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EX-32.2 - EXHIBIT 32.2 - Carter Validus Mission Critical REIT, Inc.a2018q310qexhibit322reiti0.htm
EX-32.1 - EXHIBIT 32.1 - Carter Validus Mission Critical REIT, Inc.a2018q310qexhibit321reiti0.htm
EX-31.2 - EXHIBIT 31.2 - Carter Validus Mission Critical REIT, Inc.a2018q310qexhibit312reiti0.htm
EX-31.1 - EXHIBIT 31.1 - Carter Validus Mission Critical REIT, Inc.a2018q310qexhibit311reiti0.htm
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
___________________________________________
FORM 10-Q
___________________________________________
(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2018
OR 
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                      to                     
Commission File Number: 000-54675
cvmcrlogonewcva53.jpg
CARTER VALIDUS MISSION CRITICAL REIT, INC. 
(Exact name of registrant as specified in its charter) 
Maryland
 
27-1550167
(State or Other Jurisdiction of
Incorporation or Organization)
 
(I.R.S. Employer
Identification No.)
 
 
 
4890 West Kennedy Blvd., Suite 650
Tampa, FL 33609
 
(813) 287-0101
(Address of Principal Executive Offices; Zip Code)
 
(Registrant’s Telephone Number)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes      No  
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes      No  
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and "emerging growth company" in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer
 
  
Accelerated filer
 
Non-accelerated filer
 
 
  
Smaller reporting company
 
 
 
 
 
Emerging growth company
 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for comply with any new or revised financial accounting standards provided pursuant to Section 13(a) of Exchange Act.  
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes      No  
As of November 8, 2018, there were approximately 182,670,119 shares of common stock of Carter Validus Mission Critical REIT, Inc. outstanding.
 



CARTER VALIDUS MISSION CRITICAL REIT, INC.
(A Maryland Corporation)
TABLE OF CONTENTS
 
 
Page
PART I.
Item 1.
 
 
 
 
 
Item 2.
Item 3.
Item 4.
PART II.
Item 1.
Item 1A.
Item 2.
Item 3.
Item 4.
Item 5.
Item 6.
 



PART I. FINANCIAL INFORMATION
Item 1. Condensed Consolidated Financial Statements.
CARTER VALIDUS MISSION CRITICAL REIT, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, except share data)
 
(Unaudited)
September 30, 2018
 
December 31, 2017
ASSETS
Real estate:
 
 
 
Land
$
72,894

 
$
73,769

Buildings and improvements, less accumulated depreciation of $95,039 and $86,092, respectively
812,547

 
834,419

Total real estate, net
885,441

 
908,188

Cash and cash equivalents
53,895

 
336,500

Acquired intangible assets, less accumulated amortization of $23,008 and $23,640, respectively
61,493

 
86,938

Other assets, net
53,240

 
79,140

Assets of discontinued operations, net ($929 and $6,852, respectively, related to VIE)
2,648

 
213,833

Total assets
$
1,056,717

 
$
1,624,599

LIABILITIES AND STOCKHOLDERS’ EQUITY
Liabilities:
 
 
 
Notes payable, net of deferred financing costs of $80 and $875, respectively
$
42,080

 
$
140,602

Credit facility
210,000

 

Accounts payable due to affiliates
1,498

 
2,372

Accounts payable and other liabilities
16,830

 
28,195

Intangible lease liabilities, less accumulated amortization of $5,458 and $4,694, respectively
16,791

 
17,555

Liabilities of discontinued operations, net ($22 and $599, respectively, related to VIE)
389

 
5,058

Total liabilities
287,588

 
193,782

Stockholders’ equity:
 
 
 
Preferred stock, $0.01 par value per share, 50,000,000 shares authorized; none issued and outstanding

 

Common stock, $0.01 par value per share, 300,000,000 shares authorized; 201,795,155 and 196,892,945 shares issued, respectively; 181,774,677 and 186,181,545 shares outstanding, respectively
1,818

 
1,862

Additional paid-in capital
1,605,572

 
1,635,329

Accumulated distributions in excess of earnings
(839,831
)
 
(211,750
)
Accumulated other comprehensive income
849

 
407

Total stockholders’ equity
768,408

 
1,425,848

Noncontrolling interests
721

 
4,969

Total equity
769,129

 
1,430,817

Total liabilities and stockholders’ equity
$
1,056,717

 
$
1,624,599

The accompanying notes are an integral part of these condensed consolidated financial statements.

3


CARTER VALIDUS MISSION CRITICAL REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(in thousands, except share data and per share amounts)
(Unaudited)
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
 
2018
 
2017
 
2018
 
2017
Revenue:
 
 
 
 
 
 
 
Rental revenue
$
20,367

 
$
26,365

 
$
71,825

 
$
79,725

Provision for doubtful accounts related to rental revenue
(3,746
)
 
(3,357
)
 
(35,969
)
 
(11,204
)
Tenant reimbursement revenue
1,356

 
1,298

 
4,637

 
4,770

Provision for doubtful accounts related to tenant reimbursement revenue
(481
)
 
(449
)
 
(4,280
)
 
(1,861
)
Total revenue
17,496

 
23,857

 
36,213

 
71,430

Expenses:
 
 
 
 
 
 
 
Rental expenses
2,663

 
2,798

 
8,623

 
7,890

General and administrative expenses
1,495

 
1,574

 
4,372

 
5,204

Asset management fees
2,464

 
2,679

 
7,408

 
7,985

Depreciation and amortization
7,243

 
8,212

 
43,309

 
24,091

Total expenses
13,865

 
15,263

 
63,712

 
45,170

Income (loss) from operations
3,631

 
8,594

 
(27,499
)
 
26,260

Other income (expense):
 
 
 
 
 
 
 
Other interest and dividend income
1,682

 
497

 
3,603

 
1,551

Interest expense, net
(3,256
)
 
(5,324
)
 
(10,375
)
 
(15,755
)
Provision for loan losses
(571
)
 
(7,459
)
 
(2,750
)
 
(11,631
)
Impairment loss on real estate

 

 
(5,831
)
 

Gain on real estate dispositions

 

 
218

 

Total other expense
(2,145
)
 
(12,286
)
 
(15,135
)
 
(25,835
)
Income (loss) from continuing operations
1,486

 
(3,692
)
 
(42,634
)
 
425

Income from discontinued operations
4,117

 
10,636

 
36,600

 
29,711

Net income (loss)
5,603

 
6,944

 
(6,034
)
 
30,136

Net (income) loss attributable to noncontrolling interests in consolidated partnerships
(33
)
 
(898
)
 
15

 
(3,018
)
Net income (loss) attributable to common stockholders
$
5,570

 
$
6,046

 
$
(6,019
)
 
$
27,118

Other comprehensive income:
 
 
 
 
 
 
 
Unrealized income on interest rate swaps, net
$
18

 
$
207

 
$
442

 
$
1,326

Other comprehensive income
18

 
207

 
442

 
1,326

Comprehensive income (loss)
5,621

 
7,151

 
(5,592
)
 
31,462

Comprehensive (income) loss attributable to noncontrolling interests in consolidated partnerships
(33
)
 
(898
)
 
15

 
(3,018
)
Comprehensive income (loss) attributable to common stockholders
$
5,588

 
$
6,253

 
$
(5,577
)
 
$
28,444

Weighted average number of common shares outstanding:
 
 
 
 
 
 
 
Basic
181,260,431

 
186,295,970

 
182,671,045

 
185,834,940

Diluted
181,282,589

 
186,295,970

 
182,671,045

 
185,853,976

Net income (loss) per common share attributable to common stockholders:
 
 
 
 
 
 
 
Basic:
 
 
 
 
 
 
 
Continuing operations
$
0.01

 
$
(0.02
)
 
$
(0.23
)
 
$
0.01

Discontinued operations
0.02

 
0.05

 
0.20

 
0.14

Net income (loss) attributable to common stockholders
$
0.03

 
$
0.03

 
$
(0.03
)
 
$
0.15

Diluted:
 
 
 
 
 
 
 
Continuing operations
$
0.01

 
$
(0.02
)
 
$
(0.23
)
 
$
0.01

Discontinued operations
0.02

 
0.05

 
0.20

 
0.14

Net income (loss) attributable to common stockholders
$
0.03

 
$
0.03

 
$
(0.03
)
 
$
0.15

Distributions declared per common share
$
0.11

 
$
0.18

 
$
3.40

 
$
0.52

The accompanying notes are an integral part of these condensed consolidated financial statements.

4


CARTER VALIDUS MISSION CRITICAL REIT, INC. 
CONDENSED CONSOLIDATED STATEMENT OF STOCKHOLDERS' EQUITY
(in thousands, except share data)
(Unaudited) 
 
Common Stock
 
Additional
Paid-in
Capital
 
Accumulated
Distributions
in Excess
of Earnings
 
Accumulated
Other
Comprehensive
Income
 
Total
Stockholders’
Equity
 
Noncontrolling
Interests
 
Total
Equity
 
No. of
Shares
 
Par
Value
 
 
 
 
 
 
Balance, December 31, 2017
186,181,545

 
$
1,862

 
$
1,635,329

 
$
(211,750
)
 
$
407

 
$
1,425,848

 
$
4,969

 
$
1,430,817

Vesting of restricted stock
9,000

 

 
66

 

 

 
66

 

 
66

Issuance of common stock under the distribution reinvestment plan
4,893,209

 
49

 
34,300

 

 

 
34,349

 

 
34,349

Distributions to noncontrolling interests

 

 

 

 

 

 
(4,233
)
 
(4,233
)
Distributions declared to common stockholders

 

 

 
(622,062
)
 

 
(622,062
)
 

 
(622,062
)
Other offering costs

 

 
(4
)
 

 

 
(4
)
 

 
(4
)
Repurchase of common stock
(9,309,077
)
 
(93
)
 
(64,119
)
 

 

 
(64,212
)
 

 
(64,212
)
Other comprehensive income

 

 

 

 
442

 
442

 

 
442

Net loss

 

 

 
(6,019
)
 

 
(6,019
)
 
(15
)
 
(6,034
)
Balance, September 30, 2018
181,774,677

 
$
1,818

 
$
1,605,572

 
$
(839,831
)
 
$
849

 
$
768,408

 
$
721

 
$
769,129

The accompanying notes are an integral part of these condensed consolidated financial statements.

5


CARTER VALIDUS MISSION CRITICAL REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands) 
(Unaudited)
 
Nine Months Ended
September 30,
 
2018
 
2017
Cash flows from operating activities:
 
 
 
Net (loss) income
$
(6,034
)
 
$
30,136

Adjustments to reconcile net (loss) income to net cash provided by operating activities:
 
 
 
Depreciation and amortization
43,309

 
54,491

Amortization of deferred financing costs
1,749

 
2,893

Amortization of above-market leases
231

 
275

Amortization of intangible lease liabilities
(865
)
 
(2,609
)
Gain on real estate dispositions from discontinued operations
(33,251
)
 

Gain on real estate dispositions from continuing operations
(218
)
 

Ineffectiveness of interest rate swaps
(2
)
 

Impairment loss on real estate
5,831

 

Provision for doubtful accounts
22,622

 
11,043

Provision for loan losses
2,750

 
11,631

Loss on debt extinguishment
207

 
15

Straight-line rent
12,863

 
(10,111
)
Stock-based compensation
66

 
66

Change in fair value of contingent consideration

 
(2,920
)
Changes in operating assets and liabilities:
 
 
 
Accounts payable and other liabilities
(9,619
)
 
4,232

Accounts payable due to affiliates
(995
)
 
(111
)
Other assets
(17,358
)
 
(11,091
)
Net cash provided by operating activities
21,286

 
87,940

Cash flows from investing activities:
 
 
 
Proceeds from real estate disposals of continuing and discontinuing operations
241,043

 

Capital expenditures
(4,511
)
 
(19,975
)
Capital distributions from unconsolidated partnership
962

 

Notes receivable, net
(2,700
)
 
(13,000
)
Net cash provided by (used in) investing activities
234,794

 
(32,975
)
Cash flows from financing activities:
 
 
 
Payments on notes payable
(99,317
)
 
(35,643
)
Proceeds from credit facility
285,000

 
75,000

Payments on credit facility
(75,000
)
 

Proceeds from debt extinguishment
338

 

Payments of deferred financing costs
(2,254
)
 
(1,681
)
Repurchase of common stock
(64,212
)
 
(39,198
)
Other offering costs
(4
)
 
(49
)
Distributions to stockholders
(592,517
)
 
(47,128
)
Purchase of noncontrolling interests

 
(500
)
Distributions to noncontrolling interests
(4,233
)
 
(2,503
)
Net cash used in financing activities
(552,199
)
 
(51,702
)
Net change in cash, cash equivalents and restricted cash
(296,119
)
 
3,263

Cash, cash equivalents and restricted cash - Beginning of period
351,914

 
57,605

Cash, cash equivalents and restricted cash - End of period
$
55,795

 
$
60,868

Supplemental cash flow disclosure:
 
 
 
Interest paid, net of interest capitalized of $225 and $2,794, respectively
$
9,335

 
$
26,150

Supplemental disclosure of non-cash transactions:
 
 
 
Common stock issued through distribution reinvestment plan
$
34,349

 
$
50,435

Net unrealized gain on interest rate swaps
$
442

 
$
1,326

Accrued capital expenditures
$

 
$
59

The accompanying notes are an integral part of these condensed consolidated financial statements.

6


CARTER VALIDUS MISSION CRITICAL REIT, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)
September 30, 2018
Note 1Organization and Business Operations
Carter Validus Mission Critical REIT, Inc., or the Company, a Maryland corporation, was incorporated on December 16, 2009, and has elected to be taxed, and currently qualifies, as a real estate investment trust, or a REIT, under the Internal Revenue Code of 1986, as amended, or the Code, for federal income tax purposes. The Company was organized to acquire and operate a diversified portfolio of income-producing commercial real estate, with a focus on the data center and healthcare property sectors, net leased to creditworthy tenants, as well as to make other real estate-related investments that relate to such property types. During the year ended December 31, 2017, the Company's board of directors made a determination to sell the Company's data center assets. This decision represented a strategic shift that had a major effect on the Company's results and operations and assets and liabilities for the periods presented. As a result, the Company classified the assets in its data centers segment as discontinued operations. During the year ended December 31, 2017, the Company sold 16 properties, which consisted of 15 data center properties and one healthcare property. During the nine months ended September 30, 2018, the Company sold seven properties, which consisted of five data center properties and two healthcare properties. As a result, as of September 30, 2018, the Company had completed the disposition of all its data center properties.
As of September 30, 2018, the Company owned 30 real estate investments, consisting of 61 properties, all of which were part of the healthcare portfolio.
On January 22, 2018, the Company's board of directors declared a special cash distribution of $3.00 per share of common stock. The special cash distribution was funded with the proceeds from the disposition of certain real estate properties between December 2017 and January 2018. The special cash distribution was paid on March 16, 2018, to stockholders of record at the close of business on February 15, 2018, in the aggregate amount of approximately $556,227,000
The Company operates through one reportable segment—commercial real estate investments in healthcare. Substantially all of the Company’s business is conducted through Carter/Validus Operating Partnership, LP, a Delaware limited partnership, or the Operating Partnership. The Company is the sole general partner of the Operating Partnership, and Carter/Validus Advisors, LLC, or the Advisor, the Company’s affiliated advisor, is the special limited partner of the Operating Partnership.
The Company ceased offering shares of common stock in its initial public offering, or the Offering, on June 6, 2014. At the completion of the Offering, the Company had raised gross offering proceeds of approximately $1,716,046,000 (including shares of common stock issued pursuant to a distribution reinvestment plan, or the DRIP). The Company will continue to issue shares of common stock under the DRIP pursuant to the DRIP Offering (as defined below) until such time as the Company sells all of the shares registered for sale under the DRIP Offering, unless the Company files a new registration statement with the Securities and Exchange Commission, or the SEC, or the DRIP Offering is terminated by the Company’s board of directors. The Company refers to the DRIP Offering and the Offering together as the "Offerings."
On May 22, 2017, the Company registered 11,387,512 shares of common stock for a price per share of $9.519, for a proposed maximum offering price of $108,397,727 in shares of common stock under the DRIP pursuant to a Registration Statement on Form S-3, or the DRIP Offering. On December 21, 2017, the Company's board of directors approved an amendment to the DRIP in order for the purchase price per DRIP share to equal the most recent estimated per share net asset value, as determined by the board of directors. As a result, effective February 1, 2018, shares of common stock were offered pursuant to the DRIP Offering for a price per share of $9.26. In connection with a special cash distribution paid on March 16, 2018, to stockholders of record on February 15, 2018, effective February 15, 2018, shares of common stock were offered pursuant to the DRIP Offering for a price per share of $6.26, which was the Company's estimated per share net asset value as of February 15, 2018.
As of September 30, 2018, the Company had issued approximately 201,720,000 shares of common stock in the Offerings for gross proceeds of $1,981,110,000, before share repurchases of $169,123,000 and offering costs, selling commissions and dealer manager fees of $174,849,000.
Except as the context otherwise requires, “we,” “our,” “us,” and the “Company” refer to Carter Validus Mission Critical REIT, Inc., the Operating Partnership, all majority-owned subsidiaries and controlled subsidiaries.

7


Note 2Summary of Significant Accounting Policies
The summary of significant accounting policies presented below is designed to assist in understanding the Company’s condensed consolidated financial statements. Such condensed consolidated financial statements and the accompanying notes thereto are the representation of management. The accompanying condensed consolidated unaudited financial statements of the Company have been prepared in accordance with accounting principles generally accepted in the United States, or GAAP, for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. In the opinion of management, all adjustments, consisting of normal and recurring nature considered necessary for a fair presentation have been included. Operating results for the three and nine months ended September 30, 2018, are not necessarily indicative of the results that may be expected for the year ended December 31, 2018.
The condensed consolidated balance sheet at December 31, 2017, has been derived from the audited consolidated financial statements at that date but does not include all of the information and notes required by GAAP for complete financial statements. The information included in this Quarterly Report on Form 10-Q should be read in conjunction with the Company’s audited consolidated financial statements as of and for the year ended December 31, 2017, and related notes thereto set forth in the Company’s Annual Report on Form 10-K, filed with the SEC on March 30, 2018.
Principles of Consolidation and Basis of Presentation
The accompanying condensed consolidated financial statements include the accounts of the Company, the Operating Partnership, all majority-owned subsidiaries and controlled subsidiaries. All intercompany accounts and transactions have been eliminated in consolidation.
Use of Estimates
The preparation of the condensed consolidated financial statements in conformity with GAAP necessarily requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the condensed consolidated financial statements and the reported amounts of revenue and expenses during the reporting period. These estimates are made and evaluated on an ongoing basis using information that is currently available as well as various other assumptions believed to be reasonable under the circumstances. Actual results could differ from those estimates.
Restricted Cash
Restricted cash consists of restricted cash held in escrow and restricted bank deposits. Restricted cash held in escrow includes cash held by lenders in escrow accounts for tenant and capital improvements, repairs and maintenance and other lender reserves for certain properties, in accordance with the respective lender’s loan agreement. Restricted cash held in escrow is reported in other assets, net, in the accompanying condensed consolidated balance sheets. Restricted bank deposits consist of tenant receipts for certain properties which are required to be deposited into lender controlled accounts in accordance with the respective lender's loan agreement. Restricted bank deposits are reported in other assets, net, in the accompanying condensed consolidated balance sheets. See Note 7—"Other Assets, Net."
The following table presents a reconciliation of the beginning of period and end of period cash, cash equivalents and restricted cash reported within the condensed consolidated balance sheets to the totals shown in the condensed consolidated statements of cash flows (amounts in thousands):
 
 
Nine Months Ended
September 30,
Beginning of period:
 
2018
 
2017
Cash and cash equivalents
 
$
336,500

 
$
42,613

Restricted cash (1)
 
15,414

 
14,992

Cash, cash equivalents and restricted cash
 
$
351,914

 
$
57,605

 
 
 
 
 
End of period:
 
 
 
 
Cash and cash equivalents
 
$
53,895

 
$
42,603

Restricted cash (1)
 
1,900

 
18,265

Cash, cash equivalents and restricted cash
 
$
55,795

 
$
60,868

 
(1)
Amount attributable to continuing and discontinued operations.

