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EX-99.1 - EXHIBIT 99.1 - Physicians Realty Trusta2017q3earningspressreleas.htm
8-K - 8-K - Physicians Realty Trustq38-k2017q3earningslpandtr.htm
Northside Cherokee/Towne Lake MOB Atlanta, GA SUPPLEMENTAL OPERATING & FINANCIAL INFORMATION THIRD QUARTER 2017 PHYSICIANS REALTY TRUST NYSE: DOC Exhibit 99.2 September 2017 Baylor Charles A. Sammons Cancer Center Dallas, TX


 
2 COMPANY OVERVIEW ABOUT PHYSICIANS REALTY TRUST 4 THIRD QUARTER HIGHLIGHTS 6 FINANCIAL HIGHLIGHTS 7 FINANCIAL INFORMATION RECONCILIATION OF NON-GAAP MEASURES: FUNDS FROM OPERATIONS (FFO), NORMALIZED FUNDS FROM OPERATIONS (NORMALIZED FFO), AND NORMALIZED FUNDS AVAILABLE FOR DISTRIBUTION (NORMALIZED FAD)  8 RECONCILIATION OF NON-GAAP MEASURES: NET OPERATING INCOME AND ADJUSTED EBITDA 9 MARKET CAPITALIZATION AND DEBT SUMMARY 10 FINANCIAL STATISTICS AND COVENANT PERFORMANCE 11 SAME-STORE PORTFOLIO PERFORMANCE AND TENANT OCCUPANCY 12 INVESTMENT ACTIVITY AND ASSETS SLATED FOR DISPOSITION 13 PORTFOLIO GEOGRAPHIC DISTRIBUTION 14 PORTFOLIO DIVERSIFICATION 15 LEASING RELATIONSHIPS AND EXPIRATION SCHEDULE 16 CONSOLIDATED BALANCE SHEETS 17 CONSOLIDATED STATEMENTS OF INCOME 18 REPORTING DEFINITIONS 19 TABLE OF CONTENTS


 
3 FORWARD-LOOKING STATEMENTS   Certain statements made in this supplemental information package constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 (set forth in 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”)). In particular, statements pertaining to our capital resources, portfolio performance and results of operations contain forward-looking statements.  Likewise, our pro forma financial statements and our statements regarding anticipated market conditions are forward-looking statements. You can identify forward-looking statements by the use of forward-looking terminology such as "believes,” “expects,” “may,” “will,” “should,” “seeks,” “approximately,” “intends,” “plans,” "outlook," "continue," "projects," “pro forma,” “estimates” or “anticipates” or the negative of these words and phrases or similar words or phrases which are predictions of or indicate future events or trends and which do not relate solely to historical matters. You can also identify forward-looking statements by discussions of strategy, plans, expectations or intentions. Forward-looking statements reflect the views of our management regarding current expectations and projections about future events and are based on currently available information. These forward-looking statements are not guarantees of future performance and involve numerous risks and uncertainties and you should not rely on them as predictions of future events. Forward-looking statements depend on assumptions, data or methods which may be incorrect or imprecise and we may not be able to realize them. While forward-looking statements reflect our good faith beliefs, they are not guarantees of future performance. We disclaim any obligation to publicly update or revise any forward-looking statement to reflect changes in underlying assumptions or factors, of new information, data or methods, future events or other changes after the date of this supplemental information package, except as required by applicable law. You should not place undue reliance on any forward-looking statements that are based on information currently available to us or the third parties making the forward-looking statements. For a discussion of factors that could impact our future results, performance or transactions, see Part I, Item 1A (Risk Factors) of our Annual Report on Form 10- K for the fiscal year ended December 31, 2016, and Part II, Item 1A (Risk Factors) of our Quarterly Report on Form 10-Q for the quarterly periods ended March 31, 2017 and June 30, 2017.   NON-GAAP FINANCIAL MEASURES This presentation includes Adjusted EBITDA, EBITDAR, Net Operating Income (or NOI), Cash NOI, Funds From Operations (or FFO), Normalized FFO, and Normalized Funds Available For Distribution (or FAD), which are non-GAAP financial measures. For purposes of the Securities and Exchange Commission’s (“SEC”) Regulation G, a non-GAAP financial measure is a numerical measure of a company’s historical or future financial performance, financial position or cash flows that excludes amounts, or is subject to adjustments that have the effect of excluding amounts, that are included in the most directly comparable financial measure calculated and presented in accordance with GAAP in the statement of operations, balance sheet or statement of cash flows (or equivalent statements) of the company, or includes amounts, or is subject to adjustments that have the effect of including amounts, that are excluded from the most directly comparable financial measure so calculated and presented. As used in this presentation, GAAP refers to generally accepted accounting principles in the United States of America. Our use of the non- GAAP financial measure terms herein may not be comparable to that of other real estate investment trusts. Pursuant to the requirements of Regulation G, we have provided reconciliations of the non-GAAP financial measures to the most directly comparable GAAP financial measures. ADDITIONAL INFORMATION   The information in this supplemental information package should be read in conjunction with the Company’s Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, earnings press release dated November 3, 2017 and other information filed with, or furnished to, the SEC. You can access the Company’s reports and amendments to those reports filed or furnished to the SEC pursuant to Section 13(a) or 15(d) of the Exchange Act in the “Investor Relations” section on the Company’s website (www.docreit.com) under the tab “SEC Filings” as soon as reasonably practicable after they are filed with, or furnished to, the SEC. The information on or connected to the Company’s website is not, and shall not be deemed to be, a part of, or incorporated into this supplemental information package. You also can review these SEC filings and other information by accessing the SEC’s website at http://www.sec.gov.


