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[10-Q] Diversified Healthcare Trust Quarterly Earnings Report

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Rhea-AI Filing Summary

Item 5.03 � Charter validation On 4 Aug 2025 CXApp Inc. (Nasdaq: CXAI) filed a Delaware DGCL §204 Certificate of Validation to correct a clerical omission that left its Second Amended & Restated Certificate of Incorporation unfiled after shareholder approval on 14 Mar 2023. The Certificate retroactively deems the charter effective at 5:00 p.m. ET on that date, thereby validating all corporate acts taken in reliance on it, including issuances of Class C common stock.

Status & risk The Certificate has been submitted to the Delaware Secretary of State but is not yet approved; CXApp will amend this 8-K if modifications are required.

Item 8.01 � Stockholder notice Under §204(g), the board’s ratification resolutions and a stockholder Notice (Ex. 99.1) are deemed delivered via this filing and must also be sent within 60 days.

  • No financial or operating metrics disclosed
  • Exhibits: Certificate (3.1), Restated Charter (3.2), Stockholder Notice (99.1), XBRL cover (104)

Voce 5.03 � Validazione dello statuto Il 4 agosto 2025 CXApp Inc. (Nasdaq: CXAI) ha depositato un Certificato di Validazione ai sensi della sezione 204 del Delaware DGCL per correggere un'omissione clericale che aveva lasciato non depositato il Secondo Certificato di Incorporazione Modificato e Ristabilito dopo l'approvazione degli azionisti del 14 marzo 2023. Il Certificato considera retroattivamente lo statuto efficace alle 17:00 ET di quella data, convalidando così tutti gli atti societari basati su di esso, incluse le emissioni di azioni ordinarie di Classe C.

Stato e rischio Il Certificato è stato presentato al Segretario di Stato del Delaware ma non è ancora approvato; CXApp modificherà questo 8-K se saranno necessarie variazioni.

Voce 8.01 � Avviso agli azionisti Ai sensi della sezione 204(g), le risoluzioni di ratifica del consiglio e un Avviso agli azionisti (Es. 99.1) sono considerati consegnati tramite questo deposito e devono essere inviati anche entro 60 giorni.

  • Non sono stati divulgati dati finanziari o operativi
  • Allegati: Certificato (3.1), Statuto Ristabilito (3.2), Avviso agli Azionisti (99.1), Copertina XBRL (104)

Artículo 5.03 � Validación del estatuto El 4 de agosto de 2025, CXApp Inc. (Nasdaq: CXAI) presentó un Certificado de Validación conforme a la sección 204 del DGCL de Delaware para corregir una omisión administrativa que dejó sin presentar su Segundo Certificado Modificado y Reformulado de Constitución tras la aprobación de los accionistas el 14 de marzo de 2023. El Certificado considera retroactivamente el estatuto efectivo a las 5:00 p.m. ET de esa fecha, validando todos los actos corporativos realizados en base a él, incluyendo la emisión de acciones ordinarias Clase C.

Estado y riesgo El Certificado ha sido presentado al Secretario de Estado de Delaware pero aún no está aprobado; CXApp modificará este 8-K si se requieren cambios.

Artículo 8.01 � Aviso a los accionistas Según la sección 204(g), las resoluciones de ratificación de la junta y un Aviso a los accionistas (Ex. 99.1) se consideran entregados mediante esta presentación y también deben enviarse dentro de los 60 días.

  • No se revelaron métricas financieras ni operativas
  • Anexos: Certificado (3.1), Estatuto Reformulado (3.2), Aviso a los Accionistas (99.1), Portada XBRL (104)

항목 5.03 � 정관 확인�2025� 8� 4� CXApp Inc. (나스�: CXAI)은 델라웨어 DGCL §204� 따른 확인 증명서를 제출하여 2023� 3� 14� 주주 승인 � �2� 수정 � 재작성된 정관� 제출되지 않은 서류상의 누락� 바로잡았습니�. � 증명서는 해당 날짜 오후 5�(동부시간)� 기점으로 정관� 소급하여 효력� 발생한다� 간주하며, 이에 의존하여 이루어진 모든 회사 행위, 포함하여 클래� C 보통� 발행� 유효화합니다.

상태 � 위험 증명서� 델라웨어 � 국무장관에게 제출되었으나 아직 승인되지 않았습니�; CXApp은 수정� 필요� 경우 � 8-K� 수정� 예정입니�.

항목 8.01 � 주주 통지 �204(g)� 따라 이사� 승인 결의안과 주주 통지�(Ex. 99.1)� � 제출� 통해 전달� 것으� 간주되며, 60� 이내� 별도� 발송해야 합니�.

  • 재무 또는 운영 지표는 공개되지 않음
  • 첨부 문서: 증명� (3.1), 재작� 정관 (3.2), 주주 통지 (99.1), XBRL 표지 (104)

Point 5.03 � Validation des statuts Le 4 août 2025, CXApp Inc. (Nasdaq : CXAI) a déposé un Certificat de Validation conformément à l'article 204 du DGCL du Delaware pour corriger une omission administrative qui avait laissé son Deuxième Certificat Modifié et Reformulé de Constitution non déposé après l'approbation des actionnaires le 14 mars 2023. Le Certificat considère rétroactivement que les statuts prennent effet à 17h00 ET ce jour-là, validant ainsi tous les actes corporatifs effectués en s'appuyant dessus, y compris les émissions d'actions ordinaires de classe C.

Statut et risques Le Certificat a été soumis au Secrétaire d'État du Delaware mais n'est pas encore approuvé ; CXApp modifiera ce rapport 8-K si des ajustements sont nécessaires.

Point 8.01 � Avis aux actionnaires Conformément à l'article 204(g), les résolutions de ratification du conseil et un avis aux actionnaires (Ex. 99.1) sont considérés comme délivrés via ce dépôt et doivent également être envoyés dans les 60 jours.

  • Aucune donnée financière ou opérationnelle divulguée
  • Pièces jointes : Certificat (3.1), Statuts reformulés (3.2), Avis aux actionnaires (99.1), Couverture XBRL (104)

Position 5.03 � Satzungsbestätigung Am 4. August 2025 reichte CXApp Inc. (Nasdaq: CXAI) eine Bestätigung gemäß §204 des Delaware DGCL ein, um einen formalen Fehler zu korrigieren, durch den die zweite geänderte und neu gefasste Satzung nach der Aktionärszustimmung am 14. März 2023 nicht eingereicht wurde. Die Bestätigung erklärt die Satzung rückwirkend zum 14. März 2023 um 17:00 Uhr ET für wirksam und bestätigt damit alle darauf basierenden Unternehmenshandlungen, einschließlich der Ausgabe von Stammaktien der Klasse C.

Status & Risiko Die Bestätigung wurde beim Staatssekretär von Delaware eingereicht, ist jedoch noch nicht genehmigt; CXApp wird diese 8-K Meldung bei erforderlichen Änderungen aktualisieren.

Position 8.01 � Aktionärsbenachrichtigung Gemäß §204(g) gelten die Beschlüsse des Vorstands zur Ratifikation sowie eine Aktionärsbenachrichtigung (Anlage 99.1) mit dieser Einreichung als zugestellt und müssen zudem innerhalb von 60 Tagen versandt werden.

  • Keine Finanz- oder Betriebskennzahlen veröffentlicht
  • Anlagen: Bestätigung (3.1), Neu gefasste Satzung (3.2), Aktionärsbenachrichtigung (99.1), XBRL-Titelblatt (104)
Positive
  • Retroactive validation removes uncertainty over the legality of past share issuances and other corporate acts.
  • Board decisiveness in promptly addressing the defect reflects stronger governance oversight.
Negative
  • Approval pending: Delaware Secretary of State has not yet accepted the Certificate, leaving residual risk.
  • Process lapse: The original failure to file the charter indicates weaknesses in administrative controls.

Insights

TL;DR: Filing cures charter defect; validates past share actions but hinges on Delaware approval—moderate governance clean-up, neutral valuation impact.

The §204 Certificate removes the risk that prior share issuances and other actions could be challenged as void, a potential overhang for investors. Retroactive validation strengthens the company’s capital structure and limits litigation exposure. However, the Secretary of State has not yet accepted the filing; if corrections are requested, additional delays or costs could arise. Because the matter is procedural and does not alter financial guidance or operations, we view the market impact as limited. Overall governance diligence is positive, but the prior clerical oversight signals room for process improvement.

Voce 5.03 � Validazione dello statuto Il 4 agosto 2025 CXApp Inc. (Nasdaq: CXAI) ha depositato un Certificato di Validazione ai sensi della sezione 204 del Delaware DGCL per correggere un'omissione clericale che aveva lasciato non depositato il Secondo Certificato di Incorporazione Modificato e Ristabilito dopo l'approvazione degli azionisti del 14 marzo 2023. Il Certificato considera retroattivamente lo statuto efficace alle 17:00 ET di quella data, convalidando così tutti gli atti societari basati su di esso, incluse le emissioni di azioni ordinarie di Classe C.

Stato e rischio Il Certificato è stato presentato al Segretario di Stato del Delaware ma non è ancora approvato; CXApp modificherà questo 8-K se saranno necessarie variazioni.

Voce 8.01 � Avviso agli azionisti Ai sensi della sezione 204(g), le risoluzioni di ratifica del consiglio e un Avviso agli azionisti (Es. 99.1) sono considerati consegnati tramite questo deposito e devono essere inviati anche entro 60 giorni.

  • Non sono stati divulgati dati finanziari o operativi
  • Allegati: Certificato (3.1), Statuto Ristabilito (3.2), Avviso agli Azionisti (99.1), Copertina XBRL (104)

Artículo 5.03 � Validación del estatuto El 4 de agosto de 2025, CXApp Inc. (Nasdaq: CXAI) presentó un Certificado de Validación conforme a la sección 204 del DGCL de Delaware para corregir una omisión administrativa que dejó sin presentar su Segundo Certificado Modificado y Reformulado de Constitución tras la aprobación de los accionistas el 14 de marzo de 2023. El Certificado considera retroactivamente el estatuto efectivo a las 5:00 p.m. ET de esa fecha, validando todos los actos corporativos realizados en base a él, incluyendo la emisión de acciones ordinarias Clase C.

Estado y riesgo El Certificado ha sido presentado al Secretario de Estado de Delaware pero aún no está aprobado; CXApp modificará este 8-K si se requieren cambios.

Artículo 8.01 � Aviso a los accionistas Según la sección 204(g), las resoluciones de ratificación de la junta y un Aviso a los accionistas (Ex. 99.1) se consideran entregados mediante esta presentación y también deben enviarse dentro de los 60 días.

  • No se revelaron métricas financieras ni operativas
  • Anexos: Certificado (3.1), Estatuto Reformulado (3.2), Aviso a los Accionistas (99.1), Portada XBRL (104)

항목 5.03 � 정관 확인�2025� 8� 4� CXApp Inc. (나스�: CXAI)은 델라웨어 DGCL §204� 따른 확인 증명서를 제출하여 2023� 3� 14� 주주 승인 � �2� 수정 � 재작성된 정관� 제출되지 않은 서류상의 누락� 바로잡았습니�. � 증명서는 해당 날짜 오후 5�(동부시간)� 기점으로 정관� 소급하여 효력� 발생한다� 간주하며, 이에 의존하여 이루어진 모든 회사 행위, 포함하여 클래� C 보통� 발행� 유효화합니다.

상태 � 위험 증명서� 델라웨어 � 국무장관에게 제출되었으나 아직 승인되지 않았습니�; CXApp은 수정� 필요� 경우 � 8-K� 수정� 예정입니�.

항목 8.01 � 주주 통지 �204(g)� 따라 이사� 승인 결의안과 주주 통지�(Ex. 99.1)� � 제출� 통해 전달� 것으� 간주되며, 60� 이내� 별도� 발송해야 합니�.

  • 재무 또는 운영 지표는 공개되지 않음
  • 첨부 문서: 증명� (3.1), 재작� 정관 (3.2), 주주 통지 (99.1), XBRL 표지 (104)

Point 5.03 � Validation des statuts Le 4 août 2025, CXApp Inc. (Nasdaq : CXAI) a déposé un Certificat de Validation conformément à l'article 204 du DGCL du Delaware pour corriger une omission administrative qui avait laissé son Deuxième Certificat Modifié et Reformulé de Constitution non déposé après l'approbation des actionnaires le 14 mars 2023. Le Certificat considère rétroactivement que les statuts prennent effet à 17h00 ET ce jour-là, validant ainsi tous les actes corporatifs effectués en s'appuyant dessus, y compris les émissions d'actions ordinaires de classe C.

Statut et risques Le Certificat a été soumis au Secrétaire d'État du Delaware mais n'est pas encore approuvé ; CXApp modifiera ce rapport 8-K si des ajustements sont nécessaires.

Point 8.01 � Avis aux actionnaires Conformément à l'article 204(g), les résolutions de ratification du conseil et un avis aux actionnaires (Ex. 99.1) sont considérés comme délivrés via ce dépôt et doivent également être envoyés dans les 60 jours.

  • Aucune donnée financière ou opérationnelle divulguée
  • Pièces jointes : Certificat (3.1), Statuts reformulés (3.2), Avis aux actionnaires (99.1), Couverture XBRL (104)

Position 5.03 � Satzungsbestätigung Am 4. August 2025 reichte CXApp Inc. (Nasdaq: CXAI) eine Bestätigung gemäß §204 des Delaware DGCL ein, um einen formalen Fehler zu korrigieren, durch den die zweite geänderte und neu gefasste Satzung nach der Aktionärszustimmung am 14. März 2023 nicht eingereicht wurde. Die Bestätigung erklärt die Satzung rückwirkend zum 14. März 2023 um 17:00 Uhr ET für wirksam und bestätigt damit alle darauf basierenden Unternehmenshandlungen, einschließlich der Ausgabe von Stammaktien der Klasse C.

Status & Risiko Die Bestätigung wurde beim Staatssekretär von Delaware eingereicht, ist jedoch noch nicht genehmigt; CXApp wird diese 8-K Meldung bei erforderlichen Änderungen aktualisieren.

Position 8.01 � Aktionärsbenachrichtigung Gemäß §204(g) gelten die Beschlüsse des Vorstands zur Ratifikation sowie eine Aktionärsbenachrichtigung (Anlage 99.1) mit dieser Einreichung als zugestellt und müssen zudem innerhalb von 60 Tagen versandt werden.

  • Keine Finanz- oder Betriebskennzahlen veröffentlicht
  • Anlagen: Bestätigung (3.1), Neu gefasste Satzung (3.2), Aktionärsbenachrichtigung (99.1), XBRL-Titelblatt (104)
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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, 2025
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 or Other Jurisdiction of Incorporation or
Organization)
 (IRS Employer Identification No.)
 Two Newton Place, 255 Washington Street, Suite 300, Newton, MA 02458-1634
(Address of Principal Executive Offices) (Zip Code) 
617 - 796 - 8350
(Registrant's Telephone Number, Including Area Code)

Securities registered pursuant to Section 12(b) of the Act:
Title Of Each ClassTrading Symbol(s)Name Of Each Exchange On Which Registered
Common Shares of Beneficial InterestDHCThe Nasdaq Stock Market LLC
5.625% Senior Notes due 2042DHCNIThe Nasdaq Stock Market LLC
6.25% Senior Notes due 2046DHCNLThe Nasdaq Stock Market LLC
Indicate by check mark whether the registrant:  (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes   No  
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  Yes   No  
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company.  See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and "emerging growth company" in Rule 12b-2 of the Exchange Act. 
Large accelerated filer Accelerated filer
Non-accelerated filer Smaller reporting company
Emerging growth company
 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  Yes   No 
Number of registrant's common shares outstanding as of August 1, 2025: 241,414,357


Table of Contents
DIVERSIFIED HEALTHCARE TRUST
FORM 10-Q
 
June 30, 2025
 
INDEX
  Page
PART I 
Financial Information
 
   
Item 1. 
Financial Statements (unaudited)
1
   
 
Condensed Consolidated Balance Sheets — June 30, 2025 and December 31, 2024
1
   
 
Condensed Consolidated Statements of Comprehensive Income (Loss) — Three and Six Months Ended June 30, 2025 and 2024
2
Condensed Consolidated Statements of Shareholders' Equity — Three and Six Months Ended June 30, 2025 and 2024
3
   
 
Condensed Consolidated Statements of Cash Flows — Six Months Ended June 30, 2025 and 2024
4
   
 
Notes to Condensed Consolidated Financial Statements
6
   
Item 2. 
Management's Discussion and Analysis of Financial Condition and Results of Operations
26
   
Item 3. 
Quantitative and Qualitative Disclosures About Market Risk
47
   
Item 4. 
Controls and Procedures
49
   
 
Warning Concerning Forward-Looking Statements
50
   
 
Statement Concerning Limited Liability
52
   
PART II 
Other Information
53
   
Item 1A. 
Risk Factors
53
Item 2. 
Unregistered Sales of Equity Securities and Use of Proceeds
53
Item 6. 
Exhibits
53
   
 
Signatures
55
 
References in this Quarterly Report on Form 10-Q to the Company, we, us or our include Diversified Healthcare Trust and its consolidated subsidiaries unless otherwise expressly stated or the context indicates otherwise.



Table of Contents
PART I.  Financial Information
 
Item 1.  Financial Statements.
 
