Diversified Healthcare Trust(DHC)
Search documents
Diversified Healthcare Trust(DHC) - 2019 Q4 - Earnings Call Transcript
2020-03-02 21:18
Diversified Healthcare Trust (NASDAQ:DHC) Q4 2019 Results Conference Call March 2, 2020 10:00 AM ET Company Participants Michael Kodesch - Director, IR Jennifer Francis - President and COO Rick Siedel - CFO and Treasurer Conference Call Participants Drew Babin - Baird Vikram Malhotra - Morgan Stanley Bryan Maher - B. Riley FBR Michael Carroll - RBC Capital Markets Omotayo Okusanya - Mizuho Operator Good morning, and welcome to the Diversified Healthcare Trust Fourth Quarter 2019 Financial Results Conference ...
Diversified Healthcare Trust(DHC) - 2019 Q4 - Annual Report
2020-03-02 16:58
Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-K ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31, 2019 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Commission file number 1-15319 DIVERSIFIED HEALTHCARE TRUST (Exact Name of Registrant as Specified in Its Charter) Maryland 04-3445278 (State of Organization) (IRS Employer Identification N ...
Diversified Healthcare Trust(DHC) - 2019 Q3 - Quarterly Report
2019-11-07 21:20
Financial Performance - The total revenues for Q3 2019 amounted to $255.5 million, with a total NOI of $130.7 million[143]. - Total revenues for the three months ended September 30, 2019, were $255.827 million, a decrease of 8.3% from $278.969 million in the same period of 2018[164]. - Net income attributable to common shareholders for the three months ended September 30, 2019, was a loss of $29.390 million, compared to a profit of $45.805 million in the same period of 2018, representing a decline of 164.2%[164]. - The managed senior living communities segment reported revenues of $107.816 million for the three months ended September 30, 2019, an increase of 2.4% from $105.321 million in 2018[164]. - Net operating income (NOI) decreased to $18,360, down 17.5% from $22,251 in the same quarter last year[186]. - Net income fell to $2,204, a significant decline of 62.9% compared to $5,945 in the previous year[186]. - Net income attributable to common shareholders for the nine months ended September 30, 2019, was $74,719, down 1.8% from $76,062 in 2018[209]. - Net operating income (NOI) for the nine months ended September 30, 2019, was $189,624, reflecting a decrease of 0.5% from $190,504 in 2018[209]. - Net loss for the period was $45,853, an increase of 60.7% compared to a loss of $28,537 in the prior year[193]. - Net loss decreased by 15.5% to $20,776 for the nine months ended September 30, 2019, compared to $24,579 for the same period in 2018[227]. Property and Occupancy - As of September 30, 2019, the undepreciated carrying value of the company's properties was $8.6 billion, with 436 properties owned across 41 states and Washington, D.C.[140]. - The occupancy rate for MOBs was 92.3% as of 2019, down from 95.6% in 2018[147]. - The occupancy rate for medical office buildings (MOBs) was 94.6% as of September 30, 2019, down from 95.9% in the same period of 2018[166]. - The total number of tenants across all properties was 672 as of September 30, 2019[158]. - The occupancy rate for the total buildings was 94.4% in 2019, down from 95.8% in 2018[206]. - The number of total properties in the triple net leased senior living communities segment was 205 as of September 30, 2019, compared to 209 in the previous year[176]. Rental Income and Expenses - Rental income for the three months ended September 30, 2019, decreased by 4.3% to $100.010 million from $104.492 million in the same period of 2018[169]. - Rental income decreased primarily due to a reduction in rental income at comparable properties and the sale of 23 senior living communities, totaling a decrease of $1,722 in non-cash straight line rent adjustments for the nine months ended September 30, 2019[220]. - Residents fees and services decreased by 0.2% to $300,638 for the nine months ended September 30, 2019, compared to $301,265 for the same period in 2018[229]. - Property operating expenses rose to $85,346, reflecting a 2.7% increase from $83,070 in the prior year[186]. - Property operating expenses increased by 4.9% to $92,279 for the nine months ended September 30, 2019, compared to $87,953 in 2018[209]. Asset Impairment and Depreciation - The company experienced a significant impairment of assets totaling $26.037 million during the three months ended September 30, 2019[169]. - The company recorded asset impairment charges of $26,037 during the nine months ended September 30, 2019[213]. - Depreciation and amortization expense increased by $3,324, or 18.1%, to $(21,687) for the three months ended September 30, 2019, compared to $(18,363) for the same period in 2018[177]. - Depreciation and amortization expense increased to $15,736, up 2.6% from $15,341 in the same period last year[186]. - Asset impairment charges of $15,385 were recorded to reduce the carrying value of 16 senior living communities to their estimated fair value during the nine months ended September 30, 2019[223]. Financing and Debt - The company has $1.85 billion in outstanding principal amount of senior unsecured notes and $550.0 million under two term loans as of September 30, 2019[297]. - The company has a total outstanding fixed rate debt of $2.54 billion as of September 30, 2019, with an annual interest expense of $130.625 million[309]. - Interest expense for Q3 2019 was $44,817 million, slightly down from $45,416 million in Q3 2018[255]. - Interest expense decreased by $151, or 47.6%, to $(166) for the three months ended September 30, 2019, compared to $(317) for the same period in 2018[184]. - A hypothetical one percentage point increase in interest rates would increase the company's annual interest cost by approximately $25.4 million[311]. Transactions and Agreements - The company entered into a Transaction Agreement with Five Star, resulting in a reduction of monthly minimum rent to $10.8 million, subject to further adjustments[141]. - The company sold 18 senior living communities since July 1, 2018, impacting rental income negatively[179]. - The company recorded a gain on the sale of five MOBs during the three months ended September 30, 2019[173]. - During the nine months ended September 30, 2019, the company sold 15 properties from its MOB segment for approximately $23.5 million[274]. - The company sold 18 SNFs for an aggregate sales price of approximately $29.5 million, resulting in a reduction of annual rental income by $2.2 million[278]. Cash Flow and Distributions - Cash provided by operating activities decreased to $195.7 million in the nine months ended September 30, 2019, down from $286.0 million in the same period of 2018[262]. - The company paid quarterly cash distributions totaling approximately $164.0 million during the nine months ended September 30, 2019[291]. - A regular quarterly distribution of $0.15 per share, amounting to approximately $35.7 million, was declared on October 17, 2019[292]. - The regular quarterly distribution rate was lowered to $0.15 per common share, based on a target payout ratio of approximately 80% of projected cash available for distribution[259]. Future Outlook and Strategy - The company has identified additional properties to sell aggregating approximately $900 million, focusing on underperforming senior living communities and non-core assets[256]. - The company plans to explore refinancing alternatives as significant amounts are outstanding under its revolving credit facility[267]. - The company believes it will have access to various types of financing to fund future acquisitions and obligations[293].
Diversified Healthcare Trust(DHC) - 2019 Q3 - Earnings Call Transcript
2019-11-07 20:31
Senior Housing Properties Trust (SNH) Q3 2019 Earnings Conference Call November 7, 2019 10:00 AM ET Executives Michael Kodesch - Director, IR Jennifer Francis - President, COO Richard Siedel - CFO, Treasurer Analysts Michael Carroll - RBC Capital Markets Todd Stender - Wells Fargo Bryan Maher - B. Riley FBR Jonathan Hughes - Raymond James Operator Good morning, and welcome to the Senior Housing Properties Trust Third Quarter 2019 Financial Results Conference Call. [Operator Instructions] Please note, this e ...
Diversified Healthcare Trust(DHC) - 2019 Q2 - Quarterly Report
2019-08-08 21:15
Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2019 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Commission File Number 1-15319 SENIOR HOUSING PROPERTIES TRUST (Exact Name of Registrant as Specified in Its Charter) (State or Other Jurisdiction of Incorporation or Organization) (IRS ...
Diversified Healthcare Trust(DHC) - 2019 Q2 - Earnings Call Transcript
2019-08-08 18:38
Senior Housing Properties Trust (SNH) Q2 2019 Results Conference Call August 8, 2019 10:00 AM ET Company Participants Michael Kodesch - Director of Investor Relations Jennifer Francis - President and Chief Operating Officer Richard Siedel - Chief Financial Officer Conference Call Participants Todd Stender - Wells Fargo Securities Bryan Maher - B. Riley FBR Drew Babin - Robert W. Baird Operator Good morning, and welcome to the Senior Housing Properties Trust Second Quarter 2019 Financial Results Conference C ...