 
4 ABOUT PHYSICIANS REALTY TRUST   Physicians Realty Trust (NYSE:DOC) (the “Trust,” the “Company,” “DOC,” “we,” “our” and “us”) is a self-managed healthcare real estate company organized in 2013 to acquire, selectively develop, own, and manage healthcare properties that are leased to physicians, hospitals and healthcare delivery systems.   We invest in real estate that is integral to providing high quality healthcare services. Our properties typically are on a campus with a hospital or other healthcare facilities or strategically located and affiliated with a hospital or other healthcare facilities.   Our management team has significant public healthcare REIT experience and long established relationships with physicians, hospitals and healthcare delivery system decision makers that we believe will provide quality investment opportunities to generate attractive risk-adjusted returns to our shareholders.   We are a Maryland real estate investment trust and elected to be taxed as a REIT for U.S. federal income tax purposes beginning with our short taxable year ending December 31, 2013. We conduct our business through an UPREIT structure in which our properties are owned by Physicians Realty L.P., a Delaware limited partnership (the “operating partnership”), directly or through limited partnerships, limited liability companies or other subsidiaries. We are the sole general partner of the operating partnership and, as of September 30, 2017, own approximately 97.1% of the partnership interests in the operating partnership (“OP Units”). COMPANY SNAPSHOT As of September 30, 2017 Gross real estate investments (thousands) $ 3,949,095 Total healthcare properties (1) 270 % Leased (1) 96.6% Total portfolio gross leasable area (sq. ft.) (1) 12,969,653 % of GLA on-campus / affiliated (1) 80% Average remaining lease term for all buildings (years) (1) 8.4 Cash and cash equivalents (thousands) $ 4,924 Total debt to firm value 26.5% Weighted average interest rate per annum on consolidated debt 3.8% Equity market cap (thousands) $ 3,177,372 Quarterly dividend $ 0.230 Quarter end stock price $ 17.73 Dividend yield 5.19% Common shares outstanding 179,208,786 OP Units outstanding and not owned by DOC 5,379,981 Total firm value (thousands) (2) $ 4,467,252 (1) Excludes the Company's 108,843 square foot corporate office building. (2) Represents the value of outstanding shares and units based on the closing stock price on September 30, 2017 plus the amount of outstanding debt and redeemable equity at September 30, 2017.


 
5 ABOUT PHYSICIANS REALTY TRUST (CONTINUED) BOARD OF TRUSTEES Tommy G. Thompson Chairman John T. Thomas William A. Ebinger, M.D. Richard A. Weiss Chief Executive Officer Trustee Trustee President Albert C. Black Mark A. Baumgartner Stanton D. Anderson Compensation and Nominating Finance and Investment Audit Committee Chair Governance Committee Chair Committee Chair MANAGEMENT TEAM John T. Thomas Chief Executive Officer President Jeffrey N. Theiler D. Deeni Taylor John W. Lucey Executive Vice President Executive Vice President Senior Vice President Chief Financial Officer Chief Investment Officer Chief Accounting and Administrative Officer Bradley D. Page Daniel M. Klein Mark D. Theine Senior Vice President Senior Vice President Senior Vice President General Counsel Deputy Chief Investment Officer Asset & Investment Management LOCATION AND CONTACT INFORMATION Corporate Headquarters Independent Registered Corporate and REIT Tax Counsel 309 N. Water Street, Suite 500 Public Accounting Firm Baker & McKenzie LLP Milwaukee, WI 53202 Ernst & Young Richard Lipton, Partner (414) 367-5600 Chicago, IL 60606 Chicago, IL 60601 (312) 879-2000 (312) 861-8000 COVERING ANALYSTS J. Sanabria - Bank of America Merrill Lynch P. Martin - JMP Securities J. Kim - BMO Capital Markets Corp. J. Sadler - Keybanc Capital Markets Inc. M. Gorman - BTIG V. Malhotra - Morgan Stanley P. Morgan - Canaccord Genuity Inc. J. Hughes - Raymond James Financial Inc. J. France - Cantor Fitzgerald M. Carroll - RBC Capital Markets LLC C. Kucera - FBR Capital D. Babin - Robert W. Baird & Co. J. Roberts - J.J.B. Hilliard W.L. Lyons LLC C. Vanacore - Stifel T. Okusanya - Jefferies LLC E. Fleming - SunTrust Robinson Humphrey The equity analysts listed above are those analysts that have published research material on the Company and are listed as covering the Company. Please note that any opinions, estimates, or forecasts regarding the Company's performance made by the analysts listed above do not represent the opinions, estimates, or forecasts of Physicians Realty Trust or its management. The Company does not by its reference above imply its endorsement of or concurrence with any information, conclusions or recommendations made by any of such analysts. Interested persons may obtain copies of analysts' reports on their own, as we do not distribute these reports. Several of these firms may, from time to time, own our stock and/or hold other long or short positions on our stock, and may provide compensated services to us.


