
Total liabilities

Commitments and contingencies
Common stock, $1.00 par value: 750,000,000 shares authorized; 477,496,499 and 
469,435,678 shares issued and outstanding, respectively
Additional paid-in capital
Cumulative dividends in excess of earnings
Accumulated other comprehensive income (loss)

Total stockholders’ equity

Joint venture partners
Non-managing member unitholders
Total noncontrolling interests

Total equity

Total liabilities and equity

See accompanying Notes to Consolidated Financial Statements.

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December 31,
2018

2017

$10,877,248
537,643
1,637,506
(2,842,947)
10,209,450
713,818
62,998
540,088
48,171
110,790
29,056
305,079
108,086
591,017
$12,718,553

$

80,103
—
5,258,550
138,470
90,785
54,663
1,125
391,583
190,683
6,205,962

$11,239,732
447,976
1,785,865
(2,741,695)
10,731,878
714,352
313,326
800,840
40,733
55,306
26,897
410,082
417,014
578,033
$14,088,461

$ 1,017,076
228,288
6,396,451
144,486
94,165
52,579
14,031
401,738
144,709
8,493,523

477,496
8,398,847
(2,927,196)
(4,708)
5,944,439
391,401
176,751
568,152
6,512,591
$12,718,553

469,436
8,226,113
(3,370,520)
(24,024)
5,301,005
117,045
176,888
293,933
5,594,938
$14,088,461

HCP, INC. 
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share data)

PART II

Revenues:

Rental and related revenues
Resident fees and services
Income from direct financing leases
Interest income

Total revenues

Costs and expenses:
Interest expense
Depreciation and amortization
Operating
General and administrative
Transaction costs
Impairments (recoveries), net
Total costs and expenses

Other income (expense):

Gain (loss) on sales of real estate, net
Loss on debt extinguishments
Other income (expense), net

Total other income (expense), net

Income (loss) before income taxes and equity income (loss) from 
unconsolidated joint ventures

Income tax benefit (expense)
Equity income (loss) from unconsolidated joint ventures

Income (loss) from continuing operations
Discontinued operations:

Income before transaction costs and income taxes
Transaction costs
Income tax benefit (expense)

Total discontinued operations

Net income (loss)

Noncontrolling interests' share in earnings

Net income (loss) attributable to HCP, Inc.

Participating securities' share in earnings
Net income (loss) applicable to common shares
Basic earnings per common share:

Continuing operations
Discontinued operations

Net income (loss) applicable to common shares

Diluted earnings per common share:

Continuing operations
Discontinued operations

Net income (loss) applicable to common shares

Weighted average shares outstanding:

Basic
Diluted

See accompanying Notes to Consolidated Financial Statements.

Year Ended December 31,
2018

2017

2016

$1,237,236
544,773
54,274
10,406
1,846,689

$1,213,649
524,275
54,217
56,237
1,848,378

$1,294,071
686,835
59,580
88,808
2,129,294

266,343
549,499
705,038
96,702
10,772
55,260
1,683,614

925,985
(44,162)
13,316
895,139

1,058,214
17,854
(2,594)
1,073,474

—
—
—
—
1,073,474
(12,381)
1,061,093
(2,669)
$1,058,424

307,716
534,726
666,251
88,772
7,963
166,384
1,771,812

464,403
568,108
738,399
103,611
9,821
—
1,884,342

356,641
(54,227)
31,420
333,834

410,400
1,333
10,901
422,634

164,698
(46,020)
3,654
122,332

367,284
(4,473)
11,360
374,171

—
—
—
—
422,634
(8,465)
414,169
(1,156)
$ 413,013

400,701
(86,765)
(48,181)
265,755
639,926
(12,179)
627,747
(1,198)
$ 626,549

$

$

$

$

2.25
—
2.25

2.24
—
2.24

$

$

$

$

0.88
—
0.88

0.88
—
0.88

$

$

$

$

0.77
0.57
1.34

0.77
0.57
1.34

470,551
475,387

468,759
468,935

467,195
467,403

2018 Annual Report 

69

  
PART II

HCP, INC. 
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands)

Year Ended December 31,
2018
$1,073,474

2017
$422,634

2016
$639,926

6,025
18,088
561
(5,358)
19,316
1,092,790
(12,381)
$1,080,409

(11,107)
799
64
15,862
5,618
428,252
(8,465)
$419,787

3,233
707
220
(3,332)
828
640,754
(12,179)
$628,575

Net income (loss)
Other comprehensive income (loss):

Net unrealized gains (losses) on derivatives
Reclassification adjustment realized in net income (loss)
Change in Supplemental Executive Retirement Plan obligation and other
Foreign currency translation adjustment

Total other comprehensive income (loss)
Total comprehensive income (loss)
Total comprehensive income (loss) attributable to noncontrolling interests
Total comprehensive income (loss) attributable to HCP, Inc.

See accompanying Notes to Consolidated Financial Statements.

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HCP, INC. 
CONSOLIDATED STATEMENTS OF EQUITY
(In thousands, except per share data)

PART II

January 1, 2016
Net income (loss)
Other comprehensive income (loss)
Issuance of common stock, net
Conversion of DownREIT units to 
common stock
Repurchase of common stock
Exercise of stock options
Amortization of deferred compensation
Common dividends ($2.095 per share)
Distribution of QCP, Inc.
Distributions to noncontrolling interests
Issuances of noncontrolling interests
Deconsolidation of noncontrolling 
interests
Purchase of noncontrolling interests
December 31, 2016
Net income (loss)
Other comprehensive income (loss)
Issuance of common stock, net
Conversion of DownREIT units to 
common stock
Repurchase of common stock
Exercise of stock options
Amortization of deferred compensation
Common dividends ($1.480 per share)
Distributions to noncontrolling interests
Issuances of noncontrolling interests
Deconsolidation of noncontrolling 
interests
Purchase of noncontrolling interests
December 31, 2017
Impact of adoption of ASU No. 2017-05(1)
January 1, 2018
Net income (loss)
Other comprehensive income (loss)
Issuance of common stock, net
Conversion of DownREIT units to 
common stock
Repurchase of common stock
Exercise of stock options
Amortization of deferred compensation
Common dividends ($1.480 per share)
Distributions to noncontrolling interests
Issuances of noncontrolling interests
Purchase of noncontrolling interests
December 31, 2018

Amount

Additional 
Paid-In 
Capital

Cumulative 
Dividends 
Common Stock
In Excess 
Shares
of Earnings
465,488 $ 465,488 $11,647,039 $(2,738,414)
627,747
—
—

—
—
61,625

—
—
2,552

—
—
2,552

Accumulated 
Other 
Comprehensive 
Income (Loss)
$(30,470)
—
828
—

Total 
Stockholders’ 
Equity
$ 9,343,643
627,747
828
64,177

Total 
Noncontrolling 
Interests
Equity
$402,674 $ 9,746,317
639,926
828
64,177

12,179
—
—

145
(237)
133
—
—
—
—
—

145
5,948
(237)
(8,448)
133
3,340
—
22,884
—
—
— (3,532,763)
(36)
—
—
—

—
—
—
—
(979,542)
—
—
—

—
—
—
—
—
—
—
—

6,093
(8,685)
3,473
22,884
(979,542)
(3,532,763)
(36)
—

(6,093)
—
—
(8,685)
—
3,473
—
22,884
(979,542)
—
— (3,532,763)
(26,347)
11,834

(26,311)
11,834

—
—

—
—

(36)
(663)

475
—
468,081 $ 468,081 $ 8,198,890 $(3,089,734)
414,169
—
—

—
—
25,951

—
—
1,402

—
—
1,402

78
(157)
32
—
—
—
—

78
(157)
32
—
—
—
—

2,411
(4,628)
736
14,258
—
—
—

—
—
—
—
(694,955)
—
—

—

—
—

—
—

—
(11,505)

—
—
469,436 $ 469,436 $ 8,226,113 $(3,370,520)
79,144
469,436 $ 469,436 $ 8,226,113 $(3,291,376)
— 1,061,093
—
—
—
207,101

—
—
8,078

—
—
8,078

—

—

3
(141)
120
—
—
—
—
—

—
—
—
—
(696,913)
—
—
—
477,496 $ 477,496 $ 8,398,847 $(2,927,196)

133
(3,291)
2,357
16,563
—
—
—
(50,129)

3
(141)
120
—
—
—
—
—

—
—
$(29,642)
—
5,618
—

439
(663)
$ 5,547,595
414,169
5,618
27,353

—
—
—
—
—
—
—

—
—
$(24,024)
—
$(24,024)
—
19,316
—

—
—
—
—
—
—
—
—
$ (4,708)

2,489
(4,785)
768
14,258
(694,955)
—
—

—
(11,505)
$ 5,301,005
79,144
$ 5,380,149
1,061,093
19,316
215,179

136
(3,432)
2,477
16,563
(696,913)
—
—
(50,129)
$ 5,944,439

67
(637)

506
(1,300)
$393,713 $ 5,941,308
422,634
5,618
27,353

8,465
—
—

(2,489)
—
—
—
—
(26,129)
1,615

—
(4,785)
768
14,258
(694,955)
(26,129)
1,615

—

(58,062)
(23,180)

(58,062)
(34,685)
$293,933 $ 5,594,938
79,144
$293,933 $ 5,674,082
1,073,474
19,316
215,179

12,381
—
—

(136)
—
—
—
—
(18,415)
299,666
(19,277)

—
(3,432)
2,477
16,563
(696,913)
(18,415)
299,666
(69,406)
$568,152 $ 6,512,591

(1)  On January 1, 2018, the Company adopted Accounting Standards Update (“ASU”) No. 2017-05, Clarifying the Scope of Asset 

Derecognition Guidance and Accounting for Partial Sales of Nonfinancial Assets (“ASU 2017-05”), and recognized the cumulative-effect of 
adoption to beginning retained earnings. Refer to Note 2 for a detailed impact of adoption.

See accompanying Notes to Consolidated Financial Statements.

2018 Annual Report 

71

  
 
 
PART II

HCP, INC. 
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)

Cash flows from operating activities:
Net income (loss)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization of real estate, in-place lease and other intangibles

Continuing operations
Discontinued operations

Amortization of deferred compensation
Amortization of deferred financing costs
Straight-line rents
Equity loss (income) from unconsolidated joint ventures
Distributions of earnings from unconsolidated joint ventures
Lease and management fee termination loss (income), net
Deferred income tax expense (benefit)
Impairments (recoveries), net
Loss on extinguishment of debt
Loss (gain) on sales of real estate, net
Loss (gain) on consolidation, net
Casualty-related loss (recoveries), net
Loss (gain) on sale of marketable securities
Other non-cash items
Decrease (increase) in accounts receivable and other assets, net
Increase (decrease) in accounts payable and accrued liabilities

Net cash provided by (used in) operating activities

Cash flows from investing activities:
Acquisitions of other real estate
Development and redevelopment of real estate
Leasing costs, tenant improvements, and recurring capital expenditures
Proceeds from sales of real estate, net
Contributions to unconsolidated joint ventures
Distributions in excess of earnings from unconsolidated joint ventures
Proceeds from the RIDEA II transaction, net
Proceeds from the U.K. JV transaction, net
Proceeds from sales/principal repayments on debt investments and direct financing leases
Investments in loans receivable, direct financing leases and other
Purchase of securities for debt defeasance

Net cash provided by (used in) investing activities

Cash flows from financing activities:
Borrowings under bank line of credit, net
Repayments under bank line of credit
Proceeds related to QCP Spin-Off, net
Issuance and borrowings of debt, excluding bank line of credit
Repayments and repurchase of debt, excluding bank line of credit
Payments for debt extinguishment and deferred financing costs
Issuance of common stock and exercise of options
Repurchase of common stock
Dividends paid on common stock
Issuance of noncontrolling interests
Distributions to and purchase of noncontrolling interests
Net cash provided by (used in) financing activities

Effect of foreign exchanges on cash, cash equivalents and restricted cash
Net increase (decrease) in cash, cash equivalents and restricted cash
Cash, cash equivalents and restricted cash, beginning of year
Cash, cash equivalents and restricted cash, end of year

See accompanying Notes to Consolidated Financial Statements.

Year Ended December 31,

2018

2017

2016

$ 1,073,474

$

422,634

$

639,926

549,499
—
16,563
12,612
(23,138)
2,594
22,467
—
(18,525)
55,260
44,162
(925,985)
(9,154)
—
—
2,569
5,686
40,625
848,709

(426,080)
(503,643)
(106,193)
2,044,477
(12,203)
26,472
335,709
393,997
148,024
(71,281)
—
1,829,279

1,823,000
(2,755,668)
—
223,587
(1,604,026)
(41,552)
217,656
(3,432)
(696,913)
299,666
(82,854)
(2,620,536)
191
57,643
82,203
139,846

$

534,726
—
14,258
14,569
(23,933)
(10,901)
44,142
54,641
(5,523)
166,384
54,227
(356,641)
—
12,053
(50,895)
(2,735)
(24,782)
4,817
847,041

(560,753)
(373,479)
(115,260)
1,314,325
(46,334)
37,023
462,242
—
558,769
(30,276)
—
1,246,257

1,244,189
(1,150,596)
—
5,395
(1,468,446)
(51,415)
28,121
(4,785)
(694,955)
1,615
(57,584)
(2,148,461)
376
(54,787)
136,990
82,203

$

568,108
4,890
22,884
20,014
(18,003)
(11,360)
26,492
—
47,195
—
46,020
(164,698)
—
—
—
(2,369)
(6,992)
42,024
1,214,131

(467,162)
(421,322)
(91,442)
647,754
(10,186)
28,366
—
—
231,990
(273,693)
(73,278)
(428,973)

1,108,417
(540,000)
1,685,172
—
(2,316,774)
(54,856)
67,650
(8,685)
(979,542)
11,834
(27,481)
(1,054,265)
(1,019)
(270,126)
407,116
136,990

$

72

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PART II

HCP, INC.

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS

Note 1.  Business

Overview
HCP, Inc., an S&P 500 company, is a Maryland corporation 
that is organized to qualify as a real estate investment 
trust (“REIT”) which, together with its consolidated entities 
(collectively, “HCP” or the “Company”), invests primarily 
in real estate serving the healthcare industry in the United 

States (“U.S.”). The Company acquires, develops, leases, 
and manages and disposes of healthcare real estate. The 
Company’s diverse portfolio is comprised of investments 
in the following reportable healthcare segments: (i) senior 
housing triple-net, (ii) senior housing operating portfolio 
(“SHOP”), (iii) life science and (iv) medical office.

Note 2.  Summary of Significant Accounting Policies

Use of Estimates
Management is required to make estimates and 
assumptions in the preparation of financial statements 
in conformity with U.S. generally accepted accounting 
principles (“GAAP”). These estimates and assumptions 
affect the reported amounts of assets and liabilities and 
the disclosure of contingent assets and liabilities at the 
date of the consolidated financial statements and the 
reported amounts of revenues and expenses during 
the reporting period. Actual results could differ from 
management’s estimates.

Principles of Consolidation
The consolidated financial statements include the accounts 
of HCP, Inc., its wholly-owned subsidiaries, joint ventures 
and variable interest entities that it controls through voting 
rights or other means. Intercompany transactions and 
balances have been eliminated upon consolidation.

The Company is required to continually evaluate its variable 
interest entity (“VIE”) relationships and consolidate 
these entities when it is determined to be the primary 
beneficiary of their operations. A VIE is broadly defined 
as an entity where either: (i) the equity investment at risk 
is insufficient to finance that entity’s activities without 
additional subordinated financial support, (ii) substantially 
all of an entity’s activities either involve or are conducted 
on behalf of an investor that has disproportionately few 
voting rights, or (iii) the equity investors as a group lack 
any of the following: (a) the power through voting or 
similar rights to direct the activities of an entity that most 
significantly impact the entity’s economic performance, (b) 
the obligation to absorb the expected losses of an entity, 
or (c) the right to receive the expected residual returns of 
an entity. Criterion (iii) above is generally applied to limited 
partnerships and similarly structured entities by assessing 
whether a simple majority of the limited partners hold 
substantive rights to participate in the significant decisions 

of the entity or have the ability to remove the decision 
maker or liquidate the entity without cause. If neither of 
those criteria are met, the entity is a VIE.

The designation of an entity as a VIE should be reassessed 
upon certain events, including, but not limited to: (i) a 
change to the terms or in the ability of a party to exercise 
its participation of kick-out rights, (ii) a change to the 
capitalization structure of the entity, or (iii) acquisitions or 
sales of interests that constitute a change in control.

A variable interest holder is considered to be the primary 
beneficiary of a VIE if it has the power to direct the activities 
of a VIE that most significantly impact the entity’s economic 
performance and has the obligation to absorb losses 
of, or the right to receive benefits from, the entity that 
could potentially be significant to the VIE. The Company 
qualitatively assesses whether it is (or is not) the primary 
beneficiary of a VIE. Consideration of various factors 
include, but is not limited to, its form of ownership interest, 
its representation on the VIE’s governing body, the size 
and seniority of its investment, its ability and the rights of 
other investors to participate in policy making decisions, its 
ability to manage its ownership interest relative to the other 
interest holders, and its ability to replace the VIE manager 
and/or liquidate the entity.

For its investments in joint ventures that are not considered 
to be VIEs, the Company evaluates the type of ownership 
rights held by the limited partner(s) that may preclude 
consolidation by the majority interest holder. The 
assessment of limited partners’ rights and their impact on 
the control of a joint venture should be made at inception of 
the joint venture and continually reassessed.

Revenue Recognition
Lease Classification
At the inception of a new lease arrangement, including new 
leases that arise from amendments, the Company assesses 
the terms and conditions to determine the proper lease 
classification. For leases entered into prior to January 1, 

2018 Annual Report 

73

  
PART II

2019, a lease arrangement is classified as an operating 
lease if none of the following criteria are met: (i) transfer 
of ownership to the lessee prior to or shortly after the 
end of the lease term, (ii) lessee has a bargain purchase 
option during or at the end of the lease term, (iii) the lease 
term is equal to 75% or more of the underlying property’s 
economic life, or (iv) the present value of future minimum 
lease payments (excluding executory costs) is equal to 90% 
or more of the excess fair value (over retained tax credits) of 
the leased property. If one of the four criteria is met and the 
minimum lease payments are determined to be reasonably 
predictable and collectible, the lease arrangement is 
generally accounted for as a direct financing lease (“DFL”).

Concurrent with the Company’s adoption of Accounting 
Standards Update (“ASU”) No. 2016-02, Leases (“ASU 2016-
02”) on January 1, 2019, the Company will begin classifying 
a lease entered into subsequent to adoption as an operating 
lease if none of the following criteria are met: (i) transfer 
of ownership to the lessee by the end of the lease term, 
(ii) lessee has a purchase option during or at the end of the 
lease term that it is reasonably certain to exercise, (iii) the 
lease term is for the major part of the remaining economic 
life of the underlying asset, (iv) the present value of future 
minimum lease payments is equal to substantially all of the 
fair value of the underlying asset, or (v) the underlying asset 
is of such a specialized nature that it is expected to have no 
alternative use to the Company at the end of the lease term.

Rental and Related Revenues
The Company commences recognition of rental revenue 
for operating lease arrangements when the tenant has 
taken possession or controls the physical use of a leased 
asset. The tenant is not considered to have taken physical 
possession or have control of the leased asset until the 
Company-owned tenant improvements are substantially 
complete. If a lease arrangement provides for tenant 
improvements, the Company determines whether the 
tenant improvements are owned by the tenant or the 
Company. When the Company is the owner of the tenant 
improvements, any tenant improvements funded by the 
tenant are treated as lease payments which are deferred 
and amortized into income over the lease term. When the 
tenant is the owner of the tenant improvements, any tenant 
improvement allowance that is funded by the Company is 
treated as a lease incentive and amortized as a reduction 
of revenue over the lease term. Ownership of tenant 
improvements is determined based on various factors 
including, but not limited to, the following criteria:

• 

lease stipulations of how and on what a tenant 
improvement allowance may be spent;

•  which party to the arrangement retains legal title to the 

tenant improvements upon lease expiration;

•  whether the tenant improvements are unique to the 

tenant or general purpose in nature;

74

http://www.hcpi.com

• 

• 

if the tenant improvements are expected to have 
significant residual value at the end of the lease term;
the responsible party for construction cost overruns; 
and

•  which party constructs or directs the construction of 

the improvements.

Certain leases provide for additional rents that are 
contingent upon a percentage of the facility’s revenue in 
excess of specified base amounts or other thresholds. Such 
revenue is recognized when actual results reported by the 
tenant or estimates of tenant results, exceed the base 
amount or other thresholds, and only after any contingency 
has been removed (when the related thresholds are 
achieved). This may result in the recognition of rental 
revenue in periods subsequent to when such payments 
are received.

Tenant recoveries subject to operating leases generally 
relate to the reimbursement of real estate taxes, insurance 
and repairs and maintenance expense. These expenses 
are recognized as revenue in the period they are incurred. 
The reimbursements of these expenses are recognized in 
rental and related revenues, as the Company is generally 
the primary obligor and, with respect to purchasing goods 
and services from third party suppliers, has discretion in 
selecting the supplier and bears the associated credit risk.

For operating leases with minimum scheduled rent 
increases, the Company recognizes income on a straight 
line basis over the lease term when collectibility is 
reasonably assured. Recognizing rental income on a straight 
line basis results in a difference in the timing of revenue 
amounts from what is contractually due from tenants. If 
the Company determines that collectibility of straight line 
rents is not reasonably assured, future revenue recognition 
is limited to amounts contractually owed and paid, and, 
when appropriate, an allowance for estimated losses 
is established.

Resident Fees and Services
Resident fee revenue is recorded when services are 
rendered and includes resident room and care charges, 
community fees and other resident charges. Residency 
agreements are generally for a term of 30 days to one year, 
with resident fees billed monthly, in advance. Revenue for 
certain care related services is recognized as services are 
provided and is billed monthly in arrears.

Income from Direct Financing Leases
The Company utilizes the direct finance method of 
accounting to record DFL income. For a lease accounted 
for as a DFL, the net investment in the DFL represents 
receivables for the sum of future minimum lease payments 
and the estimated residual value of the leased property, 
less the unamortized unearned income. Unearned income 

is deferred and amortized to income over the lease term 
to provide a constant yield when collectibility of the lease 
payments is reasonably assured.

recovery payments or lease defaults. For straight-line 
rent receivables, the Company’s assessment is based on 
amounts estimated to be recoverable over the lease term.

PART II

Interest Income
Loans receivable are classified as held-for-investment 
based on management’s intent and ability to hold the loans 
for the foreseeable future or to maturity. Loans held-for-
investment are carried at amortized cost and reduced 
by a valuation allowance for estimated credit losses, as 
necessary. The Company recognizes interest income 
on loans, including the amortization of discounts and 
premiums, loan fees paid and received, using the interest 
method. The interest method is applied on a loan-by-
loan basis when collectibility of the future payments is 
reasonably assured. Premiums and discounts are recognized 
as yield adjustments over the term of the related loans.

Gain (loss) on sales of real estate, net
The Company recognizes a gain (loss) on sale of real estate 
when the criteria for an asset to be derecognized are met, 
which include when: (i) a contract exists, (ii) the buyer 
obtains control of the asset, and (iii) it is probable that the 
Company will receive substantially all of the consideration to 
which it is entitled. These criteria are generally satisfied at 
the time of sale.

Allowance for Doubtful Accounts
The Company evaluates the liquidity and creditworthiness 
of its tenants, operators and borrowers on a monthly 
and quarterly basis. The Company’s evaluation considers 
industry and economic conditions, individual and 
portfolio property performance, credit enhancements, 
liquidity and other factors. The Company’s tenants, 
borrowers and operators furnish property, portfolio and 
guarantor/operator-level financial statements, among 
other information, on a monthly or quarterly basis; the 
Company utilizes this financial information to calculate the 
lease or debt service coverages that it uses as a primary 
credit quality indicator. Lease and debt service coverage 
information is evaluated together with other property, 
portfolio and operator performance information, including 
revenue, expense, net operating income, occupancy, 
rental rate, reimbursement trends, capital expenditures 
and EBITDA (defined as earnings before interest, tax, and 
depreciation and amortization), along with other liquidity 
measures. The Company evaluates, on a monthly basis or 
immediately upon a significant change in circumstance, its 
tenants’, operators’ and borrowers’ ability to service their 
obligations with the Company.

The Company maintains an allowance for doubtful 
accounts for straight-line rent receivables resulting from 
tenants’ inability to make contractual rent and tenant 

In connection with the Company’s quarterly review 
process or upon the occurrence of a significant event, 
loans receivable and DFLs (collectively, “Finance 
Receivables”), are reviewed and assigned an internal rating 
of Performing, Watch List or Workout. Finance Receivables 
that are deemed Performing meet all present contractual 
obligations, and collection and timing, of all amounts owed 
is reasonably assured. Watch List Finance Receivables 
are defined as Finance Receivables that do not meet the 
definition of Performing or Workout. Workout Finance 
Receivables are defined as Finance Receivables in which the 
Company has determined, based on current information 
and events, that: (i) it is probable it will be unable to collect 
all amounts due according to the contractual terms of 
the agreement, (ii) the tenant, operator, or borrower is 
delinquent on making payments under the contractual 
terms of the agreement and (iii) the Company has 
commenced action or anticipates pursuing action in the near 
term to seek recovery of its investment.

Finance Receivables are placed on nonaccrual status 
when management determines that the collectibility of 
contractual amounts is not reasonably assured (the asset 
will have an internal rating of either Watch List or Workout). 
Further, the Company performs a credit analysis to support 
the tenant’s, operator’s, borrower’s and/or guarantor’s 
repayment capacity and the underlying collateral values. 
The Company uses the cash basis method of accounting 
for Finance Receivables placed on nonaccrual status unless 
one of the following conditions exist whereby it utilizes the 
cost recovery method of accounting: (i) if the Company 
determines that it is probable that it will only recover the 
recorded investment in the Finance Receivable, net of 
associated allowances or charge-offs (if any), or (ii) the 
Company cannot reasonably estimate the amount of an 
impaired Finance Receivable. For cash basis method of 
accounting the Company applies payments received, 
excluding principal paydowns, to interest income so long as 
that amount does not exceed the amount that would have 
been earned under the original contractual terms. For cost 
recovery method of accounting any payment received is 
applied to reduce the recorded investment. Generally, the 
Company returns a Finance Receivable to accrual status 
when all delinquent payments become current under the 
terms of the loan or lease agreements and collectibility 
of the remaining contractual loan or lease payments is 
reasonably assured.

Allowances are established for Finance Receivables on an 
individual basis utilizing an estimate of probable losses, if 
they are determined to be impaired. Finance Receivables 
are impaired when it is deemed probable that the Company 

2018 Annual Report 

75

  
PART II

will be unable to collect all amounts due in accordance with 
the contractual terms of the loan or lease. An allowance is 
based upon the Company’s assessment of the lessee’s or 
borrower’s overall financial condition, economic resources, 
payment record, the prospects for support from any 
financially responsible guarantors and, if appropriate, the 
net realizable value of any collateral. These estimates 
consider all available evidence, including the expected 
future cash flows discounted at the Finance Receivable’s 
effective interest rate, fair value of collateral, general 
economic conditions and trends, historical and industry 
loss experience, and other relevant factors, as appropriate. 
Should a Finance Receivable be deemed partially or wholly 
uncollectible, the uncollectible balance is charged off 
against the allowance in the period in which the uncollectible 
determination has been made.

Real Estate
The Company’s real estate acquisitions are generally 
classified as asset acquisitions for which the Company 
records identifiable assets acquired, liabilities assumed and 
any associated noncontrolling interests at cost on a relative 
fair value basis. In addition, for such asset acquisitions, no 
goodwill is recognized, third party transaction costs are 
capitalized and any associated contingent consideration is 
generally recorded when the contingency is resolved.

The Company assesses fair value based on available market 
information, such as capitalization and discount rates, 
comparable sale transactions and relevant per square foot 
or unit cost information. A real estate asset’s fair value 
may be determined utilizing cash flow projections that 
incorporate such market information. Estimates of future 
cash flows are based on a number of factors including 
historical operating results, known and anticipated trends, 
as well as market and economic conditions. The fair value of 
tangible assets of an acquired property is based on the value 
of the property as if it is vacant.

The Company records acquired “above and below market” 
leases at fair value using discount rates which reflect the 
risks associated with the leases acquired. The amount 
recorded is based on the present value of the difference 
between (i) the contractual amounts paid pursuant to each 
in-place lease and (ii) management’s estimate of fair market 
lease rates for each in-place lease, measured over a period 
equal to the remaining term of the lease for above market 
leases and the initial term plus the extended term for any 
leases with bargain renewal options. Other intangible assets 
acquired include amounts for in-place lease values that 
are based on an evaluation of the specific characteristics 
of each property and the acquired tenant lease(s). Factors 
considered include estimates of carrying costs during 
hypothetical expected lease-up periods, market conditions 
and costs to execute similar leases. In estimating carrying 

76

http://www.hcpi.com

costs, the Company includes estimates of lost rents at 
market rates during the hypothetical expected lease-up 
periods, which are dependent on local market conditions 
and expected trends. In estimating costs to execute similar 
leases, the Company considers leasing commissions, legal 
and other related costs.

The Company capitalizes direct construction and 
development costs, including predevelopment costs, 
interest, property taxes, insurance and other costs directly 
related and essential to the development or construction of 
a real estate asset. The Company capitalizes construction 
and development costs while substantive activities are 
ongoing to prepare an asset for its intended use. The 
Company considers a construction project as substantially 
complete and held available for occupancy upon the 
completion of Company-owned tenant improvements, 
but no later than one year from cessation of significant 
construction activity. Costs incurred after a project is 
substantially complete and ready for its intended use, or 
after development activities have ceased, are expensed 
as incurred. For redevelopment of existing operating 
properties, the Company capitalizes the cost for the 
construction and improvement incurred in connection with 
the redevelopment.

Costs previously capitalized related to abandoned 
developments/redevelopments are charged to earnings. 
Expenditures for repairs and maintenance are expensed 
as incurred. The Company considers costs incurred in 
conjunction with re-leasing properties, including tenant 
improvements and lease commissions, to represent the 
acquisition of productive assets and, accordingly, such 
costs are reflected as investing activities in the Company’s 
consolidated statement of cash flows.

The Company computes depreciation on properties using 
the straight-line method over the assets’ estimated useful 
lives. Depreciation is discontinued when a property is 
identified as held for sale. Buildings and improvements are 
depreciated over useful lives ranging up to 60 years. Market 
lease intangibles are amortized primarily to revenue over the 
remaining noncancellable lease terms and bargain renewal 
periods, if any. In-place lease intangibles are amortized to 
expense over the remaining noncancellable lease term and 
bargain renewal periods, if any.

Concurrent with the Company’s adoption of ASU 2016-
02 on January 1, 2019, the Company elected to recognize 
expense associated with short-term leases (those with a 
noncancellable lease term of 12 months or less) under which 
the Company is the lessee on a straight-line basis and not 
recognize those leases on its consolidated balance sheets.

For leases other than short-term operating leases under 
which the Company is the lessee, such as ground leases and 
corporate office leases, the Company recognizes a right-

of-use asset and related lease liability on its consolidated 
balance sheet at inception of the lease. The lease liability is 
calculated as the sum of: (i) the present value of minimum 
lease payments at lease commencement (discounted using 
the Company’s secured incremental borrowing rate) and 
(ii) the present value of amounts probable of being paid 
under any residual value guarantees. The right-of-use asset 
is calculated as the lease liability, adjusted for the following: 
(i) any lease payments made to the lessor at or before the 
commencement date, minus any lease incentives received 
and (ii) any initial direct costs incurred by the Company.

Impairment of Long-Lived Assets 
and Goodwill
The Company assesses the carrying value of real estate 
assets and related intangibles (“real estate assets”) when 
events or changes in circumstances indicate that the 
carrying value may not be recoverable. The Company tests 
its real estate assets for impairment by comparing the sum 
of the expected future undiscounted cash flows to the 
carrying value of the real estate assets. The expected future 
undiscounted cash flows reflect external market factors 
and are probability-weighted to reflect multiple possible 
cash-flow scenarios, including selling the assets at various 
points in the future. Further, the analysis considers the 
impact, if any, of master lease agreements on cash flows, 
which are calculated utilizing the lowest level of identifiable 
cash flows that are largely independent of the cash flows of 
other assets and liabilities. If the carrying value exceeds the 
expected future undiscounted cash flows, an impairment 
loss will be recognized to the extent that the carrying 
value of the real estate assets exceeds their fair value. If an 
asset is classified as held for sale, it is reported at the lower 
of its carrying value or fair value less costs to sell and no 
longer depreciated.

When testing goodwill for impairment, if the Company 
concludes that it is more likely than not that the fair value of 
a reporting unit is less than its carrying value, the Company 
recognizes an impairment loss for the amount by which the 
carrying value, including goodwill, exceeds the reporting 
unit’s fair value.

