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    SEC Form 10-Q filed by Community Healthcare Trust Incorporated

    10/29/24 4:31:35 PM ET
    $CHCT
    Real Estate Investment Trusts
    Real Estate
    Get the next $CHCT alert in real time by email
    chct-20240930
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    UNITED STATES
    SECURITIES AND EXCHANGE COMMISSION
    Washington, D.C. 20549
    FORM 10-Q
    (Mark One)
    ☒
    QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED SEPTEMBER 30, 2024
    OR
    ☐
    TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM             TO
    Commission file number: 001-37401
    Community Healthcare Trust Incorporated
    (Exact Name of Registrant as Specified in Its Charter)
    Maryland
    46-5212033
    (State or Other Jurisdiction of Incorporation or Organization)
    (I.R.S. Employer Identification No.)
    3326 Aspen Grove Drive
    Suite 150
    Franklin, Tennessee 37067
    (Address of Principal Executive Offices) (Zip Code)
    (615) 771-3052
    (Registrant’s Telephone Number, Including Area Code)
    Not Applicable
    (Former Name, Former Address and Former Fiscal Year, if Changed Since Last Report)
    Securities registered pursuant to Section 12(b) of the Act:
    Title of each ClassTrading SymbolName of each exchange on which registered
    Common stock, $0.01 par value per shareCHCTNew York Stock Exchange
    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
    ☐
    Emerging-growth company
    ☐
    Non-accelerated filer
    ☐
    Smaller reporting 
    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 Section13(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 ☒
    The Registrant had 28,242,370 shares of Common Stock, $0.01 par value per share, outstanding as of October 22, 2024.
    1


    COMMUNITY HEALTHCARE TRUST INCORPORATED
    FORM 10-Q
    SEPTEMBER 30, 2024
    TABLE OF CONTENTS
    Page
    PART I.—FINANCIAL INFORMATION
    Item 1.
    Financial Statements (Unaudited)
    3
    Condensed Consolidated Balance Sheets
    3
    Condensed Consolidated Statements of Operations
    4
    Condensed Consolidated Statements of Comprehensive (Loss) Income
    5
    Condensed Consolidated Statements of Stockholders' Equity
    6
    Condensed Consolidated Statements of Cash Flows
    8
    Notes to Condensed Consolidated Financial Statements
    9
    Item 2.
    Management’s Discussion and Analysis of Financial Condition and Results of Operations
    26
    Item 3.
    Quantitative and Qualitative Disclosures about Market Risk
    39
    Item 4.
    Controls and Procedures
    39
    PART II.—OTHER INFORMATION
    40
    Item 1.
    Legal Proceedings
    40
    Item 1A.
    Risk Factors
    40
    Item 2.
    Unregistered Sales of Equity Securities and Use of Proceeds
    40
    Item 3.
    Defaults Upon Senior Securities
    40
    Item 4.
    Mine Safety Disclosures
    40
    Item 5.
    Other Information
    40
    Item 6.
    Exhibits
    40
    SIGNATURES
    42
            
    2


    PART I. FINANCIAL INFORMATION
    ITEM 1.    FINANCIAL STATEMENTS
    COMMUNITY HEALTHCARE TRUST INCORPORATED
    CONDENSED CONSOLIDATED BALANCE SHEETS
    (Dollars and shares in thousands, except per share amounts)
    (Unaudited)
    September 30, 2024December 31, 2023
    ASSETS
    Real estate properties
    Land and land improvements
    $146,118 $136,532 
    Buildings, improvements, and lease intangibles
    989,019 913,416 
    Personal property
    326 299 
    Total real estate properties
    1,135,463 1,050,247 
    Less accumulated depreciation
    (232,747)(200,810)
    Total real estate properties, net
    902,716 849,437 
    Cash and cash equivalents
    2,836 3,491 
    Restricted cash
    — 1,142 
    Real estate properties held for sale6,351 7,466 
    Other assets, net
    69,876 83,876 
    Total assets
    $981,779 $945,412 
    LIABILITIES AND STOCKHOLDERS' EQUITY
    Liabilities
    Debt, net
    $473,716 $403,256 
    Accounts payable and accrued liabilities
    14,422 12,032 
    Other liabilities, net
    16,489 16,868 
    Total liabilities
    504,627 432,156 
    Commitments and contingencies