 
6 THIRD QUARTER 2017 HIGHLIGHTS OPERATING HIGHLIGHTS • Third quarter 2017 total revenue of $93.0 million, up 33% over the prior year period • Third quarter 2017 rental revenue of $69.4 million, an increase of 30% over the prior year period • Generated quarterly net income per share of $0.07 on a fully diluted basis • Generated quarterly normalized funds from operations (Normalized FFO) of $0.26 per share on a fully diluted basis • Completed third quarter investments of $190.2 million, including 9 healthcare properties representing 481,773 square feet and loan investments of $30.3 million • Declared quarterly dividend of $0.23 per share for the third quarter • 96.6% of portfolio square footage leased as of September 30, 2017 • Net increase to gross leasable square footage of 3.9% to 12,969,653 square feet across 270 healthcare properties as of September 30, 2017 from 12,487,166 square feet across 261 healthcare properties as of June 30, 2017 COMPANY ANNOUNCEMENTS • July 5, 2017: Announced the closing of our underwritten public offering of 20,000,000 common shares of beneficial interest at a price per share of $20.40, for net proceeds of $391.0 million. • August 11, 2017: Announced the Company's ratings upgrade to investment grade (BBB-) with a stable outlook from Standard & Poor's Rating Services. • September 11, 2017: Announced the completion of $129.7 million in recent acquisitions, resulting in year to date investment activity of nearly $1 billion. • September 21, 2017: Announced that our Board of Trustees authorized and declared a cash distribution of $0.230 per common share and OP Unit for the quarterly period ended September 30, 2017. The distribution was paid on October 18, 2017 to common shareholders and OP Unit holders of record as of the close of business on October 3, 2017. • September 26, 2017: Announced the execution of Purchase and Sale Agreements to acquire six medical office properties, including four that are on the campus of hospitals owned by investment grade rated health systems, totaling $189.4 million. THIRD QUARTER INVESTMENT HIGHLIGHTS SUBSEQUENT INVESTMENTS • Clearview Cancer Institute, Huntsville, AL • Franklin MOB & ASC, Franklin, TN • Northside Cherokee/Towne Lake MOB, Atlanta, GA • Davis Portfolio (2 MOBs), Minneapolis, MN • HonorHealth Mesa MOB, Mesa, AZ • 2017 CHI Portfolio - Tranche 2 (5 MOBs) • Legends Park MOB & ASC, Midland, TX


 
7 FINANCIAL HIGHLIGHTS (Unaudited and in thousands, except sq. ft. and per share data) (1) Unadjusted for unamortized fair value adjustments, unamortized discount, and unamortized deferred financing costs. (2) Outstanding common shares and OP Units at quarter end, multiplied by share price at quarter end. INCOME Three Months Ended September 30, 2017 June 30, 2017 Revenues $ 92,999 $ 76,599 Net income 12,539 10,331 NOI 65,547 56,113 Annualized Adjusted EBITDA 244,352 225,984 Net income available to common shareholders per common share $ 0.07 $ 0.06 Normalized FFO 47,421 37,891 Normalized FFO per common share and OP Unit $ 0.26 $ 0.24 Normalized FAD 42,811 34,231 CAPITALIZATION As of ASSETS September 30, 2017 June 30, 2017 Gross Real Estate Investments (including gross lease intangibles) 3,949,095 3,759,813 Total Assets 3,838,500 3,665,891 DEBT AND EQUITY Total Debt (1) 1,183,574 1,409,133 Total Equity 2,538,221 2,147,029 Equity Market Capitalization 3,177,372 3,175,626 Implied Equity Market Capitalization (2) 3,272,759 3,284,367 Total Debt / Implied Equity Market Capitalization 36% 43% Gross Real Estate Assets Real Estate Investments/Quarter Total Healthcare Property GLA Portfolio Growth Since IPO $4,000,000 $3,500,000 $3,000,000 $2,500,000 $2,000,000 $1,500,000 $1,000,000 $500,000 $0 G ro ss R ea lE st at e In ve st m en ts 14,000,000 12,000,000 10,000,000 8,000,000 6,000,000 4,000,000 2,000,000 0 G LA in SF IPO Q3-2013 Q4-2013 Q1-2014 Q2-2014 Q3-2014 Q4-2014 Q1-2015 Q2-2015 Q3-2015 Q4-2015 Q1-2016 Q2-2016 Q3-2016 Q4-2016 Q1-2017 Q2-2017 Q3-2017 $123,998 $3,949,095


 
8 RECONCILIATION OF NON-GAAP MEASURES: FUNDS FROM OPERATIONS (FFO), NORMALIZED FUNDS FROM OPERATIONS (NORMALIZED FFO) AND NORMALIZED FUNDS AVAILABLE FOR DISTRIBUTION (NORMALIZED FAD) (Unaudited and in thousands, except share and per share data) Three Months Ended September 30, 2017 Nine Months Ended September 30, 2017 Net income $ 12,539 $ 29,586 Net income attributable to NCI - partially owned properties (53) (379) Preferred distributions (106) (505) Depreciation and amortization expense 32,921 88,930 Depreciation and amortization expense - partially owned properties (129) (410) Gain on the sale of investment properties — (5,308) FFO applicable to common shares and OP Units $ 45,172 $ 111,914 FFO per common share and OP Unit $ 0.25 $ 0.69 Net change in fair value of derivative (9) 160 Acquisition expenses 2,184 12,831 Net change in fair value of contingent consideration 74 4 Normalized FFO applicable to common shares and OP Units $ 47,421 $ 124,909 Net income available to common shareholders per common share and OP Unit $ 0.07 $ 0.18 Normalized FFO per common share and OP Unit $ 0.26 $ 0.77 Normalized FFO applicable to common shares and OP Units 47,421 124,909 Non-cash share compensation expense 1,327 3,717 Straight-line rent adjustments (4,563) (11,168) Amortization of acquired above/below market leases/assumed debt 870 2,652 Amortization of lease inducements 344 965 Amortization of deferred financing costs 560 1,688 TI/LC and recurring capital expenditures (3,383) (11,461) Seller master lease and rent abatement payments 235 733 Normalized FAD applicable to common shares and OP Units $ 42,811 $ 112,035 Weighted average number of common shares and OP Units outstanding 183,298,145 162,480,918