Assets Held for Sale and 
Discontinued Operations
The Company classifies a real estate property as held for 
sale when: (i) management has approved the disposal, (ii) the 
property is available for sale in its present condition, (iii) an 
active program to locate a buyer has been initiated, (iv) it 
is probable that the property will be disposed of within one 
year, (v) the property is being marketed at a reasonable price 
relative to its fair value, and (vi) it is unlikely that the disposal 
plan will significantly change or be withdrawn.

PART II

A discontinued operation represents: (i) a component of 
an entity or group of components that has been disposed 
of or is classified as held for sale in a single transaction and 
represents a strategic shift that has or will have a major 
effect on the Company’s operations and financial results or 
(ii) an acquired business that is classified as held for sale on 
the date of acquisition. Examples of a strategic shift include 
disposing of: (i) a separate major line of business, (ii) a 
separate major geographic area of operations, or (iii) other 
major parts of the Company.

Investments in Unconsolidated 
Joint Ventures
Investments in entities which the Company does not 
consolidate, but has the ability to exercise significant 
influence over the operating and financial policies of, are 
reported under the equity method of accounting. Under the 
equity method of accounting, the Company’s share of the 
investee’s earnings or losses is included in the Company’s 
consolidated results of operations.

The initial carrying value of investments in unconsolidated 
joint ventures is based on the amount paid to purchase the 
joint venture interest, the fair value of assets contributed 
to the joint venture, or the fair value of the assets prior 
to the sale of interests in the joint venture. To the extent 
that the Company’s cost basis is different from the basis 
reflected at the joint venture level, the basis difference is 
generally amortized over the lives of the related assets 
and liabilities, and such amortization is included in the 
Company’s share of equity in earnings of the joint venture. 
The Company evaluates its equity method investments for 
impairment based upon a comparison of the fair value of 
the equity method investment to its carrying value. When 
the Company determines a decline in the fair value of an 
investment in an unconsolidated joint venture below its 
carrying value is other-than-temporary, an impairment 
is recorded. The Company recognizes gains on the sale 
of interests in joint ventures to the extent the economic 
substance of the transaction is a sale.

The Company’s fair values of its equity method investments 
are determined based on discounted cash flow models 
that include all estimated cash inflows and outflows over 
a specified holding period and, where applicable, any 
estimated debt premiums or discounts. Capitalization rates, 
discount rates and credit spreads utilized in these valuation 
models are based upon assumptions that the Company 
believes to be within a reasonable range of current market 
rates for the respective investments.

The Company did not record any impairments of its 
investments in unconsolidated joint ventures in the 
statements of operations for the years ended December 31, 
2018, 2017 or 2016.

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Share-Based Compensation
Compensation expense for share-based awards granted 
to employees with graded vesting schedules is generally 
recognized on a straight-line basis over the vesting period. 
Forfeitures of share-based awards are recognized as 
they occur.

Cash and Cash Equivalents and 
Restricted Cash
Cash and cash equivalents consist of cash on hand and 
short-term investments with original maturities of three 
months or less when purchased. Restricted cash primarily 
consists of amounts held by mortgage lenders to provide 
for (i) real estate tax expenditures, tenant improvements 
and capital expenditures, (ii) security deposits, and (iii) 
net proceeds from property sales that were executed as 
tax-deferred dispositions.

Derivatives and Hedging
During its normal course of business, the Company uses 
certain types of derivative instruments for the purpose of 
managing interest rate and foreign currency risk. To qualify 
for hedge accounting, derivative instruments used for risk 
management purposes must effectively reduce the risk 
exposure that they are designed to hedge. In addition, at 
inception of a qualifying cash flow hedging relationship, the 
underlying transaction or transactions, must be, and are 
expected to remain, probable of occurring in accordance 
with the Company’s related assertions.

The Company recognizes all derivative instruments, 
including embedded derivatives that are required to be 
bifurcated, as assets or liabilities in the consolidated balance 
sheets at fair value. Changes in fair value of derivative 
instruments that are not designated in hedging relationships 
or that do not meet the criteria of hedge accounting 
are recognized in earnings. For derivative instruments 
designated in qualifying cash flow hedging relationships, 
changes in fair value related to the effective portion of the 
derivative instruments are recognized in accumulated other 
comprehensive income (loss), whereas changes in fair value 
of the ineffective portion are recognized in earnings.

Using certain of its British pound sterling (“GBP”) 
denominated debt, the Company applies net investment 
hedge accounting to hedge the foreign currency exposure 
from its net investment in GBP-functional unconsolidated 
subsidiaries. The variability of the GBP-denominated debt 
due to changes in the GBP to U.S. dollar (“USD”) exchange 
rate (“remeasurement value”) is recognized as part of 
the cumulative translation adjustment component of 
accumulated other comprehensive income (loss).

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If it is determined that a derivative instrument ceases 
to be highly effective as a hedge, or that it is probable 
the underlying forecasted transaction will not occur, the 
Company discontinues its cash flow hedge accounting 
prospectively and records the appropriate adjustment to 
earnings based on the current fair value of the derivative 
instrument. For net investment hedge accounting, upon 
sale or liquidation of the hedged investment, the cumulative 
balance of the remeasurement value is reclassified 
to earnings.

Income Taxes
HCP, Inc. has elected REIT status and believes it has 
always operated so as to continue to qualify as a REIT 
under Sections 856 to 860 of the Internal Revenue Code of 
1986, as amended (the “Code”). Accordingly, HCP, Inc. will 
generally not be subject to U.S. federal income tax, provided 
that it continues to qualify as a REIT and makes distributions 
to stockholders equal to or in excess of its taxable income. 
In addition, the Company has formed several consolidated 
subsidiaries that have elected REIT status. HCP, Inc. and its 
consolidated REIT subsidiaries are each subject to the REIT 
qualification requirements under the Code. If any REIT fails 
to qualify as a REIT in any taxable year, it will be subject to 
federal income taxes at regular corporate rates and may be 
ineligible to qualify as a REIT for four subsequent tax years.

HCP, Inc. and its consolidated REIT subsidiaries are 
subject to state, local and foreign income taxes in some 
jurisdictions, and in certain circumstances each REIT may 
also be subject to federal excise taxes on undistributed 
income. In addition, certain activities that the Company 
undertakes may be conducted by entities which have 
elected to be treated as taxable REIT subsidiaries (“TRSs”). 
TRSs are subject to federal, state and local income 
taxes. The Company recognizes tax penalties relating to 
unrecognized tax benefits as additional income tax expense. 
Interest relating to unrecognized tax benefits is recognized 
as interest expense.

Capital Raising Issuance Costs
Costs incurred in connection with the issuance of common 
shares are recorded as a reduction of additional paid-in 
capital. Debt issuance costs related to debt instruments 
excluding line of credit arrangements are deferred, recorded 
as a reduction of the related debt liability, and amortized 
to interest expense over the remaining term of the related 
debt liability utilizing the effective interest method. Debt 
issuance costs related to line of credit arrangements are 
deferred, included in other assets, and amortized to interest 
expense on a straight-line basis over the remaining term of 
the related line of credit arrangement.

Penalties incurred to extinguish debt and any remaining 
unamortized debt issuance costs, discounts and premiums 
are recognized as income or expense in the consolidated 
statements of operations at the time of extinguishment.

Segment Reporting
The Company’s reportable segments, based on how it 
evaluates its business and allocates resources, are as 
follows: (i) senior housing triple-net, (ii) SHOP, (iii) life 
science and (iv) medical office.

Noncontrolling Interests
Arrangements with noncontrolling interest holders are 
assessed for appropriate balance sheet classification 
based on the redemption and other rights held by 
the noncontrolling interest holder. Net income (loss) 
attributable to a noncontrolling interest is included in net 
income (loss) on the consolidated statements of operations 
and, upon a gain or loss of control, the interest purchased 
or sold, and any interest retained, is recorded at fair value 
with any gain or loss recognized in earnings. The Company 
accounts for purchases or sales of equity interests that do 
not result in a change in control as equity transactions.

The Company consolidates non-managing member limited 
liability companies (“DownREITs”) because it exercises 
control, and the noncontrolling interests in these entities 
are carried at cost. The non-managing member limited 
liability company (“LLC”) units (“DownREIT units”) are 
exchangeable for an amount of cash approximating the 
then-current market value of shares of the Company’s 
common stock or, at the Company’s option, shares of the 
Company’s common stock (subject to certain adjustments, 
such as stock splits and reclassifications). Upon exchange 
of DownREIT units for the Company’s common stock, the 
carrying amount of the DownREIT units is reclassified to 
stockholders’ equity.

Foreign Currency Translation and 
Transactions
Assets and liabilities denominated in foreign currencies 
that are translated into U.S. dollars use exchange rates in 
effect at the end of the period, and revenues and expenses 
denominated in foreign currencies that are translated into 
U.S. dollars use average rates of exchange in effect during 
the related period. Gains or losses resulting from translation 
are included in accumulated other comprehensive income 
(loss), a component of stockholders’ equity on the 
consolidated balance sheets. Gains or losses resulting 
from foreign currency transactions are translated into U.S. 
dollars at the rates of exchange prevailing at the dates of the 
transactions. The effects of transaction gains or losses are 
included in other income (expense), net in the consolidated 
statements of operations.

PART II

Fair Value Measurement
The Company measures and discloses the fair value of 
nonfinancial and financial assets and liabilities utilizing a 
hierarchy of valuation techniques based on whether the 
inputs to a fair value measurement are considered to be 
observable or unobservable in a marketplace. Observable 
inputs reflect market data obtained from independent 
sources, while unobservable inputs reflect the Company’s 
market assumptions. This hierarchy requires the use of 
observable market data when available. These inputs have 
created the following fair value hierarchy:

•  Level 1—quoted prices for identical instruments in 

active markets;

•  Level 2—quoted prices for similar instruments in 

active markets; quoted prices for identical or similar 
instruments in markets that are not active; and 
model-derived valuations in which significant inputs 
and significant value drivers are observable in active 
markets; and

•  Level 3—fair value measurements derived from 

valuation techniques in which one or more significant 
inputs or significant value drivers are unobservable.

The Company measures fair value using a set of 
standardized procedures that are outlined herein for all 
assets and liabilities which are required to be measured 
at fair value. When available, the Company utilizes quoted 
market prices from an independent third party source to 
determine fair value and classifies such items in Level 1. 
In instances where a market price is available, but the 
instrument is in an inactive or over-the-counter market, the 
Company consistently applies the dealer (market maker) 
pricing estimate and classifies the asset or liability in Level 2.

If quoted market prices or inputs are not available, fair value 
measurements are based upon valuation models that utilize 
current market or independently sourced market inputs, 
such as interest rates, option volatilities, credit spreads 
and/or market capitalization rates. Items valued using such 
internally-generated valuation techniques are classified 
according to the lowest level input that is significant to the 
fair value measurement. As a result, the asset or liability 
could be classified in either Level 2 or Level 3 even though 
there may be some significant inputs that are readily 
observable. Internal fair value models and techniques used 
by the Company include discounted cash flow models. The 
Company also considers its counterparty’s and own credit 
risk for derivative instruments and other liabilities measured 
at fair value. The Company has elected the mid-market 
pricing expedient when determining fair value.

Earnings per Share
Basic earnings per common share is computed by dividing 
net income (loss) applicable to common shares by the 
weighted average number of shares of common stock 

2018 Annual Report 

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PART II

outstanding during the period. The Company accounts for 
unvested share-based payment awards that contain non-
forfeitable dividend rights or dividend equivalents (whether 
paid or unpaid) as participating securities, which are included 
in the computation of earnings per share pursuant to the 
two-class method. Diluted earnings per common share is 
calculated by including the effect of dilutive securities.

Recent Accounting Pronouncements
Adopted
Between May 2014 and February 2017, the Financial 
Accounting Standards Board (“FASB”) issued four ASUs 
changing the requirements for recognizing and reporting 
revenue (together, herein referred to as the “Revenue 
ASUs”): (i) ASU No. 2014-09, Revenue from Contracts with 
Customers (“ASU 2014-09”), (ii) ASU No. 2016-08, Principal 
versus Agent Considerations (Reporting Revenue Gross versus 
Net) (“ASU 2016-08”), (iii) ASU No. 2016-12, Narrow-Scope 
Improvements and Practical Expedients (“ASU 2016-12”), 
and (iv) ASU No. 2017-05, Clarifying the Scope of Asset 
Derecognition Guidance and Accounting for Partial Sales of 
Nonfinancial Assets (“ASU 2017-05”). ASU 2014-09 provides 
guidance for revenue recognition to depict the transfer 
of promised goods or services to customers in an amount 
that reflects the consideration to which the entity expects 
to be entitled in exchange for those goods or services. 
ASU 2016-08 is intended to improve the operability and 
understandability of the implementation guidance on 
principal versus agent considerations. ASU 2016-12 
provides practical expedients and improvements on the 
previously narrow scope of ASU 2014-09. ASU 2017-05 
clarifies the scope of the FASB’s guidance on nonfinancial 
asset derecognition and aligns the accounting for partial 
sales of nonfinancial assets and in-substance nonfinancial 
assets with the guidance in ASU 2014-09. The Company 
adopted the Revenue ASUs effective January 1, 2018 
and utilized a modified retrospective adoption approach, 
resulting in a cumulative-effect adjustment to equity of 
$79 million as of January 1, 2018. Under the Revenue ASUs, 
the Company also elected to utilize a practical expedient 
which allows the Company to only reassess contracts that 
were not completed as of the adoption date, rather than all 
historical contracts.

As the primary source of revenue for the Company is 
generated through leasing arrangements, for which timing 
and recognition of revenue will be the same whether 
accounted for under the Revenue ASUs or lease accounting 
guidance (see discussion below), the impact of the Revenue 
ASUs, upon and subsequent to adoption, is generally limited 
to the following:

•  Prior to the adoption of the Revenue ASUs, the 

Company recognized a gain on sale of real estate using 
the full accrual method when collectibility of the sales 

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price was reasonably assured, the Company was not 
obligated to perform additional activities that may 
be considered significant, the initial investment from 
the buyer was sufficient and other profit recognition 
criteria had been satisfied. The Company deferred 
all or a portion of a gain on sale of real estate if the 
requirements for gain recognition were not met at the 
time of sale. Subsequent to adopting the Revenue ASUs 
on January 1, 2018, the Company began recognizing a 
gain on sale of real estate upon transferring control of 
the asset to the purchaser, which is generally satisfied at 
the time of sale. In conjunction with its adoption of the 
Revenue ASUs, the Company reassessed its historical 
partial sale of real estate transactions to determine 
which transactions, if any, were not completed contracts 
(i.e., the transaction did not qualify for sale treatment 
under previous guidance). The Company concluded 
that it had one such material transaction, its partial sale 
of RIDEA II in the first quarter of 2017 (which was not 
a completed sale under historical guidance as of the 
Company’s adoption date due to a minor obligation 
related to the interest sold). In accordance with the 
Revenue ASUs, the Company recorded its retained 40% 
equity investment at fair value as of the sale date. As a 
result, the Company recorded an adjustment to equity 
as of January 1, 2018 (under the modified retrospective 
transition approach) representing a step-up in the fair 
value of its equity investment in RIDEA II of $107 million 
(to a carrying value of $121 million as of January 1, 
2018) and a $30 million impairment charge to decrease 
the carrying value to the sales price of the investment 
(see Note 5). The Company completed the sale of its 
equity investment in June 2018 and no longer holds an 
economic interest in RIDEA II.

•  The Company generally expects that the new guidance 
will result in certain transactions qualifying as sales 
of real estate at an earlier date than under historical 
accounting guidance.

•  The Company, along with its joint venture partners and 
independent SHOP operators, provide certain ancillary 
services to SHOP residents that are not contemplated in 
the lease with each resident (i.e., guest meals, concierge 
services, pharmacy services, 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. Included within resident fees and 
services for the years ended December 31, 2018, 2017 
and 2016 is $40 million, $38 million and $51 million, 
respectively, of ancillary service revenue.

Additionally, during the year ended December 31, 2018, the 
Company adopted the following ASUs:

•  ASU No. 2016-01, Recognition and Measurement of 
Financial Assets and Financial Liabilities (“ASU 2016-
01”) and ASU No. 2018-03, Technical Corrections and 
Improvements to Financial Instruments - Overall (“ASU 
2018-03”). The core principle of the amendments in ASU 
2016-01 and ASU 2018-03 involves the measurement 
of equity investments (except those accounted for 
under the equity method of accounting or those that 
result in consolidation) at fair value and the recognition 
of changes in fair value of those investments during 
each reporting period in net income (loss). As a result, 
ASU 2016-01 and ASU 2018-03 eliminate the cost 
method of accounting for equity securities that do not 
have readily determinable fair values. Pursuant to the 
new guidance, an entity may choose to measure equity 
investments that do not have readily determinable fair 
values at cost minus impairment, if any, plus or minus 
changes resulting from observable price changes 
in orderly transactions for the identical or a similar 
investment of the same issuer. The adoption of ASU 
2016-01 and 2018-03 did not have a material impact to 
the Company’s consolidated financial position, results of 
operations, cash flows, or disclosures.

•  ASU No. 2016-16, Intra-Entity Transfers of Assets Other 
Than Inventory (“ASU 2016-16”). The amendments in 
ASU 2016-16 require an entity to recognize the income 
tax consequences of intra-entity transfers of assets, 
other than inventory, at the time that the transfer 
occurs. Historical guidance does not require recognition 
of tax consequences until the asset is eventually sold 
to a third party. The adoption of ASU 2016-16 did not 
have a material impact to the Company’s consolidated 
financial position, results of operations, cash flows, 
or disclosures.

On January 1, 2017 the Company adopted ASU No. 2017-
01, Clarifying the Definition of a Business (“ASU 2017-01”) 
which narrows the FASB’s definition of a business and 
provides a framework that gives entities a basis for making 
reasonable judgments about whether a transaction involves 
an asset, or a group of assets, or a business. ASU 2017-01 
states that when substantially all of the fair value of the 
gross assets acquired (or disposed of) is concentrated in 
a single identifiable asset or group of similar identifiable 
assets, the set is not a business. If this initial test is not met, 
a set cannot be considered a business unless it includes 
an acquired input and a substantive process that together 
significantly contribute to the ability to create outputs. In 
addition, ASU 2017-01 clarifies the requirements for a set 
of activities to be considered a business and narrows the 
definition of an output. As a result of prospectively adopting 
ASU 2017-01, the majority of the Company’s real estate 

PART II

acquisitions subsequent to January 1, 2017 are classified 
as asset acquisitions for which the Company records 
identifiable assets acquired, liabilities assumed and any 
associated noncontrolling interests at cost on a relative 
fair value basis. In addition, for such asset acquisitions, no 
goodwill is recognized, third party transaction costs are 
capitalized and any associated contingent consideration is 
recorded when the contingency is resolved.

Not Yet Adopted
Leases. In February 2016, the FASB issued ASU No. 2016-
02, Leases (“ASU 2016-02”). ASU 2016-02 (codified under 
Accounting Standards Codification (“ASC”) 842) amends the 
current accounting for leases to: (i) require lessees to put 
most leases on their balance sheets (not required for short-
term leases with lease terms of 12 months or less), but 
continue recognizing expenses on their income statements 
in a manner similar to requirements under prior accounting 
guidance, (ii) eliminate real estate specific lease provisions, 
and (iii) modify the classification criteria and accounting 
for sales-type leases for lessors. Additionally, ASU 2016-
02 provides a practical expedient, which the Company 
elected, that allows an entity to not reassess the following 
upon adoption (must be elected as a group): (i) whether an 
expired or existing contract contains a lease arrangement, 
(ii) lease classification related to expired or existing lease 
arrangements, or (iii) whether costs incurred on expired or 
existing leases qualify as initial direct costs.

As a result of adopting ASU 2016-02 on January 1, 2019 
using the modified retrospective transition approach, the 
Company will capitalize fewer costs related to the drafting 
and negotiation of its lease agreements. Additionally, the 
Company will recognize all of its significant operating leases 
for which it is the lessee, including corporate office leases, 
equipment leases, and ground leases, on its consolidated 
balance sheets through a lease liability and corresponding 
right-of-use asset. As such, the Company expects to 
recognize a lease liability between $130 million and 
$165 million and right-of-use asset between $145 million 
and $180 million (lease liability, net of the existing accrued 
straight-line rent liability balance and adjusted for 
unamortized above/below market ground lease intangibles) 
during the first quarter of 2019.

Under ASU 2016-02, a practical expedient was offered 
to lessees to make a policy election, which the Company 
elected, to not separate lease and nonlease components, 
but rather account for the combined components as a single 
lease component under ASC 842. In July 2018, the FASB 
issued ASU No. 2018-11, Leases - Targeted Improvements 
(“ASU 2018-11”), which provides lessors with a similar 
option to elect a practical expedient allowing them to not 
separate lease and nonlease components in a contract 
for the purpose of revenue recognition and disclosure. 

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This practical expedient is limited to circumstances in which: 
(i) the timing and pattern of transfer are the same for the 
nonlease component and the related lease component 
and (ii) the lease component, if accounted for separately, 
would be classified as an operating lease. This practical 
expedient causes an entity to assess whether a contract 
is predominantly lease or service based and recognize the 
entire contract under the relevant accounting guidance (i.e., 
predominantly lease-based would be accounted for under 
ASU 2016-02 and predominantly service-based would be 
accounted for under the Revenue ASUs). The Company 
elected this practical expedient as well and, as a result, 
beginning January 1, 2019, the Company will recognize 
revenue from its senior housing triple-net, medical office, 
and life science segments under ASC 842 and revenue from 
its SHOP segment under the Revenue ASUs (codified under 
ASC 606).

In conjunction with reaching the conclusions above, the 
Company concluded it was appropriate (under ASC 205, 
Presentation of Financial Statements) to reclassify amounts 
previously classified as revenue from tenant recoveries 
(within the senior housing triple-net, life science, and 
medical office segments) and present them combined 
with rental and related revenues within the statements 
of operations. The Company implemented this change 
during the fourth quarter of 2018. Included within rental and 
related revenues for the years ended December 31, 2018, 
2017 and 2016 is $157 million, $142 million and $134 million, 
respectively, of tenant recoveries.

In December 2018, the FASB issued ASU No. 2018-20, 
Narrow Scope Improvements for Lessors (“ASU 2018-20”), 
which requires that a lessor: (i) exclude certain lessor 
costs paid directly by a lessee to third parties on behalf 
of the lessor from a lessor’s measurement of variable 
lease revenue and associated expense (i.e., no gross up of 
revenue and expense for these costs), and (ii) include lessor 
costs that are paid by the lessor and reimbursed by the 
lessee in the measurement of variable lease revenue and 
the associated expense (i.e., gross up revenue and expense 
for these costs). This is consistent with the Company’s 
current presentation and will not require a material change 
on January 1, 2019.

Credit Losses. In June 2016, the FASB issued ASU No. 
2016-13, Measurement of Credit Losses on Financial 
Instruments (“ASU 2016-13”). ASU 2016-13 is intended to 
improve financial reporting by requiring timelier recognition 
of credit losses on loans and other financial instruments 
held by financial institutions and other organizations. The 

amendments in ASU 2016-13 eliminate the “probable” 
initial threshold for recognition of credit losses in current 
accounting guidance and, instead, reflect an entity’s 
current estimate of all expected credit losses over the life 
of the financial instrument. Previously, when credit losses 
were measured under current accounting guidance, an 
entity generally only considered past events and current 
conditions in measuring the incurred loss. The amendments 
in ASU 2016-13 broaden the information that an entity must 
consider in developing its expected credit loss estimate 
for assets measured either collectively or individually. 
The use of forecasted information incorporates more 
timely information in the estimate of expected credit 
loss. ASU 2016-13 is effective for fiscal years, and interim 
periods within, beginning after December 15, 2019. 
Early adoption is permitted for fiscal years, and interim 
periods within, beginning after December 15, 2018. A 
reporting entity is required to apply the amendments in 
ASU 2016-13 using a modified retrospective approach by 
recording a cumulative-effect adjustment to equity as of 
the beginning of the fiscal year of adoption. A prospective 
transition approach is required for debt securities for 
which an other-than-temporary impairment had been 
recognized before the effective date. Upon adoption of 
ASU 2016-13, the Company is required to reassess its 
financing receivables, including DFLs and loans receivable, 
and expects that application of ASU 2016-13 may result 
in the Company recognizing credit losses at an earlier 
date than would otherwise be recognized under current 
accounting guidance. The Company is evaluating the impact 
of the adoption of ASU 2016-13 on January 1, 2020 to its 
consolidated financial position and results of operations.

The following ASU has been issued, but not yet adopted, 
and the Company does not expect a material impact to its 
consolidated financial position, results of operations, cash 
flows, or disclosures upon adoption:

•  ASU No. 2017-12, Targeted Improvements to Accounting 
for Hedging Activities (“ASU 2017-12”). ASU 2017-12 
is effective for fiscal years, including interim periods 
within, beginning after December 15, 2018 and early 
adoption is permitted. For cash flow and net investment 
hedges existing at the date of adoption, a reporting 
entity must apply the amendments in ASU 2017-12 
using the modified retrospective approach by 
recording a cumulative-effect adjustment to equity 
as of the beginning of the fiscal year of adoption. The 
presentation and disclosure amendments in ASU 
2017-12 must be applied using a prospective approach.

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PART II

Note 3. 

 Master Transactions and Cooperation Agreement 
with Brookdale

Master Transactions and Cooperation 
Agreement with Brookdale
In November 2017, the Company and Brookdale Senior 
Living Inc. (“Brookdale”) entered into a Master Transactions 
and Cooperation Agreement (the “MTCA”) to provide 
the Company with the ability to significantly reduce its 
concentration of assets leased to and/or managed by 
Brookdale (the “Brookdale Transactions”). In connection 
with the overall transaction pursuant to the MTCA, the 
Company and Brookdale, and certain of their respective 
subsidiaries, agreed to the following:

•  The Company, which owned 90% of the interests in 

its RIDEA I and RIDEA III joint ventures with Brookdale 
at the time the MTCA was executed, agreed to 
purchase Brookdale’s 10% noncontrolling interest in 
each joint venture for an aggregate purchase price of 
$95 million. At the time the MTCA was executed, these 
joint ventures collectively owned and operated 58 
independent living, assisted living, memory care and/
or skilled nursing facilities (the “RIDEA Facilities”). The 
Company completed its acquisitions of the RIDEA III 
noncontrolling interest for $32 million in December 2017 
and the RIDEA I noncontrolling interest for $63 million in 
March 2018;

•  The Company received the right to sell, or transition 
to other operators, 32 of the 78 total assets under an 
Amended and Restated Master Lease and Security 
Agreement (the “Amended Master Lease”) with 
Brookdale and 36 of the RIDEA Facilities (and terminate 
related management agreements with an affiliate of 
Brookdale without penalty);

•  The Company provided an aggregate $5 million annual 
reduction in rent on three assets, effective January 1, 
2018; and

•  Brookdale agreed to purchase two of the assets under 

the Amended Master Lease for $35 million, both of which 
were sold in April 2018, and four of the RIDEA Facilities 

for $240 million, one of which was sold in January 2018 
for $32 million and the remaining three of which were 
sold in April 2018 for $208 million.

During the fourth quarter of 2018, the Company sold 
19 assets (11 of the 32 senior housing triple-net assets 
noted above and eight RIDEA Facilities) to a third-party 
buyer for $377 million. Additionally, during the year ended 
December 31, 2018, the Company terminated the previous 
management agreements or leases with Brookdale on 37 
assets contemplated under the MTCA and completed the 
transition of 20 SHOP assets and 17 senior housing triple-
net assets to other managers.

Fair Value Measurement Techniques and 
Quantitative Information
During the fourth quarter of 2017, the Company performed 
a fair value assessment of each of the MTCA components 
that provided measurable economic benefit or detriment 
to the Company. Each fair value calculation is based on an 
income or market approach and relies on historical and 
forecasted EBITDAR (defined as earnings before interest, 
taxes, depreciation, amortization and rent) and revenue, as 
well as market data, including, but not limited to, a discount 
rate of 12%, a management fee rate of 5% of revenue, 
EBITDAR growth rates ranging from zero to 3%, and real 
estate capitalization rates ranging from 6% to 7%. All 
assumptions are supported by independent market data 
and considered to be Level 2 measurements within the fair 
value hierarchy.

As a result of the assessment, the Company recognized 
a $20 million net reduction of rental and related revenues 
related to the right to terminate leases for 32 triple-net 
assets and the write-off of unamortized lease intangible 
assets related to those same 32 triple-net assets during the 
year ended December 31, 2017. Additionally, the Company 
recognized $35 million of operating expenses related to the 
right to terminate management agreements for 36 SHOP 
assets during the year ended December 31, 2017.

Note 4.  Other Real Estate Property Investments

MSREI MOB JV
In August 2018, the Company and Morgan Stanley Real 
Estate Investment (“MSREI”) formed a joint venture 
(the “MSREI JV”) to own a portfolio of medical office 
buildings (“MOBs”), which the Company owns 51% of and 
consolidates. To form the joint venture, MSREI contributed 
cash of $298 million and HCP contributed nine wholly-owned 
MOBs (the “Contributed Assets”). The Contributed Assets 
are primarily located in Texas and Florida and were valued 

at approximately $320 million at the time of contribution. 
The MSREI JV used substantially all of the cash contributed 
by MSREI to acquire an additional portfolio of 16 MOBs in 
Greenville, South Carolina (the “Greenville Portfolio”) for 
$285 million. Concurrent with acquiring the additional MOBs, 
the MSREI JV entered into 10-year leases with an anchor 
tenant on each MOB in the Greenville Portfolio.

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PART II

The Contributed Assets are accounted for at historical 
depreciated cost by the Company, as the assets continue 
to be consolidated. The Greenville Portfolio is accounted 
for as an asset acquisition, which requires the Company to 
record the individual components of the acquisition at each 
component’s relative fair value. As a result, the Company 
recorded net real estate of $276 million and net intangible 
assets of $20 million during the year ended December 31, 
2018 related to the Greenville Portfolio. Additionally, 
the Company recognized a noncontrolling interest of 
$298 million related to the interest owned by MSREI. Refer 
to Note 19 for a discussion of the Company’s consolidation 
of the MSREI JV.

Life Science JV Interest Purchase
In November 2018, the Company acquired the outstanding 
equity interests in three life science joint ventures 
(which owned four buildings) for $92 million, bringing the 
Company’s equity ownership to 100% for all three joint 
ventures. As the Company began consolidating the assets 
upon acquisition, it derecognized the existing investment 
in the joint ventures, marked the real estate to fair value 

(using a relative fair value allocation), and recognized a 
gain on consolidation of $50 million within other income 
(expense), net.

Sierra Point Towers Acquisition
In November 2018, the Company entered into definitive 
agreements to acquire two life science buildings in South 
San Francisco, California adjacent to the Company’s 
The Shore at Sierra Point development, for $245 million. 
The Company made a $15 million nonrefundable deposit 
upon completing due diligence and expects to close the 
transaction in the first half of 2019.

Other Real Estate Acquisitions
During the year ended December 31, 2018, the Company 
acquired development rights on a land parcel in the Boston 
suburb of Lexington, Massachusetts for $21 million. The 
Company commenced a life science development on the 
land in 2018.

Additionally, in January and February 2019, the Company 
acquired a life science facility for $71 million and 
development rights at an adjacent undeveloped land parcel 
for consideration of up to $27 million. The existing facility 
and land parcel are located in Cambridge, Massachusetts.

2017 Real Estate Acquisitions
The following table summarizes real estate acquisitions for the year ended December 31, 2017 (in thousands):

Segment
SHOP
Life science
Medical office

Consideration

Assets Acquired

Cash 
Paid
$ 44,258
315,255
201,240
$ 560,753

Net 
Liabilities 
Assumed
$ 797
3,524
1,104
$5,425

Real 
Estate
$ 37,940
305,760
184,115
$527,815

Net 
Intangibles
$ 7,115
13,019
18,229
$38,363

Construction, Tenant and Other Capital Improvements
The following table summarizes the Company’s expenditures for construction, tenant and other capital improvements 
(in thousands):

Year Ended December 31,
2018
$ 11,311
53,389
396,431
144,694
1,361
$607,186

2017
$ 32,343
49,473
240,901
148,926
135
$471,778

2016
$ 49,109
74,158
200,122
128,308
7,203
$458,900

Segment
Senior housing triple-net
SHOP
Life science
Medical office
Other

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Note 5.  Dispositions of Real Estate and Discontinued Operations
$91 million and cause CPA to refinance the Company’s 
$242 million of loans receivable from RIDEA II. The Company 
completed the transaction in June 2018, resulting in 
proceeds of $332 million. The Company no longer holds an 
economic interest in RIDEA II.

