Executive Overview

Business and Investment Strategy



We are a self-administered health care real estate investment trust ("REIT")
that invests primarily in seniors housing and health care properties through
sale-leaseback transactions, mortgage financing, joint ventures and structured
finance solutions including mezzanine lending. We conduct and manage our
business as one operating segment, rather than multiple operating segments, for
internal reporting and internal decision-making purposes. Our primary objectives
are to create, sustain and enhance stockholder equity value and provide current
income for distribution to stockholders through real estate investments in
seniors housing and health care properties managed by experienced operators. Our
primary seniors housing and health care property classifications include skilled
nursing centers ("SNF"), assisted living communities ("ALF"), independent living
communities ("ILF"), memory care communities ("MC") and combinations thereof.
ILF, ALF, MC, and combinations thereof are included in the ALF communities
classification. We have been operating since August 1992.

Substantially all of our revenues and sources of cash flows from operations are
derived from operating lease rentals, interest earned on outstanding loans
receivable and income from investment in unconsolidated joint ventures. Our
investments in owned properties and mortgage loans represent our primary source
of liquidity to fund distributions and are dependent upon the performance of the
operators on their lease and loan obligations and the rates earned thereon. To
the extent that the operators experience operating difficulties and are unable
to generate sufficient cash to make payments to us, there could be a material
adverse impact on our consolidated results of operations, liquidity and/or
financial condition. To mitigate this risk, we monitor our investments through a
variety of methods determined by property type and operator. Our monitoring
process includes periodic review of financial statements for each facility,
periodic review of operator credit, scheduled property inspections and review of
covenant compliance.

In addition to our monitoring and research efforts, we also structure our
investments to help mitigate payment risk. Some operating leases and loans are
credit enhanced by guaranties and/or letters of credit. In addition, operating
leases are typically structured as master leases and loans are generally
cross-defaulted and cross-collateralized with other loans, operating leases or
agreements between us and the operator and its affiliates.

Depending upon the availability and cost of external capital, we anticipate
making additional investments in health care related properties. New investments
are generally funded from cash on hand, temporary borrowings under our unsecured
revolving line of credit and internally generated cash flows. Our investments
generate internal cash from rent and interest receipts and principal payments on
mortgage loans receivable. Permanent financing for future investments, which
replaces funds drawn under our unsecured revolving line of credit, is expected
to be provided through a combination of public and private offerings of debt and
equity securities and secured and unsecured debt financing. The timing, source
and amount of cash flows provided by financing activities and used in investing
activities are sensitive to the capital markets' environment, especially to
changes in interest rates. Changes in the capital markets' environment may
impact the availability of cost-effective capital.

We believe our business model has enabled and will continue to enable us to
maintain the integrity of our property investments, including in response to
financial difficulties that may be experienced by operators. Traditionally, we
have taken a conservative approach to managing our business, choosing to
maintain liquidity and exercise patience until favorable investment
opportunities arise.



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Portfolio Overview

The following tables summarizes our real estate investment portfolio as of December 31, 2019 (dollar amounts in thousands):




                                                        Twelve Months Ended
                                        Percentage       December 31, 2019       Percentage         Number            Number of
                            Gross           of           Rental      Interest        of               of           SNF         ALF
Owned Properties         Investments    Investments    Income (1)     Income      Revenues      Properties (2)   Beds (3)   Units (3)
Assisted Living (4)      $    858,852          49.4 % $     68,641   $       -         40.7 %              106          -       6,086
Skilled Nursing               596,370          34.2 %       69,087           -         40.9 %               70      8,505         261
Under Development (5)          17,989           1.0 %            -           -            - %                -          -           -
Other (6)                      11,360           0.7 %          955           -          0.6 %                1        118           -
Total Owned Properties      1,484,571          85.3 %      138,683           -         82.2 %              177      8,623       6,347

Mortgage Loans
Skilled Nursing               256,659          14.7 %            -      29,991         17.8 %               22      2,892           -
Total Mortgage Loans          256,659          14.7 %            -      29,991         17.8 %               22      2,892           -

Total Portfolio          $  1,741,230         100.0 % $    138,683   $  29,991        100.0 %              199     11,515       6,347





                                                               Twelve Months Ended
                                               Percentage       December 31, 2019       Percentage         Number            Number of
                                   Gross           of           Rental      Interest        of               of           SNF         ALF

Summary of Properties by Type Investments Investments Income (1)


 Income      Revenues      Properties (2)   Beds (3)   Units (3)
Assisted Living (4)             $    858,852          49.4 % $     68,641   $       -         40.7 %              106          -       6,086
Skilled Nursing                      853,029          48.9 %       69,087      29,991         58.7 %               92     11,397         261
Under Development (5)                 17,989           1.0 %            -           -            - %                -          -           -
Other (6)                             11,360           0.7 %          955           -          0.6 %                1        118           -
Total Portfolio                 $  1,741,230         100.0 % $    138,683   $  29,991        100.0 %              199     11,515       6,347

Excludes variable rental income of $15,998 related to lessee reimbursement of (1) our real estate taxes and $1,926 adjustment for collectibility of rental


    income.



(2) We have investments in 28 states leased or mortgaged to 30 different


    operators.



(3) See Item 2. Properties for discussion of bed/unit count.

(4) Includes ILF, ALF, MC, and combinations thereof.

(5) Represents two development projects, consisting of a 78-unit ALF/MC located


    in Oregon and a 90-bed SNF located in Missouri.



(6) Includes three parcels of land held-for-use and one behavioral health care

hospital.


As of December 31, 2019, we had $1.4 billion in carrying value of net real
estate investments, consisting of $1.1 billion or 81.7% invested in owned and
leased properties and $0.3 billion or 18.3% invested in mortgage loans secured
by first mortgages.