 
9 RECONCILIATION OF NON-GAAP MEASURES: NET OPERATING INCOME AND ADJUSTED EBITDA (Unaudited and in thousands, except share and per share data) NET OPERATING INCOME Three Months Ended September 30, 2017 Nine Months Ended September 30, 2017 Net income $ 12,539 $ 29,586 General and administrative 5,860 16,845 Acquisition expenses 2,184 12,831 Depreciation and amortization expense 32,975 89,031 Interest expense 11,998 33,285 Net change in fair value of derivative (9) 160 Gain on sale of investment properties — (5,308) NOI $ 65,547 $ 176,430 NOI $ 65,547 $ 176,430 Straight-line rent adjustments (4,563) (11,168) Amortization of acquired above/below market leases 870 2,652 Amortization of lease inducements 344 965 Seller master lease and rent abatement payments 235 733 Net change in fair value of contingent consideration 74 4 Cash NOI $ 62,507 $ 169,616 ADJUSTED EBITDA Three Months Ended September 30, 2017 Nine Months Ended September 30, 2017 Net income $ 12,539 $ 29,586 Depreciation and amortization 32,975 89,031 Interest expense 11,998 33,285 Net change in fair value of derivative (9) 160 EBITDA $ 57,503 $ 152,062 Acquisition expenses 2,184 12,831 Non-cash share compensation expense 1,327 3,717 Net change in fair value of contingent consideration 74 4 Adjusted EBITDA $ 61,088 $ 168,614 Adjusted EBITDA Annualized* $ 244,352 $ 224,819 * Amounts are annualized and actual amounts may differ significantly from the annualized amounts shown.


 
10 (1) Unadjusted for unamortized fair value adjustments, unamortized discount, and unamortized deferred financing costs. (2) Weighted average maturity of Mortgage Debt is 2.7 years. MARKET CAPITALIZATION AND DEBT SUMMARY (Unaudited and in thousands, except share and per share data) Debt Equity Debt is 26.5% of Firm Value MARKET CAPITALIZATION September 30, 2017 Unsecured credit facility debt $ 389,000 Unsecured notes 625,000 Mortgage debt 169,574 Total Debt (1) $ 1,183,574 Redeemable equity $ 10,919 Share price $ 17.73 Total common shares outstanding 179,208,786 Total OP Units outstanding 5,379,981 Implied equity market capitalization $ 3,272,759 Total Firm Value (Debt + Pref. + Equity) $ 4,467,252 Total Debt/Total Assets 30.8% Total Debt/Total Firm Value 26.5% DEBT SUMMARY (1) Balance as of September 30, 2017 Interest Rate Maturity Date Revolving Credit Facility Debt $ 139,000 2.4 % 9/18/2020 Credit Facility Term Debt 250,000 2.9 % 6/10/2023 Senior Unsecured Notes January '16 - Series A 15,000 4.0 % 1/7/2023 January '16 - Series B 45,000 4.4 % 1/7/2026 January '16 - Series C 45,000 4.6 % 1/7/2028 January '16 - Series D 45,000 4.7 % 1/7/2031 August '16 - Series A 25,000 4.1 % 8/11/2025 August '16 - Series B 25,000 4.2 % 8/11/2026 August '16 - Series C 25,000 4.2 % 8/11/2027 March '17 400,000 4.3 % 3/15/2027 Mortgage Debt, Maturing (2): 2017 — — % 2018 38,603 4.5 % 2019 18,750 5.0 % Thereafter 112,221 4.2 % $ 1,183,574 3.8% Debt Repayment Schedule as of September 30, 2017 $1,000,000 $800,000 $600,000 $400,000 $200,000 $0 2017 2018 2019 2020 2021 2022 2023 Thereafter $504 $54,195 $44,022 $168,483 $8,048 $9,597 $265,532 $633,193


 
11 FINANCIAL STATISTICS AND COVENANT PERFORMANCE (Unaudited and in thousands, except share and per share data) Quarter Ended September 30, 2017 Annualized dividend rate (1) $ 0.92 Price per share (2) $ 17.73 Annualized Dividend Yield 5.19% Total debt (3) $ 1,183,574 Net debt (less cash) 1,178,650 Adjusted EBITDA (annualized)* 244,352 Net Debt / Adjusted EBITDA Ratio 4.82x Adjusted EBITDA (annualized)* $ 244,352 Cash interest expense (annualized)* 45,644 Interest Coverage Ratio 5.35x Total interest $ 11,998 Secured debt principal amortization 493 Total fixed charges $ 12,491 Adjusted EBITDA 61,088 Adjusted EBITDA Fixed Charge Coverage Ratio 4.89x Implied equity market cap $ 3,272,759 Redeemable equity 10,919 Total debt (3) 1,183,574 Total Firm Value 4,467,252 Total debt (3) $ 1,183,574 Total assets 3,838,500 Total Debt / Total Assets 30.8% Total Debt / Total Firm Value 26.5% Weighted average common shares 177,847,424 Weighted average unvested restricted common shares and share units 70,740 Weighted average OP Units not owned by DOC 5,379,981 Weighted Average Common Shares and OP Units - Diluted 183,298,145 (1) Annualized rate based on $0.230 quarterly dividend for the quarter ending September 30, 2017. Actual dividend amounts will be determined by the Trust's board of trustees based on a variety of factors. (2) Closing common share price of $17.73 as of September 29, 2017. (3) Unadjusted for unamortized fair value adjustments, unamortized discount, and unamortized deferred financing costs. * Amounts are annualized and actual amounts may differ significantly from the annualized amounts shown. COVENANT PERFORMANCE Required September 30, 2017 Total Leverage Ratio ≤ 60.0% 30.2% Total Secured Leverage Ratio ≤ 40.0% 4.3% Maintenance of Unencumbered Assets ≥ 1.5x 3.8x Consolidated Debt Service (Trailing Four Quarters) ≥ 1.5x 3.7x


