The following discussion should be read in conjunction with our condensed consolidated financial statements and notes thereto included in this Quarterly Report on Form 10-Q and with our Annual Report.

OVERVIEW



We are a REIT that is organized under Maryland law and which owns medical office
and life science properties, senior living communities and other healthcare
related properties throughout the United States. As of June 30, 2022, we wholly
owned 378 properties, including eight closed senior living communities, located
in 36 states and Washington, D.C. At June 30, 2022, the gross book value of our
real estate assets at cost plus certain acquisition costs, before depreciation
and purchase price allocations and less impairment write downs, was $6.9
billion.

As of June 30, 2022, we owned an equity interest in each of two unconsolidated
joint ventures that own medical office and life science properties located in
five states with an aggregate of approximately 2.2 million rentable square feet
that was 98% leased with an average (by annualized rental income) remaining
lease term of 6.5 years.

Our business is focused on healthcare related properties, including medical
office and life science properties, senior living communities, wellness centers
and other medical and healthcare related properties. We believe that the
healthcare sector and many of our tenants, managers and operators provide
essential services across the United States. Due to restrictions intended to
prevent the spread of the virus that causes COVID-19, certain of our medical
office and wellness center tenants, which include physician practices that had
discontinued non-essential surgeries and procedures and fitness centers that had
been ordered closed by state executive orders, experienced disruptions to their
businesses. Our senior living community operators also experienced disruptions,
including limitations on in-person tours and new admissions, and experienced
challenges in attracting new residents to their communities in addition to
experiencing increased expenses due to increased labor costs, including higher
health benefits costs, and increased costs and consumption of supplies,
including personal protective equipment.

We are closely monitoring the impacts of the COVID-19 pandemic and the current
inflationary market conditions on all aspects of our business, including, but
not limited to, labor availability, wage inflation and cost pressures from
supply chain disruptions and commodity price inflation in our SHOP segment. We
expect to continue to have elevated labor costs on a per resident basis.

The U.S. Federal Reserve has recently raised interest rates in an effort to
combat high inflation, which could result in negative consequences in the U.S.
economy, and concerns about a potential recession are becoming more pronounced.
It is unclear whether the U.S. economy will be able to withstand such challenges
and realize continued sustained growth. A recession could adversely affect our
financial condition and that of our managers, operators and tenants, could
adversely impact the ability of our managers, tenants or residents to pay the
contractual amounts of returns, rents or other obligations due to us, could
impair our ability to effectively deploy our capital or realize upon investments
on favorable terms and may cause the values of our properties and other
investments and of our securities to decline. We could also be affected by any
overall weakening of, or disruptions in, the financial markets, including an
adverse impact on our ability to raise capital and the cost thereof.

We believe that we are well positioned to weather the present disruptions facing
the real estate industry and, in particular, the real estate healthcare
industry, including senior living. However, it is unclear whether the number of
COVID-19 infections will further increase or amplify in the United States or
elsewhere and, if so, what the impact of that would be on human health and
safety, the economy, or our managers', operators' and tenants' businesses. It is
also uncertain what the impact of changing market and economic conditions would
be on our and our managers', operators' and tenants' businesses. As a result of
these uncertainties, we are unable to determine what the ultimate impacts will
be on our, our tenants', our managers', our operators' and other stakeholders'
businesses, operations, financial results and financial position. For further
information and risks relating to the COVID-19 pandemic and its aftermath on us
and our business, see Part I, Item 1, "Business" and Part I, Item 1A, "Risk
Factors" in our Annual Report.