8


Held for Sale and Discontinued Operations
The Company classifies a real estate property as held for sale upon satisfaction all of the following criteria: (i) management commits to a plan to sell a property, (ii) the property is available for immediate sale in its present condition, subject only to terms that are usual and customary for sales of such properties, (iii) there is an active program to locate a buyer, (iv) the property is being actively marketed for sale, (v) the sale of the property is probable and transfer of the asset is expected to be completed within one year, and (vi) actions required to complete the plan indicate that it is unlikely that significant changes to the plan will be made or that the plan will be withdrawn.
Upon the determination to classify a property as held for sale, the Company ceases depreciation and amortization on the real estate properties, including depreciation for tenant improvements, as well as on the amortization of acquired in-place leases. The real estate properties held for sale and associated liabilities are classified separately on the condensed consolidated balance sheets. Such properties are recorded at the lesser of the carrying value or estimated fair value less estimated cost to sell.
The Company classifies real estate properties as discontinued operations for all periods presented if they represent a strategic shift that has (or will have) a major effect on the Company's results and operations. The assets, liabilities and operations for the periods presented are classified on the condensed consolidated balance sheets and condensed consolidated statements of comprehensive income (loss) as discontinued operations for all periods presented. As of September 30, 2018, the Company had completed the disposition of all its data center assets.
Impairment of Long Lived Assets
The Company continually monitors events and changes in circumstances that could indicate that the carrying amounts of its real estate and related intangible assets may not be recoverable. When indicators of potential impairment suggest that the carrying value of real estate and related intangible assets may not be recoverable, the Company assesses the recoverability of the assets by estimating whether the Company will recover the carrying value of the assets through its undiscounted future cash flows and their eventual disposition. If, based on this analysis, the Company does not believe that it will be able to recover the carrying value of the assets, the Company will record an impairment loss to the extent that the carrying value exceeds the estimated fair value of the assets.
When developing estimates of expected future cash flows, the Company makes certain assumptions regarding future market rental income amounts subsequent to the expiration of current lease arrangements, property operating expenses, terminal capitalization and discount rates, the expected number of months it takes to re-lease the property, required tenant improvements and the number of years the property will be held for investment. The use of alternative assumptions in the future cash flow analysis could result in a different determination of the property’s future cash flows and a different conclusion regarding the existence of an impairment, the extent of such loss, if any, as well as the carrying value of the real estate and related assets.
In addition, the Company applies a market approach using comparable sales for certain properties. The use of alternative assumptions in the market approach analysis could result in a different determination of the property’s estimated fair value and a different conclusion regarding the existence of an impairment, the extent of such loss, if any, as well as the carrying value of the real estate and related assets.
For the nine months ended September 30, 2018, the Company recognized an impairment of an in-place lease intangible asset in the amount of approximately $21,296,000 by accelerating the amortization of the intangible as a result of a former tenant of the Company, Bay Area Regional Medical Center, LLC, or Bay Area, experiencing financial difficulty. On August 13, 2018, the Company terminated the lease with Bay Area. As of September 30, 2018, the Company does not have any acquired intangible assets or intangible lease liabilities related to Bay Area.
During the nine months ended September 30, 2018, real estate assets related to one healthcare property with an aggregate carrying amount of $47,375,000 were determined to be impaired, using Level 2 inputs of the fair value hierarchy. The carrying value of the property was reduced to its estimated fair value of $41,544,000, resulting in an impairment charge of $5,831,000, which is included in impairment loss on real estate in the condensed consolidated statements of comprehensive income (loss). See Note 12—"Fair Value" for more details.
Allowance for Uncollectible Accounts
Tenant receivables and unbilled deferred rent receivables are carried net of the allowances for uncollectible amounts. An allowance will be maintained for estimated losses resulting from the inability of certain tenants to meet the contractual obligations under their lease agreements. The Company also maintains an allowance for deferred rent receivables arising from the straight-lining of rents. The Company’s determination of the adequacy of these allowances is based primarily upon evaluations of historical loss experience, the tenant’s financial condition, security deposits, letters of credit, lease guarantees, current economic conditions and other relevant factors. For the three months ended September 30, 2018 and 2017, the Company recorded $3,746,000 and $3,357,000, respectively, and for the nine months ended September 30, 2018 and 2017, the

9


Company recorded $35,969,000 and $11,204,000, respectively, in provision for doubtful accounts for rental revenue and straight-line rent receivable, which are recorded in the accompanying condensed consolidated statements of comprehensive income (loss). Of the $3,746,000 and $35,969,000 recorded for the three and nine months ended September 30, 2018, respectively, $2,830,000 and $33,242,000, respectively, related to Bay Area. As of September 30, 2018, the Company had fully reserved for and written off all its outstanding accounts receivable for rental revenue and had no straight-line rent receivable related to Bay Area.
On October 24, 2018, the Company entered into a lease agreement with a new tenant, the Board of Regents of the University of Texas System, which is an affiliate of the University of Texas Medical Branch, or UTMB, to lease the Bay Area Regional Medical Center property. See Note 16—"Subsequent Events" for further discussion.
For the three months ended September 30, 2018 and 2017, the Company recorded $481,000 and $449,000, respectively, and for the nine months ended September 30, 2018 and 2017, the Company recorded $4,280,000 and $1,861,000, respectively, in provision for doubtful accounts for tenant reimbursement revenue, which are recorded in the accompanying condensed consolidated statements of comprehensive income (loss). Of the $481,000 and $4,280,000 recorded for the three and nine months ended September 30, 2018, respectively, $258,000 and $3,634,000, respectively, related to Bay Area. As of September 30, 2018, the Company had fully reserved for and written off all its accounts receivable for tenant reimbursement revenue related to Bay Area.
Notes Receivable
Notes receivable are reported at their outstanding principal balance, net of any unearned income, unamortized deferred fees and costs and allowances for loan losses. The unamortized deferred fees and costs are amortized over the life of the notes receivable, as applicable and recorded in other interest and dividend income in the accompanying condensed consolidated statements of comprehensive income (loss).
The Company evaluates the collectability of both interest and principal on each note receivable to determine whether it is collectible, primarily through the evaluation of credit quality indicators, such as the tenant's financial condition, collateral, evaluations of historical loss experience, current economic conditions and other relevant factors, including contractual terms of repayments. Evaluating a note receivable for potential impairment requires management to exercise significant judgment. The use of alternative assumptions in evaluating a note receivable could result in a different determination of the note's estimated fair value and a different conclusion regarding the existence of an impairment, the extent of such loss, if any, as well as the carrying value of the note receivable.
As of September 30, 2018 and December 31, 2017, the aggregate balance of the Company's notes receivable, including accrued interest receivable, after allowances for loan losses was $2,700,000 and $20,138,000, respectively, related to Bay Area. The principal balances of the Company's notes receivable are secured by their respective collateral.
For the three months ended September 30, 2018 and 2017, the Company recorded $571,000 and $7,459,000, respectively, and for the nine months ended September 30, 2018 and 2017, the Company recorded $2,750,000 and $11,631,000, respectively, as an allowance to reduce the carrying value of notes receivable, accrued interest and origination fees related to two tenants in provision for loan losses in the accompanying condensed consolidated financial statements. Of the $571,000 and $2,750,000 recorded for the three and nine months ended September 30, 2018, respectively, $248,000 and $1,810,000, respectively, related to Bay Area.
On August 13, 2018, the Company terminated the lease with Bay Area and on August 21, 2018, the Company accepted equipment in exchange for full settlement on a note receivable, which had an outstanding principal balance of $20,000,000. The equipment was accounted for at fair value of $21,000,000, less estimated costs to sell of $100,000, and as a result, the Company recorded income on exchange of assets of $900,000 for the three and nine months ended September 30, 2018, which was recorded in other interest and dividend income in the accompanying condensed consolidated statements of comprehensive income (loss).
On October 22, 2018, the Company sold its equipment held for sale to UTMB for $21,000,000. The equipment held for sale is recorded in other assets, net in the accompanying the condensed consolidated balance sheet.
Concentration of Credit Risk and Significant Leases
As of September 30, 2018, the Company had cash on deposit, including restricted cash, in certain financial institutions that had deposits in excess of current federally insured levels. The Company limits its cash investments to financial institutions with high credit standings; therefore, the Company believes it is not exposed to any significant credit risk on its cash deposits. To date, the Company has experienced no loss of or lack of access to cash in its accounts.
As of September 30, 2018, the Company owned real estate investments in 32 metropolitan statistical areas, or MSAs, three of which accounted for 10.0% or more of revenue from continuing operations. Real estate investments located in the San Antonio-New Braunfels, Texas MSA, the Dallas-Fort Worth-Arlington, Texas MSA and the Akron, Ohio MSA accounted for an

10


aggregate of 12.0%, 10.8% and 10.0%, respectively, of revenue from continuing operations for the nine months ended September 30, 2018.
As of September 30, 2018, the Company had three exposures to tenant concentration that accounted for 10.0% or more of revenue from continuing operations. The leases with Post Acute Medical, LLC, 21st Century Oncology, Inc. and Surgery Partners, Inc. accounted for 21.1%, 13.0% and 10.0%, respectively, of revenue from continuing operations for the nine months ended September 30, 2018.
Share Repurchase Program
The Company’s share repurchase program allows for repurchases of shares of the Company’s common stock when certain criteria are met. The share repurchase program provides that all repurchases during any calendar year, including those redeemable upon death or a qualifying disability of a stockholder, are limited to those that can be funded with equivalent reinvestments pursuant to the DRIP during the prior calendar year and other operating funds, if any, as the board of directors, in its sole discretion, may reserve for this purpose.
Repurchases of shares of the Company’s common stock are at the sole discretion of the Company’s board of directors, provided, however, that the Company will limit the number of shares repurchased during any calendar year to 5.0% of the number of shares of common stock outstanding as of December 31st of the previous calendar year. In addition, the Company will further limit the amount of shares repurchased each quarter, subject to adjustments in accordance with the 5.0% annual share limitation. In addition, the Company’s board of directors, in its sole discretion, may suspend (in whole or in part) the share repurchase program at any time, and may amend, reduce, terminate or otherwise change the share repurchase program upon 30 days' prior notice to the Company’s stockholders for any reason it deems appropriate.
On April 30, 2018, the Company announced it had reached such limitation, and that it would not be able to fully accommodate all repurchase requests for the month of April 2018, and will not process any further requests for the remainder of the year ending December 31, 2018. For repurchase requests received by the Company for the April 30, 2018, repurchase shares were repurchased as follows: (i) first, pro rata as to repurchases upon the death of a stockholder; (ii) next, pro rata as to repurchases to stockholders who demonstrate, in the discretion of the board of directors, another involuntary exigent circumstance, such as bankruptcy; (iii) next, pro rata as to repurchases to stockholders subject to a mandatory distribution requirement under such stockholder’s individual retirement account; and (iv) finally, pro rata as to all other repurchase requests. See Part II, Item 2. "Unregistered Sales of Equity Securities" for more information on the Company's share repurchase program.
On July 26, 2018, the Company's board of directors approved and adopted the first amended and restated share repurchase program (First Amended & Restated SRP), which will be effective when the Company recommences repurchasing shares of common stock in 2019. The First Amended & Restated SRP provides that the Company will repurchase shares on a quarterly, instead of monthly, basis. Subsequent to the quarter ended September 30, 2018, the Company's board of directors approved and adopted the second amended and restated share repurchase program in order to clarify the date on which the Company will process accepted share repurchase requests. See Note 16—"Subsequent Events" for further discussion.
During the nine months ended September 30, 2018, the Company received valid repurchase requests related to approximately 10,061,000 shares, of which approximately 9,309,000 shares of common stock were repurchased for an aggregate purchase price of approximately $64,212,000 (an average of $6.90 per share). During the nine months ended September 30, 2017, the Company received valid repurchase requests related to approximately 3,973,000 shares of common stock, all of which were repurchased in full for an aggregate purchase price of approximately $39,198,000 (an average of $9.87 per share).
Earnings Per Share
Basic earnings per share for all periods presented are computed by dividing net income (loss) attributable to common stockholders by the weighted average number of shares of common stock outstanding during the period. Shares of non-vested restricted common stock give rise to potentially dilutive shares of common stock. Diluted earnings per share are computed based on the weighted average number of shares outstanding and all potentially dilutive securities. For the three months ended September 30, 2018, diluted earnings per share reflected the effect of approximately 22,000 shares of non-vested restricted common stock that were outstanding as of such period. For the nine months ended September 30, 2018, there were approximately 22,000 shares of non-vested restricted common stock outstanding, but such shares were excluded from the computation of diluted earnings per share because such shares were anti-dilutive during this period. For the three months ended September 30, 2017, there were approximately 17,000 shares of non-vested restricted common stock outstanding, but such shares were excluded from the computation of diluted earnings per share because such shares were anti-dilutive during this period. For the nine months ended September 30, 2017, diluted earnings per share reflected the effect of approximately 19,000 of non-vested shares of restricted common stock that were outstanding as of such period.

11


Distribution Policy and Distributions Payable
In order to maintain its status as a REIT, the Company is required to make distributions each taxable year equal to at least 90% of its REIT taxable income, computed without regard to the dividends paid deduction and excluding capital gains. To the extent funds are available, the Company intends to continue to pay regular distributions to stockholders. Distributions are paid to stockholders of record as of the applicable record dates. As of September 30, 2018, the Company had paid aggregate distributions, since inception, of approximately $1,136,855,000, including the special cash distribution of $556,227,000, ($834,029,000 in cash and $302,826,000 of which were reinvested in shares of common stock pursuant to the DRIP). The Company’s distributions declared per common share were $0.11 and $0.18 for the three months ended September 30, 2018 and 2017, respectively, and $3.40 and $0.52 for the nine months ended September 30, 2018 and 2017, respectively. See Note 16—"Subsequent Events" for further discussion.
On January 22, 2018, the Company's board of directors declared a special cash distribution of $3.00 per share of common stock. The special cash distribution was funded with proceeds from the disposition of certain real estate properties between December 2017 and January 2018 and the Company's unsecured credit facility. The special cash distribution was paid on March 16, 2018 to stockholders of record at the close of business on February 15, 2018.
Distributions to stockholders are determined by the board of directors of the Company and are dependent upon a number of factors relating to the Company, including funds available for the payment of distributions, financial condition, the timing of property acquisitions, capital expenditure requirements, and annual distribution requirements in order to maintain the Company’s status as a REIT under the Internal Revenue Code of 1986, as amended, or the Code.
Reportable Segments
Accounting Standards Codification, or ASC, 280, Segment Reporting, establishes standards for reporting financial and descriptive information about an enterprise’s reportable segments. As of September 30, 2018 and December 31, 2017, 100% of the Company’s consolidated revenues from continuing operations were generated from real estate investments in healthcare properties. The Company’s chief operating decision maker evaluates operating performance of healthcare properties on an individual property level, which are aggregated into one reportable segment due to their similar economic characteristics.
In accordance with the definition of discontinued operations, the Company's decision to sell the properties in the data centers segment represented a strategic shift that had a major effect on the Company's results and operations and assets and liabilities for the periods presented. As a result, the Company no longer has its data centers segment. All activities related to the previously reported data centers segment have been classified as discontinued operations. The assets and liabilities related to discontinued operations are separately classified on the condensed consolidated balance sheets as of September 30, 2018 and December 31, 2017, and the operations have been classified as income from discontinued operations on the condensed consolidated statements of comprehensive income (loss) for the three and nine months ended September 30, 2018 and 2017.
Recently Issued Accounting Pronouncements
On May 28, 2014, the Financial Accounting Standards Board, or FASB, issued Accounting Standards Update, or ASU, 2014-09, Revenue from Contracts with Customers, or ASU 2014-09. The pronouncement was issued to clarify the principles for recognizing revenue and to develop a common revenue standard and disclosure requirements. The pronouncement is effective for reporting periods beginning after December 15, 2017. On February 25, 2016, the FASB released ASU 2016-02, Leases (Topic 842). Upon adoption of ASU 2016-02 in 2019, as discussed below, the Company will be required to separate lease contracts into lease and nonlease components, whereby the nonlease components would be subject to ASU 2014-09. The Company adopted the provisions of ASU 2014-09 effective January 1, 2018, using the modified retrospective approach. Property rental revenue is accounted for in accordance with ASC 840, Leases. The Company's rental revenue consists of (i) contractual revenues from leases recognized on a straight-line basis over the term of the respective lease; (ii) parking revenue; and (iii) the reimbursements of the tenants' share of real estate taxes, insurance and other operating expenses. The Company evaluated the revenue recognition for its contracts within this scope under existing accounting standards and under ASU 2014-09 and concluded that there were no changes to the condensed consolidated financial statements as a result of adoption.
On February 23, 2017, the FASB issued ASU 2017-05, Clarifying the Scope of Asset Derecognition Guidance and Accounting for Partial Sales of Nonfinancial Assets, or ASU 2017-05. ASU 2017-05 clarifies the scope of asset derecognition guidance and accounting for partial sales of nonfinancial assets. Partial sales of nonfinancial assets include transactions in which the seller retains an equity interest in the entity that owns the assets or has an equity interest in the buyer. ASU 2017-05 provides guidance on how entities should recognize sales, including partial sales, of nonfinancial assets (and in-substance non-financial assets) to non-customers. ASU 2017-05 requires the seller to recognize a full gain or loss in a partial sale of non-financial assets, to the extent control is not retained. Any noncontrolling interest retained by the seller would, accordingly, be measured at fair value. ASU 2017-05 was effective for fiscal years beginning after December 15, 2017, including interim reporting periods within those fiscal years. The Company adopted the ASU 2017-05 effective January 1, 2018. The Company disposed certain real estate properties, including land, in cash transactions with no contingencies and no future involvement in

12


the operations, therefore, the adoption of ASU 2017-05 had no impact on the Company's condensed consolidated financial statements.
On February 25, 2016, the FASB established Topic 842, Leases, by issuing ASU 2016-02. ASU 2016-02 establishes the principles to increase the transparency about the assets and liabilities arising from leases. ASU 2016-02 results in a more faithful representation of the rights and obligations arising from leases by requiring lessees to recognize the lease assets and lease liabilities that arise from leases in the statement of financial position and to disclose qualitative and quantitative information about lease transactions and aligns lessor accounting and sale leaseback transactions guidance more closely to comparable guidance in Topic 606, Revenue from Contracts with Customers, and Topic 610, Other Income—Gains and Losses from the Derecognition of Non-financial Assets. Under ASU 2016-02, a lessee is required to record a right of use asset and a lease liability for all leases with a term of greater than 12 months regardless of their classification. The Company is a lessee on several ground leases, which will result in the recognition of a right of use asset and lease liability upon the adoption of ASU 2016-02. As of September 30, 2018, the total future undiscounted rent obligation amount under non-cancelable ground leases is approximately $37,211,000, which represents approximately 3.5% of total assets. The Company is in the process of determining the appropriate discount rate to measure the right of use asset and lease liability.
In addition, with the adoption of ASU 2016-02, lessor accounting remains largely unchanged, apart from the narrower scope of initial direct costs that can be capitalized. The new standard will result in certain costs, such as legal costs related to lease negotiations, being expensed as general and administrative expenses in the consolidated statements of comprehensive income (loss) rather than capitalized. As a result of the narrower definition of initial direct costs, the Company does not expect that the adoption of ASU 2016-02 related to the leasing commission costs will have a material impact on the Company's condensed consolidated financial statements. In addition, ASU 2016-02 requires lessors to identify and separate the lease and non-lease components, such as the reimbursement of common area maintenance, contained within each lease.
ASU 2016-02 is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. Early adoption is permitted. In July 2018, the FASB issued ASU 2018-11, Targeted Improvements, to simplify the guidance by allowing lessors to elect a practical expedient to not separate non-lease components from a lease, which would provide the Company with the option of not bifurcating certain common area maintenance recoveries as a non-lease component. The Company does not believe that the adoption of the practical expedient will have a material impact on the Company's condensed consolidated financial statements.
On June 16, 2016, the FASB issued ASU 2016-13, Financial Instruments-Credit Losses, or ASU 2016-13. ASU 2016-13 requires more timely recording of credit losses on loans and other financial instruments that are not accounted for at fair value through net income (loss), including loans held for investment, held-to-maturity debt securities, trade and other receivables, net investment in leases and other such commitments. ASU 2016-13 requires that financial assets measured at amortized cost be presented at the net amount expected to be collected, through an allowance for credit losses that is deducted from the amortized cost basis. The amendments in ASU 2016-13 require the Company to measure all expected credit losses based upon historical experience, current conditions, and reasonable and supportable forecasts that affect the collectability of the financial assets and eliminates the “incurred loss” methodology in current GAAP. 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. The Company is in the process of evaluating the impact ASU 2016-13 will have on the Company’s condensed consolidated financial statements. The Company believes that certain financial statements' accounts may be impacted by the adoption of ASU 2016-13, including allowances for doubtful accounts with respect to accounts receivable, straight-line rent receivable and notes receivable.
On August 17, 2018, the SEC issued a final rule, SEC Final Rule Release No. 33-10532, Disclosure Update and Simplification, that amends certain of its disclosure requirements that have become redundant, duplicative, overlapping, outdated or superseded, in light of other SEC disclosure requirements or GAAP. For filings on Form 10-Q, the final rule, among other items, extends to interim periods the annual requirement to disclose changes in stockholders’ equity. As amended by the final rule, entities must analyze changes in stockholders’ equity, in the form of a reconciliation, for the then current and comparative year-to-date interim periods, with subtotals for each interim period. The final rule becomes effective on November 5, 2018. The SEC staff said it would not object to a registrant waiting to comply with the new interim disclosure requirement until the filing of its Form 10-Q for the first quarter beginning after the effective date of the rule. As a result, the Company will apply these changes in the presentation of stockholders’ equity beginning with its Quarterly Report on Form 10-Q for the three months ended March 31, 2019. The Company has determined this final rule will not have a material impact on the Company's financial condition, results of operations or financial statement disclosures.
On August 28, 2017, the FASB issued ASU 2017-12, Targeted Improvements to Accounting for Hedging Activities, or ASU 2017-12. The objectives of ASU 2017-12  are to (i) improve the transparency and understandability of information conveyed to financial statement users about an entity’s risk management activities by better aligning the entity’s financial reporting for hedging relationships with those risk management activities and (ii) reduce the complexity of and simplify the application of hedge accounting by preparers. ASU 2017-12 is effective for fiscal years beginning after December 15, 2018,