DIVERSIFIED HEALTHCARE TRUST
CONDENSED CONSOLIDATED BALANCE SHEETS
(dollars in thousands, except share data)
(unaudited)
 June 30,December 31,
 20252024
Assets  
AG˹ٷ estate properties:  
Land$592,297 $605,973 
Buildings and improvements5,691,305 5,817,279 
Total real estate properties, gross6,283,602 6,423,252 
Accumulated depreciation(2,129,963)(2,082,777)
Total real estate properties, net4,153,639 4,340,475 
Investments in unconsolidated joint ventures139,151 126,859 
Assets of properties held for sale96,919 276,270 
Cash and cash equivalents141,769 144,584 
Restricted cash6,812 5,270 
Equity method investment8,418 24,590 
Acquired real estate leases and other intangible assets, net23,131 26,300 
Other assets, net186,602 192,657 
Total assets$4,756,441 $5,137,005 
Liabilities and Equity  
Secured revolving credit facility$ $ 
Senior secured notes, net600,235 826,974 
Senior unsecured notes, net1,579,327 1,957,319 
Secured debt and finance leases, net456,948 126,611 
Liabilities of properties held for sale5,579 6,024 
Accrued interest23,405 23,092 
Other liabilities235,974 238,142 
Total liabilities2,901,468 3,178,162 
Commitments and contingencies
Common shares of beneficial interest, $.01 par value: 300,000,000 shares authorized, 241,420,341 and 241,271,703 shares issued and outstanding, respectively
2,414 2,413 
Additional paid in capital4,621,858 4,620,313 
Cumulative net income1,307,398 1,408,023 
Cumulative other comprehensive income (loss)18 (17)
Cumulative distributions(4,076,715)(4,071,889)
Total equity1,854,973 1,958,843 
Total liabilities and equity$4,756,441 $5,137,005 

 The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
1

Table of Contents
DIVERSIFIED HEALTHCARE TRUST
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(amounts in thousands, except per share data)
(unaudited)
 Three Months Ended June 30,Six Months Ended June 30,
 2025202420252024
Revenues:    
Rental income$55,167 $62,870 $113,725 $125,520 
Residents fees and services327,545 308,522 655,851 616,648 
Total revenues382,712 371,392 769,576 742,168 
Expenses:    
Property operating expenses312,580 304,065 626,906 611,669 
Depreciation and amortization66,266 68,357 134,591 138,490 
General and administrative11,177 6,262 20,177 13,830 
Acquisition and certain other transaction related costs75 1,826 99 1,912 
Impairment of assets30,993 6,545 69,465 18,687 
Total expenses421,091 387,055 851,238 784,588 
(Loss) gain on sale of properties(7,429)(13,213)102,711 (19,087)
Gain on insurance recoveries  7,522  
Interest and other income2,982 2,403 5,081 4,640 
Interest expense (including net amortization of debt discounts, premiums and issuance costs of $19,886, $25,591, $45,973 and $50,454, respectively)
(50,926)(58,702)(108,757)(116,278)
Loss on modification or early extinguishment of debt(126)(209)(29,197)(209)
Loss before income taxes and equity in net earnings (losses) of investees(93,878)(85,384)(104,302)(173,354)
Income tax expense(843)(170)(892)(357)
Equity in net earnings (losses) of investees3,082 (12,307)4,569 (10,409)
Net loss$(91,639)$(97,861)$(100,625)$(184,120)
Other comprehensive income (loss):    
Equity in unrealized gains (losses) of an investee25 (22)52 (26)
Unrealized loss on derivative(11) (17) 
Other comprehensive income (loss)14 (22)35 (26)
Comprehensive loss$(91,625)$(97,883)$(100,590)$(184,146)
Weighted average common shares outstanding (basic and diluted)240,132 239,326 240,045 239,259 
Per common share amounts (basic and diluted):    
Net loss$(0.38)$(0.41)$(0.42)$(0.77)
 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
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CONDENSED CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY
(dollars in thousands)
(unaudited)
Number of
Shares
Common
Shares
Additional
Paid In
Capital
Cumulative
Net Income
Cumulative Other Comprehensive Income (Loss)Cumulative DistributionsTotal Equity
Balance at December 31, 2024:241,271,703 $2,413 $4,620,313 $1,408,023 $(17)$(4,071,889)$1,958,843 
Net loss— — — (8,986)— — (8,986)
Other comprehensive income— — — — 21 — 21 
Distributions— — — — — (2,413)(2,413)
Share grants33,582 — 605 — — — 605 
Share repurchases(2,035)— (6)— — — (6)
Share forfeitures(35,431)— (13)— — — (13)
Balance at March 31, 2025:241,267,819 2,413 4,620,899 1,399,037 4 (4,074,302)1,948,051 
Net loss— — — (91,639)— — (91,639)
Other comprehensive income— — — — 14 — 14 
Distributions— — — — — (2,413)(2,413)
Share grants203,987 2 1,067 — — — 1,069 
Share repurchases(38,908)(1)(102)— — — (103)
Share forfeitures(12,557)— (6)— — — (6)
Balance at June 30, 2025:241,420,341 $2,414 $4,621,858 $1,307,398 $18 $(4,076,715)$1,854,973 
Balance at December 31, 2023:240,423,898 $2,405 $4,618,470 $1,778,278 $ $(4,062,262)$2,336,891 
Net loss— — — (86,259)— — (86,259)
Other comprehensive loss— — — — (4)— (4)
Distributions— — — — — (2,404)(2,404)
Share grants— — 558 — — — 558 
Share repurchases(30,176)(1)(78)— — — (79)
Balance at March 31, 2024:240,393,722 2,404 4,618,950 1,692,019 (4)(4,064,666)2,248,703 
Net loss— — — (97,861)— — (97,861)
Other comprehensive loss— — — — (22)— (22)
Distributions— — — — — (2,404)(2,404)
Share grants259,259 3 937 — — — 940 
Share repurchases(17,511)(1)(41)— — — (42)
Share forfeitures(16,000)— — — — — — 
Balance at June 30, 2024:240,619,470 $2,406 $4,619,846 $1,594,158 $(26)$(4,067,070)$2,149,314 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(dollars in thousands)
(unaudited)
 Six Months Ended June 30,
 20252024
Cash flows from operating activities:  
Net loss$(100,625)$(184,120)
Adjustments to reconcile net loss to cash provided by operating activities:  
Depreciation and amortization134,591 138,490 
Net amortization of debt discounts, premiums and issuance costs45,973 50,454 
Payment of accreted interest on senior secured notes
(34,700) 
Straight line rental income(309)(947)
Amortization of acquired real estate leases and other intangible assets, net54 57 
Loss on modification or early extinguishment of debt29,197 209 
Impairment of assets69,465 18,687 
(Gain) loss on sale of properties(102,711)19,087 
Gain on insurance recoveries(7,522) 
Other non-cash adjustments, net(231)(387)
Unconsolidated joint venture distributions 1,231 
Equity in net (earnings) losses of investees(4,569)10,409 
Change in assets and liabilities:  
Deferred leasing costs, net(2,690)(1,106)
Other assets11,427 23,643 
Accrued interest313 380 
Other liabilities12,114 (3,193)
Net cash provided by operating activities49,777 72,894 
Cash flows from investing activities:  
AG˹ٷ estate improvements(73,831)(87,720)
Proceeds from sale of properties, net334,108 7,318 
Investment in AlerisLife Inc. (15,459)
Equity method investment distribution17,000  
Contributions to unconsolidated joint ventures(8,500) 
Proceeds from insurance recoveries1,308 170 
Purchase of interest rate cap(47) 
Net cash provided by (used in) investing activities270,038 (95,691)
Cash flows from financing activities:  
Proceeds from mortgage notes payable343,157 120,000 
Redemption of senior secured notes(238,555) 
Redemption of senior unsecured notes(380,000)(60,000)
Repayment of other debt(1,659)(1,586)
Early extinguishment of debt settled in cash(25,903) 
Payment of debt issuance costs(13,193)(7,564)
Repurchase of common shares(109)(121)
Distributions to shareholders(4,826)(4,808)
Net cash (used in) provided by financing activities(321,088)45,921 
(Decrease) increase in cash and cash equivalents and restricted cash(1,273)23,124 
Cash and cash equivalents and restricted cash at beginning of period149,854 246,961 
Cash and cash equivalents and restricted cash at end of period$148,581 $270,085 

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)
(dollars in thousands)
(unaudited)
Six Months Ended June 30,
20252024
Supplemental cash flow information:  
Interest paid (1)
$97,171 $65,444 
Income taxes paid$626 $484 
Non-cash investing activities:
AG˹ٷ estate improvements accrued, not paid$13,708 $16,355 
(1)Includes $34,700 of accreted interest paid during the six months ended June 30, 2025 on our senior secured notes due 2026.
Supplemental disclosure of cash and cash equivalents and restricted cash:
The following table provides a reconciliation of cash and cash equivalents and restricted cash reported within our condensed consolidated balance sheets to the amount shown in our condensed consolidated statements of cash flows:
As of June 30,
20252024
Cash and cash equivalents$141,769 $265,563 
Restricted cash (1)
6,812 4,522 
Total cash and cash equivalents and restricted cash shown in our condensed consolidated statements of cash flows$148,581 $270,085 
(1)Restricted cash consists of amounts escrowed for real estate taxes, insurance and capital expenditures at certain of our mortgaged properties.

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


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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
 
Note 1.  Basis of Presentation
The accompanying condensed consolidated financial statements of Diversified Healthcare Trust and its subsidiaries, or DHC, we, us, or our, are unaudited. Certain information and disclosures required by U.S. generally accepted accounting principles, or GAAP, for complete financial statements have been condensed or omitted. We believe the disclosures made are adequate to make the information presented not misleading. However, the accompanying condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and notes contained in our Annual Report on Form 10-K for the year ended December 31, 2024, or our Annual Report.
In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair statement of results for the interim period have been included. All intercompany transactions and balances with or among our consolidated subsidiaries have been eliminated. Operating results for interim periods are not necessarily indicative of the results that may be expected for the full year.
The preparation of these financial statements in conformity with GAAP requires us to make estimates and assumptions that affect reported amounts. Actual results could differ from those estimates. Significant estimates in our condensed consolidated financial statements include purchase price allocations, useful lives of fixed assets and impairments of real estate and intangible assets.
We have been, are currently, and expect in the future to be involved in claims, lawsuits, and regulatory and other governmental audits, investigations and proceedings arising in the ordinary course of our business. While the outcome of any litigation is inherently uncertain, we do not believe any currently pending litigation or proceedings will have a material adverse effect on our financial condition, results of operations or cash flows.
Note 2.  Recent Accounting Pronouncements

On December 14, 2023, the Financial Accounting Standards Board, or FASB, issued Accounting Standards Update, or ASU, No. 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, or ASU No. 2023-09, which requires public entities to enhance their annual income tax disclosures by requiring: (i) consistent categories and greater disaggregation of information in the rate reconciliation, and (ii) income taxes paid disaggregated by jurisdiction. ASU No. 2023-09 should be applied prospectively but entities have the option to apply it retrospectively to all prior periods presented in the financial statements. ASU No. 2023-09 is effective for annual periods beginning after December 15, 2024, with early adoption permitted. We expect to include additional disclosures in the notes to our condensed consolidated financial statements as a result of the implementation of ASU No. 2023-09; however, these changes are not expected to have a material effect on our condensed consolidated financial statements.
In November 2024, the FASB issued ASU No. 2024-03, Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statements Expenses, or ASU No. 2024-03, which requires public entities to disclose specific expense categories such as employee compensation, depreciation and intangible asset amortization. These details must be presented in a tabular format in the notes to condensed consolidated financial statements for both interim and annual reporting periods. ASU 2024-03 is required to be applied prospectively but can be applied retrospectively, and is effective for the first annual reporting periods beginning after December 15, 2026, and interim reporting periods within annual reporting periods beginning after December 15, 2027, with early adoption permitted. We are currently evaluating the impact that ASU 2024-03 will have on our condensed consolidated financial statements.
Note 3.  AG˹ٷ Estate and Other Investments
As of June 30, 2025, we owned 341 properties located in 34 states and Washington, D.C., including 21 properties classified as held for sale and one closed senior living community, and we owned an equity interest in each of two unconsolidated joint ventures that own medical office and life science properties located in five states.
Dispositions:
The table below represents the sale prices, excluding closing costs, of our dispositions for the six months ended June 30, 2025. We do not believe these sales represent a strategic shift in our business. As a result, the results of operations for these
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
properties are included in continuing operations through the date of sale of such properties in our condensed consolidated statements of comprehensive income (loss).
Date of SaleStateType of PropertyNumber of PropertiesSales PriceGain (Loss) on Sale
January 2025DelawareSenior Living (SHOP)1$2,900 $1,263 
January 2025California
Life Science (1)
3159,025 9,723 
February 2025ArizonaLife Science116,800 65 
February 2025Various
Senior Living (1)
18135,000 97,560 
March 2025Connecticut
Medical Office (1)
17,100 1,529 
May 2025TennesseeSenior Living (SHOP)111,150 (5,261)
May 2025MissouriMedical Office15,250 (2,168)
26$337,225 $102,711 
(1)We used aggregate net proceeds of $299,158 from the sales of these properties to partially redeem our outstanding senior secured notes due 2026.

As of June 30, 2025, we had 21 properties classified as held for sale in our condensed consolidated balance sheet as follows:
SegmentNumber of PropertiesAG˹ٷ Estate Properties, Net
SHOP15$69,610 
Medical Office and Life Science (1)
518,734 
All Other12,246 
21$90,590 
(1)The net proceeds from the sale of two of these properties are required to be used to partially redeem our outstanding senior secured notes due 2026, if the sales of those properties are completed. We expect to sell these properties during the fourth quarter of 2025 for an aggregate sales price of $13,118, excluding closing costs.

Subsequent to June 30, 2025, we sold three properties for an aggregate sales price of $8,800, excluding closing costs. As of August 1, 2025, we had 49 properties under agreements or letters of intent to sell for an aggregate sales price of $279,923, excluding closing costs. The net proceeds from the sales of 11 of these properties, which have an expected aggregate sales price of $90,588, excluding closing costs, are required to be used to partially redeem our outstanding senior secured notes due 2026, if the sales of such properties are completed. We may not complete the sales of any or all of the properties we currently plan to sell. Also, we may sell some or all of these properties at amounts that are less than currently expected and/or less than the carrying values of such properties, and we may incur losses on any such sales as a result.
Impairment:
We regularly evaluate our assets for indicators of impairment. Impairment indicators may include declining tenant or resident occupancy, weak or declining profitability from the property, decreasing tenant cash flows or liquidity, our decision to dispose of an asset before the end of its estimated useful life and legislative, market or industry changes that could permanently reduce the value of an asset. If indicators of impairment are present, we evaluate the carrying value of the affected assets by comparing it to the expected future undiscounted cash flows to be generated from those assets. The future cash flows are subjective and are based in part on assumptions regarding hold periods, market rents and terminal capitalization rates. If the sum of these expected future cash flows is less than the carrying value, we reduce the net carrying value of the asset to its estimated fair value.
During the six months ended June 30, 2025, we recorded impairment charges of $52,266 to adjust the carrying value of 10 medical office properties to their estimated fair values. We sold one of these properties during the six months ended June 30, 2025. Four of these properties were classified as held for sale in our condensed consolidated balance sheet as of June 30, 2025.
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
Subsequent to June 30, 2025, we sold two of these 10 properties, and as of August 1, 2025, seven properties were under agreements or letters of intent to sell. During the six months ended June 30, 2025, we also recorded impairment charges of $17,199 to adjust the carrying value of 10 senior living communities in our senior housing operating portfolio, or SHOP, to their estimated fair values. These communities were classified as held for sale in our condensed consolidated balance sheet as of June 30, 2025.
Investments and Capital Expenditures:
The following is a summary of capital expenditures, development, redevelopment and other activities for the periods presented:
Three Months Ended June 30,Six Months Ended June 30,
 2025202420252024
SHOP fixed assets and capital improvements$24,283 $21,623 $45,398 $31,714 
Medical Office and Life Science Portfolio capital expenditures:
   Lease related costs (1)
3,528 6,409 7,375 12,438 
   Building improvements (2)
1,518 1,852 3,042 2,771 
Recurring capital expenditures - Medical Office and Life Science Portfolio5,046 8,261 10,417 15,209 
Wellness centers lease related costs (1)
 4,591  11,514 
Total recurring capital expenditures$29,329 $34,475 $55,815 $58,437 
Development, redevelopment and other activities - SHOP (3)
$4,660 $5,705 $10,228 $6,894 
Development, redevelopment and other activities - Medical Office and Life Science Portfolio (3)
 1,112  1,825 
Total development, redevelopment and other activities$4,660 $6,817 $10,228 $8,719 
Capital expenditures by segment:
SHOP$28,943 $27,328 $55,626 $38,608 
Medical Office and Life Science Portfolio5,046 9,373 10,417 17,034 
All Other - wellness centers
 4,591  11,514 
Total capital expenditures$33,989 $41,292 $66,043 $67,156 
(1)Includes capital expenditures to improve tenants' space or amounts paid directly to tenants to improve their space and other leasing related costs, such as brokerage commissions and tenant inducements.
(2)Includes capital expenditures to replace obsolete building components that extend the useful life of existing assets or other improvements to increase the marketability of the property.
(3)Includes capital expenditures that reposition a property or result in change of use or new sources of revenue.
Equity Method Investments in Unconsolidated Joint Ventures:
As of June 30, 2025, we had equity investments in unconsolidated joint ventures as follows:
Equity Method Investments in Joint VentureDHC Ownership
DHC Carrying Value of Investment at June 30, 2025
Number of PropertiesStateSquare Feet
Seaport Innovation LLC10%$94,415 1MA1,134,479 
The LSMD Fund REIT LLC20%44,736 10CA, MA, NY, TX, WA1,068,763 
$139,151 112,203,242 
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
The following table provides a summary of the mortgage debts of these joint ventures as of June 30, 2025:
Joint VentureCoupon RateMaturity Date
Principal Balance (1)
Mortgage Notes Payable (secured by one property in Massachusetts) (2) (3)
3.53%11/6/2028$620,000 
Mortgage Notes Payable (secured by nine properties in five states) (4)
3.46%2/11/2032189,800 
Mortgage Notes Payable (secured by one property in California) (4) (5)
6.21%2/9/2026266,825 
4.18%$1,076,625 
(1)Amounts are not adjusted for our minority equity interest.
(2)We provide certain guaranties on this debt.
(3)This mortgage loan requires interest-only payments until the anticipated repayment date on August 6, 2026, at which time all accrued and unpaid interest along with the principal balance of $620,000 is expected to be repaid. This mortgage loan matures on November 6, 2028 and any unpaid principal from the anticipated repayment date through the maturity date bears interest at a variable rate of the greater of 6.53% or the then effective U.S. swap rate terminating on the maturity date plus 5.00%.
(4)The debt securing these properties is non-recourse to us.
(5)The joint venture has one remaining one-year extension option for the maturity date of this mortgage loan, subject to satisfaction of certain conditions, and this mortgage loan requires that interest be paid at an annual rate of the one-month term secured overnight financing rate, or SOFR, plus a premium of 1.90%. The joint venture has purchased an interest rate cap through February 2026 with a SOFR strike rate equal to 5.74%.

We account for the unconsolidated joint venture for 10 medical office and life science properties in which we own a 20% equity interest, or the LSMD JV, and the unconsolidated joint venture for a life science property located in Boston, Massachusetts in which we own a 10% equity interest, or the Seaport JV, using the equity method of accounting under the fair value option. We recognized changes in the fair value of our investments in our unconsolidated joint ventures of $2,654 and $(21,493) during the three months ended June 30, 2025 and 2024, respectively, and $3,792 and $(19,880) during the six months ended June 30, 2025 and 2024, respectively. These amounts are included in equity in net earnings (losses) of investees in our condensed consolidated statements of comprehensive income (loss). See Note 6 for further information regarding the valuation of our investment in these joint ventures.
Equity Method Investment in AlerisLife:
As of June 30, 2025, we owned approximately 34.0% of the outstanding common shares of AlerisLife Inc., or AlerisLife. We do not control the activities that are most significant to AlerisLife and, as a result, we account for our non-controlling interest in AlerisLife using the equity method of accounting.
As of June 30, 2025, our investment in AlerisLife had a carrying value of $8,418. The cost basis of our investment in AlerisLife exceeded our proportionate share of AlerisLife's total stockholders' equity book value on the date of acquisition of our initial interest in AlerisLife, which was February 16, 2024, by an aggregate of $29,500. As required under GAAP, we are amortizing this difference to equity in earnings of an investee over 21 years, the weighted average remaining useful life of the real estate assets owned by AlerisLife and the intangible contract asset with us as of the date of acquisition. We recorded amortization of the basis difference of $351 and $352 for the three months ended June 30, 2025 and 2024, respectively, and $702 and $526 for the six months ended June 30, 2025 and 2024, respectively. We recognized income of $77 and $8,834 related to our investment in AlerisLife for the three months ended June 30, 2025 and 2024, respectively, and $75 and $8,945 for the six months ended June 30, 2025 and 2024, respectively. These amounts are included in equity in net earnings (losses) of investees in our condensed consolidated statements of comprehensive income (loss). On February 14, 2025, AlerisLife paid an aggregate cash dividend of $50,000 to its stockholders. Our pro rata share of this cash dividend was $17,000 and our basis in the equity method investment in AlerisLife was reduced by such amount. On July 15, 2025, AlerisLife paid an aggregate cash dividend of $10,000 to its stockholders. Our pro rata share of this cash dividend was $3,400 and our basis in the equity method investment in AlerisLife will be reduced by such amount. See Note 11 for further information regarding our investment in AlerisLife.
Other:
In September 2022, certain of our managed senior living communities located in Florida experienced hurricane related damage. We carry comprehensive property, casualty, flood and business interruption insurances which covered our losses at these senior living communities, subject to a deductible. During the six months ended June 30, 2025, we recognized a gain on
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
insurance recoveries of $7,522 as a result of insurance proceeds received for these damaged senior living communities and the closing of the associated claim.
Note 4.  Leases
We are a lessor of medical office and life science properties, senior living communities and other healthcare related properties. Our leases provide our tenants with the contractual right to use and economically benefit from all of the premises demised under the leases; therefore, we have determined to evaluate our leases as lease arrangements.
Our leases provide for base rent payments and, in addition, may include variable payments. Rental income from operating leases, including any payments derived by index or market based indices, is recognized on a straight line basis over the lease term when we have determined that the collectability of substantially all of the lease payments is probable. Some of our leases have options to extend or terminate the lease exercisable at the option of our tenants, which are considered when determining the lease term.
We decreased rental income to record revenue on a straight line basis by $146 for the three months ended June 30, 2025. We increased rental income to record revenue on a straight line basis by $309 for the six months ended June 30, 2025 and $656 and $947 for the three and six months ended June 30, 2024, respectively. Rents receivable, excluding receivables related to our properties classified as held for sale, if any, include $69,749 and $69,814 of straight line rent receivables at June 30, 2025 and December 31, 2024, respectively, and are included in other assets, net in our condensed consolidated balance sheets.
We do not include in our measurement of our lease receivables certain variable payments, including changes in the index or market based indices after the inception of the lease, certain tenant reimbursements and other income until the specific events that trigger the variable payments have occurred. Such payments totaled $9,812 and $11,635 for the three months ended June 30, 2025 and 2024, respectively, of which tenant reimbursements totaled $9,768 and $11,586, respectively, and $20,650 and $22,985 for the six months ended June 30, 2025 and 2024, respectively, of which tenant reimbursements totaled $20,191 and $22,870, respectively.
Right of Use Asset and Lease Liability: For leases where we are the lessee, we recognize a right of use asset and a lease liability equal to the present value of the minimum lease payments, with rental payments being applied to the lease liability and the right of use asset being amortized over the term of the lease. The values of the right of use assets and related liabilities representing our future obligation under the respective lease arrangements for which we are the lessee were $18,301 and $18,689, respectively, as of June 30, 2025, and $20,025 and $20,411, respectively, as of December 31, 2024. The right of use assets and related lease liabilities are included within other assets, net and other liabilities, respectively, within our condensed consolidated balance sheets. In addition, we lease equipment at certain of our managed senior living communities. These leases are short term in nature, are cancelable with no fee or do not result in an annual expense in excess of our capitalization policy and, as a result, are not recorded on our condensed consolidated balance sheets.
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
Note 5.  Indebtedness
At June 30, 2025 and December 31, 2024, our outstanding indebtedness consisted of the following:
Senior Unsecured Notes:
Principal Balance as of
   