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  Table of Contents
PORTFOLIO OVERVIEW

The following tables present an overview of our portfolio (dollars in thousands, except investment per square foot or unit data):



                                                                                                                                     % of Total
                                                                                                           Gross Book Value          Gross Book            Investment per                                  % of
                                    Number              Square Feet or Number of                            of Real Estate          Value of Real          Square Foot or            Q2 2022              Q2 2022           Q2 2022 NOI         % of Q2 2022
  As of June 30, 2022            of Properties                   Units                                         Assets(1)            Estate Assets      

      Unit(2)               Revenues             Revenues               (3)                 NOI
Office Portfolio (4)                  104                         8,722,866             sq. ft.            $    2,193,695                  32.0  %       $           251          $   52,610                  16.8  %       $  30,584                 65.1  %
SHOP                                  234                            25,075             units                   4,226,840                  61.7  %       $       168,568             250,506                  80.0  %           6,466                 13.8  %
Triple net leased senior
living communities                     30                             2,327             units                     252,961                   3.7  %       $       108,707               6,114                   2.0  %           6,114                 13.0  %
Wellness centers                       10                           812,000             sq. ft.                   178,110                   2.6  %       $           219               3,798                   1.2  %           3,798                  8.1  %
Total                                 378                                                                  $    6,851,606                 100.0  %                                $  313,028                 100.0  %       $  46,962                100.0  %


                                                                                       Occupancy
                                                                     As of

and For the Three Months Ended June 30,


                                                                            2022                        2021
Office Portfolio (5)                                                              88.1  %                    91.0  %
SHOP                                                                              73.6  %                    70.9  %
Triple net leased senior living communities (6)(7)                                79.8  %                    74.3  %
Wellness centers (7)                                                             100.0  %                   100.0  %

(1)Represents gross book value of real estate assets at cost plus certain acquisition costs, before depreciation and purchase price allocations and less impairment write downs, if any.

(2)Represents gross book value of real estate assets divided by number of rentable square feet or living units, as applicable, at June 30, 2022.

(3)We calculate our NOI on a consolidated basis and by reportable segment. Our definition of NOI and our reconciliation of net income (loss) to NOI are included below under the heading "Non-GAAP Financial Measures".



(4)Our medical office and life science property leases include some triple net
leases where, in addition to paying fixed rents, the tenants assume the
obligation to operate and maintain the properties at their expense, and some net
and modified gross leases where we are responsible for the operation and
maintenance of the properties and we charge tenants for some or all of the
property operating costs. A small percentage of our medical office and life
science property leases are full-service leases where we receive fixed rent from
our tenants and no reimbursement for our property operating costs.

(5)Medical office and life science property occupancy data is as of June 30,
2022 and 2021 and includes (i) out of service assets undergoing redevelopment,
(ii) space which is leased but is not occupied or is being offered for sublease
by tenants and (iii) space being fitted out for occupancy.

(6)Excludes data for periods prior to our ownership of certain properties, data
for properties sold or classified as held for sale, if any, and data for which
there was a transfer of operations during the periods presented.

(7)Operating data for triple net leased senior living communities leased to third party operators and wellness centers are presented based upon the operating results provided by our tenants for the three months ended March 31, 2022 and 2021, or the most recent prior period for which tenant operating results are made available to us. We have not independently verified tenant operating data.


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  Table of Contents
During the three and six months ended June 30, 2022, we entered into new and
renewal leases at our medical office and life science properties in our Office
Portfolio segment as summarized in the following tables (dollars and square feet
in thousands, except per square foot amounts):

                                                                          

Three Months Ended June 30, 2022


                                                                   New Leases          Renewals            Total
Square feet leased during the quarter                                    52                211               263

Weighted average rental rate change (by rentable square feet)

                                                                  14.9   %            6.8  %            9.1  %
Weighted average lease term (years) (1)                                 5.8                5.4               5.5
Total leasing costs and concession commitments (2)               $    2,986

$ 2,350 $ 5,336 Total leasing costs and concession commitments per square foot (2)

$    57.47           $  11.13          $  20.28
Total leasing costs and concession commitments per square
foot per year (2)                                                $     9.91           $   2.07          $   3.69

Six Months Ended June 30, 2022


                                                                   New Leases           Renewals            Total
Square feet leased during the period                                     172                292               464

Weighted average rental rate change (by rentable square feet)

                                                                   15.0   %            4.5  %            8.7  %
Weighted average lease term (years) (1)                                  8.4                4.9               6.4
Total leasing costs and concession commitments (2)               $    14,316           $  3,558          $ 17,874

Total leasing costs and concession commitments per square foot (2)

$     83.21           $  12.18          $  38.50

Total leasing costs and concession commitments per square foot per year (2)

$      9.92           $   2.47          $   6.02


(1)Weighted based on annualized rental income pursuant to existing leases as of
June 30, 2022, including straight line rent adjustments and estimated recurring
expense reimbursements, and excluding lease value amortization.