 
12 SAME-STORE PORTFOLIO PERFORMANCE AND TENANT OCCUPANCY (Unaudited and in thousands, except property count and sq. ft. data. Same-Store data excludes Assets Slated for Disposition and Kennewick MOB) SAME-STORE PORTFOLIO PERFORMANCE Year-Over-Year Comparison Sequential Comparison Q3'17 Q3'16 Change Q3'17 Q2'17 Change Number of healthcare properties 206 206 — 206 206 — Gross leasable area 8,911,012 8,911,012 — 8,911,012 8,911,012 — % Leased 95.5% 95.9% -40 bps 95.5% 95.5% — bps Rental revenues 60,256 58,473 +3.0% 60,256 59,002 +2.1% Operating expenses (18,989) (18,116) +4.8% (18,989) (18,295) +3.8% Same-Store Cash NOI 41,267 40,357 +2.3% 41,267 40,707 +1.4% Same-Store Cash NOI, 66.0% Other Cash NOI, 34.0% SAME-STORE PORTFOLIO ANALYSIS Portfolio Same-Store Quarter Ended Quarter Ended September 30, 2017 September 30, 2017 Number of healthcare properties (1) 270 206 Gross leasable area (1) 12,969,653 8,911,012 Cash NOI $ 62,507 $ 41,267 % Leased (1) 96.6% 95.5% TENANT OCCUPANCY (1) Quarter Ended Percentage of total GLA September 30, 2017 September 30, 2017 Total GLA Total square feet beginning of quarter 12,487,166 96.3 % Acquired GLA (2) 482,487 3.7 % Disposed GLA — — % Total square feet end of quarter 12,969,653 100.0 % Occupied GLA Occupied GLA beginning of quarter 12,051,101 92.9 % Expirations (134,988) (1.0)% Renewals 97,220 0.7 % Retention Rate 72% New leases commencing in quarter 33,131 0.3 % Net absorption / (vacancy loss) (4,637) — % Net occupied GLA acquired 476,436 3.7 % Occupied GLA end of quarter 12,522,900 96.6 % (1) Excludes the Company's 108,843 square foot corporate office. (2) Includes remeasurements of existing properties totaling 714 square feet.


 
13 INVESTMENT ACTIVITY (Unaudited and in thousands, except sq. ft. data) ASSETS ACQUIRED Acquisition First Year Purchase Property Location Date Cash Yield % Leased Price GLA Clearview Cancer Institute Huntsville, AL 8/4/2017 6.3% 100.0% $ 53,250 112,986 Northside Cherokee/Towne Lake MOB Atlanta, GA 8/15/2017 5.1% (1) 100.0% 37,127 102,977 HonorHealth Mesa MOB Mesa, AZ 8/15/2017 6.0% 100.0% 4,800 14,400 2017 CHI Portfolio - Tranche 2 (5 MOBs) AR, MN, NE, TX 8/24/2017 & 8/31/2017 6.8% 97.3% 33,694 187,390 NCI Buyout - Great Falls Clinic Great Falls, MT 9/21/2017 6.8% — 1,061 — Legends Park MOB & ASC Midland, TX 9/27/2017 6.0% 100.0% 30,000 64,020 Loan Investments Various Various 8.0% — 30,251 — Total / Weighted Average 6.4% $ 190,183 481,773 (1) Stabilized to include rent increases following anticipated tenant improvement completion on January 1, 2018. Quarter Ended ASSETS SLATED FOR DISPOSITION September 30, 2017 Number of Properties 11 Number of States 5 Total Gross Leasable Area 411,953 St. Vincent Carmel Women's Center Carmel, IN Legends Park MOB & ASC Midland, TX


 
14 PORTFOLIO GEOGRAPHIC DISTRIBUTION (As of September 30, 2017) State GLA Texas 1,930,348 Nebraska 1,000,242 Kentucky 976,620 Indiana 852,267 Georgia 654,344 Arizona 650,949 Ohio 650,319 New York 613,496 Washington 589,141 Minnesota 547,203 Other 4,504,724 Total 12,969,653 Texas, 15% Nebraska, 8% Kentucky, 8% Indiana, 7% Georgia, 5% Arizona, 5% Ohio, 5% New York, 5% Washington, 4% Minnesota, 4% Other, 34% TOP TEN STATES


 
15 PORTFOLIO DIVERSIFICATION (As of September 30, 2017) THREE MONTHS ENDED SEPTEMBER 30, 2017 Campus Proximity (Based on Cash NOI) Off-Campus, 22% On-Campus / Affiliated, 78% Coverage # of Properties GLA % of Total % Leased Ratio (1) Single-tenant MOBs 132 5,278,487 40.7% 99.7% N/A Multi-tenant MOBs 129 6,992,022 53.9% 93.8% N/A Hospitals 6 388,792 3.0% 100.0% 3.0x LTACHs 3 310,352 2.4% 100.0% 1.4x Total 270 12,969,653 100.0% 96.6% Building Type (Based on Cash NOI) MOB, 92% LTACH, 2% Hospital, 6% Lease Type (Based on Revenue) Absolute Net, 18% NNN, 74% Modified Gross, 6% Gross, 2% Section 603 Asset Mix (Based on Annualized Base Revenue) 603 Assets, 20% Non-603 Assets, 80% (1) Adjusted for the exclusion of Assets Slated for Disposition.