    Stockholders' Equity
    Preferred stock, $0.01 par value; 50,000 shares authorized; none issued and outstanding
    — — 
    Common stock, $0.01 par value; 450,000 shares authorized; 28,242 and 27,613 shares issued and outstanding at September 30, 2024 and December 31, 2023, respectively
    282 276 
    Additional paid-in capital
    702,014 688,156 
    Cumulative net income
    83,843 88,856 
    Accumulated other comprehensive income
    10,016 16,417 
    Cumulative dividends
    (319,003)(280,449)
    Total stockholders’ equity
    477,152 513,256 
    Total liabilities and stockholders' equity
    $981,779 $945,412 

    See accompanying notes to the condensed consolidated financial statements.
    3


    COMMUNITY HEALTHCARE TRUST INCORPORATED
    CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
    FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2024 AND 2023
    (Unaudited; Dollars and shares in thousands, except per share amounts)
    Three Months Ended
    September 30,
    Nine Months Ended
    September 30,
    2024202320242023
    REVENUES
    Rental income
    $29,335 $27,690 $85,582 $80,582 
    Other operating interest, net
    304 1,045 906 3,139 
    29,639 28,735 86,488 83,721 
    EXPENSES
    Property operating
    5,986 5,456 17,349 15,115 
    General and administrative (1)
    4,935 3,618 14,249 23,610 
    Depreciation and amortization
    10,927 11,208 31,981 29,445 
    21,848 20,282 63,579 68,170 
    OTHER (EXPENSE) INCOME
    Gain on sale (impairment) of depreciable real estate asset5 (102)(135)(102)
    Interest expense
    (6,253)(4,641)(17,301)(12,773)
    Credit loss reserve
    — — (11,000)— 
    Deferred income tax expense
    — (221)— (306)
    Interest and other income, net
    206 3 514 777 

    (6,042)(4,961)(27,922)(12,404)
    NET INCOME (LOSS)$1,749 $3,492 $(5,013)$3,147 
    NET INCOME (LOSS) PER COMMON SHARE
    Net income (loss) per common share - Basic$0.04 $0.11 $(0.27)$0.05 
    Net income (loss) per common share - Diluted$0.04 $0.11 $(0.27)$0.05 
    WEIGHTED AVERAGE COMMON SHARES OUTSTANDING-BASIC
    26,660 25,514 26,479 24,940 
    WEIGHTED AVERAGE COMMON SHARES OUTSTANDING-DILUTED
    26,660 25,514 26,479 24,940 
    ___________
    (1) General and administrative expenses for the nine months ended September 30, 2024 included stock-based compensation expense totaling approximately $7.4 million. General and administrative expenses for the nine months ended September 30, 2023 included stock-based compensation expense totaling approximately $17.9 million, including the accelerated amortization of stock-based compensation totaling approximately $11.8 million recognized upon the passing of our former CEO and President in the first quarter of 2023. See Note 9 – Stock Incentive Plan.
    See accompanying notes to the condensed consolidated financial statements.









    4



    COMMUNITY HEALTHCARE TRUST INCORPORATED
    CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE (LOSS) INCOME
    FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2024 AND 2023
    (Unaudited; Dollars in thousands)
    Three Months Ended
    September 30,
    Nine Months Ended
    September 30,
    2024202320242023
    NET INCOME (LOSS)$1,749 $3,492 $(5,013)$3,147 
    Other comprehensive (loss) income:
    (Decrease) increase in fair value of cash flow hedges(8,749)8,691 1,824 13,593 
    Reclassification for amounts recognized as interest expense
    (2,725)(2,738)(8,225)(7,222)
    Total other comprehensive (loss) income(11,474)5,953 (6,401)6,371 
    COMPREHENSIVE (LOSS) INCOME$(9,725)$9,445 $(11,414)$9,518 

    See accompanying notes to the condensed consolidated financial statements.