Coupon RateMaturityJune 30, 2025December 31, 2024
Senior unsecured notes9.750%June 2025$ $380,000 
Senior unsecured notes4.750%February 2028500,000 500,000 
Senior unsecured notes (1)
4.375%March 2031500,000 500,000 
Senior unsecured notes5.625%August 2042350,000 350,000 
Senior unsecured notes6.250%February 2046250,000 250,000 
Total1,600,000 1,980,000 
Unamortized discount(2,217)(2,639)
Unamortized debt issuance costs(18,456)(20,042)
Senior unsecured notes, net  $1,579,327 $1,957,319 
(1)These notes are fully and unconditionally guaranteed, on a joint, several and unsecured basis, by all of our subsidiaries except certain excluded subsidiaries. The notes and related guarantees are effectively subordinated to all of our and the subsidiary guarantors' secured indebtedness, respectively, to the extent of the value of the applicable collateral, and are structurally subordinated to all indebtedness and other liabilities and any preferred equity of any of our subsidiaries that do not guarantee the notes.

Secured and Other Debt:
 Number of
Properties Securing
Principal Balance as of (1)
  Net Book Value of Collateral as of
  
At June 30, 2025At December 31, 2024June 30, 2025December 31, 2024Interest
Rate
MaturityJune 30, 2025December 31, 2024
Secured revolving credit facility
14  $ $ 7.05 %June 2029$327,702 $ 
Senior secured notes (2)(3)
73 95 641,376 940,534 0.00 %January 2026863,318 1,064,171 
Floating rate mortgage loan (4)
14  140,000  6.82 %March 2028144,293  
Mortgage note4  64,000  6.57 %June 2030136,775  
Mortgage note8 8 120,000 120,000 6.86 %June 2034186,577 191,186 
Mortgage notes (5)
7  108,873  6.22 %May 2035150,658  
Mortgage notes (6)
2  30,284  6.36 %June 203535,540  
Mortgage note1 1 6,652 7,464 6.44 %July 204312,863 13,097 
Finance Leases2 2 1,491 2,338 7.70 %April 202620,895 21,606 
Total125 106 1,112,676 1,070,336 $1,878,621 $1,290,060 
Unamortized discount(36,710)(101,035)
Unamortized debt issuance costs (7)
(18,783)(15,716)
Total secured and other debt, net$1,057,183 $953,585 
(1)The principal balances are the amounts stated in the contracts. In accordance with GAAP, our carrying values and recorded interest expense may be different because of market conditions at the time we assumed certain of these debts.
(2)These notes are fully and unconditionally guaranteed, on a joint, several and senior secured basis by certain of our subsidiaries that own 73 properties, or the Collateral Guarantors, and on a joint, several and unsecured basis, by all our subsidiaries other than the Collateral Guarantors and certain excluded subsidiaries. These notes and the guarantees provided by the Collateral Guarantors are secured by a first priority lien on and security interest in each of the collateral properties and 100% of the equity interests in each of the Collateral Guarantors. The guarantees provided by all our subsidiaries other than the Collateral Guarantors and certain excluded
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(dollar amounts in thousands, except per share data or as otherwise stated)
subsidiaries are effectively subordinated to all of the subsidiary guarantors' secured indebtedness to the extent of the value of the applicable collateral, and the notes and related guarantees are structurally subordinated to all indebtedness and other liabilities and any preferred equity of any of our subsidiaries that do not guarantee the notes.
(3)We have a one-time option to extend the maturity date of these senior secured notes by one year, to January 15, 2027, subject to satisfaction of certain conditions and payment of an extension fee. If we exercise this option, interest payments will be due semiannually during the extension period at an initial interest rate of 11.25% with increases of 50 basis points every 90 days these senior secured notes remain outstanding.
(4)This mortgage loan requires that interest be paid at an annual rate of SOFR plus a premium of 2.50% with interest-only payments through April 2027, and we have two six-month extension options of the interest-only period, subject to satisfaction of certain conditions. In connection with this mortgage loan, we have purchased an interest rate cap with a SOFR strike rate equal to 4.50% pursuant to the terms of the applicable loan agreement.
(5)These mortgage loans require interest-only payments through May 2030.
(6)These mortgage loans require interest-only payments through June 2028.
(7)Excludes unamortized debt issuance costs for our revolving credit facility as these costs are included in other assets, net in our condensed consolidated balance sheets.

As of June 30, 2025, all $641,376 of our senior secured notes due 2026 are fully and unconditionally guaranteed, on a joint, several and senior secured basis, by the Collateral Guarantors, and on a joint, several and unsecured basis, by all our subsidiaries other than the Collateral Guarantors and certain excluded subsidiaries, and all $500,000 of our 4.375% senior notes due 2031 were fully and unconditionally guaranteed, on a joint, several and unsecured basis, by all of our subsidiaries except certain excluded subsidiaries. The notes and related guarantees (other than our senior secured notes and the guarantees provided by the Collateral Guarantors) are effectively subordinated to all of our and the subsidiary guarantors' secured indebtedness, respectively, to the extent of the value of the applicable collateral, and the notes and related guarantees are structurally subordinated to all indebtedness and other liabilities and any preferred equity of any of our subsidiaries that do not guarantee the notes. Our remaining $1,100,000 of senior unsecured notes do not have the benefit of any guarantees as of June 30, 2025. As of August 1, 2025, we are under agreements or letters of intent to sell 11 additional properties that secure our senior secured notes due 2026 for an expected aggregate sales price of $90,588, excluding closing costs. The net proceeds from these sales are required to be used to partially redeem these senior secured notes, if these sales are completed.
Our senior secured notes due 2026 and the guarantees provided by the Collateral Guarantors are secured by a first priority lien and security interest in each of the collateral properties and 100% of the equity interests in each of the Collateral Guarantors. No cash interest will accrue on these notes prior to maturity. The accreted value of these notes will increase at a rate of 11.25% per annum compounded semiannually on January 15 and July 15 of each year, such that the accreted value will equal the principal amount at maturity. We recognized discount accretion of $16,307 and $21,440 for the three months ended June 30, 2025 and 2024, respectively, and $38,429 and $42,099 for the six months ended June 30, 2025 and 2024, respectively, for our senior secured notes due 2026 in interest expense in our condensed consolidated statements of comprehensive income (loss).
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
The table below represents our indebtedness repayments, excluding scheduled payments on amortizing debt, for the six months ended June 30, 2025:
DateDebt InstrumentSecured Property CountInterest RateOriginal Maturity DateOutstanding Principal BalanceRepayment AmountRemaining Principal BalanceLoss on Modification or Early Extinguishment of Debt
Repayments during the six months ended June 30, 2025:
March 2025 (1)
Senior secured notes73%January 2026$940,534 $299,158 $641,376 $29,071 
April 2025Senior unsecured notes9.75%June 2025$380,000 140,000 $240,000 82 
May 2025Senior unsecured notes9.75%June 2025$240,000 140,000 $100,000 44 
June 2025Senior unsecured notes9.75%June 2025$100,000 100,000 $  
Total$679,158 $29,197 
(1)During the six months ended June 30, 2025, we sold 22 properties that secured our senior secured notes due 2026. We used aggregate net proceeds of $299,158 from the sales of these properties to partially redeem these senior secured notes.
In March 2025, we executed a $140,000 floating rate mortgage loan secured by 14 SHOP communities. This mortgage loan matures in March 2028 and requires that interest be paid at an annual rate of SOFR plus a premium of 2.50% with interest-only payments through April 2027.
In April 2025, we executed a $108,873 fixed rate mortgage financing secured by seven SHOP communities. These mortgage loans mature in May 2035 and require that interest be paid at an annual rate of 6.22% with interest-only payments through May 2030.
In May 2025, we executed a $64,000 fixed rate mortgage loan secured by four SHOP communities. This mortgage loan matures in June 2030 and requires that interest be paid at an annual rate of 6.57%.
In May 2025, we executed a $30,284 fixed rate mortgage financing secured by two SHOP communities. These mortgage loans mature in June 2035 and require that interest be paid at an annual rate of 6.36% with interest-only payments through June 2028.
From April through June 2025, we used the net proceeds from the 2025 mortgage financings, together with cash on hand, to fully redeem the remaining $380,000 principal balance of our 9.75% senior unsecured notes due June 2025.
In June 2025, we obtained a $150,000 revolving credit facility secured by 14 senior living communities in our SHOP segment. Our revolving credit facility is available for general business purposes, including acquisitions. We can borrow, repay and reborrow funds available under our revolving credit facility, and no principal repayments are due, until maturity. Availability of borrowings under the agreement governing our revolving credit facility, or our credit agreement, is subject to satisfying certain financial covenants and other credit facility conditions. Our revolving credit facility matures in June 2029 and we have two six-month extension options for the maturity date of the facility, subject to satisfaction of certain conditions and payment of an extension fee.
Interest payable on borrowings under our revolving credit facility is based on SOFR plus a premium of 2.50% to 3.00%, depending on our net leverage ratio, as defined in our credit agreement, which was 2.50% as of June 30, 2025. We also pay an unused commitment fee of 25 to 35 basis points per annum based on amounts outstanding under our revolving credit facility. As of June 30, 2025, the annual interest rate payable on borrowings under our revolving credit facility was 7.05%. As of June 30, 2025 and August 1, 2025, we had no borrowings under our revolving credit facility and $150,000 available for borrowings.
Interest on our senior unsecured notes is payable either semiannually or quarterly in arrears; however, no principal repayments are due until maturity. No interest is payable on our senior secured notes, with the full principal amount due at maturity. Our mortgage loan maturing in June 2034 requires monthly interest payments and no principal payment is due until maturity, while our mortgage loans maturing in March 2028, May 2035 and June 2035 require monthly interest payments and no principal payment is due for a specified amount of time. Our mortgage loans maturing in June 2030 and July 2043 require
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
monthly principal and interest payments. Payments under our finance leases are due monthly. We include amortization of finance lease assets in depreciation and amortization expense.
Our credit agreement, our mortgage loan agreements and our senior notes indentures and their supplements provide for acceleration of payment of all amounts outstanding upon the occurrence and continuation of certain events of default. Our credit agreement and our senior notes indentures and their supplements also contain covenants that restrict our ability to incur debts, including debts secured by mortgages on our properties, in excess of calculated amounts and require us to maintain various financial ratios. Borrowings under our revolving credit facility are subject to satisfying certain financial covenants and other credit facility conditions. We believe we were in compliance with the terms and conditions of our debt agreements as of June 30, 2025.
Note 6.  Fair Value of Assets and Liabilities
The following table presents certain of our assets that are measured at fair value at June 30, 2025 and December 31, 2024, categorized by the level of inputs as defined in the fair value hierarchy under GAAP, used in the valuation of each asset.
As of June 30, 2025As of December 31, 2024
DescriptionCarrying ValueCarrying Value
Recurring Fair Value Measurements Assets:  
Investment in unconsolidated joint venture (Level 3) (1)
$94,415 $81,949 
Investment in unconsolidated joint venture (Level 3) (2)
$44,736 $44,910 
Interest rate cap (Level 2) (3)
$18 $ 
Non-Recurring Fair Value Measurements Assets:
AG˹ٷ estate properties held for sale (Level 2) (4)
$40,934 $ 
(1)The 10% equity interest we own in the Seaport JV is included in investments in unconsolidated joint ventures in our condensed consolidated balance sheet, and is reported at fair value, which is based on significant unobservable inputs (Level 3 inputs). The significant unobservable inputs used in the fair value analysis are a discount rate of 7.00%, an exit capitalization rate of 6.00%, a holding period of 10 years and market rents. The assumptions made in the fair value analysis are based on the location, type and nature of the property, and current and anticipated market conditions. See Note 3 for further information regarding this joint venture.
(2)The 20% equity interest we own in the LSMD JV is included in investments in unconsolidated joint ventures in our condensed consolidated balance sheet, and is reported at fair value, which is based on significant unobservable inputs (Level 3 inputs). The significant unobservable inputs used in the fair value analysis are discount rates of between 6.50% and 9.50%, exit capitalization rates of between 5.50% and 8.50%, holding periods of 10 years and market rents. The assumptions we made in the fair value analysis are based on the location, type and nature of each property, and current and anticipated market conditions. See Note 3 for further information regarding this joint venture.
(3)The fair value of our interest rate cap derivative is based on prevailing market prices in secondary markets for similar derivative contracts as of the measurement date.
(4)We have assets in our condensed consolidated balance sheets that are measured at fair value on a non-recurring basis. During the three months ended June 30, 2025, we recorded impairment charges of $13,794 to reduce the carrying value of seven medical office properties, two of which are classified as held for sale, to their estimated sales price, less estimated costs to sell, of $17,892 under agreements or letters or intent to sell that we have entered into with third parties. During the three months ended June 30, 2025, we also recorded impairment charges of $17,199 to reduce the carrying value of 10 senior living communities classified as held for sale to their estimated sales price, less estimated costs to sell, of $23,042 under agreements to sell that we have entered into with third parties. See Note 3 for further information about impairment charges and the properties we have classified as held for sale.
In addition to the assets described in the table above, our financial instruments at June 30, 2025 and December 31, 2024 included cash and cash equivalents, restricted cash, certain other assets, our revolving credit facility, senior unsecured notes, senior secured notes, secured debt and finance leases and certain other unsecured obligations and liabilities. The fair values of these financial instruments approximated their carrying values in our condensed consolidated financial statements as of such dates, except as follows:
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
 As of June 30, 2025As of December 31, 2024
Description
Carrying Value (1)
Estimated Fair Value
Carrying Value (1)
Estimated Fair Value
Senior unsecured notes, 9.750% coupon rate, due 2025
$ $ $379,392 $379,970 
Senior secured notes, zero coupon rate, due 2026
600,235 622,071 826,974 885,108 
Senior unsecured notes, 4.750% coupon rate, due 2028
496,654 462,770 496,018 429,170 
Senior unsecured notes, 4.375% coupon rate, due 2031
495,131 422,285 494,702 368,240 
Senior unsecured notes, 5.625% coupon rate, due 2042
343,493 219,100 343,302 218,260 
Senior unsecured notes, 6.250% coupon rate, due 2046
244,049 165,400 243,905 157,700 
Secured debt and finance leases456,948 350,581 126,611 126,001 
 $2,636,510 $2,242,207 $2,910,904 $2,564,449 
(1)Includes unamortized net discounts, premiums and debt issuance costs, if any.
We estimated the fair values of our two issuances of senior unsecured notes due 2042 and 2046 based on the closing price on The Nasdaq Stock Market LLC, or Nasdaq, as of June 30, 2025 and December 31, 2024 (Level 1 inputs as defined in the fair value hierarchy under GAAP). We estimated the fair values of our three issuances of senior unsecured notes due 2025, 2028 and 2031 and our issuance of senior secured notes due 2026 using an average of the bid and ask price on Nasdaq on or about June 30, 2025 and December 31, 2024 (Level 2 inputs as defined in the fair value hierarchy under GAAP). We estimated the fair values of our secured debts by using discounted cash flows analyses and currently prevailing market terms as of the measurement date (Level 3 inputs as defined in the fair value hierarchy under GAAP). Because Level 3 inputs are unobservable, our estimated fair values may differ materially from the actual fair values.
Note 7.  Shareholders' Equity
Common Share Awards:
On March 20, 2025, in accordance with our Trustee compensation arrangements, we awarded 33,582 of our common shares in connection with the election of one of our Trustees, valued at $2.68 per share, the closing price of our common shares on Nasdaq on that day.
On May 29, 2025, in accordance with our Trustee compensation arrangements, we awarded to each of our seven Trustees 29,141 of our common shares, valued at $3.26 per share, the closing price of our common shares on Nasdaq on that day.
Common Share Purchases:
During the three and six months ended June 30, 2025, we purchased an aggregate of 38,908 and 40,943 of our common shares, respectively, valued at a weighted average share price of $2.64, from certain former officers and employees of The RMR Group LLC, or RMR, in satisfaction of tax withholding and payment obligations in connection with the vesting of prior awards of our common shares. We withheld and purchased these common shares at their fair market values based upon the trading prices of our common shares at the close of trading on Nasdaq on the applicable purchase dates.
Distributions:
During the six months ended June 30, 2025, we declared and paid quarterly distributions to common shareholders as follows:
Declaration DateRecord DatePayment DateDistribution Per ShareTotal Distributions
January 16, 2025January 27, 2025February 20, 2025$0.01 $2,413 
April 10, 2025April 22, 2025May 15, 20250.01 2,413 
$0.02 $4,826 
On July 10, 2025, we declared a quarterly distribution to common shareholders of record on July 21, 2025 of $0.01 per share, or approximately $2,414. We expect to pay this distribution on or about August 14, 2025 using cash on hand.
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
Note 8.  Segment Reporting
Our operating segments are based on our internal reporting structure and property type and are aligned with how our Chief Operating Decision Maker, or the CODM, reviews the operating results to allocate resources and assess segment performance. The CODM is our President and Chief Executive Officer. Our two reportable segments are SHOP and Medical Office and Life Science Portfolio. Our SHOP segment consists of managed senior living communities that provide short term and long term residential living and, in some instances, care and other services for residents where we pay fees to managers to operate the communities on our behalf. Our Medical Office and Life Science Portfolio segment primarily consists of medical office properties leased to medical providers and other medical related businesses, as well as life science properties primarily leased to biotech laboratories and other similar tenants.
The significant expense categories and amounts presented below align with the segment-level information that is regularly provided to our CODM. The CODM reviews operating and financial results, including net income (loss) and its components, to assess performance, allocate resources and guide strategic decisions. For further information regarding the accounting policies of our reportable segments, see Note 2 to our consolidated financial statements included in Part IV, Item 15 of our Annual Report. The tables below present information about our segments.