PART II

Dispositions of Real Estate
Held for Sale
At December 31, 2018, nine SHOP facilities and one 
undeveloped life science land parcel were classified as held 
for sale, with an aggregate carrying value of $108 million, 
primarily comprised of real estate assets of $101 million, 
net of accumulated depreciation of $30 million. At 
December 31, 2017, two senior housing triple-net facilities, 
four life science facilities and six SHOP facilities were 
classified as held for sale, with an aggregate carrying value 
of $417 million, primarily comprised of real estate assets of 
$393 million, net of accumulated depreciation of $93 million. 
Liabilities of assets held for sale is primarily comprised of 
intangible and other liabilities at both December 31, 2018 
and 2017.

Shoreline Technology Center
In November 2018, the Company sold its Shoreline 
Technology Center life science campus located in Mountain 
View, California for $1.0 billion and recognized a gain on sale 
of $726 million.

Brookdale MTCA Disposition
As noted in Note 3, during the fourth quarter of 2018, the 
Company sold 19 assets (11 senior housing triple-net assets 
and eight SHOP assets) to a third-party for $377 million and 
recognized a gain on sale of $40 million. Refer to Note 3 for 
further detail on the Brookdale Transactions.

RIDEA II Sale Transaction
In January 2017, the Company completed the contribution 
of its ownership interest in RIDEA II to an unconsolidated 
joint venture owned by HCP and an investor group led 
by Columbia Pacific Advisors, LLC (“CPA”) (“HCP/CPA 
PropCo” and “HCP/CPA OpCo,” together, the “HCP/
CPA JV”). Also in January 2017, RIDEA II was recapitalized 
with $602 million of debt, of which $360 million was provided 
by a third-party and $242 million was provided by HCP. 
In return for both transaction elements, the Company 
received combined proceeds of $480 million from the HCP/
CPA JV and $242 million in loans receivable and retained 
an approximately 40% ownership interest in RIDEA II. This 
transaction resulted in the Company deconsolidating the 
net assets of RIDEA II and recognizing a net gain on sale 
of $99 million. Refer to Note 2 for the impact of adopting the 
Revenue ASUs on January 1, 2018 to the Company’s partial 
sale of RIDEA II in the first quarter of 2017.

On November 1, 2017, the Company entered into a 
definitive agreement with an investor group led by CPA to 
sell its remaining 40% ownership interest in RIDEA II for 

U.K. Portfolio
In June 2018, the Company entered into a joint venture 
with an institutional investor (the “U.K. JV”) through which 
the Company sold a 51% interest in substantially all United 
Kingdom (“U.K.”) assets previously owned by the Company 
(the “U.K. Portfolio”) based on a total value of £382 million 
($507 million). The Company retained a 49% noncontrolling 
interest in the U.K. JV and received gross proceeds of 
$402 million, including proceeds from the refinancing 
of the Company’s previously held intercompany loans. 
Upon closing the U.K. JV, the Company deconsolidated 
the U.K. Portfolio, recognized its retained noncontrolling 
interest investment at fair value ($105 million) and 
recognized a gain on sale of $11 million, net of $17 million 
of cumulative foreign currency translation reclassified 
from other comprehensive income (see Note 22 for the 
reclassification impact of the Company’s hedge of its net 
investment in the U.K.). The U.K. JV provides numerous 
mechanisms by which the joint venture partner can acquire 
the Company’s remaining interest in the U.K. JV. The fair 
value of the Company’s retained noncontrolling interest 
investment is based on Level 2 measurements within the fair 
value hierarchy.

Additionally, in August 2018, the Company sold its remaining 
£11 million U.K. development loan at par.

2018 Other Dispositions
During the quarter ended March 31, 2018, the Company 
sold two SHOP assets for $35 million, resulting in total gain 
on sales of $21 million (includes asset sales to Brookdale as 
discussed in Note 3 above).

During the quarter ended June 30, 2018, the Company sold 
eight SHOP assets for $268 million and two senior housing 
triple-net assets for $35 million, resulting in total gain on 
sales of $25 million (includes asset sales to Brookdale as 
discussed in Note 3 above).

During the quarter ended September 30, 2018, the 
Company sold four life science assets for $269 million, 
11 SHOP assets for $76 million and two MOBs for 
$21 million, resulting in total gain on sales of $95 million.

During the quarter ended December 31, 2018, the Company 
sold two SHOP facilities for $15 million, two MOBs for 
$4 million, and one undeveloped land parcel for $3 million, 
resulting in no material gain or loss on sales.

2018 Annual Report 

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2017 Dispositions
In January 2017, the Company sold four life science facilities 
in Salt Lake City, Utah for $76 million, resulting in a net gain 
on sale of $45 million.

In March 2017, the Company sold 64 senior housing 
triple-net assets, previously under triple-net leases with 
Brookdale, for $1.125 billion to affiliates of Blackstone Real 
Estate Partners VIII, L.P., resulting in a net gain on sale of 
$170 million.

Additionally, during the year ended December 31, 2017, 
the Company sold the following: (i) a life science land parcel 
for $27 million, (ii) one life science building for $5 million, 
(iii) four senior housing triple-net facilities for $27 million, 
(iv) five SHOP facilities for $43 million and (v) four MOBs for 
$15 million, and recorded a net gain on sale of $41 million.

2016 Dispositions
During the year ended December 31, 2016, the Company 
sold the following: (i) a portfolio of five post-acute/skilled 
nursing facilities and two senior housing triple-net facilities 
for $130 million, (ii) five life science facilities for $386 million, 
(iii) seven senior housing triple-net facilities for $88 million, 
(iv) three MOBs for $20 million and (v) three SHOP facilities 
for $41 million.

Discontinued Operations - Quality Care 
Properties, Inc.
Quality Care Properties, Inc.
On October 31, 2016, the Company completed the spin-off 
(the “Spin-Off”) of its subsidiary, Quality Care Properties, 
Inc. (“QCP”). The Spin-Off assets were primarily comprised 
of the HCR ManorCare, Inc. (“HCRMC”) DFL investments 
and an equity investment in HCRMC. As a result of the Spin-
Off, the operations of QCP are classified as discontinued 
operations for the year ended December 31, 2016.

On October 17, 2016, subsidiaries of QCP issued 
$750 million in aggregate principal amount of senior secured 
notes due 2023 (the “QCP Notes”), the gross proceeds of 
which were deposited in escrow until they were released 
in connection with the consummation of the Spin-Off 
on October 31, 2016. The QCP Notes bear interest at a 
rate of 8.125% per annum, payable semiannually. From 
October 17, 2016 until the completion of the Spin-Off, QCP 
(a then wholly-owned subsidiary of HCP) incurred $2 million 
in interest expense. In addition, immediately prior to the 
effectiveness of the Spin-Off, subsidiaries of QCP received 

$1.0 billion of proceeds from their borrowings under a senior 
secured term loan, bearing interest at a rate at QCP’s option 
of either: (i) LIBOR plus 5.25%, subject to a 1% floor or (ii) 
a base rate specified in the first lien credit and guaranty 
agreement plus 4.25%, bringing the total gross proceeds 
raised by QCP and its subsidiaries under those financings to 
$1.75 billion. In connection with the consummation of the 
Spin-Off, QCP and its subsidiaries transferred $1.69 billion 
in cash and 94 million shares of QCP common stock to 
HCP and certain of its other subsidiaries, and HCP and its 
applicable subsidiaries transferred the assets comprising 
the QCP portfolio to QCP and its subsidiaries. HCP then 
distributed substantially all of the outstanding shares of 
QCP common stock to its stockholders, based on the 
distribution ratio of one share of QCP common stock 
for every five shares of HCP common stock held by HCP 
stockholders as of the October 24, 2016 record date for 
the distribution. The Company recorded the distribution 
of the assets and liabilities of QCP from its consolidated 
balance sheet on a historical cost basis as a dividend from 
stockholders’ equity of $3.5 billion, and zero gain or loss was 
recognized. The Company primarily used the $1.69 billion 
proceeds of the cash distribution it received from QCP upon 
consummation of the Spin-Off to pay down certain of the 
Company’s existing debt obligations.

The Company entered into a Separation and Distribution 
Agreement (the “Separation and Distribution Agreement”) 
with QCP in connection with the Spin-Off. The Separation 
and Distribution Agreement divides and allocates the 
assets and liabilities of the Company prior to the Spin-Off 
between QCP and HCP, governs the rights and obligations 
of the parties regarding the Spin-Off, and contains other 
key provisions relating to the separation of QCP’s business 
from HCP.

In connection with the Spin-Off, the Company entered 
into a Transition Services Agreement (“TSA”) with QCP. 
Per the terms of the TSA, the Company agreed to provide 
certain administrative and support services to QCP on a 
transitional basis for established fees. The TSA terminated 
on October 31, 2017.

From October 31, 2016 through June 2017, HCP was the 
sole lender to QCP of an unsecured revolving credit facility 
(the “Unsecured Revolving Credit Facility”) which had a total 
commitment of $100 million at inception. No amounts were 
drawn on the Unsecured Revolving Credit Facility and the 
total commitment was reduced to zero at June 30, 2017.

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The results of discontinued operations through October 31, 2016, the Spin-Off date, are included in the consolidated results 
for the year ended December 31, 2016. Summarized financial information for discontinued operations for the year ended 
December 31, 2016 is as follows (in thousands):

PART II

Revenues:

Rental and related revenues
Income from direct financing leases

Total revenues

Costs and expenses:

Depreciation and amortization
Operating
General and administrative
Transaction costs
Other income (expense), net
Income (loss) before income taxes
Income tax benefit (expense)

Total discontinued operations

$ 24,204
384,752
408,956

(4,892)
(3,367)
(67)
(86,765)
71
313,936
(48,181)
$ 265,755

During the fourth quarter of 2016, using proceeds from the 
Spin-Off, the Company repaid $500 million of 6.0% senior 
unsecured notes that were due to mature in January 2017, 
$600 million of 6.7% senior unsecured notes that were due 
to mature in January 2018 and $108 million of mortgage 
debt; incurring aggregate loss on debt extinguishments of 
$46 million.

HCR ManorCare, Inc.
Discontinued operations is primarily comprised of QCP’s 
HCRMC DFL investments and equity investment in HCRMC. 
During the year ended December 31, 2016, the Company 
recognized DFL income of $385 million and received 
cash payments of $385 million from the HCRMC DFL 
investments. During the year ended December 31, 2016, 
the Company sold 13 HCRMC facilities for $153 million.

The Company’s acquisition of the HCRMC DFL investments 
in 2011 was subject to federal and state built-in gain tax of 
up to $2 billion if all the assets were sold within 10 years. 
At the time of acquisition, the Company intended to hold 
the assets for at least 10 years, at which time the assets 
would no longer be subject to the built-in gain tax. In 
December 2015, the U.S. Federal Government passed 
legislation which permanently reduced the holding period, 
for federal tax purposes, to five years. The Company 
satisfied the five year holding period requirement in 
April 2016. This legislation was not extended to certain 
states, which maintain a 10 year requirement.

During the year ended December 31, 2016, the Company 
determined that it may sell assets during the next five 
years and, therefore, recorded a deferred tax liability of 
$47 million, representing its estimated exposure to state 
built-in gain tax.

Note 6. 

Leases

Net Investment in Direct Financing Leases
The components of net investment in DFLs consisted of the following (dollars in thousands):

Minimum lease payments receivable
Estimated residual value
Less unearned income

Net investment in direct financing leases
Properties subject to direct financing leases

December 31,
2018
$1,013,976
507,484
(807,642)
$ 713,818
29

2017
$1,062,452
504,457
(852,557)
$ 714,352
29

Certain DFLs contain provisions that allow the tenants to 
elect to purchase the properties during or at the end of the 
lease terms for the aggregate initial investment amount 
plus adjustments, if any, as defined in the lease agreements. 

Certain leases also permit the Company to require the 
tenants to purchase the properties at the end of the 
lease terms.

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The following table summarizes future minimum lease payments contractually due under DFLs at December 31, 2018 
(in thousands):

Year
2019
2020
2021
2022
2023
Thereafter

Amount
$ 114,970
63,308
63,687
58,135
58,570
655,306
$1,013,976

Direct Financing Lease Internal Ratings
The following table summarizes the Company’s internal ratings for net investment in DFLs at December 31, 2018 (dollars 
in thousands):

Internal Ratings

Segment
Senior housing triple-net
Other non-reportable segments

Carrying 
Amount
$629,214
84,604
$713,818

Percentage of 
DFL Portfolio
88
12
100

Performing 
DFLs

Watch 
List DFLs
$278,503 $350,711
—
$363,107 $350,711

84,604

Workout 
DFLs
$—
—
$—

Beginning September 30, 2013, the Company placed a 
14 property senior housing DFL (the “DFL Portfolio”) 
on nonaccrual status and classified the DFL Portfolio on 
“Watch List” status. The Company determined that the 
collection of all rental payments was and continues to be 
no longer reasonably assured; therefore, rental revenue for 
the DFL Portfolio has been recognized on a cash basis. The 
Company re-assessed the DFL Portfolio for impairment on 
December 31, 2018 and determined that the DFL Portfolio 
was not impaired based on its belief that: (i) it was not 
probable that it will not collect all of the rental payments 
under the terms of the lease; and (ii) the fair value of the 
underlying collateral exceeded the DFL Portfolio’s carrying 
amount. The fair value of the DFL Portfolio was estimated 

based on an income approach and utilizes inputs which 
are considered to be a Level 3 measurement within the 
fair value hierarchy. Inputs to this valuation model include 
real estate capitalization rates, industry growth rates, and 
operating margins, some of which influence the Company’s 
expectation of future cash flows from the DFL Portfolio 
and, accordingly, the fair value of its investment. During 
the years ended December 31, 2018, 2017 and 2016, the 
Company recognized DFL income of $14 million, $13 million 
and $13 million, respectively, and received cash payments 
of $19 million, $18 million and $18 million, respectively, from 
the DFL Portfolio. The carrying value of the DFL Portfolio 
was $351 million and $356 million at December 31, 2018 and 
2017, respectively.

Operating Leases
Future Minimum Rents
The following table summarizes future minimum lease payments to be received, excluding operating expense reimbursements, 
from tenants under non-cancelable operating leases as of December 31, 2018 (in thousands):

Year
2019
2020
2021
2022
2023
Thereafter

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Amount
$ 971,417
928,102
853,451
751,972
675,537
2,320,847
$6,501,326

Tenant Purchase Options
Certain leases, including DFLs contain purchase options whereby the tenant may elect to acquire the underlying real estate. 
Annualized base rent from leases subject to purchase options, summarized by the year the purchase options are exercisable, 
are as follows (dollars in thousands):

PART II

Year
2019
2020
2021
2022
Thereafter

Annualized 
Base Rent(1)
$ 23,771
14,545
12,747
13,315
50,577
$114,955

Number of 
Properties
10
4
6
3
34
57

(1)  Represents the most recent month’s base rent including additional rent floors and cash income from DFLs annualized for 12 months. 
Base rent does not include tenant recoveries, additional rents in excess of floors and non-cash revenue adjustments (i.e., straight-line 
rents, amortization of market lease intangibles, DFL non-cash interest and deferred revenues).

Operating Lease Expense
In certain situations, the Company leases land or equipment 
needed for the operation of its business. Such leases 
generally require fixed annual rent payments, may include 

escalation clauses and renewal options, and have terms 
that are up to 99 years, excluding extension options. The 
Company’s rental expense attributable to continuing 
operations was $10 million for each of the years ended 
December 31, 2018, 2017 and 2016.

Future minimum lease obligations under non-cancelable ground and other operating leases as of December 31, 2018 were as 
follows (in thousands):

Year
2019
2020
2021
2022
2023
Thereafter

Note 7. 
The following table summarizes the Company’s loans receivable (in thousands):

Loans Receivable

$

Amount
5,597
5,687
5,776
5,862
5,983
466,130
$ 495,035

Mezzanine(1)
Other(2)
Unamortized discounts, fees and costs
Allowance for loan losses(1)

2018

Real 
Estate 
Secured
$

42,037
—
—
$42,037

Other 
Secured
— $21,013
—
(52)
—
$20,961

December 31,

2017

Real 
Estate 
Secured
$

Other 
Secured
— $269,299
—
188,418
—
(596)
— (143,795)
$188,418 $124,908

Total
$21,013
42,037
(52)
—
$62,998

Total
$269,299
188,418
(596)
(143,795)
$313,326

(1)  At December 31, 2017, primarily related to the Company’s mezzanine loan facility to Tandem Health Care discussed below.
(2)  At December 31, 2018, the Company had $73 million remaining of commitments to fund a $115 million senior living development project. 

At December 31, 2017, includes the U.K. Bridge Loan discussed below.

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The following table summarizes the Company’s internal ratings for loans receivable at December 31, 2018 (dollars 
in thousands):

Investment Type
Real estate secured
Other secured

Carrying 
Amount
$42,037
20,961
$62,998

Percentage 
of Loan 
Portfolio
67
33
100

Performing 
Loans
$42,037
20,961
$62,998

Internal Ratings
Watch List 
Loans
$ —
—
$ —

Workout 
Loans
$ —
—
$ —

Real Estate Secured Loans
The following table summarizes the Company’s loan receivable secured by real estate at December 31, 2018 (dollars 
in thousands):

Final 
Maturity 
Date

Number 
of 
Loans

2022

1

Payment Terms
monthly interest-only payments, accrues interest at 6.5% and 
secured by a senior housing facility in Washington(2)

Principal 
Amount(1)

Carrying 
Amount

$42,037

$42,037

(1)  Represents future contractual principal payments to be received on loans receivable secured by real estate.
(2)  Contains a participation feature that allows the Company to participate in up to 20% of the appreciation of the asset through the time the 

loan is refinanced or repaid.

During the year ended December 31, 2018, the Company 
recognized $5 million in interest income related to loans 
secured by real estate, including interest income related to 
the U.K. Bridge Loan discussed below.

Four Seasons Health Care
In March 2017, the Company sold its investment in Four 
Seasons Health Care’s (“Four Seasons”) senior secured term 
loan at par plus accrued interest for £29 million ($35 million).

Additionally, in March 2017, pursuant to a shift in the 
Company’s investment strategy, the Company sold its 
£138.5 million par value Four Seasons senior notes (the 
“Four Seasons Notes”) for £83 million ($101 million). 
The disposition of the Four Seasons Notes generated a 
£42 million ($51 million) gain on sale, recognized in other 
income (expense), net.  

Other Secured Loans
HC-One Facility
On June 30, 2017, the Company received £283 million 
($367 million) from the repayment of its HC-One 
mezzanine loan.

Tandem Health Care Loan
From July 2012 through May 2015, the Company funded, 
in aggregate, $257 million under a collateralized mezzanine 
loan facility (the “Mezzanine Loan”) to certain affiliates of 
Tandem Health Care (together with its affiliates, “Tandem”).

As part of its quarterly review process, the Company 
recorded an impairment charge and related allowance 
of $57 million during the three months ended June 30, 2017, 
reducing the carrying value to $200 million. The decline in 
fair value was driven by a variety of factors, including recent 
operating results of the underlying real estate assets, as well 
as market and industry data, that reflect a declining trend 
in admissions and a continuing shift away from higher-rate 
Medicare plans in the post-acute/skilled nursing sector. The 
calculation of the fair value was primarily based on an income 
approach and relies on forecasted EBITDAR and market 
data, including, but not limited to, sales price per unit/bed, 
rent coverage ratios, and real estate capitalization rates. All 
valuation inputs are considered to be Level 2 measurements 
within the fair value hierarchy.

Additionally, on July 31, 2017, subsequent to its 
second quarter 2017 quarterly review process and the 
aforementioned impairment, the Company entered into 
a binding agreement (the “Repurchase Agreement”) 
with the borrowers to provide an option to repay the 
Mezzanine Loan at a discounted value of $197 million (the 
“Repayment Value”) by October 25, 2017, which date 
was subsequently extended to December 31, 2017 (the 
“Agreement Maturity Date”). As a result of entering into 
the Repurchase Agreement, the Company recorded an 
additional impairment charge and related allowance of 
$3 million during the quarter ended September 30, 2017 to 
write down the carrying value of the Mezzanine Loan to the 
Repayment Value and assigned the loan an internal rating of 
Workout. As part of the Repurchase Agreement, Tandem 

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posted, in aggregate, $8 million of non-refundable deposits 
(the “Deposits”), which the Company was entitled to retain 
(without any credit against the Mezzanine Loan) if Tandem 
failed to make interest payments on the $257 million par 
value of the Mezzanine Loan through the repayment date 
or the Agreement Maturity Date, as applicable, adjusted for 
any principal payments received.

On November 17, 2017, the Company declared an event of 
default under the Mezzanine Loan. Tandem also failed to 
make its December 2017, January 2018 and February 2018 
interest payments to the Company. As a result of the 
aforementioned events that occurred during the fourth 
quarter of 2017 and first quarter of 2018 (during the 
Company’s fourth quarter 2017 financial statement close 
process), the Company concluded that the Mezzanine 
Loan was impaired and recorded an impairment charge 
and related allowance of $84 million, reducing the carrying 
value of the loan to $105 million as of December 31, 2017. 
Aggregate impairments on the Mezzanine Loan for the year 
ended December 31, 2017 were $144 million.

The decline in expected recoverable value of the Mezzanine 
Loan was primarily driven by the Company’s conclusion 
that the collateral supporting the Mezzanine Loan may 
no longer be the sole source in recovering the Company’s 
investment. As a result, the Company utilized a discounted 
cash flow model to determine expected recoverability of the 
Mezzanine Loan. Additionally, a variety of factors further 
impacted the impairment analysis completed during the 
Company’s fourth quarter 2017 financial statement close 
process including operating results of the underlying real 
estate assets, as well as market and industry data, that 
reflect a declining trend in admissions and a continuing 
shift away from higher-rate Medicare plans in the post-
acute/skilled nursing sector. The calculation relied on: (i) 
forecasted EBITDAR and market data, including, but not 
limited to, sales price per unit/bed, rent coverage ratios, 
and real estate capitalization rates and (ii) bids for a sale 
of the Mezzanine Loan received in February 2018, which 
incorporate market participant required rates of return and 
expected hold periods.

PART II

Beginning in the first quarter of 2017, the Company elected 
to recognize interest income on a cash basis. During the 
years ended December 31, 2018, 2017 and 2016, the 
Company recognized interest income of zero, $23 million, 
and $31 million, respectively, and received cash payments of 
$25 million and $30 million, respectively, from Tandem. The 
carrying value of the Mezzanine Loan was $105 million at 
December 31, 2017.

In March 2018, the Company sold the Mezzanine Loan 
to a third party for approximately $112 million, resulting 
in an impairment recovery, net of transaction costs and 
fees, of $3 million included in other income (expense), net. 
The Company holds no further economic interest in the 
operations of Tandem.

U.K. Bridge Loan
In 2016, the Company provided a £105 million ($131 million 
at closing) bridge loan (the “U.K. Bridge Loan”) to Maria 
Mallaband Care Group Ltd. (“MMCG”) to fund the acquisition 
of a portfolio of seven care homes in the U.K. Under the 
U.K. Bridge Loan, the Company retained a three-year call 
option to acquire those seven care homes at a future date 
for £105 million, subject to certain conditions precedent 
being met. In March 2018, upon resolution of all conditions 
precedent, the Company began the process of exercising its 
call option to acquire the seven care homes and concluded 
that it should consolidate the real estate. As a result, the 
Company derecognized the outstanding loan receivable of 
£105 million and recognized a £29 million ($41 million) loss 
on consolidation. Refer to Note 19 for further discussion 
regarding impact of consolidating the seven care homes 
during the first quarter of 2018.

In June 2018, the Company completed the process of 
exercising the above-mentioned call option. The seven care 
homes acquired through the call option were included in the 
U.K. JV transaction (see Note 5).

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Note 8. 

 Investments in and Advances to Unconsolidated 
Joint Ventures

The Company owns interests in the following entities that are accounted for under the equity method (dollars in thousands):

Entity(1)
CCRC JV
RIDEA II(2)
U.K. JV(3)
Life Science JVs(4)
MBK JV
Development JVs(5)
Medical Office JVs(6)
K&Y JVs(7)
Advances to unconsolidated joint ventures, net

Ownership %
49
40
49
50 - 63
50
50 - 90
20 - 67
80

Carrying Amount
December 31,
2018
$365,764
—
101,735
—
35,435
25,493
10,160
1,430
71
$540,088

2017
$400,241
259,651
—
65,581
38,005
23,365
12,488
1,283
226
$800,840

(1)  These entities are not consolidated because the Company does not control, through voting rights or other means, the joint venture.
(2) 

In June 2018, the Company sold its equity method investment in RIDEA II (see Note 5).

(3)  See Note 5 for discussion of the formation of the U.K. JV and the Company’s equity method investment.
(4) 

Includes the following unconsolidated partnerships (and the Company’s ownership percentage): (i) Torrey Pines Science Center, LP 
(50%); (ii) Britannia Biotech Gateway, LP (55%); and (iii) LASDK, LP (63%). In November 2018, the Company acquired the outstanding 
equity interests and began consolidating the entities (see Note 4).
Includes four unconsolidated development partnerships (and the Company’s ownership percentage): (i) Vintage Park Development 
JV (85%); (ii) Waldwick JV (85%); (iii) Otay Ranch JV (90%); and (iv) MBK Development JV (50%).
Includes three unconsolidated medical office partnerships (and the Company’s ownership percentage): (i) HCP Ventures IV, LLC (20%); 
(ii) HCP Ventures III, LLC (30%); and (iii) Suburban Properties, LLC (67%).
Includes three unconsolidated joint ventures.

(5) 

(6) 

(7) 

The following tables summarize combined financial information for the Company’s unconsolidated joint ventures 
(in thousands):

Real estate, net
Other assets, net
Total assets

Mortgage and other debt
Accounts payable and other
Other partners’ capital
HCP’s capital(1)
Total liabilities and partners’ capital

Total revenues
Total operating expense
Income (loss) from discontinued operations
Net income (loss)
HCP’s share in earnings
Fees earned by HCP
Distributions received by HCP

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December 31,
2018
$ 2,128,147
479,935
$ 2,608,082
$ 827,622
655,177
515,791
609,492
$ 2,608,082

2017
$ 2,104,090
928,790
$ 3,032,880
$ 900,911
561,523
655,311
915,135
$ 3,032,880

Year Ended December 31,

2018
$ 642,724
(492,784)
—
(43,704)
(2,594)
125
48,939

2017
$ 810,216
(643,452)
—
(42,408)
10,901
133
81,165

2016
$ 424,134
(344,553)
8,810
43,015
11,360
299
54,858

At December 31, 2018 and 2017, the aggregate 
unamortized basis difference of the Company’s investments 
in unconsolidated joint ventures of $69 million and 
$115 million, respectively, is primarily attributable to the 
difference between the amount for which the Company 

purchased its interest in the entity and the historical 
carrying value of the net assets of the entity. The difference 
is being amortized over the remaining useful life of the 
related assets and included in equity income (loss) from 
unconsolidated joint ventures.

Note 9. 
The following table summarizes the Company’s intangible lease assets (in thousands):

Intangibles

PART II

Intangible lease assets
Gross intangible lease assets
Accumulated depreciation and amortization

Net intangible lease assets

The following table summarizes the Company’s intangible lease liabilities (in thousands):

Intangible lease liabilities
Gross intangible lease liabilities
Accumulated depreciation and amortization

Net intangible lease liabilities

December 31,
2018
$ 556,114
(251,035)
$ 305,079

2017
$ 795,305
(385,223)
$ 410,082

December 31,
2018
$ 94,444
(39,781)
$ 54,663

2017
$ 126,212
(73,633)
$ 52,579

The following table sets forth amortization related to deferred leasing costs and acquisition-related intangibles 
(in thousands):

Depreciation and amortization expense related to  
amortization of lease-up intangibles
Rental and related revenues related to amortization of  
net below market lease liabilities
Operating expense related to amortization of net  
below market ground lease intangibles

Year Ended December 31,
2017
2018

2016

$67,350

$76,732

$84,487

5,253

2,030

3,877

636

740

664

The following table summarizes the estimated annual amortization for each of the five succeeding fiscal years and thereafter 
(in thousands):

2019
2020
2021
2022
2023
Thereafter

Rental and 
Related 
Revenues(1)
$ 4,399
3,670
3,587
4,331
4,269
16,521
$36,777

$

Operating 
Expense(2)
505
621
738
738
738
29,901
$33,241

Depreciation and 
Amortization(3)
$ 50,762
39,433
32,214
26,438
24,293
80,812
$253,952

(1)  The amortization of net below market lease intangibles is recorded as an increase to rental and related income.
(2)  The amortization of net below market ground lease intangibles is recorded as an increase to operating expense.
(3)  The amortization of lease-up intangibles is recorded to depreciation and amortization expense. 

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Note 10.  Debt

Bank Line of Credit and Term Loans
The Company’s $2.0 billion unsecured revolving line of 
credit facility (the “Facility”) matures on October 19, 2021 
and contains two, six-month extension options. Borrowings 
under the Facility accrue interest at LIBOR plus a margin that 
depends upon the Company’s credit ratings. The Company 
pays a facility fee on the entire revolving commitment that 
depends on its credit ratings. Based on the Company’s 
credit ratings at December 31, 2018, the margin on the 
Facility was 0.875%, and the facility fee was 0.15%. The 
Facility also includes a feature that allows the Company to 
increase the borrowing capacity by an aggregate amount 
of up to $750 million, subject to securing additional 
commitments. At December 31, 2018, the Company had 
$80 million, including £55 million ($70 million), outstanding 
under the Facility with a weighted average effective interest 
rate of 2.12%.

In March 2017, the Company repaid a £137 million unsecured 
term loan. On June 30, 2017, the Company repaid 
£51 million of its four-year unsecured term loan entered 
into in January 2015 (the “2015 Term Loan”). Concurrently, 
the Company terminated its three-year interest rate 
swap which fixed the interest of the 2015 Term Loan and 
therefore, beginning June 30, 2017, the 2015 Term Loan 
accrued interest at a rate of GBP LIBOR plus 1.15%, subject 
to adjustments based on the Company’s credit ratings.

On July 3, 2018, the Company exercised its one-time right 
to repay the outstanding GBP balance and re-borrow in 
USD with all other key terms unchanged, which resulted in 

repayment of the £169 million balance and re-borrowing of 
$224 million. In November 2018, the Company repaid the 
$224 million unsecured term loan, bringing the total term 
loan balance to zero as of December 31, 2018.

The Facility contains certain financial restrictions and 
other customary requirements, including cross-default 
provisions to other indebtedness. Among other things, 
these covenants, using terms defined in the agreements: 
(i) limit the ratio of Consolidated Total Indebtedness to 
Consolidated Total Asset Value to 60%, (ii) limit the ratio 
of Secured Debt to Consolidated Total Asset Value to 
30%, (iii) limit the ratio of Unsecured Debt to Consolidated 
Unencumbered Asset Value to 60%; (iv) require a minimum 
Fixed Charge Coverage ratio of 1.5 times; and (v) require a 
Minimum Consolidated Tangible Net Worth of $6.5 billion at 
December 31, 2018. At December 31, 2018, the Company 
believes it was in compliance with each of these restrictions 
and requirements of the Facility.

Senior Unsecured Notes
At December 31, 2018, the Company had senior unsecured 
notes outstanding with an aggregate principal balance of 
$5.3 billion. The senior unsecured notes contain certain 
covenants including limitations on debt, maintenance of 
unencumbered assets, cross-acceleration provisions and 
other customary terms. The Company believes it was in 
compliance with these covenants at December 31, 2018.

The following table summarizes the Company’s senior unsecured notes payoffs for the periods presented (dollars 
in thousands):

Period
Year ended December 31, 2018:
July 16, 2018(1)
November 8, 2018
Year ended December 31, 2017:
May 1, 2017
July 27, 2017(2)
Year ended December 31, 2016:
February 1, 2016
September 15, 2016
November 30, 2016(3)
November 30, 2016(3)

Amount

Coupon Rate

$700,000
$450,000

$250,000
$500,000

$500,000
$400,000
$500,000
$600,000

5.375%
3.750%

5.625%
5.375%

3.750%
6.300%
6.000%
6.700%

(1)  The Company recorded a $44 million loss on debt extinguishment related to the repurchase of senior notes.
(2)  The Company recorded a $54 million loss on debt extinguishment related to the repurchase of senior notes.
(3)  The Company recorded a $46 million loss on debt extinguishment related to the repurchase of senior notes.

There were no senior unsecured notes issuances for the years ended December 31, 2018, 2017, and 2016.

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PART II

Mortgage Debt
At December 31, 2018, the Company had $133 million in 
aggregate principal of mortgage debt outstanding, which 
is secured by 15 healthcare facilities with a carrying value 
of $278 million. In March 2017, the Company paid off 
$472 million of mortgage debt.