13


and interim periods therein. Early adoption is permitted. Upon adoption of ASU 2017-12, the cumulative ineffectiveness previously recognized on existing cash flow hedges will be adjusted and removed from beginning retained earnings and placed in accumulated other comprehensive income (loss). The Company does not expect to have material ineffectiveness related to its outstanding designated cash flow hedges, therefore, the adoption of this standard will not have a material impact on the Company’s condensed consolidated financial statements.
On August 28, 2018, the FASB issued ASU 2018-13, Disclosure Framework—Changes to the Disclosure Requirements for Fair Value Measurement, or ASU 2018-13. ASU 2018-13 removes certain disclosure requirements, including the amount of and reasons for transfers between Level 1 and Level 2 of the fair value hierarchy, the policy for timing of transfers between the levels and the valuation processes for Level 3 fair value measurements. ASU 2018-13 also adds certain disclosure requirements, including the requirement to disclose the changes in unrealized gains and losses for the period included in other comprehensive income for recurring Level 3 fair value measurements held at the end of the reporting period and the range and weighted average of significant unobservable inputs used to develop Level 3 fair value measurements. ASU 2018-13 is effective for fiscal years beginning after December 15, 2019, and interim periods therein. Early adoption is permitted. The Company is in the process of evaluating the impact that ASU 2018-13 will have on the Company's condensed consolidated financial statements.
Reclassifications
Certain prior period amounts have been reclassified to conform to the current financial statement presentation, with no effect on the Company’s condensed consolidated financial position or results of operations. The Company's assets, liabilities and operations related to the data centers segment in the financial statements are classified on the condensed consolidated balance sheets and condensed consolidated statements of comprehensive income (loss) as discontinued operations for all periods presented.
Note 3Dispositions
The Company sold seven properties (five data center properties and two healthcare properties), or the 2018 Dispositions, during the nine months ended September 30, 2018, for an aggregate sale price of $245,665,000, and generated net proceeds of $241,043,000. For the three and nine months ended September 30, 2018, the Company recognized an aggregate gain on sale of $4,007,000 and $33,251,000, respectively, related to the data center properties sold, as a part of income from discontinued operations on the condensed consolidated statements of comprehensive income (loss). For the three and nine months ended September 30, 2018, the Company recognized an aggregate gain on sale of $0 and $218,000, respectively, related to the two healthcare properties sold, in gain on real estate dispositions on the condensed consolidated statements of comprehensive income (loss).
Dispositions - Discontinued Operations
Dispositions that represent a strategic shift that have a major effect on results and operations qualify as discontinued operations. The following table summarizes the 2018 Dispositions that qualify as discontinued operations. The operations related to these assets have been included in discontinued operations on the condensed consolidated statements of comprehensive income (loss) for the three and nine months ended September 30, 2018 and 2017.
Property Description
 
Disposition Date
 
Ownership Percentage
 
Sale Price
(amounts in thousands)
 
Net Proceeds
(amounts in thousands)
Arizona Data Center Portfolio (1)
 
01/10/2018
 
100%
 
$
142,500

 
$
140,176

Milwaukee Data Center
 
06/11/2018
 
100%
 
21,000

 
20,397

Alpharetta Data Center II
 
06/15/2018
 
100%
 
64,000

 
62,858

Andover Data Center
 
07/25/2018
 
100%
 
15,000

 
14,633

Total
 
 
 
 
 
$
242,500

 
$
238,064

 
(1)
The Arizona Data Center Portfolio was sold as a two-property portfolio consisting of the Phoenix Data Center and the Scottsdale Data Center.

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Dispositions - Continuing Operations
The following table summarizes the 2018 Dispositions that qualify as continuing operations. The operations related to these assets have been included in continuing operations on the condensed consolidated statements of comprehensive income (loss) for the three and nine months ended September 30, 2018 and 2017.
Property Description
 
Disposition Date
 
Ownership Percentage
 
Sale Price
(amounts in thousands)
 
Net Proceeds
(amounts in thousands)
21st Century Oncology-Tamarac
 
05/25/2018
 
100%
 
$
1,575

 
$
1,431

21st Century Oncology-East Naples
 
05/30/2018
 
100%
 
1,590

 
1,548

Total
 
 
 
 
 
$
3,165

 
$
2,979

Note 4Discontinued Operations
Dispositions that represent a strategic shift that has a major effect on the Company's results and operations qualify as discontinued operations. All activities related to the previously reported data centers segment have been classified as discontinued operations. The assets and liabilities related to discontinued operations are separately classified on the condensed consolidated balance sheets as of September 30, 2018 and December 31, 2017, and the operations have been classified as income from discontinued operations on the condensed consolidated statements of comprehensive income (loss) for the three and nine months ended September 30, 2018 and 2017. As of September 30, 2018, the Company had completed the disposition of all its data center assets.
The following table presents the major classes of assets and liabilities of properties classified as discontinued operations presented separately in the condensed consolidated balance sheets as of September 30, 2018 and December 31, 2017 (amounts in thousands):
 
September 30, 2018
 
December 31, 2017
Assets:
 
 
 
Real estate:
 
 
 
Land
$

 
$
21,710

Buildings and improvements, net

 
168,557

Total real estate, net

 
190,267

Acquired intangible assets, net

 
9,617

Other assets, net
2,648

 
13,949

Assets of discontinued operations, net
$
2,648

 
$
213,833

Liabilities:
 
 
 
Accounts payable due to affiliates
39

 
175

Accounts payable and other liabilities
350

 
3,847

Intangible lease liabilities, net

 
1,036

Liabilities of discontinued operations, net
$
389

 
$
5,058


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The operations reflected in discontinued operations on the condensed consolidated statements of comprehensive income (loss) for the three and nine months ended September 30, 2018 and 2017, were as follows (amounts in thousands):
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
 
2018
 
2017
 
2018
 
2017
Revenue:
 
 
 
 
 
 
 
Rental and parking revenue
$
90

 
$
26,225

 
$
3,918

 
$
79,160

Tenant reimbursement revenue
20

 
3,658

 
166

 
10,529

Total revenue
110

 
29,883

 
4,084

 
89,689

Expenses:
 
 
 
 
 
 
 
Rental and parking expenses

 
5,309

 
413

 
15,371

Change in fair value of contingent consideration

 
(1,880
)
 

 
(2,920
)
Asset management fees

 
2,169

 
322

 
6,509

Depreciation and amortization

 
10,124

 

 
30,400

Total expenses

 
15,722

 
735

 
49,360

Other expense:
 
 
 
 
 
 
 
Interest expense, net

 
(3,525
)
 

 
(10,618
)
Total other expense

 
(3,525
)
 

 
(10,618
)
Income from discontinued operations before real estate dispositions and noncontrolling interest
110

 
10,636

 
3,349

 
29,711

Gain on real estate dispositions
4,007

 

 
33,251

 

Net income from discontinued operations
4,117

 
10,636

 
36,600

 
29,711

Net (income) loss from discontinued operations attributable to noncontrolling interests in consolidated partnerships
(33
)
 
(898
)
 
15

 
(3,018
)
Net income from discontinued operations attributable to common stockholders
$
4,084

 
$
9,738

 
$
36,615

 
$
26,693

Capital expenditures on a cash basis for the three months ended September 30, 2018 and 2017 were $0 and $93,000, respectively, and capital expenditures on a cash basis for the nine months ended September 30, 2018 and 2017 were $0 and $672,000, respectively, related to properties classified within discontinued operations.
Note 5Acquired Intangible Assets, Net
Acquired intangible assets, net, consisted of the following as of September 30, 2018 and December 31, 2017 (amounts in thousands, except weighted average life amounts):
 
September 30, 2018
 
December 31, 2017
In-place leases, net of accumulated amortization of $21,656 and $22,519, respectively (with a weighted average remaining life of 13.8 years and 15.1 years, respectively)
$
57,925

 
$
83,139

Above-market leases, net of accumulated amortization of $1,291 and $1,068, respectively (with a weighted average remaining life of 8.6 years and 9.3 years, respectively)
2,524

 
2,747

Ground lease interest, net of accumulated amortization of $61 and $53, respectively (with a weighted average remaining life of 86.9 years and 87.6 years, respectively)
1,044

 
1,052

 
$
61,493

 
$
86,938

The aggregate weighted average remaining life of the acquired intangible assets was 14.8 years and 15.8 years as of September 30, 2018 and December 31, 2017, respectively.
Amortization of the acquired intangible assets for the three and nine months ended September 30, 2018, was $1,292,000 and $25,445,000, respectively, of which $0 and $21,296,000, respectively, was accelerated amortization due to the impairment of an in-place lease intangible asset related to Bay Area experiencing financial difficulties. Amortization of the acquired intangible assets for the three and nine months ended September 30, 2017, was $1,646,000 and $4,939,000, respectively. Amortization of the above-market leases is recorded as an adjustment to rental income, amortization of the in-place leases is

16


included in depreciation and amortization and amortization of the ground lease interest is included in rental expenses in the accompanying condensed consolidated statements of comprehensive income (loss).
Note 6Intangible Lease Liabilities, Net
Intangible lease liabilities, net, consisted of the following as of September 30, 2018 and December 31, 2017 (amounts in thousands, except weighted average life amounts):
 
September 30, 2018
 
December 31, 2017
Below-market leases, net of accumulated amortization of $4,940 and $4,269, respectively (with a weighted average remaining life of 16.5 years and 17.2 years, respectively)
$
11,984

 
$
12,655

Ground leasehold liabilities, net of accumulated amortization of $518 and $425, respectively (with a weighted average remaining life of 40.5 years and 41.2 years, respectively)
4,807

 
4,900

 
$
16,791

 
$
17,555

The aggregate weighted average remaining life of intangible lease liabilities was 23.2 years and 23.9 years as of September 30, 2018 and December 31, 2017, respectively.
Amortization of the intangible lease liabilities for the three months ended September 30, 2018 and 2017, was $255,000 and $257,000, respectively, and for the nine months ended September 30, 2018 and 2017, was $764,000 and $770,000, respectively. Amortization of below-market leases is recorded as an adjustment to rental income and amortization of ground leasehold liabilities is included in rental expenses in the accompanying condensed consolidated statements of comprehensive income (loss).
Note 7Other Assets, Net
Other assets, net, consisted of the following as of September 30, 2018 and December 31, 2017 (amounts in thousands):
 
September 30, 2018
 
December 31, 2017
Deferred financing costs, related to the revolver portion of the unsecured credit facility, net of accumulated amortization of $8,925 and $7,428, respectively
$
1,517

 
$
762

Lease commissions, net of accumulated amortization of $132 and $63, respectively
1,202

 
1,266

Investments in unconsolidated partnerships
2

 
965

Tenant receivables, net of allowances for doubtful accounts of $31,747 and $9,125, respectively
1,118

 
7,878

Notes receivable, net of allowances for loan losses of $13,365 and $10,615, respectively
2,700

 
20,138

Straight-line rent receivable
23,561

 
36,348

Equipment held for sale
20,900

 

Restricted cash
168

 
10,168

Derivative assets
851

 
407

Prepaid and other assets
1,221

 
1,208

 
$
53,240

 
$
79,140


17


Note 8Accounts Payable and Other Liabilities
Accounts payable and other liabilities, as of September 30, 2018 and December 31, 2017, consisted of the following (amounts in thousands):
 
September 30, 2018
 
December 31, 2017
Accounts payable and accrued expenses
$
2,596

 
$
4,203

Accrued interest expense
870

 
1,558

Accrued property taxes
4,015

 
4,758

Distributions payable to stockholders
6,272

 
11,076

Tenant deposits
625

 
778

Deferred rental income
2,452

 
5,822

 
$
16,830

 
$
28,195

Note 9Notes Payable and Unsecured Credit Facility
The Company's debt outstanding as of September 30, 2018 and December 31, 2017, consisted of the following (amounts in thousands):
 
September 30, 2018
 
December 31, 2017
Notes payable:
 
 
 
Fixed rate notes payable
$
5,717

 
$
18,212

Variable rate notes payable fixed through interest rate swaps
18,024

 
121,066

Variable rate notes payable
18,419

 
2,199

Total notes payable, principal amount outstanding
42,160

 
141,477

Unamortized deferred financing costs related to notes payable
(80
)
 
(875
)
Total notes payable, net of deferred financing costs
42,080

 
140,602

Unsecured credit facility:
 
 
 
Variable rate revolving line of credit fixed through interest rate swaps
38,000

 

Variable rate revolving line of credit
172,000

 

Total unsecured credit facility
210,000

 

Total debt outstanding
$
252,080

 
$
140,602

Significant debt activity during the nine months ended September 30, 2018, excluding scheduled principal payments, includes:
On February 1, 2018, the Operating Partnership and certain of the Company's subsidiaries entered into an amended and restated credit agreement related to the unsecured credit facility to remove one lender and to change the maximum commitment available under the unsecured credit facility to $400,000,000, consisting of a revolving line of credit, with a maturity date of May 28, 2019, subject to the Operating Partnership's right to a 12-month extension. Subject to certain conditions, the unsecured credit facility can be increased to $750,000,000. All other material terms of the unsecured credit facility remained unchanged.
On February 28, 2018, the Company paid off its debt in connection with one of the Company's notes payable with an outstanding principal balance of $12,340,000 at the time of repayment.
On May 4, 2018, the Company paid off its outstanding mortgage note payable related to the Bay Area Regional Medical Center property with an outstanding principal balance of approximately $84,667,000 at the time of repayment. As a result of this extinguishment, the Company expensed $545,000 of unamortized deferred financing costs and $43,000 of termination fees and recognized a gain of $381,000 on the early extinguishment of the hedged debt obligation, which were recognized in interest expense, net, on the Company’s condensed consolidated statements of comprehensive income (loss).
On August 13, 2018, the Operating Partnership and certain of the Company's subsidiaries entered into the First Amendment to the Third Amended and Restated Credit Agreement with KeyBank National Association and certain other lenders to amend certain financial covenants as a result of Bay Area experiencing financial difficulty. The

18


Company is in compliance with the covenants of the First Amendment to the Third Amended and Restated Credit Agreement.
During the nine months ended September 30, 2018, 18 of the Company's properties were resubmitted to the unencumbered pool of the unsecured credit facility, which increased the Company's total unencumbered pool availability under the unsecured credit facility by approximately $61,185,000.
During the nine months ended September 30, 2018, in connection with the 2018 Dispositions, the Company removed five properties from the unencumbered pool of the unsecured credit facility, which decreased the Company's total unencumbered pool availability under the unsecured credit facility by approximately $106,500,000.
During the nine months ended September 30, 2018, in connection with the special distribution in the amount of $556,227,000 paid on March 16, 2018, the Company made a draw of $195,000,000 on its unsecured credit facility.
During the nine months ended September 30, 2018, the Company drew $90,000,000 to pay off its debt related to the Bay Area Regional Medical Center property and to fund other working capital needs. The Company repaid $75,000,000 on its unsecured credit facility with net proceeds from the 2018 Dispositions.
As of September 30, 2018, the Company had a total unencumbered pool availability under the unsecured credit facility of $311,239,000 and an aggregate outstanding principal balance of $210,000,000. As of September 30, 2018, $101,239,000 was available to be drawn on the unsecured credit facility.
The principal payments due on the notes payable and unsecured credit facility for the three months ending December 31, 2018, and for each of the next four years ending December 31, are as follows (amounts in thousands):
Year
 
Amount
Three months ending December 31, 2018 (1)
 
$
5,873

2019 (2)
 
228,756

2020
 
412

2021
 
435

2022
 
16,684

 
 
$
252,160

 
(1)
Of this amount, $5,717,000 relates to a fixed rate note payable that was repaid at maturity on October 11, 2018.
(2)
Of this amount, $210,000,000 relates to the revolving line of credit under the unsecured credit facility. The maturity date on the revolving line of credit under the unsecured credit facility is May 28, 2019, subject to the Company's right to a 12-month extension.
Note 10Related-Party Transactions and Arrangements
The Company pays the Advisor an annual asset management fee of 0.85% of the aggregate asset value plus costs and expenses incurred by the Advisor in providing asset management services. The fee is payable monthly in an amount equal to 0.07083% of the aggregate asset value as of the last day of the immediately preceding month. For the three months ended September 30, 2018 and 2017, the Company incurred $2,464,000 and $4,848,000, respectively, in asset management fees to the Advisor, of which $2,464,000 and $2,679,000 are included in continuing operations, respectively. For the nine months ended September 30, 2018 and 2017, the Company incurred $7,729,000 and $14,494,000, respectively, in asset management fees to the Advisor, of which $7,408,000 and $7,985,000 are included in continuing operations, respectively.
The Company reimburses the Advisor for all expenses it paid or incurred in connection with the services provided to the Company, subject to certain limitations. The Company will not reimburse the Advisor for personnel costs in connection with services for which the Advisor receives an acquisition fee or a disposition fee. For the three months ended September 30, 2018 and 2017, the Advisor allocated $425,000 and $341,000, respectively, and for the nine months ended September 30, 2018 and 2017, the Advisor allocated $1,195,000 and $1,294,000, respectively, in operating expenses incurred on the Company’s behalf, which are recorded in general and administrative expenses in the accompanying condensed consolidated statements of comprehensive income (loss).
The Company has no direct employees. The employees of the Advisor and other affiliates provide services to the Company related to acquisitions, property management, asset management, accounting, investor relations, and all other administrative services. If the Advisor or its affiliates provides a substantial amount of services, as determined by a majority of the Company’s independent directors, in connection with the sale of one or more assets, a merger with a change of control of

19


the Company or a sale of the Company, the Company will pay the Advisor a disposition fee equal to an amount of up to the lesser of 0.5% of the transaction price and one-half of the fees paid in the aggregate to third party investment bankers for such transaction. In no event will the combined real estate commission paid to the Advisor, its affiliates and unaffiliated third parties exceed 6.0% of the contract sales price. In addition, after investors have received a return of their net capital contributions and an 8.0% cumulative non-compounded annual return, then the Advisor is entitled to receive 15.0% of the remaining net sale proceeds, or a subordinated participation in net sale proceeds. During the three and nine months ended September 30, 2018, in connection with the 2018 Dispositions, the Company incurred approximately $75,000 and $1,229,000, respectively, in disposition fees to the Advisor or its affiliates, of which $0 and $16,000, respectively, are included in continuing operations and recorded in gain on real estate dispositions in the accompanying condensed consolidated statements of comprehensive income (loss). As of September 30, 2018, the Company had not incurred a subordinated participation in net sale proceeds to the Advisor or its affiliates.
Upon the listing of the Company’s common stock on a national securities exchange, the Company would pay the Advisor a subordinated incentive listing fee equal to 15.0% of the amount by which the market value of the Company’s outstanding stock plus all distributions paid by the Company prior to listing exceeds the sum of the total amount of capital raised from investors and the amount of cash flow necessary to generate an 8.0% cumulative, non-compounded annual return to investors, or a subordinated incentive listing fee. As of September 30, 2018, the Company had not incurred a subordinated incentive listing fee to the Advisor or its affiliates.
Upon termination or non-renewal of the Advisory Agreement, with or without cause, the Advisor will be entitled to receive distributions from the Operating Partnership equal to 15.0% of the amount by which the sum of the Company’s adjusted market value plus distributions exceeds the sum of the aggregate capital contributed by investors plus an amount equal to an annual 8.0% cumulative, non-compounded return to investors. In addition, the Advisor may elect to defer its right to receive a subordinated distribution upon termination until either shares of the Company’s common stock are listed and traded on a national securities exchange or another liquidity event occurs. As of September 30, 2018, the Company had not incurred any subordinated distribution upon termination fees to the Advisor or its affiliates.
The Company pays Carter Validus Real Estate Management Services, LLC, or the Property Manager, leasing and property management fees for the Company’s properties. Such fees equal 3.0% of monthly gross revenues from single-tenant properties and 4.0% of monthly gross revenues from multi-tenant properties. The Company will reimburse the Property Manager and its affiliates for property-level expenses that any of them pay or incur on the Company’s behalf, including certain salaries, bonuses and benefits of persons employed by the Property Manager and its affiliates, except for the salaries, bonuses and benefits of persons who also serve as one of the Company’s executive officers. The Property Manager and its affiliates may subcontract the performance of their duties to third parties and pay all or a portion of the property management fee to the third parties with whom they contract for these services. If the Company contracts directly with third parties for such services at customary market fees, the Company may pay the Property Manager an oversight fee equal to 1.0% of the gross revenues of the property managed. In no event will the Company pay the Property Manager, the Advisor or its affiliates both a property management fee and an oversight fee with respect to any particular property. The Company will pay the Property Manager a separate fee for the one-time initial rent-up, lease renewals or leasing-up of newly constructed properties. For the three months ended September 30, 2018 and 2017, the Company incurred $162,000 and $1,353,000, respectively, in property management fees to the Property Manager, of which $162,000 and $711,000, respectively, are included in continuing operations and recorded in rental expenses in the accompanying condensed consolidated statements of comprehensive income (loss). For the nine months ended September 30, 2018 and 2017, the Company incurred $1,640,000 and $3,797,000, respectively, in property management fees to the Property Manager, of which $1,526,000 and $1,867,000, respectively, are included in continuing operations and recorded in rental expenses in the accompanying condensed consolidated statements of comprehensive income (loss). For the three months ended September 30, 2018 and 2017, the Company incurred $60,000 and $4,000, respectively, in leasing commissions to the Property Manager, of which $60,000 and $0, respectively, related to continuing operations and are capitalized in other assets, net in the accompanying condensed consolidated balance sheets. For the nine months ended September 30, 2018 and 2017, the Company incurred $60,000 and $281,000, respectively, in leasing commissions to the Property Manger, of which $60,000 and $277,000, respectively, related to continuing operations and are capitalized in other assets, net, in the accompanying condensed consolidated balance sheets.
For acting as general contractor and/or construction manager to supervise or coordinate projects or to provide major repairs or rehabilitation on our properties, the Company may pay the Property Manager up to 5.0% of the cost of the projects, repairs and/or rehabilitation, as applicable, or construction management fees. For the three months ended September 30, 2018 and 2017, the Company incurred $19,000 and $190,000, respectively, and for the nine months ended September 30, 2018 and 2017, the Company incurred $130,000 and $419,000, respectively, in construction management fees, all of which related to continuing operations, to the Property Manager. Construction management fees are capitalized in buildings and improvements in the accompanying condensed consolidated balance sheets.