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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
 
For the Three Months Ended June 30, 2025
 
SHOP
Medical Office and Life Science PortfolioTotal
Revenues:   
Rental income$ $48,056 $48,056 
Residents fees and services327,545  327,545 
Total segment revenues327,545 48,056 375,601 
Reconciliation of revenue:
Other revenue (1)
7,111 
Total revenues382,712 
Less:   
Senior living labor and benefits165,260  165,260 
Dietary21,285  21,285 
Utilities17,360 2,788 20,148 
AG˹ٷ estate taxes11,974 5,972 17,946 
Insurance8,019 602 8,621 
Other operating expenses (2)
67,032 12,207 79,239 
Interest expense4,861 2,271 7,132 
Depreciation and amortization47,726 16,175 63,901 
Other segment items (3)
22,443 13,325 35,768 
Segment loss(38,415)(5,284)(43,699)
Reconciliation of segment loss:
Other income (1)
4,665 
General and administrative(11,177)
Acquisition and certain other transaction related costs(75)
Interest and other income2,982 
Interest expense(43,794)
Loss on modification or early extinguishment of debt(126)
Income tax expense(843)
Equity in net earnings of an investee428 
Net loss$(91,639)
(1)Revenue and net income from our triple net leased wellness centers and senior living communities that are leased to third party operators, which we do not consider to be sufficiently material to constitute a separate reportable segment.
(2)Other operating expenses for each reportable segment include expenses such as management fees, repairs and maintenance, cleaning and other costs incurred in connection with the operation of our properties.
(3)Other segment items for each reportable segment include impairment of assets, gain (loss) on sale of properties, gain (loss) on modification or early extinguishment of debt, equity in net earnings (losses) of investees, interest and other income and gain on insurance recoveries, as applicable.
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
 For the Six Months Ended June 30, 2025
 
SHOP
Medical Office and Life Science PortfolioTotal
Revenues:   
Rental income$ $97,819 $97,819 
Residents fees and services655,851  655,851 
Total segment revenues655,851 97,819 753,670 
Reconciliation of revenue:
Other revenue (1)
15,906 
Total revenues769,576 
Less:  
Senior living labor and benefits327,664  327,664 
Dietary41,531  41,531 
Utilities36,938 6,390 43,328 
AG˹ٷ estate taxes24,044 11,806 35,850 
Insurance18,332 1,223 19,555 
Other operating expenses (2)
133,899 25,057 158,956 
Interest expense4,927 4,524 9,451 
Depreciation and amortization96,361 33,496 129,857 
Other segment items (3)
13,657 39,343 53,000 
Segment loss(41,502)(24,020)(65,522)
Reconciliation of segment loss:
Other income (1)
11,150 
General and administrative(20,177)
Acquisition and certain other transaction related costs(99)
Gain on sale of properties97,560 
Interest and other income5,081 
Interest expense(99,306)
Loss on modification or early extinguishment of debt(29,197)
Income tax expense(892)
Equity in net earnings of an investee777 
Net loss$(100,625)
(1)Revenue and net income from our triple net leased wellness centers and senior living communities that are leased to third party operators, which we do not consider to be sufficiently material to constitute a separate reportable segment.
(2)Other operating expenses for each reportable segment include expenses such as management fees, repairs and maintenance, cleaning and other costs incurred in connection with the operation of our properties.
(3)Other segment items for each reportable segment include impairment of assets, gain (loss) on sale of properties, gain (loss) on modification or early extinguishment of debt, equity in net earnings (losses) of investees, interest and other income and gain on insurance recoveries, as applicable.

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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
 
For the Three Months Ended June 30, 2024
 SHOPMedical Office and Life Science PortfolioTotal
Revenues:   
Rental income$ $54,555 $54,555 
Residents fees and services308,522  308,522 
Total segment revenues308,522 54,555 363,077 
Reconciliation of revenue:
Other revenue (1)
8,315 
Total revenues371,392 
Less:   
Senior living labor and benefits154,726  154,726 
Dietary20,977  20,977 
Utilities16,555 2,990 19,545 
AG˹ٷ estate taxes11,669 7,059 18,728 
Insurance11,340 1,046 12,386 
Other operating expenses (2)
64,271 13,187 77,458 
Interest expense61 894 955 
Depreciation and amortization46,911 18,975 65,886 
Other segment items (3)
 41,251 41,251 
Segment loss(17,988)(30,847)(48,835)
Reconciliation of segment loss:
Other income (1)
5,599 
General and administrative(6,262)
Acquisition and certain other transaction related costs(1,826)
Interest and other income2,403 
Interest expense(57,747)
Loss on modification or early extinguishment of debt(209)
Income tax expense(170)
Equity in net earnings of an investee9,186 
Net loss$(97,861)
(1)Revenue and net income from our triple net leased wellness centers and senior living communities that are leased to third party operators, which we do not consider to be sufficiently material to constitute a separate reportable segment.
(2)Other operating expenses for each reportable segment include expenses such as management fees, repairs and maintenance, cleaning and other costs incurred in connection with the operation of our properties.
(3)Other segment items for each reportable segment include impairment of assets, gain (loss) on sale of properties, gain (loss) on modification or early extinguishment of debt, equity in net earnings (losses) of investees, interest and other income and gain on insurance recoveries, as applicable.

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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
 For the Six Months Ended June 30, 2024
 SHOPMedical Office and Life Science PortfolioTotal
Revenues:   
Rental income$ $108,704 $108,704 
Residents fees and services616,648  616,648 
Total segment revenues616,648 108,704 725,352 
Reconciliation of revenue:
Other revenue (1)
16,816 
Total revenues742,168 
Less:   
Senior living labor and benefits312,607  312,607 
Dietary41,496  41,496 
Utilities34,809 6,399 41,208 
AG˹ٷ estate taxes23,132 14,239 37,371 
Insurance22,547 1,780 24,327 
Other operating expenses (2)
128,363 25,761 154,124 
Interest expense129 1,116 1,245 
Depreciation and amortization93,833 39,715 133,548 
Other segment items (3)
 57,654 57,654 
Segment loss(40,268)(37,960)(78,228)
Reconciliation of segment loss:
Other income (1)
11,338 
General and administrative(13,830)
Acquisition and certain other transaction related costs(1,912)
Interest and other income4,640 
Interest expense(115,033)
Loss on modification or early extinguishment of debt(209)
Income tax expense(357)
Equity in net earnings of an investee9,471 
Net loss$(184,120)
(1)Revenue and net income from our triple net leased wellness centers and senior living communities that are leased to third party operators, which we do not consider to be sufficiently material to constitute a separate reportable segment.
(2)Other operating expenses for each reportable segment include expenses such as management fees, repairs and maintenance, cleaning and other costs incurred in connection with the operation of our properties.
(3)Other segment items for each reportable segment include impairment of assets, gain (loss) on sale of properties, gain (loss) on modification or early extinguishment of debt, equity in net earnings (losses) of investees, interest and other income and gain on insurance recoveries, as applicable.
 As of June 30, 2025As of December 31, 2024
Assets (1)
SHOP$3,004,547 $3,084,101 
Medical Office and Life Science Portfolio1,441,873 1,688,034 
All Other310,021 364,870 
Total assets$4,756,441 $5,137,005 
(1)See Note 3 for further information regarding additions to long-lived assets.
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
Note 9. Senior Living Community Management Agreements
Our managed senior living communities are operated by third parties pursuant to management agreements. Five Star Senior Living, or Five Star, which is an operating division of AlerisLife, manages many of our SHOP communities. Five Star manages these communities for us pursuant to a master management agreement. AlerisLife guarantees the payment and performance of each of its applicable subsidiary's obligations under the applicable management agreements. We lease our managed senior living communities to our taxable REIT subsidiaries, or TRSs.
Our Senior Living Communities Managed by Five Star. Five Star managed 118 and 119 of our senior living communities as of June 30, 2025 and 2024, respectively.
We incurred management fees payable to Five Star of $11,140 and $10,444 for the three months ended June 30, 2025 and 2024, respectively, and $22,374 and $20,851 for the six months ended June 30, 2025 and 2024, respectively. For the three months ended June 30, 2025 and 2024, $10,636 and $9,995, respectively, of the total management fees were expensed to property operating expenses in our condensed consolidated statements of comprehensive income (loss) and $504 and $449, respectively, were capitalized in our condensed consolidated balance sheets. For the six months ended June 30, 2025 and 2024, $21,275 and $19,993, respectively, of the total management fees were expensed to property operating expenses in our condensed consolidated statements of comprehensive income (loss) and $1,099 and $858, respectively, were capitalized in our condensed consolidated balance sheets. The amounts capitalized are being depreciated over the estimated useful lives of the related capital assets.
Our Senior Living Communities Managed by Other Third Party Managers. Several other third party managers managed 112 and 111 of our senior living communities as of June 30, 2025 and 2024, respectively.
We incurred management fees payable to these third party managers of $5,970 and $5,758 for the three months ended June 30, 2025 and 2024, respectively, and $12,304 and $11,483 for the six months ended June 30, 2025 and 2024, respectively. Additionally, we incurred incentive management fees payable to certain of these third party managers of $351 for the six months ended June 30, 2025. These amounts are included in property operating expenses in our condensed consolidated statements of comprehensive income (loss).
The following table presents residents fees and services revenue from all of our managed senior living communities disaggregated by the type of contract and payer:
Three Months Ended June 30,Six Months Ended June 30,
Revenue from contracts with customers:2025202420252024
Basic housing and support services$256,114 $241,116 $508,886 $484,771 
Medicare and Medicaid programs26,227 24,483 53,507 48,332 
Private pay and other third party payer SNF services 45,204 42,923 93,458 83,545 
Total residents fees and services$327,545 $308,522 $655,851 $616,648 
Note 10. Business and Property Management Agreements with RMR
We have no employees. The personnel and various services we require to operate our business are provided to us by RMR. We have two agreements with RMR to provide management services to us: (1) a business management agreement, which relates to our business generally; and (2) a property management agreement, which relates to the property level operations of many of our properties, including our medical office and life science properties, and major renovation or repositioning activities at our senior living communities that we may request RMR to manage from time to time. See Note 11 for further information regarding our relationship, agreements and transactions with RMR.
Business Management Agreements with RMR. Pursuant to our business management agreement and in accordance with GAAP, we accrued estimated incentive management fees during the three and six months ended June 30, 2025 and 2024, if any. The actual amount of incentive management fees incurred for 2025, if any, will be based on our common share total return, as defined in our business management agreement, for the three year period ending December 31, 2025, and will be payable to RMR in January 2026. We did not incur any incentive management fees for the year ended December 31, 2024.
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
Expense Reimbursement. We are generally responsible for all our operating expenses, including certain expenses incurred or arranged by RMR on our behalf. We are generally not responsible for payment of RMR's employment, office or administrative expenses incurred to provide management services to us, except for the employment and related expenses of RMR's employees assigned to work exclusively or partly at our properties, our share of the wages, benefits and other related costs of RMR's centralized accounting personnel, our share of RMR's costs for providing our internal audit function or as otherwise agreed. Our property level operating expenses are generally incorporated into the rents charged to our tenants, including certain payroll and related costs incurred by RMR.
For the three and six months ended June 30, 2025 and 2024, the business management fees, incentive management fees, property management fees and construction supervision fees and expense reimbursements recognized in our condensed consolidated financial statements were as follows:
Three Months Ended June 30,Six Months Ended June 30,
Financial Statement Line Item2025202420252024
Pursuant to business management agreement:
Business management fees
General and administrative expenses (1)
$3,741 $3,977 $7,550 $8,006 
Incentive management feesGeneral and administrative expenses4,148 (849)6,555  
Total$7,889 $3,128 $14,105 $8,006 
Pursuant to property management agreement (2):
Property management feesProperty operating expenses$1,192 $1,446 $2,456 $2,984 
Construction supervision fees
Building and improvements (3)
208 274 434 640 
Total$1,400 $1,720 $2,890 $3,624 
Expense Reimbursement:
Property level expensesProperty operating expenses$3,318 $3,631 $7,059 $7,277 
Other reimbursed expensesGeneral and administrative expenses50 82 100 164 
Total$3,368 $3,713 $7,159 $7,441 
(1)The net business management fees we recognized reflect a reduction of $743 for each of the three months ended June 30, 2025 and 2024 and $1,487 for each of the six months ended June 30, 2025 and 2024, for the amortization of the liability we recorded in connection with our former investment in The RMR Group Inc., or RMR Inc.
(2)The net property management and construction supervision fees we recognized reflect a reduction of $199 for each of the three months ended June 30, 2025 and 2024 and $398 for each of the six months ended June 30, 2025 and 2024, for the amortization of the liability we recorded in connection with our former investment in RMR Inc.
(3)Amounts capitalized as building improvements are depreciated over the estimated useful lives of the related capital assets.
In January 2025, in connection with a $100,000 credit agreement and related security agreement entered into by RMR and certain of its subsidiaries with Citibank, N.A., or Citibank, and the other lenders party thereto, we consented to the pledge and assignment of RMR’s interest in our management agreements under the security agreement. Pursuant to the consent, we agreed, among other things, that upon notice that an event of default under the RMR credit agreement has occurred and is continuing, we will continue to make all payments under our management agreements in accordance with the instructions of Citibank, and that if there is an event of default by RMR under our management agreements that would allow us to terminate or suspend our obligations, we will not terminate or suspend without notice to Citibank and provide Citibank 30 days to cure the default on RMR’s behalf. The consent was approved by our Independent Trustees.
Management Agreements between our Joint Ventures and RMR. We have two separate joint venture arrangements with third party institutional investors, the Seaport JV and the LSMD JV. RMR provides management services to both of these joint ventures. Our joint ventures are not our consolidated subsidiaries and, as a result, we are not obligated to pay management fees to RMR under our management agreements with RMR for the services it provides regarding the joint ventures.
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DIVERSIFIED HEALTHCARE TRUST
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
Note 11. Related Person Transactions
We have relationships and historical and continuing transactions with RMR, RMR Inc., AlerisLife (including Five Star) and others related to them, including other companies to which RMR or its subsidiaries provide management services and some of which have trustees, directors or officers who are also our Trustees or officers. RMR is a majority owned subsidiary of RMR Inc. The Chair of our Board of Trustees and one of our Managing Trustees, Adam Portnoy, is the sole trustee, an officer and the controlling shareholder of ABP Trust, which is the controlling shareholder of RMR Inc., the chair of the board of directors, a managing director and the president and chief executive officer of RMR Inc., an officer and employee of RMR and the sole director of AlerisLife. Christopher Bilotto, our other Managing Trustee and President and Chief Executive Officer, and Matthew Brown, our Chief Financial Officer and Treasurer, are also officers and employees of RMR. Jennifer Clark, our Secretary and former Managing Trustee, also serves as a managing director and the executive vice president, general counsel and secretary of RMR Inc., an officer and employee of RMR, an officer of ABP Trust and secretary of AlerisLife. Jeffrey Leer, the president and chief executive officer of AlerisLife, is an executive officer of RMR. Some of our Independent Trustees also serve as independent trustees of other public companies to which RMR or its subsidiaries provide management services. Mr. Portnoy serves as the chair of the board and as a managing trustee of these companies. Other officers of RMR, including Ms. Clark and certain of our officers, serve as managing trustees or officers of certain of these companies. In addition, officers of RMR and RMR Inc. serve as our officers and officers of other companies to which RMR or its subsidiaries provide management services. As of June 30, 2025, ABP Trust and Mr. Portnoy owned 9.8% of our outstanding common shares.
AlerisLife. On February 16, 2024, we exercised our purchase right in connection with ABP Trust's acquisition of AlerisLife in March 2023 and acquired, together with our applicable TRS, approximately 34.0% of the then outstanding AlerisLife common shares from ABP Trust, for a total purchase price of $15,459, including transaction related costs, and we, our applicable TRS, ABP Trust and AlerisLife entered into a stockholders agreement. Following this acquisition, ABP Trust owns the remaining approximate 66.0% of AlerisLife.
On February 14, 2025, AlerisLife paid an aggregate cash dividend of $50,000 to its stockholders. Our pro rata share of this cash dividend was $17,000.
On July 15, 2025, AlerisLife paid an aggregate cash dividend of $10,000 to its stockholders. Our pro rata share of this cash dividend was $3,400.
See Note 9 for further information regarding our relationships, agreements and transactions with AlerisLife (including Five Star).
Our Joint Ventures. In connection with our entering into the LSMD JV in January 2022, we paid mortgage escrow amounts and closing costs that were payable by that joint venture. The remaining costs totaled $4,056 as of June 30, 2025 and are included in other assets, net, in our condensed consolidated balance sheet. RMR provides management services to each of the Seaport JV and the LSMD JV. See Note 10 for further information regarding those management agreements with RMR.
Our Manager, RMR. We have two agreements with RMR to provide management services to us. See Note 10 for further information regarding our management agreements with RMR.
Leases with RMR. We lease office space to RMR in certain of our properties for RMR’s property management offices. We recognized rental income from RMR for this leased office space of $102 and $148 for the three months ended June 30, 2025 and 2024, respectively, and $209 and $257 for the six months ended June 30, 2025 and 2024, respectively.
For further information about these and other such relationships and certain other related person transactions, see our Annual Report.
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DIVERSIFIED HEALTHCARE TRUST
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
Note 12.  Derivatives and Hedging Activities
We are exposed to certain risks relating to our ongoing business operations, including the impact of changes in interest rates. The only risk currently managed by us using derivative instruments is our interest rate risk. As required under the applicable loan agreement, we have an interest rate cap agreement to manage our interest rate risk exposure on our $140,000 floating rate mortgage loan secured by 14 SHOP communities with interest payable at a rate equal to SOFR plus a premium of 2.50%. The use of derivative financial instruments carries certain risks, including the risk that the counterparties to these contractual arrangements are not able to perform under the agreements. To mitigate this risk, we only enter into derivative financial instruments with counterparties with high credit ratings and with major financial institutions with which we or our related parties may also have other financial relationships. We do not anticipate that any of the counterparties will fail to meet their obligations.
Our interest rate cap agreement is designated as a cash flow hedge of interest rate risk and is measured on a recurring basis at fair value. See Notes 5 and 6 for further information regarding the debt our interest rate cap is related to and the fair value of our interest rate cap. The following table summarizes the terms of our outstanding interest rate cap agreement as of June 30, 2025:
Balance Sheet Line ItemUnderlying InstrumentMaturity DateStrike RateNotional AmountFair Value
Other assets, net
Floating rate mortgage loan
3/31/20284.50%$140,000 $18 
Interest rate caps designated as cash flow hedges involve the receipt of variable amounts from a counterparty if interest rates rise above the strike rate on the contract in exchange for an up-front premium. For derivatives designated and qualifying as cash flow hedges of interest rate risk, the gain or loss on the derivative is recorded in cumulative other comprehensive income (loss) and subsequently reclassified into interest expense in the same period during which the hedged transaction affects earnings. Gains and losses on the derivative representing hedge components excluded from the assessment of effectiveness are recognized over the life of the hedge on a systematic and rational basis, as documented at hedge inception in accordance with our accounting policy election. The earnings recognition of excluded components is presented in interest expense. Amounts reported in cumulative other comprehensive income (loss) related to derivatives will be reclassified to interest expense as interest payments are made, if any, on our applicable debt.
The following table summarizes the activity related to our cash flow hedges within cumulative other comprehensive income (loss) for the periods shown:
Three Months Ended June 30, 2025
Six Months Ended June 30, 2025
Amount of loss recognized on derivative in other comprehensive income (loss)$(23)$(29)
Amount of loss reclassified from cumulative other comprehensive income (loss) into interest expense$(12)$(12)
Total amount of interest expense presented in the condensed consolidated statements of comprehensive income (loss)$(50,926)$(108,757)
Note 13.  Income Taxes
We have elected to be taxed as a real estate investment trust, or REIT, under the Internal Revenue Code of 1986, as amended, and, as such, are generally not subject to federal and most state income taxation on our operating income provided we distribute our taxable income to our shareholders and meet certain organization and operating requirements. We do, however, lease our managed senior living communities to our wholly owned TRSs that, unlike most of our subsidiaries, file a separate consolidated federal corporate income tax return and are subject to federal and state income taxes. Our consolidated income tax provision includes the income tax provision related to the operations of our TRSs and certain state income taxes we incur despite our taxation as a REIT. Our current income tax expense (or benefit) fluctuates from period to period based primarily on the timing of our income, including gains on the disposition of properties or losses in a particular quarter. For the three months ended June 30, 2025 and 2024, we recognized income tax expense of $843 and $170, respectively, and for the six months ended June 30, 2025 and 2024, we recognized income tax expense of $892 and $357, respectively.
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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(dollar amounts in thousands, except per share data or as otherwise stated)
Note 14. Weighted Average Common Shares
We calculate basic earnings per common share using the two class method. We calculate diluted earnings per share using the more dilutive of the two class method or the treasury stock method. Unvested share awards and other potentially dilutive common shares, together with the related impact on earnings, are considered when calculating diluted earnings per share.
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Item 2.  Management's Discussion and Analysis of Financial Condition and Results of Operations.
The following discussion should be read in conjunction with our condensed consolidated financial statements and notes thereto included in this Quarterly Report on Form 10-Q and with our Annual Report.
OVERVIEW
We are a REIT organized under Maryland law that primarily owns medical office and life science properties, senior living communities and other healthcare related properties throughout the United States. As of June 30, 2025, we owned 341 properties located in 34 states and Washington, D.C., including 21 properties classified as held for sale and one closed senior living community.
As of June 30, 2025, we owned an equity interest in each of the Seaport JV and the LSMD JV that own medical office and life science properties located in five states with an aggregate of approximately 2.2 million rentable square feet that were 99% leased with an average (by annualized rental income) remaining lease term of 14.7 years.
We are encouraged by positive trends, including increases in rates, margins and occupancy, in our SHOP segment. Additionally, we expect that favorable supply and demand dynamics in the senior living industry will enable our managers to continue to grow occupancy and drive positive performance. While certain costs, primarily labor, insurance and food costs, have increased, we expect these cost increases to moderate, which will provide our managers the opportunity to increase rates in excess of increases in costs, resulting in improving returns to us.
In an effort to optimize performance, our asset management team reviews the results of each of our senior living communities and our operators, taking into account various factors such as performance metric benchmarks, location and other relevant data points. This comprehensive review process ensures that our decisions are data-driven and strategically aligned with our overall objectives. As a result of these reviews, our strategy to drive positive performance includes analyzing non-performing communities for potential disposition or transition to different operators.
We are closely monitoring the impacts of the current economic and market conditions on all aspects of our business, including, but not limited to, uncertainties surrounding interest rates and inflation, volatility in the public debt and equity markets, global geopolitical hostilities and tensions, economic uncertainties and tariffs, labor market conditions and changes in real estate utilization. We expect to experience continued variability in labor, insurance and food costs in our SHOP segment. Inflationary pressures in the United States, as well as global geopolitical instability and tensions, have given rise to uncertainty regarding potential disruptions in the financial markets. Continued or intensified disruptions in the financial markets could adversely affect our financial condition and that of our managers, operators and tenants, could adversely impact the ability or willingness of our managers, operators, tenants or residents to pay amounts owed to us, could impair our ability to effectively deploy our capital or realize our target returns on our investments, may restrict our access to, and would likely increase, our cost of capital, and may cause the values of our properties and of our securities to decline.
For further information and risks relating to these economic uncertainties and their impact on our business and financial condition, see Part I, Item 1, "Business" and Part I, Item 1A, "Risk Factors" in our Annual Report.
PORTFOLIO OVERVIEW
The following tables present an overview of our portfolio as of June 30, 2025 (dollars in thousands, except investment per square foot or unit data):
As of June 30, 2025Number
of Properties
Square Feet or Number of Units 
Gross Book Value of AG˹ٷ Estate Assets (1)
% of Total Gross Book Value of AG˹ٷ Estate Assets
Investment per Square Foot or Unit (2)
Q2 2025 Revenues
% of
Q2 2025 Revenues
Q2 2025 NOI (3)
% of Q2 2025 NOI
SHOP230 24,872 units$4,619,413 68.2 %$185,727 $327,545 85.6 %$36,615 52.2 %
Medical Office and Life Science Portfolio92 7,400,023 sq. ft.1,811,962 26.7 %$245 48,056 12.6 %26,487 37.8 %
Triple net leased senior living communities1,180 units135,640 2.0 %$114,949 3,213 0.8 %3,210 4.6 %
Wellness centers10 812,246 sq. ft.208,110 3.1 %$256 3,898 1.0 %3,820 5.4 %
Total341  $6,775,125 100.0 %$382,712 100.0 %$70,132 100.0 %
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 Occupancy
As of and For the Three Months Ended June 30,
 20252024
SHOP80.6 %79.0 %
Medical Office and Life Science Portfolio (4)
82.9 %81.5 %
Triple net leased senior living communities100.0 %100.0 %
Wellness centers100.0 %100.0 %
(1)Represents gross book value of real estate assets at cost plus certain acquisition costs, before depreciation and purchase price allocations and less impairment write downs, if any.
(2)Represents gross book value of real estate assets divided by number of rentable square feet or living units, as applicable.
(3)We calculate our net operating income, or NOI, on a consolidated basis and by reportable segment. Our definition of NOI and our reconciliation of net income (loss) to NOI are included below under the heading “Non-GAAP Financial Measures.”
(4)Medical office and life science property occupancy data includes (i) out of service assets undergoing redevelopment, (ii) space which is leased but is not occupied or is being offered for sublease by tenants and (iii) space being fitted out for occupancy.
During the three and six months ended June 30, 2025, we entered into new and renewal leases in our Medical Office and Life Science Portfolio segment as summarized in the following tables (dollars and square feet in thousands, except per square foot amounts):
Three Months Ended June 30, 2025
 New LeasesRenewalsTotal
Square feet leased during the quarter102 106 
Weighted average rental rate change (by rentable square feet)(1.9)%12.0 %11.5 %
Weighted average lease term (years)6.2 7.1 7.0 
Total leasing costs and concession commitments (1)
$165 $2,214 $2,379 
Total leasing costs and concession commitments per square foot (1)
$36.62 $21.75 $22.38 
Total leasing costs and concession commitments per square foot per year (1)
$5.91 $3.08 $3.18 
Six Months Ended June 30, 2025
 New LeasesRenewalsTotal
Square feet leased during the quarter124 127 251 
Weighted average rental rate change (by rentable square feet)21.1 %10.3 %15.4 %
Weighted average lease term (years)11.4 6.3 8.9 
Total leasing costs and concession commitments (1)
$9,997 $2,505 $12,502 
Total leasing costs and concession commitments per square foot (1)
$80.55 $19.75 $49.81 
Total leasing costs and concession commitments per square foot per year (1)
$7.04 $3.12 $5.61 
(1)Includes commitments made for leasing expenditures and concessions, such as tenant improvements, leasing commissions, tenant reimbursements and free rent.
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Lease Expiration Schedules
As of June 30, 2025, lease expirations in our Medical Office and Life Science Portfolio segment were as follows (dollars in thousands):
YearNumber of TenantsSquare Feet Leased% of Total Leased Square FeetCumulative % of Total Leased Square Feet
Annualized  Rental Income (1)
% of Total Annualized Rental IncomeCumulative % of Total Annualized Rental Income
202551212,407 3.5 %3.5 %$7,729 4.0 %4.0 %
202654673,410 11.0 %14.5 %21,523 11.1 %15.1 %
202767763,673 12.5 %27.0 %19,746 10.1 %25.2 %
2028601,168,293 19.0 %46.0 %35,926 18.5 %43.7 %
202963604,784 9.9 %55.9 %18,446 9.5 %53.2 %
203046438,520 7.2 %63.1 %11,684 6.0 %59.2 %
203121832,970 13.6 %76.7 %23,471 12.1 %71.3 %
203218357,443 5.8 %82.5 %13,259 6.8 %78.1 %
203313351,879 5.7 %88.2 %14,874 7.6 %85.7 %
2034 and thereafter41729,652 11.8 %100.0 %27,929 14.3 %100.0 %
Total4346,133,031 100.0 %$194,587 100.0 %
Weighted average remaining lease term (in years)4.8 5.1 
(1)Annualized rental income is based on rents pursuant to existing leases as of June 30, 2025, including straight line rent adjustments and estimated recurring expense reimbursements for certain net and modified gross leases and excluding lease value amortization at certain of our medical office and life science properties.
As of June 30, 2025, lease expirations at our triple net leased wellness centers and senior living communities leased to third party operators were as follows (dollars in thousands):
YearNumber of PropertiesNumber of Units or Square Feet
Annualized  Rental Income (1)
Percent of TotalCumulative Percent of Total
2025— — $— — %— %
2026— — — — %— %
2027533 units4,680 15.9 %15.9 %
2028— — — — %15.9 %
2029155 units547 1.9 %17.8 %
2030277 units and 129,600 sq. ft.5,046 17.1 %34.9 %
2031— — — — %34.9 %
2032— — — — %34.9 %
2033215 units5,177 17.5 %52.4 %
2034 and thereafter682,646 sq. ft.14,068 47.6 %100.0 %
Total18 $29,518 100.0 %
Weighted average remaining lease term (in years)9.1 10.2 
(1)Annualized rental income is based on rents pursuant to existing leases as of June 30, 2025. Annualized rental income includes estimated percentage rents and straight line rent adjustments and excludes lease value amortization.
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RESULTS OF OPERATIONS (dollars and square feet in thousands, unless otherwise noted)
We operate in, and report financial information for, the following two segments: SHOP and Medical Office and Life Science Portfolio. Our SHOP segment consists of managed senior living communities that provide short term and long term residential living and, in some instances, care and other services for residents where we pay fees to managers to operate the communities on our behalf. Our Medical Office and Life Science Portfolio segment primarily consists of medical office properties leased to medical providers and other medical related businesses, as well as life science properties primarily leased to biotech laboratories and other similar tenants.
We also report “All Other” operations, which consists of triple net leased wellness centers and senior living communities that are leased to third party operators from which we receive rents, which we do not consider to be sufficiently material to constitute a separate reportable segment, and any other income or expenses that are not attributable to a specific reportable segment.
The following table summarizes the results of operations of each of our segments for the three and six months ended June 30, 2025 and 2024:
Three Months Ended June 30,Six Months Ended June 30,
2025202420252024
Revenues:  
SHOP$327,545 $308,522 $655,851 $616,648 
Medical Office and Life Science Portfolio48,056 54,555 97,819 108,704 
All Other7,111 8,315 15,906 16,816 
Total revenues$382,712 $371,392 $769,576 $742,168 
Net loss:
SHOP$(38,415)$(17,988)$(41,502)$(40,268)
Medical Office and Life Science Portfolio(5,284)(30,847)(24,020)(37,960)
All Other(47,940)(49,026)(35,103)(105,892)
Net loss$(91,639)$(97,861)$(100,625)$(184,120)
The following section analyzes and discusses the results of operations of each of our segments for the periods presented.
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Three Months Ended June 30, 2025 Compared to Three Months Ended June 30, 2024 (dollars and square feet in thousands, except average monthly rate):
Unless otherwise indicated, references in this section to changes or comparisons of results, income or expenses refer to comparisons of the results for the three months ended June 30, 2025 to the three months ended June 30, 2024. Our definition of NOI and our reconciliation of net income (loss) to NOI and a description of why we believe NOI is an appropriate supplemental measure are included below under the heading “Non-GAAP Financial Measures.”
Three Months Ended June 30,
20252024$ Change% Change
NOI by segment:
SHOP$36,615 $28,984 $7,631 26.3 %
Medical Office and Life Science Portfolio26,487 30,273 (3,786)(12.5)%
All Other7,030 8,070 (1,040)(12.9)%
Total NOI70,132 67,327 2,805 4.2 %
Depreciation and amortization66,266 68,357 (2,091)(3.1)%
General and administrative11,177 6,262 4,915 78.5 %
Acquisition and certain other transaction related costs75 1,826 (1,751)(95.9)%
Impairment of assets30,993 6,545 24,448 nm
Loss on sale of properties(7,429)(13,213)5,784 (43.8)%
Interest and other income2,982 2,403 579 24.1 %
Interest expense
(50,926)(58,702)7,776 (13.2)%
Loss on modification or early extinguishment of debt(126)(209)83 (39.7)%
Loss before income taxes and equity in net earnings (losses) of investees(93,878)(85,384)(8,494)9.9 %
Income tax expense(843)(170)(673)nm
Equity in net earnings (losses) of investees3,082 (12,307)15,389 (125.0)%
Net loss$(91,639)$(97,861)$6,222 (6.4)%
    nm - not meaningful
SHOP:
 