For the year ended December 31, 2019, rental income and interest income from
mortgage loans represented 82.4% and 16.2%, respectively, of total gross
revenues. In most instances, our lease structure contains annual rental
escalations. Our leases that contain fixed annual rental escalations and/or have
annual rental escalations that are contingent upon changes in the Consumer Price
Index, are generally recognized on a straight-line basis over the minimum lease
period. Certain leases have annual rental escalations that are contingent upon
changes in the gross operating revenues of the property. This revenue is not
recognized until the appropriate contingencies have been resolved. During the
years ended December 31, 2019 and 2018 and 2017, we recognized $0.5 million of
contingent rental income. For the year ended December 31, 2019, we recognized
$4.5 million in straight-line rental income and $0.4 million in amortization of
lease incentives. For the remaining leases in place at December 31, 2019,
assuming no modification or replacement of existing leases and no new leased
investments are added to our portfolio, except for the subsequent acquisitions,
lease extensions, completed developments in 2020 and the leases reported below
under Update on Certain Operators, we currently expect that straight-line rental
income will decrease from $4.5 million in 2019 to $2.5 million for projected
annual 2020. Our cash rental income is projected to increase from $150.6 million
in 2019 to $150.8 million for projected annual 2020. At December 31, 2019, the
straight-line rent receivable balance on the consolidated balance sheet was
$45.7 million.

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Many of our existing leases contain renewal options that, if exercised, could
result in the amount of rent payable upon renewal being greater or less than
that currently being paid. During the year ended December 31, 2019, there were
no lease renewals. Some of our lease agreements provide purchase options
allowing the lessees to purchase the properties they currently lease from us.
See Item 8. FINANCIAL STATEMENTS- Note 5. Real Estate Investments. Owned
Properties for a table that includes information about purchase options included
in our lease agreements.

Update on Certain Operators

During 2017, we issued a notice of default to Anthem Memory Care ("Anthem")
resulting from Anthem's partial payment of minimum rent. Anthem operates 11
memory care communities under a master lease. During 2019, Anthem paid the
agreed upon minimum cash rent of $7.5 million. This amount represents
approximately 50% of the contractual amount due under the lease in 2019. In
accordance with Accounting Standard Codification ("ASC") Topic 842, Leases ("ASC
842"), at January 1, 2019, we evaluated the collectibility of straight-line rent
receivable and lease incentive balances related to Anthem and determined it was
not probable that we would collect substantially all of the contractual lease
obligations through maturity. Accordingly, we wrote-off the balances to equity
as of January 1, 2019, as required by the ASC 842 transition guidance. We
receive regular financial performance updates from Anthem and continue to
monitor Anthem's performance obligations under the master lease agreement.

On December 4, 2018, Senior Care Centers, LLC. and affiliates and subsidiaries
("Senior Care") filed for Chapter 11 bankruptcy as a result of lease
terminations from certain landlords and on-going operational challenges. Senior
Care did not pay us December 2018 rent and accordingly, in December 2018, we
placed Senior Care on a cash basis. In accordance with ASC 842 lease accounting
guidance, at January 1, 2019, we evaluated the collectibility of straight-line
rent receivable and lease incentive balance related to Senior Care and
determined it was not probable that we would collect substantially all of the
contractual lease obligations through maturity. Accordingly, we wrote-off the
balances to equity as of January 1, 2019, as required by the ASC 842 transition
guidance.

In July 2019, Senior Care filed a motion to affirm the lease, which caused us to
file an objection in opposition to Senior Care's motion. During the fourth
quarter of 2019, the court rejected our motion and accordingly, our master lease
with Senior Care was affirmed. Furthermore, we received the court ordered
reimbursement from Senior Care for the December 2018 unpaid rent, late fees and
legal costs totaling $1.6 million. Senior Care has paid us January 2019 to
February 2020 rent, real estate property tax and maintenance deposits.

During 2017, Preferred Care, Inc. ("Preferred Care") and affiliated entities
filed for Chapter 11 bankruptcy as a result of a multi-million-dollar judgment
in a lawsuit in Kentucky against Preferred Care and certain affiliated entities.
The affiliated entities named in the lawsuit operate properties in Kentucky and
New Mexico. Preferred Care leased 24 properties under two master leases from us
and none of the 24 properties are located in Kentucky or New Mexico. Those 24
properties are in Arizona, Colorado, Iowa, Kansas and Texas. The Preferred Care
operating entities that sublease those properties did not file for bankruptcy.
In accordance with ASC 842 lease accounting guidance, at January 1, 2019, we
evaluated the collectibility of straight-line rent receivable and lease
incentive balances related to Preferred Care and determined it was not probable
that we would collect substantially all of the contractual lease obligations
through maturity. Accordingly, we wrote-off the balances to equity as of January
1, 2019, as required by the ASC 842 transition guidance. Preferred Care did not
affirm our master leases and began paying only $55,000 of monthly rent in the
third quarter of 2019. The monthly contractual obligation under the master
leases was approximately $1.0 million. We applied all of their security deposit
to rental income during the third quarter and recorded only the $55,000 monthly
cash received in the fourth quarter of 2019 to rental income. During the fourth
quarter of 2019, we entered into multiple contracts, subject to standard due
diligence and other contingencies, to sell a majority of the properties. Two of
these contracts were completed during the fourth quarter of 2019, resulting in
the sale of two properties in Arizona and Texas. See Item 8. FINANCIAL
STATEMENTS- Note 5. Real Estate Investments. Property Sales for further
discussion. At December 31, 2019, the 20 properties under purchase and sale
agreements met the criteria under GAAP as held-for-sale. Accordingly, these
properties have been classified as held-for-sale at December 31, 2019.

During the three months ended March 31, 2019, we placed Thrive Senior Living,
LLC ("Thrive") on a cash basis due to short-payment of contractual rent in
November 2018 and non-payment of rent in December 2018 totaling $0.7 million.
Thrive subsequently paid the delinquent rent in 2019 but failed to pay 2019
contractual rent. In April 2019, we issued a notice of default to Thrive. In
accordance with ASC 842 lease accounting guidance, at January 1, 2019, we

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evaluated the collectibility of straight-line rent receivable and lease
incentive balances related to Thrive and determined that it was not probable
that we would collect substantially all of the contractual lease obligations
through maturity. Accordingly, we wrote-off the balances to equity as of January
1, 2019, as required by the ASC 842 transition guidance.