20


Accounts Payable Due to Affiliates
The following amounts were due to affiliates as of September 30, 2018 and December 31, 2017 (amounts in thousands):
Entity
 
Fee
 
September 30, 2018
 
December 31, 2017
Carter/Validus Advisors, LLC and its affiliates
 
Asset management fees
 
$
839

 
$
980

Carter Validus Real Estate Management Services, LLC
 
Property management fees
 
448

 
473

Carter/Validus Advisors, LLC and its affiliates
 
General, administrative and other costs
 
148

 
98

Carter/Validus Advisors, LLC and its affiliates
 
Disposition fees
 

 
440

Carter Validus Real Estate Management Services, LLC
 
Construction management fees
 
3

 
17

Carter Validus Real Estate Management Services, LLC
 
Leasing commissions
 
60

 
364

 
 
 
 
$
1,498

 
$
2,372

Note 11Future Minimum Rent
Rental Income
The Company’s real estate assets are leased to tenants under operating leases with varying terms. The leases frequently have provisions to extend the lease agreements. The Company retains substantially all of the risks and benefits of ownership of the real estate assets leased to tenants.
The future minimum rent to be received from the Company’s investments in real estate assets under non-cancelable operating leases, including optional renewal periods for which exercise is reasonably assured, for the three months ending December 31, 2018, and for each of the next four years ending December 31 and thereafter, are as follows (amounts in thousands):
Year
 
Amount
Three months ending December 31, 2018
 
$
16,386

2019
 
66,169

2020
 
67,239

2021
 
68,333

2022
 
69,444

Thereafter
 
605,053

 
 
$
892,624

The total future minimum rent amount does not reflect the new lease on the Bay Area Regional Medical Center, which was executed on October 24, 2018 and effective as of October 22, 2018. See Note 16—"Subsequent Events" for further discussion.
Rental Expense
The Company has three ground lease obligations that generally require fixed annual rental payments and may also include escalation clauses and renewal options.
The future minimum rent obligations under non-cancelable ground leases for the three months ending December 31, 2018, and for each of the next four years ended December 31 and thereafter, are as follows (amounts in thousands):
Year
 
Amount
Three months ending December 31, 2018
 
$
165

2019
 
699

2020
 
699

2021
 
699

2022
 
699

Thereafter
 
34,250

 
 
$
37,211


21


Note 12Fair Value
Notes payable – Fixed Rate—The estimated fair value of notes payable – fixed rate measured using observable inputs from similar liabilities (Level 2) was approximately $5,709,000 and $18,189,000 as of September 30, 2018 and December 31, 2017, respectively, as compared to the outstanding principal of $5,717,000 and $18,212,000 as of September 30, 2018 and December 31, 2017, respectively. The estimated fair value of notes payable – variable rate fixed through interest rate swap agreements (Level 2) was approximately $17,278,000 and $120,051,000 as of September 30, 2018 and December 31, 2017, respectively, as compared to the outstanding principal of $18,024,000 and $121,066,000 as of September 30, 2018 and December 31, 2017, respectively.
Notes payable – Variable—The outstanding principal of the notes payable – variable was $18,419,000 and $2,199,000 as of September 30, 2018 and December 31, 2017, respectively, which approximated its fair value. The fair value of the Company's variable rate notes payable is estimated based on the interest rates currently offered to the Company by financial institutions.
Unsecured credit facility—The outstanding principal balance of the unsecured credit facility – variable was $172,000,000 and $0, which approximated its fair value, as of September 30, 2018 and December 31, 2017, respectively. The fair value of the Company's variable rate unsecured credit facility is estimated based on the interest rates currently offered to the Company by financial institutions. The estimated fair value of the unsecured credit facility—variable rate fixed through interest rate swap agreements (Level 2) was approximately $37,583,000 and $0 as of September 30, 2018 and December 31, 2017, respectively, as compared to the outstanding principal of $38,000,000 and $0 as of September 30, 2018 and December 31, 2017, respectively.
Notes receivable—The outstanding principal balance of the notes receivable approximated the fair value as of September 30, 2018 and December 31, 2017. The fair value was measured using significant other observable inputs (Level 2) based on the fair value of the Company's respective note's collateral, which requires certain judgments to be made by management.
Derivative instruments— Considerable judgment is necessary to develop estimated fair values of financial instruments. Accordingly, the estimates presented herein are not necessarily indicative of the amount the Company could realize, or be liable for, on disposition of the financial instruments. The Company has determined that the majority of the inputs used to value its interest rate swaps fall within Level 2 of the fair value hierarchy. The credit valuation adjustments associated with these instruments utilize Level 3 inputs, such as estimates of current credit spreads, to evaluate the likelihood of default by the Company and the respective counterparty. However, as of September 30, 2018, the Company assessed the significance of the impact of the credit valuation adjustments on the overall valuation of its derivative positions, and determined that the credit valuation adjustments are not significant to the overall valuation of its interest rate swaps. As a result, the Company determined that its interest rate swaps valuation in its entirety is classified in Level 2 of the fair value hierarchy. See Note 13—"Derivative Instruments and Hedging Activities" for a further discussion of the Company’s derivative instruments.

22


The following tables show the fair value of the Company’s financial assets that are required to be measured at fair value on a recurring basis as of September 30, 2018 and December 31, 2017 (amounts in thousands):
 
September 30, 2018
 
Fair Value Hierarchy
 
 
 
Quoted Prices in Active
Markets for Identical
Assets (Level 1)
 
Significant Other
Observable Inputs
(Level 2)
 
Significant
Unobservable
Inputs (Level 3)
 
Total Fair
Value
Assets:
 
 
 
 
 
 
 
Derivative assets
$

 
$
851

 
$

 
$
851

Total assets at fair value
$

 
$
851

 
$

 
$
851

 
 
 
 
 
 
 
 
 
December 31, 2017
 
Fair Value Hierarchy
 
 
 
Quoted Prices in Active
Markets for Identical
Assets (Level 1)
 
Significant Other
Observable Inputs
(Level 2)
 
Significant
Unobservable
Inputs (Level 3)
 
Total Fair
Value
Assets:
 
 
 
 
 
 
 
Derivative assets
$

 
$
407

 
$

 
$
407

Total assets at fair value
$

 
$
407

 
$

 
$
407

Real estate assets— As discussed in Note 2—"Summary of Significant Accounting Policies", during the nine months ended September 30, 2018, real estate assets related to one healthcare property with an aggregate carrying amount of $47,375,000 were determined to be impaired, using Level 2 inputs of the fair value hierarchy. The carrying value of the property was reduced to its estimated fair value of $41,544,000, resulting in an impairment charge of $5,831,000.
The following table shows the fair value of the Company's real estate assets measured at fair value on a non-recurring basis as of September 30, 2018 (amounts in thousands):
 
September 30, 2018
 
 
 
Fair Value Hierarchy
 
 
 
 
 
Quoted Prices in Active
Markets for Identical
Assets (Level 1)
 
Significant Other
Observable Inputs
(Level 2)
 
Significant
Unobservable
Inputs (Level 3)
 
Re-Measured Balance
 
Total Impairment Losses
Real estate assets (1)
$

 
$
41,544

 
$

 
$
41,544

 
$
(5,831
)
 
(1)
Amount represents the fair value of one real estate property impacted by impairment charges as of September 30, 2018. For the three and nine months ended September 30, 2018, the Company recognized an impairment charge of $0 and $5,831,000, respectively. The real estate property is classified as continuing operations as of September 30, 2018.
Note 13Derivative Instruments and Hedging Activities
Cash Flow Hedges of Interest Rate Risk
The Company’s objectives in using interest rate derivatives are to add stability to interest expense and to manage its exposure to interest rate movements. To accomplish these objectives, the Company primarily uses interest rate swaps as part of its interest rate risk management strategy. Interest rate swaps designated as cash flow hedges involve the receipt of variable rate amounts from a counterparty in exchange for the Company making fixed rate payments over the life of the agreements without exchange of the underlying notional amount.
The effective portion of changes in the fair value of derivatives designated, and that qualify, as cash flow hedges is recorded in accumulated other comprehensive income in the accompanying condensed consolidated statement of stockholders' equity and is subsequently reclassified into earnings in the period that the hedged forecasted transaction affects earnings. During the nine months ended September 30, 2018, such derivatives were used to hedge the variable cash flows associated with variable rate debt. The ineffective portion of changes in fair value of the derivatives is recognized directly in earnings. During the three and nine months ended September 30, 2018, the Company recognized a gain of $2,000 due to ineffectiveness of its hedges of interest rate risk, which was recorded in interest expense, net in the accompanying condensed consolidated statements of comprehensive income (loss). During the three and nine months ended September 30, 2017no gains or losses were recognized due to ineffectiveness of hedges of interest rate risk. During the nine months ended September 30, 2018, the Company accelerated the reclassification of amounts in other comprehensive income to earnings as a result of a hedged

23


forecasted transaction becoming probable not to occur related to early debt extinguishment at the Bay Area Regional Medical Center property. The accelerated amount was a gain of $381,000 and was recorded in interest expense, net in the accompanying condensed consolidated statements of comprehensive income (loss).
Amounts reported in accumulated other comprehensive income related to derivatives will be reclassified to interest expense as interest payments are made on the Company’s variable rate debt. During the next twelve months, the Company estimates that an additional $395,000 will be reclassified from accumulated other comprehensive income as a decrease to interest expense.
See Note 12—"Fair Value" for a further discussion of the fair value of the Company’s derivative instruments.
The following table summarizes the notional amount and fair value of the Company’s derivative instruments (amounts in thousands):
 
Derivatives
Designated as
Hedging
Instruments
 
Balance
Sheet
Location
 
Effective
Dates
 
Maturity
Dates
 
September 30, 2018
 
December 31, 2017
 
Outstanding
Notional
Amount
 
Fair Value of
 
Outstanding
Notional
Amount
 
Fair Value of
 
Asset
 
Asset
 
 
Interest rate swaps
 
Other assets, net
 
08/03/2015 to
10/11/2017
 
05/28/2019 to
10/11/2022
 
$
56,024

 
$
851

 
$
121,066

 
$
407

The notional amount under the agreements is an indication of the extent of the Company’s involvement in each instrument at the time, but does not represent exposure to credit, interest rate or market risks.
Accounting for changes in the fair value of a derivative instrument depends on the intended use and designation of the derivative instrument. The Company designated the interest rate swaps as cash flow hedges to hedge the variability of the anticipated cash flows on its variable rate notes payable. The change in fair value of the effective portion of the derivative instrument that is designated as a hedge is recorded in other comprehensive income, or OCI, in the accompanying condensed consolidated statements of comprehensive income (loss).
The table below summarizes the amount of income (loss) recognized on interest rate derivatives designated as cash flow hedges for the three and nine months ended September 30, 2018 and 2017 (amounts in thousands):
Derivatives in Cash Flow Hedging Relationships
 
Amount of Income Recognized
in OCI on Derivatives
(Effective Portion)
 
Location of Income
Reclassified from
Accumulated Other
Comprehensive Income to
Net Income (Loss)
(Effective Portion)
 
Amount of Income (Loss)
Reclassified from
Accumulated Other
Comprehensive Income to
Net Income (Loss)
(Effective Portion and Accelerated Amounts)
Three Months Ended September 30, 2018
 
 
 
 
 
 
Interest rate swaps - continuing operations
 
$
96

 
Interest expense, net
 
$
78

Total
 
$
96

 
 
 
$
78

Three Months Ended September 30, 2017
 
 
 
 
 
 
Interest rate swaps - continuing operations
 
$
74

 
Interest expense, net
 
$
45

Interest rate swaps - discontinued operations
 
76

 
Income from discontinued operations
 
(102
)
Total
 
$
150

 
 
 
$
(57
)
Nine Months Ended September 30, 2018
 
 
 
 
 
 
Interest rate swaps - continuing operations
 
$
932

 
Interest expense, net
 
$
490

Total
 
$
932

 
 
 
$
490

Nine Months Ended September 30, 2017
 
 
 
 
 
 
Interest rate swaps - continuing operations
 
$
11

 
Interest expense, net
 
$
(397
)
Interest rate swaps - discontinued operations
 
229

 
Income from discontinued operations
 
(689
)
Total
 
$
240

 
 
 
$
(1,086
)

24


Credit Risk-Related Contingent Features
The Company has agreements with each of its derivative counterparties that contain cross-default provisions, whereby if the Company defaults on certain of its unsecured indebtedness, then the Company could also be declared in default on its derivative obligations, resulting in an acceleration of payment thereunder.
In addition, the Company has agreements with each of its derivative counterparties that contain a provision where if the Company either defaults or is capable of being declared in default on any of its indebtedness, then the Company could also be declared in default on its derivative obligations. The Company records credit risk valuation adjustments on its interest rate swaps based on the respective credit quality of the Company and the counterparty. The Company believes it mitigates its risk by entering into agreements with creditworthy counterparties. As of September 30, 2018, there were no derivatives in a net liability position.
Tabular Disclosure Offsetting Derivatives
The Company has elected not to offset derivative positions in its condensed consolidated financial statements. The following table presents the effect on the Company’s financial position had the Company made the election to offset its derivative positions as of September 30, 2018 and December 31, 2017 (amounts in thousands):
Offsetting of Derivative Assets
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Gross Amounts Not Offset
 in the Balance Sheet
 
 
 
Gross
Amounts of
Recognized
Assets
 
Gross Amounts
Offset in the
Balance Sheet
 
Net Amounts of
Assets Presented in
the Balance Sheet
 
Financial 
Instruments
Collateral
 
Cash 
Collateral
 
Net
Amount
September 30, 2018
$
851

 
$

 
$
851

 
$

 
$

 
$
851

December 31, 2017
$
407

 
$

 
$
407

 
$

 
$

 
$
407

The Company reports derivative assets attributable to continuing operations as other assets, net, on the condensed consolidated balance sheets.
Note 14Accumulated Other Comprehensive Income
The following table presents a rollforward of amounts recognized in accumulated other comprehensive income, net of noncontrolling interests, by component for the nine months ended September 30, 2018 and 2017 (amounts in thousands):
 
Unrealized Income on Derivative
Instruments
 
Accumulated Other
Comprehensive Income
Balance as of December 31, 2017
$
887

 
$
407

Other comprehensive income before reclassification
932

 
932

Amount of income reclassified from accumulated other comprehensive income to net loss (effective portion and missed forecast)
(490
)
 
(490
)
Other comprehensive income
442

 
442

Balance as of September 30, 2018
$
1,329

 
$
849

 
Unrealized Income on Derivative
Instruments
 
Accumulated Other
Comprehensive Income
Balance as of December 31, 2016
$
2,303

 
$
1,823

Other comprehensive income before reclassification
240

 
240

Amount of loss reclassified from accumulated other comprehensive income to net income (effective portion)
1,086

 
1,086

Other comprehensive income
1,326

 
1,326

Balance as of September 30, 2017
$
3,629

 
$
3,149


25


The following table presents reclassifications out of accumulated other comprehensive income for the nine months ended September 30, 2018 and 2017 (amounts in thousands):
Details about Accumulated Other
Comprehensive Income Components
 
Amounts Reclassified from
Accumulated Other Comprehensive Income to Net Income (Loss)
 
Affected Line Items in the Condensed Consolidated Statements of Comprehensive
Income (Loss)
 
 
Nine Months Ended
September 30,
 
 
 
 
2018
 
2017
 
 
Interest rate swap contracts - continuing operations
 
$
(490
)
 
$
397

 
Interest expense, net
Interest rate swap contracts - discontinued operations
 

 
689

 
Income from discontinued operations
Interest rate swap contracts
 
$
(490
)
 
$
1,086

 
 
Note 15Commitments and Contingencies
Litigation
In the ordinary course of business, the Company may become subject to litigation or claims. As of September 30, 2018, there were, and currently there are, no material pending legal proceedings to which the Company is a party. While the resolution of a lawsuit or proceeding may have an impact to the Company's financial results for the period in which it is resolved, the Company believes that the final disposition of the lawsuits or proceedings in which we are currently involved, either individually or in the aggregate, will not have a material adverse effect on its financial position, results of operations or liquidity.
Note 16Subsequent Events
Distributions Paid
On October 1, 2018, the Company paid aggregate distributions of $6,272,000 ($3,332,000 in cash and $2,940,000 in shares of the Company’s common stock issued pursuant to the DRIP Offering), which related to distributions declared for each day in the period from September 1, 2018 through September 30, 2018.
On November 1, 2018, the Company paid aggregate distributions of $4,953,000 ($2,646,000 in cash and $2,307,000 in shares of the Company’s common stock issued pursuant to the DRIP Offering), which related to distributions declared for each day in the period from October 1, 2018 through October 31, 2018.
Distributions Authorized
On October 24, 2018, the board of directors of the Company, or the Board, approved and authorized a daily distribution to the Company’s stockholders of record as of the close of business on each day of the period commencing on November 1, 2018 and ending on November 30, 2018. The distributions will be calculated based on 365 days in the calendar year and will be equal to $0.000876712 per share of common stock, which will be equal to an annualized distribution rate of 6.0%, based on the estimated per share net asset value of $5.33. The distributions declared for the record date in November 2018 will be paid in December 2018. The distributions will be payable to stockholders from legally available funds therefor.
Bay Area Regional Medical Center Lease
On October 24, 2018, the Company entered into a lease agreement with UTMB to lease the Bay Area Regional Medical Center, which was effective as of October 22, 2018. The lease agreement has an initial 15 year term with three 5-year renewal terms exercisable at the option of UTMB (subject to certain conditions) and provides for a fixed base rent for the first 5 years of the lease term that will be payable monthly, subsequent to a free-rent period from October 1, 2018 to June 30, 2019.
Renewal of Advisory Agreement
On November 8, 2018, the board of directors, including all independent directors of the Company, after review of the Advisor’s performance during the last year, authorized the Company to execute a mutual consent to renew the amended and restated advisory agreement, by and among the Company, the Operating Partnership and the Advisor, dated November 26, 2010, as amended and renewed. The renewal will be for a one-year term and will be effective as of November 26, 2018.

26


Renewal of Property Management Agreement
On November 8, 2018, the board of directors, including all independent directors of the Company, after review of the Property Manager’s performance during the last year, authorized the Company to execute a mutual consent to renew the management agreement by and among the Company, the Operating Partnership and the Property Manager, dated November 12, 2010, as amended and renewed. The renewal will be for a one-year term and will be effective as of November 12, 2018.
Second Amended and Restated Share Repurchase Program
On October 24, 2018, the board of directors approved and adopted the Second Amended and Restated Share Repurchase Program (the “Second Amended & Restated SRP”), which will be effective November 26, 2018. The purpose of the Second Amended & Restated SRP is to update the definition of "Repurchase Date" in order to clarify that the Company will either accept or reject a repurchase request by the first day of each quarter, and will process accepted repurchase requests on or about the tenth day of such quarter. Further, if a repurchase is granted, the Company or its agent will send the repurchase amount to each stockholder, estate, heir, or beneficiary on or about the tenth day of such quarter.