(2)Includes commitments made for leasing expenditures and concessions, such as tenant improvements, leasing commissions, tenant reimbursements and free rent.

Lease Expiration Schedules



As of June 30, 2022, lease expirations at our medical office and life science
properties in our Office Portfolio segment are as follows (dollars in
thousands):

                                                                                          Percent of          Cumulative Percent                                                                                             Cumulative
Year                            Number of Tenants           Square Feet Leased               Total                 of Total              Annualized  Rental Income(1)                            Percent of Total         Percent of Total
2022                                             54               418,778                        5.4  %                   5.4  %       $                      11,660                                        5.3  %                   5.3  %
2023                                             46               658,901                        8.6  %                  14.0  %                              18,229                                        8.3  %                  13.6  %
2024                                             72               971,967                       12.6  %                  26.6  %                              26,335                                       12.0  %                  25.6  %
2025                                             74               713,422                        9.3  %                  35.9  %                              16,923                                        7.7  %                  33.3  %
2026                                             64               796,376                       10.4  %                  46.3  %                              23,932                                       10.9  %                  44.2  %
2027                                             57               809,691                       10.5  %                  56.8  %                              19,400                                        8.8  %                  53.0  %
2028                                             33               874,257                       11.4  %                  68.2  %                              22,809                                       10.4  %                  63.4  %
2029                                             37               390,787                        5.1  %                  73.3  %                              11,259                                        5.1  %                  68.5  %
2030                                             18               388,369                        5.1  %                  78.4  %                               7,693                                        3.5  %                  72.0  %
2031 and thereafter                              50             1,665,116                       21.6  %                 100.0  %                              60,998                                       28.0  %                 100.0  %
Total                                           505             7,687,664                      100.0  %                                $                     219,238                                      100.0  %

Weighted average remaining lease term (in years)                      5.3                                                                               

5.7




(1)Annualized rental income is based on rents pursuant to existing leases as of
June 30, 2022, including straight line rent adjustments and estimated recurring
expense reimbursements for certain net and modified gross leases and excluding
lease value amortization at certain of our medical office and life science
properties.

Lease expiration data for our triple net leased senior living communities leased
to third party operators and wellness centers has not been provided because
there were no changes to the lease expiration schedules from those reported in
our Annual Report.

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RESULTS OF OPERATIONS (dollars and square feet in thousands, unless otherwise noted)



We operate in, and report financial information for, the following two segments:
Office Portfolio and SHOP. We aggregate each of these two reporting segments
based on their similar operating and economic characteristics. Our Office
Portfolio segment consists of medical office properties leased to medical
providers and other medical related businesses, as well as life science
properties leased to biotech laboratories and other similar tenants. Our SHOP
segment consists of managed senior living communities that provide short term
and long term residential living and, in some instances, care and other services
for residents where we pay fees to managers to operate the communities.

We also report "non-segment" operations, consisting of triple net leased senior
living communities and wellness centers that are leased to third party operators
from which we receive rents, which we do not consider to be sufficiently
material to constitute a separate reporting segment, and any other income or
expenses that are not attributable to a specific reporting segment.