During 2019, we completed the following for all of the properties in the Thrive
portfolio. As of December 31, 2019, Thrive does not operate any properties in
our portfolio:

Transitioned two memory care communities located in Ohio and Kentucky with a

total of 120-units to an operator new to our portfolio during the second

quarter of 2019. The memory care communities are under a 10-year lease term

? with initial cash rent of $1.3 million in year one, $1.5 million in year two,

$2.0 million in year three and $2.2 million in year four. Rent may increase

subject to a contingent escalation formula commencing in year five and annually

thereafter. The lease provides the lessee with a purchase option available

between 2028-2029;

Transitioned a 56-unit memory care community located in Texas to an existing

operator and added the memory care community to an existing master lease during

the second quarter of 2019. As a result of this transition, annual cash rent

? under the existing master lease was increased by $0.4 million effective June 1,

2019 and will increase by an additional $0.3 million on June 1, 2020 and 2.5%

annually thereafter. Additionally, LTC will be entitled to incremental rent

calculated as a percentage of increases in gross revenues generated by the

property above an established threshold;

Transitioned two memory care communities in Georgia and South Carolina with a

? total of 159-units to an existing operator during the third quarter of 2019.

The new 2-year lease agreement has an initial annual cash rent of $1.8 million.

Rent increases 3.5% in year two; and

Transitioned the remaining 60-unit memory care community located in Florida to

an existing operator effective August 1, 2019. The new 10-year lease provides

the lessee twelve months free rent, rent of $0.5 million in year two and $0.6

million in year three and thereafter. In year two, the lessee has the option to

? defer rent in an amount not to exceed $0.2 million. Rent may increase subject

to a contingent escalation formula commencing in year three and annually

thereafter. Additionally, the lease provides the lessee with a purchase option

available between 2028 and 2029. See Item 8. FINANCIAL STATEMENTS- Note 5. Real

Estate Investments. Owned Properties for a table that summarizes information


   about purchase options included in our lease agreements.


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2019 Transactions Overview

The following tables summarizes our transactions in 2019 (dollar amounts in thousand):

Investment in Owned Properties




               Number           Type        Number     Initial                       Total           Total
                 of              of           of        Cash         Purchase     Transaction     Acquisition
State (1)    Properties      Properties   Beds/Units    Yield         Price

         Costs           Costs
California            - (2)     Land               -       N/A     $      110   $          28   $         138
Michigan              2        ALF/MC            156       7.4 %       19,000             139          19,139
Missouri              1 (3)   SNF/Land            90      (3)  %       22,122             120          22,242
Virginia              1 (4)    ALF/MC             74       7.4 %       16,719             176          16,895
Total                 4                          320               $   57,951   $         463   $      58,414

Subsequent to December 31, 2019, we acquired a 140-bed SNF located in Texas (1) for approximately $13,500 and entered into a 10-year master lease agreement

with an initial cash yield of 8.5%, escalating 2% annually starting in the


    second year of the lease, with two five-year renewal options.




(2) We acquired a parcel of land adjacent to an existing SNF in California.

We acquired a newly constructed 90-bed SNF located in Missouri for $19,500.

The initial cash yield is 8.3% with annual escalation of 2% effective (3) December 2019 and thereafter. Additionally, we acquired a parcel of land and


    committed to develop a 90-bed SNF in Missouri. The commitment totals
    approximately $17,400. The initial cash yield upon completion of the
    development will be 9.3%.



We entered into a joint venture ("JV") to purchase an existing operational (4) 74-unit ALF/MC. The non-controlling partner contributed $919 of equity and we

contributed $15,976 in cash. Our economic interest in real estate JV is


    approximately 95%.


Sold Properties


                                 Type           Number        Number                                    Net
                                  of              of            of          Sales       Carrying       Gain
State                         Properties      Properties    Beds/Units      Price        Value        (Loss)
N/A                              N/A                   -             -    $      -    $        -    $     500 (1)
Arizona, Georgia and Texas       SNF     (2)           3           478      15,310         8,995        5,556
Texas                            ALF     (3)           1           140           1         3,830      (3,950)
Total                                                  4           618    $ 15,311    $   12,825    $   2,106

(1) Gain recognized due to the receipt of funds held in escrow related to a


    portfolio of six ALFs sold during the second quarter of 2018.



We sold a property located in Texas, previously operated by Preferred Care,

with a carrying value of $871 for $140. Additionally, we sold a SNF from

Preferred Care portfolio located in Arizona with a carrying value of $6,485

for $7,250. This transaction includes a holdback of $1,091 which is held in (2) an interest-bearing account with an escrow holder on behalf of the buyer for

potential specific losses. Using the expected value model per ASC Topic 606,

Revenue from Contracts with Customers ("ASC 606"), we estimated and recorded


    the holdback value of $613. Also, we sold a SNF located in Georgia with a
    carrying value of $1,639 for $7,920.



(3) We sold an ALF located in Texas with a carrying value of $3,830.




Development Projects




                               Developments    Improvements
Assisted Living Communities   $       14,088   $       2,544
Skilled Nursing Centers                6,436               -
Other                                      -             295
Total                         $       20,524   $       2,839


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Completed Developments


                    Number        Type        Number
                      of           of           of                        Total
Type of Project   Properties    Property    Beds/Units     State      Investment
Development           1           SNF          143       Kentucky    $     24,974
Development           1        ILF/ALF/MC      110       Wisconsin         21,999
                      2                        253                   $     46,973

Investment in Mortgage Loans

Originations and funding under mortgage loans receivable $ 12,342 (1) Scheduled principal payments received

                        (1,065)
Mortgage loan premium amortization                               (4)
Provision for loan loss reserve                                (113)
Net increase in mortgage loans receivable                  $  11,160

During 2019, we funded an additional $7,500 under an existing mortgage loan. (1) The incremental funding bears interest at 9.41% fixed for two years and

escalating by 2.25% thereafter.

Investment in Unconsolidated Joint Ventures




                   Type              Type           Total       Currently          Number                                                                                Cash
                    of                of          Preferred      Paid in             of          Investment         Carrying          Capital          Income          Interest
State           Properties        Investment       Return         Cash           Beds/ Units     Commitment          Value          Contribution     Recognized        Received
Arizona         ALF/MC/ILF     Preferred Equity          15 %           8 % (1)          585   $           -      $   19,003 (1)  $          472   $      1,029      $    1,580
Florida (2)     ALF/ILF/MC        Mezzanine             N/A %         N/A %              N/A               - (2)           - (2)               -            955 (2)         979 (2)
Florida (3)     UDP/ALF/MC        Mezzanine             N/A %         N/A %              N/A               - (3)           - (3)               -            404 (3)         432 (3)
                                                                                         585   $           -      $   19,003      $          472   $      2,388      $    2,991


    Effective second quarter of 2019, this JV was placed on cash basis due to
    delinquency of our preferred return. In November 2019, the JV signed a

contract for the sale of the four properties comprising the JV. The contract

was subject to standard due diligence and other contingencies to close, all

of which were met in January 2020. Accordingly, based on the information (1) available to us regarding alternatives and courses of action as of December

31, 2019, we performed a recoverability test on the carrying value of our

preferred equity investment and concluded that a portion of our preferred

equity investment will not be recoverable. Therefore, we recorded an

impairment loss from investment in unconsolidated joint ventures of $5,500

and wrote our preferred equity investment down to its estimated fair value.