Mortgage debt generally requires monthly principal and 
interest payments, is collateralized by real estate assets and 
is generally non-recourse. Mortgage debt typically restricts 

transfer of the encumbered assets, prohibits additional 
liens, restricts prepayment, requires payment of real 
estate taxes, requires maintenance of the assets in good 
condition, requires maintenance of insurance on the assets 
and includes conditions to obtain lender consent to enter 
into or terminate material leases. Some of the mortgage 
debt is also cross-collateralized by multiple assets and may 
require tenants or operators to maintain compliance with 
the applicable leases or operating agreements of such real 
estate assets.

Debt Maturities
The following table summarizes the Company’s stated debt maturities and scheduled principal repayments at December 31, 
2018 (dollars in thousands):

Senior Unsecured 
Notes(2)

Mortgage Debt(3)

Year
2019
2020
2021
2022
2023
Thereafter

(Discounts), premium and debt costs, net

Bank Line  
of Credit(1)

$

Amount
—
— $
800,000
—
—
80,103
900,000
—
—
800,000
— 2,800,000
5,300,000
(41,450)
$ 80,103 $5,258,550

80,103
—

Interest 
Rate

—% $

Amount
3,561
3,609
2.79%
10,957
—%
2,691
3.93%
4.39%
2,811
4.34% 109,705
133,334
5,136
$138,470

Interest 
Rate

—% $

5.08%
5.26%
—%
—%

Total(4)
3,561
803,609
91,060
902,691
802,811
4.10% 2,909,705
5,513,437
(36,314)
$5,477,123

(1) 

(2) 

(3) 

Includes £55 million translated into USD.
Interest rates on the notes range from 2.79% to 6.87% with a weighted average effective rate of 4.03% and a weighted average maturity 
of six years.
Interest rates on the mortgage debt range from 2.80% to 5.91% with a weighted average effective interest rate of 4.20% and a weighted 
average maturity of 19 years.

(4)  Excludes $91 million of other debt that have no scheduled maturities. Other debt represents (i) $58 million of non-interest bearing life 

care bonds and occupancy fee deposits at certain of the Company’s senior housing facilities and (ii) $33 million of on-demand notes from 
the CCRC JV which bear interest at a rate of 3.6%.

Note 11.  Commitments and Contingencies

Legal Proceedings
From time to time, the Company is a party to, or has a 
significant relationship to, legal proceedings, lawsuits and 
other claims. Except as described below, the Company is 
not aware of any legal proceedings or claims that it believes 
may have, individually or taken together, a material adverse 
effect on the Company’s financial condition, results of 
operations or cash flows. The Company’s policy is to 
expense legal costs as they are incurred.

Class Action. On May 9, 2016, a purported stockholder 
of the Company filed a putative class action complaint, 
Boynton Beach Firefighters’ Pension Fund v. HCP, Inc., et al., 
Case No. 3:16-cv-01106-JJH, in the U.S. District Court 
for the Northern District of Ohio against the Company, 
certain of its officers, HCR ManorCare, Inc. (“HCRMC”), and 

certain of its officers, asserting violations of the federal 
securities laws. The suit asserts claims under sections 
10(b) and 20(a) of the Securities Exchange Act of 1934, 
as amended (the “Exchange Act”), and alleges that the 
Company made certain false or misleading statements 
relating to the value of and risks concerning its investment 
in HCRMC by allegedly failing to disclose that HCRMC had 
engaged in billing fraud, as alleged by the U.S. Department 
of Justice (“DoJ”) in a suit against HCRMC arising from the 
False Claims Act that the DoJ voluntarily dismissed with 
prejudice. The plaintiff in the class action suit demands 
compensatory damages (in an unspecified amount), costs 
and expenses (including attorneys’ fees and expert fees), 
and equitable, injunctive, or other relief as the Court 
deems just and proper. On November 28, 2017, the Court 
appointed Societe Generale Securities GmbH (SGSS 

2018 Annual Report 

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PART II

Germany) and the City of Birmingham Retirement and 
Relief Systems (Birmingham) as Co-Lead Plaintiffs in the 
class action. The motion to dismiss was fully briefed on 
May 21, 2018 and oral arguments were held on October 23, 
2018. Subsequently, on December 6, 2018, HCRMC and its 
officers were voluntarily dismissed from the class action 
lawsuit without prejudice to such claims being refiled. The 
Company believes the suit to be without merit and intends 
to vigorously defend against it.

Derivative Actions. On June 16, 2016 and July 5, 2016, 
purported stockholders of the Company filed two 
derivative actions, respectively Subodh v. HCR ManorCare 
Inc., et al., Case No. 30-2016-00858497-CU-PT-CXC 
and Stearns v. HCR ManorCare, Inc., et al., Case No. 
30-2016-00861646-CU-MC-CJC, in the Superior Court 
of California, County of Orange, against certain of the 
Company’s current and former directors and officers and 
HCRMC. The Company is named as a nominal defendant. 
As both derivative actions contained substantially the 
same allegations, they have been consolidated into a 
single action (the “California derivative action”). The 
consolidated action alleges that the defendants engaged 
in various acts of wrongdoing, including, among other 
things, breaching fiduciary duties by publicly making false or 
misleading statements of fact regarding HCRMC’s finances 
and prospects, and failing to maintain adequate internal 
controls. On April 18, 2017, the Court approved the parties’ 
stipulation to stay the case pending disposition of the 
motion to dismiss the class action litigation.

On April 10, 2017, a purported stockholder of the Company 
filed a derivative action, Weldon v. Martin et al., Case No. 
3:17-cv-755, in federal court in the Northern District of 
Ohio, Western Division, against certain of the Company’s 
current and former directors and officers and HCRMC. The 
Company is named as a nominal defendant. The Weldon 
complaint asserts similar claims to those asserted in the 
California derivative action. In addition, the complaint 
asserts a claim under Section 14(a) of the Exchange Act, 
alleging that the Company made false statements in its 
2016 proxy statement by not disclosing that the Company’s 
performance issues in 2015 were the direct result of alleged 
billing fraud at HCRMC. On April 18, 2017, the Court re-
assigned and transferred this action to the judge presiding 
over the related federal securities class action. On July 11, 
2017, the Court approved a stipulation by the parties to stay 
the case pending disposition of the motion to dismiss the 
class action.

On July 21, 2017, a purported stockholder of the Company 
filed another derivative action, Kelley v. HCR ManorCare, 
Inc., et al., Case No. 8:17-cv-01259, in federal court in 
the Central District of California, against certain of the 
Company’s current and former directors and officers and 
HCRMC. The Company is named as a nominal defendant. 
The Kelley complaint asserts similar claims to those 

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asserted in Weldon and in the California derivative action. 
Like Weldon, the Kelley complaint also additionally alleges 
that the Company made false statements in its 2016 proxy 
statement, and asserts a claim for a violation of Section 
14(a) of the Exchange Act. On November 28, 2017, the 
federal court in the Central District of California granted 
Defendants’ motion to transfer the action to the Northern 
District of Ohio (i.e., the court where the class action and 
other federal derivative action are pending). The Court in the 
Northern District of Ohio is currently considering whether to 
consolidate the Weldon and Kelley actions, appointment of 
lead plaintiffs and counsel, and whether the stay in Weldon 
should continue as to either or both actions.

The Company’s Board of Directors received letters 
dated August 17, 2016, April 19, 2017, and April 20, 2017 
from private law firms acting on behalf of clients who are 
purported stockholders of the Company, each asserting 
allegations similar to those made in the California derivative 
action matters discussed above. Each letter demands that 
the Board of Directors take action to assert the Company’s 
rights. The Board of Directors completed its evaluation and 
rejected the demand letters in December of 2017.

The Company believes that the plaintiffs lack standing or 
the lawsuits and demands are without merit, but cannot 
predict the outcome of these proceedings or reasonably 
estimate any potential loss at this time. Accordingly, no 
loss contingency has been recorded for these matters 
as of December 31, 2018, as the likelihood of loss is not 
considered probable or estimable.

DownREIT LLCs
In connection with the formation of certain DownREIT 
LLCs, members may contribute appreciated real estate to 
a DownREIT LLC in exchange for DownREIT units. These 
contributions are generally tax-deferred, so that the pre-
contribution gain related to the property is not taxed to the 
member. However, if a contributed property is later sold 
by the DownREIT LLC, the unamortized pre-contribution 
gain that exists at the date of sale is specifically allocated 
and taxed to the contributing members. In many of the 
DownREITs, the Company has entered into indemnification 
agreements with those members who contributed 
appreciated property into the DownREIT LLC. Under these 
indemnification agreements, if any of the appreciated 
real estate contributed by the members is sold by the 
DownREIT LLC in a taxable transaction within a specified 
number of years, the Company will reimburse the affected 
members for the federal and state income taxes associated 
with the pre-contribution gain that is specially allocated 
to the affected member under the Code (“make-whole 
payments”). These make-whole payments include a tax 
gross-up provision. These indemnification agreements 
have expiration terms that range through 2033 on a total of 
35 properties.

PART II

Commitments
The following table summarizes the Company’s material commitments, excluding debt service obligations (see Note 10) and 
operating leases (see Note 6), at December 31, 2018 (in thousands):

Construction loan commitments(1)
Development commitments(2)

Total

Total
$ 72,654
299,702
$372,356

2019
$ 68,365
273,625
$341,990

2020-2021
$ 4,289
26,077
$30,366

2022-2023
$ —
—
$ —

More than 
Five Years
$ —
—
$ —

(1)  Represents commitments to finance development projects.
(2)  Represents construction and other commitments for developments in progress.

Credit Enhancement Guarantee
At December 31, 2018, certain of the Company’s senior 
housing facilities serve as collateral for $74 million of 
debt (maturing May 1, 2025) that is owed by a previous 
owner of the facilities. This indebtedness is guaranteed 
by the previous owner who has an investment grade 
credit rating. These senior housing facilities, which are 
classified as DFLs, had a carrying value of $351 million as of 
December 31, 2018.

Environmental Costs
Various environmental laws govern certain aspects of 
the ongoing management and operation of our facilities, 
including those related to presence of asbestos-containing 
materials. The presence of, or the failure to manage and/
or remediate, such materials may adversely affect the 
occupancy and performance of the Company’s facilities. 
The Company monitors its properties for the presence of 
such hazardous or toxic substances and is not aware of any 
environmental liability with respect to the properties that 
would have a material adverse effect on the Company’s 

Note 12.  Equity

Dividends
On January 31, 2019, the Company announced that its 
Board of Directors declared a quarterly cash dividend of 
$0.37 per share. The common stock cash dividend will be 
paid on February 28, 2019 to stockholders of record as of 
the close of business on February 19, 2019.

During the years ended December 31, 2018, 2017 and 
2016, the Company declared and paid common stock 
cash dividends of $1.480, $1.480 and $2.095 per 
share, respectively.

business, financial condition or results of operations. The 
Company carries environmental insurance and believes that 
the policy terms, conditions, limitations and deductibles 
are adequate and appropriate under the circumstances, 
given the relative risk of loss, the cost of such coverage and 
current industry practice.

General Uninsured Losses
The Company obtains various types of insurance to mitigate 
the impact of property, business interruption, liability, 
workers’ compensation, flood, windstorm, earthquake, 
environmental, cyber and terrorism related losses. The 
Company attempts to obtain appropriate policy terms, 
conditions, limits and deductibles considering the relative 
risk of loss, the cost of such coverage and current industry 
practice. There are, however, certain types of extraordinary 
losses, such as those due to acts of war or other events that 
may be either uninsurable or not economically insurable. 
In addition, the Company has a large number of properties 
that are exposed to earthquake, flood and windstorm 
occurrences for which the related insurances carry high 
deductibles and have limits.

At-The-Market Equity Offering 
Program
In June 2015, the Company established an at-the-market 
equity offering program (“ATM Program”). In May 2018, the 
Company renewed its ATM Program. Under this program, 
the Company may sell shares of its common stock from 
time to time having an aggregate gross sales price of up to 
$750 million through a consortium of banks acting as sales 
agents or directly to the banks acting as principals. During 
the year ended December 31, 2018, the Company issued 
5.4 million shares of common stock at a weighted average 

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PART II

net price of $28.27 for net proceeds of $154 million. At 
December 31, 2018, $594 million of our common stock 
remained available for sale under the ATM Program. There 
was no activity during the years ended December 31, 2017 
and 2016.

Forward Equity Offering
In December 2018, the Company entered into a forward 
equity sales agreement to sell up to an aggregate of 
15.25 million shares of its common stock (including shares 
issued through the exercise of underwriters’ options) at 
an initial net price of $28.60 per share, after underwriting 
discounts and commissions. The agreement has a one year 

term and expires on December 13, 2019. The forward sale 
price that the Company expects to receive upon settlement 
of the agreement will be subject to adjustments for: (i) the 
forward purchasers’ stock borrowing costs and (ii) certain 
fixed price reductions during the term of the agreement. At 
December 31, 2018, no shares have been issued under the 
forward equity sales agreement.

In December 2018, contemporaneous with the forward 
equity offering discussed above, the Company completed 
an offering of two million shares of common stock at a 
net price of $28.60 per share, resulting in net proceeds of 
$57 million.

The following table summarizes the Company’s other common stock activities (shares in thousands):

Dividend Reinvestment and Stock Purchase Plan
Conversion of DownREIT units
Exercise of stock options
Vesting of restricted stock units
Repurchase of common stock

Year Ended December 31,
2017
2018
983
237
78
3
32
120
419
401
157
141

2016
2,021
145
133
529
237

Accumulated Other Comprehensive Loss
The following table summarizes the Company’s accumulated other comprehensive loss (in thousands):

Cumulative foreign currency translation adjustment(1)
Unrealized gains (losses) on derivatives, net
Supplemental Executive Retirement plan minimum liability and other

Total accumulated other comprehensive income (loss)

December 31,
2018
$(1,683)
(467)
(2,558)
$(4,708)

2017
$ (6,955)
(13,950)
(3,119)
$(24,024)

(1)  See Notes 5 and 19 for a discussion of the U.K. JV transaction. 

Noncontrolling Interests
At December 31, 2018, there were four million DownREIT 
units (seven million shares of HCP common stock 
are issuable upon conversion) outstanding in five 
DownREIT LLCs, all of which the Company is the managing 

Note 13.  Segment Disclosures
The Company evaluates its business and allocates 
resources based on its reportable business segments: 
(i) senior housing triple-net, (ii) SHOP, (iii) life science 
and (iv) medical office. The Company has non-reportable 
segments that are comprised primarily of the Company’s 
debt investments, hospital properties, unconsolidated joint 
ventures, and U.K. investments. The accounting policies 
of the segments are the same as those described under 
Summary of Significant Accounting Policies (see Note 2).

member of. At December 31, 2018, the carrying and market 
values of the four million DownREIT units were $177 million 
and $185 million, respectively.

See Notes 3, 4 and 5 for transactions involving 
noncontrolling interests.

During the years ended December 31, 2018, 2017 and 
2016, 22, 25 and 17 senior housing triple-net facilities, 
respectively, were transferred to the Company’s SHOP 
segment. When an asset is transferred from one segment 
to another, the results associated with that asset are 
included in the original segment until the date of transfer. 
Results generated after the transfer date are included in the 
new segment.

98

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PART II

The Company evaluates performance based upon: (i) 
property net operating income from continuing operations 
(“NOI”) and (ii) Adjusted NOI. NOI is defined as real estate 
revenues (inclusive of rental and related revenues, resident 
fees and services, and income from direct financing leases), 
less property level operating expenses (which exclude 
transition costs); NOI excludes all other financial statement 
amounts included in net income (loss). Adjusted NOI is 
calculated as NOI after eliminating the effects of straight-
line rents, DFL non-cash interest, amortization of market 
lease intangibles, lease termination fees, actuarial reserves 
for insurance claims that have been incurred but not 
reported and the impact of deferred community fee income 

and expense. NOI and Adjusted NOI exclude the Company’s 
share of income (loss) generated by unconsolidated joint 
ventures, which is recognized in equity income (loss) 
from unconsolidated joint ventures in the consolidated 
statements of operations.

Non-segment assets consist of assets in the Company’s 
other non-reportable segments (see above) and corporate 
non-segment assets. Corporate non-segment assets 
consist primarily of corporate assets, including cash and 
cash equivalents, restricted cash, accounts receivable, 
net, marketable equity securities and, if any, real estate 
held for sale. See Note 20 for other information regarding 
concentrations of credit risk.

The following tables summarize information for the reportable segments (in thousands):

For the year ended December 31, 2018:

Segments
Real estate revenues(1)
Operating expenses

NOI

Adjustments to NOI(2)
Adjusted NOI
Addback adjustments
Interest income
Interest expense
Depreciation and amortization
General and administrative
Transaction costs
Recoveries (impairments), net
Gain (loss) on sales of  
real estate, net
Loss on debt extinguishment
Other income (expense), net
Income tax benefit (expense)
Equity income (loss) from 
unconsolidated joint ventures
Net income (loss)

SHOP

Life 
Science

Senior 
Medical 
Housing 
Triple-Net
Office
$ 276,091 $ 547,976 $ 395,064 $ 509,019
(189,859)
319,160
(2,899)
316,261
2,899
—
(474)
(193,710)
—
—
—

(414,312)
133,664
2,875
136,539
(2,875)
—
(2,725)
(104,405)
—
—
(44,343)

(91,742)
303,322
(9,589)
293,733
9,589
—
(316)
(140,480)
—
—
(7,639)

(3,618)
272,473
2,127
274,600
(2,127)
—
(2,404)
(79,605)
—
—
—

Other 
Non- 
reportable
$ 108,133
(5,507)
102,626
(4,418)
98,208
4,418
10,406
(1,469)
(31,299)
—
—
(3,278)

Corporate 
Non- 
segment
$

Total
— $1,836,283
— (705,038)
— 1,131,245
—
(11,904)
— 1,119,341
11,904
—
10,406
—
(266,343)
(258,955)
— (549,499)
(96,702)
(10,772)
(55,260)

(96,702)
(10,772)
—

641
—
—
—

93,977
—
—
—

806,184
—
—
—

4,428
—
—
—

20,755
—
9,605
—

—
(44,162)
3,711
17,854

925,985
(44,162)
13,316
17,854

—

—
$ 191,105 $ 76,168 $ 961,071 $ 129,404

—

—

(2,594)
$ 104,752

—

(2,594)
$(389,026) $1,073,474

(1)  Represents rental and related revenues, resident fees and services, and income from DFLs.
(2)  Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance 

claims that have been incurred but not reported, deferral of community fees, net and termination fees.

2018 Annual Report 

99

  
PART II

For the year ended December 31, 2017:

Segments
Real estate revenues(1)
Operating expenses

NOI

Adjustments to NOI(2)
Adjusted NOI
Addback adjustments
Interest income
Interest expense
Depreciation and amortization
General and administrative
Transaction costs
Recoveries (impairments), net
Gain (loss) on sales of  
real estate, net
Loss on debt extinguishment
Other income (expense), net
Income tax benefit (expense)
Equity income (loss) from 
unconsolidated joint ventures
Net income (loss)

SHOP

Life 
Science

Other 
Senior 
Non- 
Housing 
Medical 
reportable
Office
Triple-Net
$ 116,846
$ 313,547 $ 525,473 $ 358,816 $ 477,459
(4,743)
(183,197)
112,103
294,262
(4,446)
(2,952)
107,657
291,310
4,446
2,952
56,237
—
(4,230)
(506)
(29,085)
(169,795)
—
—
—
—
— (143,794)

(78,001)
280,815
(4,517)
276,298
4,517
—
(373)
(128,864)
—
—
—

(396,491)
128,982
33,227
162,209
(33,227)
—
(7,920)
(103,162)
—
—
—

(3,819)
309,728
17,098
326,826
(17,098)
—
(2,518)
(103,820)
—
—
(22,590)

Corporate 
Non- 
segment
$

Total
— $1,792,141
— (666,251)
— 1,125,890
38,410
—
— 1,164,300
(38,410)
—
56,237
—
(307,716)
(292,169)
— (534,726)
(88,772)
(7,963)
— (166,384)

(88,772)
(7,963)

280,349
—
—
—

17,485
—
—
—

45,916
—
—
—

9,095
—
—
—

3,796
—
50,895
—

—
(54,227)
(19,475)
1,333

356,641
(54,227)
31,420
1,333

—

—
$ 461,149 $ 35,385 $ 197,494 $ 133,056

—

—

10,901
$ 56,823

—

10,901
$(461,273) $ 422,634

(1)  Represents rental and related revenues, resident fees and services, and income from DFLs.
(2)  Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance 

claims that have been incurred but not reported, deferral of community fees, net and termination fees. 

100 http://www.hcpi.com

For the year ended December 31, 2016:

PART II

Segments
Real estate revenues(1)
Operating expenses

NOI

Adjustments to NOI(2)
Adjusted NOI
Addback adjustments
Interest income
Interest expense
Depreciation and amortization
General and administrative
Transaction costs
Gain (loss) on sales of  
real estate, net
Loss on debt extinguishment
Other income (expense), net
Income tax benefit (expense)
Equity income (loss) from 
unconsolidated joint ventures
Discontinued operations
Net income (loss)

SHOP

Life 
Science

Senior 
Housing 
Medical 
Office
Triple-Net
$ 423,118 $ 686,822 $ 358,537 $ 446,280
(173,687)
272,593
(3,536)
269,057
3,536
—
(5,895)
(161,790)
—
—

(480,870)
205,952
(2,686)
203,266
2,686
—
(29,745)
(108,806)
—
—

(6,710)
416,408
(7,566)
408,842
7,566
—
(9,499)
(136,146)
—
—

(72,478)
286,059
(2,954)
283,105
2,954
—
(2,357)
(130,829)
—
—

$

Other 
Non- 
reportable
$ 125,729
(4,654)
121,075
(3,022)
118,053
3,022
88,808
(9,153)
(30,537)
—
—

Corporate 
Non- 
segment

Total
— $2,040,486
— (738,399)
— 1,302,087
(19,764)
—
— 1,282,323
19,764
—
88,808
—
(464,403)
(407,754)
— (568,108)
(103,611)
(9,821)

(103,611)
(9,821)

48,744
—
—
—

675
—
—
—

49,042
—
—
—

8,333
—
—
—

57,904
—
—
—

—
(46,020)
3,654
(4,473)

164,698
(46,020)
3,654
(4,473)

—
—

—
—
$ 319,507 $ 68,076 $ 201,915 $ 113,241

—
—

—
—

11,360
—
$ 239,457

—
265,755

11,360
265,755
$ (302,270) $ 639,926

(1)  Represents rental and related revenues, resident fees and services, and income from DFLs.
(2)  Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance 

claims that have been incurred but not reported, deferral of community fees, net and termination fees.

The following table summarizes the Company’s revenues by segment (in thousands):

Segments
Senior housing triple-net
SHOP
Life science
Medical office
Other non-reportable segments

Total revenues

Year Ended 
December 31,

2017
$ 313,547
525,473
358,816
477,459
173,083
$1,848,378

2018
$ 276,091
547,976
395,064
509,019
118,539
$1,846,689

2016
$ 423,118
686,822
358,537
446,280
214,537
$2,129,294

2018 Annual Report 

101

  
PART II

The following table summarizes the Company’s total assets by segment (in thousands):

December 31,

Segments
Senior housing triple-net
SHOP
Life science
Medical office

Reportable segment assets

Accumulated depreciation and amortization

Net reportable segment assets
Other non-reportable segment assets
Assets held for sale, net
Other non-segment assets

Total assets

The Company completed the required annual goodwill 
impairment test during the fourth quarter of 2018, 
2017 and 2016, and no impairment was recognized. 
At December 31, 2018 and 2017, goodwill of $47 million was 

Note 14.  Compensation Plans

Stock Based Compensation
On May 11, 2006, the Company’s stockholders approved 
the 2006 Performance Incentive Plan, which was amended 
and restated in 2009 (“the 2006 Plan”). On May 1, 2014, the 
Company’s stockholders approved the 2014 Performance 
Incentive Plan (“the 2014 Plan”) (collectively, “the Plans”). 
Following the adoption of the 2014 Plan, no new awards will 
be issued under the 2006 Plan. The Plans provide for the 
granting of stock-based compensation, including stock 
options, restricted stock and restricted stock units to 
officers, employees and directors in connection with their 
employment with or services provided to the Company. The 
maximum number of shares reserved for awards under the 
2014 Plan is 33 million shares, and, as of December 31, 2018, 
29 million of the reserved shares under the 2014 Plan are 
available for future awards, of which 19 million shares may 
be issued as restricted stock or restricted stock units.

Total share-based compensation expense recognized 
during the years ended December 31, 2018, 2017 and 2016 
was $15 million, $14 million, and $23 million, respectively. 
The year ended December 31, 2018 includes a $2 million 
charge recognized in general and administrative expenses 
primarily resulting from the departure of our Executive 
Chairman that was comprised of the accelerated vesting 
of restricted stock units. The year ended December 31, 
2017 includes a $1 million charge recognized in general 
and administrative expenses related to the accelerated 
vesting of restricted stock units primarily resulting from 
the departure of the Company’s former Chief Accounting 
Officer. The year ended December 31, 2016 includes a 
$7 million charge recognized in general and administrative 
expenses related to the accelerated vesting of restricted 

102 http://www.hcpi.com

2017

2018

2016
$ 2,965,679 $ 3,515,400 $ 3,871,720
3,135,115
3,961,623
3,724,483
14,692,941
(2,900,060)
11,792,881
2,255,712
927,866
782,806
$12,718,553 $14,088,461 $15,759,265

2,173,795
4,303,471
4,354,441
13,797,386
(2,915,592)
10,881,794
1,015,854
108,086
712,819

2,392,130
4,154,372
3,989,168
14,051,070
(2,919,278)
11,131,792
1,904,433
417,014
635,222

allocated to segment assets as follows: (i) senior housing 
triple-net—$21 million, (ii) SHOP—$9 million, (iii) medical 
office—$11 million and (iv) other—$6 million.

stock units primarily resulting from the departure of the 
Company’s former chief executive officer (“CEO”). As 
of December 31, 2018, there was $26 million of future 
expense related to unvested share-based compensation 
arrangements granted under the Company’s incentive 
plans, which is expected to be recognized over a weighted 
average period of two years associated with future 
employee service.

Conversion of Equity Awards at the 
Spin-Off Date
The Plans were established with anti-dilution provisions, 
such that in the event of an equity restructuring of the 
Company (including spin-off transactions), equity awards 
would preserve their value post-transaction. In order to 
achieve an equitable modification of the existing awards 
following the Spin-Off, the Company converted pre-spin 
awards to their post-spin value, resulting in grants to 
remaining employees denominated solely in the Company’s 
common stock. The conversion impacted 133 participants, 
resulting in additional awards being granted. The fair value of 
these additional awards was immaterial.

Stock Options
There have been no grants of stock options since 2014. 
Stock options outstanding and exercisable were 0.8 million 
at December 31, 2018 and 1.1 million at December 31, 2017. 
Proceeds received from stock options exercised under the 
Plans for the years ended December 31, 2018, 2017 and 
2016 were $2 million, $1 million and $4 million, respectively. 
Compensation expense related to stock options was 
immaterial for all periods presented.

Restricted Stock Awards
Under the Plans, restricted stock awards, including 
restricted stock units and performance stock units are 
granted subject to certain restrictions. Conditions of 
vesting are determined at the time of grant. Restrictions on 
certain awards generally lapse, as provided in the Plans or in 
the applicable award agreement, upon retirement, a change 
in control or other specified events. The fair market value 
of restricted stock awards, both time vesting and those 
subject to specific performance criteria, are expensed over 
the period of vesting. Restricted stock units, which vest 
based solely upon passage of time generally vest over a 
period of three to six years. The fair value of restricted stock 
units is determined based on the closing market price of the 
Company’s shares on the grant date. Performance stock 
units, which are restricted stock awards that vest dependent 
upon attainment of various levels of performance that equal 
or exceed targeted levels, generally vest in their entirety 
at the end of a three year performance period. The number 
of shares that ultimately vest can vary from 0% to 200% 
of target depending on the level of achievement of the 

PART II

performance criteria. The fair value of performance stock 
units is determined based on the Monte Carlo valuation 
model. The compensation expense recognized for all 
restricted stock awards is net of actual forfeitures.

Upon vesting of restricted stock awards, the participant 
is required to pay the related tax withholding obligation. 
Participants can generally elect to have the Company 
reduce the number of common stock shares delivered to 
pay the employee tax withholding obligation. The value of 
the shares withheld is dependent on the closing market 
price of the Company’s common stock on the trading date 
prior to the relevant transaction occurring. During the years 
ended December 31, 2018, 2017 and 2016, the Company 
withheld 141,000, 157,000 and 237,000 shares, respectively, 
to offset tax withholding obligations with respect to the 
vesting of the restricted stock and performance restricted 
stock unit awards.

Holders of restricted stock awards, including restricted 
stock units and performance stock units, are generally 
entitled to receive dividends equal to the amount that would 
be paid on an equivalent number of shares of common stock.

The following table summarizes restricted stock award activity, including performance stock units, for the year ended 
December 31, 2018 (units in thousands):

Unvested at January 1, 2018
Granted
Vested
Forfeited
Unvested at December 31, 2018

Restricted 
Stock 
Units
1,139
1,097
(401)
(137)
1,698

Weighted 
Average 
Grant Date 
Fair Value
$33.41
22.95
32.42
30.34
27.13

At December 31, 2018, the weighted average remaining 
vesting period of restricted stock and performance based 
units was two years. The total fair value (at vesting) of 

restricted stock and performance based units which vested 
for the years ended December 31, 2018, 2017 and 2016 was 
$10 million, $15 million and $24 million, respectively.

Note 15. 

Impairments

Real Estate
During 2018, in conjunction with classifying the assets 
as held for sale, the Company determined that 17 
underperforming SHOP assets and an undeveloped 
life science land parcel were impaired. Additionally, the 
Company determined that three additional underperforming 
SHOP assets that were candidates for potential future sale 
were impaired under the held-for-use impairment model. 
Accordingly, the Company recognized total impairment 
charges of $52 million during 2018 to write-down the 
carrying value of the assets to their respective fair values 
(less an estimate of costs to sell for assets classified 
as held for sale). The fair value of the assets was based 

on contracted or forecasted sales prices and expected 
future cash flows, which are considered to be Level 2 
measurements within the fair value hierarchy.

During 2017, the Company determined that 11 
underperforming senior housing triple-net assets that were 
candidates for potential future sale were impaired under the 
held-for-use impairment model. Accordingly, the Company 
wrote-down the carrying amount of these 11 assets to their 
fair value, which resulted in an aggregate impairment charge 
of $23 million. The fair value of the assets was based on 
forecasted sales prices which are considered to be Level 2 
measurements within the fair value hierarchy.

2018 Annual Report 

103

  
PART II

Casualty-Related
As a result of Hurricane Harvey and Hurricane Irma during 
the year ended December 31, 2017, the Company recorded 
an estimated $13 million of casualty-related losses, net 
of a small insurance recovery. The losses are comprised 
of $8 million of property damage and $5 million of other 
associated costs, including storm preparation, clean up, 
relocation and other costs. Of the total $13 million casualty 
losses incurred, $12 million was recorded in other income 
(expense), net, and $1 million was recorded in equity income 

Income Taxes

Note 16. 
The Company has elected to be taxed as a REIT under the 
applicable provisions of the Code for every year beginning 
with the year ended December 31, 1985. The Company has 
also elected for certain of its subsidiaries to be treated as 
TRSs (the “TRS entities”) which are subject to federal and 
state income taxes. All entities other than the TRS entities 
are collectively referred to as the “REIT” within this Note 16. 
Certain REIT entities are also subject to state, local and 
foreign income taxes.

Ordinary dividends(1)
Capital gains
Nondividend distributions

(loss) from unconsolidated joint ventures as it relates to 
casualty losses for properties owned by certain of our 
unconsolidated joint ventures. In addition, the Company 
recorded a $1 million deferred tax benefit associated with 
the casualty-related losses.

Other
See Note 7 for information on the impairment charge 
related to the mezzanine loan facility to Tandem and the 
impairment recovery related to Four Season Notes.

Distributions with respect to our common stock can be 
characterized for federal income tax purposes as ordinary 
dividends, capital gains, nondividend distributions or 
a combination thereof. The following table shows the 
characterization of our annual common stock distributions 
per share:

Year Ended December 31,

2017

2018

2016
$0.9578 $1.4800 $1.5561
—
—
— 6.7089

0.5222
—

(1)  The 2018 amount includes $0.0164 of qualified dividend income for purposes of Code Section 1(h)(11), and $0.9414 of qualified business 

income for purposes of Code Section 199A.

(2)  Consists of $2.095 per common share of quarterly cash dividends and $6.17 per common share of stock dividends related to the Spin-Off 

$1.4800 $1.4800 $8.2650(2)

(see Note 5).