27


Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.
The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our condensed consolidated financial statements and the notes thereto and the other financial information appearing elsewhere in this Quarterly Report on Form 10-Q. The following discussion should also be read in conjunction with our audited consolidated financial statements, and the notes thereto, and Management’s Discussion and Analysis of Financial Condition and Results of Operations included in our Annual Report on Form 10-K for the year ended December 31, 2017, as filed with the U.S. Securities and Exchange Commission, or the SEC, on March 30, 2018, or the 2017 Annual Report on Form 10-K.
The terms “we,” “our,” "us" and the “Company” refer to Carter Validus Mission Critical REIT, Inc., Carter/Validus Operating Partnership, LP, all majority-owned subsidiaries and controlled subsidiaries.
Forward-Looking Statements
Certain statements contained in this Quarterly Report on Form 10-Q, other than historical facts, include forward-looking statements that reflect our expectations and projections about our future results, performance, prospects and opportunities. Such statements include, in particular, statements about our plans, strategies, and prospects and are subject to certain risks and uncertainties, as well as known and unknown risks, which could cause actual results to differ materially from those projected or anticipated. Therefore, such statements are not intended to be a guarantee of our performance in future periods. Such forward-looking statements can generally be identified by our use of forward-looking terminology such as “may,” “will,” “would,” “could,” “should,” “expect,” “intend,” “anticipate,” “estimate,” “believe,” “continue,” or other similar words. Readers are cautioned not to place undue reliance on these forward-looking statements, which reflect our management’s view only as of the date this Quarterly Report on Form 10-Q is filed with the SEC. We make no representation or warranty (express or implied) about the accuracy of any such forward-looking statements contained in this Quarterly Report on Form 10-Q, and we do not undertake to publicly update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise. See Item 1A. “Risk Factors” of our 2017 Annual Report on Form 10-K for a discussion of some, although not all, of the risks and uncertainties that could cause actual results to differ materially from those presented in our forward-looking statements.
Management’s discussion and analysis of financial condition and results of operations is based upon our condensed consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States, or GAAP. The preparation of these financial statements requires our management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. On a regular basis, we evaluate these estimates. These estimates are based on management’s historical industry experience and on various other assumptions that are believed to be reasonable under the circumstances. Actual results may differ from these estimates.
Overview
We were formed on December 16, 2009, under the laws of Maryland to acquire and operate a diversified portfolio of income-producing commercial real estate in the data center and healthcare sectors. We may also invest in real estate-related investments that relate to such property types. We qualified and elected to be taxed as a real estate investment trust, or REIT, under the Internal Revenue Code of 1986, as amended, or the Code, for federal income tax purposes.
We ceased offering shares of common stock in our initial public offering of up to $1,746,875,000 in shares of common stock, or our Offering, on June 6, 2014. Upon completion of our Offering, we raised gross proceeds of approximately $1,716,046,000 (including shares of common stock issued pursuant to the DRIP). We will continue to issue shares of common stock under the DRIP Offering, defined below, until such time as we sell all of the shares registered for sale under the DRIP Offering, unless we file a new registration statement with the SEC or the DRIP Offering is terminated by our board of directors.
On May 22, 2017, we registered 11,387,512 shares of common stock for a price per share of $9.519, for a proposed maximum offering price of $108,397,727 in shares of common stock under the DRIP pursuant to a new Registration Statement on Form S-3, or the DRIP Offering.
On December 21, 2017, our board of directors, at the recommendation of our audit committee, established an estimated net asset value, or the NAV, per share of our common stock, or the Estimated Per Share NAV, calculated as of September 30, 2017, of $9.26. In connection with a special cash distribution paid on March 16, 2018, our board of directors approved a new Estimated Per Share NAV of $6.26, calculated based on the Estimated Per Share NAV as of September 30, 2017 of $9.26, less the special cash distribution of $3.00 per share, which was paid on March 15, 2018. The updated Estimated Per Share NAV of $6.26 was effective on February 15, 2018, which was the record date of the special cash distribution. On September 27, 2018, our board of directors, at the recommendation of our audit committee, established an updated Estimated Per Share NAV, calculated as of June 30, 2018, of $5.33, for purposes of assisting broker-dealers that participated in our Offering in meeting

28


their customer account statement reporting obligations under NASD Rule 2340. We intend to publish an updated Estimated Per Share NAV on at least an annual basis. The Estimated Per Share NAV was determined by our board of directors after consultation with our Advisor and an independent third-party valuation firm.
On December 21, 2017, our board of directors approved an amendment to the DRIP in order for the purchase price per DRIP share to equal the most recent estimated per share net asset value, as determined by our board of directors. As a result, effective February 1, 2018, shares of common stock were offered pursuant to the DRIP Offering for a price per share of $9.26. In connection with the special cash distribution paid on March 16, 2018, our board of directors approved the updated Estimated Per Share NAV of $6.26, effective on February 15, 2018, which was the record date of the special cash distribution. Therefore, effective February 15, 2018, shares of common stock were offered pursuant to the DRIP Offering for a price per share of $6.26. On September 27, 2018, our board of directors established an updated Estimated Per Share NAV of $5.33. Accordingly, commencing with distributions that will accrue for the month of October 2018, DRIP shares will be issued at $5.33 per share until such time as the Board determines a new estimated per share NAV.
We refer to the DRIP Offering and our Offering together as our "Offerings." As of September 30, 2018, we had issued approximately 201,720,000 shares of common stock in our Offerings for gross proceeds of $1,981,110,000, before share repurchases of $169,123,000 and offering costs, selling commissions and dealer manager fees of $174,849,000.
Effective April 10, 2018, John E. Carter resigned as our Chief Executive Officer. Mr. Carter remains the Chairman of our board of directors. In connection with Mr. Carter's resignation as Chief Executive Officer, the board of directors appointed Michael A. Seton to serve as our Chief Executive Officer, effective April 10, 2018. Mr. Seton continues to serve as our President, a position he has held since August 2010.
On September 13, 2018, Lisa A. Drummond retired as our Secretary, effective immediately. Our board of directors elected Todd M. Sakow as our Secretary, effective September 13, 2018. Mr. Sakow continues to serve as our Chief Financial Officer and Treasurer, positions he has held since August 2010.
Substantially all of our operations are conducted through Carter/Validus Operating Partnership, LP, or our Operating Partnership. We are externally advised by Carter/Validus Advisors, LLC, or our Advisor, pursuant to an advisory agreement between us and our Advisor, which is our affiliate. Our Advisor supervises and manages our day-to-day operations and selects the properties and real estate-related investments we acquire and sell, subject to the oversight and approval of our board of directors. Our Advisor also provides marketing, sales and client services related to real estate on our behalf. Our Advisor engages affiliated entities to provide various services to us. Our Advisor is managed by, and is a subsidiary of, Carter/Validus REIT Investment Management Company, LLC, or our Sponsor. We have no paid employees and rely upon our Advisor to provide substantially all of our services.
Carter Validus Real Estate Management Services, LLC, or our Property Manager, a wholly-owned subsidiary of our Sponsor, serves as our property manager. Our Advisor and our Property Manager received fees during our acquisition stage, and will continue to receive fees during our operational stages and our Advisor may be eligible to receive fees during our liquidation stage.
As of September 30, 2018, we had completed acquisitions of 49 real estate investments, consisting of 84 properties, comprised of 95 buildings and parking facilities and approximately 6,222,000 square feet of gross rentable area (excluding parking facilities), for an aggregate purchase price of $2,189,062,000. We have not acquired any real estate investments since May 2016.
During the year ended December 31, 2017, our board of directors made a determination to sell our data center assets. This decision represented a strategic shift that had a major effect on our results and operations and assets and liabilities for the periods presented. As a result, we have classified our data centers segment as discontinued operations.
As of September 30, 2018, we had disposed of 23 properties (20 data center properties, including one real estate property owned through a consolidated partnership, and three healthcare properties) for an aggregate sale price of $1,398.7 million and generated net proceeds from the sales of those assets of $1,372.6 million. During the year ended December 31, 2017, we sold 16 properties, including 15 data center properties and one healthcare property, and during the nine months ended September 30, 2018, we sold five data center properties and two healthcare properties. As of September 30, 2018, we had completed the disposition of all our data center properties.
As of September 30, 2018, we owned 30 real estate investments, consisting of 61 properties, comprised of 64 buildings and approximately 2,578,000 square feet of gross rentable area, all of which are part of the healthcare portfolio.
On May 4, 2018, Bay Area Regional Medical Center, LLC ("Bay Area"), announced in a press release that it was closing its operations on May 10, 2018, and filing for bankruptcy in the near term. On August 13, 2018, we terminated the lease with Bay Area. In addition, on May 4, 2018, we paid off our outstanding mortgage note payable related to the property in the principal amount of $84,667,000.

29


On October 24, 2018, we entered into a lease agreement with a new tenant, the Board of Regents of the University of Texas System, which is an affiliate of the University of Texas Medical Branch, or UTMB, to lease the Bay Area Regional Medical Center property. The lease agreement was effective as of October 22, 2018. The lease agreement has an initial 15-year term with three 5-year renewal terms exercisable at the option of UTMB (subject to certain conditions) and provides for a fixed base rent for the first 5 years of the lease term that will be payable monthly, subsequent to a free-rent period from October 1, 2018 to June 30, 2019.
Critical Accounting Policies
Our critical accounting policies were disclosed in our 2017 Annual Report on Form 10-K. There have been no material changes to our critical accounting policies as disclosed therein.
Interim Unaudited Financial Data
Our accompanying condensed consolidated financial statements have been prepared by us in accordance with GAAP in conjunction with the rules and regulations of the SEC. Certain information and footnote disclosures required for annual financial statements have been condensed or excluded pursuant to SEC rules and regulations. Accordingly, our accompanying condensed consolidated financial statements do not include all of the information and footnotes required by GAAP for complete financial statements. Our accompanying condensed consolidated financial statements reflect all adjustments, which are, in our view, of a normal recurring nature and necessary for a fair presentation of our financial position, results of operations and cash flows for the interim period. Interim results of operations are not necessarily indicative of the results to be expected for the full year; such full year results may be less favorable. Our accompanying condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and the notes thereto included in our 2017 Annual Report on Form 10-K.
Qualification as a REIT
We qualified and elected to be taxed as a REIT for federal income tax purposes and we intend to continue to be taxed as a REIT. To maintain our qualification as a REIT, we must continue to meet certain organizational and operational requirements, including a requirement to currently distribute at least 90.0% of our REIT taxable income to our stockholders. As a REIT, we generally will not be subject to federal income tax on taxable income that we distribute to our stockholders.
If we fail to maintain our qualification as a REIT in any taxable year, we would then be subject to federal income taxes on our taxable income at regular corporate rates and would not be permitted to qualify for treatment as a REIT for federal income tax purposes for four years following the year during which qualification is lost unless the Internal Revenue Service, or the IRS, grants us relief under certain statutory provisions. Such an event could have a material adverse effect on our net income (loss) and net cash available for distribution to our stockholders.
Recently Issued Accounting Pronouncements
For a discussion of recently issued accounting pronouncements, see Note 2—“Summary of Significant Accounting Policies—Recently Issued Accounting Pronouncements” to our condensed consolidated financial statements that are a part of this Quarterly Report on Form 10-Q.
Factors That May Influence Results of Operations
We are not aware of any material trends or uncertainties, other than national economic conditions affecting real estate generally, that may reasonably be expected to have a material impact, favorable or unfavorable, on revenues or income from the acquisition, management and operation of our properties other than those set forth in our 2017 Annual Report on Form 10-K and in Part II, Item 1A. "Risk Factors" of this Quarterly Report on Form 10-Q.

30


Results of Operations
During the year ended December 31, 2017, our board of directors made a determination to sell our data center assets. Consistent with the decision, during the fourth quarter of 2017 and the nine months ended September 30, 2018, we sold 20 data center properties (including one real estate property owned through a consolidated partnership) for aggregate consideration of $1,307,500,000. This decision represented a strategic shift that had a major effect on our results and operations and assets and liabilities for the periods presented and qualifies as discontinued operations. The results of operations discussed below reflect the data centers segment presented as discontinued operations.
Our results of operations are influenced by the operating performance of our operating real estate properties. The following table shows the property statistics of our operating real estate properties as of September 30, 2018 and 2017:
 
September 30,
 
2018
 
2017
Number of commercial operating properties (1)
61

 
84

Leased rentable square feet
1,984,000

 
5,875,000

Weighted average percentage of rentable square feet leased
77
%
 
94
%
 
(1)
As of September 30, 2018, we owned 61 operating real estate properties, one of which was vacated by the tenant on June 2, 2017, and one of which was vacated by Bay Area, whose lease we terminated on August 13, 2018. Both properties remained unoccupied as of September 30, 2018. On October 24, 2018, we entered into a lease agreement with UTMB to lease the Bay Area Regional Medical Center property, which was effective as of October 22, 2018. As of October 22, 2018, our weighted average percentage of rentable square feet leased, including the UTMB lease at the Bay Area Regional Medical Center property, was 91.4%.
The following table summarizes the activity of our operating real estate properties for the three and nine months ended September 30, 2018 and 2017:
 
Three Months Ended
September 30,
 
Nine Months Ended
September 30,
 
2018
 
2017
 
2018
 
2017
Operating properties placed in service

 

 

 
1

Operating properties disposed

 

 
2

 

Approximate aggregate cost of properties placed in service
$

 
$

 
$

 
$
19,466,000

Approximate net book value of properties disposed
$

 
$

 
$
2,761,000

 
$

Leased rentable square feet of property placed in service

 

 

 
34,000

These sections describe and compare our results of operations for the three and nine months ended September 30, 2018 and 2017. We generate almost all of our income from property operations. In order to evaluate our overall portfolio, we analyze the net operating income of same store properties. We define "same store properties" as operating properties that were owned and operated for the entirety of both calendar periods being compared and excludes properties under development and properties classified as discontinued operations.
By evaluating the revenue and expenses of our same store properties, management is able to monitor the operations of our existing properties for comparable periods to measure the performance of our current portfolio and determine the effects of our dispositions on net income (loss).

31


Three Months Ended September 30, 2018 Compared to Three Months Ended September 30, 2017
Changes in our revenues are summarized in the following table (amounts in thousands):
 
Three Months Ended
September 30,
 
 
 
2018
 
2017
 
Change
Same store rental revenue
$
16,617

 
$
22,512

 
$
(5,895
)
Non-same store rental revenue

 
472

 
(472
)
Same store tenant reimbursement revenue
875

 
614

 
261

Non-same store tenant reimbursement revenue

 
235

 
(235
)
Other operating income
4

 
24

 
(20
)
Total revenue
$
17,496

 
$
23,857

 
$
(6,361
)
Same store rental revenue decreased primarily due to a decrease in revenue related to Bay Area, which was experiencing financial difficulty. On August 13, 2018, we terminated the lease with Bay Area. On October 24, 2018, we entered into a lease agreement with UTMB to lease the Bay Area Regional Medical Center, which was effective as of October 22, 2018.
Non-same store rental revenue and tenant reimbursement revenue decreased due to the sale of three healthcare properties since July 1, 2017.
Changes in our expenses are summarized in the following table (amounts in thousands):
 
Three Months Ended
September 30,
 
 
 
2018
 
2017
 
Change
Same store rental expenses
$
2,633

 
$
2,488

 
$
145

Non-same store rental expenses
30

 
310

 
(280
)
General and administrative expenses
1,495

 
1,574

 
(79
)
Asset management fees
2,464

 
2,679

 
(215
)
Depreciation and amortization
7,243

 
8,212

 
(969
)
Total expenses
$
13,865

 
$
15,263

 
$
(1,398
)
The increase in same store rental expenses primarily relates to an increase in real estate taxes and legal expenses, offset by a decrease in property management fees, all of which primarily relate to one of our tenants, Bay Area, which was experiencing financial difficulty.
The decreases in non-same store rental expenses, asset management fees and depreciation and amortization are primarily due the sale of three healthcare properties since July 1, 2017.

32


Changes in other income (expense) are summarized in the following table (amounts in thousands):
 
Three Months Ended
September 30,
 
 
 
2018
 
2017
 
Change
Other interest and dividend income:
 
 
 
 
 
Cash deposits interest
$
45

 
$
22

 
$
23

Notes receivable interest
1,637

 
475

 
1,162

Total other interest and dividend income
1,682

 
497

 
1,185

 
 
 
 
 
 
Interest expense, net:
 
 
 
 
 
Interest on notes payable
(579
)
 
(2,198
)
 
1,619

Interest on unsecured credit facility
(2,160
)
 
(3,393
)
 
1,233

Amortization of deferred financing costs
(525
)
 
(776
)
 
251

Capitalized interest
8

 
1,058

 
(1,050
)
Loss on debt extinguishment

 
(15
)
 
15

Total interest expense, net
(3,256
)
 
(5,324
)
 
2,068

Provision for loan losses
(571
)
 
(7,459
)
 
6,888

Total other expense
(2,145
)
 
(12,286
)
 
10,141

Income from discontinued operations
$
4,117

 
$
10,636

 
$
(6,519
)
Notes receivable interest increased due to accepting equipment in exchange for full settlement on a note receivable, which resulted in a gain. The equipment was accounted for at fair value of $21,000,000, less estimated costs to sell of $100,000, and as a result, we recorded income on exchange of assets of $900,000 for the three months ended September 30, 2018. On October 22, 2018, we sold the equipment held for sale to UTMB for $21,000,000.
Interest on notes payable decreased due to the payoff of two notes payable since July 1, 2017, in the amount of $99.8 million. The outstanding principal balance on notes payable was $42.2 million as of September 30, 2018, as compared to $142.8 million as of September 30, 2017.
Interest on unsecured credit facility decreased due to a decrease in the weighted average outstanding principal balance on our unsecured credit facility. The weighted average outstanding principal balance of our unsecured credit facility was $210.0 million as of September 30, 2018, as compared to $412.5 million as of September 30, 2017.
Capitalized interest decreased due to a decrease in the average accumulated expenditures on development properties to $0.5 million for the three months ended September 30, 2018, as compared to $61.4 million for the three months ended September 30, 2017, as a result of placing three development projects into service.
Provision for loan losses decreased in the amount of $6.9 million. During the three months ended September 30, 2018, we recorded $0.6 million as bad debt expense on accrued interest related to notes receivable from two tenants. During the three months ended September 30, 2017, we recorded $7.5 million as bad debt expense on notes receivable and accrued interest due from one tenant.
Income from discontinued operations decreased due to the sale of 20 data center properties since July 1, 2017, partially offset by the gain on sale of one data center property during the three months ended September 30, 2018.

33


Nine Months Ended September 30, 2018 Compared to Nine Months Ended September 30, 2017
Changes in our revenues are summarized in the following table (amounts in thousands):
 
Nine Months Ended
September 30,
 
 
 
2018
 
2017
 
Change
Same store rental revenue
$
34,701

 
$
62,078

 
$
(27,377
)
Non-same store rental revenue
1,143

 
6,410

 
(5,267
)
Same store tenant reimbursement revenue
(53
)
 
1,916

 
(1,969
)
Non-same store tenant reimbursement revenue
410

 
993

 
(583
)
Other operating income
12

 
33

 
(21
)
Total revenue
$
36,213

 
$
71,430

 
$
(35,217
)
Same store rental revenue and tenant reimbursement revenue decreased primarily due to a decrease in base rent and the write-off of straight-line rent related to Bay Area, which was experiencing financial difficulty. On August 13, 2018, we terminated the lease with Bay Area. On October 24, 2018, we entered into a lease agreement with UTMB to lease the Bay Area Regional Medical Center, which was effective as of October 22, 2018.
Non-same store rental revenue and tenant reimbursement revenue decreased primarily due to the sale of three healthcare properties since January 1, 2017.
Changes in our expenses are summarized in the following table (amounts in thousands):
 
Nine Months Ended
September 30,
 
 
 
2018
 
2017
 
Change
Same store rental expenses
$
7,933

 
$
6,479

 
$
1,454

Non-same store rental expenses
690

 
1,411

 
(721
)
General and administrative expenses
4,372

 
5,204

 
(832
)
Asset management fees
7,408

 
7,985

 
(577
)
Depreciation and amortization
43,309

 
24,091

 
19,218

Total expenses
$
63,712

 
$
45,170

 
$
18,542

An increase in same store rental expenses primarily related to an increase in real estate taxes recognized during the nine months ended September 30, 2018, due to assumption of unpaid taxes by one of our tenants, Bay Area, which was experiencing financial difficulty.
Non-same store rental expenses and asset management fees decreased primarily due to the sale of three healthcare properties since January 1, 2017.
General and administrative expenses decreased primarily due to the completion of a cost segregation study, during the nine months ended September 30, 2018.
Depreciation and amortization increased primarily due to the accelerated amortization of $21,296,000 related to the in-place lease intangible asset at Bay Area, partially offset by a decrease in depreciation and amortization expense due to the sale of three healthcare properties since January 1, 2017.