Diversified Healthcare Trust(DHC) - 2019 Q1 - Quarterly Report
2019-05-09 20:24
[PART I Financial Information](index=3&type=section&id=PART%20I%20Financial%20Information) [Financial Statements](index=3&type=section&id=Item%201.%20Financial%20Statements) Unaudited statements show a significant net income decrease to $30.1 million from $236.0 million year-over-year, driven by a non-recurring gain on property sales in 2018 Balance Sheet Summary (in thousands) | Balance Sheet Items | March 31, 2019 | December 31, 2018 | | :--- | :--- | :--- | | **Total Assets** | **$7,145,900** | **$7,160,426** | | Total real estate properties, net | $6,298,986 | $6,341,908 | | Cash and cash equivalents | $39,875 | $54,976 | | **Total Liabilities** | **$4,032,462** | **$3,980,556** | | Senior unsecured notes, net | $2,217,989 | $2,216,945 | | Secured debt and capital leases, net | $742,883 | $744,186 | | **Total Equity** | **$3,113,438** | **$3,179,870** | Income Statement Summary (in thousands, except per share data) | Metric | Three Months Ended March 31, 2019 | Three Months Ended March 31, 2018 | | :--- | :--- | :--- | | Total Revenues | $266,286 | $275,770 | | Rental income | $158,241 | $173,728 | | Residents fees and services | $108,045 | $102,042 | | Total Expenses | $213,288 | $203,575 | | (Loss) gain on sale of properties | ($122) | $181,154 | | **Net Income** | **$31,504** | **$237,405** | | **Net Income Attributable to Common Shareholders** | **$30,082** | **$236,022** | | **EPS (basic and diluted)** | **$0.13** | **$0.99** | Cash Flow Summary (in thousands) | Cash Flow Activity | Three Months Ended March 31, 2019 | Three Months Ended March 31, 2018 | | :--- | :--- | :--- | | Net cash provided by operating activities | $41,515 | $84,034 | | Net cash (used in) provided by investing activities | ($43,308) | $80,349 | | Net cash used in financing activities | ($13,526) | ($158,463) | | **(Decrease) increase in cash** | **($15,319)** | **$5,920** | Notes to Condensed Consolidated Financial Statements Key notes detail a major tenant restructuring with Five Star Senior Living, a $6.2 million impairment charge, a significant dividend reduction, and subsequent debt management activities - During Q1 2019, the company recorded impairment charges of **$6,206 thousand** to adjust the carrying values of 15 skilled nursing facilities (SNFs) to their aggregate estimated fair value[40](index=40&type=chunk) - In May 2019, the company redeemed all of its outstanding 3.25% senior notes due 2019 for a redemption price of **$400 million**, plus accrued interest, funded by cash on hand and borrowings under its revolving credit facility[54](index=54&type=chunk) - On April 18, 2019, the company declared a regular quarterly distribution of **$0.15 per share**, a significant reduction from the previous quarter's distribution of $0.39 per share paid on February 21, 2019[69](index=69&type=chunk) - Due to substantial doubt about Five Star's ability to continue as a going concern, a Transaction Agreement was entered into in April 2019, which included a reduction of monthly minimum rent payable by Five Star to **$11 million** from February 1, 2019, through December 31, 2019[77](index=77&type=chunk)[78](index=78&type=chunk)[106](index=106&type=chunk) - The Transaction Agreement with Five Star proposes terminating all existing master leases and management agreements and replacing them with new management agreements for all senior living communities, effective **January 1, 2020**, subject to shareholder and other approvals[103](index=103&type=chunk) [Management's Discussion and Analysis of Financial Condition and Results of Operations](index=24&type=section&id=Item%202.%20Management's%20Discussion%20and%20Analysis%20of%20Financial%20Condition%20and%20Results%20of%20Operations) The discussion centers on the Five Star Senior Living restructuring, which reduced rental income and key metrics like NOI and Normalized FFO, prompting a dividend cut and asset sales Portfolio Summary as of March 31, 2019 | Facility Type | Number of Properties | % of Total Investment | Q1 2019 NOI | % of Q1 2019 NOI | | :--- | :--- | :--- | :--- | :--- | | MOBs | 153 | 44.6% | $71,024 | 47.6% | | Senior living communities | 304 | 53.3% | $73,320 | 49.2% | | Wellness centers | 10 | 2.1% | $4,700 | 3.2% | | **Total** | **467** | **100.0%** | **$149,044** | **100.0%** | - Five Star is the largest tenant, with its leased properties representing **26.5% of the total investment** and contributing **26.4% of Q1 2019 NOI**[123](index=123&type=chunk)[125](index=125&type=chunk) Results of Operations Total revenues decreased due