HCP common stockholders on October 24, 2016, the record 
date for the Spin-Off (the “Record Date”), received upon the 
Spin-Off on October 31, 2016, one share of QCP common 
stock for every five shares of HCP common stock they 
held (the “Distributed Shares”) and cash in lieu of fractional 
shares of QCP. For U.S. federal income tax purposes, 
HCP reported the fair market value of the QCP common 
stock distributed per each share of HCP common stock 
outstanding on the Record Date as $6.17, or $30.85 for each 
share of QCP common stock.

The TRS entities subject to tax reported losses before 
income taxes from continuing operations of $59 million, 
$58 million and $9 million for the years ended December 31, 
2018, 2017 and 2016, respectively. The REIT’s losses from 
continuing operations before income taxes from the U.K. 
were $11 million, $4 million and $4 million for the years 
ended December 31, 2018, 2017 and 2016, respectively.

104 http://www.hcpi.com

The total income tax expense (benefit) from continuing operations consists of the following components (in thousands):

PART II

Year Ended December 31,
2018

2017

2016

Current

Federal
State
Foreign
Total current

Deferred

Federal
State
Foreign
Total deferred

$

(568) $

4,003
84
$ 3,519

949
1,504
1,737
$ 4,190

$ 8,525
8,307
1,332
$ 18,164

$(11,905) $ 2,730
(5,889)
(2,364)

$(10,241)
(1,401)
(2,049)
$(21,373) $ (5,523) $(13,691)

(4,589)
(4,879)

Total income tax expense (benefit)

$(17,854) $ (1,333) $ 4,473

On December 22, 2017, the Tax Cuts and Jobs Act was 
signed into law. As a result of the reduced U.S. federal 
corporate tax rate, the Company recorded a tax expense of 
$17 million, due to a remeasurement of deferred tax assets 
and liabilities, which is included in total deferred tax expense 
(benefit) in the table above.

The Company’s income tax expense from discontinued 
operations was $48 million for the year ended December 31, 
2016 (see Note 5). There was no income tax expense from 
discontinued operations for the years ended December 31, 
2018 and 2017.

The following table reconciles income tax expense (benefit) from continuing operations at statutory rates to actual income 
tax expense recorded (in thousands):

Tax benefit at U.S. federal statutory income tax rate on income or loss subject to tax
State income tax expense, net of federal tax
Gross receipts and margin taxes
Foreign rate differential
Effect of permanent differences
Return to provision adjustments
Remeasurement of deferred tax assets and liabilities
Increase (decrease) in valuation allowance
Total income tax expense (benefit)

2017

Year Ended December 31,
2018

2016
$(17,857) $(21,085) $ (4,581)
6,081
1,847
647
(280)
287
—
472
$(17,854) $ (1,333) $ 4,473

(1,222)
1,716
632
6
1,597
17,080
(57)

(1,313)
1,580
301
(34)
(278)
—
(253)

Deferred income taxes reflect the net effects of temporary differences between the carrying amounts of the assets and 
liabilities for financial reporting purposes and the amounts used for income tax purposes. The following table summarizes the 
significant components of the Company’s deferred tax assets and liabilities from continuing operations (in thousands):

Property, primarily differences in depreciation and amortization, the basis of land, and the 
treatment of interest and certain costs
Net operating loss carryforward
Expense accruals and other
Valuation allowance

Net deferred tax assets

December 31,

2018

2017

2016

$31,034 $31,691 $28,940
8,784
10,720
(847)
229
(606)
(548)
$53,722 $42,092 $36,271

20,559
2,424
(295)

2018 Annual Report 

105

  
PART II

Deferred tax assets and liabilities are included in 
other assets, net and accounts payable and accrued 
liabilities, respectively.

At December 31, 2018 the Company had a net operating 
loss (“NOL”) carryforward of $80 million related to the TRS 
entities. These amounts can be used to offset future taxable 
income, if any. If unused, $44 million will begin to expire in 
2033. The remainder, totaling $36 million, may be carried 
forward indefinitely.

The Company records a valuation allowance against 
deferred tax assets in certain jurisdictions when it cannot 
sustain a conclusion that it is more likely than not that it 
can realize the deferred tax assets during the periods in 
which these temporary differences become deductible. 
The deferred tax asset valuation allowance is adequate to 
reduce the total deferred tax assets to an amount that the 
Company estimates will “more-likely-than-not” be realized.

The Company files numerous U.S. federal, state and local 
income and franchise tax returns. With a few exceptions, 
the Company is no longer subject to U.S. federal, state, or 
local tax examinations by taxing authorities for years prior 
to 2015.

For the years ended December 31, 2018, 2017, and 2016 
the tax basis of the Company’s net assets was less than the 
reported amounts by $1.4 billion, $1.7 billion, and $2.0 billion, 
respectively. The difference between the reported amounts 
and the tax basis was primarily related to the Slough Estates 
USA, Inc. (“SEUSA”) acquisition, which occurred in 2007. 
SEUSA was a corporation subject to federal and state 
income taxes. As a result of this acquisition, the Company 
succeeded to the tax attributes of SEUSA, including the tax 
basis in the acquired company’s assets and liabilities.

In December 2018, the Company entered into forward 
equity sales agreement to sell up to an aggregate of 
15.25 million shares of its common stock (see Note 12) by 
no later than December 13, 2019. The Company expects to 
settle this agreement with shares of common stock prior 
to expiration.

The Company considered the potential dilution resulting 
from the forward equity sales agreement to the calculation 
of earnings per share. At inception, the agreement does not 
have an effect on the computation of basic EPS as no shares 
are delivered until settlement. However, the Company 
uses the treasury stock method to determine the dilution 
resulting from the forward equity sales agreement during 
the period of time prior to settlement. As the issuance price 
under the forward equity sales agreement was greater 
than the average market price at December 31, 2018, the 
agreement was anti-dilutive.

Note 17.  Earnings Per Common Share
Basic income (loss) per common share is computed based 
upon the weighted average number of common shares 
outstanding. Diluted income (loss) per common share is 
computed based upon the weighted average number of 
common shares outstanding plus the common shares 
issuable from the assumed conversion of DownREIT units, 
stock options, certain performance restricted stock units 
and unvested restricted stock units. Only those instruments 
having a dilutive impact on our basic income (loss) per share 
are included in diluted income (loss) per share during the 
periods presented.

Restricted stock and certain performance restricted stock 
units are considered participating securities, because 
dividend payments are not forfeited even if the underlying 
award does not vest, and require use of the two-class 
method when computing basic and diluted earnings 
per share.

106 http://www.hcpi.com

The following table illustrates the computation of basic and diluted earnings per share (in thousands, except per share data):

PART II

Numerator
Net income (loss) from continuing operations
Noncontrolling interests’ share in earnings

Net income (loss) attributable to HCP, Inc.
Less: Participating securities’ share in earnings

Income (loss) from continuing operations applicable to common shares

Discontinued operations

Net income (loss) applicable to common shares

Numerator - Dilutive
Net income (loss) applicable to common shares
Add: distributions on dilutive convertible units and other
Dilutive net income (loss) available to common shares
Denominator
Basic weighted average shares outstanding
Dilutive potential common shares - equity awards
Dilutive potential common shares - DownREIT conversions
Diluted weighted average common shares
Basic earnings per common share
Continuing operations
Discontinued operations

Net income (loss) applicable to common shares

Diluted earnings per common share
Continuing operations
Discontinued operations

Net income (loss) applicable to common shares

For all periods presented in the above table, approximately 
1 million equity awards (restricted stock units and stock 
options) and all shares of common stock issuable pursuant 
to the settlement of forward equity sales agreement (see 
discussion above) were not included because they are anti-
dilutive. For the years ended December 31, 2018, 2017 and 

Year Ended December 31,
2018

2017

2016

$1,073,474 $422,634
(8,465)
414,169
(1,156)
413,013
—
$1,058,424 $413,013

(12,381)
1,061,093
(2,669)
1,058,424
—

$374,171
(12,179)
361,992
(1,198)
360,794
265,755
$626,549

$1,058,424 $413,013
—
$1,065,343 $413,013

6,919

$626,549
—
$626,549

470,551
168
4,668
475,387

468,759
176
—
468,935

467,195
208
—
467,403

$

$

$

$

2.25 $
—
2.25 $

2.24 $
—
2.24 $

0.88
—
0.88

0.88
—
0.88

$

$

$

$

0.77
0.57
1.34

0.77
0.57
1.34

2016, 2 million, 7 million and 7 million shares, respectively, 
issuable upon conversion of DownREIT units were not 
included because they are anti-dilutive.

2018 Annual Report 

107

  
PART II

Note 18.  Supplemental Cash Flow Information
The following table summarizes supplemental cash flow information (in thousands):

Supplemental cash flow information:

Interest paid, net of capitalized interest
Income taxes paid
Capitalized interest

Supplemental schedule of non-cash investing and financing activities:

Year Ended December 31,

2018

2017

2016

$275,690
4,480
21,056

$ 309,111
10,045
16,937

$ 489,453
13,727
11,108

Accrued construction costs
Non-cash impact of QCP Spin-Off, net
Securities transferred for debt defeasance
Retained equity method investment from U.K. JV transaction
Derecognition of U.K. Bridge Loan receivable
Consolidation of net assets related to U.K. Bridge Loan
Vesting of restricted stock units and conversion of non-managing member units 
into common stock
Net noncash impact from the consolidation of previously unconsolidated joint 
ventures (see Note 4)
Deconsolidation of noncontrolling interest in connection with RIDEA II transaction
Mortgages and other liabilities assumed with real estate acquisitions

88,826
—
—
104,922
147,474
106,457

67,425

49,999
— 3,539,584
73,278
—
—
—
—
—
—
—

537

2,908

6,622

68,293
—
8,457

—
58,061
5,425

—
—
82,985

See discussions related to: (i) the Brookdale Transactions in Note 3, (ii) the Spin-Off, RIDEA II transaction and U.K. JV 
transaction in Note 5, (iii) the U.K. Bridge Loan in Notes 7 and 19, and (iv) the acquisition of the outstanding equity interests in 
three life science joint ventures in Note 4.

The following table summarizes cash, cash equivalents and restricted cash (in thousands):

Cash and cash equivalents
Restricted cash

Cash, cash equivalents and restricted cash

Note 19.  Variable Interest Entities

December 31,
2018
$110,790
29,056
$139,846

2017
$ 55,306
26,897
$ 82,203

Unconsolidated Variable Interest 
Entities
At December 31, 2018, the Company had investments in: (i) 
48 properties leased to VIE tenants; (ii) four unconsolidated 
VIE joint ventures; (iii) marketable debt securities of one 
VIE; and (iv) one loan to a VIE borrower. The Company 
has determined that it is not the primary beneficiary of 
and therefore does not consolidate these VIEs because it 
does not have the ability to control the activities that most 
significantly impact their economic performance. Except 
for the Company’s equity interest in the unconsolidated 
joint ventures (CCRC OpCo, Vintage Park Development JV, 
Waldwick JV and the LLC investment discussed below), it has 
no formal involvement in these VIEs beyond its investments.

The Company leases 48 properties to a total of seven 
tenants that have also been identified as VIEs (“VIE tenants”). 
These VIE tenants are “thinly capitalized” entities that rely on 

the operating cash flows generated from the senior housing 
facilities to pay operating expenses, including the rent 
obligations under their leases.

The Company holds a 49% ownership interest in CCRC 
OpCo, a joint venture entity formed in August 2014 that 
operates senior housing properties in a RIDEA structure and 
has been identified as a VIE. The equity members of CCRC 
OpCo “lack power” because they share certain operating 
rights with Brookdale, as manager of the CCRCs. The assets 
of CCRC OpCo primarily consist of the CCRCs that it owns 
and leases, resident fees receivable, notes receivable, and 
cash and cash equivalents; its obligations primarily consist 
of operating lease obligations to CCRC PropCo, debt service 
payments and capital expenditures for the properties, and 
accounts payable and expense accruals associated with 
the cost of its CCRCs’ operations. Assets generated by the 
CCRC operations (primarily rents from CCRC residents) 
of CCRC OpCo may only be used to settle its contractual 

108 http://www.hcpi.com

obligations (primarily from debt service payments, capital 
expenditures, and rental costs and operating expenses 
incurred to manage such facilities).

The Company holds an 85% ownership interest in a joint 
venture (Vintage Park Development JV), which has been 
identified as a VIE as power is shared with a member that 
does not have a substantive equity investment at risk. The 
assets of the joint venture primarily consist of a leased 
property (net real estate), rents receivable, and cash 
and cash equivalents; its obligations primarily consist of 
debt-service payments. Any assets generated by the joint 
venture may only be used to settle its respective contractual 
obligations (primarily debt service payments).

The Company holds an 85% ownership interest in a 
development joint venture (Waldwick JV), which has been 
identified as a VIE as power is shared with a member that 
does not have a substantive equity investment at risk. The 
assets of the joint venture primarily consist of an in-progress 
senior housing facility development project that it owns and 
cash and cash equivalents; its obligations primarily consist of 
accounts payable and expense accruals associated with the 
cost of its development obligations. Any assets generated 
by the joint venture may only be used to settle its respective 
contractual obligations (primarily development expenses and 
debt service payments).

PART II

The Company holds a limited partner ownership interest 
in an unconsolidated LLC that has been identified as a VIE. 
The Company’s involvement in the entity is limited to its 
equity investment as a limited partner, and it does not have 
any substantive participating rights or kick-out rights over 
the general partner. The assets and liabilities of the entity 
primarily consist of those associated with its senior housing 
real estate and development activities. Any assets generated 
by the entity may only be used to settle its contractual 
obligations (primarily development expenses and debt 
service payments).

The Company holds commercial mortgage-backed 
securities (“CMBS”) issued by Federal Home Loan Mortgage 
Corporation (commonly referred to as Freddie MAC) 
through a special purpose entity that has been identified 
as a VIE because it is “thinly capitalized.” The CMBS issued 
by the VIE are backed by mortgage debt obligations on real 
estate assets.

The Company provided seller financing of $10 million related 
to its sale of seven senior housing triple-net facilities. The 
financing was provided in the form of a secured five-year 
mezzanine loan to a “thinly capitalized” borrower created to 
acquire the facilities.

The classification of the related assets and liabilities and their maximum loss exposure as a result of the Company’s 
involvement with these VIEs at December 31, 2018 are presented below (in thousands):

VIE Type
VIE tenants - DFLs(2)
VIE tenants - operating leases(2)
CCRC OpCo
Unconsolidated development 
joint ventures
Loan - seller financing
CMBS and LLC investment

Asset/Liability Type
Net investment in DFLs
Lease intangibles, net and straight-line rent receivables
Investments in unconsolidated joint ventures

Maximum Loss Exposure 
and Carrying Amount(1)
$ 600,230
7,396
176,236

Investments in unconsolidated joint ventures
Loans Receivable, net
Marketable debt and cost method investment

15,176
10,000
34,263

(1)  The Company’s maximum loss exposure represents the aggregate carrying amount of such investments (including accrued interest).
(2)  The Company’s maximum loss exposure may be mitigated by re-leasing the underlying properties to new tenants upon an event 

of default.

As of December 31, 2018, the Company had not provided, 
and is not required to provide, financial support through a 
liquidity arrangement or otherwise, to its unconsolidated 
VIEs, including circumstances in which it could be exposed 

to further losses (e.g., cash shortfalls). See Notes 4, 6, 7 
and 8 for additional descriptions of the nature, purpose and 
operating activities of the Company’s unconsolidated VIEs 
and interests therein.

2018 Annual Report 

109

  
PART II

Consolidated Variable Interest Entities
HCP, Inc.'s consolidated total assets and total liabilities at December 31, 2018 and December 31, 2017 include certain assets 
of VIEs that can only be used to settle the liabilities of the related VIE. The VIE creditors do not have recourse to HCP, Inc. 
Total assets at December 31, 2018 and December 31, 2017 include VIE assets as follows (in thousands):

Assets

Building and improvements
Developments in process
Land
Accumulated depreciation
Net real estate
Investments in and advances to unconsolidated joint ventures
Accounts receivable, net
Cash and cash equivalents
Restricted cash
Intangible assets, net
Other assets, net
Total assets

Liabilities

Mortgage debt
Intangible liabilities, net
Accounts payable and accrued expenses
Deferred revenue
Total liabilities

December 31,
2018

2017

$1,949,582
39,584
151,746
(398,143)
1,742,769
1,550
7,904
23,772
3,399
111,333
43,149
$1,933,876

$

44,598
19,128
66,736
24,215
$ 154,677

$2,436,414
32,285
227,162
(542,091)
2,153,770
2,231
10,242
15,861
2,619
125,475
33,749
$2,343,947

$

45,016
10,672
269,280
14,432
$ 339,400

HCP Ventures V, LLC. The Company holds a 51% ownership 
interest in and is the managing member of a joint venture 
entity formed in October 2015 that owns and leases MOBs 
(“HCP Ventures V”). Upon adoption of ASU No. 2015-02, 
Amendments to the Consolidation Analysis (“ASU 2015-02”), 
the Company classified HCP Ventures V as a VIE due to the 
non-managing member lacking substantive participation 
rights in the management of HCP Ventures V or kick-
out rights over the managing member. The Company 
consolidates HCP Ventures V as the primary beneficiary 
because it has the ability to control the activities that most 
significantly impact the VIE’s economic performance. 
The assets of HCP Ventures V primarily consist of leased 
properties (net real estate), rents receivable, and cash and 
cash equivalents; its obligations primarily consist of capital 
expenditures for the properties. Assets generated by 
HCP Ventures V may only be used to settle its contractual 
obligations (primarily from capital expenditures).

Vintage Park JV. The Company holds a 90% ownership 
interest in and is the managing member of a joint venture 
entity formed in January 2015 (“Vintage Park JV”) that 
owns an 85% interest in an unconsolidated development 
VIE. Upon adoption of ASU 2015-02, the Company classified 
Vintage Park JV as a VIE due to the non-managing member 
lacking substantive participation rights in the management 
of the Vintage Park JV or kick-out rights over the managing 
member. The Company consolidates Vintage Park JV as the 

primary beneficiary because it has the ability to control the 
activities that most significantly impact the VIE’s economic 
performance. The assets of Vintage Park JV primarily 
consist of an investment in the Vintage Park Development 
JV and cash and cash equivalents; its obligations primarily 
consist of funding the ongoing development of the 
Vintage Park Development JV. Assets generated by the 
Vintage Park JV may only be used to settle its contractual 
obligations (primarily from the funding of the Vintage Park 
Development JV).

Watertown JV. The Company holds a 95% ownership 
interest in and is the managing member of joint venture 
entities formed in November 2017 that own and 
operate a senior housing property in a RIDEA structure 
(“Watertown JV”). Watertown PropCo is a VIE as the 
Company and the non-managing member share in control 
of the entity, but substantially all of the entity's activities 
are performed on behalf of the Company. Watertown 
OpCo is a VIE as the non-managing member, through its 
equity interest, lacks substantive participation rights in 
the management of Watertown OpCo or kick-out rights 
over the managing member. The Company consolidates 
Watertown PropCo and Watertown OpCo as the primary 
beneficiary because it has the ability to control the activities 
that most significantly impact these VIEs’ economic 
performance. The assets of Watertown PropCo primarily 
consist of a leased property (net real estate), rents 

110 http://www.hcpi.com

receivable, and cash and cash equivalents; its obligations 
primarily consist of notes payable to a non-VIE consolidated 
subsidiary of the Company. The assets of Watertown OpCo 
primarily consist of leasehold interests in a senior housing 
facility (operating lease), resident fees receivable, and 
cash and cash equivalents; its obligations primarily consist 
of lease payments to Watertown PropCo and operating 
expenses of its senior housing facilities (accounts payable 
and accrued expenses). Assets generated by the senior 
housing operations (primarily from senior housing resident 
rents) of the Watertown structure may only be used to 
settle its contractual obligations (primarily from the rental 
costs, operating expenses incurred to manage such facilities 
and debt costs).

Hayden JV. The Company holds a 99% ownership interest in 
a joint venture entity formed in December 2017 that owns 
and leases a life science complex (“Hayden JV”). The Hayden 
JV is a VIE as the members share in control of the entity, 
but substantially all of the entity's activities are performed 
on behalf of the Company. The Company consolidates the 
Hayden JV as the primary beneficiary because it has the 
ability to control the activities that most significantly impact 
these VIEs’ economic performance. The assets of the 
Hayden JV primarily consist of leased properties (net real 
estate), rents receivable, and cash and cash equivalents; its 
obligations primarily consist of debt service payments and 
capital expenditures for the properties. Assets generated 
by Hayden JV may only be used to settle its contractual 
obligations (primarily from capital expenditures).

MSREI JV. The Company holds a 51% ownership interest 
in, and is the managing member of, a joint venture entity 
formed in August 2018 that owns and leases MOBs (the 
“MSREI JV” - see Note 4). The MSREI JV is a VIE due to the 
non-managing member lacking substantive participation 
rights in the management of the joint venture or kick-
out rights over the managing member. The Company 
consolidates the MSREI JV as the primary beneficiary 
because it has the ability to control the activities that most 
significantly impact the VIE’s economic performance. 
The assets of the MSREI JV primarily consist of leased 
properties (net real estate), rents receivable, and cash 
and cash equivalents; its obligations primarily consist of 
capital expenditures for the properties. Assets generated 
by the MSREI JV may only be used to settle its contractual 
obligations (primarily from capital expenditures).

Consolidated Lessees. The Company leases six senior 
housing properties to lessee entities under cash flow leases 
through which the Company receives monthly rent equal to 
the residual cash flows of the properties. The lessee entities 
are classified as VIEs as they are "thinly capitalized" entities. 
The Company consolidates the lessee entities as it has 
the ability to control the activities that most significantly 

PART II

impact the economic performance of the lessee entities. 
The lessee entities' assets primarily consist of leasehold 
interests in senior housing facilities (operating leases), 
resident fees receivable, and cash and cash equivalents; 
its obligations primarily consist of lease payments to the 
Company and operating expenses of the senior housing 
facilities (accounts payable and accrued expenses). Assets 
generated by the senior housing operations (primarily from 
senior housing resident rents) may only be used to settle 
its contractual obligations (primarily from the rental costs, 
operating expenses incurred to manage such facilities and 
debt costs).

DownREITs. The Company holds a controlling ownership 
interest in and is the managing member of five DownREITs. 
The Company classifies the DownREITs as VIEs due to the 
non-managing members lacking substantive participation 
rights in the management of the DownREITs or kick-
out rights over the managing member. The Company 
consolidates the DownREITs as the primary beneficiary 
because it has the ability to control the activities that most 
significantly impact these VIEs’ economic performance. 
The assets of the DownREITs primarily consist of leased 
properties (net real estate), rents receivable, and cash 
and cash equivalents; their obligations primarily consist 
of debt service payments and capital expenditures for the 
properties. Assets generated by the DownREITs (primarily 
from resident rents) may only be used to settle their 
contractual obligations (primarily from debt service and 
capital expenditures).

Other Consolidated Real Estate Partnerships. The Company 
holds a controlling ownership interest in and is the general 
partner (or managing member) of multiple partnerships 
that own and lease real estate assets (the “Partnerships”). 
The Company classifies the Partnerships as VIEs due to 
the limited partners (non-managing members) lacking 
substantive participation rights in the management of the 
Partnerships or kick-out rights over the general partner 
(managing member). The Company consolidates the 
Partnerships as the primary beneficiary because it has 
the ability to control the activities that most significantly 
impact these VIEs’ economic performance. The assets 
of the Partnerships primarily consist of leased properties 
(net real estate), rents receivable, and cash and cash 
equivalents; their obligations primarily consist of debt 
service payments and capital expenditures for the 
properties. Assets generated by the Partnerships (primarily 
from resident rents) may only be used to settle their 
contractual obligations (primarily from debt service and 
capital expenditures).

Other consolidated VIEs. The Company made a loan to an 
entity that entered into a tax credit structure (“Tax Credit 
Subsidiary”) and a loan to an entity that made an investment 

2018 Annual Report 

111

  
PART II

in a development joint venture (“Development JV”) both 
of which are considered VIEs. The Company consolidates 
the Tax Credit Subsidiary and Development JV as the 
primary beneficiary because it has the ability to control the 
activities that most significantly impact the VIEs’ economic 
performance. The assets and liabilities of the Tax Credit 
Subsidiary and Development JV substantially consist of 
a development in progress, notes receivable, prepaid 
expenses, notes payable, and accounts payable and accrued 
liabilities generated from their operating activities. Any 
assets generated by the operating activities of the Tax 
Credit Subsidiary and Development JV may only be used to 
settle their contractual obligations.

U.K. Bridge Loan. In 2016, the Company provided a 
£105 million ($131 million at closing) bridge loan to MMCG to 
fund the acquisition of a portfolio of seven care homes in the 
U.K. MMCG created a special purpose entity to acquire the 
portfolio and funded it entirely using the Company’s bridge 
loan. As such, the special purpose entity had historically 
been identified as a VIE because it was “thinly capitalized.” 
The Company retained a three-year call option to acquire 
all the shares of the special purpose entity, which it could 
only exercise upon the occurrence of certain events. During 
the quarter ended March 31, 2018, the Company concluded 
that the conditions required to exercise the call option had 
been met and initiated the call option process to acquire 
the special purpose entity. In conjunction with initiating the 
process to legally exercise its call option and the satisfaction 

of required contingencies, the Company concluded that it 
was the primary beneficiary of the special purpose entity 
and therefore, should consolidate the entity. As such, 
during the quarter ended March 31, 2018, the Company 
derecognized the previously outstanding loan receivable, 
recognized the special purpose entity’s assets and liabilities 
at their respective fair values, and recognized a £29 million 
($41 million) loss on consolidation, net of a tax benefit of 
£2 million ($3 million), to account for the difference between 
the carrying value of the loan receivable and the fair value of 
net assets and liabilities assumed. The loss on consolidation 
is recognized within other income (expense), net and the tax 
benefit is recognized within income tax benefit (expense). The 
fair value of net assets and liabilities consolidated during the 
first quarter of 2018 consisted of £81 million ($114 million) of 
net real estate, £4 million ($5 million) of intangible assets, and 
£9 million ($13 million) of net deferred tax liabilities.

In June 2018, the Company completed the exercise of 
the above-mentioned call option and formally acquired 
full ownership of the special purpose entity. As such, the 
Company reconsidered whether the special purpose 
entity was a VIE and concluded that it was no longer “thinly 
capitalized” as the previously outstanding bridge loan 
converted to equity at risk and, therefore, was no longer 
a VIE. The real estate assets held by the special purpose 
entity were contributed to the U.K. JV formed by the 
Company in June 2018 (see Note 5).

Note 20.  Concentration of Credit Risk
Concentrations of credit risk arise when one or more tenants, operators or obligors related to the Company’s 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 the Company, to be similarly affected by changes 
in economic conditions. The Company regularly monitors various segments of its portfolio to assess potential concentrations 
of credit risks.

The following tables provide information regarding the Company’s concentrations with respect to Brookdale as a tenant as of 
and for the periods presented:

Tenant
Brookdale(1)

Tenant
Brookdale(1)

Percentage of Total Assets

Total Company
December 31,
2018
6

2017
10

Senior Housing Triple-Net
December 31,
2018
27

2017
39

Percentage of Revenues

Total Company
Year Ended December 31,
2016
2017
2018
12
8
6

Senior Housing  
Triple-Net
Year Ended December 31,
2016
2017
2018
59
47
38

(1)  Excludes senior housing facilities operated by Brookdale in the Company’s SHOP segment as discussed below. Percentages of segment 
and total company revenues include partial-year revenue earned from senior housing triple-net facilities that were sold during 2018. 
Accordingly, the percentages of segment and total company revenues are expected to decrease in 2019. The years ended December 31, 
2017 and 2016 include revenues from 64 senior housing triple-net facilities that were sold in March 2017.

112 http://www.hcpi.com

As of December 31, 2018 and 2017, Brookdale managed or 
operated, in the Company’s SHOP segment, approximately 
7% and 13%, respectively, of the Company’s real estate 
investments based on total assets. Because an operator 
manages the Company’s facilities in exchange for the 
receipt of a management fee, the Company is not directly 
exposed to the credit risk of its operators in the same 
manner or to the same extent as its triple-net tenants. As 
of December 31, 2018, Brookdale provided comprehensive 
facility management and accounting services with respect 
to 35 of the Company’s SHOP facilities and 16 SHOP 
facilities owned by its unconsolidated joint ventures, 
for which the Company or joint venture pay annual 
management fees pursuant to long-term management 
agreements. Most of the management agreements have 
terms ranging from 10 to 15 years, with three to four 5-year 
renewals. The base management fees are 4.5% to 5.0% 
of gross revenues (as defined) generated by the RIDEA 
facilities. In addition, there are incentive management 
fees payable to Brookdale if operating results of the 
RIDEA properties exceed pre-established EBITDAR (as 
defined) thresholds.

Brookdale is subject to the registration and reporting 
requirements of the U.S. Securities and Exchange 
Commission (“SEC”) and is required to file with the SEC 
annual reports containing audited financial information and 

PART II

quarterly reports containing unaudited financial information. 
The information related to Brookdale contained or referred 
to in this report has been derived from SEC filings made by 
Brookdale or other publicly available information, or was 
provided to the Company by Brookdale, and the Company 
has not verified this information through an independent 
investigation or otherwise. The Company has no reason to 
believe that this information is inaccurate in any material 
respect, but the Company cannot assure the reader 
of its accuracy. The Company is providing this data for 
informational purposes only, and encourages the reader to 
obtain Brookdale’s publicly available filings, which can be 
found on the SEC’s website at www.sec.gov.

See Note 3 for further information on the reduction of 
concentration related to Brookdale.

To mitigate the credit risk of leasing properties to certain 
senior housing operators, leases with operators are often 
combined into portfolios that contain cross-default terms, 
so that if a tenant of any of the properties in a portfolio 
defaults on its obligations under its lease, the Company 
may pursue its remedies under the lease with respect to 
any of the properties in the portfolio. Certain portfolios 
also contain terms whereby the net operating profits of the 
properties are combined for the purpose of securing the 
funding of rental payments due under each lease.

The following table provides information regarding the Company’s concentrations with respect to certain states; the 
information provided is presented for the gross assets and revenues that are associated with certain real estate assets as 
percentages of total Company’s total assets and revenues:

State
California
Texas

Percentage of 
Total Company 
Assets
December 31,
2018
34
16

2017
31
14

Percentage of  
Total Company  
Revenues
Year Ended December 31,
2016
2017
2018
26
26
26
17
17
18

2018 Annual Report 

113

  
PART II

Note 21.  Fair Value Measurements
Financial assets and liabilities measured at fair value on a recurring basis at December 31, 2018 in the consolidated balance 
sheets are immaterial.

The table below summarizes the carrying amounts and fair values of the Company’s financial instruments (in thousands):

Loans receivable, net(2)
Marketable debt securities(2)
Bank line of credit(2)
Term loan(2)
Senior unsecured notes(1)
Mortgage debt(2)
Other debt(2)
Interest-rate swap liabilities(2)
Cross currency swap liability(2)

December 31,

2018(3)

2017(3)

$

Carrying Value
62,998
19,202
80,103
—
5,258,550
138,470
90,785
1,310
—

$

Fair Value
62,998
19,202
80,103
—
5,302,485
136,161
90,785
1,310
—

Carrying Value
$ 313,326
18,690
1,017,076
228,288
6,396,451
144,486
94,165
2,483
10,968

Fair Value
$ 313,242
18,690
1,017,076
228,288
6,737,825
125,984
94,165
2,483
10,968

(1)  Level 1: Fair value calculated based on quoted prices in active markets.
(2)  Level 2: Fair value based on (i) for marketable debt securities, quoted prices for similar or identical instruments in active or inactive 

markets, respectively, or (ii) or for loans receivable, net, mortgage debt, and swaps, calculated utilizing standardized pricing models in 
which significant inputs or value drivers are observable in active markets. For bank line of credit, term loans and other debt, the carrying 
values are a reasonable estimate of fair value because the borrowings are primarily based on market interest rates and the Company’s 
credit rating.

(3)  During the years ended December 31, 2018 and 2017, there were no transfers of financial assets or liabilities within the fair 

value hierarchy.

Note 22.  Derivative Financial Instruments
The following table summarizes the Company’s outstanding interest-rate contracts as of December 31, 2018  
(dollars in thousands):

Date Entered
Interest rate:
July 2005(2)

Maturity Date Hedge Designation

Notional Pay Rate

Receive Rate

Fair Value(1)

July 2020

Cash Flow

$43,000

3.820% BMA Swap Index

$(1,310)

(1)  Derivative liabilities are recorded in accounts payable and accrued liabilities on the consolidated balance sheets.
(2)  Represents three interest-rate swap contracts, which hedge fluctuations in interest payments on variable-rate secured debt due to 

overall changes in hedged cash flows.