34


Changes in other income (expense) are summarized in the following table (amounts in thousands):
 
Nine Months Ended
September 30,
 
 
 
2018
 
2017
 
Change
Other interest and dividend income:
 
 
 
 
 
Cash deposits interest
$
241

 
$
54

 
$
187

Notes receivable interest
3,362

 
1,497

 
1,865

Total other interest and dividend income
3,603

 
1,551

 
2,052

 
 
 
 
 
 
Interest expense, net:
 
 
 
 
 
Interest on notes payable
(3,590
)
 
(6,776
)
 
3,186

Interest on unsecured credit facility
(5,054
)
 
(9,493
)
 
4,439

Amortization of deferred financing costs
(1,749
)
 
(2,265
)
 
516

Capitalized interest
225

 
2,794

 
(2,569
)
Loss on debt extinguishment
(207
)
 
(15
)
 
(192
)
Total interest expense, net
(10,375
)
 
(15,755
)
 
5,380

Provision for loan losses
(2,750
)
 
(11,631
)
 
8,881

Impairment loss on real estate
(5,831
)
 

 
(5,831
)
Gain on real estate dispositions
218

 

 
218

Total other expense
(15,135
)
 
(25,835
)
 
10,700

Income from discontinued operations
$
36,600

 
$
29,711

 
$
6,889

Notes receivable interest increased due to accepting equipment in exchange for full settlement on a note receivable, which resulted in a gain. The equipment was accounted for at fair value of $21,000,000, less estimated costs to sell of $100,000, and as a result, we recorded income on exchange of assets of $900,000 for the nine months ended September 30, 2018. On October 22, 2018, we sold the equipment held for sale to UTMB for $21,000,000.
Interest on notes payable decreased due to the payoff of four notes payable since January 1, 2017 in the amount of $110.8 million. The outstanding principal balance on notes payable was $42.2 million as of September 30, 2018, as compared to $142.8 million as of September 30, 2017.
Interest on unsecured credit facility decreased due to a decrease in the weighted average outstanding principal balance on our unsecured credit facility. The weighted average outstanding principal balance of our unsecured credit facility was $162.9 million as of September 30, 2018, as compared to $389.7 million as of September 30, 2017.
Capitalized interest decreased due to a decrease in the average accumulated expenditures on development properties to $4.6 million for the nine months ended September 30, 2018, as compared to $56.2 million for the nine months ended September 30, 2017, as a result of placing three development projects into service.
Provision for loan losses decreased in the amount of $8.9 million. During the nine months ended September 30, 2018, we recorded $1.9 million as bad debt expense on accrued interest and $0.9 million recorded as bad debt expense on a personal property tax receivable. Bad debt expense related to the personal property tax receivable was recorded in connection with Bay Area was experiencing financial difficulty. During the nine months ended September 30, 2017, we recorded $11.6 million as bad debt expense on notes receivable and accrued interest related to two tenants.
Impairment loss on real estate increased due to the carrying amount of one real estate property exceeding its fair value by $5.8 million.
Gain on real estate dispositions increased due to a gain of $0.2 million on the sale of two healthcare properties.
Income from discontinued operations increased primarily due to a gain of $33.3 million on the sale of five data center properties, partially offset by a decrease of $26.4 million during the nine months ended September 30, 2018, due to the sale of 20 data center properties since January 1, 2017.
Organization and Offering Costs
Prior to the termination of our Offering on June 6, 2014, we reimbursed our Advisor or its affiliates for organization and offering costs it incurred on our behalf, but only to the extent the reimbursement did not cause the selling commissions, dealer

35


manager fees and the other organization and offering costs incurred by us to exceed 15% of gross offering proceeds from our Offering as of the date of the reimbursement. Since our formation and through the termination of our Offering on June 6, 2014, we paid approximately $156,519,000 in selling commissions and dealer manager fees to SC Distributors, LLC, or our Dealer Manager, which is an affiliate of our Advisor, we reimbursed our Advisor or its affiliates approximately $14,207,000 in offering expenses, and incurred approximately $3,900,000 of other organization and offering costs, which totaled approximately $174,626,000, or 10.2% of total gross offering proceeds from our Offering, which were approximately $1,716,046,000.
Subsequent to the termination of our Offering and as of September 30, 2018, we had incurred approximately $223,000 in other offering costs related to the DRIP.
Other organization costs were expensed as incurred and selling commissions and dealer manager fees were charged to stockholders’ equity as the amounts related to raising capital.
Inflation
We are exposed to inflation risk as income from long-term leases is the primary source of our cash flows from operations. There are provisions in certain of our leases with tenants that are intended to protect us from, and mitigate the risk of, the impact of inflation. These provisions include scheduled increases in contractual base rent receipts, reimbursement billings for operating expenses, pass-through charges and real estate tax and insurance reimbursements. However, due to the long-term nature of our leases, among other factors, the leases may not reset frequently enough to adequately offset the effects of inflation.
Liquidity and Capital Resources
Our principal demands for funds are for capital expenditures, operating expenses, distributions to and repurchases from stockholders and principal and interest on any current and future indebtedness. Generally, cash needs for these items are generated from operations of our current and future investments. We may utilize funds equal to amounts reinvested in the DRIP Offering and future proceeds from secured and unsecured financings to selectively acquire additional real estate properties and real estate-related investments. The sources of our operating cash flows will be primarily provided by the rental income received from current and future tenants of our leased properties.
We are required by the terms of applicable loan documents to meet certain financial covenants, such as coverage ratios and reporting requirements. In addition, certain loan agreements include cross-default provisions to financial covenants in lease agreements with our tenants so that a default in the financial covenant in the lease agreement is a default in our loan. On August 13, 2018, our Operating Partnership and certain of our subsidiaries entered into the First Amendment to the Third Amended and Restated Credit Agreement to amend certain financial covenants as a result of Bay Area experiencing financial difficulty. The Company is in compliance with the covenants of the First Amendment to the Third Amended and Restated Credit Agreement. We were in compliance with all financial covenant requirements as of the date of the filing of this Quarterly Report.
In the event we are not in compliance with these covenants in future periods and are unable to obtain a consent or waiver, the lender may choose to pursue remedies under the respective loan agreements, which could include, at the lender's discretion, declaring the loans to be immediately due and payable and payment of termination fees and costs incurred by the lender, among other potential remedies.
Short-term Liquidity and Capital Resources
On a short-term basis, our principal demands for funds will be for the payments of tenant improvements, operating expenses, distributions to and repurchases from stockholders, and interest and principal payments on current and future indebtedness. We expect to meet our short-term liquidity requirements through net cash flows provided by operations, borrowings on our unsecured credit facility, and secured and unsecured borrowings from banks and other lenders to finance our unencumbered real estate assets.
As of September 30, 2018, we had disposed of 23 properties (20 data center properties, including one real estate property owned through a consolidated partnership, and three healthcare properties) for an aggregate sale price of $1,398.7 million and generated net proceeds from the sale of those assets of $1,372.6 million
On January 22, 2018, our board of directors declared a special cash distribution of $3.00 per share of common stock. The special cash distribution in the amount of $556.2 million was funded from the proceeds from the disposition of certain real estate properties during December 2017 and January 2018 and our unsecured credit facility. The special cash distribution was paid on March 16, 2018, to stockholders of record at the close of business on February 15, 2018.

36


Long-term Liquidity and Capital Resources
On a long-term basis, our principal demands for funds will be for the payments of tenant improvements, operating expenses, distributions to and repurchases from stockholders, and interest and principal payments on current and future indebtedness. We expect to meet our long-term liquidity requirements through proceeds from cash flow from operations, borrowings on our unsecured credit facility and proceeds from secured or unsecured borrowings from banks or other lenders.
We expect that substantially all cash flows from operations will be used to pay distributions to our stockholders after certain capital expenditures; however, we have used, and may continue to use, other sources to fund distributions, as necessary, such as, funds equal to amounts reinvested in the DRIP, borrowing on our unsecured credit facility and/or future borrowings on unencumbered assets. To the extent cash flows from operations are lower due to lower-than-expected returns on the properties held, our distributions paid to stockholders may be lower. We expect that substantially all net cash flows from operations or debt financings will be used to fund certain capital expenditures, repayments of outstanding debt or distributions to our stockholders in excess of cash flows from operations.
Capital Expenditures
We require approximately $1.3 million in expenditures for capital improvements over the next 12 months. We cannot provide assurances, however, that actual expenditures will not exceed these estimated expenditure levels. As of September 30, 2018, we had $1.9 million of restricted cash in lender-controlled escrow reserve accounts for capital expenditures. In addition, as of September 30, 2018, we had approximately $53.9 million in cash and cash equivalents. For the nine months ended September 30, 2018, we incurred capital expenditures of $4.5 million that primarily related to three healthcare real estate investments.
Unsecured Credit Facility
On February 1, 2018, the Operating Partnership and certain of our subsidiaries entered into an amended and restated credit agreement related to the unsecured credit facility to remove one lender and to increase the maximum commitment available under the unsecured credit facility to $400,000,000, consisting of a revolving line of credit, with a maturity date of May 28, 2019, subject to the Operating Partnership's right to a 12-month extension. Subject to certain conditions, the unsecured credit facility can be increased to $750,000,000. All other material terms of the unsecured credit facility remained unchanged.
The proceeds of loans made under the unsecured credit facility may be used to finance the acquisition of real estate investments, for tenant improvements and leasing commissions with respect to real estate, for repayment of indebtedness, for capital expenditures with respect to real estate and for general corporate and working capital purposes. As of September 30, 2018, we had a total unencumbered pool availability under the unsecured credit facility of $311,239,000 and an aggregate outstanding principal balance of $210,000,000; therefore, $101,239,000 was available to be drawn under the unsecured credit facility.
Cash Flows
Nine Months Ended September 30, 2018 Compared to Nine Months Ended September 30, 2017
 
Nine Months Ended
September 30,
 
 
(in thousands)
2018
 
2017
 
Change
Net cash provided by operating activities
$
21,286

 
$
87,940

 
$
(66,654
)
Net cash provided by (used in) investing activities
$
234,794

 
$
(32,975
)
 
$
267,769

Net cash used in financing activities
$
(552,199
)
 
$
(51,702
)
 
$
(500,497
)
Operating Activities
Net cash provided by operating activities decreased primarily due to the sale of 16 properties during 2017 and the sale of seven properties during the nine months ended September 30, 2018, an increase in property taxes and other operating expenses, coupled with less rent collected from two tenants, one of which was Bay Area, which are experiencing financial difficulties.
Investing Activities
Net cash provided by investing activities increased primarily due to the sale of 23 properties, generating $241.0 million in proceeds from real estate disposals, and decreases in capital expenditures of $15.5 million and notes receivable advances of $10.3 million.

37


Financing Activities
Net cash used in financing activities increased primarily due to an increase in distributions to stockholders of $545.4 million related to the special distribution and an increase in repayments on our debt principal balances of $138.7 million, offset by an increase in proceeds from our credit facility of $210.0 million.
Distributions
The amount of distributions payable to our stockholders is determined by our board of directors and is dependent on a number of factors, including funds available for distribution, financial condition, capital expenditure requirements and annual distribution requirements needed to maintain our qualification as a REIT under the Code. To the extent that funds are available, we intend to continue to pay monthly distributions to stockholders. Our board of directors must authorize each distribution and may, in the future, authorize lower amounts of distributions or not authorize additional distributions, and therefore distribution payments are not assured. Our Advisor may also defer, suspend and/or waive fees and expense reimbursements if we have not generated sufficient cash flow from our operations and other sources to fund distributions. Additionally, our organizational documents permit us to pay distributions from unlimited amounts of any source, and we may use sources other than operating cash flows to fund distributions, including funds equal to amounts reinvested in the DRIP Offering, which may reduce the amount of capital available to support our operations.
We have funded distributions with operating cash flows from our properties, including proceeds from the disposition of certain real estate properties and proceeds from our unsecured credit facility, and funds equal to amounts reinvested in the DRIP. To the extent that we do not have taxable income, distributions paid will be considered a return of capital to stockholders. The following table shows the sources of distributions paid during the nine months ended September 30, 2018 and 2017:
 
Nine Months Ended September 30,
 
2018
 
2017
Distributions paid in cash - common stockholders
$
592,517,000

(1) 
 
 
$
47,128,000

 
 
Distributions reinvested (shares issued)
34,349,000

 
 
 
50,435,000

 
 
Total distributions
$
626,866,000

 
 
 
$
97,563,000

 
 
Source of distributions:
 
 
 
 
 
 
 
Cash flows provided by operations (3)
$
21,286,000

 
3
%
 
$
47,128,000

 
48
%
Offering proceeds from issuance of common stock pursuant to the DRIP (3)
34,349,000

 
6
%
 
50,435,000

 
52
%
Cash and cash equivalents - Beginning of period (3)
336,500,000

(2) 
54
%
 

 
%
Proceeds from real estate disposals (3)
234,731,000

 
37
%
 

 
%
Total sources
$
626,866,000

 
100
%
 
$
97,563,000

 
100
%
 
(1)
Includes a special cash distribution of $556,227,000 paid on March 16, 2018, to stockholders of record at the close of business on February 15, 2018.
(2)
Represents the cash available at the beginning of the year primarily attributable to proceeds from the disposition of certain real estate properties in 2017.
(3)
Percentages were calculated by dividing the respective source amount by the total sources of distributions.
Total distributions declared but not paid as of September 30, 2018, were $6.3 million for common stockholders. These distributions were paid on October 1, 2018.
For the nine months ended September 30, 2018, we declared and paid distributions of approximately $626.9 million to common stockholders, which includes shares issued pursuant to the DRIP Offering, consisting of a regular distribution of $70.7 million and a special cash distribution of $556.2 million, as compared to FFO (as defined below) for the nine months ended September 30, 2018 of $9.7 million. The payment of distributions from sources other than FFO may reduce the amount of proceeds available for operations or cause us to incur additional interest expense as a result of borrowed funds.
For a discussion of distributions paid subsequent to September 30, 2018, see Note 16—"Subsequent Events" to the condensed consolidated financial statements included in this Quarterly Report on Form 10-Q.

38


Contractual Obligations
As of September 30, 2018, we had approximately $252,160,000 of principal debt outstanding, of which $42,160,000 related to notes payable and $210,000,000 related to our unsecured credit facility. See Note 9—"Notes Payable and Unsecured Credit Facility" to the condensed consolidated financial statements that are a part of this Quarterly Report on Form 10-Q for certain terms of the debt outstanding.
Our contractual obligations as of September 30, 2018, were as follows (amounts in thousands):
 
Payments due by period
 
 
 
Less than
1 Year
 
1-3 Years
 
3-5 Years
 
More than
5 Years
 
Total
Principal payments — fixed rate debt (1)
$
5,717

 
$

 
$

 
$

 
$
5,717

Interest payments — fixed rate debt
23

 

 

 

 
23

Principal payments — variable rate debt fixed through interest rate swap agreements (2)
38,392

(5) 
837

 
16,795

 

 
56,024

Interest payments — variable rate debt fixed through interest rate swap agreements (3)
1,646

 
1,683

 
886

 

 
4,215

Principal payments — variable rate debt
190,419

(5) 

 

 

 
190,419

Interest payments — variable rate debt (4)
4,820

 

 

 

 
4,820

Capital expenditures
1,257

 

 

 

 
1,257

Ground lease payments
716

 
1,453

 
1,456

 
33,884

 
37,509

Total
$
242,990

 
$
3,973

 
$
19,137

 
$
33,884

 
$
299,984

 
(1)
This amount relates to a loan agreement that was repaid at maturity on October 11, 2018.
(2)
As of September 30, 2018, we had $56.0 million outstanding principal on notes payable and our unsecured credit facility that were fixed through the use of interest rate swap agreements.
(3)
We used the fixed rates under our interest rate swap agreements as of September 30, 2018 to calculate the debt payment obligations in future periods.
(4)
We used the London Interbank Offered Rate, or LIBOR, plus the applicable margin under our variable rate debt agreements as of September 30, 2018 to calculate the debt payment obligations in future periods.
(5)
Of these amounts, $210,000,000 relates to the revolving line of credit under our unsecured credit facility. The maturity date on the revolving line of credit under our unsecured credit facility is May 28, 2019, subject to our right to a 12-month extension.
Off-Balance Sheet Arrangements
As of September 30, 2018, we had no off-balance sheet arrangements.
Related-Party Transactions and Arrangements
We have entered into agreements with our Advisor and its affiliates, whereby we agree to pay certain fees to, or reimburse certain expenses of, our Advisor or its affiliates for acquisition fees and expenses, disposition fees, organization and offering expenses, asset and property management fees and reimbursement of operating costs. Refer to Note 10—"Related-Party Transactions and Arrangements" to our condensed consolidated financial statements that are a part of this Quarterly Report on Form 10-Q for a detailed discussion of the various related-party transactions and agreements.
Funds from Operations and Modified Funds from Operations
One of our objectives is to provide cash distributions to our stockholders from cash generated by our operations. The purchase of real estate assets and real estate-related investments, and the corresponding expenses associated with that process, is a key operational feature of our business plan in order to generate cash from operations. Due to certain unique operating characteristics of real estate companies, the National Association of Real Estate Investment Trusts, or NAREIT, an industry trade group, has promulgated a measure known as funds from operations, or FFO, which we believe is an appropriate supplemental measure to reflect the operating performance of a REIT. The use of FFO is recommended by the REIT industry as a supplemental performance measure. FFO is not equivalent to our net income (loss) as determined under GAAP.

39


We define FFO, consistent with NAREIT’s definition, as net income (loss) (computed in accordance with GAAP), excluding gains (or losses) from sales of property and asset impairment write-downs, plus depreciation and amortization of real estate assets, and after adjustments for unconsolidated partnership and joint ventures. Adjustments for unconsolidated partnerships and joint ventures will be calculated to reflect FFO on the same basis.
We, along with others in the real estate industry, consider FFO to be an appropriate supplemental measure of a REIT’s operating performance because it is based on a net income (loss) analysis of property portfolio performance that excludes non-cash items such as depreciation and amortization and asset impairment write-downs, which we believe provides a more complete understanding of our performance to investors and to our management, and when compared year over year, reflects the impact on our operations from trends in occupancy.
Historical accounting convention (in accordance with GAAP) for real estate assets requires companies to report their investment in real estate at its carrying value, which consists of capitalizing the cost of acquisitions, development, construction, improvements and significant replacements, less depreciation and amortization and asset impairment write-downs, if any, which is not necessarily equivalent to the fair market value of their investment in real estate assets.
The historical accounting convention requires straight-line depreciation of buildings and improvements, which implies that the value of real estate assets diminishes predictably over time, which could be the case if such assets are not adequately maintained or repaired and renovated as required by relevant circumstances and/or as requested or required by lessees for operational purposes in order to maintain the value disclosed. We believe that, since the fair value of real estate assets historically rises and falls with market conditions including, but not limited to, inflation, interest rates, the business cycle, unemployment and consumer spending, presentations of operating results for a REIT using historical accounting for depreciation could be less informative.
In addition, we believe it is appropriate to disregard asset impairment write-downs as they are non-cash adjustments to recognize losses on prospective sales of real estate assets. Since losses from sales of real estate assets are excluded from FFO, we believe it is appropriate that asset impairment write-downs in advancement of realization of losses should be excluded. Impairment write-downs are based on negative market fluctuations and underlying assessments of general market conditions, which are independent of our operating performance, including, but not limited to, a significant adverse change in the financial condition of our tenants, changes in supply and demand for similar or competing properties, changes in tax, real estate, environmental and zoning law, which can change over time. When indicators of potential impairment suggest that the carrying value of real estate and related assets may not be recoverable, we assess the recoverability by estimating whether we will recover the carrying value of the asset through undiscounted future cash flows and eventual disposition (including, but not limited to, net rental and lease revenues, net proceeds on the sale of property and any other ancillary cash flows at a property or group level under GAAP). If based on this analysis, we do not believe that we will be able to recover the carrying value of the real estate asset, we will record an impairment write-down to the extent that the carrying value exceeds the estimated fair value of the real estate asset. Testing for indicators of impairment is a continuous process and is analyzed on a quarterly basis or when indicators of impairment exist. Investors should note, however, that determinations of whether impairment charges have been incurred are based partly on anticipated operating performance, because estimated undiscounted future cash flows from a property, including estimated future net rental and lease revenues, net proceeds on the sale of the property, and certain other ancillary cash flows, are taken into account in determining whether an impairment charge has been incurred. While impairment charges are excluded from the calculation of FFO as described above, investors are cautioned that due to the fact that identifying impairments is based on estimated future undiscounted cash flows and that we intend to have a relatively limited term of our operations, it could be difficult to recover any impairment charges through the eventual sale of the property.
In developing estimates of expected future cash flow, we make certain assumptions regarding future market rental income amounts subsequent to the expiration of current lease arrangements, property operating expenses, terminal capitalization and discount rates, the expected number of months it takes to re-lease the property, required tenant improvements and the number of years the property will be held for investment. The use of alternative assumptions in the future cash flow analysis could result in a different determination of the property’s future cash flows and a different conclusion regarding the existence of an asset impairment, the extent of such loss, if any, as well as the carrying value of the real estate asset.
Publicly registered, non-listed REITs, such as us, typically have a significant amount of acquisition activity and are substantially more dynamic during their initial years of investment and operations. While other start-up entities may also experience significant acquisition activity during their initial years, we believe that publicly registered, non-listed REITs are unique in that they have a limited life with targeted exit strategies within a relatively limited time frame after the acquisition activity ceases. Our board of directors will determine to pursue a liquidity event when it believes that the then-current market conditions are favorable. Thus, we will not continuously purchase real estate assets and intend to have a limited life. Due to these factors and other unique features of publicly registered, non-listed REITs, the Institute for Portfolio Alternatives (formerly known as the Investment Program Association), or the IPA, an industry trade group, has standardized a measure known as modified funds from operations, or MFFO, which we believe to be another appropriate supplemental measure to reflect the