Comparable Properties (1)
All Properties
 As of and For the Three MonthsAs of and For the Three Months
 Ended June 30,Ended June 30,
 2025202420252024
Total properties201 201 230 232 
Number of units22,443 22,443 24,872 25,230 
Occupancy81.0 %80.0 %80.6 %79.0 %
Average monthly rate (2)
$5,364 $5,099 $5,440 $5,161 
Three Months Ended June 30,
Comparable (1)
Non-Comparable
Properties ResultsProperties ResultsConsolidated Properties Results
$%$%
 20252024ChangeChange2025202420252024ChangeChange
Residents fees and services$292,724 $276,419 $16,305 5.9 %$34,821 $32,103 $327,545 $308,522 $19,023 6.2 %
Property operating expenses(255,352)(244,879)10,473 4.3 %(35,578)(34,659)(290,930)(279,538)11,392 4.1 %
NOI$37,372 $31,540 $5,832 18.5 %$(757)$(2,556)$36,615 $28,984 $7,631 26.3 %
(1)Consists of senior living communities that we have owned and which have been in service, reported in the same segment and operated by the same operator continuously since April 1, 2024; excludes communities classified as held for sale, closed or out of service, if any.
(2)Average monthly rate reflects the average monthly residents fees and services per occupied unit for the period presented. The average monthly rate is calculated based on the actual number of days during the period.
30


Residents fees and services. Residents fees and services are the revenues earned at our managed senior living communities. We recognize these revenues as services are provided and related fees are accrued. Residents fees and services increased at our comparable properties primarily due to increases in occupancy and average monthly rate at our communities as shown in the table above. The activity for our non-comparable properties primarily reflects the 15 communities classified as held for sale as of June 30, 2025 and nine communities transitioned to an existing third party manager during the 2024 period.
Property operating expenses. Property operating expenses consist of real estate taxes, utility expenses, insurance, wages and benefit costs of community level personnel, repairs and maintenance expense, management fees, cleaning expense and other direct costs of operating these communities. Property operating expenses increased at our comparable properties primarily due to increases in labor costs, marketing, contract labor costs and management fees as a result of higher revenues and other direct costs, partially offset by decreased insurance costs due to a reduction in premiums. The activity for our non-comparable properties primarily reflects the 15 communities classified as held for sale as of June 30, 2025 and nine communities transitioned to an existing third party manager during the 2024 period.
Net operating income. The change in NOI reflects the net changes in residents fees and services and property operating expenses described above.
Medical Office and Life Science Portfolio:
 
Comparable Properties (1)
All Properties
 As of June 30,As of June 30,
 2025202420252024
Total properties84 84 92 101 
Total square feet6,481 6,480 7,400 8,396 
Occupancy89.9 %92.0 %82.9 %81.5 %
Three Months Ended June 30,
Comparable (1)
Non-Comparable
 Properties ResultsProperties ResultsConsolidated Properties Results
$%$%
 20252024ChangeChange2025202420252024ChangeChange
Rental income$45,806 $47,020 $(1,214)(2.6)%$2,250 $7,535 $48,056 $54,555 $(6,499)(11.9)%
Property operating expenses(19,085)(19,779)(694)(3.5)%(2,484)(4,503)(21,569)(24,282)(2,713)(11.2)%
NOI$26,721 $27,241 $(520)(1.9)%$(234)$3,032 $26,487 $30,273 $(3,786)(12.5)%
(1)Consists of medical office and life science properties that we have owned and which have been in service continuously since April 1, 2024; excludes properties classified as held for sale or out of service undergoing redevelopment, if any, and properties owned by unconsolidated joint ventures in each of which we own an equity interest.
Rental income. Rental income decreased at our comparable properties primarily due to vacancies at certain of our properties. Rental income decreased at our non-comparable properties primarily due to dispositions since April 1, 2024.
Property operating expenses. Property operating expenses consist of real estate taxes, utility expenses, insurance, management fees, salaries and benefit costs of property level personnel, repairs and maintenance expense, cleaning expense and other direct costs of operating these properties. The decrease in property operating expenses at our comparable properties is primarily due to a decrease in insurance costs and other direct costs. Property operating expenses decreased at our non-comparable properties primarily due to dispositions since April 1, 2024.
Net operating income. The change in NOI reflects the net changes in rental income and property operating expenses described above.
31


All Other (1):
 
Comparable Properties (2)
All Properties
 As of and For the Three Months Ended June 30,As of and For the Three Months Ended June 30,
 2025202420252024
Total properties:
Triple net leased senior living communities27 
Wellness centers10 10 10 10 
Rent coverage:
Triple net leased senior living communities (3)
1.88 x1.89 x1.88 x1.89 x
Wellness centers (3)
2.93 x1.80 x2.93 x1.80 x
Three Months Ended June 30,
Comparable (2)
Non-Comparable
Properties ResultsProperties ResultsConsolidated Properties Results
$%$%
 20252024ChangeChange2025202420252024ChangeChange
Rental income$7,111 $6,290 $821 13.1 %$— $2,025 $7,111 $8,315 $(1,204)(14.5)%
Property operating expenses(81)(245)(164)(66.9)%— — (81)(245)(164)(66.9)%
NOI$7,030 $6,045 $985 16.3 %$— $2,025 $7,030 $8,070 $(1,040)(12.9)%
(1)All Other operations consist of all of our other operations, including certain wellness centers and senior living communities that are leased to third party operators, which segment we do not consider to be sufficiently material to constitute a separate reportable segment, and any other income or expenses that are not attributable to a specific reportable segment.
(2)Consists of properties that we have owned and which have been reported in the same segment and leased to the same operator continuously since April 1, 2024; excludes properties classified as held for sale, if any.
(3)All tenant operating data presented are based upon the operating results provided by our tenants for the most recent prior period for which tenant operating results are available to us. Rent coverage is calculated using the annualized operating cash flows from our triple net lease tenants' operations of our properties, before subordinated charges, if any, divided by annualized rental income. We have not independently verified tenant operating data. Excludes data for historical periods prior to our ownership of certain properties.
Rental income. Rental income increased at our comparable properties primarily due to new leases for one of our wellness center tenants. The activity for our non-comparable properties primarily reflects the 18 triple net leased senior living communities that we sold in February 2025.
Property operating expenses. Property operating expenses consist of real estate taxes, insurance and other expenses that are not paid directly by our tenants. The decrease in property operating expenses for our comparable properties primarily reflects real estate taxes and other expenses paid directly by our tenants during the three months ended June 30, 2025, which were previously paid by us during prior periods.
Net operating income. The change in NOI reflects the net changes in rental income and property operating expenses described above.
Consolidated:
Depreciation and amortization expense. Depreciation and amortization expense decreased primarily due to dispositions since April 1, 2024 and certain depreciable assets becoming fully depreciated, partially offset by the purchase of capital improvements at certain of our properties.
General and administrative expense. General and administrative expense consists of fees paid to RMR under our business management agreement, legal and accounting fees, fees and expenses of our Trustees, equity compensation expense and other costs relating to our status as a publicly traded company. General and administrative expense increased primarily due to $4,148 of estimated incentive management fees that we recognized for the three months ended June 30, 2025, compared to a $849 reversal as of June 30, 2024, as a result of our total shareholder return exceeding the returns for the MSCI U.S. REIT/Health Care REIT Index over the applicable measurement period.
Acquisition and certain other transaction related costs. Acquisition and certain other transaction related costs primarily represent costs incurred with acquisitions and non-recurring transactions that we expensed under GAAP.
32