    We had a $2,900 mezzanine loan commitment for a 99-unit seniors housing

community in Florida with a total preferred return of 15%. Since interest

payments were deferred and no interest was recorded for the first twelve (2) months of the loan, we used the effective interest income method in

accordance with GAAP to recognize interest income and recorded the difference

between the effective interest income and cash interest income to the loan

principal balance. During the third quarter of 2019, the mezzanine loan was


    paid off.



We had a $3,400 mezzanine loan commitment for the development of a 127-unit (3) seniors housing community in Florida with a total preferred return of 15%.


    During the first quarter of 2019, the mezzanine loan was paid off.

Investment in Notes Receivable




Advances under notes receivable                       $   8,967 (1)

Principal payments received under notes receivable (3,503) Reclassed to real estate under development (2)

            (200) (2)
Notes receivable reserve                                   (52)
Net increase in notes receivable                      $   5,212

We originated a $6,800 mezzanine loan commitment for the development of a

204-unit ILF/ALF/MC in Georgia. The mezzanine loan has a five-year term and a

12.0% return, a portion of which is paid in cash, and the remaining portion (1) of which is deferred during the first 46 months. Additionally, we originated

a $1,400 note agreement, funding $1,304 with a commitment to fund $96. The

note bears interest at 7.0%. Further, we originated a $550 note agreement,

funding $500 with a commitment to fund $50. The note bears interest at 7.5%.

Represents interim working capital loan related to a development project (2) which matured upon completion of the development project and commencement of


    the lease.


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Key Performance Indicators, Trends and Uncertainties



We utilize several key performance indicators to evaluate the various aspects of
our business. These indicators are discussed below and relate to concentration
risk and credit strength. Management uses these key performance indicators to
facilitate internal and external comparisons to our historical operating results
in making operating decisions and for budget planning purposes.

Concentration Risk. We evaluate by gross real estate investment our
concentration risk in terms of asset mix, real estate investment mix, operator
mix and geographic mix. Concentration risk is valuable to understand what
portion of our real estate investments could be at risk if certain sectors were
to experience downturns. Asset mix measures the portion of our real estate
investments that are real property or mortgage loans. Investment mix measures
the portion of our investments that relate to our various property types.
Operator mix measures the portion of our real estate investments that relate to
our top five operators. Geographic mix measures the portion of our real estate
investment that relate to our top five states.

The following table reflects our recent historical trends of concentration risk (gross investment, in thousands):




                                     12/31/19       9/30/19       6/30/19       3/31/19      12/31/18
Asset mix:
Real property                       $ 1,484,571   $ 1,474,692   $ 1,452,669   $ 1,445,596   $ 1,421,456
Loans receivable                        256,659       255,737       254,555       246,775       245,386
Real estate investment mix:
Skilled nursing centers             $   853,029   $   861,500   $   844,136   $   834,185   $   830,485
Assisted living communities             858,852       844,635       843,682       840,926       820,686
Under development                        17,989        12,934         8,167         6,193         4,606
Other (1)                                11,360        11,360        11,239        11,067        11,065
Operator mix:
Prestige Healthcare (1)             $   269,792   $   268,869   $   267,688   $   259,907   $   258,519
Senior Lifestyle Corporation            191,283       191,283       190,758       190,368       190,368
Senior Care Centers                     138,109       138,109       138,109       138,109       138,109
Anthem Memory Care                      136,484       136,483       136,397       136,397       136,397

Carespring Health Care Management       102,520       102,042       102,038

       99,997        97,461
Remaining operators                     903,042       893,643       872,234       867,593       845,988
Geographic mix:
Texas                               $   284,697   $   292,238   $   292,159   $   292,091   $   292,317
Michigan (1)                            276,742       256,680       255,498       247,718       246,329
Wisconsin                               149,290       149,184       149,064       146,750       143,657
Colorado                                114,923       114,923       114,923       114,923       114,923
California                              103,240       102,561       102,412       102,254       102,254
Remaining states                        812,338       814,843       793,168       788,635       767,362

We have three parcels of land as of December 31, 2019. These parcels are (1) located adjacent to properties securing the Prestige Healthcare mortgage loan


    and are managed by Prestige.




Credit Strength. We measure our credit strength both in terms of leverage ratios
and coverage ratios. Our leverage ratios include debt to gross asset value and
debt to market capitalization. The leverage ratios indicate how much of our
consolidated balance sheet capitalization is related to long-term obligations.
Our coverage ratios include interest coverage ratio and fixed charge coverage
ratio. The coverage ratios indicate our ability to service interest and fixed
charges (interest). The coverage ratios are based on earnings before interest,
taxes, depreciation and amortization for real estate ("EBITDAre") as defined by
National Association of Real Estate Investment Trusts ("NAREIT"). EBITDAre is
calculated as net income (computed in accordance with GAAP) excluding (i)
interest expense, (ii) income tax expense, (iii) real estate depreciation and
amortization, (iv) impairment write-downs of depreciable real estate, (v) gains
or losses on the sale of depreciable real estate, and (vi) adjustments for
unconsolidated partnerships and joint ventures. Adjusted EBITDAre is calculated
as EBITDAre adjusted for non-recurring items. Leverage ratios and coverage
ratios are widely used by investors, analysts and rating agencies in the
valuation, comparison, rating and investment recommendations of companies. The
following table reflects the recent historical trends for our credit strength
measures:

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Balance Sheet Metrics


                                      Year Ended                                Quarter Ended
                                       12/31/19     12/31/19        9/30/19        6/30/19        3/31/19        12/31/18
Debt to gross asset value                   37.2 %      37.2 % (1)     36.8 %         36.8 % (4)     37.1 % (5)      35.2 %
Debt to market capitalization ratio         28.0 %      28.0 % (2)     25.1 % (3)     27.1 %         27.1 % (3)      28.1 %
Interest coverage ratio (7)                  4.9 x       4.9 x          4.9 x          4.8 x          4.9 x (6)       5.2 x
Fixed charge coverage ratio (7)              4.9 x       4.9 x          4.9

x 4.8 x 4.9 x (6) 5.2 x

Increased due to increase in outstanding debt partially offset by increase in (1) gross asset value. The increase in asset value was primarily due to

acquisitions, developments and capital improvement funding partially offset


    by property sales.