to a $17.7 million decline in rental income from the Five Star rent reduction, while net income fell sharply due to a non-recurring prior-year gain - Rental income from the Triple Net Leased Senior Living Communities segment decreased by **26.0% to $50.3 million**, primarily due to a $12.8 million rent reduction from Five Star as part of the Transaction Agreement[166](index=166&type=chunk)[167](index=167&type=chunk) - Managed Senior Living Communities' NOI decreased by **7.6% to $23.0 million** as a 10.2% increase in property operating expenses outpaced revenue growth[174](index=174&type=chunk)[176](index=176&type=chunk) - General and administrative expenses decreased significantly to **$9.8 million from $25.1 million**, primarily because no business management incentive fees were accrued for Q1 2019[184](index=184&type=chunk)[187](index=187&type=chunk) - Acquisition and other transaction-related costs were **$7.8 million**, including **$7.7 million** related to the Five Star Transaction Agreement[189](index=189&type=chunk) Non-GAAP Financial Measures FFO and Normalized FFO Reconciliation (in thousands, except per share data) | Metric | Three Months Ended March 31, 2019 | Three Months Ended March 31, 2018 | | :--- | :--- | :--- | | Net income attributable to common shareholders | $30,082 | $236,022 | | **FFO attributable to common shareholders** | **$80,411** | **$92,666** | | **Normalized FFO attributable to common shareholders** | **$88,225** | **$107,163** | | FFO per share | $0.34 | $0.39 | | **Normalized FFO per share** | **$0.37** | **$0.45** | | Distributions declared per share | $0.39 | $0.39 | Net Operating Income (NOI) by Segment (in thousands) | Segment | Q1 2019 NOI | Q1 2018 NOI | | :--- | :--- | :--- | | MOB NOI | $71,044 | $70,213 | | Triple net leased communities NOI | $50,320 | $67,975 | | Managed communities NOI | $23,000 | $24,882 | | All other operations NOI | $4,700 | $4,602 | | **Total NOI** | **$149,064** | **$167,672** | Liquidity and Capital Resources Reduced cash flow from the Five Star restructuring prompted a dividend cut, planned asset sales to reduce leverage, and triggered a credit rating downgrade from S&P to BB+ - Following the entry into the Transaction Agreement with Five Star, the company reduced its regular quarterly distribution rate to **$0.15 per common share**[205](index=205&type=chunk) - The company intends to sell properties, focusing on underperforming senior living communities and non-core assets, to **reduce leverage**[204](index=204&type=chunk) - In April 2019, S&P downgraded the company's issuer credit rating from **BBB- to BB+** following the announcement of the Five Star business restructuring[217](index=217&type=chunk) - As of March 31, 2019, the company had **$225.0 million outstanding** under its $1.0 billion revolving credit facility, with **$775.0 million available** for borrowing[211](index=211&type=chunk)[212](index=212&type=chunk) [Quantitative and Qualitative Disclosures About Market Risk](index=44&type=section&id=Item%203.%20Quantitative%20and%20Qualitative%20Disclosures%20About%20Market%20Risk) The company faces interest rate risk from its $3.0 billion in fixed-rate and $775 million in floating-rate debt, and notes the upcoming LIBOR phase-out Floating Rate Debt Sensitivity as of March 31, 2019 (in thousands) | Scenario | Outstanding Floating Rate Debt | Annual Interest Expense | Annual Earnings Per Share Impact | | :--- | :--- | :--- | :--- | | At March 31, 2019 | $775,000 | $29,450 | $0.12 | | One percentage point increase | $775,000 | $37,200 | $0.16 | - As of March 31, 2019, the company had approximately **$3.0 billion in fixed-rate debt**, and a hypothetical 1% interest rate increase would increase annual interest cost by approximately $29.8 million if all debt were refinanced[252](index=252&type=chunk)[255](index=255&type=chunk) - The company acknowledges the expected phase-out of **LIBOR in 2021**, which will require amendments to its credit facility and term loan agreements[267](index=267&type=chunk) [Controls and Procedures](index=47&type=section&id=Item%204.%20Controls%20and%20Procedures) Management concluded that disclosure controls and procedures were effective as of March 31, 2019, with no material changes to internal controls during the quarter - Based on an evaluation as of the end of the period, the company's management concluded that disclosure controls and procedures are **effective**[269](index=269&type=chunk) - **No changes** in internal control over financial reporting occurred during the quarter ended March 31, 2019, that have materially affected, or are reasonably likely to materially affect, internal controls[270](index=270&type=chunk) [PART II Other Information](index=53&type=section&id=PART%20II%20Other%20Information) [Risk Factors](index=53&type=section&id=Item%201A.