    5


    COMMUNITY HEALTHCARE TRUST INCORPORATED
    CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
    FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2024
    (Unaudited; Dollars and shares in thousands, except per share amounts)
    Preferred Stock
    Common Stock
    Additional Paid in Capital
    Cumulative Net Income
    Accumulated Other Comprehensive Income
    Cumulative Dividends
    Total Stockholders' Equity
    Shares
    Amount
    Shares
    Amount
    Balance at June 30, 2024— $— 28,049$280 $699,833 $82,094 $21,490 $(305,926)$497,771 
    Issuance of common stock, net of issuance costs— — — — (80)— — — (80)
    Stock-based compensation, net of forfeitures— — 206 2 2,495 — — — 2,497 
    Shares withheld on vesting of stock-based compensation— — (13)— (234)— — — (234)
    Decrease in fair value of cash flow hedges— — —— — — (8,749)— (8,749)
    Reclassification for amounts recognized as interest expense— — —— — — (2,725)— (2,725)
    Net income— — —— — 1,749 — — 1,749 
    Dividends to common stockholders ($0.4625 per share)
    — — —— — — — (13,077)(13,077)
    Balance at September 30, 2024— — 28,242 282 702,014 83,843 10,016 (319,003)477,152 
    Balance at December 31, 2023— $— 27,613$276 $688,156 $88,856 $16,417 $(280,449)$513,256 
    Issuance of common stock, net of issuance costs— — 3133 7,256 — — — 7,259 
    Stock-based compensation, net of forfeitures— — 3503 7,387 — — — 7,390 
    Shares withheld on vesting of stock-based compensation— — (34)— (785)— — — (785)
    Increase in fair value of cash flow hedges— — —— — — 1,824 — 1,824 
    Reclassification for amounts recognized as interest expense— — —— — — (8,225)— (8,225)
    Net loss— — —— — (5,013)— — (5,013)
    Dividends to common stockholders ($1.3800 per share)
    — — —— — — — (38,554)(38,554)
    Balance at September 30, 2024— $— 28,242$282 $702,014 $83,843 $10,016 $(319,003)$477,152 


    See accompanying notes to the condensed consolidated financial statements.
    6


    COMMUNITY HEALTHCARE TRUST INCORPORATED
    CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
    FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2023
    (Unaudited; Dollars and shares in thousands, except per share amounts)
    Preferred Stock
    Common Stock
    Additional Paid in Capital
    Cumulative Net Income
    Accumulated Other Comprehensive Income
    Cumulative Dividends
    Total Stockholders' Equity
    Shares
    Amount
    Shares
    Amount
    Balance at June 30, 2023— $— 26,541$265 $657,057 $80,797 $23,085 $(255,879)$505,325 
    Issuance of common stock, net of issuance costs— — 5526 17,763 — — — 17,769 
    Stock-based compensation, net of forfeitures— — 1722 1,896 — — — 1,898 
    Increase in fair value of cash flow hedges— — —— — 8,691 — 8,691 
    Reclassification for amounts recognized as interest expense— — —— — — (2,738)— (2,738)
    Net income— — —— — 3,492 — — 3,492 
    Dividends to common stockholders ($0.4525 per share)
    — — —— — — — (12,143)(12,143)
    Balance at September 30, 2023— $— 27,265$273 $676,716 $84,289 $29,038 $(268,022)$522,294 
    Balance at December 31, 2022— $— 25,897$259 $625,136 $81,142 $22,667 $(232,390)$496,814 
    Issuance of common stock— — 1,03711 34,610 — — — 34,621 
    Stock-based compensation, net of forfeitures— — 3313 17,933 — — — 17,936 
    Shares withheld on vesting of stock-based compensation— — —— (963)— — — (963)
    Increase in fair value of cash flow hedges— — —— — 13,593 — 13,593 
    Reclassification for amounts recognized as interest expense— — —— — — (7,222)— (7,222)
    Net income— — —— — 3,147 — — 3,147 
    Dividends to common stockholders ($1.3500 per share)
    — — —— — — — (35,632)(35,632)
    Balance at September 30, 2023— $— 27,265$273 $676,716 $84,289 $29,038 $(268,022)$522,294 