(2) Increased due to decrease in market capitalization and increase in


    outstanding debt.



(3) Decreased due to increase in market capitalization.

(4) Decreased due to increase in gross asset value from additional mortgage loan,


    development and capital improvement funding.



Increased due to increase in outstanding debt and decrease in gross asset

value. The decrease in gross asset value was primarily due to adoption of ASC

842 during the three months ended March 31, 2019. ASC 842 requires a

lease-by-lease collectibility analysis of receivables and related balances. (5) Based on our assessment, we determined that it was not probable that we would

collect substantially all of the contractual lease obligations for certain

leases through maturity. Accordingly, we wrote-off the balance of

straight-line rent receivable and lease incentives related to these leases as

a cumulative adjustment to equity, as required by the transition guidance.

Decreased due to decrease in other income compared to the fourth quarter of (6) 2018. The increase in other income during the fourth quarter of 2018 was from


    the net write-off of a contingent lease incentive and related earn-out
    liability.



In calculating our interest coverage and fixed charge coverage ratios above,

we use EBITDAre, which is a financial measure not derived in accordance with

U.S. generally accepted accounting principles ("GAAP") (non-GAAP financial

measure). EBITDAre and Adjusted EBITDAre are not alternatives to net income, (7) operating income or cash flows from operating activities as calculated and

presented in accordance with GAAP. You should not rely on EBITDAre and

Adjusted EBITDAre as a substitute for any such GAAP financial measures or


    consider it in isolation, for the purpose of analyzing our financial
    performance, financial position or cash flows. Net income is the most
    directly comparable GAAP measure to EBITDAre and Adjusted EBITDAre.



                                       Year to Date                         Quarter Ended
                                         12/31/19      12/31/19     9/30/19    6/30/19    3/31/19    12/31/18
Net income                            $       80,872   $  12,631   $  27,280   $ 20,534   $ 20,427   $  30,844
Less: (Gain)/ loss on sale                   (2,106)       4,630     (6,236)      (500)          -     (7,984)
Add: Impairment loss from
investment in unconsolidated joint
ventures                                       5,500       5,500           -          -          -           -
Add: Interest expense                         30,582       7,578       7,827      7,710      7,467       7,215
Add: Depreciation and amortization            39,216       9,817       9,932      9,860      9,607       9,396
EBITDAre                              $      154,064   $  40,156   $  38,803   $ 37,604   $ 37,501   $  39,471
Less: Non-recurring one-time items           (1,535)     (2,111)          

-          -        576           -
Adjusted EBITDAre                      $     152,529   $  38,045   $  38,803   $ 37,604   $ 38,077   $  39,471

Interest expense                      $       30,582   $   7,578   $   7,827   $  7,710   $  7,467   $   7,215
Add: Capitalized interest                        608         167         108         73        260         398
Interest incurred                     $       31,190   $   7,745   $   

7,935 $ 7,783 $ 7,727 $ 7,613



Interest coverage ratio                          4.9 x       4.9 x       

4.9 x 4.8 x 4.9 x 5.2 x



Interest incurred                     $       31,190   $   7,745   $   7,935   $  7,783   $  7,727   $   7,613
Total fixed charges                   $       31,190   $   7,745   $   

7,935 $ 7,783 $ 7,727 $ 7,613



Fixed charge coverage ratio                      4.9 x       4.9 x       4.9 x      4.8 x      4.9 x       5.2 x




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We evaluate our key performance indicators in conjunction with current expectations to determine if historical trends are indicative of future results. Our expected results may not be achieved and actual results may differ materially from our expectations. This may be a result of various factors, including, but not limited to:

? The status of the economy;

? The status of capital markets, including prevailing interest rates;

? Compliance with and changes to regulations and payment policies within the

health care industry;

? Changes in financing terms;

? Competition within the health care and seniors housing industries; and

? Changes in federal, state and local legislation.


Management regularly monitors the economic and other factors listed above. We
develop strategic and tactical plans designed to improve performance and
maximize our competitive position. Our ability to achieve our financial
objectives is dependent upon our ability to effectively execute these plans and
to appropriately respond to emerging economic and company-specific trends.




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Operating Results

Year ended December 31, 2019 compared to year ended December 31, 2018 (in
thousands):


                                                       Years ended December 31,
                                                         2019              2018         Difference
Revenues:
Rental income                                        $    152,755       $  135,405      $    17,350 (1) (2)
Interest income from mortgage loans                        29,991          

28,200            1,791 (3)
Interest and other income                                   2,558            5,040          (2,482) (4)
Total revenues                                            185,304          168,645           16,659

Expenses:
Interest expense                                           30,582           30,196            (386)

Depreciation and amortization                              39,216           37,555          (1,661) (5)
Provision for doubtful accounts                               166          

    87             (79)
Transaction costs                                             365               84            (281)
Property tax expense                                       16,755                -         (16,755) (2)

General and administrative expenses                        18,453          

19,193              740 (6)
Total expenses                                            105,537           87,115         (18,422)

Other operating income:

Gain on sale of real estate, net                            2,106 (7)       70,682 (8)     (68,576)
Operating income                                           81,873          152,212         (70,339)
Gain from property insurance proceeds                       2,111                -            2,111 (9)
Impairment loss from investments in unconsolidated
joint ventures                                            (5,500)                -          (5,500) (10)
Income from unconsolidated joint ventures                   2,388            2,864            (476)
Net income                                                 80,872          155,076         (74,204)
Income allocated to non-controlling interests               (346)             (95)            (251)
Net income attributable to LTC Properties, Inc.            80,526          154,981         (74,455)
Income allocated to participating securities                (391)            (625)              234

Net income available to common stockholders $ 80,135 $ 154,356 $ (74,221)

Increased due to (2) below and increased rent from acquisitions and (1) developments partially offset by decreased rent from sold properties and


    properties transitioned to other operators.



