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Healthpeak Properties(PEAK) - 2023 Q4 - Annual Report

Financial Performance - Net income applicable to common shares for 2023 was $304,284, a decrease of 38.9% from $497,792 in 2022[340]. - Nareit FFO applicable to common shares increased to $985,180 in 2023, up 10.0% from $895,166 in 2022[340]. - Diluted FFO as Adjusted applicable to common shares for 2023 was $987,708, reflecting an increase of 3.9% compared to $950,259 in 2022[340]. - AFFO applicable to common shares rose to $840,777 in 2023, a 7.3% increase from $783,702 in 2022[340]. - The company reported real estate-related depreciation and amortization of $749,901 for 2023, up from $710,569 in 2022[340]. - Total adjustments to FFO as Adjusted were $(6,874) in 2023, compared to $45,767 in 2022[340]. - Distributions on dilutive convertible units and other were $9,394 in 2023, slightly down from $9,407 in 2022[340]. - The company reported a loss on sales of depreciable real estate of $(86,463) in 2023, compared to a loss of $(10,422) in 2022[340]. Merger and Acquisition - The company entered into a Merger Agreement on October 29, 2023, with Physicians Realty Trust, where each outstanding common share of Physicians Realty Trust will convert into 0.674 shares of the company's common stock[28]. - The company expects to close the merger by March 1, 2024, subject to customary closing conditions and stockholder approvals[28]. - Following the mergers, legacy Company common stockholders are expected to own approximately 77% of the common stock of the Combined Company, while legacy Physicians Realty Trust common shareholders will own approximately 23%[186]. - The Combined Company anticipates incurring substantial expenses related to the mergers and integration of operations, which could affect expected cost savings[187]. - The integration process may face challenges, including the inability to successfully combine operations and retain key employees, which could hinder the realization of anticipated benefits[188]. - The new board of directors of the Combined Company will include members from Physicians Realty Trust, potentially affecting the business strategy and operating decisions[192]. - The future success of the Combined Company will depend on effectively managing operations and expansion opportunities post-merger[194]. - The anticipated level of indebtedness for the combined company will increase upon completion of the mergers, raising risks associated with debt financing[197]. Portfolio Composition - As of December 31, 2023, the total portfolio adjusted NOI was $1,204,987, with lab properties contributing $617,541 (51.3%), outpatient medical properties $452,725 (37.6%), CCRC $112,511 (9.3%), and other non-reportable segments $22,210 (1.8%)[25]. - The outpatient medical segment includes nine hospitals, with HCA Healthcare, Inc. contributing 23% of segment revenues and 8% of total revenues as of December 31, 2023[42]. - Approximately 90% of lab properties were triple-net leased, with significant tenant concentration in San Francisco (50%), San Diego (23%), and Boston (25%) based on total square feet[39]. - The outpatient medical buildings are primarily multi-tenant properties, with approximately 87% located on or adjacent to hospital campuses and 98% affiliated with hospital systems[41]. - As of December 31, 2023, the company has investments in an unconsolidated joint venture with a sovereign wealth fund that owns 19 senior housing assets[49]. - The properties in the sovereign wealth fund joint venture include independent living and assisted living facilities, catering to various segments of the elderly population[50]. Regulatory and Compliance Risks - Effective January 16, 2024, Medicare and Medicaid nursing facilities must disclose new data about ownership and management, which may complicate compliance efforts for healthcare facility operators[58]. - The company’s tenants and operators are subject to extensive healthcare regulations, which can significantly affect their operations and financial conditions[53]. - Revenue sources for tenants include governmental healthcare programs like Medicare and Medicaid, which are subject to frequent regulatory changes that could adversely impact reimbursement rates[57]. - The healthcare facilities in the company’s portfolio must comply with extensive licensure and certification laws, which can affect their operational capabilities[59]. - Regulatory approvals are required for transfers of senior housing properties, which can delay transactions and negatively impact property performance[150]. - Compliance with the Americans with Disabilities Act and fire safety regulations may necessitate significant capital expenditures, adversely affecting cash flows[151]. - Changes to governmental reimbursement programs, such as Medicare and Medicaid, may adversely affect tenants' ability to meet financial obligations[154]. - Legislative changes regarding federal government operations could negatively impact the liquidity and financial condition of tenants