The Company uses derivative instruments to mitigate the 
effects of interest rate fluctuations on specific forecasted 
transactions as well as recognized financial obligations or 
assets. Utilizing derivative instruments allows the Company 
to manage the risk of fluctuations in interest rates related 
to the potential impact these changes could have on future 
earnings and forecasted cash flows. The Company does 
not use derivative instruments for speculative or trading 
purposes. Assuming a one percentage point shift in the 
underlying interest rate curve, the estimated change in fair 
value of each of the underlying derivative instruments would 
not exceed $1 million.

On June 29, 2018, concurrent with closing the U.K. JV 
transaction, the Company terminated a cross currency 
swap contract, which was designated as a hedge of the 
Company’s net investment in the U.K. As such, upon 

deconsolidation of the U.K. Portfolio, the Company 
reclassified the $6 million loss in other comprehensive 
income related to the cross currency swap through gain 
(loss) on sales of real estate, net.

As of December 31, 2018, £55 million of the Company’s 
GBP-denominated borrowings under the Facility are 
designated as a hedge of a portion of the Company’s net 
investments in GBP-functional currency unconsolidated 
subsidiaries to mitigate its exposure to fluctuations in 
the GBP to USD exchange rate. For instruments that are 
designated and qualify as net investment hedges, the 
variability in the foreign currency to USD exchange rate 
of the instrument is recorded as part of the cumulative 
translation adjustment component of accumulated 
other comprehensive income (loss). Accordingly, the 
remeasurement value of the designated £55 million 

114 http://www.hcpi.com

PART II

GBP-denominated borrowings due primarily to fluctuations 
in the GBP to USD exchange rate are reported in 
accumulated other comprehensive income (loss) as the 
hedging relationship is considered to be effective. The 

balance in accumulated other comprehensive income (loss) 
(loss of $2 million at December 31, 2018) will be reclassified 
to earnings when the Company sells its remaining 
U.K. investments.

Note 23.  Selected Quarterly Financial Data (Unaudited)
The following table summarizes selected quarterly information for the years ended December 31, 2018 and 2017 
(in thousands, except per share amounts):

Total revenues
Income (loss) before income taxes and equity income 
from investments in unconsolidated joint ventures
Net income (loss)
Net income (loss) applicable to HCP, Inc.
Dividends paid per common share
Basic earnings per common share
Diluted earnings per common share

Total revenues
Income (loss) before income taxes and equity income from 
investments in unconsolidated joint ventures
Net (loss) income
Net (loss) income applicable to HCP, Inc.
Dividends paid per common share
Basic earnings per common share
Diluted earnings per common share

Three Months Ended 2018

March 31
$479,197

June 30
$469,551

September 30
$456,022

December 31
$441,919

37,331
43,237
40,232
0.37
0.08
0.08

88,375
92,928
89,942
0.37
0.19
0.19

98,908
102,926
99,371
0.37
0.21
0.21

833,600
834,383
831,548
0.37
1.75
1.73

Three Months Ended 2017

March 31
$492,168

June 30
$458,928

September 30
$454,023

December 31
$443,259

454,746
464,177
461,145
0.37
0.98
0.97

18,874
22,101
19,383
0.37
0.04
0.04

(12,263)
(5,720)
(7,657)
0.37
(0.02)
(0.02)

(50,957)
(57,924)
(58,702)
0.37
(0.13)
(0.13)

The above selected quarterly financial data includes the following significant transactions:

2018
•  During the quarter ended December 31, 2018, the 
Company sold its Shoreline Technology Center life 
science campus for $1.0 billion and recognized a gain 
on sale of $726 million.

•  During the quarter ended December 31, 2018, the 

Company acquired the outstanding equity interests 
in three life science joint ventures for $92 million and 
recognized a gain on consolidation of $50 million.
•  During the quarter ended December 31, 2018, the 
Company sold 19 senior housing assets (11 senior 
housing triple-net assets and eight SHOP assets) for 
$377 million and recognized gain on sales of $40 million.

•  During the quarter ended December 31, 2018, the 

Company recognized impairment charges of $33 million 
related to four underperforming SHOP assets.
•  During the quarter ended September 30, 2018, the 
Company repurchased $700 million of its 5.375% 
senior notes due 2021 and recorded a $44 million loss 
on debt extinguishment.

•  During the quarter ended March 31, 2018, The 
Company recognized a £29 million ($41 million) 
loss on consolidation related to the U.K. Bridge Loan 
(see Notes 7 and 19).

2017
•  During the quarter ended December 31, 2017, the 
Company recognized a $20 million net reduction of 
rental and related revenues and $35 million of operating 
expense related to the Brookdale Transactions.
•  During the quarter ended December 31, 2017, the 

Company recorded an impairment charge of $84 million 
related to the Tandem Mezzanine Loan.

•  During the quarter ended December 31, 2017, the 

Company recognized a tax expense of $17 million due to 
a remeasurement of deferred tax assets and liabilities.

•  During the quarter ended September 30, 2017, the 

Company repurchased $500 million of its 5.375% senior 
notes due 2021 and recorded a $54 million loss on 
debt extinguishment.

2018 Annual Report 

115

  
PART II

•  During the quarter ended June 30, 2017, the Company 

recorded an impairment charge of $57 million related to 
the Tandem Mezzanine Loan.

•  During the quarter ended March 31, 2017, the Company 
sold 64 senior housing triple-net assets, resulting in a 
net gain on sale of $170 million.

•  During the quarter ended March 31, 2017, the 

•  During the quarter ended March 31, 2017, the Company 

Company deconsolidated the net assets of RIDEA II and 
recognized a net gain on sale of $99 million.

sold its Four Seasons Notes, which generated a 
£42 million ($51 million) gain on sale.

116 http://www.hcpi.com

PART II

Schedule II: Valuation and Qualifying Accounts
Allowance Accounts(1)

Additions

Deductions

Year Ended 
December 31,
2018
2017
2016

Balance at 
Beginning of 
Year
$ 169,374
29,518
36,180

Amounts 
Charged 
Against 
Operations, net
4,105
$
144,135
1,177

Acquired 
Properties
$—
—
—

Uncollectible 
Accounts 

Written-off Dispositions
$ (143,795)
(1,547)
(4,996)

$ (1,887)
(2,732)
(2,843)

Balance at 
End of Year
$ 27,797
169,374
29,518

(1) 

Includes allowance for doubtful accounts, straight-line rent reserves, and allowances for loan and direct financing lease losses  
(see Note 6 to the Consolidated Financial Statements).

2018 Annual Report 

117

  
PART II

Schedule III: Real Estate and Accumulated Depreciation

State

City
Senior housing triple-net
AL
1107 Huntsville
AZ
0786 Douglas
AZ
0518 Tucson
CA
1238 Beverly Hills
CA
0883 Carmichael
CA
2204 Chino Hills
CA
0851 Citrus Heights
CA
0790 Concord
CA
0787 Dana Point
CA
0798 Escondido
CA
0791 Fremont
CA
0788 Granada Hills
CA
0227 Lodi
CA
0226 Murietta
CA
1165 Northridge
CA
0789 Pleasant Hill
CA
2205 Roseville
0793 South San Francisco CA
CA
0792 Ventura
0512 Denver
CO
1000 Greenwood Village CO
FL
0861 Apopka
FL
0852 Boca Raton
FL
2467 Ft Myers
FL
1095 Gainesville
FL
0490 Jacksonville
FL
1096 Jacksonville
FL
1017 Palm Harbor
FL
0802 St. Augustine
FL
1097 Tallahassee
FL
1605 Vero Beach
FL
1257 Vero Beach
GA
2165 Hartwell
GA
2066 Lawrenceville
GA
1241 Lilburn
GA
2086 Newnan
IL
1005 Oak Park
IL
1162 Orland Park
IL
1237 Wilmette
KY
2115 Murray
MD
1249 Frederick
ME
0546 Cape Elizabeth
ME
0545 Saco
MI
1258 Auburn Hills
MI
1248 Farmington Hills
MI
1259 Sterling Heights
1235 Des Peres
MO
1236 Richmond Heights MO
MO
0853 St. Louis
NC
0878 Charlotte
NC
2465 Charlotte
NC
2468 Franklin
NC
2466 Raeford
NC
1254 Raleigh
NJ
1239 Cresskill

Encumbrances 
at December 31, 
2018

Initial Cost to Company

Buildings and 
Improvements

Land

Costs 
Capitalized 
Subsequent to 
Acquisition

Gross Amount at Which Carried  
As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

$

— $
—
—
—
—
—
—
25,000
—
14,340
—
—
—
—
—
6,270
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—

307
110
2,350
9,872
4,270
3,720
1,180
6,010
1,960
5,090
2,360
2,200
732
435
6,718
2,480
3,844
3,000
2,030
2,810
3,367
920
4,730
2,782
1,221
3,250
1,587
1,462
830
1,331
700
2,035
368
581
907
1,227
3,476
2,623
1,100
288
609
630
80
2,281
1,013
1,593
4,361
1,744
2,500
710
1,373
1,082
1,304
1,191
4,684

$

5,813
703
24,037
32,590
13,846
41,183
8,367
39,601
15,946
24,253
11,672
18,257
5,453
5,729
26,309
21,333
33,527
16,586
17,379
36,021
43,610
4,816
17,532
21,827
12,226
25,936
15,616
16,774
11,627
19,039
16,234
34,993
6,337
2,669
17,340
4,202
35,259
23,154
9,373
7,400
9,158
3,524
2,363
10,692
12,119
11,500
20,664
24,232
20,343
9,559
10,774
8,489
10,230
11,532
53,927

$

— $
—
—
9,257
—
—
—
—
—
—
—
—
—
—
2,820
—
—
—
—
1,885
2,894
994
5,471
—
83
6,170
65
696
1,471
123
—
201
320
576
370
533
1,862
1,732
791
319
1,217
93
155
—
968
—
1,333
413
—
—
—
—
—
1,198
618

307
110
2,350
9,872
4,270
3,720
1,180
6,010
1,960
5,090
2,360
2,200
732
435
6,752
2,480
3,844
3,000
2,030
2,810
3,367
920
4,730
2,782
1,221
3,250
1,587
1,462
830
1,331
700
2,035
368
581
907
1,227
3,476
2,623
1,100
288
609
630
80
2,281
1,013
1,593
4,361
1,744
2,500
710
1,373
1,082
1,304
1,191
4,684

$

5,453 $
703
24,037
38,972
13,236
41,183
8,037
38,301
15,466
23,353
11,192
17,637
5,453
5,729
27,890
20,633
33,527
16,056
16,749
37,686
45,708
5,710
22,391
21,827
12,084
32,106
15,363
17,084
12,698
18,818
15,484
33,634
6,657
3,245
17,125
4,735
36,575
24,111
9,940
7,719
9,811
3,617
2,518
10,692
12,435
11,181
21,379
23,961
19,853
9,159
10,774
8,489
10,230
12,182
53,503

5,760
813
26,387
48,844
17,506
44,903
9,217
44,311
17,426
28,443
13,552
19,837
6,185
6,164
34,642
23,113
37,371
19,056
18,779
40,496
49,075
6,630
27,121
24,609
13,305
35,356
16,950
18,546
13,528
20,149
16,184
35,669
7,025
3,826
18,032
5,962
40,051
26,734
11,040
8,007
10,420
4,247
2,598
12,973
13,448
12,774
25,740
25,705
22,353
9,869
12,147
9,571
11,534
13,373
58,187

$

(1,670)
(385)
(12,219)
(11,638)
(3,998)
(6,307)
(3,370)
(12,835)
(5,187)
(7,833)
(3,754)
(5,916)
(3,164)
(3,257)
(9,012)
(6,921)
(5,038)
(5,380)
(5,618)
(18,826)
(13,295)
(2,073)
(8,375)
(2,400)
(3,675)
(13,791)
(4,685)
(5,277)
(4,887)
(5,725)
(3,539)
(10,298)
(1,235)
(860)
(5,296)
(1,183)
(10,507)
(7,514)
(3,091)
(1,574)
(2,948)
(1,428)
(991)
(3,274)
(3,928)
(3,424)
(6,385)
(7,364)
(8,327)
(2,767)
(1,185)
(933)
(1,125)
(3,572)
(16,460)

2006
2005
2002
2006
2006
2014
2006
2005
2005
2005
2005
2005
1997
1997
2006
2005
2014
2005
2005
2002
2006
2006
2006
2016
2006
2002
2006
2006
2005
2006
2010
2006
2012
2012
2006
2012
2006
2006
2006
2012
2006
2003
2003
2006
2006
2006
2006
2006
2006
2006
2016
2016
2016
2006
2006

118 http://www.hcpi.com

Encumbrances 
at December 31, 
2018

State

Initial Cost to Company

Buildings and 
Improvements

Land

Costs 
Capitalized 
Subsequent to 
Acquisition

City

Gross Amount at Which Carried  
As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

PART II

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

NJ
0734 Hillsborough
NJ
1242 Madison
NJ
1231 Saddle River
NV
0796 Las Vegas
NY
1252 Brooklyn
NY
1256 Brooklyn
OH
1253 Youngstown
OR
2131 Keizer
OR
2152 McMinnville
OR
2089 Newberg
OR
2133 Portland
OR
2050 Redmond
OR
2084 Roseburg
OR
2134 Scappoose
OR
2153 Scappoose
OR
2088 Tualatin
OR
2180 Windfield Village
PA
1163 Haverford
PA
2063 Selinsgrove
RI
1973 South Kingstown
RI
1975 Tiverton
SC
1104 Aiken
SC
1109 Columbia
SC
0306 Georgetown
SC
0879 Greenville
SC
0305 Lancaster
SC
0880 Myrtle Beach
SC
0312 Rock Hill
SC
1113 Rock Hill
SC
0313 Sumter
TN
2073 Kingsport
TN
1003 Nashville
TX
0843 Abilene
TX
2107 Amarillo
TX
0511 Austin
TX
2075 Bedford
TX
0844 Burleson
TX
0848 Cedar Hill
TX
1325 Cedar Hill
1106 Houston
TX
0845 North Richland Hills TX
0846 North Richland Hills TX
TX
2162 Portland
TX
2116 Sherman
TX
0847 Waxahachie
VA
2470 Abingdon
VA
1244 Arlington
VA
1245 Arlington
VA
0881 Chesapeake
VA
1247 Falls Church
VA
1164 Fort Belvoir
VA
1250 Leesburg
VA
1246 Sterling
VA
0225 Woodbridge
WA
2095 College Place
WA
1240 Edmonds
WA
0797 Kirkland
WA
1251 Mercer Island

—
—
—
—
—
—
—
2,262
—
—
—
—
—
—
—
—
2,456

1,042
3,157
1,784
1,960
8,117
5,215
695
551
3,203
1,889
1,615
1,229
1,042
353
971
—
580
— 16,461
529
—
1,390
—
3,240
—
357
—
408
—
239
—
1,090
—
84
—
900
—
203
—
695
—
196
—
1,113
—
812
—
300
—
1,315
—
2,960
—
1,204
—
1,050
—
1,070
—
440
—
1,008
—
520
—
870
—
1,233
—
209
—
390
—
1,584
—
3,833
—
7,278
—
1,090
—
—
2,228
— 11,594
607
—
2,360
—
950
—
758
—
1,418
—
1,000
—
4,209
—

10,042
19,909
15,625
5,816
23,627
39,052
10,444
6,454
24,909
16,855
12,030
21,921
12,090
1,258
7,116
6,326
9,817
108,816
9,111
12,551
25,735
14,832
7,527
3,008
12,558
2,982
10,913
2,671
4,119
2,623
8,625
16,983
2,830
26,838
41,645
26,845
5,242
11,554
7,494
15,333
5,117
9,259
14,001
3,492
3,879
12,431
7,076
37,407
12,444
8,887
99,528
3,236
22,932
6,983
8,051
16,502
13,403
8,123

796
252
754
—
1,198
1,290
760
—
5,839
874
189
844
145
17
162
396
—
14,337
255
630
651
151
131
—
—
—
—
—
322
—
335
2,524
—
894
—
1,704
—
—
—
183
—
—
3,027
187
—
—
940
3,543
—
969
12,927
275
1,279
1,652
720
155
—
640

1,042
3,157
1,784
1,960
8,117
5,215
695
551
3,203
1,889
1,615
1,229
1,042
353
971
—
580
16,461
529
1,390
3,240
363
412
239
1,090
84
900
203
795
196
1,113
812
300
1,315
2,960
1,204
1,050
1,070
440
1,020
520
870
1,233
209
390
1,584
3,833
7,278
1,090
2,228
11,594
607
2,360
950
758
1,418
1,000
4,209

10,372
19,523
15,710
5,426
23,669
39,312
10,824
6,454
29,253
17,729
12,219
22,765
12,235
1,275
7,278
6,722
9,817
118,289
9,366
12,918
25,939
14,395
7,411
3,008
12,058
2,982
10,513
2,671
4,074
2,623
8,960
18,759
2,710
27,732
41,645
28,549
4,902
11,104
6,974
14,955
4,807
8,819
17,028
3,679
3,659
12,431
7,573
39,779
11,944
9,522
109,472
3,296
23,297
8,460
8,771
16,138
13,043
8,253

11,414
22,680
17,494
7,386
31,786
44,527
11,519
7,005
32,456
19,618
13,834
23,994
13,277
1,628
8,249
6,722
10,397
134,750
9,895
14,308
29,179
14,758
7,823
3,247
13,148
3,066
11,413
2,874
4,869
2,819
10,073
19,571
3,010
29,047
44,605
29,753
5,952
12,174
7,414
15,975
5,327
9,689
18,261
3,888
4,049
14,015
11,406
47,057
13,034
11,750
121,066
3,903
25,657
9,410
9,529
17,556
14,043
12,462

(3,485)
(5,969)
(4,848)
(1,820)
(7,319)
(12,230)
(3,478)
(1,136)
(6,757)
(3,025)
(1,926)
(3,594)
(2,305)
(317)
(1,584)
(1,687)
(1,723)
(37,303)
(1,971)
(3,660)
(7,152)
(4,447)
(2,311)
(1,303)
(3,642)
(1,208)
(3,176)
(1,136)
(1,440)
(1,136)
(1,732)
(5,180)
(853)
(4,649)
(21,169)
(5,120)
(1,542)
(3,493)
(2,048)
(4,601)
(1,512)
(3,171)
(3,484)
(787)
(1,151)
(1,367)
(2,456)
(12,340)
(3,608)
(3,051)
(35,474)
(3,415)
(7,241)
(3,916)
(1,814)
(4,953)
(4,375)
(2,575)

2005
2006
2006
2005
2006
2006
2006
2013
2012
2012
2012
2012
2012
2012
2012
2012
2013
2006
2012
2011
2011
2006
2006
1998
2006
1998
2006
1998
2006
1998
2012
2006
2006
2012
2002
2012
2006
2006
2007
2006
2006
2006
2012
2012
2006
2016
2006
2006
2006
2006
2006
2006
2006
1997
2012
2006
2005
2006

2018 Annual Report 

119

  
PART II

City

2096 Poulsbo
2102 Richland
0794 Shoreline
0795 Shoreline
2061 Vancouver
2062 Vancouver

State

WA
WA
WA
WA
WA
WA

Encumbrances 
at December 31, 
2018

—
—
—
—
—
—

Initial Cost to Company

Buildings and 
Improvements

18,068
5,067
10,671
26,421
4,556
9,997

Land

1,801
249
1,590
4,030
513
1,498

Costs 
Capitalized 
Subsequent to 
Acquisition

Gross Amount at Which Carried  
As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

231
138
—
—
263
211

1,801
249
1,590
4,030
513
1,498

18,299
5,205
10,261
25,651
4,819
10,207

20,100
5,454
11,851
29,681
5,332
11,705

(3,288)
(926)
(3,442)
(8,542)
(1,092)
(1,787)

2012
2012
2005
2005
2012
2012

$50,328 $243,697

$1,955,332

$107,418 $243,853

$2,011,624 $2,255,477

$ (604,961)

120 http://www.hcpi.com

State

City
Senior housing operating portfolio
AZ
1974 Sun City
CA
1965 Fresno
CA
2593 Irvine
CA
2792 Santa Rosa
CA
1966 Sun City
CO
2505 Arvada
CO
2506 Boulder
CO
2515 Denver
CO
2508 Lakewood
CO
2509 Lakewood
CT
2782 Glastonbury
CT
2783 Torrington
FL
2603 Boca Raton
FL
1963 Boynton Beach
FL
1964 Boynton Beach
FL
2602 Boynton Beach
FL
2520 Clearwater
FL
2604 Coconut Creek
FL
2601 Delray Beach
FL
2517 Ft Lauderdale
FL
2592 Lantana
FL
2522 Lutz
FL
2523 Orange City
FL
2775 Port Orange
FL
2524 Port St Lucie
FL
1971 Sarasota
FL
2861 Springtree
FL
2526 Tamarac
FL
2527 Vero Beach
GA
2858 Canton
GA
2859 Bufford
GA
2860 Bufford
IL
2200 Deer Park
IL
1961 Olympia Fields
IL
1952 Vernon Hills
IN
2595 Indianapolis
IN
2596 W Lafayette
KY
2778 Louisville
MA
2787 Plymouth
MA
2746 Watertown
MD
2583 Ellicott City
MD
2584 Hanover
MD
2585 Laurel
MD
2541 Olney
MD
2586 Parkville
MD
2587 Waldorf
MD
2788 Westminster
NC
2776 Mooresville
NJ
2780 Cherry Hill
2781 Manahawkin
NJ
2779 Voorhees Township NJ
NM
2589 Albuquerque
OH
2516 Centerville
OH
2512 Cincinnati
OH
2597 Fairborn

Initial Cost to Company

Buildings and 
Improvements

Land

Costs 
Capitalized 
Subsequent 
to Acquisition

Gross Amount at Which Carried 
As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

PART II

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

Encumbrances 
at December 31, 
2018

$

— $
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
18,985
8,839
5,733
—
20,485
8,289
—
—
—
—
—
—
—
—
—

2,640
1,730
8,220
3,582
2,650
1,788
2,424
2,311
4,384
2,296
1,658
166
2,415
2,550
570
1,270
2,250
2,461
850
2,867
3,520
902
912
2,340
893
3,050
1,066
970
1,048
401
562
536
4,172
4,120
4,900
1,197
813
1,499
2,434
8,828
3,607
4,513
3,895
1,580
3,854
392
768
2,538
2,420
921
900
767
1,065
1,180
298

$

33,223
31,918
14,104
21,113
22,709
29,896
36,746
18,645
60,795
37,236
16,046
11,001
17,923
31,521
5,649
4,773
2,627
16,006
6,637
43,126
26,452
15,169
9,724
9,898
10,333
29,516
15,874
16,037
17,392
17,888
3,604
3,142
2,417
29,400
45,854
7,718
10,876
26,252
9,027
29,317
31,720
25,625
13,331
33,802
29,061
20,514
5,251
37,617
11,042
9,927
7,629
9,324
10,901
6,157
10,704

$

3,260 $
2,583
3,191
2,314
4,471
1,744
2,064
2,204
2,244
1,815
653
4,637
2,062
4,971
2,550
4,124
2,284
3,026
3,139
4,806
1,317
2,494
1,320
1,498
1,319
7,938
1,451
1,577
1,762
473
500
343
44,603
4,420
7,677
1,092
1,432
734
1,033
203
1,626
1,208
1,279
228
1,209
868
1,963
2,114
2,545
891
934
539
1,658
2,702
3,983

2,640
1,730
8,220
3,627
2,650
1,788
2,424
2,311
4,384
2,296
1,658
166
2,415
2,550
570
1,270
2,250
2,461
850
2,867
3,520
902
912
2,340
893
3,050
1,066
970
1,048
401
562
536
4,229
4,120
4,900
1,197
813
1,513
2,438
8,828
3,607
4,513
3,895
1,580
3,854
392
768
2,538
2,420
921
900
767
1,065
1,180
298

$

35,953 $
34,071
16,755
22,087
26,725
31,640
38,810
20,849
63,039
39,051
16,699
15,228
18,960
35,827
8,006
7,123
4,331
17,598
8,863
47,776
26,969
17,663
11,044
10,875
11,652
37,025
8,429
17,614
19,154
6,609
4,104
3,485
44,546
33,294
52,835
8,578
8,011
26,138
9,260
29,520
33,346
26,833
14,610
34,030
30,270
21,382
6,902
39,731
13,037
10,352
8,224
9,364
12,559
8,859
14,456

38,593
35,801
24,975
25,714
29,375
33,428
41,234
23,160
67,423
41,347
18,357
15,394
21,375
38,377
8,576
8,393
6,581
20,059
9,713
50,643
30,489
18,565
11,956
13,215
12,545
40,075
9,495
18,584
20,202
7,010
4,666
4,021
48,775
37,414
57,735
9,775
8,824
27,651
11,698
38,348
36,953
31,346
18,505
35,610
34,124
21,774
7,670
42,269
15,457
11,273
9,124
10,131
13,624
10,039
14,754

$ (10,613)
(9,839)
(3,846)
(6,971)
(8,704)
(3,885)
(3,546)
(3,673)
(7,050)
(3,664)
(3,148)
(4,941)
(5,124)
(11,022)
(3,052)
(1,589)
(1,353)
(4,568)
(2,587)
(6,847)
(10,731)
(1,759)
(1,599)
(3,737)
(1,802)
(11,489)
(3,258)
(1,943)
(2,124)
(2,881)
(994)
(803)
(3,584)
(9,914)
(16,017)
(2,448)
(3,433)
(7,869)
(2,855)
(923)
(2,413)
(1,907)
(1,381)
(3,309)
(2,558)
(1,507)
(2,908)
(6,653)
(4,374)
(3,544)
(3,542)
(4,322)
(2,337)
(2,137)
(4,140)

2011
2011
2006
2006
2011
2015
2015
2015
2015
2015
2012
2005
2006
2011
2011
2003
2015
2006
2002
2015
2006
2015
2015
2005
2015
2011
2013
2015
2015
2012
2015
2012
2014
2011
2011
2006
2006
2006
2006
2017
2016
2016
2016
2015
2016
2016
1998
2012
2010
2005
1998
1996
2015
2015
2006

2018 Annual Report 

121

  
PART II

City

State

Encumbrances 
at December 31, 
2018

Initial Cost to Company

Buildings and 
Improvements

Land

Costs 
Capitalized 
Subsequent 
to Acquisition

Gross Amount at Which Carried 
As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

2789 Portland
1962 Warwick
2401 Germantown
2784 Arlington
2608 Arlington
2531 Austin
2786 Friendswood
2529 Grand Prairie
1955 Houston
1957 Houston
2785 Houston
2402 Houston
2606 Houston
2530 N Richland Hills
2532 San Antonio
2607 San Antonio
2533 San Marcos
1954 Sugar Land
2510 Temple
2400 Victoria
2605 Victoria
1953 Webster
2582 Fredericksburg
2581 Leesburg
2514 Richmond
2777 Sterling
2790 Bellevue
2791 Kenmore
2745 Madison

OR
RI
TN
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
VA
VA
VA
VA
WA
WA
WI

—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
12,039
—
—
—
—
—

—
1,050
3,640
2,494
2,002
607
400
865
9,820
8,170
835
1,740
2,470
1,190
613
730
765
3,420
2,354
1,032
175
4,780
2,370
1,340
2,981
1,046
3,734
3,284
834
$74,370 $186,684

16,087
17,389
64,588
12,192
19,110
15,972
7,354
10,650
50,079
37,285
7,195
32,057
21,710
17,756
5,874
3,961
18,175
36,846
52,859
7,743
4,290
30,854
19,725
17,605
54,203
15,788
16,171
16,641
10,050
$1,700,398

486
5,807
528
576
239
573
723
1,395
11,978
6,545
671
153
4,132
1,493
1,027
421
996
6,275
1,384
2,406
5,589
8,547
157
1,054
2,437
599
775
694
449

—
1,050
3,640
2,540
2,002
607
400
865
9,820
8,170
835
1,740
2,470
1,190
613
730
765
3,420
2,354
1,032
175
4,780
2,370
1,340
2,981
1,046
3,737
3,284
834
$233,184 $186,853

16,573
22,841
65,116
12,012
18,968
16,545
7,756
12,045
60,746
42,999
7,866
32,210
24,992
19,249
6,901
4,067
19,171
42,422
54,243
9,253
8,424
35,409
19,882
18,659
56,640
16,378
16,224
17,335
10,499

16,573
23,891
68,756
14,552
20,970
17,152
8,156
12,910
70,566
51,169
8,701
33,950
27,462
20,439
7,514
4,797
19,936
45,842
56,597
10,285
8,599
40,189
22,252
19,999
59,621
17,424
19,961
20,619
11,333

(2,512)
(6,867)
(7,538)
(3,622)
(5,553)
(1,624)
(2,776)
(1,728)
(19,773)
(13,451)
(3,557)
(3,840)
(11,297)
(2,434)
(1,367)
(1,500)
(1,980)
(13,190)
(5,438)
(1,347)
(2,878)
(9,958)
(1,260)
(1,304)
(5,253)
(2,690)
(5,014)
(2,954)
(2,116)

$1,875,576 $2,062,429

$(388,038)

2012
2011
2015
2006
2006
2015
2002
2015
2011
2011
1997
2015
2002
2015
2015
2002
2015
2011
2015
2015
1995
2011
2016
2016
2015
2012
2006
2012
2012

122 http://www.hcpi.com

City
Life science
1483 Brisbane
1484 Brisbane
1485 Brisbane
1486 Brisbane
1487 Brisbane
1401 Hayward
1402 Hayward
1403 Hayward
1404 Hayward
1405 Hayward
1549 Hayward
1550 Hayward
1551 Hayward
1552 Hayward
1553 Hayward
1554 Hayward
1555 Hayward
1556 Hayward
1424 La Jolla
1425 La Jolla
1426 La Jolla
1427 La Jolla
1949 La Jolla
2229 La Jolla
1470 Poway
1471 Poway
1472 Poway
1473 Poway
1474 Poway
1475 Poway
1478 Poway
1499 Redwood City
1500 Redwood City
1501 Redwood City
1502 Redwood City
1503 Redwood City
1504 Redwood City
1505 Redwood City
1506 Redwood City
1507 Redwood City
1508 Redwood City
1509 Redwood City
1510 Redwood City
1511 Redwood City
1512 Redwood City
1513 Redwood City
0678 San Diego
0679 San Diego
0837 San Diego
0838 San Diego
0839 San Diego
0840 San Diego
1418 San Diego
1420 San Diego
1421 San Diego

Encumbrances 
at December 31, 
2018

Initial Cost to Company
Buildings and 
Improvements

Land

State

Costs 
Capitalized 
Subsequent 
to Acquisition

Gross Amount at Which Carried 

As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

PART II

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA

$ — $

8,498
— 11,331
— 11,331
— 11,331
8,498
—
900
—
1,500
—
1,900
—
2,200
—
1,000
—
1,006
—
677
—
661
—
1,187
—
1,189
—
1,246
—
1,521
—
1,212
—
9,600
—
6,200
—
7,200
—
8,700
—
2,686
—
8,753
—
5,826
—
5,978
—
—
8,654
— 11,024
5,051
—
5,655
—
6,700
—
3,400
—
2,500
—
3,600
—
3,100
—
4,800
—
5,400
—
3,000
—
6,000
—
1,900
—
2,700
—
2,700
—
2,200
—
2,600
—
3,300
—
3,300
—
2,603
—
5,269
—
4,630
—
2,040
—
3,940
—
5,690
—
— 11,700
6,524
—
7,000
—

$

500
689
600
—
—
7,100
6,400
7,100
17,200
3,200
4,259
2,761
1,995
7,139
9,465
5,179
13,546
5,120
25,283
19,883
12,412
16,983
11,045
32,528
12,200
14,200
—
2,405
—
—
14,400
5,500
4,100
4,600
5,100
17,300
15,500
3,500
14,300
12,800
11,300
10,900
12,000
9,300
18,000
17,900
11,051
23,566
2,028
903
3,184
4,579
31,243
—
33,779

$

5,740 $
8,775
7,648
75,700
6,940
1,746
3,682
4,722
1,402
7,478
3,463
5,583
4,632
1,346
7,361
3,332
6,401
3,661
9,309
431
12,379
6,273
769
7,427
6,048
4,253
11,906
26,213
8,345
9,051
6,145
2,631
1,220
860
954
3,794
10,450
826
14,556
13,559
12,120
10,476
5,515
2,031
12,425
14,794
3,143
21,860
8,982
5,111
5,733
789
6,408
5,327
1,209

8,498
11,331
11,331
11,331
8,498
900
1,719
1,900
2,200
1,000
1,055
710
693
1,222
1,225
1,283
1,566
1,249
9,719
6,276
7,287
8,767
2,686
8,777
5,826
5,978
8,654
11,024
5,051
5,655
6,700
3,407
2,506
3,607
3,107
4,818
5,418
3,006
6,018
1,912
2,712
2,712
2,212
2,612
3,300
3,326
2,603
5,669
4,630
2,040
4,047
5,830
11,700
6,524
7,000