Increased due to recording $15,998 real estate taxes that are reimbursed by

our operators as rental income with a corresponding property tax expense. We (2) adopted ASC 842 using a modified retrospective approach as of the adoption


    date of January 1, 2019. Accordingly, we are not required to report the
    expense and revenue stream for periods prior to January 1, 2019.



(3) Increased primarily due to mortgage originations and capital improvement


    funding.



Decreased primarily due to the other income from net impact of the write-off (4) of an earn-out liability and the related lease incentive asset during 2018

partially offset by increase in other income during 2019 due to mezzanine


    loan originations.



(5) Increased due to acquisitions and completed developments partially offset by


    sold properties.



(6) Decreased primarily due to lower accrual of incentive compensation in 2019.

Represents the net gain resulting from sale of three SNFs and an ALF during (7) 2019. Additionally, represents an additional $500 net gain on sale due to

receipt of funds held in escrow related to a portfolio of six ALFs sold in


    2018. See (8) below.



(8) Represents the net gain on sale related to six ALFs and four SNFs during


    2018.



Relates to remaining insurance proceeds for remediation of a property in our (9) portfolio, which was sold in 2019. See Item 8. FINANCIAL STATEMENTS-Note 2.


    Summary of Significant Accounting Policies. for more information.



Based on the information available to us regarding alternatives and courses

of action as of December 31, 2019, we performed a recoverability test on the

carrying amount of our preferred equity investment and determined that a (10) portion of our preferred equity investment is not recoverable. Therefore, we

recorded an impairment loss from investment in unconsolidated joint ventures

of $5,500 and wrote our preferred equity investment down to its estimated


     fair value. See Item 8. FINANCIAL STATEMENTS-Note 6. Investment in
     Unconsolidated Joint Ventures for further information.




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Year ended December 31, 2018 compared to year ended December 31, 2017 (in
thousands)


                                                       Years ended December 31,
                                                         2018             2017          Difference
Revenues:
Rental income                                        $    135,405       $ 137,657      $    (2,252) (1)
Interest income from mortgage loans                        28,200          26,769             1,431 (2)
Interest and other income                                   5,040           3,639             1,401 (3)
Total revenues                                            168,645         168,065               580

Expenses:
Interest expense                                           30,196          29,949             (247) (4)
Depreciation and amortization                              37,555          37,610                55
Impairment on real estate for sale                              -           1,880             1,880 (5)
Provision for doubtful accounts                                87           (206)             (293)
Transaction costs                                              84              56              (28)
General and administrative expenses                        19,193         

17,513           (1,680) (6)
Total expenses                                             87,115          86,802             (313)

Other operating income:

Gain on sale of real estate, net                           70,682 (7)       3,814 (8)        66,868 (7)
Operating income                                          152,212          85,077            67,135
Income from unconsolidated joint ventures                   2,864           2,263               601 (8)
Net income                                                155,076          87,340            67,736
Income allocated to non-controlling interests                (95)               -              (95)
Net income attributable to LTC Properties, Inc.           154,981          87,340            67,641
Income allocated to participating securities                (625)           (362)             (263)

Net income available to common stockholders $ 154,356 $ 86,978 $ 67,378




(1)Decreased due the reduction of rent related to the properties sold during
2018 and Senior Care Centers non-payment of December rent as a result of the
bankruptcy filing, partially offset by acquisitions and capital improvements.



(2) Increased primarily due to mortgage originations and capital improvement


    funding partially offset by payoffs.




(3)Increased primarily due to the net impact of the write-off of an earn-out
liability and the related lease incentive asset during 2018 partially offset by
decrease in interest income due to mezzanine loan payoffs and write-off of an
earn-out liability and related lease incentive asset during 2017.



(4)Increased primarily due to a higher average outstanding balance on our line of credit and an increase in LIBOR rates, partially offset by scheduled principal payments under our senior unsecured notes and an increase in capitalized interest related to development projects.


(5)Represents the write-off of straight-line rent and other receivables in 2017
related to two properties due to negotiations to transition these properties to
another operator in our portfolio.



(6)Increased primarily due to lower incentive compensation in the prior year related to a previously disclosed defaulted master lease.





(7)Represents the net gain on sale of six ALF and four SNF properties during
2018, partially offset by a net gain on sale of five ALF and a donation of

a SNF
during 2017.



(8)Increased primarily due to income generated from additional funding under a
preferred capital contribution commitment and income from a mezzanine loan
accounted for as an unconsolidated joint venture in accordance with GAAP which
was previously deferred.

Funds From Operations

Funds from Operations ("FFO") attributable to common stockholders, basic FFO
attributable to common stockholders per share and diluted FFO attributable to
common stockholders per share are supplemental measures of a REIT's financial
performance that are not defined by GAAP. Real estate values historically rise
and fall with market conditions, but cost accounting for real estate assets in
accordance with GAAP assumes that the value of real estate assets diminishes
predictably over time. We believe that by excluding the effect of historical
cost depreciation, which may be of limited relevance in evaluating current
performance, FFO facilitates comparisons of operating performance between
periods.

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  Table of Contents

We use FFO as a supplemental performance measurement of our cash flow generated
by operations. FFO does not represent cash generated from operating activities
in accordance with GAAP, and is not necessarily indicative of cash available to
fund cash needs and should not be considered an alternative to net income
available to common stockholders.

We calculate and report FFO in accordance with the definition and interpretive
guidelines issued by the NAREIT. FFO, as defined by NAREIT, means net income
available to common stockholders (computed in accordance with GAAP) excluding
gains or losses on the sale of real estate and impairment write-downs of
depreciable real estate plus real estate depreciation and amortization, and
after adjustments for unconsolidated partnerships and joint ventures. Our
calculation of FFO may not be comparable to FFO reported by other REITs that do
not define the term in accordance with the current NAREIT definition or that
have a different interpretation of the current NAREIT definition from us;
therefore, caution should be exercised when comparing our FFO to that of other
REITs.