40


operating performance of a publicly registered, non-listed REIT. MFFO is a metric used by management to evaluate sustainable performance and dividend policy. MFFO is not equivalent to our net income (loss) as determined under GAAP.
We define MFFO, a non-GAAP measure, consistent with the IPA’s definition: FFO further adjusted for the following items included in the determination of GAAP net income (loss); acquisition fees and expenses; amounts related to straight-line rental income and amortization of above and below intangible lease assets and liabilities; accretion of discounts and amortization of premiums on debt investments; mark-to-market adjustments included in net income (loss); nonrecurring gains or losses included in net income (loss) from the extinguishment or sale of debt, hedges, foreign exchange, derivatives or securities holdings where trading of such holdings is not a fundamental attribute of the business plan, unrealized gains or losses resulting from consolidation from, or deconsolidation to, equity accounting, adjustments related to contingent purchase price obligations where such adjustments have been included in the derivation of GAAP net income (loss), and after adjustments for a consolidated and unconsolidated partnership and joint ventures, with such adjustments calculated to reflect MFFO on the same basis. Our MFFO calculation complies with the IPA’s Practice Guideline, described above. In calculating MFFO, we exclude amortization of above and below-market leases, adjustments related to contingent purchase price obligations, amounts related to straight-line rents (which are adjusted in order to reflect such payments from a GAAP accrual basis to closer to an expected to be received cash basis of disclosing the rent and lease payments), loss on debt extinguishment; and the adjustments of such items related to noncontrolling interests in our Operating Partnership. The other adjustments included in the IPA’s guidelines are not applicable to us.
Since MFFO excludes acquisition fees and expenses, it should not be construed as a historic performance measure. Acquisition fees and expenses are paid in cash by us, and we have not set aside or put into escrow any specific amount of proceeds from our offerings to be used to fund acquisition fees and expenses. Acquisition fees and expenses include payments to our Advisor or its affiliates and third parties. Such fees and expenses will not be reimbursed by our Advisor or its affiliates and third parties, and therefore if there are no further proceeds from the sale of shares of our common stock to fund future acquisition fees and expenses, such fees and expenses will need to be paid from either additional debt, operational earnings or cash flows, net proceeds from the sale of properties, or from ancillary cash flows. As a result, the amount of proceeds available for investment and operations would be reduced, or we may incur additional interest expense as a result of borrowed funds. Nevertheless, our Advisor or its affiliates will not accrue any claim on our assets if acquisition fees and expenses are not paid from the proceeds of our offerings. Under GAAP, acquisition fees and expenses related to the acquisition of properties determined to be business combinations are expensed as incurred, including investment transactions that are no longer under consideration, and, when incurred, are included in acquisition related expenses in the accompanying condensed consolidated statements of comprehensive income (loss) and acquisition fees and expenses associated with transactions determined to be an asset purchase are capitalized.
All paid and accrued acquisition fees and expenses have negative effects on returns to investors, the potential for future distributions, and cash flows generated by us, unless earnings from operations or net sales proceeds from the disposition of other properties are generated to cover the purchase price of the real estate asset, these fees and expenses and other costs related to such property. In addition, MFFO may not be an indicator of our operating performance, especially during periods in which properties are being acquired.
In addition, certain contemplated non-cash fair value and other non-cash adjustments are considered operating non-cash adjustments to net income (loss) in determining cash flows from operations in accordance with GAAP.
We use MFFO and the adjustments used to calculate it in order to evaluate our performance against other publicly registered, non-listed REITs, which intend to have limited lives with short and defined acquisition periods and targeted exit strategies shortly thereafter. As noted above, MFFO may not be a useful measure of the impact of long-term operating performance if we do not continue to operate in this manner. We believe that our use of MFFO and the adjustments used to calculate it allow us to present our performance in a manner that reflects certain characteristics that are unique to publicly registered, non-listed REITs, such as their limited life, limited and defined acquisition period and targeted exit strategy, and hence the use of such measures may be useful to investors. For example, acquisition fees and expenses are intended to be funded from the proceeds of our offering and other financing sources and not from operations. By excluding acquisition fees and expenses, the use of MFFO provides information consistent with management’s analysis of the operating performance of its real estate assets. Additionally, fair value adjustments, which are based on the impact of current market fluctuations and underlying assessments of general market conditions, but can also result from operational factors such as rental and occupancy rates, may not be directly related or attributable to our current operating performance. By excluding such charges that may reflect anticipated and unrealized gains or losses, we believe MFFO provides useful supplemental information.
Presentation of this information is intended to assist management and investors in comparing the operating performance of different REITs, although it should be noted that not all REITs calculate FFO and MFFO the same way, so comparisons with other REITs may not be meaningful. Furthermore, FFO and MFFO are not necessarily indicative of cash flow available to fund cash needs and should not be considered as an alternative to net income (loss) as an indication of our performance, as an indication of our liquidity, or indicative of funds available for our cash needs, including our ability to make distributions to our

41


stockholders. FFO and MFFO should be reviewed in conjunction with other measurements as an indication of our performance. MFFO has limitations as a performance measure. However, MFFO may be useful in assisting management and investors in assessing the sustainability of operating performance in future operating periods, and in particular, after the offering and acquisition stages are complete and net asset value is disclosed. MFFO is not a useful measure in evaluating net asset value since impairment write-downs are taken into account in determining net asset value but not in determining MFFO.
FFO and MFFO, as described above, should not be construed to be more relevant or accurate than the current GAAP methodology in calculating net income (loss) or in its applicability in evaluating our operational performance. The method used to evaluate the value and performance of real estate under GAAP should be construed as a more relevant measure of operating performance and considered more prominently than the non-GAAP FFO and MFFO measures and the adjustments to GAAP in calculating FFO and MFFO. MFFO has not been scrutinized to the level of other similar non-GAAP performance measures by the SEC or any other regulatory body.
The following is a reconciliation of net income (loss) attributable to common stockholders, which is the most directly comparable GAAP financial measure, to FFO and MFFO for the three and nine months ended September 30, 2018 and 2017 (amounts in thousands, except share data and per share amounts):
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
 
2018
 
2017
 
2018
 
2017
 
Net income (loss) attributable to common stockholders
$
5,570

 
$
6,046

 
$
(6,019
)
 
$
27,118

 
Adjustments:
 
 
 
 
 
 
 
 
Depreciation and amortization
7,243

 
18,336

 
43,309

 
54,491

 
Impairment loss on real estate

 

 
5,831

 

 
Gain on real estate dispositions from discontinued operations
(4,007
)
 

 
(33,251
)
 

 
Gain on real estate dispositions from continuing operations

 

 
(218
)
 

 
Noncontrolling interests’ share of the above adjustments related to the consolidated partnerships

 
(719
)
 

 
(2,172
)
 
FFO attributable to common stockholders
$
8,806

 
$
23,663

 
$
9,652

 
$
79,437

 
Adjustments:
 
 
 
 
 
 
 
 
Amortization of intangible assets and liabilities (1)
(184
)
 
(781
)
 
(634
)
 
(2,334
)
 
Change in fair value of contingent consideration

 
(1,880
)
 

 
(2,920
)
 
Straight-line rent (2)
(1,078
)
 
(2,324
)
 
12,863

 
(10,111
)
 
Loss on debt extinguishment

 
15

 
207

 
15

 
Noncontrolling interests’ share of the above adjustments related to the consolidated partnerships

 
446

(3) 

 
849

(4) 
MFFO attributable to common stockholders
$
7,544

 
$
19,139

 
$
22,088

 
$
64,936

 
Weighted average common shares outstanding - basic
181,260,431

 
186,295,970

 
182,671,045

 
185,834,940

 
Weighted average common shares outstanding - diluted
181,282,589

 
186,295,970

 
182,671,045

 
185,853,976

 
Weighted average common shares outstanding - diluted for FFO
181,282,589

 
186,312,758

 
182,693,045

 
185,853,976

 
Net income (loss) per common share - basic
$
0.03

 
$
0.03

 
$
(0.03
)
 
$
0.15

 
Net income (loss) per common share - diluted
$
0.03

 
$
0.03

 
$
(0.03
)
 
$
0.15

 
FFO per common share - basic
$
0.05

 
$
0.13

 
$
0.05

 
$
0.43

 
FFO per common share - diluted
$
0.05

 
$
0.13

 
$
0.05

 
$
0.43

 
 
 
(1)
Under GAAP, certain intangibles are accounted for at cost and reviewed at least annually for impairment, and certain intangibles are assumed to diminish predictably in value over time and are amortized, similar to depreciation and amortization of real estate-related assets that are excluded from FFO. However, because real estate values and market lease rates historically rise or fall with market conditions, management believes that by excluding charges related to amortization of these intangibles, MFFO provides useful supplemental information on the performance of the real estate.
(2)
Under GAAP, rental revenue is recognized on a straight-line basis over the terms of the related lease (including rent holidays, if applicable). This may result in income recognition that is significantly different than the underlying contract terms. For the three and nine months ended September 30, 2018, we wrote off approximately $0 and $17,628,000, respectively, of straight-line rent related to Bay Area, a tenant that was experiencing financial difficulty. By adjusting for the change in deferred rent receivables, MFFO may provide useful supplemental information on the realized economic

42


impact of lease terms, providing insight on the expected contractual cash flows of such lease terms, and aligns with our analysis of operating performance.
(3)
Of this amount, $254,000 related to straight-line rents and $192,000 related to above- and below-market leases.
(4)
Of this amount, $273,000 related to straight-line rents and $576,000 related to above- and below-market leases.
Item 3. Quantitative and Qualitative Disclosures About Market Risk.
Market risk includes risks that arise from changes in interest rates, foreign currency exchange rates, commodity prices, equity prices and other market changes that affect market sensitive instruments. In pursuing our business plan, the primary market risk to which we are exposed is interest rate risk.
We have obtained variable rate debt financing to fund certain property acquisitions, and we are exposed to changes in the one-month LIBOR. Our objectives in managing interest rate risk seek to limit the impact of interest rate changes on operations and cash flows, and to lower overall borrowing costs. To achieve these objectives, we will borrow primarily at interest rates with the lowest margins available and, in some cases, with the ability to convert variable interest rates to fixed rates.
We have entered, and may continue to enter, into derivative financial instruments, such as interest rate swaps, in order to mitigate our interest rate risk on a given variable rate financial instrument. To the extent we do, we are exposed to credit risk and market risk. Credit risk is the failure of the counterparty to perform under the terms of the derivative contract. When the fair value of a derivative contract is positive, the counterparty owes us, which creates credit risk for us. When the fair value of a derivative contract is negative, we owe the counterparty and, therefore, it does not possess credit risk. Market risk is the adverse effect on the value of a financial instrument that results from a change in interest rates. We manage the market risk associated with interest rate contracts by establishing and monitoring parameters that limit the types and degree of market risk that may be undertaken. We have not entered, and do not intend to enter, into derivative or interest rate transactions for speculative purposes. We may also enter into rate-lock arrangements to lock interest rates on future borrowings.
In addition to changes in interest rates, the value of our future investments will be subject to fluctuations based on changes in local and regional economic conditions and changes in the creditworthiness of tenants, which may affect our ability to refinance our debt, if necessary.
The following table summarizes our principal debt outstanding as of September 30, 2018 (amounts in thousands):
 
September 30, 2018
Notes payable:
 
Fixed rate notes payable
$
5,717

Variable rate notes payable fixed through interest rate swaps
18,024

Variable rate notes payable
18,419

Total notes payable
42,160

Unsecured credit facility:
 
Variable rate unsecured credit facility fixed through interest rate swaps
38,000

Variable rate unsecured credit facility
172,000

Total unsecured credit facility
210,000

Total principal debt outstanding (1)
$
252,160

 
(1)
As of September 30, 2018, the weighted average interest rate on our total debt outstanding was 3.9%.
As of September 30, 2018, $190.4 million of the $252.2 million total principal debt outstanding was subject to variable interest rates with a weighted average interest rate of 4.0% per annum. As of September 30, 2018, an increase of 50 basis points in the market rates of interest would have resulted in a change in interest expense of $1.0 million per year.
As of September 30, 2018, we had two interest rate swap agreements outstanding, which mature on May 28, 2019 and October 11, 2022, with an aggregate notional amount under the swap agreements of $56.0 million and an aggregate settlement asset value of $0.9 million. The settlement value of these interest rate swap agreements is dependent upon existing market interest rates and swap spreads. As of September 30, 2018, an increase of 50 basis points in the market rates of interest would have resulted in an increase to the settlement asset value of these interest rate swaps to $1.3 million. These interest rate swaps were designated as hedging instruments.
We do not have any foreign operations and thus we are not exposed to foreign currency fluctuations.

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Item 4. Controls and Procedures.
(a) Evaluation of disclosure controls and procedures. We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our reports pursuant to the Securities Exchange Act of 1934, as amended, or the Exchange Act, is recorded, processed, summarized and reported within the time periods specified in the rules and forms, and that such information is accumulated and communicated to us, including our chief executive officer and chief financial officer, as appropriate, to allow timely decisions regarding required disclosure. In designing and evaluating the disclosure controls and procedures, we recognize that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, as ours are designed to do, and we necessarily were required to apply our judgment in evaluating whether the benefits of the controls and procedures that we adopt outweigh their costs.
As required by Rules 13a-15(b) and 15d-15(b) of the Exchange Act, an evaluation as of the end of the period covered by this Quarterly Report on Form 10-Q was conducted under the supervision and with the participation of our management, including our chief executive officer and chief financial officer, of the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act). Based on this evaluation, our chief executive officer and chief financial officer concluded that our disclosure controls and procedures, as of September 30, 2018, were effective at a reasonable assurance level.
(b) Changes in internal control over financial reporting. There have been no changes in our internal controls over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) of the Exchange Act) that occurred during the three months ended September 30, 2018, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART II. OTHER INFORMATION
Item 1. Legal Proceedings.
We are not aware of any material pending legal proceedings to which we are a party or to which our properties are the subject. See Note 15—"Commitments and Contingencies" to the condensed consolidated financial statements that are a part of this Quarterly Report on Form 10-Q.
Item 1A. Risk Factors.
There have been no material changes from the risk factors set forth in our Annual Report on Form 10-K for the year ended December 31, 2017, as filed with the SEC on March 30, 2018, except as noted below.
Distributions paid from sources other than our cash flows from operations may adversely affect our ability to fund future distributions with cash flows from operations and may adversely affect a stockholder's overall return.
To the extent that cash flow from operations has been or is insufficient to fully cover our distributions to our stockholders, we have paid, and may continue to pay and have no limits on the amounts we may pay, distributions from sources other than from our cash flows from operations. For the nine months ended September 30, 2018, our cash flows provided by operations of approximately $21.3 million was a shortfall of $49.4 million, or 69.9%, of our ordinary distributions (total ordinary distributions were approximately $70.7 million, of which $36.3 million was cash and $34.4 million was reinvested in shares of our common stock pursuant to the DRIP) during such period and such shortfall was paid from proceeds from our DRIP, our unsecured credit facility and proceeds from real estate dispositions. In addition, for the nine months ended September 30, 2018, we paid a special cash distribution of approximately $556.2 million. The special cash distribution was funded by cash and cash equivalents at the beginning of the period in the amount of $336.5 million, proceeds from real estate dispositions and proceeds from our unsecured credit facility.
For the year ended December 31, 2017, our cash flows provided by operations of approximately $105.3 million was a shortfall of $24.8 million, or 19.1%, of our distributions (total distributions were approximately $130.1 million, of which $63.1 million was cash and $67.0 million was reinvested in shares of our common stock pursuant to the DRIP) during such period and such shortfall was paid from proceeds from our DRIP.
If we cannot maintain certain tenant occupancy levels in our properties, we may not generate sufficient cash flows from operations to pay distributions, which may result in a lower return on a stockholder's investment than he or she may expect.We may pay, and have no limits on the amounts we may pay, distributions from any source, such as from borrowings, the sale of assets, the sale of additional securities, advances from our Advisor, our Advisor’s deferral, and suspension and/or waiver of its fees and expense reimbursements. Funding distributions from borrowings could restrict the amount we can borrow for investments, which may affect our profitability. Funding distributions from the sale of assets may affect our ability to generate cash flows. Funding distributions from the sale of additional securities could dilute stockholders' interest in us if we sell shares of our common stock to third party investors. As a result, the return investors may realize on their investment may be reduced and investors who invested in us before we generated significant cash flow may realize a lower rate of return than later investors. Payment of distributions from any of the aforementioned sources could restrict our ability to generate sufficient cash flows from operations, affect our profitability and/or affect the distributions payable upon a liquidity event, any or all of which may have an adverse effect on an investment in us.
A high concentration of our properties in a particular geographic area, or of tenants in a similar industry, would magnify the effects of downturns in that geographic area or industry.
As of September 30, 2018, we owned 30 real estate investments, located in 32 MSAs, three of which accounted for 10.0% or more of our revenue from continuing operations for the nine months ended September 30, 2018. Real estate investments located in the San Antonio-New Braunfels, Texas MSA, the Dallas-Fort Worth-Arlington, Texas MSA and the Akron, Ohio MSA accounted for 12.0%, 10.8% and 10.0%, respectively, of our revenue from continuing operations for the nine months ended September 30, 2018. Accordingly, there is a geographic concentration of risk subject to fluctuations in each MSA’s economy. Geographic concentration of our properties exposes us to economic downturns in the areas where our properties are located. A regional or local recession in any of these areas could adversely affect our ability to generate or increase operating revenues, attract new tenants or dispose of unproductive properties. Similarly, since the tenants of our properties are in the healthcare industry, any adverse effect to the healthcare industry generally would have a disproportionately adverse effect on our portfolio. For the nine months ended September 30, 2018, 100.0% of our revenue from continuing operations was from healthcare properties.
As of September 30, 2018, we had three exposures to tenant concentration that accounted for 10.0% or more of revenue from continuing operations. The leases with Post Acute Medical, LLC, 21st Century Oncology, Inc. and Surgery Partners, Inc.

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accounted for 21.1%, 13.0% and 10.0%, respectively, of revenue from continuing operations for the nine months ended September 30, 2018.
Our investments in properties where the underlying tenant has below investment grade credit rating, as determined by major credit rating agencies, or unrated tenants may have a greater risk of default.
As of September 30, 2018, approximately 9.4% of our tenants had an investment grade rating from a major ratings agency, 21.5% of our tenants were rated but did not have an investment grade rating from a major ratings agency and 69.1% of our tenants were not rated. Approximately 7.4% of our non-rated tenants were affiliates of companies having an investment grade credit rating. Our investments with such tenants may have a greater risk of default and bankruptcy than investments in properties leased exclusively to investment grade tenants. When we invest in properties where the tenant does not have a publicly available credit rating, we use certain credit assessment tools as well as rely on our own estimates of the tenant’s credit rating which includes but is not limited to reviewing the tenant’s financial information (i.e., financial ratios, net worth, revenue, cash flows, leverage and liquidity) and monitoring local market conditions. If our lender or a credit rating agency disagrees with our ratings estimates, or our ratings estimates are otherwise inaccurate, we may not be able to obtain our desired level of leverage or our financing costs may exceed those that we projected. This outcome could have an adverse impact on our returns on that asset and hence our operating results.
The estimated value per share of our common stock may not reflect the value that stockholders will receive for their investment.
On September 27, 2018, our board of directors, at the recommendation of the Audit Committee, approved and established the Estimated Per Share NAV of $5.33, based on the estimated value of our assets less the estimated value of our liabilities divided by the number of shares outstanding on a diluted basis, calculated as of June 30, 2018. We provided the Estimated Per Share NAV to assist fiduciaries of retirement plans subject to the annual reporting requirements of ERISA in the preparation of their reports.
The Estimated Per Share NAV was determined after consultation with the Advisor and Robert A. Stanger & Co, Inc., an independent third-party valuation firm, the engagement of which was approved by the Audit Committee. The Financial Industry Regulatory Authority, or FINRA, rules provide no guidance on the methodology an issuer must use to determine its estimated value per share. As with any valuation methodology, our independent valuation firm's methodology is based upon a number of estimates and assumptions that may not be accurate or complete. Different parties with different assumptions and estimates could derive a different estimated value per share, and these differences could be significant. The Estimated Per Share NAV is not audited and does not represent the fair value of our assets or liabilities according to generally accepted accounting principles in the United States on America, or GAAP. Accordingly, with respect to the Estimated Per Share NAV, we can give no assurance that:
a stockholder would be able to resell his or her shares at the Estimated Per Share NAV;
a stockholder would ultimately realize distributions per share equal to the Estimated Per Share NAV upon liquidation of our assets and settlement of our liabilities or a sale of the company;
our shares of common stock would trade at the Estimated Per Share NAV on a national securities exchange;
an independent third-party appraiser or other third-party valuation firm would agree with the Estimated Per Share NAV; or
the methodology used to estimate our NAV per share would be acceptable to FINRA or comply with ERISA reporting requirements.
The value of our shares will fluctuate over time in response to developments related to individual assets in the portfolio and the management of those assets and in response to the real estate and finance markets. We expect to engage an independent valuation firm to update the Estimated Per Share NAV at least annually.
For a full description of the methodologies used to value our assets and liabilities in connection with the calculation of the Estimated Per Share NAV, see our Current Report on Form 8-K filed with the SEC on October 1, 2018.
Our stockholders are limited in their ability to sell their shares pursuant to our share repurchase program and may have to hold their shares for an indefinite period of time and if our stockholders are able to sell their shares under the program, they may not be able to recover the amount of their investment in our shares.
Our share repurchase program includes numerous restrictions that limit stockholders' ability to sell their shares. Subject to funds being available, we will limit the number of shares repurchased pursuant to our share repurchase program to 5.0% of the number of shares outstanding on December 31st of the previous year. Funding for the share repurchase program will be limited to proceeds received from the sale of shares pursuant to our distribution reinvestment plan during the prior calendar