    See accompanying notes to the condensed consolidated financial statements.
    7


    COMMUNITY HEALTHCARE TRUST INCORPORATED
    CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS(Unaudited; Dollars in thousands)
    Nine Months Ended
    September 30,
    20242023
    OPERATING ACTIVITIES
    Net (loss) income$(5,013)$3,147 
    Adjustments to reconcile net (loss) income to net cash provided by operating activities:
    Depreciation and amortization
    31,981 29,445 
    Other amortization
    636 558 
    Stock-based compensation
    7,390 6,137 
    Accelerated amortization of stock-based compensation— 11,799 
    Straight-line rent receivable
    (1,230)(2,180)
    Net gain from insurance recovery on casualty loss— (706)
    Impairment of real estate asset, net of gain on sale135 102 
    Credit loss reserve
    11,000 — 
    Deferred income tax expense— 306 
    Changes in operating assets and liabilities:
    Other assets
    (3,543)(3,082)
    Accounts payable and accrued liabilities
    2,263 3,337 
    Other liabilities
    (402)(1,772)
    Net cash provided by operating activities43,217 47,091 
    INVESTING ACTIVITIES
    Acquisitions of real estate
    (64,152)(91,993)
            Proceeds from sale of real estate
    965 — 
            Funding of notes receivable
    (2,875)(1,985)
    Proceeds from the repayment of notes receivable
    2,370 3,045 
    Insurance proceeds from casualty loss— 2,273 
    Capital expenditures on existing real estate properties
    (19,483)(11,461)
    Net cash used in investing activities(83,175)(100,121)
    FINANCING ACTIVITIES
    Net borrowings on revolving credit facility75,000 48,000 
    Mortgage note repayments
    (4,820)(94)
    Dividends paid
    (38,554)(35,632)
    Proceeds from issuance of common stock
    7,492 34,766 
    Taxes paid on behalf of employees and shares withheld upon shares vesting(785)(963)
    Equity issuance costs
    (172)(182)
    Net cash provided by financing activities38,161 45,895 
    Decrease in cash, cash equivalents and restricted cash(1,797)(7,135)
    Cash, cash equivalents and restricted cash, beginning of period
    4,633 12,068 
    Cash, cash equivalents and restricted cash, end of period
    $2,836 $4,933 
    Supplemental Cash Flow Information:
    Interest paid (net of capitalized interest)
    $16,932 $9,868 
    Invoices accrued for construction, tenant improvement, and other capitalized costs
    $5,124 $4,922 
    Reclassification of registration statement costs incurred in prior years to equity issuance costs
    $269 $145 
    Increase in fair value of cash flow hedges$1,824 $13,593 
    Income taxes paid
    $31 $90 
    Capitalized interest$154 $514 
    See accompanying notes to the condensed consolidated financial statements.
    8


    COMMUNITY HEALTHCARE TRUST INCORPORATED
    NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
    September 30, 2024
    (Unaudited)

    NOTE 1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

    Business Overview
    Community Healthcare Trust Incorporated (the ‘‘Company’’, ‘‘we’’, ‘‘our’’) was organized in the State of Maryland on March 28, 2014. The Company is a fully-integrated healthcare real estate company that owns and acquires real estate properties that are leased to hospitals, doctors, healthcare systems or other healthcare service providers. As of September 30, 2024, the Company had gross investments of approximately $1.1 billion in 198 real estate properties (including a portion of one property accounted for as a sales-type lease with a gross amount totaling approximately $3.0 million and one property classified as an asset held for sale with a net investment totaling approximately $6.4 million. See Note 10 – Other Assets, net and Note 4 – Real Estate Acquisitions, Disposition, and Assets Held for Sale, respectively). The properties are located in 35 states, totaling approximately 4.4 million square feet in the aggregate and were approximately 91.3% leased, excluding the real estate asset held for sale, at September 30, 2024 with a weighted average remaining lease term of approximately 6.8 years. Any references to square footage, property count, or occupancy percentages, and any amounts derived from these values in these notes to the Condensed Consolidated Financial Statements, are outside the scope of our independent registered public accounting firm's review.

    Basis of Presentation
    The Condensed Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. They do not include all of the information and footnotes required by GAAP for complete financial statements. This interim financial information should be read in conjunction with the consolidated financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023. Management believes that all adjustments of a normal, recurring nature considered necessary for a fair presentation have been included. This interim financial information does not necessarily represent or indicate what the operating results will be for the year ending December 31, 2024. All intercompany accounts and transactions have been eliminated.

    Use of Estimates in the Condensed Consolidated Financial Statements
    Preparation of the Condensed Consolidated Financial Statements in accordance with GAAP requires management to make estimates and assumptions that affect amounts reported in the Condensed Consolidated Financial Statements and accompanying notes, including among others, estimates related to impairment assessments, purchase price allocations, valuation of properties held for sale, allowances for accounts and interest receivables, and valuation of financial instruments. Actual results may materially differ from those estimates.