The following table reconciles net income available to common stockholders to
FFO attributable to common stockholders (unaudited, amounts in thousands, except
per share amounts):



                                                       For the year ended December 31,
                                                     2019            2018           2017

GAAP net income available to common stockholders $ 80,135 $ 154,356 $ 86,978 Add: Depreciation and amortization

                    39,216          37,555         37,610
Add: Impairment charges                                5,500               -          1,880
Less: Gain on sale of real estate, net               (2,106)        (70,682)        (3,814)
NAREIT FFO attributable to common stockholders     $ 122,745      $  121,229      $ 122,654
NAREIT FFO attributable to common stockholders
per share:
Basic                                              $    3.10      $     3.07      $    3.11
Diluted                                            $    3.08 (1)  $     3.06 (1)  $    3.10 (1)
Weighted average shares used to calculate NAREIT
FFO per share:
Basic                                                 39,571          39,477         39,409
Diluted                                               39,921 (2)      39,839 (2)     39,637 (2)

(1) Includes the effect of participating securities.

Diluted weighted average shares used to calculate FFO per share includes the (2) effect of stock option equivalents, participating securities and

performance-based stock units.

Critical Accounting Policies

See Item 8. FINANCIAL STATEMENTS-Note 2. Summary of Significant Accounting Policies.

Liquidity and Capital Resources

Sources and Uses of Cash



As of December 31, 2019, we had a total of $4.2 million of cash and cash
equivalents, $506.1 million available under our unsecured revolving line of
credit and $21.5 million available under our senior unsecured note shelf
agreement which expired in February 16, 2020. Subsequent to December 31, 2019,
we borrowed $18.0 million under our unsecured revolving line of credit.
Accordingly, we have $111.9 million outstanding under our unsecured revolving
line of credit and $488.1 million available for borrowing. See Item 8. FINANCIAL
STATEMENTS- Debt Obligations for further discussion.

Additionally, we have the ability to access the capital markets through the issuance of $200.0 million common stock by means of our equity distribution agreements under our automatic shelf registration statement. See Equity below for further discussion.

We have an automatic shelf registration statement on file with the SEC, and currently have the ability to file additional automatic shelf registration statements, to provide us with capacity to offer an indeterminate amount of



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common stock, preferred stock, warrants, debt, depositary shares, or units. We
may from time to time publicly raise capital under our automatic shelf
registration statement in amounts, at prices, and on terms to be announced when
and if the securities are offered. The specifics of any future offerings, along
with the use of proceeds of any securities offered, will be described in detail
in a prospectus supplement, or other offering materials, at the time of the
offering.

We believe that our current cash balance, cash flow from operations available
for distribution or reinvestment, our borrowing capacity and our potential
ability to access the capital markets are sufficient to provide for payment of
our current operating costs, meet debt obligations and pay common dividends at
least sufficient to maintain our REIT status and repay borrowings at, or prior
to, their maturity. The timing, source and amount of cash flows used by
financing and investing activities are sensitive to the capital markets'
environment, especially to changes in interest rates. We continuously evaluate
the availability of cost-effective capital and believe we have sufficient
liquidity for additional capital investments in 2020.

We expect our future income and ability to make distributions from cash flows
provided by operating activities to depend on the collectibility of our rents
and mortgage loans receivable. The collection of these loans and rents will be
dependent, in large part, upon the successful operation by the operators of the
seniors housing and health care properties we own or that are pledged to us. The
operating results of the facilities may be impacted by various factors over
which the operators/owners may have no control. Those factors include, without
limitation, the status of the economy, changes in supply of or demand for
competing seniors housing and health care facilities, ability to control rising
operating costs, and the potential for significant reforms in the health care
industry. In addition, our future growth in net income and cash flow may be
adversely impacted by various proposals for changes in the governmental
regulations and financing of the health care industry. We cannot presently
predict what impact these proposals may have, if any. We believe that an
adequate provision has been made for the possibility of loans proving
uncollectible but we will continually evaluate the financial status of the
operations of the seniors housing and health care properties. In addition, we
will monitor our borrowers and the underlying collateral for mortgage loans and
will make future revisions to the provision, if considered necessary.

Our investments, principally our investments in mortgage loans and owned
properties, are subject to the possibility of loss of their carrying values as a
result of changes in market prices, interest rates and inflationary
expectations. The effects on interest rates may affect our costs of financing
our operations and the fair market value of our financial assets. Generally, our
loans have predetermined increases in interest rates and our leases have agreed
upon annual increases. We may initially fund some of our investments with
variable interest rate debt and, if so, we would be at risk of net interest
margin deterioration if medium and long-term rates were to increase.

Our primary sources of cash include rent and interest receipts, borrowings under
our primary unsecured credit facility and proceeds from investment dispositions.
Our primary uses of cash include dividend distributions, debt service payments
(including principal and interest), real property investments (including
acquisitions, capital expenditures and construction advances), loan advances and
general and administrative expenses. These sources and uses of cash are
reflected in our Consolidated Statements of Cash Flows as summarized below

(in
thousands):


                                                      Year Ended December 31,          Change
Cash provided by (used in):                             2019            2018             $
Operating activities                                $     122,469    $   115,535    $    6,934
Investing activities                                     (78,988)        (3,609)      (75,379)
Financing activities                                     (44,001)      (112,375)        68,374
Decrease in cash, cash equivalents and
restricted cash                                             (520)          (449)          (71)
Cash, cash equivalents and restricted cash,
beginning of period                                         4,764          5,213         (449)
Cash, cash equivalents and restricted cash, end
of period                                           $       4,244    $     4,764    $    (520)


Debt Obligations

Bank Borrowings. We have an Unsecured Credit Agreement that provides for a
revolving line of credit up to $600.0 million in aggregate commitment of the
lenders and the opportunity to increase the commitment size of the credit
agreement up to a total of $1.0 billion. The Unsecured Credit Agreement matures
on June 27, 2022 and provides for a one-year extension option at our discretion,
subject to customary conditions. Based on our leverage at December 31, 2019, the
facility provides for interest annually at LIBOR plus 115 basis points and

a
facility fee of 20

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  Table of Contents

basis points. At December 31, 2019, we were in compliance with all covenants.



Senior Unsecured Notes. We have a $337.5 million shelf agreement with affiliates
and managed accounts of PGIM, Inc. ("Prudential"), with 21.5 million available
for borrowings at December 31, 2019, which expired for new issuance on February
16, 2020.