$

6,240 $
9,464
8,248
75,700
6,940
7,992
9,863
11,568
18,602
10,678
6,409
2,836
5,489
8,094
16,265
7,599
19,888
5,828
32,286
20,228
21,690
21,894
11,474
39,791
12,542
14,200
11,906
28,618
8,345
9,051
14,400
7,231
4,563
5,024
5,801
21,076
25,932
4,115
28,230
26,347
23,408
20,841
13,621
10,764
30,425
32,668
14,194
41,726
7,850
6,014
5,591
4,802
37,651
5,327
34,988

14,738
20,795
19,579
87,031
15,438
8,892
11,582
13,468
20,802
11,678
7,464
3,546
6,182
9,316
17,490
8,882
21,454
7,077
42,005
26,504
28,977
30,661
14,160
48,568
18,368
20,178
20,560
39,642
13,396
14,706
21,100
10,638
7,069
8,631
8,908
25,894
31,350
7,121
34,248
28,259
26,120
23,553
15,833
13,376
33,725
35,994
16,797
47,395
12,480
8,054
9,638
10,632
49,351
11,851
41,988

$

—
—
—
—
—
(2,077)
(4,881)
(3,734)
(4,987)
(7,239)
(3,005)
(1,695)
(3,885)
(3,874)
(6,377)
(3,070)
(8,316)
(2,324)
(10,326)
(5,764)
(6,393)
(8,488)
(3,106)
(5,363)
(3,515)
(4,053)
(1,692)
—
—
—
(4,110)
(2,881)
(1,657)
(1,892)
(2,157)
(6,984)
(4,889)
(1,842)
(6,207)
(8,935)
(7,055)
(8,950)
(3,912)
(2,992)
(9,824)
(11,920)
(4,995)
(13,463)
(4,139)
(2,710)
(2,245)
(1,747)
(14,414)
—
(10,073)

2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2011
2014
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2002
2002
2006
2006
2006
2006
2007
2007
2007

2018 Annual Report 

123

  
PART II

City

State

Encumbrances 
at December 31, 
2018

Initial Cost to Company
Buildings and 
Improvements

Land

Costs 
Capitalized 
Subsequent 
to Acquisition

Gross Amount at Which Carried 

As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

7,179
—
8,400
—
5,200
—
7,740
—
2,581
—
5,879
—
7,621
—
7,661
—
9,207
—
6,000
—
2,734
—
4,100
—
—
—
— 10,120
6,052
—
7,182
—
—
9,000
— 18,000
—
4,900
8,000
—
— 10,100
8,000
—
—
3,700
— 10,700
7,000
—
— 13,800
— 14,500
—
9,400
— 11,900
— 10,000
—
9,300
— 11,000
— 13,200
— 10,500
— 10,600
— 10,900
3,600
—
2,300
—
3,900
—
—
7,117
— 10,381
—
7,403
— 10,100
— 32,210
5,666
—
1,204
—
8,648
—
7,845
—
6,708
—
6,708
—
—
8,544
— 10,120
9,169
—
2,897
—
995
—
2,202
—

3,687
33,144
—
22,654
10,534
25,305
3,913
9,918
14,613
—
5,195
12,395
—
38,351
14,122
12,140
17,800
38,043
18,100
27,700
22,521
28,299
20,800
23,621
15,500
42,500
45,300
24,800
68,848
57,954
43,549
47,289
60,932
33,776
34,083
20,900
100
100
200
600
2,300
700
24,013
3,110
5,773
1,293
—
—
—
—
—
—
—
8,691
2,754
10,776

4,681
466
—
3,461
4,164
2,619
8,150
5,388
6,543
517
8,494
69
5,899
1,265
—
9,752
1,460
5,248
6,506
2,812
2,222
7,826
2,248
9,224
5,096
37,058
36,935
50,276
95
448
8
91
2,642
360
9
8,704
276
145
267
4,939
20,647
11,638
4,774
11,653
12,970
2,627
95,927
84,580
120,735
106,278
143,536
11,437
22,380
2,824
1,930
578

7,336
8,400
5,200
7,888
2,581
5,879
7,626
7,661
9,207
6,000
2,734
4,100
—
10,120
6,052
7,186
9,000
18,000
4,900
8,000
10,100
8,000
3,700
10,700
7,000
13,800
14,500
9,400
11,900
10,000
9,300
11,000
13,200
10,500
10,600
10,909
3,600
2,300
3,900
7,117
10,381
7,403
10,100
32,210
5,695
1,210
8,648
7,844
6,708
6,708
8,544
10,120
9,169
2,897
995
2,202

8,211
33,610
—
24,736
14,698
26,741
10,767
15,306
21,156
517
13,689
12,464
5,899
39,616
14,122
13,134
18,237
43,291
24,606
30,512
24,504
36,125
22,845
31,485
20,596
79,558
82,235
73,506
68,943
58,402
43,557
47,380
63,574
34,136
34,092
24,372
376
245
467
5,191
20,599
7,987
26,642
14,763
18,645
3,799
95,927
84,581
120,735
106,278
143,536
11,437
22,380
11,515
4,684
11,354

15,547
42,010
5,200
32,624
17,279
32,620
18,393
22,967
30,363
6,517
16,423
16,564
5,899
49,736
20,174
20,320
27,237
61,291
29,506
38,512
34,604
44,125
26,545
42,185
27,596
93,358
96,735
82,906
80,843
68,402
52,857
58,380
76,774
44,636
44,692
35,281
3,976
2,545
4,367
12,308
30,980
15,390
36,742
46,973
24,340
5,009
104,575
92,425
127,443
112,986
152,080
21,557
31,549
14,412
5,679
13,556

(2,911)
(9,467)
—
(7,051)
(3,905)
(7,767)
(2,868)
(194)
(1,779)
—
—
(860)
—
(121)
(52)
(4,173)
(5,160)
(12,226)
(5,067)
(7,701)
(6,981)
(8,450)
(6,881)
(6,318)
(4,608)
(22,319)
(22,804)
(18,430)
(19,674)
(16,543)
(12,432)
(13,561)
(17,643)
(9,874)
(9,730)
(8,268)
(94)
(100)
(200)
(2,438)
(4,210)
(1,670)
(8,863)
—
(12,153)
(1,421)
(10,795)
(6,250)
(7,119)
(4,392)
—
—
—
(1,297)
(276)
(1,048)

2007
2007
2007
2007
2011
2011
2007
2016
2016
2016
2017
2017
2004
2018
2018
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2008
2008
2008
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2007
2016
2017
2017
2018
2011
2011
2011
2015
2015
2015

CA
1422 San Diego
CA
1423 San Diego
CA
1514 San Diego
CA
1558 San Diego
CA
1947 San Diego
CA
1948 San Diego
CA
2197 San Diego
CA
2476 San Diego
CA
2477 San Diego
CA
2478 San Diego
CA
2617 San Diego
CA
2618 San Diego
CA
2622 San Diego
CA
2872 San Diego
CA
2873 San Diego
1407 South San Francisco CA
1408 South San Francisco CA
1409 South San Francisco CA
1410 South San Francisco CA
1411 South San Francisco CA
1412 South San Francisco CA
1413 South San Francisco CA
1414 South San Francisco CA
1430 South San Francisco CA
1431 South San Francisco CA
1435 South San Francisco CA
1436 South San Francisco CA
1437 South San Francisco CA
1439 South San Francisco CA
1440 South San Francisco CA
1441 South San Francisco CA
1442 South San Francisco CA
1443 South San Francisco CA
1444 South San Francisco CA
1445 South San Francisco CA
1458 South San Francisco CA
1459 South San Francisco CA
1460 South San Francisco CA
1461 South San Francisco CA
1462 South San Francisco CA
1463 South San Francisco CA
1464 South San Francisco CA
1468 South San Francisco CA
1480 South San Francisco CA
1559 South San Francisco CA
1560 South San Francisco CA
1983 South San Francisco CA
1984 South San Francisco CA
1985 South San Francisco CA
1986 South San Francisco CA
1987 South San Francisco CA
1988 South San Francisco CA
1989 South San Francisco CA
2553 South San Francisco CA
2554 South San Francisco CA
2555 South San Francisco CA

124 http://www.hcpi.com

City

State

2556 South San Francisco CA
2557 South San Francisco CA
2558 South San Francisco CA
2614 South San Francisco CA
2615 South San Francisco CA
2616 South San Francisco CA
2624 South San Francisco CA
2870 South San Francisco CA
2871 South San Francisco CA
TX
9999 Denton
MA
2630 Lexington
MA
2631 Lexington
MA
2632 Lexington
NC
2011 Durham
NC
2030 Durham
UT
0464 Salt Lake City
UT
0465 Salt Lake City
UT
0466 Salt Lake City
UT
0507 Salt Lake City
UT
0799 Salt Lake City
UT
1593 Salt Lake City

Encumbrances 
at December 31, 
2018

Initial Cost to Company
Buildings and 
Improvements

Land

Costs 
Capitalized 
Subsequent 
to Acquisition

Gross Amount at Which Carried 

As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

PART II

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

2,962
—
2,453
—
1,163
—
5,079
—
7,984
—
—
8,355
— 25,502
— 23,297
— 20,293
100
—
— 16,411
7,759
—
—
—
448
5,399
1,920
—
630
—
125
—
—
—
280
—
—
—
—
—
$5,399 $ 833,745

15,108
13,063
5,925
8,584
13,495
14,121
42,910
41,797
41,262
—
49,681
142,081
21,390
6,152
5,661
6,921
6,368
14,614
4,345
14,600
23,998
$1,976,797

2,962
210
2,453
3,616
1,163
58
5,083
1,330
7,988
3,243
8,358
1,876
25,502
5,081
23,297
5,324
20,293
12,476
100
—
16,411
415
7,759
14,269
—
21,055
448
21,524
1,920
34,187
630
2,562
125
68
—
7
280
231
—
90
—
—
$ 1,461,433 $835,829

15,318
16,679
5,983
9,261
16,719
14,565
47,945
47,121
53,738
—
50,096
156,350
42,445
27,639
39,848
9,483
6,436
14,621
4,350
14,690
23,998

18,280
19,132
7,146
14,344
24,707
22,923
73,447
70,418
74,031
100
66,507
164,109
42,445
28,087
41,768
10,113
6,561
14,621
4,630
14,690
23,998
$3,347,365 $4,183,194

(1,356)
(1,418)
(531)
(3,110)
(6,514)
(4,722)
(2,064)
—
(125)
—
(2,502)
(4,724)
—
(6,291)
(8,964)
(3,571)
(2,527)
(5,200)
(1,593)
(4,343)
(6,121)
$(647,977)

2015
2015
2015
2007
2007
2007
2017
2018
2018
2016
2017
2017
2018
2011
2012
2001
2001
2001
2002
2005
2010

2018 Annual Report 

125

  
PART II

City
Medical office
0638 Anchorage
2572 Springdale
0520 Chandler
2040 Mesa
0468 Oro Valley
0356 Phoenix
0470 Phoenix
1066 Scottsdale
2021 Scottsdale
2022 Scottsdale
2023 Scottsdale
2024 Scottsdale
2025 Scottsdale
2026 Scottsdale
2027 Scottsdale
2028 Scottsdale
0453 Tucson
0556 Tucson
1041 Brentwood
1200 Encino
0436 Murietta
0239 Poway
2654 Riverside
0318 Sacramento
2404 Sacramento
0234 San Diego
0235 San Diego
0236 San Diego
0421 San Diego
0564 San Jose
0565 San Jose
0659 Los Gatos
0439 Valencia
1211 Valencia
0440 West Hills
0728 Aurora
1196 Aurora
1197 Aurora
0882 Colorado Springs
1199 Denver
0808 Englewood
0809 Englewood
0810 Englewood
0811 Englewood
2658 Highlands Ranch
0812 Littleton
0813 Littleton
0570 Lone Tree
0666 Lone Tree
2233 Lone Tree
1076 Parker
0510 Thornton
0434 Atlantis
0435 Atlantis
0602 Atlantis

Encumbrances 
at December 31, 
2018

Initial Cost to Company
Buildings and 
Improvements

Land

State

AK
AR
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
FL
FL
FL

$ — $

—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—

1,456
—
3,669
—
1,050
780
280
5,115
—
—
—
—
—
—
—
—
215
215
—
6,151
400
2,700
2,758
2,860
1,268
2,848
2,863
4,619
2,910
1,935
1,460
1,718
2,300
1,344
2,100
—
210
200
—
493
—
—
—
—
1,637
—
—
—
—
—
—
236
—
—
455

$

10,650
27,714
13,503
17,314
6,774
3,199
877
14,064
12,312
9,179
6,398
9,522
4,102
3,655
7,168
6,659
6,318
3,940
30,864
10,438
9,266
10,839
9,908
37,566
5,109
5,879
8,913
19,370
19,984
1,728
7,672
3,124
6,967
7,507
11,595
8,764
12,362
8,414
12,933
7,897
8,616
8,449
8,040
8,472
10,063
4,562
4,926
—
23,274
6,734
13,388
10,206
2,027
2,000
2,231

Costs 
Capitalized 
Subsequent 
to Acquisition

$

12,360 $

—
6,460
1,303
983
2,795
166
4,215
2,153
1,684
1,597
905
1,805
2,112
2,179
3,658
1,464
1,613
3,135
4,890
4,755
4,239
214
27,503
594
1,450
2,913
4,023
16,349
2,756
958
662
4,054
797
4,472
3,082
7,310
5,729
11,273
1,865
9,472
4,510
13,144
5,951
—
2,561
2,326
20,148
3,384
30,176
1,112
4,332
462
1,190
1,006

126 http://www.hcpi.com

Gross Amount at Which Carried 

As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

1,456
—
3,749
—
1,084
865
280
4,839
—
—
—
—
—
—
—
—
326
267
309
6,646
638
2,887
2,758
2,911
1,299
3,009
3,068
4,711
2,964
1,935
1,460
1,758
2,404
1,383
2,259
—
210
285
—
622
11
—
—
—
1,637
257
106
—
—
—
8
454
5
—
455

$

$

22,957 $
27,714
18,696
18,431
7,148
4,987
1,008
17,150
14,238
10,713
7,860
10,427
5,756
5,692
9,230
10,317
7,113
5,073
32,911
13,427
12,319
12,603
10,122
65,005
5,672
4,981
8,154
16,004
34,960
3,283
8,149
3,632
8,855
7,965
12,284
9,273
18,828
13,482
19,512
9,367
16,904
11,508
18,828
12,747
10,063
5,816
6,456
19,410
25,328
37,573
14,240
13,741
2,269
2,578
2,879

24,413
27,714
22,445
18,431
8,232
5,852
1,288
21,989
14,238
10,713
7,860
10,427
5,756
5,692
9,230
10,317
7,439
5,340
33,220
20,073
12,957
15,490
12,880
67,916
6,971
7,990
11,222
20,715
37,924
5,218
9,609
5,390
11,259
9,348
14,543
9,273
19,038
13,767
19,512
9,989
16,915
11,508
18,828
12,747
11,700
6,073
6,562
19,410
25,328
37,573
14,248
14,195
2,274
2,578
3,334

(7,603)
(1,833)
(5,558)
(2,990)
(3,093)
(2,228)
(386)
(5,695)
(4,586)
(3,598)
(2,380)
(2,930)
(1,999)
(1,389)
(2,627)
(2,384)
(3,710)
(1,783)
(10,485)
(5,175)
(6,168)
(6,904)
(443)
(14,223)
(926)
(3,361)
(5,437)
(9,933)
(10,037)
(1,476)
(3,215)
(1,487)
(4,035)
(2,552)
(6,231)
(3,701)
(4,677)
(3,935)
(5,300)
(3,916)
(7,304)
(4,680)
(5,465)
(4,403)
(387)
(2,497)
(2,375)
(7,306)
(8,783)
(4,704)
(4,728)
(5,710)
(1,152)
(1,210)
(1,079)

2006
2016
2002
2012
2001
1999
2001
2006
2012
2012
2012
2012
2012
2012
2012
2012
2000
2003
2006
2006
1999
1997
2017
1998
2015
1997
1997
1997
1999
2003
2003
2000
1999
2006
1999
2005
2006
2006
2006
2006
2005
2005
2005
2005
2017
2005
2005
2003
2000
2014
2006
2002
1999
1999
2000

City

State

Encumbrances 
at December 31, 
2018

Initial Cost to Company
Buildings and 
Improvements

Land

Costs 
Capitalized 
Subsequent 
to Acquisition

Gross Amount at Which Carried 

As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

PART II

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

0604 Englewood
0609 Kissimmee
0610 Kissimmee
0671 Kissimmee
0603 Lake Worth
0612 Margate
0613 Miami
2202 Miami
2203 Miami
1067 Milton
2577 Naples
2578 Naples
0563 Orlando
0833 Pace
0834 Pensacola
0614 Plantation
0673 Plantation
2579 Punta Gorda
2833 St. Petersburg
2836 Tampa
1058 Blue Ridge
2576 Statesboro
1065 Marion
1057 Newburgh
2039 Kansas City
2043 Overland Park
0483 Wichita
1064 Lexington
0735 Louisville
0737 Louisville
0738 Louisville
0739 Louisville
2834 Louisville
1944 Louisville
1945 Louisville
1946 Louisville
2237 Louisville
2238 Louisville
2239 Louisville
1324 Haverhill
1213 Ellicott City
0361 GlenBurnie
1052 Towson
2650 Biddeford
0240 Minneapolis
0300 Minneapolis
2032 Independence
1078 Flowood
1059 Jackson
1060 Jackson
1068 Omaha
2651 Charlotte
2655 Wilmington
2656 Wilmington
2657 Shallotte
2647 Concord

FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
GA
GA
IL
IN
KS
KS
KS
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
MA
MD
MD
MD
ME
MN
MN
MO
MS
MS
MS
NE
NC
NC
NC
NC
NH

—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—

170
788
481
—
1,507
1,553
4,392
—
—
—
—
—
2,144
—
—
969
1,091
—
—
1,967
—
—
99
—
440
—
530
—
936
835
780
826
2,983
788
3,255
430
1,519
1,334
1,644
800
1,115
670
—
1,949
117
160
—
—
—
—
—
2,001
1,341
2,071
918
1,961

1,134
174
347
7,574
2,894
6,898
11,841
13,123
8,877
8,566
29,186
18,819
5,136
10,309
11,166
3,241
7,176
9,379
13,754
6,602
3,231
10,234
11,538
14,019
2,173
7,668
3,341
12,726
8,426
27,627
8,582
13,814
13,171
2,414
28,644
6,125
15,386
12,172
10,832
8,537
3,206
5,085
14,233
12,244
13,213
10,131
48,025
8,413
8,868
7,187
16,243
11,217
17,376
11,592
3,609
23,516

495
649
790
2,637
1,807
1,811
5,072
4,918
3,245
356
97
433
14,659
3,528
478
1,754
2,002
—
10,904
7,747
260
120
2,075
5,383
17
947
713
1,381
8,002
7,344
6,189
1,992
5,188
—
1,393
197
3,741
1,786
5,748
2,327
3,001
—
3,754
—
4,070
4,659
2,304
1,233
167
2,217
1,499
37
—
—
—
85

226
788
494
—
1,507
1,553
4,392
—
—
—
—
—
11,769
26
—
1,017
1,091
—
—
2,425
—
—
100
—
448
—
530
—
1,232
878
851
832
2,991
788
3,291
430
1,618
1,511
2,041
869
1,222
670
—
1,949
117
160
—
—
—
—
17
2,001
1,341
2,071
918
1,961

1,346
721
901
8,483
4,562
8,364
14,740
17,903
12,111
8,903
29,283
19,252
8,479
11,517
11,644
4,246
8,724
9,379
22,810
11,056
3,473
10,354
13,184
19,394
2,182
8,615
3,617
13,863
13,584
33,344
12,514
14,277
17,068
2,414
29,700
6,322
19,022
13,701
16,183
9,128
5,203
5,085
12,684
12,244
16,704
13,604
50,329
8,979
9,027
9,161
17,367
11,254
17,376
11,592
3,609
23,601

1,572
1,509
1,395
8,483
6,069
9,917
19,132
17,903
12,111
8,903
29,283
19,252
20,248
11,543
11,644
5,263
9,815
9,379
22,810
13,481
3,473
10,354
13,284
19,394
2,630
8,615
4,147
13,863
14,816
34,222
13,365
15,109
20,059
3,202
32,991
6,752
20,640
15,212
18,224
9,997
6,425
5,755
12,684
14,193
16,821
13,764
50,329
8,979
9,027
9,161
17,384
13,255
18,717
13,663
4,527
25,562

(561)
(290)
(484)
(3,016)
(2,211)
(3,025)
(5,581)
(3,791)
(2,243)
(2,781)
(1,805)
(989)
(4,606)
(3,302)
(3,612)
(1,638)
(2,970)
(559)
(6,704)
(4,844)
(1,030)
(823)
(3,883)
(5,950)
(438)
(1,603)
(1,323)
(4,851)
(10,052)
(12,665)
(8,055)
(5,127)
(7,916)
(773)
(8,126)
(1,682)
(3,185)
(2,590)
(2,886)
(2,763)
(2,362)
(2,857)
(3,816)
(458)
(9,159)
(7,418)
(7,787)
(2,619)
(2,759)
(3,329)
(5,560)
(419)
(704)
(429)
(184)
(925)

2000
2000
2000
2000
2000
2000
2000
2014
2014
2006
2016
2016
2003
2006
2006
2000
2002
2016
2006
2006
2006
2016
2006
2006
2012
2012
2001
2006
2005
2005
2005
2005
2005
2010
2010
2010
2014
2014
2014
2007
2006
1999
2006
2017
1997
1997
2012
2006
2006
2006
2006
2017
2017
2017
2017
2017

2018 Annual Report 

127

  
PART II

City

State

Encumbrances 
at December 31, 
2018

Initial Cost to Company
Buildings and 
Improvements

Land

Costs 
Capitalized 
Subsequent 
to Acquisition

Gross Amount at Which Carried 

As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

815
—
919
—
—
—
55
—
—
—
1,121
—
2,305
—
3,480
—
1,717
—
1,172
—
3,244
—
—
—
823
—
—
—
619
—
—
—
—
—
—
925
— 24,264
— 26,063
—
—
—
—
—
—
—
—
627
—
809
—
610
—
799
—
944
—
921
—
621
—
318
—
310
—
201
—
503
—
804
—
377
—
246
—
186
—
498
—
—
—
256
—
830
—
596
—
317
—
700
—
955
—
2,050
—
1,007
—
2,980
—
515
—
266
—
827
—
5,425
—
3,818
—
583
—
1,330
—

8,902
5,868
5,380
2,637
—
4,363
4,829
12,305
3,597
—
18,339
5,559
2,726
4,561
9,256
6,582
5,707
20,072
99,904
97,646
9,138
12,090
12,190
11,243
38,391
41,260
22,251
18,914
40,841
38,416
26,358
5,816
5,675
6,590
6,522
13,719
496
416
210
1,015
—
1,530
5,036
9,698
6,528
4,559
14,289
5,211
181
7,164
848
1,305
7,642
12,577
15,185
450
5,960

136
18
757
22
19,618
6,756
6,057
6,385
11,588
633
7,961
491
1,259
300
1,925
1,543
700
51
36,386
14,725
—
91
88
56
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
2,852
2,541
12,083
6,642
3,199
5,016
4,470
4,631
752
3,993
437
1,644
4,532
6,397
11,118
360
426

815
919
—
55
—
1,328
2,447
3,480
1,724
1,805
3,338
34
853
—
659
—
—
925
24,288
26,110
—
—
—
—
627
809
610
799
944
921
621
318
310
201
503
804
377
246
186
498
—
256
851
596
317
700
955
2,055
1,060
2,980
528
266
827
5,425
3,818
583
1,330

9,038
5,886
5,746
2,659
18,200
8,395
9,458
15,850
13,468
—
24,718
5,905
3,031
4,861
11,100
5,614
6,407
20,123
136,146
112,324
9,138
12,181
12,278
11,299
38,391
41,260
22,251
18,914
40,841
38,416
26,358
5,816
5,675
6,590
6,522
13,719
496
416
210
1,015
2,882
3,372
15,024
14,544
8,860
9,119
16,768
8,738
813
11,202
1,085
2,461
10,111
18,049
24,285
717
6,386

9,853
6,805
5,746
2,714
18,200
9,723
11,905
19,330
15,192
1,805
28,056
5,939
3,884
4,861
11,759
5,614
6,407
21,048
160,434
138,434
9,138
12,181
12,278
11,299
39,018
42,069
22,861
19,713
41,785
39,337
26,979
6,134
5,985
6,791
7,025
14,523
873
662
396
1,513
2,882
3,628
15,875
15,140
9,177
9,819
17,723
10,793
1,873
14,182
1,613
2,727
10,938
23,474
28,103
1,300
7,716

(371)
(320)
(1,880)
(1,509)
(6,870)
(3,362)
(4,481)
(5,842)
(3,086)
(116)
(10,680)
(974)
(1,225)
(2,738)
(3,440)
(1,670)
(3,555)
(1,561)
(12,528)
(16,206)
(729)
(769)
(774)
(875)
(746)
(824)
(451)
(403)
(744)
(715)
(649)
(116)
(126)
(143)
(225)
(352)
(53)
(50)
(27)
(66)
—
(1,169)
(3,735)
(6,241)
(4,403)
(4,890)
(5,977)
(3,646)
(495)
(5,152)
(383)
(1,033)
(3,855)
(8,895)
(10,002)
(233)
(439)

2017
2017
2005
1999
2003
2000
2000
2000
2000
2000
2004
2012
2006
1999
2006
2005
1999
2016
2014
2015
2016
2016
2016
2016
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2000
2003
2003
2003
1994
2000
2000
2000
2000
2000
2000
2000
2000
2000
2000
2016

2648 Concord
2649 Epsom
0729 Albuquerque
0348 Elko
0571 Las Vegas
0660 Las Vegas
0661 Las Vegas
0662 Las Vegas
0663 Las Vegas
0664 Las Vegas
0691 Las Vegas
2037 Mesquite
1285 Cleveland
0400 Harrison
1054 Durant
0817 Owasso
0404 Roseburg
2570 Limerick
2234 Philadelphia
2403 Philadelphia
2571 Wilkes-Barre
2573 Florence
2574 Florence
2575 Florence
2841 Greenville
2842 Greenville
2843 Greenville
2844 Greenville
2845 Greenville
2846 Greenville
2847 Greenville
2848 Greenville
2849 Greenville
2850 Greenville
2853 Greenville
2854 Greenville
2855 Greenville
2856 Greenville
2857 Greenville
2851 Travelers Rest
2862 Myrtle Beach
0624 Hendersonville
0559 Hermitage
0561 Hermitage
0562 Hermitage
0154 Knoxville
0625 Nashville
0626 Nashville
0627 Nashville
0628 Nashville
0630 Nashville
0631 Nashville
0632 Nashville
0633 Nashville
0634 Nashville
0636 Nashville
2611 Allen

NH
NH
NM
NV
NV
NV
NV
NV
NV
NV
NV
NV
OH
OH
OK
OK
OR
PA
PA
PA
PA
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TX

128 http://www.hcpi.com

City

State

Encumbrances 
at December 31, 
2018

Initial Cost to Company
Buildings and 
Improvements

Land

Costs 
Capitalized 
Subsequent 
to Acquisition

Gross Amount at Which Carried 

As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

PART II

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

TX
2612 Allen
TX
0573 Arlington
TX
2621 Cedar Park
TX
0576 Conroe
TX
0577 Conroe
TX
0578 Conroe
TX
0579 Conroe
TX
0581 Corpus Christi
TX
0600 Corpus Christi
TX
0601 Corpus Christi
TX
2839 Cypress
TX
0582 Dallas
TX
1314 Dallas
TX
0583 Fort Worth
TX
0805 Fort Worth
TX
0806 Fort Worth
TX
2231 Fort Worth
TX
2619 Fort Worth
TX
2620 Fort Worth
TX
1061 Granbury
TX
0430 Houston
TX
0446 Houston
TX
0589 Houston
TX
0670 Houston
TX
0702 Houston
TX
1044 Houston
TX
2542 Houston
TX
2543 Houston
TX
2544 Houston
TX
2545 Houston
TX
2546 Houston
TX
2547 Houston
TX
2548 Houston
TX
2549 Houston
TX
0590 Irving
TX
0700 Irving
TX
1202 Irving
TX
1207 Irving
TX
2840 Kingwood
TX
1062 Lancaster
TX
2195 Lancaster
TX
0591 Lewisville
TX
0144 Longview
TX
0143 Lufkin
TX
0568 Mckinney
TX
0569 Mckinney
TX
1079 Nassau Bay
0596 N Richland Hills
TX
2048 North Richland Hills TX
TX
2835 Pearland
TX
2838 Pearland
TX
0447 Plano
TX
0597 Plano
TX
0672 Plano
TX
1284 Plano
TX
1286 Plano
TX
2653 Rockwall

1,310
—
769
—
1,617
—
324
—
397
—
388
—
188
—
717
—
328
—
313
—
—
—
—
1,664
— 15,230
898
—
—
—
—
—
902
—
1,180
—
1,961
—
—
—
1,927
—
2,200
—
1,676
—
257
—
—
—
—
—
304
—
116
—
312
—
316
—
408
—
470
—
313
—
530
—
828
—
—
—
1,604
—
1,955
—
3,035
—
172
—
—
—
561
—
102
—
338
—
541
—
—
—
—
—
812
—
1,385
—
—
—
—
—
1,700
—
1,210
—
1,389
—
2,049
—
3,300
—
788
—

4,165
12,355
11,640
4,842
7,966
7,975
3,618
8,181
3,210
1,771
—
6,785
162,971
4,866
2,481
6,070
—
13,432
14,155
6,863
33,140
19,585
12,602
2,884
7,414
4,838
17,764
6,555
12,094
13,931
18,332
18,197
7,036
22,711
6,160
8,550
16,107
12,793
28,373
2,692
1,138
8,043
7,998
2,383
6,217
636
8,942
8,883
10,213
4,014
—
7,810
9,588
12,768
18,793
—
9,020

596
4,678
—
3,068
2,469
4,540
1,343
5,953
4,468
2,047
34,265
4,588
42,680
3,626
1,315
1,155
44
6
138
1,125
17,718
21,378
6,758
1,606
2,906
3,498
—
—
—
—
—
—
—
—
3,153
3,980
1,203
2,219
958
1,134
700
2,347
824
321
3,396
8,655
1,748
3,395
2,135
4,693
17,622
6,454
4,924
3,332
2,445
—
—

1,310
769
1,617
324
397
388
188
717
328
325
11
1,746
23,992
898
2
5
946
1,180
1,961
—
2,200
2,936
1,706
318
7
—
304
116
312
316
408
470
313
530
828
8
1,633
1,986
3,035
185
131
561
102
338
541
—
—
812
1,400
—
—
1,792
1,224
1,389
2,101
3,300
788

4,761
15,695
11,640
6,491
9,764
10,986
4,805
11,728
5,801
3,098
34,254
9,642
193,414
7,643
3,329
6,928
—
13,438
14,293
7,848
48,704
33,668
16,361
3,689
9,239
6,634
17,764
6,555
12,094
13,931
18,332
18,197
7,036
22,711
8,743
11,513
16,971
14,902
29,331
3,520
1,707
9,796
8,379
2,664
8,659
8,406
10,271
11,648
12,048
7,276
17,622
13,388
13,357
14,616
18,657
—
9,020

6,071
16,464
13,257
6,815
10,161
11,374
4,993
12,445
6,129
3,423
34,265
11,388
217,406
8,541
3,331
6,933
946
14,618
16,254
7,848
50,904
36,604
18,067
4,007
9,246
6,634
18,068
6,671
12,406
14,247
18,740
18,667
7,349
23,241
9,571
11,521
18,604
16,888
32,366
3,705
1,838
10,357
8,481
3,002
9,200
8,406
10,271
12,460
13,448
7,276
17,622
15,180
14,581
16,005
20,758
3,300
9,808

(378)
(6,049)
(427)
(2,253)
(3,966)
(3,941)
(1,943)
(4,542)
(2,168)
(1,197)
(3,795)
(3,775)
(60,706)
(2,557)
(1,755)
(2,221)
(17)
(458)
(503)
(2,309)
(21,111)
(19,818)
(6,139)
(1,406)
(3,219)
(2,112)
(1,909)
(832)
(1,548)
(1,357)
(2,804)
(2,358)
(1,167)
(1,952)
(3,658)
(5,226)
(6,550)
(5,058)
(2,223)
(1,500)
(492)
(3,681)
(4,469)
(1,313)
(3,061)
(2,960)
(3,488)
(4,394)
(3,080)
(2,217)
(1,521)
(7,113)
(5,188)
(5,119)
(8,188)
—
(315)