The following table summarizes the results of operations of each of our segments for the three and six months ended June 30, 2022 and 2021:



                                                     Three Months Ended June 30,                    Six Months Ended June 30,
                                                       2022                  2021                   2022                    2021
Revenues:
Office Portfolio                                $        52,610          $  92,804          $     107,607               $  186,127
SHOP                                                    250,506            243,947                495,954                  503,913
Non-Segment                                               9,912              9,590                 20,200                   19,025
Total revenues                                  $       313,028          $ 346,341          $     623,761               $  709,065

Net income (loss) attributable to common
shareholders:
Office Portfolio                                $        14,365          $  52,177          $     358,056               $   74,886
SHOP                                                    (30,094)            (6,679)               (65,967)                 (32,093)
Non-Segment                                             (93,654)           (79,720)              (161,049)                (144,520)
Net income (loss) attributable to common
shareholders                                    $      (109,383)         $ (34,222)         $     131,040               $ (101,727)

The following sections analyze and discuss the results of operations of each of our segments for the periods presented.


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Three Months Ended June 30, 2022 Compared to Three Months Ended June 30, 2021 (dollars and square feet in thousands, except average monthly rate):



Unless otherwise indicated, references in this section to changes or comparisons
of results, income or expenses refer to comparisons of the results for the three
months ended June 30, 2022 to the three months ended June 30, 2021. Our
definition of NOI and our reconciliation of net income (loss) to NOI and a
description of why we believe NOI is an appropriate supplemental measure are
included below under the heading "Non-GAAP Financial Measures."

                                                                            

Three Months Ended June 30,


                                                           2022                2021             $ Change             % Change
NOI by segment:
Office Portfolio                                       $   30,584          $  61,483          $ (30,899)                 (50.3) %
SHOP                                                        6,466             10,636             (4,170)                 (39.2) %
Non-Segment                                                 9,912              9,590                322                    3.4  %
Total NOI                                                  46,962             81,709            (34,747)                 (42.5) %

Depreciation and amortization                              58,261             67,888             (9,627)                 (14.2) %
General and administrative                                  7,207              9,126             (1,919)                 (21.0) %
Acquisition and certain other transaction
related costs                                                 609             12,071            (11,462)                 (95.0) %

(Loss) gain on sale of properties                            (686)            30,760            (31,446)                (102.2) %
Losses on equity securities, net                          (10,157)            (3,849)            (6,308)                 163.9  %
Interest and other income                                   2,266             16,038            (13,772)                 (85.9) %
Interest expense                                          (55,975)           (67,657)            11,682                  (17.3) %

Loss on modification or early extinguishment of
debt                                                      (29,560)              (370)           (29,190)                       nm
Loss from continuing operations before income
tax benefit (expense) and equity in earnings of
investees                                                (113,227)           (32,454)           (80,773)                 248.9  %
Income tax benefit (expense)                                  640               (191)               831                        nm
Equity in earnings of investees                             3,204                  -              3,204                        nm
Net loss                                                 (109,383)           (32,645)           (76,738)                 235.1  %
Net income attributable to noncontrolling
interest                                                        -             (1,577)             1,577                 (100.0) %
Net loss attributable to common shareholders           $ (109,383)         $ (34,222)         $ (75,161)                 219.6  %


  nm - not meaningful

Office Portfolio:

                                     Comparable Properties (1)                  All Properties
                                          As of June 30,                        As of June 30,
                                         2022                 2021            2022             2021
   Total buildings                                 95           95                104           118
   Total square feet (2)                        8,019        8,020              8,723        10,927
   Occupancy (3)                                 91.2  %      91.8  %            88.1  %       91.0  %


(1)Consists of medical office and life science properties that we have owned and
which have been in service continuously since April 1, 2021; excludes properties
classified as held for sale or out of service undergoing redevelopment, if any,
and medical office and life science properties owned by unconsolidated joint
ventures in each of which we own an equity interest.

(2)Prior periods exclude space remeasurements made subsequent to those periods.



(3)All property occupancy for medical office and life science properties
includes (i) out of service assets undergoing redevelopment, (ii) space which is
leased but is not occupied or is being offered for sublease by tenants, and
(iii) space being fitted out for occupancy. Comparable property occupancy
excludes out of service assets undergoing redevelopment and medical office and
life science properties owned by unconsolidated joint ventures in each of which
we own an equity interest.

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