46


year an other operating funds, if any, reserved by our board of directors, in its sole discretion. Regardless of these limitations, we are not obligated to repurchase shares under the share repurchase program.
As disclosed in our Current Report on Form 8-K filed with the SEC on April 30, 2018, \we determined that we reached the calendar year limitation of 5.0% of the number of shares of common stock outstanding on December 31st of the previous calendar year under our share repurchase program and were not able to fully process all repurchase requests for the month of April 2018, and will not process any further repurchase requests for the remainder of the year ending December 31, 2018. 
On September 27, 2018, our board of directors, at the recommendation of the Audit Committee, approved and established an Estimated Per Share NAV of our common stock of $5.33 based on the estimated value of our assets less the estimated value of our liabilities divided by the number of shares outstanding on a fully diluted basis, calculated as of June 30, 2018. Therefore, commencing with share repurchases in January 2019, the repurchase price for all stockholders will be $5.33 per share.
We currently expect to update our Estimated Per Share NAV at least annually, at which time the repurchase price per share may also change. Our board of directors may reject any request for repurchase of shares, suspend (in whole or in part) the share repurchase program at any time and from time to time upon notice to our stockholders and amend, suspend, reduce, terminate or otherwise change our share repurchase program at any time upon 30 days’ notice to our stockholders for any reason it deems appropriate. These restrictions may severely limit stockholders' ability to sell their shares should they require liquidity, and limit stockholders' ability to recover the value they invested or the fair market value of their shares.
Reductions in reimbursement from third party payors, including Medicare and Medicaid, could adversely affect the profitability of our tenants and hinder their ability to make rental payments to us.
Sources of revenue for our tenants may include the federal Medicare program, state Medicaid programs, private insurance carriers and health maintenance organizations, among others. Efforts by such payors to reduce healthcare costs will likely continue, which may result in reductions or slower growth in reimbursement for certain services provided by some of our tenants. In addition, the healthcare billing rules and regulations are complex, and the failure of any of our tenants to comply with various laws and regulations could jeopardize their ability to continue participating in Medicare, Medicaid and other government sponsored payment programs. Moreover, the state and federal governmental healthcare programs are subject to reductions by state and federal legislative actions. The American Taxpayer Relief Act of 2012 prevented the reduction in physician reimbursement of Medicare from being implemented in 2013. The Protecting Access to Medicare Act of 2014 prevented the reduction of 24.4% in the physician fee schedule by replacing the scheduled reduction with a 0.5% increase to the physician fee schedule through December 31, 2014, and a 0% increase for January 1, 2015 through March 31, 2015. The potential 21.0% cut in reimbursement that was to be effective April 1, 2015 was removed by the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) and replaced with two new methodologies that will focus upon payment based upon quality outcomes. The first model is the Merit-Based Incentive Payment System, or MIPS, which combines the Physician Quality Reporting System, or PQRS, and Meaningful Use program with the Value Based Modifier program to provide for one payment model based upon (i) quality, (ii) resource use, (iii) clinical practice improvement and (iv) advancing care information through the use of certified Electronic Health Record, or EHR, technology. The second model is the Advanced Alternative Payment Models, or APM, which requires the physician to participate in a risk share arrangement for reimbursement related to his or her patients while utilizing a certified health record and reporting on specific quality metrics. There are a number of physicians that will not qualify for the APM payment method. Therefore, this change in reimbursement models may impact our tenants’ payments and create uncertainty in the tenants’ financial condition.
The healthcare industry continues to face various challenges, including increased government and private payor pressure on healthcare providers to control or reduce costs. It is possible that our tenants will continue to experience a shift in payor mix away from fee-for-service payors, resulting in an increase in the percentage of revenues attributable to reimbursement based upon value based principles and quality driven managed care programs, and general industry trends that include pressures to control healthcare costs. The federal government's goal is to move approximately ninety percent (90%) of its reimbursement for providers to be based upon quality outcome models. Pressures to control healthcare costs and a shift away from traditional health insurance reimbursement based upon a fee for service payment to payment based upon quality outcomes have increased the uncertainty of payments.
In addition, the healthcare legislation passed in 2010 included new payment models with new shared savings programs and demonstration programs that include bundled payment models and payments contingent upon reporting on satisfaction of quality benchmarks. The new payment models will likely change how physicians are paid for services. These changes could have a material adverse effect on the financial condition of some or all of our tenants. The financial impact on our tenants could restrict their ability to make rent payments to us, which would have a material adverse effect on our business, financial condition and results of operations and our ability to pay distributions to stockholders.
Furthermore, beginning in 2016, the Centers for Medicare and Medicaid Services has applied a negative payment adjustment to individual eligible professionals, Comprehensive Primary Care practice sites, and group practices participating in the Physician Quality Reporting System, or PQRS, group practice reporting option (including Accountable Care Organizations)

47


that do not satisfactorily report PQRS in 2014. Program participation during a calendar year will affect payments two years after the reporting cycle, such that individuals and groups that do not satisfy the PQRS reporting metrics in 2016 will be impacted by a two percent negative payment adjustment in 2018. Providers can appeal the determination, but if the provider is not successful, the provider’s reimbursement may be adversely impacted, which could adversely impact a tenant’s ability to make rent payments to us.
In 2014, state insurance exchanges were implemented, which provide a new mechanism for individuals to obtain insurance. At this time, the number of payers that are participating in the state insurance exchanges varies, and in some regions there are very limited insurance plans available for individuals to choose from when purchasing insurance. In addition, not all healthcare providers will maintain participation agreements with the payers that are participating in the state health insurance exchange. Therefore, it is possible that our tenants may incur a change in their reimbursement if the tenant does not have a participation agreement with the state insurance exchange payers and a large number of individuals elect to purchase insurance from the state insurance exchange. Further, the rates of reimbursement from the state insurance exchange payers to healthcare providers will vary greatly. The rates of reimbursement will be subject to negotiation between the healthcare provider and the payer, which may vary based upon the market, the healthcare provider’s quality metrics, the number of providers participating in the area and the patient population, among other factors. Therefore, it is uncertain whether healthcare providers will incur a decrease in reimbursement from the state insurance exchange, which may impact a tenant’s ability to pay rent.
The insurance plans that participated on the health insurance exchanges created by the Patient Protection and Affordable Care Act of 2010 (“Healthcare Reform Act”) were expecting to receive risk corridor payments to address the high risk claims that it paid through the exchange product. However, the federal government currently owes the insurance companies approximately $12.3 billion under the risk corridor payment program that is currently disputed by the federal government. In addition, the health insurance exchange program included risk adjustment payments that allocated payments to insurers that had the most complex patients. However, effective July 7, 2018, the federal government suspended $10.4 billion of the risk adjustment payments based upon a court order that the payment methodology was flawed. The federal government is currently defending several lawsuits from the insurance plans that participate on the health insurance exchange regarding the failure to remit payment for the risk corridor subsidies. The federal government is also subject to pending litigation regarding the suspension of the risk adjustment payments. If the insurance companies do not receive payments, the insurance companies may also cease to participate on the insurance exchange which limits insurance options for patients. If patients do not have access to insurance coverage it may adversely impact the tenant’s revenues and the tenant’s ability to pay rent.
In addition to the failure to remit payment for the risk corridor payment and the recent suspension of the risk adjustment payments, the federal government also ceased to provide the cost-share subsidies to the insurance companies that offered the silver plan benefits on the Health Information Exchange. The termination of the cost-share subsidies would impact the subsidy payments due in 2017 and will likely adversely impact the insurance companies, causing an increase in the premium payments for the individual beneficiaries in 2018. Nineteen State Attorney Generals filed suit to force the Trump Administration to reinstate the cost share subsidy payments. On October 25, 2017, a California Judge ruled in favor of the Trump Administration and found that the federal government was not required to immediately reinstate payment for the cost shares subsidy. The injunction sought by the Attorney Generals’ lawsuit was denied. Subsequently, several insurers filed suit in the U.S. Court of Federal Claims to recover cost-share reduction payments, and in two of the matters, the Court of Federal Claims ruled in favor of the insurers. Nevertheless, because of the government’s refusal to make cost-share reduction payments, our tenants will likely see an increase in individuals who are self-pay or have a lower health benefit plan due to the increase in the premium payments. Our tenants’ collections and revenues may be adversely impacted by the change in the payor mix of their patients and it may adversely impact the tenants’ ability to make rent payments.
There are multiple lawsuits in several judicial districts brought by qualified health plans to recover the prior risk corridor payments that were anticipated to be paid as part of the health insurance exchange program. In June 2018, the Court of Appeals for the Federal Circuit issued an opinion in Moda Health Plan v. United States, concluding that the government does not have to pay health insurers that offered qualified health plans (QHPs) the full amount owed to them in risk corridors payments. Additional cases are still pending, but at this time two key cases have been determined in favor of the government withholding payment of the risk corridor payment. If the Administration or the court system decisions that risk corridor or risk share payments are not required to be paid to the qualified health plans offering insurance coverage on the health insurance exchange program remain in effect and binding, the insurance companies may cease offering the Health Insurance Exchange product to the current beneficiaries. Therefore, our tenants may have an increase of self-pay patients and collections may decline, adversely impacting the tenants’ ability to pay rent.
In 2017, Congress activities to attempt to repeal the Healthcare Reform Act failed. However, President Trump signed several Executive Orders that address different aspects of the Healthcare Reform Act. First, on January 20, 2017 an Executive Order was signed to “ease the burden of Obamacare”. Furthermore, on October 12, 2017, President Trump signed an Executive Order the purpose of which was to, among other things, (i) cut healthcare cost-sharing reduction subsidies, (ii) allow more small businesses to join together to purchase insurance coverage, (iii) extend short-term coverage policies, and (iv) expand

48


employers’ ability to provide workers cash to buy coverage elsewhere. The Executive Order required the government agencies to draft regulations for consideration related to Associated Health Plans ("AHP"), short term limited duration insurance ("STLDI") and health reimbursement arrangements ("HRA"). At this time the proposed legislation has not been drafted. If the Healthcare Reform Act is modified through Executive Orders, the healthcare industry will continue to change and new regulations may further modify payment models jeopardizing our tenants’ ability to remit the rental payments.
On January 11, 2018, the Centers for Medicare and Medicaid Services (“CMS”) issued guidance to support state efforts to improve Medicaid enrollee health outcomes by incentivizing community engagement among able-bodied, working-age Medicaid beneficiaries. The policy excludes individuals eligible for Medicaid due to a disability, elderly beneficiaries, children and pregnant women. CMS received proposals from 10 states seeking requirements for able bodied Medicaid beneficiaries to engage in employment and community engagement initiatives. Kentucky, Indiana, Arkansas and New Hampshire were granted waivers for their programs and require Medicaid beneficiaries to work or get ready for employment. However, in June 2018, the Federal District Court in the District of Columbia vacated the CMS approval of the Kentucky waiver finding the approval was arbitrary and the Court referred it back to CMS. If the “work requirement” expands to the states, Medicaid programs it may decrease the number of patients eligible for Medicaid. The patients that are no longer eligible for Medicaid may become self-pay patients which may adversely impact our tenant’s ability to receive reimbursement. If our tenants’ patient payor mix becomes more self-pay patients, it may impact our tenants’ ability to collect revenues and pay rent.
In February of 2018, Congress passed the Bipartisan Balanced Budget Act of 2018. Some of the most notable provisions of the Bipartisan Balanced Budget Act include: (i) the permanent extension of Medicare Special Needs Plans (SNPs), which provide tailored care for certain qualifying Medicare beneficiaries; (ii) guaranteed funding for the Children’s Health Insurance Program (CHIP) through 2027; (iii) expansion of Medicare coverage for telemedicine services; and (iv) expanded testing of certain value based care models. The extension of SNPs and funding for CHIP secure coverage for patients of our tenants, any reduce the number of uninsured patients treated by our tenants. The expansion of coverage for tele-medicine services could impact the demand for medical properties. If more patients can be treated remotely, providers may have less demand for real property.
Beginning in 2018, the Centers for Medicare and Medicaid Services cut funding to the 340B Program, which is intended to lower drug costs for certain health care providers. The cuts to the 340B Program may result in some of our tenants having less money available to cover operational costs.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds.
Unregistered Sales of Equity Securities
On July 20, 2018, we granted an aggregate of 9,000 shares of restricted common stock under our 2010 Restricted Share Plan to our three independent directors in connection with each independent director's re-election to our board of directors. Each independent director received 3,000 shares of restricted common stock. The shares were not registered under the Securities Act and were issued in reliance on Section 4(a)(2) of the Securities Act. There were no other sales of unregistered securities during the three months ended September 30, 2018.
Share Repurchase Program
Our share repurchase program permits stockholders to request to sell their shares back to us after they have held them for at least one year, subject to certain conditions and limitations. We will limit the number of shares repurchased during any calendar year to 5.0% of the number of shares of our common stock outstanding on December 31st of the previous calendar year (the "5% limitation"). In addition, the share repurchase program provides that all repurchases during any calendar year, including those upon death or a qualifying disability of a stockholder, are limited to those that can be funded with equivalent reinvestments pursuant to the DRIP during the prior calendar year and other operating funds, if any, as the board of directors, in its sole discretion, may reserve for this purpose. The prices at which we repurchased our shares of common stock from February 15, 2018 through the remainder of the year ending December 31, 2018 were based on the most recent estimated per share NAV, which effective February 15, 2018, was $6.26, and the period of time each stockholder has held its shares. Our board of directors has the right, in its sole discretion, to waive such holding requirement in the event of the death or qualifying disability of a stockholder, or other involuntary exigent circumstances, such as bankruptcy, or a mandatory requirement under a stockholder’s IRA.
On April 30, 2018, we filed a Current Report on Form 8-K announcing that we had reached the 5.0% limitation, and that we would not be able to fully process all repurchase requests for the month of April 2018. We processed repurchase requests received between March 27, 2018 and April 24, 2018, in the manner described below, but will not process any further repurchase requests for the remainder of the year ending December 31, 2018.
On July 30, 2018, we filed a Current Report on Form 8-K announcing our board of directors approved and adopted the Amended and Restated Share Repurchase Program. Subsequently, on October 25, 2018, we filed a Current Report on Form 8-

49


K announcing that our board of directors approved and adopted the Second Amended and Restated Share Repurchase Program, or the Amended & Restated SRP, to make several clarifications to the Amended and Restated SRP. The Amended & Restated SRP will be effective when we recommence repurchasing shares of common stock in 2019. Further, if a repurchase is granted, we or our agent will send the repurchase amount to each stockholder, estate, heir, or beneficiary on or about the tenth day of such quarter (the "Repurchase Date").
The Amended & Restated SRP provides that we will repurchase shares on a quarterly, instead of monthly, basis, and will limit the amount of shares repurchased pursuant to the Amended & Restated SRP as follows: (a) on the first quarter Repurchase Date, we will not repurchase in excess of 2.0% of the number of shares outstanding as of December 31 of the prior calendar year; (b) on the second quarter Repurchase Date, we will not repurchase in excess of 1.0% of the number of shares outstanding as of December 31 of the prior calendar year; (c) on the third quarter Repurchase Date, we will not repurchase in excess of 1.0% of the number of shares outstanding as of December 31 of the prior calendar year; and (d) on the fourth quarter Repurchase Date, we will not repurchase in excess of 1.0% of the number of shares outstanding as of December 31 of the prior calendar year. During any calendar year, we will not repurchase in excess of 5.0% of the number of shares outstanding on December 31st of the previous calendar year (the “5.0% Annual Limitation”). In the event we do not meet an applicable quarterly share repurchase limitation, we will increase the share limitation in the next quarter and continue to adjust the quarterly share limitations in accordance with the 5.0% Annual Limitation. For shares to be eligible for repurchase, we must receive a written purchase request at least five business days prior to the first day of the quarter in which the stockholder or his or her estate, heir or beneficiary, as applicable, requests a repurchase of his or her or its shares. We will either accept or reject a repurchase request on the first day of each quarter, and will process accepted repurchase requests on or about the Repurchase Date
In addition, the Amended & Restated SRP provides that we will process repurchase requests made in connection with the death or qualifying disability of a stockholder or, in the discretion of our board of directors, an involuntary exigent circumstance, such as bankruptcy, prior to processing any other repurchase requests. If we are unable to process all eligible repurchase requests within a quarter due to the limitations described above or in the event sufficient funds are not available, shares will be repurchased as follows: (i) first, pro rata as to repurchases upon the death or qualifying disability of a stockholder; (ii) next, pro rata as to repurchases to stockholders who demonstrate, in the discretion of our board of directors, an involuntary exigent circumstance, such as bankruptcy; (iii) next, pro rata as to repurchases to stockholders subject to a mandatory distribution requirement under such stockholder’s IRA; and (iv) finally, pro rata as to all other repurchase requests.
On September 27, 2018, our board of directors, at the recommendation of our audit committee, established an updated Estimated Per Share NAV of our common stock of $5.33 based on the estimated value of our assets less the estimated value of our liabilities divided by the number of shares outstanding on a diluted basis, calculated as of June 30, 2018. Therefore, commencing with share repurchases in January 2019, the repurchase price for all stockholders will be $5.33 per share, as adjusted for any stock dividends, combinations, splits, recapitalizations and the like with respect to our common stock.
There were no repurchase requests fulfilled pursuant to our share repurchase program during the three months ended September 30, 2018.
Use of Public Offering Proceeds
As of September 30, 2018, we had issued approximately 201.7 million shares of common stock in our Offerings for gross proceeds of $1,981.1 million, out of which we paid $156.5 million in selling commissions and dealer manager fees, $18.3 million in organization and offering costs and $54.6 million in acquisition related expenses to our Advisor or its affiliates. With the net offering proceeds and associated borrowings, we acquired $2,189.1 million in real estate investments, $117.2 million in real estate-related notes receivable, $46.6 million in notes receivable and $127.1 million in a preferred equity investment as of September 30, 2018. As of September 30, 2018, we had invested $186.6 million in capital improvements related to certain real estate investments.
As of September 30, 2018, we had disposed of 23 properties (20 data center properties, including one real estate property owned through a consolidated partnership, and three healthcare properties) for an aggregate sale price of $1,398.7 million and generated net proceeds from the sale of those assets of $1,372.6 million. In connection with the dispositions, we repaid mortgage loans associated with these properties for approximately $308.2 million, including accrued interest. In connection with tenant financial difficulties at two properties, one of which is Bay Area, we repaid two associated mortgage loans for approximately $116.0 million, including accrued interest.
In addition, on January 22, 2018, we declared a special cash distribution of $3.00 per share of common stock. The special cash distribution was funded from the proceeds from the disposition of certain real estate properties between December 2017 and January 2018 and our unsecured credit facility. The special cash distribution was paid on March 16, 2018, to stockholders of record at the close of business on February 15, 2018 in the amount of $556.2 million.

50


Item 3. Defaults Upon Senior Securities.
None.
Item 4. Mine Safety Disclosures.
Not applicable.
Item 5. Other Information.
None.

51


Item 6. Exhibits.
The following exhibits are filed as a part of this report or incorporated by reference.
Exhibit
No:
  
 
 
 
 
3.1
 
 
 
 
3.2
 
 
 
 
3.3
 
 
 
 
3.4
 
 
 
 
3.5
 
 
 
 
4.1
 
 
 
 
4.2
 
 
 
 
4.3
 
 
 
 
4.4
 
 
 
 
10.1
 
 
 
 
10.2
 
 
 
 
10.3
 
 
 
 
10.4
 
 
 
 
31.1*
  
 
 
 
31.2*
  
 
 
 
32.1**
  
 
 
 
32.2**
 
 
 
 



99.1
 
 
 
 
99.2
 
 
 
 
101.INS*
  
XBRL Instance Document
 
 
 
101.SCH*
  
XBRL Taxonomy Extension Schema Document
 
 
 
101.CAL*
  
XBRL Taxonomy Extension Calculation Linkbase Document
 
 
 
101.DEF*
  
XBRL Taxonomy Extension Definition Linkbase Document
 
 
 
101.LAB*
  
XBRL Taxonomy Extension Label Linkbase Document
 
 
 
101.PRE*
  
XBRL Taxonomy Extension Presentation Linkbase Document
 
 
*
Filed herewith.
**
Furnished herewith in accordance with Item 601(b)(32) of Regulation S-K, this Exhibit is not deemed “filed” for purposes of Section 18 of the Exchange Act or otherwise subject to the liabilities of that section. Such certifications will not be deemed incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Exchange Act, except to the extent that the registrant specifically incorporates it by reference.



SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
 
 
 
 
 
 
 
CARTER VALIDUS MISSION CRITICAL REIT, INC.
 
 
 
(Registrant)
 
 
 
Date: November 14, 2018
 
By:
/s/    MICHAEL A. SETON
 
 
 
Michael A. Seton
 
 
 
Chief Executive Officer and President
 
 
 
(Principal Executive Officer)
 
 
 
Date: November 14, 2018
 
By:
/s/    TODD M. SAKOW
 
 
 
Todd M. Sakow
 
 
 
Chief Financial Officer
 
 
 
(Principal Financial Officer and Principal Accounting Officer)