%20Risk%20Factors) There have been no material changes to risk factors from those previously disclosed in the company's Annual Report on Form 10-K - There have been **no material changes** to risk factors from those previously disclosed in the company's Annual Report[292](index=292&type=chunk) [Exhibits](index=53&type=section&id=Item%206.%20Exhibits) This section lists filed exhibits, including officer certifications and XBRL data, with key agreements incorporated by reference - The exhibits include **Rule 13a-14(a) and Section 1350 certifications**, as well as XBRL formatted financial statements[293](index=293&type=chunk)[294](index=294&type=chunk)
Diversified Healthcare Trust(DHC) - 2019 Q1 - Earnings Call Transcript
2019-05-09 19:11
Financial Data and Key Metrics Changes - The first quarter of 2019 saw a normalized FFO of $88.2 million or $0.37 per share, down $0.08 per share compared to the same quarter last year [19] - An 8.6% decrease in consolidated same-property cash basis NOI was reported for the first quarter compared to the same quarter last year, primarily due to a $12.8 million reduction in rent from Five Star [7][19] - General and administrative expenses decreased approximately $15.3 million or almost 61% for the first quarter compared to last year [20] Business Line Data and Key Metrics Changes - Same-property cash basis NOI in the medical office portfolio decreased by 2.7%, with a corresponding 190 basis point decrease in occupancy due to a tenant vacating a 140,000 square-foot property [9] - The managed senior living portfolio saw a 50 basis point increase in same-property occupancy, with residence fees and service revenue increasing by $1.3 million or 1.2% compared to the same quarter last year [13] - Same-property cash basis NOI in the MOB segment increased by 80 basis points, driven by a 4.2% increase in life science properties [8] Market Data and Key Metrics Changes - The market for senior living is showing signs of stabilization, with absorption at its highest since 2007 and new construction starts slowing [30] - The number of units delivered was less than the number of units absorbed for the first time since 2016, indicating a potential market turnaround [30] Company Strategy and Development Direction - The company is focused on a transitional year, restructuring business arrangements with Five Star, resetting dividends, and executing a disposition strategy to reduce financial leverage [6] - A target to sell properties valued at up to $900 million by the end of 2019 is in place, with a focus on underperforming senior living communities and noncore properties [17] - The company is actively marketing for sales 13 buildings in Central Massachusetts and is nearing completion of planning for redevelopment in San Diego [11][12] Management's Comments on Operating Environment and Future Outlook - Management believes that the current challenges in senior living, such as wage pressure and competition for quality leadership, are being addressed through increased investment in workforce [14][15] - The company expects to transition management agreements with Five Star on January 1, 2020, and is confident in the execution of this plan [31][48] - Management is optimistic about the potential for improved occupancy and rent growth as the market stabilizes [47] Other Important Information - The company ended the first quarter with $39.9 million in cash and $225 million outstanding on its revolving credit facility [23] - The debt-to-adjusted EBITDAR ratio was reported at 6.7x, with expectations to rise above 7x mid-2019 due to reduced rent from Five Star [24] Q&A Session Summary Question: Can you provide details on redevelopment plans at Scripps? - Management indicated strong market demand with rents approaching $5 per foot, and they are completing planning and permitting for a complete redevelopment [26] Question: Are all skilled nursing facilities currently being marketed for disposition? - Yes, all standalone skilled nursing facilities are being marketed, with expectations for successful dispositions despite some underperforming assets [28] Question: What is the outlook for occupancy in the senior living market? - Management noted a potential market turn with slowing new construction and increased absorption, indicating a stabilization in occupancy [30] Question: Can you clarify the transition with Five Star scheduled for January 1, 2020? - Management expressed confidence that the transition will occur as planned, with necessary licensing and preparations underway [31] Question: What is the EBITDAR situation for the skilled nursing facilities sold? - The sold facilities had negative EBITDAR, and the current portfolio being marketed also generally has negative EBITDAR [33][36]