Impairment of assets. For information about our asset impairment charges, see Note 3 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q and Note 3 to our consolidated financial statements included in Part IV, Item 15 of our Annual Report.
Loss on sale of properties. For information regarding loss on sale of properties, see Note 3 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.
Interest and other income. The increase in interest and other income is primarily due to higher average invested cash balances during the three months ended June 30, 2025 compared to the 2024 period.
Interest expense. Interest expense decreased primarily due to the redemption during 2025 of an aggregate $380,000 of our remaining 9.75% senior unsecured notes due 2025. Additionally, there was a decrease in discount accretion for our senior secured notes due 2026 due to the partial redemption of an aggregate $299,158 of these notes during 2025. During the three months ended June 30, 2025 and 2024, we recognized discount accretion of $16,307 and $21,440, respectively, for our senior secured notes due 2026. These decreases were partially offset by the execution of a $120,000 mortgage loan in May 2024 at a fixed interest rate of 6.864% per annum and four mortgage financings totaling $343,157 during 2025.
Loss on modification or early extinguishment of debt. During the three months ended June 30, 2025, we recorded a loss on early extinguishment of debt in connection with the redemption of all $380,000 of our remaining 9.75% senior secured notes due 2025.
Income tax expense. Income tax expense is the result of operating income we earned in certain jurisdictions where we are subject to state income taxes.
Equity in net earnings (losses) of investees. Equity in net earnings (losses) of investees is the change in the fair value of our investments in our joint ventures and also represents our proportionate share of the earnings of our equity method investment in AlerisLife. For further information regarding our investment in AlerisLife, see Notes 3 and 11 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.
33


Six Months Ended June 30, 2025 Compared to Six Months Ended June 30, 2024 (dollars and square feet in thousands, except average monthly rate):
Unless otherwise indicated, references in this section to changes or comparisons of results, income or expenses refer to comparisons of the results for the six months ended June 30, 2025 to the six months ended June 30, 2024. Our definition of NOI and our reconciliation of net income (loss) to NOI and a description of why we believe NOI is an appropriate supplemental measure are included below under the heading “Non-GAAP Financial Measures.”
Six Months Ended June 30,
20252024$ Change% Change
NOI by segment:
SHOP$73,443 $53,694 $19,749 36.8 %
Medical Office and Life Science Portfolio53,343 60,525 (7,182)(11.9)%
All Other15,884 16,280 (396)(2.4)%
Total NOI142,670 130,499 12,171 9.3 %
Depreciation and amortization134,591 138,490 (3,899)(2.8)%
General and administrative20,177 13,830 6,347 45.9 %
Acquisition and certain other transaction related costs99 1,912 (1,813)(94.8)%
Impairment of assets69,465 18,687 50,778 nm
Gain (loss) on sale of properties102,711 (19,087)121,798 nm
Gain on insurance recoveries7,522 — 7,522 100.0 %
Interest and other income5,081 4,640 441 9.5 %
Interest expense
(108,757)(116,278)7,521 (6.5)%
Loss on modification or early extinguishment of debt(29,197)(209)(28,988)nm
Loss before income tax expense and equity in net earnings (losses) of investees(104,302)(173,354)69,052 (39.8)%
Income tax expense(892)(357)(535)149.9 %
Equity in net earnings (losses) of investees4,569 (10,409)14,978 (143.9)%
Net loss$(100,625)$(184,120)$83,495 (45.3)%
    nm - not meaningful
SHOP:
 
Comparable Properties (1)
All Properties
 As of and For the Six Months Ended June 30,As of and For the Six Months Ended June 30,
 2025202420252024
Total properties197 197 230 232 
Number of units22,202 22,202 24,872 25,230 
Occupancy81.1 %80.1 %80.4 %78.9 %
Average monthly rate (2)
$5,341 $5,095 $5,427 $5,163 
Six Months Ended June 30,
Comparable (1)
Non-Comparable
 Properties ResultsProperties ResultsConsolidated Properties Results
$%$%
 20252024ChangeChange2025202420252024ChangeChange
Residents fees and services$580,416 $547,416 $33,000 6.0 %$75,435 $69,232 $655,851 $616,648 $39,203 6.4 %
Property operating expenses(505,020)(487,774)17,246 3.5 %(77,388)(75,180)(582,408)(562,954)19,454 3.5 %
NOI$75,396 $59,642 $15,754 26.4 %$(1,953)$(5,948)$73,443 $53,694 $19,749 36.8 %
(1)Consists of senior living communities that we have owned and which have been in service, reported in the same segment and operated by the same operator continuously since January 1, 2024; excludes communities classified as held for sale, closed or out of service, if any.
(2)Average monthly rate reflects the average monthly residents fees and services per occupied unit for the period presented. The average monthly rate is calculated based on the actual number of days during the period.
34


Residents fees and services. Residents fees and services increased at our comparable properties primarily due to increases in occupancy and average monthly rate at our communities as shown in the table above. The activity for our non-comparable properties primarily reflects the 15 communities classified as held for sale as of June 30, 2025 and 13 communities transitioned to an existing third party manager during the 2024 period.
Property operating expenses. Property operating expenses increased at our comparable properties primarily due to increases in labor costs, management fees as a result of higher revenues, marketing and other direct costs, partially offset by decreased insurance costs due to a reduction in premiums. The activity for our non-comparable properties primarily reflects the 15 communities classified as held for sale as of June 30, 2025 and 13 communities transitioned to an existing third party manager during the 2024 period.
Net operating income. The change in NOI reflects the net changes in residents fees and services and property operating expenses described above.
Medical Office and Life Science Portfolio:
 
Comparable Properties (1)
All Properties
 As of June 30,As of June 30,
 2025202420252024
Total properties
83 83 92 101 
Total square feet6,469 6,468 7,400 8,396 
Occupancy89.8 %92.0 %82.9 %81.5 %
Six Months Ended June 30,
Comparable (1)
Non-Comparable
Properties ResultsProperties ResultsConsolidated Properties Results
$%$%
 20252024ChangeChange2025202420252024ChangeChange
Rental income$91,915 $92,850 $(935)(1.0)%$5,904 $15,854 $97,819 $108,704 $(10,885)(10.0)%
Property operating expenses(38,981)(38,988)(7)0.0 %(5,495)(9,191)(44,476)(48,179)(3,703)(7.7)%
NOI$52,934 $53,862 $(928)(1.7)%$409 $6,663 $53,343 $60,525 $(7,182)(11.9)%
(1)Consists of medical office and life science properties that we have owned and which have been in service continuously since January 1, 2024; excludes properties classified as held for sale or out of service undergoing redevelopment, if any, and properties owned by unconsolidated joint ventures in each of which we own an equity interest.
Rental income. Rental income decreased at our comparable properties primarily due to vacancies at certain of our properties, partially offset by a termination fee totaling $600 paid during the six months ended June 30, 2025 by a former tenant at one of our properties. This space was subsequently re-leased to another tenant in April 2025. Rental income decreased at our non-comparable properties primarily due to dispositions since January 1, 2024.
Property operating expenses. Property operating expenses decreased primarily due to dispositions since January 1, 2024.
Net operating income. The change in NOI reflects the net changes in rental income and property operating expenses described above.
35


All Other(1):
 
Comparable Properties (2)
All Properties
 As of and For the Six Months Ended June 30,As of and For the Six Months Ended June 30,
 2025202420252024
Total properties:
Triple net leased senior living communities27 
Wellness centers10 10 10 10 
Rent coverage:
Triple net leased senior living communities (3)
1.88 x1.89 x1.88 x1.89 x
Wellness centers (3)
2.93 x1.80 x2.93 x1.80 x
Six Months Ended June 30,
Comparable (2)
Non-Comparable
Properties ResultsProperties ResultsConsolidated Properties Results
$%$%
 20252024ChangeChange2025202420252024ChangeChange
Rental income$14,231 $12,605 $1,626 12.9 %$1,675 $4,211 $15,906 $16,816 $(910)(5.4)%
Property operating expenses(20)(493)(473)(95.9)%(2)(43)(22)(536)(514)(95.9)%
NOI$14,211 $12,112 $2,099 17.3 %$1,673 $4,168 $15,884 $16,280 $(396)(2.4)%
(1)All Other operations consist of all of our other operations, including certain wellness centers and senior living communities that are leased to third party operators, which segment we do not consider to be sufficiently material to constitute a separate reportable segment, and any other income or expenses that are not attributable to a specific reportable segment.
(2)Consists of properties that we have owned and which have been reported in the same segment and leased to the same operator continuously since January 1, 2024; excludes properties classified as held for sale, if any.
(3)All tenant operating data presented are based upon the operating results provided by our tenants for the most recent prior period for which tenant operating results are available to us. Rent coverage is calculated using the annualized operating cash flows from our triple net lease tenants' operations of our properties, before subordinated charges, if any, divided by annualized rental income. We have not independently verified tenant operating data. Excludes data for historical periods prior to our ownership of certain properties.
Rental income. Rental income increased at our comparable properties primarily due to new leases for one of our wellness center tenants. The activity for our non-comparable properties primarily reflects the 18 triple net leased senior living communities that we sold in February 2025.
Property operating expenses. The decrease in property operating expenses for our comparable properties primarily reflects real estate taxes and other expenses paid directly by our tenants during the six months ended June 30, 2025, which were previously paid by us during prior periods.
Net operating income. The change in NOI reflects the net changes in rental income and property operating expenses described above.
Consolidated:
Depreciation and amortization expense. Depreciation and amortization expense decreased primarily due to dispositions since January 1, 2024 and certain depreciable assets becoming fully depreciated, partially offset by the purchase of capital improvements at certain of our properties.
General and administrative expense. General and administrative expense increased primarily due to $6,555 of estimated incentive management fees that we recognized for the six months ended June 30, 2025 as a result of our total shareholder return exceeding the returns for the MSCI U.S. REIT/Health Care REIT Index over the applicable measurement period.
Acquisition and certain other transaction related costs. We incurred transition costs, including termination and other fees, during the 2024 period as a result of our transition of 13 communities to an existing third party manager.
Impairment of assets. For information about our asset impairment charges, see Note 3 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q and Note 3 to our consolidated financial statements included in Part IV, Item 15 of our Annual Report.
36


Gain (loss) on sale of properties. For information regarding gain (loss) on sale of properties, see Note 3 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q and Note 3 to our consolidated financial statements included in Part IV, Item 15 of our Annual Report.
Gain on insurance recoveries. During the six months ended June 30, 2025, we recognized a gain on insurance recoveries related to cash received from our insurance provider in excess of our losses for a claim that was finalized. For further information regarding this gain on insurance recoveries, see Note 3 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.
Interest and other income. The increase in interest and other income is primarily due to higher average invested cash balances during the six months ended June 30, 2025 compared to the 2024 period.
Interest expense. Interest expense decreased primarily due to the redemption during 2025 of an aggregate $380,000 of our remaining 9.75% senior unsecured notes due 2025. Additionally, there was a decrease in discount accretion for our senior secured notes due 2026 due to the partial redemption of an aggregate $299,158 of these notes during 2025. During the six months ended June 30, 2025 and 2024, we recognized discount accretion of $38,429 and $42,099, respectively, for our senior secured notes due 2026. These decreases were partially offset by the execution of a $120,000 mortgage loan in May 2024 at a fixed interest rate of 6.864% per annum and four mortgage financings totaling $343,157 during 2025.
Loss on modification or early extinguishment of debt. During the six months ended June 30, 2025, we recorded a loss on early extinguishment of debt in connection with the partial redemption of an aggregate $299,158 of our outstanding senior secured notes due 2026 and with the redemption of all $380,000 of our remaining 9.75% senior secured notes due 2025.
Income tax expense. Income tax expense is the result of operating income we earned in certain jurisdictions where we are subject to state income taxes.
Equity in net earnings (losses) of investees. Equity in net earnings (losses) of investees is the change in the fair value of our investments in our joint ventures and also represents our proportionate share of the earnings of our equity method investment in AlerisLife. For further information regarding our investment in AlerisLife, see Notes 3 and 11 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.
37


Non-GAAP Financial Measures (dollars in thousands, except per share amounts)
We present certain "non-GAAP financial measures" within the meaning of the applicable rules of the Securities and Exchange Commission, or the SEC, including funds from operations, or FFO, normalized funds from operations, or Normalized FFO, and NOI for the three and six months ended June 30, 2025 and 2024. These measures do not represent cash generated by operating activities in accordance with GAAP and should not be considered alternatives to net income (loss) as indicators of our operating performance or as measures of our liquidity. These measures should be considered in conjunction with net income (loss) as presented in our condensed consolidated statements of comprehensive income (loss). We consider these non-GAAP measures to be appropriate supplemental measures of operating performance for a REIT, along with net income (loss). We believe these measures provide useful information to investors because by excluding the effects of certain historical amounts, such as depreciation and amortization, they may facilitate a comparison of our operating performance between periods and with other REITs and, in the case of NOI, reflecting only those income and expense items that are generated and incurred at the property level may help both investors and management to understand the operations of our properties.
Funds From Operations and Normalized Funds From Operations
We calculate FFO and Normalized FFO as shown below. FFO is calculated on the basis defined by the National Association of AG˹ٷ Estate Investment Trusts, which is net income (loss), calculated in accordance with GAAP, excluding any gain or loss on sale of properties, equity in net earnings or losses of investees, loss on impairment of real estate assets, gains or losses on equity securities, net, if any, and including adjustments to reflect our proportionate share of FFO of our equity method investees, plus real estate depreciation and amortization of consolidated properties, as well as certain other adjustments currently not applicable to us. In calculating Normalized FFO, we adjust for the items shown below, including similar adjustments for our unconsolidated joint ventures, if any, and incentive management fees, if any. FFO and Normalized FFO are among the factors considered by our Board of Trustees when determining the amount of distributions to our shareholders. Other factors include, but are not limited to, requirements to maintain our qualification for taxation as a REIT, limitations in the agreements governing our debt, the availability to us of debt and equity capital, our expectation of our future capital requirements and operating performance and our expected needs for and availability of cash to pay our obligations. Other real estate companies and REITs may calculate FFO and Normalized FFO differently than we do.
Our calculations of FFO and Normalized FFO for the three and six months ended June 30, 2025 and 2024 and reconciliations of net income (loss), the most directly comparable financial measure under GAAP reported in our condensed consolidated financial statements, to FFO and Normalized FFO appear in the following table. This table also provides a comparison of distributions to shareholders, FFO and Normalized FFO and net income (loss) per share for these periods.
38


 Three Months Ended June 30,Six Months Ended June 30,
 2025202420252024
Net loss$(91,639)$(97,861)$(100,625)$(184,120)
Depreciation and amortization66,266 68,357 134,591 138,490 
Loss (gain) on sale of properties7,429 13,213 (102,711)19,087 
Impairment of assets30,993 6,545 69,465 18,687 
Equity in net (earnings) losses of investees(3,082)12,307 (4,569)10,409 
Share of FFO from unconsolidated joint ventures2,715 2,047 5,452 4,061 
Adjustments to reflect our share of FFO attributable to an equity method investment895 9,955 1,968 10,537 
FFO13,577 14,563 3,571 17,151 
Incentive management fees (1)
4,148 (849)6,555 — 
Acquisition and certain other transaction related costs75 1,826 99 1,912 
Gain on insurance recoveries— — (7,522)— 
Loss on modification or early extinguishment of debt126 209 29,197 209 
Adjustments to reflect our share of Normalized FFO attributable to an equity method investment646 (8,919)977 (8,919)
Normalized FFO$18,572 $6,830 $32,877 $10,353 
Weighted average common shares outstanding (basic and diluted)240,132 239,326 240,045 239,259 
Per common share data (basic and diluted):
Net loss$(0.38)$(0.41)$(0.42)$(0.77)
FFO$0.06 $0.06 $0.01 $0.07 
Normalized FFO$0.08 $0.03 $0.14 $0.04 
Distributions declared $0.01 $0.01 $0.02 $0.02 
(1)Incentive management fees are estimated and accrued for during the applicable measuring period. Actual incentive management fees will be calculated based on common share total return, as defined in our business management agreement, for the three-year period ending December 31 for the applicable calendar year, are included in general and administrative expenses in our condensed consolidated statements of comprehensive income (loss) and will be payable to RMR in January of the following calendar year. In calculating net income (loss) in accordance with GAAP, we recognize estimated incentive management fees expense, if any, in the first, second and third quarters. Although we recognize this expense, if any, in the first, second and third quarters for purposes of calculating net income (loss), we do not include these amounts in the calculation of Normalized FFO until the fourth quarter, when the amount of the incentive management fees expense for the calendar year, if any, is determined.
Property Net Operating Income (NOI)
We calculate NOI as shown below. The calculation of NOI excludes certain components of net income (loss) in order to provide results that are more closely related to our property level results of operations. We define NOI as income from our real estate less our property operating expenses. NOI excludes depreciation and amortization. We use NOI to evaluate individual and company-wide property level performance. Other real estate companies and REITs may calculate NOI differently than we do.
39


The calculation of NOI by reportable segment is included above in this Item 2. The following table includes the reconciliation of net loss to NOI for the three and six months ended June 30, 2025 and 2024.
Three Months Ended June 30,Six Months Ended June 30,
2025202420252024
Reconciliation of Net Loss to NOI:    
Net loss$(91,639)$(97,861)$(100,625)$(184,120)
Equity in net (earnings) losses of investees(3,082)12,307 (4,569)10,409 
Income tax expense843 170 892 357 
Loss before income taxes and equity in net earnings (losses) of investees(93,878)(85,384)(104,302)(173,354)
Loss on modification or early extinguishment of debt126 209 29,197 209 
Interest expense50,926 58,702 108,757 116,278 
Interest and other income(2,982)(2,403)(5,081)(4,640)
Gain on insurance recoveries— — (7,522)— 
Loss (gain) on sale of properties7,429 13,213 (102,711)19,087 
Impairment of assets30,993 6,545 69,465 18,687 
Acquisition and certain other transaction related costs75 1,826 99 1,912 
General and administrative11,177 6,262 20,177 13,830 
Depreciation and amortization66,266 68,357 134,591 138,490 
Total NOI$70,132 $67,327 $142,670 $130,499 
SHOP NOI$36,615 $28,984 $73,443 $53,694 
Medical Office and Life Science Portfolio NOI26,487 30,273 53,343 60,525 
All Other NOI7,030 8,070 15,884 16,280 
Total NOI$70,132 $67,327 $142,670 $130,499 
LIQUIDITY AND CAPITAL RESOURCES (dollars in thousands)
Our principal sources of cash to meet operating and capital expenses, pay our debt service obligations and make distributions to our shareholders are the operating cash flows we generate as rental income from our leased properties, residents fees and services revenues from our managed communities and proceeds from the disposition of certain properties. We believe that these sources of funds will be sufficient to meet our operating and capital expenses, pay our debt service obligations and make distributions to our shareholders for at least the next 12 months and for the foreseeable future thereafter. Our future cash flows from operating activities will depend primarily upon:
our ability to receive rents from our tenants;
our ability to maintain or increase the occupancy of, and the rates at, our properties;
our and our managers' abilities to control operating expenses and capital expenses at our properties, including increased operating expenses that we may incur in response to wage and commodity price inflation, limited labor availability and increased insurance costs; and
our managers' abilities to maintain or increase our returns from our managed senior living communities.
40