    Cash and Cash Equivalents and Restricted Cash
    Cash and cash equivalents includes short-term investments with original maturities of three months or less when purchased. Restricted cash consisted of amounts held by the lender of our mortgage note payable to provide for future real estate tax, insurance expenditures and tenant improvements related to one property. The carrying amounts approximate fair value due to the short term maturity of these investments. The following table provides a reconciliation of cash and cash equivalents and restricted cash reported within the Company's Condensed
    9

    Notes to Condensed Consolidated Financial Statements - Continued
    Consolidated Balance Sheets and Condensed Consolidated Statements of Cash Flows:
     Balance as of September 30,
    (Dollars in thousands)20242023
    Cash and cash equivalents$2,836 $3,885 
    Restricted cash— 1,048 
    Cash, cash equivalents and restricted cash$2,836 $4,933 

    Rental Income
    The primary source of revenue for the Company is generated through its leasing arrangements with its tenants which is accounted for under ASC Topic 842. The Company's rental income is based on contractual arrangements with its tenants. From the inception of a lease, if collection of substantially all of the lease payments is probable for a tenant, then rental income is recognized as earned over the life of the lease agreement on a straight-line basis. Recognizing rental revenue on a straight-line basis for leases may result in recognizing revenue in amounts more or less than amounts currently due from tenants.

    Interest Income
    The Company's interest income is recognized based on contractual arrangements with its borrowers. The Company recognizes interest income on an accrual basis unless the Company determines that collectability of contractual amounts is not reasonably assured, at which point the interest on a given note is placed on non-accrual status and interest income is recognized on a cash basis.

    Credit Losses
    Losses from Operating Lease Receivables
    We assess the probability of collecting substantially all rents under our leases, on a tenant-by-tenant basis, based on several factors, including, payment and default history, financial strength of the tenant and/or guarantors, historical and operating trends of the property, and the value of the underlying collateral, if any. If management determines that collection of substantially all of a tenant's lease payments is not probable, we will revert to recognizing such lease payments at the lesser of cash collected, lease income reflected on a straight-line basis, or another systematic basis plus variable rent when it becomes accruable and will reverse any recorded receivables related to that lease. In the event that management subsequently determines collection of substantially all of that tenant's lease payments is probable, management will reinstate and record all such receivables for the lease in accordance with the lease terms. The Company also maintains a general allowance for its lease receivables that management has determined are probable of collection. Accounts receivable, straight-line rent and related allowances are included in Other assets on the Company's Condensed Consolidated Balance Sheets and any offsetting reduction in income is included in rental income on the Company's Condensed Statements of Operations.

    Credit Losses on Loans and Interest Receivables
    Historically, the Company has at times entered into loans with certain of its tenants for working capital or other needs. We consider our loans to be incidental to our main business of acquiring and leasing healthcare real estate. Credit losses on financial instruments are measured using an expected credit loss ("CECL") model in evaluating the collectability of notes receivable and other financial instruments. The CECL impairment model requires an estimate of expected credit losses, measured over the contractual life of an instrument, that considers forecasts of future economic conditions in addition to information about past events and current conditions. Under the CECL model, the Company estimates credit losses over the entire contractual term of the instrument from the date of initial recognition of that instrument and is required to record a credit loss expense (or reversal) in each reporting period. The Company evaluates factors such as its historical credit loss experience with the borrower or similar financial assets, current economic conditions, current and expected future financial condition of the borrower, as well as payment history of the borrower, along with other relevant factors for each borrower or similar instruments. If a sale of the borrower's collateral, such as the underlying business or real estate, is expected to repay amounts due to the Company, the Company will also evaluate the underlying collateral in measuring any expected credit loss. The Company's financial instruments included in the scope of the CECL guidance are the principal balances of its tenant
    10

    Notes to Condensed Consolidated Financial Statements - Continued
    notes receivable and its net investment in a sales-type lease which are included in Other assets on the Company's Condensed Consolidated Balance Sheets.

    We made an accounting policy election to exclude interest receivables from the credit loss reserve model. The Company recognizes interest income on an accrual basis unless the Company has determined that collectability of contractual amounts is not reasonably assured, at which point the note is placed on non-accrual status and interest income is recognized on a cash basis. Subsequently, when collectability of contractual amounts is reasonably assured, management will resume the accrual basis.