 
16 LEASING RELATIONSHIPS AND EXPIRATION SCHEDULE (As of September 30, 2017, $ in thousands) TOP 10 TENANTS (Determined by ABR) Weighted Avg. % of Total (2) Credit Rating (1) Remaining Leased % of Total (2) Annualized Annualized Tenant (Moody's / S&P) Lease Term GLA GLA Base Rent Base Rent CHI - Nebraska Baa1 / BBB+ 9.1 900,894 6.9% $ 16,018 5.9% CHI - KentuckyOne Health Baa1 / BBB+ 8.5 744,101 5.7% 13,120 4.8% Baylor Scott and White Health Aa3 / Aa- 8.3 268,639 2.1% 7,402 2.7% US Oncology Baa2 / NA 7.6 256,988 2.0% 6,689 2.5% CHI - St. Alexius (North Dakota) Baa1 / BBB+ 8.8 361,671 2.8% 6,235 2.3% HonorHealth A2 / NA 12.3 243,482 1.9% 5,768 2.1% CHI - Franciscan (Seattle - Tacoma) Baa1 / BBB+ 8.6 330,984 2.6% 5,616 2.1% Great Falls Hospital Not Rated 17.8 185,085 1.4% 5,194 1.9% LifeCare Not Rated 10.3 310,352 2.4% 5,021 1.9% CHI - St. Vincent Baa1 / BBB+ 9.3 257,878 1.9% 4,182 1.5% Total / Weighted Average 9.5 3,860,074 29.7% $ 75,245 27.7% LEASE EXPIRATION SCHEDULE (1) Expiration Expiring Expiring Lease % of Total Expiring Lease % of Total Average Rent Year Leases GLA GLA ABR ABR per SF 2017 20 60,542 0.5% $ 1,324 0.5% $ 21.87 2018 111 451,159 3.5% 8,995 3.3% 19.94 2019 90 521,918 4.0% 10,873 4.0% 20.83 2020 101 432,029 3.3% 8,677 3.2% 20.08 2021 145 590,757 4.6% 12,102 4.5% 20.48 2022 90 624,151 4.8% 14,939 5.5% 23.93 2023 67 465,886 3.6% 10,457 3.9% 22.45 2024 81 818,023 6.3% 16,328 6.0% 19.96 2025 109 891,636 6.9% 21,575 7.9% 24.20 2026 129 3,587,894 27.7% 71,374 26.3% 19.89 2027 74 1,564,908 12.1% 29,910 11.0% 19.11 Thereafter: 73 2,459,685 18.9% 63,964 23.6% 26.00 MTM 29 54,311 0.4% 863 0.3% 15.89 Vacant 446,753 3.4% Total / W.A. 1,119 12,969,653 100% $ 271,381 100% $ 20.92 (1) Excludes leases related to the Company's 108,843 square foot corporate office. (1) Parent rating used where appropriate. (2) Excludes leases related to the Company's 108,843 square foot corporate office.


 
17 CONSOLIDATED BALANCE SHEETS (In thousands, except share data) September 30, 2017 December 31, 2016 ASSETS   Investment properties: Land and improvements $ 204,305 $ 189,759 Building and improvements 3,255,900 2,402,643 Tenant improvements 20,786 14,133 Acquired lease intangibles 402,608 301,462 3,883,599 2,907,997 Accumulated depreciation (263,497) (181,785) Net real estate property 3,620,102 2,726,212 Real estate loans receivable 78,944 39,154 Investment in unconsolidated entities 2,232 2,258 Net real estate investments 3,701,278 2,767,624 Cash and cash equivalents 4,924 15,491 Tenant receivables, net 8,389 9,790 Other assets 123,909 95,187 Total assets $ 3,838,500 $ 2,888,092 LIABILITIES AND EQUITY Liabilities: Credit facility $ 382,960 $ 643,742 Notes payable 619,793 224,330 Mortgage debt 169,464 123,083 Accounts payable 6,590 4,423 Dividends and distributions payable 43,452 32,179 Accrued expenses and other liabilities 51,421 42,287 Acquired lease intangibles, net 15,680 9,253 Total liabilities 1,289,360 1,079,297 Redeemable noncontrolling interest – Series A Preferred Units (2016) and partially owned properties 10,919 26,477 Equity: Common shares, $0.01 par value, 500,000,000 common shares authorized, 179,208,786 and 135,966,013 common shares issued and outstanding as of September 30, 2017 and December 31, 2016, respectively 1,792 1,360 Additional paid-in capital 2,732,121 1,920,644 Accumulated deficit (282,019) (197,261) Accumulated other comprehensive income 12,012 13,708 Total shareholders' equity 2,463,906 1,738,451 Noncontrolling interests: Operating Partnership 73,688 43,142 Partially owned properties 627 725 Total noncontrolling interest 74,315 43,867 Total equity 2,538,221 1,782,318 Total liabilities and equity $ 3,838,500 $ 2,888,092