and operators[158]. Market and Economic Conditions - The company faces significant competition from other REITs, investment companies, and institutional investors, which may impact its ability to capitalize on investment opportunities[51]. - Economic conditions and industry changes could negatively impact the demand for lab properties[78]. - Bankruptcy or insolvency of major tenants could delay recovery of outstanding obligations and affect financial performance[85]. - The company is heavily reliant on real estate investments in the healthcare property sector, making it more vulnerable to downturns in this specific sector[89]. - Approximately 67% of the company's lab portfolio, based on gross asset value as of December 31, 2023, is concentrated in California, which is prone to earthquakes and wildfires[105]. - About 69% of the company's Continuing Care Retirement Community (CCRC) portfolio, based on gross asset value as of December 31, 2023, is located in Florida, which is susceptible to hurricanes[105]. - Economic conditions and natural disasters in geographic areas where the company has concentrated investments could materially affect its financial condition[103]. Operational Risks - Rising labor costs and personnel shortages could increase operational costs and affect business capacity[76]. - The company faces risks related to operational disruptions if it cannot transition affected properties, potentially leading to lower occupancy rates and revenues[88]. - The company may be required to fund expenses such as real estate taxes and maintenance costs to preserve property value during tenant transitions[92]. - The company’s ability to maintain hospital and health system client relationships is critical, as failure to do so could result in lost business[97]. - The company faces various class-action lawsuits that could result in significant defense costs and material revenue decreases[107]. - Rising jury verdicts and natural disasters may threaten insurance policy limits, adversely affecting financial condition[108]. - Joint ventures may limit returns and flexibility, with risks including inconsistent investment goals and potential disputes[109]. Financial Strategy and Capital Management - The company maintains a strong investment-grade balance sheet with ample liquidity and long-term fixed-rate debt financing to reduce exposure to interest rate volatility[30]. - The company emphasizes capital recycling through dispositions and redeployment into acquisitions, developments, and redevelopments as part of its investment strategy[37]. - Increased interest rates in 2022 and 2023 may lead to unfavorable financing terms and increased interest costs for variable rate debt[75]. - The company’s insurance coverage may be insufficient to cover losses from natural disasters, particularly in seismically active regions[105]. - The company relies on external capital sources, and unavailability on acceptable terms could adversely affect its ability to meet commitments and grow[140]. - Covenants in debt instruments limit operational flexibility, and breaches could result in adverse actions by creditors[143]. - The market price of the company's common stock has been highly volatile, with fluctuations influenced by various factors including quarterly operating results and market valuations of similar companies[144]. - Adverse changes in credit ratings could lead to higher borrowing costs, making it more difficult to obtain financing or refinance existing obligations[146]. Environmental, Social, and Governance (ESG) Initiatives - The company emphasizes the importance of ESG initiatives as part of its corporate responsibility and aims to increase stockholder value through sustainable practices[67]. - Reported a reduction of 4.2% in Scope 1 and Scope 2 greenhouse gas emissions in 2022 compared to 2021 on a like-for-like basis[70]. - Achieved 4 LEED certifications and 132 new ENERGY STAR certifications in 2023[70]. - The company may incur significant costs in attempting to comply with ESG policies or third-party expectations, which could negatively impact financial results[126]. - Changes in legislation related to climate change could require increased capital expenditures without a corresponding increase in revenue[127]. Debt and Financing - The company's outstanding indebtedness as of December 31, 2023, was approximately $6.9 billion[142]. - Approximately 90% of the company's consolidated debt was fixed rate debt as of December 31, 2023, with a weighted average interest rate of 3.70%[326]. - The company has $142 million of variable rate mortgage debt, with $500 million Term Loan Facilities swapped to fixed rates through interest rate swap instruments[326]. - Increased borrowing costs due to rising interest rates may adversely affect the company's ability to refinance existing debt and conduct investment activities[135]. - The combined company's cash flow may be insufficient to meet required payments on its debt securities or to pay dividends on its common stock or any preferred stock it may issue[198].