Senior Housing Properties Trust (SNH) Restructuring of Business Arrangements with Five Star Senior Living Conference Call (Transcript)
2019-04-02 23:38
Senior Housing Properties Trust (SNH) Restructuring of Business Arrangements with Five Star Senior Living Conference Call April 2, 2019 10:00 AM ET Company Participants Brad Shepherd - Senior Director of Investor Relations Jennifer Francis - President and Chief Operating Officer Rick Siedel - Chief Financial Officer and Treasurer Conference Call Participants Drew Babbin - Baird Michael Carroll - RBC Capital Markets Tayo Okusanya - Jefferies Vikram Malhotra - Morgan Stanley Matt Boone - B. Riley FBR Operator ...
Diversified Healthcare Trust(DHC) - 2018 Q4 - Earnings Call Transcript
2019-03-01 20:08
Financial Data and Key Metrics Changes - In Q4 2018, normalized funds from operations (FFO) were reported at $0.27 per share, while for the full year 2018, it was $1.59 per share [25] - The company experienced a flat same property cash net operating income (NOI) compared to 2017, despite a 6.8% decrease in managed senior living portfolio same property cash NOI [7][9] - The total debt to gross assets ratio at year-end was 42.4%, with total debt to adjusted EBITDA at 6.0 times, excluding the incentive fee [27] Business Line Data and Key Metrics Changes - The managed senior living portfolio's occupancy increased by 30 basis points year-over-year, while average monthly rates decreased by less than 1% [14] - The medical office building (MOB) portfolio's same property cash NOI increased by 1% in Q4 compared to the previous year and by 80 basis points for the full year [19] - Cash NOI growth of 1.2% was achieved in 2018, despite selling approximately $150 million more in assets than purchased [8] Market Data and Key Metrics Changes - The managed senior living portfolio faced wage pressure and increased operating expenses, with wages and benefits accounting for approximately 60% of the decrease in same property cash NOI [16][17] - The company noted that new construction starts in senior living are trending down, but supply continues to exceed demand [15] Company Strategy and Development Direction - The company plans to focus on increasing the MOB segment as a percentage of the total portfolio and maximizing the performance of the senior living portfolio [29] - There is a commitment to continue deploying capital in existing properties where strong returns are expected, while being patient and disciplined in acquiring new medical office and life science properties [22] Management's Comments on Operating Environment and Future Outlook - Management indicated that 2019 will be a transitional year, with ongoing discussions regarding restructuring agreements with Five Star Senior Living [10][11] - The management expressed optimism about the potential for occupancy growth despite current challenges in the market [62] Other Important Information - The company recognized awards received by its properties, including J.D. Power senior living certification for three managed senior living communities [12] - The company is actively marketing properties vacated by major tenants, including Reliant Medical Group and Scripps Research Institute, with plans for repositioning [20][21] Q&A Session Summary Question: Status of Cedars-Sinai lease expirations - Management expects Cedars-Sinai to renew their leases and likely increase rent due to their long-term presence and connection to the hospital [31] Question: Impact of Five Star on performance - Management believes that the performance issues are primarily due to higher wages and benefits rather than Five Star's situation [32] Question: Pricing on vacated MOBs - Management indicated that the pricing discussion is not focused on cap rates, as these properties have been occupied for a long time [35] Question: Coverage ratios for Five Star - Management acknowledged that coverage ratios are expected to trend lower based on recent performance [47] Question: Future of joint ventures - Management sees potential for joint ventures but is currently focused on addressing shorter-term challenges [42] Question: Plans for acquisitions - Management confirmed that acquisitions are not on hold and the team is actively underwriting potential deals [58]