2016
2003
2017
2000
2000
2006
2000
2000
2000
2000
2015
2000
2006
2000
2005
2005
2014
2017
2017
2006
1999
1999
2000
2000
2004
2006
2015
2015
2015
2015
2015
2015
2015
2015
2000
2006
2006
2006
2016
2006
2006
2000
1992
1992
2003
2003
2006
2000
2012
2006
2014
1999
2000
2002
2006
2006
2017

2018 Annual Report 

129

  
PART II

City

State

Encumbrances 
at December 31, 
2018

Initial Cost to Company
Buildings and 
Improvements

Land

Costs 
Capitalized 
Subsequent 
to Acquisition

Gross Amount at Which Carried 

As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

TX
0815 San Antonio
TX
0816 San Antonio
TX
1591 San Antonio
TX
2837 San Antonio
TX
2852 Shenandoah
TX
0598 Sugarland
TX
0599 Texas City
TX
0152 Victoria
TX
2550 The Woodlands
TX
2551 The Woodlands
TX
2552 The Woodlands
UT
1592 Bountiful
UT
0169 Bountiful
UT
0346 Castle Dale
UT
0347 Centerville
UT
2035 Draper
UT
0469 Kaysville
UT
0456 Layton
UT
2042 Layton
UT
0359 Ogden
UT
0357 Orem
UT
0353 Salt Lake City
UT
0354 Salt Lake City
UT
0355 Salt Lake City
UT
0467 Salt Lake City
UT
0566 Salt Lake City
UT
2041 Salt Lake City
UT
2033 Sandy
UT
0482 Stansbury
0351 Washington Terrace UT
0352 Washington Terrace UT
UT
2034 West Jordan
UT
2036 West Jordan
UT
0495 West Valley City
UT
0349 West Valley City
VA
1208 Fairfax
VA
2230 Fredericksburg
VA
0572 Reston
WA
0448 Renton
WA
0781 Seattle
WA
0782 Seattle
WA
0783 Seattle
WA
0785 Seattle
WA
1385 Seattle
WY
2038 Evanston

—
3,115
—
—
—
—
—
—
—
—
—
—
—
—
—
4,928
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
—
330
—
—
—
—
—
—
—
—
—
—
—
—

—
—
—
—
—
1,078
—
125
115
296
374
999
276
50
300
—
530
371
—
180
337
190
220
180
3,000
509
—
867
450
—
—
—
—
410
1,070
8,396
1,101
—
—
—
—
—
—
—
—
$8,373 $ 279,768

9,193
8,699
7,309
26,191
—
5,158
9,519
8,977
5,141
18,282
25,125
7,426
5,237
1,818
1,288
10,803
4,493
7,073
10,975
1,695
8,744
779
10,732
14,792
7,541
4,044
12,326
3,513
3,201
4,573
2,692
12,021
1,383
8,266
17,463
16,710
8,570
11,902
18,724
52,703
24,382
5,625
7,293
45,027
4,601
$3,025,955

2,917
3,218
730
1,847
28,557
3,397
582
394
—
—
—
913
1,665
163
234
516
226
1,303
537
240
2,834
196
2,955
2,826
2,592
2,733
635
1,694
1,204
2,511
1,364
323
1,544
1,002
142
13,723
—
967
4,560
16,748
13,599
1,635
6,215
8,973
1,009

87
175
43
—
—
1,170
—
125
115
296
374
1,019
396
50
300
—
530
389
27
180
306
234
220
180
3,145
509
—
1,153
529
17
15
—
—
410
1,036
8,828
1,101
—
—
—
126
183
—
—
—
$ 977,128 $308,003

11,083
10,930
7,957
27,775
28,557
7,350
9,944
9,371
5,141
18,282
25,125
8,265
6,327
1,918
1,352
11,212
4,719
8,009
11,485
1,730
9,026
869
12,819
16,844
9,629
6,248
12,940
4,794
3,966
6,176
3,348
12,344
2,798
9,268
17,595
28,900
8,570
12,027
22,145
65,633
35,209
6,929
12,112
53,757
5,542

11,170
11,105
8,000
27,775
28,557
8,520
9,944
9,496
5,256
18,578
25,499
9,284
6,723
1,968
1,652
11,212
5,249
8,398
11,512
1,910
9,332
1,103
13,039
17,024
12,774
6,757
12,940
5,947
4,495
6,193
3,363
12,344
2,798
9,678
18,631
37,728
9,671
12,027
22,145
65,633
35,335
7,112
12,112
53,757
5,542
$3,783,938 $4,091,941

(3,984)
(4,170)
(2,434)
(7,742)
(1,396)
(2,808)
(3,138)
(5,112)
(565)
(1,729)
(2,118)
(2,304)
(3,208)
(1,036)
(753)
(1,764)
(1,920)
(3,978)
(1,837)
(977)
(4,675)
(499)
(6,815)
(9,358)
(4,188)
(2,651)
(2,024)
(1,395)
(1,392)
(3,722)
(1,819)
(1,960)
(709)
(4,897)
(10,002)
(9,984)
(1,081)
(4,890)
(11,288)
(26,312)
(15,444)
(6,432)
(5,983)
(17,481)
(799)
$(1,037,768)

2006
2006
2010
2011
2016
2000
2000
1994
2015
2015
2015
2010
1995
1998
1999
2012
2001
2001
2012
1999
1999
1999
1999
1999
2001
2003
2012
2012
2001
1999
1999
2012
2012
2002
1999
2006
2014
2003
1999
2004
2004
2004
2004
2007
2012

130 http://www.hcpi.com

Encumbrances 
at December 31, 
2018

Initial Cost to Company

Buildings and 
Improvements

Land

Costs 
Capitalized 
Subsequent to 
Acquisition

Gross Amount at Which Carried 
As of December 31, 2018
Buildings and 
Improvements

Land

Total(1)

PART II

Accumulated 
Depreciation(2)

Year 
Acquired/ 
Constructed

$

— $
—
—
—
—
—
—
—
—
—
—
—

709
1,565
3,652
18,000
690
4,300
2,316
690
1,820
18,840
6,290
2,220

$

9,604
7,050
29,113
70,800
8,338
13,690
10,681
8,545
8,508
155,659
22,686
9,602

$

— $
20
21,935
—
—
—
24
87
26
2,950
5,707
—

709
1,565
3,652
18,000
690
4,300
2,316
690
1,820
18,840
6,290
2,220

$

$

9,599 $
7,067
51,048
70,800
8,346
11,890
10,693
8,496
7,454
158,606
28,203
9,282

10,308
8,632
54,700
88,800
9,036
16,190
13,009
9,186
9,274
177,446
34,493
11,502

(5,914)
(4,290)
(17,545)
(38,777)
(5,072)
(7,035)
(6,837)
(4,656)
(2,205)
(53,011)
(15,193)
(1,949)

1989
1988
2006
1999
1989
2007
1988
2007
2007
2007
2007
2013

—

1,876

14,720

—

1,876

14,904

16,780

(1,719)

2013

$

— $

62,968

$ 368,996

$

30,749 $

62,968

$

396,388 $

459,356

$ (164,203)

City
State
Other non-reportable segments
Other-Hospitals
0126 Sherwood
0113 Glendale
1038 Fresno
0423 Irvine
0127 Colorado Springs
0887 Atlanta
0112 Overland Park
1383 Baton Rouge
0886 Dallas
1319 Dallas
1384 Plano
2198 Webster
Other-Post-acute/skilled nursing
2469 Rural Retreat

AR
AZ
CA
CA
CO
GA
KS
LA
TX
TX
TX
TX

VA

Total

$138,470 $1,606,862

$9,027,478

$2,809,912 $1,637,506

$ 11,414,891 $ 13,052,397

$(2,842,947)

(1)  At December 31, 2018, the tax basis of the Company’s net real estate assets is less than the reported amounts by $1.0 billion (unaudited).
(2)  Buildings and improvements are depreciated over useful lives ranging up to 60 years.

A summary of activity for real estate and accumulated depreciation follows (in thousands):

Year ended December 31,

2018

2017

2016

Real estate:

Balances at beginning of year
Acquisition of real estate and development and improvements
Sales and/or transfers to assets held for sale and discontinued operations
Deconsolidation of real estate
Impairments
Other(1)
Balances at end of year
Accumulated depreciation:

$13,473,573
1,093,903
(1,052,145)
(325,580)
(49,729)
(87,625)
$13,052,397

$13,974,760
995,443
(589,391)
(825,074)
(37,274)
(44,891)
$13,473,573

$14,330,257
987,135
(1,227,614)
(10,306)
—
(104,712)
$13,974,760

Balances at beginning of year
Depreciation expense
Sales and/or transfers to assets held for sale and discontinued operations
Deconsolidation of real estate
Other(1)
Balances at end of year

$ 2,741,695
461,664
(239,231)
(43,525)
(77,656)
$ 2,842,947

$ 2,648,930
436,085
(115,195)
(152,572)
(75,553)
$ 2,741,695

$ 2,476,015
465,945
(239,112)
(5,868)
(48,050)
$ 2,648,930

(1)  Represents real estate and accumulated depreciation related to fully depreciated assets, foreign exchange translation, or changes in 

lease classification.

2018 Annual Report 

131

  
PART II

ITEM 9. 

None.

 CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS 
ON ACCOUNTING AND FINANCIAL DISCLOSURE

ITEM 9A.  CONTROLS AND PROCEDURES
Disclosure Controls and Procedures. We maintain disclosure 
controls and procedures that are designed to ensure that 
information required to be disclosed in our reports under 
the Exchange Act is recorded, processed, summarized 
and reported within the time periods specified in the SEC’s 
rules and forms and that such information is accumulated 
and communicated to our management, including our 
Principal Executive Officer and Principal Financial Officer, 
to allow for timely decisions regarding required disclosure. 
In designing and evaluating the disclosure controls and 
procedures, management recognizes that any controls and 
procedures, no matter how well designed and operated, can 
provide only reasonable assurance of achieving the desired 
control objectives, and management is required to apply 
its judgment in evaluating the cost-benefit relationship of 
possible controls and procedures.

Management’s Annual Report on Internal Control over 
Financial Reporting. Management is responsible for 
establishing and maintaining adequate internal control over 
financial reporting, as such term is defined in Exchange Act 
Rules 13a-15(f) and 15d-15(f). Under the supervision and 
with the participation of our management, including our 
Principal Executive Officer and Principal Financial Officer, we 
conducted an evaluation of the effectiveness of our internal 
control over financial reporting based on the framework 
in Internal Control—Integrated Framework (2013) issued 
by the Committee of Sponsoring Organizations of the 
Treadway Commission. Based on our evaluation under the 
framework in Internal Control—Integrated Framework (2013), 
our management concluded that our internal control over 
financial reporting was effective as of December 31, 2018.

The effectiveness of our internal control over financial 
reporting as of December 31, 2018 has been audited 
by Deloitte & Touche LLP, an independent registered 
public accounting firm, as stated in their report, which is 
included herein.

Changes in Internal Control Over Financial Reporting. There 
were no changes in our internal control over financial 
reporting (as such term is defined in Rules 13a-15(f) and 
15d-15(f) under the Exchange Act) during the fourth quarter 
of 2018 to which this report relates that have materially 
affected, or are reasonably likely to materially affect, our 
internal control over financial reporting.

As required by Rules 13a-15(b) and 15d-15(b) of the 
Exchange Act, we carried out an evaluation, under the 
supervision and with the participation of our management, 
including our Principal Executive Officer and Principal 
Financial Officer, of the effectiveness of the design and 
operation of our disclosure controls and procedures as 
of December 31, 2018. Based upon that evaluation, our 
Principal Executive Officer and Principal Financial Officer 
concluded that our disclosure controls and procedures 
were effective, as of December 31, 2018, at the reasonable 
assurance level.

132 http://www.hcpi.com

PART II

REPORT OF INDEPENDENT REGISTERED PUBLIC  
ACCOUNTING FIRM

To the stockholders and the Board of Directors of HCP, Inc.

Opinion on Internal Control over Financial Reporting
We have audited the internal control over financial reporting of HCP, Inc. and subsidiaries (the “Company”) as of December 31, 
2018, based on criteria established in Internal Control — Integrated Framework (2013) issued by the Committee of Sponsoring 
Organizations of the Treadway Commission (“COSO”). In our opinion, the Company maintained, in all material respects, 
effective internal control over financial reporting as of December 31, 2018, based on criteria established in Internal Control — 
Integrated Framework (2013) issued by COSO.

We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) 
(PCAOB), the consolidated financial statements as of and for the year ended December 31, 2018, of the Company and our 
report dated February 14, 2019, expressed an unqualified opinion on those financial statements and included an explanatory 
paragraph regarding the Company’s adoption of Accounting Standards Update (“ASU”) No. 2017-05 and ASU No. 2017-01.

Basis for Opinion
The Company’s management is responsible for maintaining effective internal control over financial reporting and for its 
assessment of the effectiveness of internal control over financial reporting, included in the accompanying Management’s 
Annual Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the Company’s 
internal control over financial reporting based on our audit. We are a public accounting firm registered with the PCAOB and are 
required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable 
rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform 
the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in 
all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the 
risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based 
on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe 
that our audit provides a reasonable basis for our opinion

Definition and Limitations of Internal Control over Financial Reporting
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the 
reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally 
accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures 
that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and 
dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to 
permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts 
and expenditures of the company are being made only in accordance with authorizations of management and directors of the 
company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or 
disposition of the company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, 
projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate 
because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

Los Angeles, California
February 14, 2019

/s/ Deloitte & Touche LLP

2018 Annual Report 

133

  
PART II

ITEM 9B.  OTHER INFORMATION
None.

134 http://www.hcpi.com

PART III

ITEM 10. 

 DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE 
GOVERNANCE

We have adopted a Code of Business Conduct and Ethics 
that applies to all of our directors and employees, including 
our Chief Executive Officer and all senior financial officers, 
including our principal financial officer, principal accounting 
officer and controller. We have also adopted a Vendor 
Code of Business Conduct and Ethics applicable to our 
vendors and business partners. Current copies of our 
Code of Business Conduct and Ethics and Vendor Code of 
Business Conduct and Ethics are posted on our website at 
www.hcpi.com/codeofconduct. In addition, waivers from, 
and amendments to, our Code of Business Conduct and 
Ethics that apply to our directors and executive officers, 

including our principal executive officer, principal financial 
officer, principal accounting officer or persons performing 
similar functions, will be timely posted in the Investor 
Relations section of our website at www.hcpi.com.

We hereby incorporate by reference the information 
appearing under the captions “Proposal No. 1 Election of 
Directors,” “Our Executive Officers,” “Board of Directors 
and Corporate Governance” and “Section 16(a) Beneficial 
Ownership Reporting Compliance” in the our definitive 
proxy statement relating to our 2019 Annual Meeting of 
Stockholders to be held on April 25, 2019.

ITEM 11.  EXECUTIVE COMPENSATION
We hereby incorporate by reference the information under the caption “Executive Compensation” in our definitive proxy 
statement relating to our 2019 Annual Meeting of Stockholders to be held on April 25, 2019.

 ITEM 12. 

 SECURITY OWNERSHIP OF CERTAIN BENEFICIAL  
OWNERS AND MANAGEMENT AND RELATED 
STOCKHOLDER MATTERS

We hereby incorporate by reference the information under the captions “Security Ownership of Principal Stockholders, 
Directors and Management” and “Equity Compensation Plan Information” in our definitive proxy statement relating to our 
2019 Annual Meeting of Stockholders to be held on April 25, 2019.

 ITEM 13. 

 CERTAIN RELATIONSHIPS AND RELATED 
TRANSACTIONS, AND DIRECTOR INDEPENDENCE
We hereby incorporate by reference the information under the caption “Board of Directors and Corporate Governance” in our 
definitive proxy statement relating to our 2019 Annual Meeting of Stockholders to be held on April 25, 2019.

ITEM 14.  PRINCIPAL ACCOUNTING FEES AND SERVICES
We hereby incorporate by reference under the caption “Audit and Non-Audit Fees” in our definitive proxy statement relating 
to our 2019 Annual Meeting of Stockholders to be held on April 25, 2019.

2018 Annual Report 

135

  
PART IV

 ITEM 15.  EXHIBITS, FINANCIAL STATEMENT SCHEDULES
(a) 1.  

 Financial Statement Schedules

The following Consolidated Financial Statements are included in Part II, Item 8-Financial Statements and Supplementary Data 
of this Annual Report on Form 10-K.

Report of Independent Registered Public Accounting Firm

Consolidated Balance Sheets - December 31, 2018 and 2017

Consolidated Statements of Operations - for the years ended December 31, 2018, 2017 and 2016

Consolidated Statements of Comprehensive Income (Loss) - for the years ended December 31, 2018, 2017 and 2016

Consolidated Statements of Equity - for the years ended December 31, 2018, 2017 and 2016

Consolidated Statements of Cash Flows - for the years ended December 31, 2018, 2017 and 2016

Notes to Consolidated Financial Statements

(a) 2. 

 Financial Statement Schedules

The following Consolidated Financial Statements are included in Part II, Item 8-Financial Statements and Supplementary Data 
of this Annual Report on Form 10-K.

Schedule II: Valuation and Qualifying Accounts

Schedule III: Real Estate and Accumulated Depreciation

(a) 3. 

Exhibits

Exhibit 
Number Description
3.1

3.2

4.1

4.1.1

4.2

4.2.1

4.2.2

4.2.3

Articles of Restatement of HCP, dated 
June 1, 2012, as supplemented by the Articles 
Supplementary, dated July 31, 2017.
Fifth Amended and Restated Bylaws of HCP, as 
amended through July 27, 2017.
Indenture, dated as of September 1, 1993, 
between HCP and The Bank of New York, 
as Trustee.
First Supplemental Indenture dated as of 
January 24, 2011, to the Indenture, dated as of 
September 1, 1993, by and between HCP and The 
Bank of New York Mellon Trust Company, N.A., 
as Trustee.
Indenture, dated November 19, 2012, between 
HCP and The Bank of New York Mellon Trust 
Company, N.A., as trustee.
First Supplemental Indenture, dated November 19, 
2012, between HCP and The Bank of New York 
Mellon Trust Company, N.A., as trustee.
Second Supplemental Indenture, dated 
November 12, 2013, between HCP and The Bank of 
New York Mellon Trust Company, N.A., as trustee.
Third Supplemental Indenture dated February 21, 
2014, between the Company and The Bank of New 
York Mellon Trust Company, N.A., as trustee.

Incorporated by reference herein

Form
Quarterly Report on Form 10-Q  
(File No. 001-08895)

Date Filed
November 2, 2017

Quarterly Report on Form 10-Q  
(File No. 001-08895)
Registration Statement on Form S-3/A 
(Registration No. 333-86654)

November 2, 2017

May 21, 2002

Current Report on Form 8-K  
(File No. 001-08895)

January 24, 2011

Current Report on Form 8-K  
(File No. 001-08895)

Current Report on Form 8-K  
(File No. 001-08895)

Current Report on Form 8-K  
(File No. 001-08895)

Current Report on Form 8-K  
(File No. 001-08895)

November 19, 2012

November 19, 2012

November 13, 2013

February 24, 2014

136 http://www.hcpi.com

Exhibit 
Number Description
4.2.4

Fourth Supplemental Indenture, dated August 14, 
2014, between HCP and The Bank of New York 
Mellon Trust Company, N.A., as trustee.
Fifth Supplemental Indenture, dated January 21, 
2015, between HCP and The Bank of New York 
Mellon Trust Company, N.A., as trustee.
Sixth Supplemental Indenture, dated May 20, 2015, 
between HCP and The Bank of New York Mellon 
Trust Company, N.A., as trustee.
Seventh Supplemental Indenture dated 
December 1, 2015, between HCP and The Bank of 
New York Mellon Trust Company, N.A., as trustee.
Form of 6.750% Senior Notes due 2041.

Form of 3.15% Senior Notes due 2022.

Form of 2.625% Senior Notes due 2020.

Form of 4.250% Senior Notes due 2023.

Form of 4.20% Senior Notes due 2024.

Form of 3.875% Senior Notes due 2024.

Form of 3.400% Senior Notes due 2025.

4.2.5

4.2.6

4.2.7

4.3

4.4

4.5

4.6

4.7

4.8

4.9

4.10

Form of 4.000% Senior Notes due 2025.

4.11

Form of 4.000% Senior Notes due 2022.

10.1

10.2

10.3

10.4

10.5

10.5.1

10.6

10.6.1

10.6.2

10.6.3

Second Amended and Restated Director 
Deferred Compensation Plan.*
Non-Employee Directors Stock-for-Fees 
Program.*
Executive Severance Plan.*

Executive Change in Control Severance Plan 
(as Amended and Restated as of May 6, 2016).*
2006 Performance Incentive Plan, as amended 
and restated.*
Form of Employee 2006 Performance Incentive 
Plan Nonqualified Stock Option Agreement.*
HCP, Inc. 2014 Performance Incentive Plan.*

Amendment No. 1 to HCP, Inc. 2014 Performance 
Incentive Plan.*
Form of 2014 Performance Incentive Plan Non-
NEO Restricted Stock Unit Award Agreement 
(adopted 2014).*
Form of 2014 Performance Incentive Plan Non-
NEO Option Agreement (adopted 2014).*

PART IV

Incorporated by reference herein

Form
Current Report on Form 8-K 
 (File No. 001-08895)

Current Report on Form 8-K  
(File No. 001-08895)

Date Filed
August 14, 2014

January 21, 2015

Current Report on Form 8-K  
(File No. 001-08895)

May 20, 2015

Current Report on Form 8-K  
(File No. 001-08895)

December 1, 2015

Current Report on Form 8-K  
(File No. 001-08895)
Current Report on Form 8-K  
(File No. 001-08895)
Current Report on Form 8-K  
(File No. 001-08895)
Current Report on Form 8-K  
(File No. 001-08895)
Current Report on Form 8-K  
(File No. 001-08895)
Current Report on Form 8-K  
(File No. 001-08895)
Current Report on Form 8-K  
(File No. 001-08895)
Current Report on Form 8-K  
(File No. 001-08895)
Current Report on Form 8-K  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Annex 2 to HCP’s Proxy Statement  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Current Report on Form 8-K  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)

January 24, 2011

July 23, 2012

November 19, 2012

November 13, 2013

February 24, 2014

August 14, 2014

January 21, 2015

May 20, 2015

December 1, 2015

November 3, 2009

August 5, 2014

November 1, 2016

November 1, 2016

March 10, 2009

May 1, 2012

May 6, 2014

May 3, 2018

August 5, 2014

Quarterly Report on Form 10-Q  
(File No. 001-08895)

August 5, 2014

2018 Annual Report 

137

  
PART IV

Exhibit 
Number Description
10.6.4

10.6.5

10.6.6

10.6.7

10.6.8

10.6.9

10.6.10

10.6.11

10.6.12

10.7

10.8

10.9

10.9.1

10.9.2

10.10

10.10.1

10.11

10.11.1

10.11.2

Form of 2014 Performance Incentive Plan CEO 
3-Year LTIP RSU Agreement (adopted 2015).*
Form of 2014 Performance Incentive Plan CEO 
1-Year LTIP RSU Agreement (adopted 2015).*
Form of 2014 Performance Incentive Plan CEO 
Retentive LTIP RSU Agreement (adopted 2015).*
Form of 2014 Performance Incentive Plan NEO 
3-Year LTIP RSU Agreement (adopted 2015).*
Form of 2014 Performance Incentive Plan NEO 
3-Year LTIP RSU Agreement (adopted 2018).*
Form of 2014 Performance Incentive Plan NEO 
1-Year LTIP RSU Agreement (adopted 2015).*
Form of 2014 Performance Incentive Plan NEO 
Retentive LTIP RSU Agreement (adopted 2015).*
Form of 2014 Performance Incentive Plan NEO 
Retentive LTIP RSU Agreement (adopted 2018).*
Form of 2014 Performance Incentive Plan Non-
Employee Director RSU Agreement.*
Form of Directors and Officers Indemnification 
Agreement.*
Amended and Restated Dividend Reinvestment 
and Stock Purchase Plan.
Amended and Restated Limited Liability Company 
Agreement of HCPI/Utah, LLC, dated as of 
January 20, 1999.
Amendments No. 1-9 to Amended and Restated 
Limited Liability Company Agreement of HCPI/
Utah, LLC, dated as of January 20, 1999.
Tax Matters Amendment to Amended and 
Restated Limited Liability Company Agreement 
of HCPI/Utah, LLC, effective as of December 31, 
2018.†
Amended and Restated Limited Liability Company 
Agreement of HCPI/Utah II, LLC, dated as of 
August 17, 2001, as amended.
Tax Matters Amendment to Amended and 
Restated Limited Liability Company Agreement 
of HCPI/Utah II, LLC, effective as of December 31, 
2018.†
Amended and Restated Limited Liability Company 
Agreement of HCPI/Tennessee, LLC, dated as of 
October 2, 2003.
Amendment No. 1 to Amended and Restated 
Limited Liability Company Agreement of HCPI/
Tennessee, LLC, dated as of September 29, 2004.
Amendment No. 2 to Amended and Restated 
Limited Liability Company Agreement of HCPI/
Tennessee, LLC, dated as of October 27, 2004.

Incorporated by reference herein

Form
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Quarterly Report on Form 10-Q  
(File No. 001-08895)
Annual Report on Form 10-K, as 
amended (File No. 001-08895)
Registration Statement on Form S-3 
(Registration No. 333-49746)
Annual Report on Form 10-K  
(File No. 001-08895)

Date Filed
May 5, 2015

May 5, 2015

May 5, 2015

May 5, 2015

May 3, 2018

May 5, 2015

May 5, 2015

May 3, 2018

May 5, 2015

February 12, 2008

November 13, 2000

March 29, 1999

Annual Report on Form 10-K  
(File No. 001-08895)

February 13, 2018

Current Report on Form 8-K  
(File No. 001-08895)

November 9, 2012

Quarterly Report on Form 10-Q  
(File No. 001-08895)

November 12, 2003

Quarterly Report on Form 10-Q  
(File No. 001-08895)

November 8, 2004

Annual Report on Form 10-K  
(File No. 001-08895)

March 15, 2005

138 http://www.hcpi.com

Exhibit 
Number Description
10.11.3

Amendment No. 3 to Amended and Restated 
Limited Liability Company Agreement of HCPI/
Tennessee, LLC and New Member Joinder 
Agreement, dated as of October 19, 2005, by 
and among HCP, HCPI/Tennessee, LLC and A. 
Daniel Weyland.
Amendment No. 4 to Amended and Restated 
Limited Liability Company Agreement of HCPI/
Tennessee, LLC, effective as of January 1, 2007.
Tax Matters Amendment to Amended and 
Restated Limited Liability Company Agreement 
of HCPI/Tennessee, LLC, effective as of 
December 31, 2018.†
Amended and Restated Limited Liability Company 
Agreement of HCP DR MCD, LLC, dated as of 
February 9, 2007.
Tax Matters Amendment to Amended and Restated 
Limited Liability Company Agreement of HCP DR 
MCD, LLC, effective as of December 31, 2018.†
Amended and Restated Limited Liability Company 
Agreement of HCP DR California II, LLC, dated as 
of June 1, 2014.
Tax Matters Amendment to Amended and 
Restated Limited Liability Company Agreement 
of HCP DR California II, LLC, effective as of 
December 31, 2018.†
Credit Agreement, dated October 19, 2017, 
by and among HCP, as borrower, the lenders 
referred to therein, and Bank of America, N.A., as 
administrative agent.
At-the-Market Equity Offering Sales Agreement, 
dated May 31, 2018, among HCP, J.P. Morgan 
Securities LLC, BNY Mellon Capital Markets, LLC, 
Citigroup Global Markets Inc., Credit Agricole 
Securities (USA) Inc., Credit Suisse Securities 
(USA) LLC, Goldman Sachs & Co. LLC, Merrill 
Lynch, Pierce, Fenner & Smith Incorporated, RBC 
Capital Markets, LLC and UBS Securities LLC.
Amended and Restated Master Lease and Security 
Agreement, dated as of November 1, 2017, by 
and between subsidiaries and affiliates of HCP, as 
lessor, and subsidiaries and affiliates of Brookdale, 
as lessee.**
First Amendment to Amended and Restated 
Master Lease and Security Agreement, dated as of 
January 10, 2018, by and between subsidiaries and 
affiliates of HCP, as lessor, and subsidiaries and 
affiliates of Brookdale, as lessee.
Subsidiaries of the Company.†
Consent of Independent Registered Public 
Accounting Firm—Deloitte & Touche LLP.†

10.11.4

10.11.5

10.12

10.12.1

10.13

10.13.1

10.14

10.15

10.16

10.16.1

21.1
23.1

PART IV

Incorporated by reference herein

Form
Quarterly Report on Form 10-Q  
(File No. 001-08895)

Date Filed
November 1, 2005

Annual Report on Form 10-K, as 
amended (File No. 001-08895)

February 12, 2008

Current Report on Form 8-K  
(File No. 001-08895)

April 20, 2012

Quarterly Report on Form 10-Q  
(File No. 001-08895)

August 5, 2014

Current Report on Form 8-K  
(File No. 001-08895)

October 20, 2017

Current Report on Form 8-K  
(File No. 001-08895)

May 31, 2018

Annual Report on Form 10-K 
 (File No. 001-08895)

February 13, 2018

Annual Report on Form 10-K  
(File No. 001-08895)

February 13, 2018

2018 Annual Report 

139

  
Incorporated by reference herein

Form

Date Filed

PART IV

Exhibit 
Number Description
31.1

31.2

32.1

32.2

Certification by Thomas M. Herzog, HCP’s 
Principal Executive Officer, Pursuant to Securities 
Exchange Act Rule 13a-14(a).†
Certification by Peter A. Scott, HCP’s Principal 
Financial Officer, Pursuant to Securities Exchange 
Act Rule 13a-14(a).†
Certification by Thomas M. Herzog, HCP’s 
Principal Executive Officer, Pursuant to Securities 
Exchange Act Rule 13a-14(b) and 18 U.S.C. 
Section 1350.†
Certification by Peter A. Scott, HCP’s Principal 
Financial Officer, Pursuant to Securities Exchange 
Act Rule 13a-14(b) and 18 U.S.C. Section 1350.†
XBRL Instance Document.†

101.INS
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 Labels Linkbase 

Document.†

101.PRE XBRL Taxonomy Extension Presentation Linkbase 

Document.†

*  Management Contract or Compensatory Plan or Arrangement.
**  Portions of this exhibit have been omitted pursuant to a request for confidential treatment with the SEC.
† 

Filed herewith.

ITEM 16.  FORM 10-K SUMMARY
None.

140 http://www.hcpi.com

SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) 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.

Dated: February 14, 2019

PART IV

HCP, Inc. (Registrant)

/s/ THOMAS M. HERZOG
Thomas M. Herzog, 
President and Chief Executive Officer 
(Principal Executive Officer)

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following 
persons on behalf of the Registrant and in the capacities and on the dates indicated.

Signature

Title

Date

/s/ THOMAS M. HERZOG
Thomas M. Herzog

President and Chief Executive Officer
(Principal Executive Officer), Director

February 14, 2019

/s/ PETER A. SCOTT
Peter A. Scott

Executive Vice President and Chief Financial Officer
(Principal Financial Officer)

February 14, 2019

/s/ SHAWN G. JOHNSTON
Shawn G. Johnston

Executive Vice President and Chief Accounting Officer
(Principal Accounting Officer)

February 14, 2019

Chairman of the Board

February 14, 2019

/s/ BRIAN G. CARTWRIGHT
Brian G. Cartwright

/s/ CHRISTINE N. GARVEY
Christine N. Garvey

/s/ R. KENT GRIFFIN, JR.
R. Kent Griffin, Jr.

/s/ DAVID B. HENRY
David B. Henry

/s/ LYDIA H. KENNARD
Lydia H. Kennard

/s/ PETER L. RHEIN
Peter L. Rhein

Director

Director

Director

Director

Director

/s/ KATHERINE M. SANDSTROM
Katherine M. Sandstrom

Director

/s/ JOSEPH P. SULLIVAN
Joseph P. Sullivan

Director

February 14, 2019

February 14, 2019

February 14, 2019

February 14, 2019

February 14, 2019

February 14, 2019

February 14, 2019

2018 Annual Report 

141

  
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CORPORATE HEADQUARTERS
1920 MAIN STREET, SUITE 1200
IRVINE, CA 92614

NASHVILLE OFFICE
3000 MERIDIAN BOULEVARD, SUITE 200
FRANKLIN, TN 37067

SAN FRANCISCO OFFICE
950 TOWER LANE, SUITE 1650
FOSTER CITY, CA 94404

The papers utilized in the production of this proxy statement are all certified for Forest Stewardship 
Council  (FSC®)  standards,  which  promote  environmentally  appropriate,  socially  beneficial  and 
economically  viable  management  of  the  world’s  forests.  This  proxy  statement  was  printed  in  a 
facility that uses exclusively vegetable based inks, 100% renewable wind energy and releases zero 
VOCs into the environment.