 
18 CONSOLIDATED STATEMENT OF INCOME (In thousands, except share and per share data) Three Months Ended September 30, Nine Months Ended September 30, 2017 2016 2017 2016 Revenues: Rental revenues $ 69,408 $ 53,327 $ 186,515 $ 130,378 Expense recoveries 21,102 14,361 53,564 31,816 Interest income on real estate loans and other 2,489 2,322 6,185 5,166 Total revenues 92,999 70,010 246,264 167,360 Expenses: Interest expense 11,998 7,300 33,285 15,776 General and administrative 5,860 4,917 16,845 13,964 Operating expenses 27,471 19,159 70,079 43,994 Depreciation and amortization 32,975 23,969 89,031 59,778 Acquisition expenses 2,184 4,398 12,831 11,031 Total expenses 80,488 59,743 222,071 144,543 Income before equity in income of unconsolidated entities: 12,511 10,267 24,193 22,817 Equity in income of unconsolidated entities 28 27 85 85 Gain on sale of investment properties — — 5,308 — Net income 12,539 10,294 29,586 22,902 Net income attributable to noncontrolling interests: Operating Partnership (362) (255) (823) (629) Partially owned properties (53) (176) (379) (553) Net income attributable to controlling interest 12,124 9,863 28,384 21,720 Preferred distributions (106) (436) (505) (1,421) Net income attributable to common shareholders $ 12,018 $ 9,427 $ 27,879 $ 20,299 Net income per share: Basic $ 0.07 $ 0.07 $ 0.18 $ 0.17 Diluted $ 0.07 $ 0.07 $ 0.18 $ 0.16 Weighted average common shares Basic 177,847,424 134,608,396 157,542,167 122,973,862 Diluted 183,298,145 138,880,787 162,480,918 127,395,989 Dividends and distributions declared per common share and OP Unit $ 0.230 $ 0.225 $ 0.685 $ 0.675


 
19 REPORTING DEFINITIONS Adjusted Earnings Before Interest Taxes, Depreciation and Amortization (Adjusted EBITDA): We define Adjusted EBITDA for DOC as net (loss) income computed in accordance with GAAP plus depreciation, amortization, interest expense and net change in the fair value of derivative financial instruments, net (loss) included from discontinued operations, stock based compensation, acquisition-related expenses, and other non- reoccurring items. We consider Adjusted EBITDA an important measure because it provides additional information to allow management, investors, and our current and potential creditors to evaluate and compare our core operating results and our ability to service debt. Annualized Base Rent (ABR): Annualized base rent is calculated by multiplying reported base rent for September 2017 by 12 (but excluding the impact of concessions and straight-line rent). Assets Slated for Disposition: Properties that are included in discontinued operations, designated as held for sale, or for which there is an active intent to sell such properties. Where indicated, such assets are excluded from property counts, concentration statistics, and performance metrics for all periods presented. Results from these assets are included in the Company’s GAAP financial results and reconciliations. Cash Net Operating Income (NOI): Cash NOI is a non-GAAP financial measure which excludes from NOI straight-line rent adjustments, amortization of acquired below and above market leases and other non-cash and normalizing items. Other non-cash and normalizing items include items such as the amortization of lease inducements, and payment received from a seller master lease. DOC believes that Cash NOI provides an accurate measure of the operating performance of its operating assets because it excludes certain items that are not associated with management of the properties. Additionally, DOC believes that Cash NOI is a widely accepted measure of comparative operating performance in the real estate community. However, DOC’s use of the term Cash NOI may not be comparable to that of other real estate companies as such other companies may have different methodologies for computing this amount. Coverage Ratio: Reflects the ratio of full-year EBITDAR to rent of indicated properties. Coverage ratios are calculated one quarter in arrears, beginning the first full quarter after acquisition, for all properties the company has owned for fifteen months. Management fee is standardized to 4% of revenues for LTACHs. Earnings Before Interest Taxes, Depreciation, Amortization and Rent (EBITDAR): We define EBITDAR for DOC as net (loss) income computed in accordance with GAAP plus depreciation, amortization, interest expense and net change in the fair value of derivative financial instruments, net (loss) included from discontinued operations, stock based compensation, acquisition-related expenses and lease expense. We consider EBITDAR an important measure because it provides additional information to allow management, investors, and our current and potential creditors to evaluate and compare our tenants ability to fund their rent obligations. Funds From Operations (FFO): Funds from operations, or FFO, is a widely recognized measure of REIT performance. We believe that information regarding FFO is helpful to shareholders and potential investors because it facilitates an understanding of the operating performance of our properties without giving effect to real estate depreciation and amortization, which assumes that the value of real estate assets diminishes ratably over time. We calculate FFO in accordance with standards established by the National Association of Real Estate Investment Trusts (“NAREIT”). NAREIT defines FFO as net income or loss (computed in accordance with GAAP) before noncontrolling interests of holders of OP units, excluding preferred distributions, gains (or losses) on sales of depreciable operating property, impairment write-downs on depreciable assets, plus real estate related depreciation and amortization (excluding amortization of deferred financing costs). Our FFO computation may not be comparable to FFO reported by other REITs that do not compute FFO in accordance with NAREIT definition or that interpret the NAREIT definition differently than we do. The GAAP measure that we believe to be most directly comparable to FFO, net income, includes depreciation and amortization expenses, gains or losses on property sales, impairments and noncontrolling interests. In computing FFO, we eliminate these items because, in our view, they are not indicative of the results from the operations of our properties. To facilitate a clear understanding of our historical operating results, FFO should be examined in conjunction with net income (determined in accordance with GAAP) as presented in our financial statements. FFO does not represent cash generated from operating activities in accordance with GAAP, should not be considered to be an alternative to net income or loss (determined in accordance with GAAP) as a measure of our liquidity and is not indicative of funds available for our cash needs, including our ability to make cash distributions to shareholders. Gross Leasable Area (GLA): Gross leasable area (in square feet). Gross Real Estate Investments: Based on acquisition price (and includes lease intangibles). Health System-Affiliated: Properties are considered affiliated with a health system if one or more of the following conditions are met: 1) the land parcel is contained within the physical boundaries of a hospital campus; 2) the land parcel is located adjacent to the campus; 3) the building is physically connected to the hospital regardless of the land ownership structure; 4) a ground lease is maintained with a health system entity; 5) a master lease is maintained with a health system entity; 6) significant square footage is leased to a health system entity; 7) the property includes an ambulatory surgery center with a hospital partnership interest; or 8) a significant square footage is leased to a physician group that is either employed, directly or indirectly by a health system, or has a significant clinical and financial affiliation with the health system.