Table of Contents
The following is a summary of our sources and uses of cash flows for the periods presented, as reflected in our condensed consolidated statements of cash flows:
 Six Months Ended June 30,
 20252024
Cash and cash equivalents and restricted cash at beginning of period$149,854 $246,961 
Net cash provided by (used in):
Operating activities49,777 72,894 
Investing activities270,038 (95,691)
Financing activities(321,088)45,921 
Cash and cash equivalents and restricted cash at end of period$148,581 $270,085 
Our Operating Liquidity and Resources
We generally receive minimum rents from tenants at our medical office and life science properties, triple net leased wellness centers and senior living communities monthly, we receive residents fees and services revenues, net of expenses, from our managed senior living communities monthly and we receive percentage rents from tenants at certain of our triple net senior living communities monthly, quarterly or annually.
The decrease in cash provided by operating activities for the six months ended June 30, 2025 compared to the prior period was primarily due to the accreted interest of $34,700 paid during the 2025 period as a result of the partial redemption of our outstanding senior secured notes due 2026, partially offset by higher cash flows at our SHOP communities.
Our Investing Liquidity and Resources
The change in cash provided by (used in) investing activities for the six months ended June 30, 2025 compared to the prior period was primarily due to an increase in proceeds from the sale of properties, a $17,000 cash dividend paid to us by AlerisLife and our purchase on February 16, 2024 of approximately 34.0% of the then outstanding AlerisLife common shares from ABP Trust at the tender offer price of $1.31 per share for a total purchase price, including transaction related costs, of $15,459. These changes were partially offset by $8,500 of contributions made to the Seaport JV in the 2025 period.
41

Table of Contents
The following is a summary of capital expenditures, development, redevelopment and other activities for the periods presented:
 Three Months Ended June 30,Six Months Ended June 30,
 2025202420252024
SHOP fixed assets and capital improvements$24,283 $21,623 $45,398 $31,714 
Medical Office and Life Science Portfolio capital expenditures:
   Lease related costs (1)
3,528 6,409 7,375 12,438 
   Building improvements (2)
1,518 1,852 3,042 2,771 
Recurring capital expenditures - Medical Office and Life Science Portfolio5,046 8,261 10,417 15,209 
Wellness centers lease related costs (1)
— 4,591 — 11,514 
Total recurring capital expenditures$29,329 $34,475 $55,815 $58,437 
Development, redevelopment and other activities - SHOP (3)
$4,660 $5,705 $10,228 $6,894 
Development, redevelopment and other activities - Medical Office and Life Science Portfolio (3)
— 1,112 — 1,825 
Total development, redevelopment and other activities$4,660 $6,817 $10,228 $8,719 
Capital expenditures by segment:
SHOP$28,943 $27,328 $55,626 $38,608 
Medical Office and Life Science Portfolio5,046 9,373 10,417 17,034 
All Other - wellness centers
— 4,591 — 11,514 
Total capital expenditures$33,989 $41,292 $66,043 $67,156 
(1)Includes capital expenditures to improve tenants' space or amounts paid directly to tenants to improve their space and other leasing related costs, such as brokerage commissions and tenant inducements.
(2)Includes capital expenditures to replace obsolete building components that extend the useful life of existing assets or other improvements to increase the marketability of the property.
(3)Includes capital expenditures that reposition a property or result in change of use or new sources of revenue.
We generally plan to continue investing capital in our properties, including redevelopment projects, to better position these properties in their respective markets in order to increase our returns in future years.
As of June 30, 2025, we had estimated unspent leasing related obligations at our medical office and life science properties of approximately $25,528, of which we expect to spend approximately $22,968 during the next 12 months. We expect to fund these obligations using operating cash flows, cash on hand, proceeds from the disposition of certain properties and future financing activities.
We are currently in the process of redeveloping certain properties, primarily our managed senior living communities. We continue to assess opportunities to redevelop other properties in our SHOP segment and Medical Office and Life Science Portfolio. These redevelopment projects may require significant capital expenditures and time to complete and we may defer certain redevelopment projects to preserve liquidity. Additionally, due to labor availability constraints and wage and commodity price inflation, the capital investments we plan to make may be delayed or cost more than we expect.
During the six months ended June 30, 2025, we sold 26 properties for an aggregate sales price of $337,225, excluding closing costs. Subsequent to June 30, 2025, we sold three properties for an aggregate sales price of $8,800, excluding closing costs. As of August 1, 2025, we had 49 properties under agreements or letters of intent to sell for an aggregate sales price of $279,923, excluding closing costs. The net proceeds from the sales of 11 of these properties, which have an expected aggregate sales price, excluding closing costs, of $90,588, are required to be used to partially redeem our outstanding senior secured notes due 2026, if the sales of such properties are completed. We may not complete the sales of any or all of the properties we currently plan to sell. Also, we may sell some or all of these properties at amounts that are less than currently expected and/or less than the carrying values of such properties and we may incur losses on any such sales as a result. For further information
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regarding our dispositions, see Note 3 to our Consolidated Financial Statements included in Part IV, Item 15 of this Annual Report on Form 10-K.
On February 14, 2025, AlerisLife paid an aggregate cash dividend of $50,000 to its stockholders. Our pro rata share of this cash dividend was $17,000.
On July 15, 2025, AlerisLife paid an aggregate cash dividend of $10,000 to its stockholders. Our pro rata share of this cash dividend was $3,400.
Our Financing Liquidity and Resources
The change in cash (used in) provided by financing activities for the six months ended June 30, 2025 compared to the prior period was primarily due to the redemption of our outstanding senior secured notes due 2025 and partial redemption of our outstanding senior secured notes due 2026, partially offset by our execution of four mortgage financings for aggregate proceeds, excluding closing costs, of $343,157 in the 2025 period.
In June 2025, we obtained a $150,000 revolving credit facility secured by 14 SHOP communities. Our revolving credit facility is available for general business purposes, including acquisitions. We can borrow, repay and reborrow funds available under our revolving credit facility, and no principal repayments are due, until maturity. Availability of borrowings under our credit agreement is subject to satisfying certain financial covenants and other credit facility conditions. Our revolving credit facility matures in June 2029 and we have two six-month extension options for the maturity date of the facility, subject to satisfaction of certain conditions and payment of an extension fee.
Interest payable on borrowings under our revolving credit facility is based on SOFR plus a premium of 2.50% to 3.00%, depending on our net leverage ratio, as defined in our credit agreement, which was 2.50% as of June 30, 2025. We also pay an unused commitment fee of 25 to 35 basis points per annum based on amounts outstanding under our revolving credit facility. As of June 30, 2025, the annual interest rate payable on borrowings under our revolving credit facility was 7.05%. As of June 30, 2025 and August 1, 2025, we had no borrowings under our revolving credit facility and $150,000 available for borrowings.
As of June 30, 2025, we had $141,769 of cash and cash equivalents. We typically use cash balances, net proceeds from offerings of securities, debt issuances or dispositions of assets and cash flows from our operations to fund our operations, debt repayments, distributions, acquisitions, investments, capital expenditures and other general business purposes.
During the six months ended June 30, 2025, we paid quarterly cash distributions to our shareholders totaling approximately $4,826 using existing cash balances. On July 10, 2025, we declared a quarterly distribution payable to common shareholders of record on July 21, 2025 in the amount of $0.01 per share, or approximately $2,414. We expect to pay this distribution on or about August 14, 2025 using cash on hand. For further information regarding the distribution we paid during 2025, see Note 7 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.
We believe we may have access to various types of financings, including debt or equity offerings, to fund our operations and repay our debts and other obligations as they become due. Our ability to complete, and the costs associated with, future debt or equity transactions depends primarily upon market conditions and our then creditworthiness and our ability to be in compliance with our debt covenants. We have no control over market conditions. Our credit and debt ratings depend upon evaluations by credit rating agencies of our business practices and plans, including our ability to maintain our earnings, our liquidity position, to stagger our debt maturities and to balance our use of debt and equity capital so that our financial performance and leverage ratios afford us flexibility to withstand any reasonably anticipated adverse changes. Similarly, our ability to raise equity capital in the future will depend primarily upon equity capital market conditions and our ability to conduct our business to maintain and grow our operating cash flows. We intend to conduct our business activities in a manner which will afford us reasonable access to capital for investment and financing activities, but we cannot be sure that we will be able to successfully carry out that intention. A protracted negative impact on the economy or the industries in which our properties and businesses operate resulting from wage and commodity price inflation, high interest rates, geopolitical risks or other economic, market or industry conditions, including the delayed recovery of the senior housing industry, economic downturns and a possible recession, may have various negative consequences including a decline in financing availability and increased costs for financing. Further, those conditions could also disrupt capital markets and limit our access to financing from public sources, particularly if the global financial markets experience significant disruptions.
Our $641,376 in outstanding senior secured notes due 2026 are fully and unconditionally guaranteed, on a joint, several and senior secured basis, by the Collateral Guarantors, and on a joint, several and unsecured basis, by all our subsidiaries other
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than the Collateral Guarantors and certain excluded subsidiaries. These notes and the guarantees provided by the Collateral Guarantors are secured by a first priority lien and security interest in each of the collateral properties and 100% of the equity interests in each of the Collateral Guarantors. No cash interest will accrue on these notes prior to maturity. The accreted value of these notes will increase at a rate of 11.25% per annum compounded semiannually on January 15 and July 15 of each year. We have a one-time option to extend the maturity date of these senior secured notes by one year, to January 15, 2027, subject to satisfaction of certain conditions and payment of an extension fee. If we exercise this option, interest payments will be due semiannually during the extension period at an initial interest rate of 11.25% with increases of 50 basis points every 90 days these senior secured notes remain outstanding. We are currently under agreements or letters of intent to sell 11 properties securing our senior secured notes due 2026 for an aggregate sales price of $90,588, excluding closing costs. The net proceeds from these sales are required to be used to partially redeem these senior secured notes, if these sales are completed.
In March 2025, we executed a $140,000 floating rate mortgage loan secured by 14 SHOP communities. This mortgage loan matures in March 2028 and requires that interest be paid at an annual rate of SOFR plus a premium of 2.50% with interest-only payments through April 2027, and we have two six-month extension options of the interest-only period, subject to satisfaction of certain conditions. In connection with this mortgage loan, we have purchased an interest rate cap with a SOFR strike rate equal to 4.50% pursuant to the terms of the applicable loan agreement.
In April 2025, we executed a $108,873 fixed rate mortgage financing secured by seven SHOP communities. These mortgage loans mature in May 2035 and require that interest be paid at an annual rate of 6.22% with interest-only payments through May 2030.
In May 2025, we executed a $64,000 fixed rate mortgage loan secured by four SHOP communities. This mortgage loan matures in June 2030 and requires that interest be paid at an annual rate of 6.57%.
In May 2025, we executed a $30,284 fixed rate mortgage financing secured by two SHOP communities. These mortgage loans mature in June 2035 and require that interest be paid at an annual rate of 6.36% with interest-only payments through June 2028.
From April through June 2025, we used the net proceeds from these 2025 mortgage financings, together with cash on hand, to fully redeem the remaining $380,000 principal balance of our 9.75% senior unsecured notes due June 2025. Our next significant debt maturity is $641,376 in outstanding senior secured notes with a maturity date of January 15, 2026, which is subject to a one-time option to extend the maturity date by one year, to January 15, 2027.
For further information regarding our outstanding debt, see Note 5 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.
Debt Covenants (dollars in thousands)
Our principal debt obligations at June 30, 2025 were: (1) $1,600,000 outstanding principal amount of senior unsecured notes; (2) $641,376 outstanding principal amount of senior secured notes; and (3) $329,809 aggregate principal amount of mortgage notes (excluding discounts, premiums and net debt issuance costs) secured by 36 properties. For further information regarding our indebtedness, see Note 5 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q.
Our senior notes are governed by our senior notes indentures and their supplements. Our credit agreement, our mortgage loan agreements and our senior notes indentures and their supplements provide for acceleration of payment of all amounts outstanding upon the occurrence and continuation of certain events of default. Our credit agreement and our senior notes indentures and their supplements also contain covenants that restrict our ability to incur debts, including debts secured by mortgages on our properties, in excess of calculated amounts and require us to maintain various financial ratios. As of June 30, 2025, we believe we were in compliance with all of the covenants under our debt agreements. Although we continue to take steps to enhance our ability to maintain sufficient liquidity, as noted elsewhere in this Quarterly Report on Form 10-Q, a protracted negative impact on the economy or the industries in which our properties and businesses operate resulting from wage or commodity price inflation, high interest rates, geopolitical risks or other economic, market or industry conditions, including the delayed recovery of the senior housing industry, economic downturns or a possible recession, may cause increased pressure on our ability to satisfy financial and other covenants. If our operating results and financial condition are significantly negatively impacted by economic conditions or otherwise, we may fail to satisfy our debt covenants and conditions.
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Our senior notes indentures and their supplements do not contain provisions for acceleration which could be triggered by our debt ratings. See "—Our Financing Liquidity and Resources" above for information regarding recent changes to our issuer credit rating and senior debt ratings.
Our revolving credit facility contains cross default provisions to any other debts of more than $25,000. Our senior unsecured notes indentures and their supplements contain cross default provisions to any other debts of more than $20,000 ($50,000 or more in the case of our senior notes indentures and supplements entered in February 2016, February 2018, June 2020, February 2021 and December 2023).
The loan agreements governing the aggregate $620,000 secured debt financing related to the Seaport JV contain customary covenants and provide for acceleration of payment of all amounts due thereunder upon the occurrence and continuation of certain events of default. We no longer include this $620,000 of secured debt financing in our condensed consolidated balance sheet following the deconsolidation of the net assets of this joint venture; however, we continue to provide certain guaranties on this debt. The debt secured by the properties included in the LSMD JV in which we own a 20% equity interest is guaranteed by this joint venture and is non-recourse to us.
Supplemental Guarantor Information (dollars in thousands)
On February 3, 2021, we issued $500,000 of our 4.375% senior notes due 2031. As of June 30, 2025, all $500,000 of our 4.375% senior notes due 2031 were fully and unconditionally guaranteed, on a joint, several and unsecured basis, by all of our subsidiaries except certain excluded subsidiaries. The notes and related guarantees are effectively subordinated to all of our and the subsidiary guarantors' secured indebtedness, respectively, to the extent of the value of the applicable collateral, and are structurally subordinated to all indebtedness and other liabilities and any preferred equity of any of our subsidiaries that do not guarantee the notes. Our remaining $1,100,000 of senior unsecured notes do not have the benefit of any guarantees.
A subsidiary guarantor's guarantee of our 4.375% senior notes due 2031 and all other obligations of such subsidiary guarantor under the indenture governing the notes will automatically terminate and such subsidiary guarantor will automatically be released from all of its obligations under such subsidiary guarantee and the indenture under certain circumstances, including on or after the date (a) the notes have an investment grade rating from two rating agencies and one of such investment grade ratings is a mid-BBB investment grade rating and (b) no default or event of default has occurred and is continuing under the indenture. Our non-guarantor subsidiaries are separate and distinct legal entities and have no obligation, contingent or otherwise, to pay any amounts due on our 4.375% senior notes due 2031 or their guarantees, or to make any funds available therefor, whether by dividend, distribution, loan or other payments. The rights of holders of our 4.375% senior notes due 2031 to benefit from any of the assets of our non-guarantor subsidiaries are subject to the prior satisfaction of claims of those subsidiaries' creditors and any preferred equity holders. As a result, our 4.375% senior notes due 2031 and their guarantees are structurally subordinated to all indebtedness, guarantees and other liabilities of our subsidiaries that do not guarantee our 4.375% senior notes due 2031, including guarantees of other indebtedness of ours, payment obligations under lease agreements, trade payables and preferred equity.
The following tables present summarized financial information for guarantor entities and issuer, on a combined basis after eliminating (i) intercompany transactions and balances among the guarantor entities and (ii) equity in earnings from, and any investments in, any subsidiary that is a non-guarantor:
June 30, 2025December 31, 2024
AG˹ٷ estate properties, net$2,365,609 $2,465,179 
Other assets, net330,776 363,471 
Total assets$2,696,385 $2,828,650 
Indebtedness, net$2,153,616 $2,783,826 
Other liabilities213,291 227,424 
Total liabilities$2,366,907 $3,011,250 
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Six Months Ended June 30, 2025
Revenues$478,575 
Expenses$603,206 
Loss from continuing operations$(239,670)
Net loss$(235,993)
Related Person Transactions
We have relationships and historical and continuing transactions with RMR, RMR Inc., AlerisLife (including Five Star) and others related to them. For further information about these and other such relationships and related person transactions, see Notes 9, 10 and 11 to our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q, our Annual Report, our definitive Proxy Statement for our 2025 Annual Meeting of Shareholders and our other filings with the SEC. In addition, see the section captioned “Risk Factors” of our Annual Report for a description of risks that may arise as a result of these and other related person transactions and relationships. We may engage in additional transactions with related persons, including businesses to which RMR or its subsidiaries provide management services.
Critical Accounting Estimates
The preparation of financial statements in conformity with GAAP requires us to make estimates and assumptions that affect reported amounts. Actual results could differ from those estimates. Significant estimates in our condensed consolidated financial statements include purchase price allocations, useful lives of fixed assets and impairments of real estate and intangible assets.
A discussion of our critical accounting estimates is included in our Annual Report. There have been no significant changes in our critical accounting estimates since the year ended December 31, 2024.
Impact of Government Reimbursement
For the six months ended June 30, 2025, substantially all of our NOI was generated from properties where a majority of the revenues are derived from our tenants' and residents' private resources, and a small amount of our NOI was generated from properties where a majority of the revenues are derived from Medicare and Medicaid payments. Nonetheless, we own, and our tenants, managers and operators operate, facilities in many states that participate in federal and state healthcare payment programs, including the federal Medicare and state Medicaid programs and other federal and state healthcare payment programs. Also, some of our medical office and life science property tenants participate in federal Medicare and state Medicaid programs and other government healthcare payment programs.
For more information regarding the government healthcare funding and regulation of our business, please see the section captioned “Business—Government Regulation and Reimbursement” in our Annual Report and the section captioned “Management's Discussion and Analysis of Financial Condition and Results of Operations—Impact of Government Reimbursement” in our Annual Report.
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Item 3.  Quantitative and Qualitative Disclosures About Market Risk.
We are exposed to risks associated with market changes in interest rates. We manage our exposure to this market risk by monitoring available financing alternatives, including fixed rate debt, and employing derivative instruments, including interest rate caps, to limit our exposure to increasing interest rates. Other than as described below, we do not currently expect any significant changes in our exposure to fluctuations in interest rates or in how we manage this exposure in the near future.
Floating Rate Debt
As of June 30, 2025, our outstanding floating rate debt consisted of the following:
DebtPrincipal Balance
Annual Interest Rate (1)
Annual Interest ExpenseMaturity DateInterest Payments Due
Floating rate mortgage loan
$140,000 6.822%$9,681 3/31/2028Monthly
Floating rate secured revolving credit facility— — 6/11/2029Monthly
$140,000 $9,681 
(1)The annual interest rate is the rate stated in the applicable contract, as adjusted by our interest rate cap.
Our $140,000 floating rate mortgage loan is subject to two, one-year extension options and requires that interest be paid at an annual rate of SOFR plus a premium of 2.50%. We are vulnerable to changes in the U.S. dollar based on short term interest rates, specifically SOFR. In connection with this mortgage loan, to hedge our exposure to risks related to changes in SOFR and pursuant to the terms of the applicable loan agreement, we have purchased an interest rate cap with a SOFR strike rate equal to 4.50%.
At June 30, 2025, we had no amounts outstanding under our revolving credit facility. No principal repayments are required under our revolving credit facility prior to maturity and repayments may be made and redrawn subject to conditions at any time without penalty.
Borrowings under our revolving credit facility are in U.S. dollars and require interest to be paid at a rate of SOFR plus a premium. Accordingly, we are vulnerable to changes in U.S. dollar based short term interest rates, specifically SOFR. In addition, upon renewal or refinancing of these obligations, we are vulnerable to increases in interest rate premiums, including increases in the cost of replacement interest rate caps, due to market conditions and our perceived credit risk. The following table presents the approximate impact a one percentage point increase in interest rates would have on our annual floating rate interest expense at June 30, 2025, including the impact of our interest rate cap:
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Impact of an Increase in Interest Rates
Total InterestAnnual Earnings
Interest Rate (1)
Outstanding DebtExpense Per Year
Per Share Impact (2)
As of June 30, 2025
6.82%$140,000 $9,681 $(0.04)
One percentage point increase (3)
7.00%$140,000 $9,936 $(0.04)
(1)Based on SOFR plus a premium, which was 250 basis points per annum for our $140,000 floating rate mortgage loan, as of June 30, 2025.
(2)Based on the diluted weighted average common shares outstanding for the six months ended June 30, 2025.
(3)A one percentage point increase in interest rates would be capped at 7.00% for our $140,000 floating rate mortgage loan as a result of our 4.50% interest rate cap purchased for this debt. However, a one percentage point increase in the interest rate of our floating rate debt to 7.82% at June 30, 2025 would result in total floating rate interest expense per year of $11,100 and a decrease in annual earnings per share of $0.05.
The following table presents the impact a one percentage point increase in interest rates would have on our annual floating rate interest expense at June 30, 2025 if we were fully drawn on our revolving credit facility:
Impact of an Increase in Interest Rates
Total InterestAnnual Earnings
Interest Rate (1)
Outstanding Debt (2)
Expense Per Year
Per Share Impact (3)
As of June 30, 2025
6.94%$290,000 $20,406 $(0.09)
One percentage point increase (4)
7.54%$290,000 $22,170 $(0.09)
(1)Based on SOFR plus a premium, which was 250 basis points per annum for both our revolving credit facility and our $140,000 floating rate mortgage loan, as of June 30, 2025. Interest rate is weighted based on amounts outstanding.
(2)Represents the maximum amount available under our revolving credit facility and our $140,000 floating rate mortgage loan.
(3)Based on the diluted weighted average common shares outstanding for the six months ended June 30, 2025.
(4)A one percentage point increase in interest rates would be capped at 7.00% for our $140,000 floating rate mortgage loan as a result of our 4.50% interest rate cap purchased for this debt. However, a one percentage point increase in the interest rate of our floating rate debt to 7.94% at June 30, 2025 would result in total floating rate interest expense per year of $23,346 and a decrease in annual earnings per share of $0.10.
The foregoing table shows the impact of an immediate one percentage point change in floating interest rates, including the impact of our interest rate cap. Our exposure to fluctuations in floating interest rates will increase or decrease in the future with increases or decreases in the outstanding amounts of any floating rate debt we may incur and the impact, if any, of interest rate caps we may purchase. Generally, if interest rates were to change gradually over time, the impact would be spread over time.
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Fixed Rate Debt
As of June 30, 2025, our outstanding fixed rate debt consisted of the following:
 Principal Balance
Annual Interest
Rate (1)
Annual Interest ExpenseMaturity DateInterest Payments Due
Debt
Senior secured notes (2)
$641,376 0.000 %$— 1/15/2026At Maturity
Senior unsecured notes500,000 4.750 %23,750 2/15/2028
Semiannually
Senior unsecured notes500,000 4.375 %21,875 3/1/2031
Semiannually
Senior unsecured notes350,000 5.625 %19,688 8/1/2042Quarterly
Senior unsecured notes250,000 6.250 %15,625 2/1/2046Quarterly
Mortgage note64,000 6.572 %4,264 6/7/2030Monthly
Mortgage note120,000 6.864 %8,351 6/11/2034Monthly
Mortgage note108,873 6.220 %6,866 5/1/2035Monthly
Mortgage note30,284 6.360 %1,953 6/1/2035Monthly
Mortgage note6,652 6.444 %435 7/1/2043Monthly
$2,571,185 $102,807 
(1)The annual interest rate is the rate stated in the applicable contract.
(2)These notes require no cash interest to accrue prior to maturity and will accrete at a rate of 11.25% per annum compounded semiannually on January 15 and July 15 of each year, such that the accreted value will equal the principal amount at maturity. We have a one-time option to extend the maturity date of these notes by one year, to January 15, 2027, subject to satisfaction of certain conditions and payment of an extension fee.
No principal repayments are due under our senior notes until maturity. Our mortgage loan maturing in June 2034 requires monthly interest payments and no principal payment is due until maturity, while our mortgage loans maturing in March 2028, May 2035 and June 2035 require monthly interest payments and no principal payment is due for a specified amount of time. Our mortgage loans maturing in June 2030 and July 2043 require monthly principal and interest payments. Because these debts require interest to be paid at a fixed rate, changes in market interest rates during the term of these debts will not affect our interest obligations. If these debts were refinanced at interest rates which are one percentage point higher or lower than shown above, our annual interest cost would increase or decrease by approximately $19,344, which amount excludes $641,376 of our senior secured notes due 2026 as no interest is due until maturity.
Changes in market interest rates would affect the fair value of our fixed rate debt obligations. Increases in market interest rates decrease the fair value of our fixed rate debt, while decreases in market interest rates increase the fair value of our fixed rate debt. Interest rates continue to remain elevated despite recent reductions by the U.S. Federal Reserve. There are uncertainties surrounding interest rates and they may remain at current levels, decrease or increase.
Our debt agreements contain provisions that allow us to make repayments earlier than the stated maturity date. In some cases, we are not allowed to make early repayment prior to a cutoff date, and we are generally allowed to make prepayments only at a premium equal to a make whole amount, as defined, which is generally designed to preserve a stated yield to the noteholder. In the past, we have repurchased and retired some of our outstanding debt and we may do so again in the future. These prepayment rights and our ability to repurchase and retire outstanding debt may afford us opportunities to mitigate the risk of refinancing our debts at maturity at higher rates by refinancing prior to maturity.
Item 4.  Controls and Procedures.
As of the end of the period covered by this Quarterly Report on Form 10-Q, our management carried out an evaluation, under the supervision and with the participation of our President and Chief Executive Officer and our Chief Financial Officer and Treasurer, of the effectiveness of our disclosure controls and procedures pursuant to Rules 13a-15 and 15d-15 under the Securities Exchange Act of 1934, as amended. Based upon that evaluation, our President and Chief Executive Officer and our Chief Financial Officer and Treasurer concluded that our disclosure controls and procedures are effective.
There have been no changes in our internal control over financial reporting during the quarter ended June 30, 2025 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
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Warning Concerning Forward-Looking Statements
This Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 and other securities laws that are subject to risks and uncertainties. These statements may include words such as “believe”, “expect”, “anticipate”, “intend”, “plan”, “estimate”, “will”, “may” and negatives or derivatives of these or similar expressions. These forward-looking statements include, among others, statements about: our efforts to manage costs and increase occupancy at our SHOP communities; demand for medical office and life science leased space; our future leasing activity; market demand and supply for healthcare services for older adults and senior living communities; expected costs related to the transition of certain senior living communities; our leverage; the sufficiency of our liquidity; our liquidity needs and sources; our redemptions of notes; our capital expenditure plans and commitments; the transition of operations at certain of our senior living communities to new managers; our acquisitions and our pending or potential property dispositions; our redevelopment, repositioning and construction activities and plans; and the amount and timing of future distributions.
Forward-looking statements reflect our current expectations, are based on judgments and assumptions, are inherently uncertain and are subject to risks, uncertainties and other factors, which could cause our actual results, performance or achievements to differ materially from expected future results, performance or achievements expressed or implied in those forward-looking statements. Some of the risks, uncertainties and other factors that may cause our actual results, performance or achievements to differ materially from those expressed or implied by forward-looking statements include, but are not limited to, the following:
The impact of unfavorable market and commercial real estate industry conditions due to possible reduced demand for healthcare related space and senior living communities, uncertainties surrounding interest rates, wage and commodity price inflation, supply chain disruptions, volatility in the public debt and equity markets, effects of or changes to tariffs or trading policies, pandemics, geopolitical instability and tensions, economic uncertainties, labor market conditions or changes in real estate utilization, among other things, on us and our managers and other operators and tenants,
Our senior living operators' abilities to successfully and profitably operate the communities they manage for us,
The continuing impact of changing market practices on us and our managers and other operators and tenants, such as delayed recovery of the senior housing industry, reduced demand for leased medical office, life science and other space of ours and residencies at senior living communities, and increased operating costs,
The financial strength of our managers and other operators and tenants,
Whether the aging U.S. population and increasing life spans of seniors will increase the demand for senior living communities and other medical and healthcare related properties and healthcare services,
Whether our tenants will renew or extend their leases or whether we will obtain replacement tenants on terms as favorable to us as our prior leases,
The likelihood that our tenants and residents will pay rent or be negatively impacted by continuing unfavorable market and commercial real estate industry conditions,
Our managers' abilities to increase or maintain rates charged to residents of our senior living communities and manage operating costs for those communities,
Our ability to increase or maintain occupancy at our properties on terms desirable to us,
Our ability to increase rents when our leases expire or renew,
Costs we incur and concessions we grant to lease our properties,
Risk and uncertainties regarding the costs and timing of development, redevelopment and repositioning activities, including as a result of inflation, cost overruns, tariffs, supply chain challenges, labor shortages, construction delays or inability to obtain necessary permits or volatility in the commercial real estate markets,
Our ability to manage our capital expenditures and other operating costs effectively and to maintain and enhance our properties and their appeal to tenants and residents,
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Our ability to effectively raise and balance our use of debt and equity capital,
Our ability to purchase cost effective interest rate caps,
Our ability to comply with the financial covenants under our debt agreements,
Our ability to make required payments on our debt,
Our ability to maintain sufficient liquidity, including the availability of borrowings under our revolving credit facility, and otherwise manage leverage,
Our credit ratings,
Our ability to sell properties at prices or returns we target, and the timing of such sales,
Our ability to sell additional equity interests in, or contribute additional properties to, our existing joint ventures, or enter into additional real estate joint ventures or to attract co-venturers and benefit from our existing joint ventures or any real estate joint ventures we may enter into,
Our ability to acquire, develop, redevelop or reposition properties that realize our targeted returns,
Non-performance by the counterparties to our interest rate cap,
Our ability to pay distributions to our shareholders and to maintain or increase the amount of such distributions,
The ability of RMR to successfully manage us,
Competition in the real estate industry, particularly in those markets in which our properties are located,
Government regulations affecting Medicare and Medicaid reimbursement rates and operational requirements,
Compliance with, and changes to, federal, state and local laws and regulations, accounting rules, tax laws and similar matters,
Exposure to litigation and regulatory and government proceedings due to the nature of the senior living and other health and wellness related service businesses,
Actual and potential conflicts of interest with our related parties, including our Managing Trustees, RMR, ABP Trust, AlerisLife and others affiliated with them,
Limitations imposed by and our ability to satisfy complex rules to maintain our qualification for taxation as a REIT for U.S. federal income tax purposes,
Acts of terrorism, outbreaks of pandemics or other public health safety events or conditions, war or other hostilities, global climate change or other manmade or natural disasters beyond our control, and
Other matters.
These risks, uncertainties and other factors are not exhaustive and should be read in conjunction with other cautionary statements that are included in our periodic filings. The information contained elsewhere in this Quarterly Report on Form 10-Q or in our other filings with the SEC, including under the caption “Risk Factors”, or incorporated herein or therein, identifies other important factors that could cause differences from our forward-looking statements. Our filings with the SEC are available on the SEC's website at www.sec.gov.
You should not place undue reliance upon our forward-looking statements.
Except as required by law, we do not intend to update or change any forward-looking statements as a result of new information, future events or otherwise.
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Statement Concerning Limited Liability
The Amended and Restated Declaration of Trust establishing Diversified Healthcare Trust, dated September 20, 1999, as amended and supplemented, as filed with the State Department of Assessments and Taxation of Maryland, provides that no trustee, officer, shareholder, employee or agent of Diversified Healthcare Trust shall be held to any personal liability, jointly or severally, for any obligation of, or claim against, Diversified Healthcare Trust. All persons dealing with Diversified Healthcare Trust in any way shall look only to the assets of Diversified Healthcare Trust for the payment of any sum or the performance of any obligation.
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PART II.   Other Information
 