The debt obligations by component as of December 31, 2019 are as follows (dollar
amounts in thousands):


                                                  Applicable                   Available
                                                   Interest     Outstanding       for
               Debt Obligations                    Rate (1)       Balance      Borrowing
Bank borrowings (2)                                 3.14%      $      93,900   $  506,100
Senior unsecured notes, net of debt issue costs     4.39%            599,488       21,500
Total                                               4.22%      $     693,388   $  527,600

(1) Represents weighted average of interest rate as of December 31, 2019.

Subsequent to December 31, 2019, we borrowed $18,000 under our unsecured (2) revolving line of credit, accordingly we have $111,900 outstanding and

$488,100 available for borrowing.

Our debt borrowings and repayments during the year ended December 31, 2019, are as follows (in thousands):






   Debt Obligations        Borrowings     Repayments
Bank borrowings          $    107,900   $  (126,000)
Senior unsecured notes        100,000       (33,667)
Total                    $    207,900   $  (159,667)


Equity

At December 31, 2019, we had 39,751,704 shares of common stock outstanding, equity on our balance sheet totaled $785.4 million and our equity securities had a market value of $1.8 billion. During the year ended December 31, 2019, we declared and paid $90.9 million of cash dividends.


Common Stock. We have an equity distribution agreement with sales agents to
issue and sell, from time to time, up to $200.0 million in aggregate offering
price of our common shares. The equity distribution agreement provides for sales
of common shares to be made by means of ordinary brokers' transactions, which
may include block trades, or transactions that are deemed to be "at the market"
offerings. At December 31, 2019, we had $200.0 million available under our
equity distribution agreement.

During 2019, we acquired 45,030 shares of common stock held by employees who
tendered owned shares to satisfy tax withholding obligations. Subsequent to
December 31, 2019, we acquired 34,016 shares of common stock held by employees
who tendered owned shares to satisfy tax withholding obligations. Subsequent to
December 31, 2019, we declared a monthly cash dividend of $0.19 per share on our
common stock for the months of January, February and March 2020, payable on
January 31, February 28 and March 31, 2020, respectively, to stockholders of
record on January 23, February 20 and March 23, 2020, respectively.

Non-controlling Interests. We may, enter into partnerships to develop and/or own
real estate. Given that our limited members do not have substantive kick-out
rights, liquidation rights, or participation rights, we have concluded that the
partnerships are VIEs. Since we exercise power over and receive benefits from
the VIEs, we are considered the primary beneficiary. Accordingly, we consolidate
the VIEs and record the non-controlling interests at cost. During 2019, we
invested in the following consolidated VIEs (in thousands):


                                              Gross
                      Property             Consolidated     Non-Controlling
       Purpose          Type     State        Assets           Interests
  Owned real estate    ALF/MC     VA     $       16,895   $             919




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  Table of Contents

Stock Based Compensation Plans. During 2015, we adopted, and our stockholders
approved the 2015 Equity Participation Plan (the "2015 Plan") which 1,400,000
shares of common stock have been reserved for awards, including nonqualified
stock option grants and restricted stock grants to officers, employees,
non-employee directors and consultants. The terms of the awards granted under
the 2015 Plan are set by our compensation committee at its discretion.

Restricted Stock and Performance-based Stock Units. During 2019, we granted 147,608 shares of restricted common stock and performance-based stock units under the 2015 Plan as follows:




No. of     Price per
Shares       Share         Vesting Period
 78,276   $   46.54     ratably over 3 years
 60,836   $   46.54       TSR targets (1)
  8,496   $   44.73         May 29, 2020
147,608

(1) Vesting is based on achieving certain total shareholder return ("TSR")

targets in 4 years with acceleration opportunity in 3 years.

Subsequent to December 31, 2019, we granted 76,464 shares of restricted common stock at $48.95 per share, which vest ratably from the grant date over a three-year period.



At December 31, 2019, the total number of restricted common stock and
performance-based stock units that are scheduled to vest and remaining
compensation expense to be recognized related to the future service period of
unvested outstanding restricted common stock and performance-based stock units
are as follows (dollar amounts in thousands):




               Number         Remaining
                 of          Compensation
Vesting Date   Awards          Expense
    2020       139,534 (1)  $        4,619
    2021       119,168 (2)           2,503
    2022        86,931 (3)             189
Total          345,633      $        7,311

Includes 55,057 performance-based stock units. The performance-based stock (1) units are valued utilizing a lattice-binomial option pricing model based on

Monte Carlo simulations. The company recognizes the fair value of the awards


    over the applicable vesting period as compensation expense.



(2) Includes 66,171 performance-based stock units. See (1) above for valuation


    methodology.



(3) Includes 60,836 performance-based stock units. See (1) above for valuation

methodology.




Stock Options. We did not issue any stock options during the year ended December
31, 2019. During 2019, a total of 5,000 stock options were exercised at a total
option value of $123,000 and a total market value on the date of exercise of
$233,000. At December 31, 2019, we have 15,000 stock options outstanding and
exercisable.

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  Table of Contents

Contractual Obligations

We monitor our contractual obligations and commitments detailed above to ensure
funds are available to meet obligations when due. The following table represents
our long-term contractual obligations (scheduled principal payments and amounts
due at maturity) as of December 31, 2019, excluding the effects of interest and
debt issue costs (in thousands):


                           Total          2020       2021       2022        2023       2024      Thereafter
Bank borrowings          $  93,900 (1)  $      -   $      -   $  93,900   $      -   $      -   $          -
Senior unsecured notes     600,300        40,160     47,160      48,160     49,160     49,160        366,500
                         $ 694,200      $ 40,160   $ 47,160   $ 142,060   $ 49,160   $ 49,160   $    366,500

Subsequent to December 31, 2019, we borrowed $18,000 under our unsecured (1) revolving line of credit. Accordingly, we have $111,900 outstanding and

$488,100 available for borrowing under our unsecured revolving line of
    credit.



The following table represents our projected interest expense, excluding capitalized interest, amortization of debt issue costs, bank fees and earn-out accretion, as of December 31, 2019 (in thousands):




                           Total       2020       2021       2022       2023       2024      Thereafter
Bank borrowings          $   7,469   $  2,998   $  2,989   $  1,482   $      -   $      -   $          -
Senior unsecured notes     161,051     25,658     23,565     21,281     19,003     16,747         54,797
                         $ 168,520   $ 28,656   $ 26,554   $ 22,763   $ 19,003   $ 16,747   $     54,797

Off-Balance Sheet Arrangements:

We had no off-balance sheet arrangements as of December 31, 2019.

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