 
20 REPORTING DEFINITIONS (continued) Hospitals: Hospitals refer to specialty surgical hospitals. These hospitals provide a wide range of inpatient and outpatient services, including but not limited to, surgery and clinical laboratories. LTACHs: Long-term acute care hospitals (LTACH) provide inpatient services for patients with complex medical conditions who require more sensitive care, monitoring or emergency support than that available in most skilled nursing facilities. Medical Office Building (MOB): Medical office buildings are office and clinic facilities, often located near hospitals or on hospital campuses, specifically constructed and designed for use by physicians and other health care personnel to provide services to their patients. They may also include ambulatory surgery centers that are used for general or specialty surgical procedures not requiring an overnight stay in a hospital. Medical office buildings may contain sole and group physician practices and may provide laboratory and other patient services. Net Operating Income (NOI): NOI is a non-GAAP financial measure that is defined as net income or loss, computed in accordance with GAAP, generated from DOC’s total portfolio of properties before general and administrative expenses, acquisition-related expenses, depreciation and amortization expense, REIT expenses, interest expense and net change in the fair value of derivative financial instruments, and gains or loss on the sale of discontinued properties. DOC believes that NOI provides an accurate measure of operating performance of its operating assets because NOI excludes certain items that are not associated with management of the properties. Additionally, DOC’s use of the term NOI may not be comparable to that of other real estate companies as they may have different methodologies for computing this amount. Normalized Funds Available for Distribution (Normalized FAD): DOC defines Normalized FAD, a non-GAAP measure, which excludes from Normalized FFO non-cash share compensation expense, straight-line rent adjustments, amortization of acquired above or below market leases and assumed debt, amortization of deferred financing costs, amortization of lease inducements, and recurring capital expenditures related to tenant improvements and leasing commissions, and includes cash payments from seller master leases and rent abatement payments. Other REITs or real estate companies may use different methodologies for calculating Normalized FAD, and accordingly, our computation may not be comparable to those reported by other REITs. Although the Company’s computation of Normalized FAD may not be comparable to that of other REITs, the Company believes Normalized FAD provides a meaningful supplemental measure of its performance due to its frequency of use by analysts, investors, and other interested parties in the evaluation of our performance as a REIT. Normalized FAD should not be considered as an alternative to net income or loss attributable to controlling interest (computed in accordance with GAAP) or as an indicator of the Company’s financial performance. Normalized FAD should be reviewed in connection with other GAAP measurements. Normalized Funds From Operations (Normalized FFO): Changes in the accounting and reporting rules under GAAP have prompted a significant increase in the amount of non-operating items included in FFO, as defined. Therefore, DOC uses Normalized FFO, which excludes from FFO net change in fair value of derivative financial instruments, acquisition expenses, acceleration of deferred financing costs, write off contingent consideration and other normalizing items. However, our use of the term Normalized FFO may not be comparable to that of other real estate companies as they may have different methodologies for computing this amount. Normalized FFO should not be considered as an alternative to net income or loss (computed in accordance with GAAP), as an indicator of our financial performance or of cash flow from operating activities (computed in accordance with GAAP), or as an indicator of our liquidity, nor is it indicative of funds available to fund our cash needs, including its ability to make distributions. Normalized FFO should be reviewed in connection with other GAAP measurements. Occupancy: Occupancy represents the percentage of total gross leasable area that is leased, including month-to-month leases, leases in holdover status, and leases that are signed but not yet commenced, as of the date reported. Off-Campus: A building portfolio that is not located on or adjacent to key hospital based-campuses. On-Campus / Affiliated: On-campus refers to a property that is located on or within a quarter mile to a healthcare system. Affiliated refers to a property that is not on the campus of a healthcare system, but anchored by a healthcare system. Same-Store Portfolio: The same-store portfolio consists of medical properties held by the Company for the entire preceding year and not currently slated for disposition. Section 603 Assets: For the purposes of this Supplemental Information, "603 Asset" is defined to be our estimate of Annualized Base Revenue (ABR) as a percentage of all our ABR, derived from leases to hospitals for hospital outpatient department space located in an off-campus medical office building at least 250 yards from the hospital's main campus inpatient location, and that was billing Medicare for outpatient department services provided in that off-campus location as of November 2, 2015. ABR that is "not-603" for the purposes of this Supplemental Information could and would include ABR from space leased to a hospital outpatient department services provided in leased space within the 250 yard requirement for on-campus locations or in buildings that are more than 250 yards from the hospital service provider's main campus, but the hospital did not start billing for that service in the location until after November 2, 2015.