Item 1A. Risk Factors.
There have been no material changes to risk factors from those we previously disclosed in our Annual Report.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds.

Issuer purchases of equity securities. The following table provides information about our purchases of our equity securities during the three months ended June 30, 2025:
Calendar Month
Number of Shares Purchased(1)
Average Price Paid per ShareTotal Number of Shares Purchased as Part of Publicly Announced Plans or ProgramsMaximum Approximate Dollar Value of Shares that May Yet Be Purchased Under the Plans or Programs
April 1 - April 30, 20257,965 $2.47 — $— 
May 1 - May 31, 202530,943 2.68 — — 
Total / weighted average38,908 $2.64 — $— 

(1)These common share withholdings and purchases were made to satisfy tax withholding and payment obligations of former officers and employees of RMR in connection with the vesting of awards of our common shares. We withheld and purchased these common shares at their fair market values based upon the trading prices of our common shares at the close of trading on Nasdaq on the applicable purchase dates.
Item 6. Exhibits.
Exhibit
Number
Description
3.1
Composite Copy of Articles of Amendment and Restatement, dated September 20, 1999, as amended to date. (Incorporated by reference to the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 2020.)
3.2
Articles Supplementary, dated May 11, 2000. (Incorporated by reference to the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2000.)
3.3
Articles Supplementary, dated June 30, 2017. (Incorporated by reference to the Company's Current Report on Form 8-K filed on June 30, 2017.)
3.4
Articles Supplementary, dated May 19, 2020. (Incorporated by reference to the Company's Current Report on Form 8-K filed on May 20, 2020.)
3.5
Fourth Amended and Restated Bylaws of the Company, adopted May 31, 2024. (Incorporated by reference to the Company’s Current Report on Form 8-K filed on June 4, 2024.)
4.1
Form of Common Share Certificate. (Incorporated by reference to the Company's Current Report on Form 8-K filed on January 2, 2020.)
4.2
Indenture, dated as of December 20, 2001, between the Company and U.S. Bank Trust Company, National Association (as successor in interest to U.S. Bank National Association, as successor trustee to State Street Bank and Trust Company). (Incorporated by reference to the Company's Registration Statement on Form S-3, File No. 333-76588.)
4.3
Supplemental Indenture No. 7, dated as of July 20, 2012, between the Company and U.S. Bank Trust Company, National Association (as successor in interest to U.S. Bank National Association), related to 5.625% Senior Notes due 2042, including form thereof. (Incorporated by reference to the Company's Registration Statement on Form 8-A filed on July 20, 2012.)
4.4
Indenture, dated as of February 18, 2016, between the Company and U.S. Bank Trust Company, National Association (as successor in interest to U.S. Bank National Association). (Incorporated by reference to the Company's Current Report on Form 8-K filed on February 18, 2016.)
4.5
First Supplemental Indenture, dated as of February 18, 2016, between the Company and U.S. Bank Trust Company, National Association (as successor in interest to U.S. Bank National Association), related to 6.25% Senior Notes due 2046, including form thereof. (Incorporated by reference to the Company's Current Report on Form 8-K filed on February 18, 2016.)
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4.6
Second Supplemental Indenture, dated as of February 12, 2018, between the Company and U.S. Bank Trust Company, National Association (as successor in interest to U.S. Bank National Association), related to 4.75% Senior Notes due 2028, including form thereof. (Incorporated by reference to the Company's Annual Report on Form 10-K for the year ended December 31, 2017.)
4.7
Fourth Supplemental Indenture, dated as of February 8, 2021, among the Company, certain subsidiaries of the Company named therein as guarantors and U.S. Bank Trust Company, National Association (as successor in interest to U.S. Bank National Association), related to 4.375% Senior Notes due 2031, including form thereof. (Incorporated by reference to the Company's Annual Report on Form 10-K for the year ended December 31, 2020.)
4.8
Supplemental Indenture, dated as of March 5, 2021, among the Company, certain subsidiaries of the Company named therein as guarantors and U.S. Bank Trust Company, National Association (as successor in interest to U.S. Bank National Association), related to 4.375% Senior Notes due 2031. (Incorporated by reference to the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2021.)
4.9
Supplemental Indenture, dated as of September 9, 2022, among the Company, certain subsidiaries of the Company named therein as guarantors and U.S. Bank Trust Company, National Association (as successor in interest to U.S. Bank National Association), related to 4.375% Senior Notes due 2031. (Incorporated by reference to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2022.)
4.10
Supplemental Indenture, dated as of November 22, 2022, among the Company, certain subsidiaries of the Company named therein as guarantors and U.S. Bank Trust Company, National Association (as successor in interest to U.S. Bank National Association), related to 4.375% Senior Notes due 2031. (Incorporated by reference to the Company's Annual Report on Form 10-K for the year ended December 31, 2022.)
4.11
Supplemental Indenture, dated as of March 1, 2024, among the Company, certain subsidiaries of the Company named therein as guarantors and U.S. Bank Trust Company, National Association (as successor in interest to U.S. Bank National Association), related to 4.375% Senior Notes due 2031. (Incorporated by reference to the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2024.)
4.12
Indenture, dated as of December 21, 2023, among the Company, certain subsidiaries of the Company named therein as guarantors and U.S. Bank Trust Company, National Association, related to Senior Secured Notes due 2026. (Incorporated by reference to the Company's Current Report on Form 8-K filed on December 22, 2023.)
4.13
Registration Rights and Lock-Up Agreement, dated as of June 5, 2015, among the Company, ABP Trust (f/k/a Reit Management & Research Trust) and Adam D. Portnoy. (Incorporated by reference to the Company's Current Report on Form 8-K filed on June 8, 2015.)
10.1
Diversified Healthcare Trust Second Amended and Restated 2012 Equity Compensation Plan. (Incorporated by reference to the Company's Current Report on Form 8-K filed on June 2, 2025.)
10.2
Release of Certain Guarantors, dated as of June 30, 2025, related to 4.375% Senior Notes due 2031, among the Company, certain subsidiaries of the Company named therein and U.S. Bank Trust Company, National Association (as successor in interest to U.S. Bank National Association). (Filed herewith.)
10.3
Release of Certain Guarantors, dated as of June 30, 2025, related to Senior Secured Notes due 2026, among the Company, certain subsidiaries of the Company named therein and U.S. Bank Trust Company, National Association. (Filed herewith.)
22.1
List of Subsidiary Guarantors. (Filed herewith.)
31.1
Rule 13a-14(a) Certification. (Filed herewith.)
31.2
Rule 13a-14(a) Certification. (Filed herewith.)
32.1
Section 1350 Certification. (Furnished herewith.)
101.INSXBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCHXBRL Taxonomy Extension Schema Document. (Filed herewith.)
101.CALXBRL Taxonomy Extension Calculation Linkbase Document. (Filed herewith.)
101.DEFXBRL Taxonomy Extension Definition Linkbase Document. (Filed herewith.)
101.LABXBRL Taxonomy Extension Label Linkbase Document. (Filed herewith.)
101.PREXBRL Taxonomy Extension Presentation Linkbase Document. (Filed herewith.)
104Cover Page Interactive Data File. (Formatted as Inline XBRL and contained in Exhibit 101.)
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SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
 
 DIVERSIFIED HEALTHCARE TRUST
  
  
 By:/s/ Christopher J. Bilotto
  Christopher J. Bilotto
  President and Chief Executive Officer
  
Dated: August 4, 2025 
  
  
 By:/s/ Matthew C. Brown
  Matthew C. Brown
  Chief Financial Officer and Treasurer
  (principal financial and accounting officer)
  
Dated: August 4, 2025 

55

FAQ

Why did CXAI file a Certificate of Validation on 4 Aug 2025?

To retroactively validate its Second Amended & Restated Charter that was approved but not filed on 14 Mar 2023.

Does the filing affect CXAI’s outstanding shares?

Yes. It confirms that previously issued Class C common shares are valid and no longer voidable.

Has Delaware approved CXAI’s Certificate of Validation?

Not yet. The Certificate is filed but awaits approval; the company will amend the 8-K if changes are required.

Will shareholders receive additional notice?

Yes. DGCL §204(g) requires a stockholder notice within 60 days; a copy is included as Exhibit 99.1.

Are there any financial results in this 8-K?

No. The report solely addresses a corporate governance matter and contains no earnings or guidance.
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REIT - Healthcare Facilities
AG˹ٷ Estate Investment Trusts
United States
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