    Income Taxes
    The Company has elected to be taxed as a real estate investment trust ("REIT"), as defined under the Internal Revenue Code of 1986, as amended (the "Code"). The Company and two subsidiaries have also elected for those subsidiaries to be treated as taxable REIT subsidiaries ("TRSs"), which are subject to federal and state income taxes. No provision has been made for federal income taxes for the REIT; however, the Company has recorded income tax expense or benefit for the TRSs to the extent applicable. The Company intends at all times to qualify as a REIT under the Code. The Company must distribute at least 90% per annum of its REIT taxable income to its stockholders (which is computed without regard to the dividends paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP) and meet other requirements to continue to qualify as a REIT.

    Recent Accounting Pronouncements
    The Financial Accounting Standards Board ("FASB") issued ASU 2023-07, Segment Reporting (Topic 280) on November 27, 2023. The provisions of this update generally include; (i) a requirement to disclose significant segment expenses, on an annual and interim basis, that are regularly provided to the chief operating decision maker ("CODM") and included within each reported measure of segment profit or loss; (ii) a requirement to disclose the title and position of the CODM and an explanation of how the CODM uses the reported measures of segment profit and loss in assessing segment performance and deciding how to allocate resources, and (iii) a requirement that entity's with a single reportable segment provide all of the disclosures required by the amendments in this update. This update is effective for annual reporting periods beginning after December 31, 2023, and interim periods within fiscal years beginning after December 15, 2024. The Company does not expect that the adoption of this ASU will have a material impact on its consolidated financial statements other than the new disclosure requirements, as we operate under a single reportable segment. Compliance with these new disclosure requirements will begin with the Company's Annual Report on Form 10-K for the year ended December 31, 2024.

    NOTE 2. REAL ESTATE INVESTMENTS

    As of September 30, 2024, we had gross investments of approximately $1.1 billion in 198 real estate properties (including a portion of one property accounted for as a sales-type lease with a gross amount totaling approximately $3.0 million and one property classified as held for sale with a gross amount totaling approximately $6.4 million). The Company's investments are diversified by property type, geographic location, and tenant as shown in the following tables:
    Property Type# of PropertiesGross Investment
    (in thousands)
    Medical Office Building96 $478,005 
    Inpatient Rehabilitation Hospitals9 198,319 
    Acute Inpatient Behavioral 5 130,535 
    Specialty Centers37 117,989 
    Physician Clinics31 94,965 
    Surgical Centers and Hospitals9 58,474 
    Behavioral Specialty Facilities9 45,067 
    Long-term Acute Care Hospitals2 21,484 
    Total198 $1,144,838 
    11

    Notes to Condensed Consolidated Financial Statements - Continued

    State# of PropertiesGross Investment
    (in thousands)
    Texas17 $185,738 
    Illinois18 132,814 
    Ohio26 115,313 
    Florida25 110,114 
    Pennsylvania16 67,483 
    All Others96 533,376 
    Total198 $1,144,838 

    Primary Tenant# of PropertiesGross Investment
    (in thousands)
    Lifepoint Health
    5 $86,682 
    US HealthVest3 77,964 
    All Others (less than 4%)190 980,192 
    Total198 $1,144,838 

    NOTE 3. REAL ESTATE LEASES

    Lessor Accounting
    The Company’s properties are generally leased pursuant to non-cancelable, fixed-term operating leases with expiration dates through 2044. The Company’s leases generally require the lessee to pay minimum rent, with fixed rent renewal terms or increases based on a Consumer Price Index and may also include additional rent, which may include the reimbursement of taxes (including property taxes), insurance, maintenance and other operating costs associated with the leased property.

    Some leases provide the lessee, during the term of the lease, with an option or right of first refusal to purchase the leased property. Some leases also allow the lessee to renew or extend their lease term or in some cases terminate their lease, based on conditions provided in the lease.

    Future minimum lease payments under the non-cancelable operating leases due to the Company for the years ending December 31, as of September 30, 2024, are as follows (in thousands):
    2024 (three months ended December 31)$25,911 
    202599,363 
    202690,380 
    202782,587 
    202875,773 
    2029 and thereafter411,035 
    $785,049 

    Rental income is recognized as earned over the life of the lease agreement on a straight-line basis when collection of rental payments over the term of the lease is probable. Straight-line rent increased rental income by approximately $0.7 million and $0.4 million, respectively, for the three months ended September 30, 2024 and 2023, and increased rental income by approximately $1.2 million and $2.2 million, respectively, for the nine months ended September 30, 2024 and 2023.

    Purchase Option Provisions
    Certain of the Company's leases provide the lessee with a purchase option or a right of first refusal to purchase the leased property. The purchase option provisions generally allow the lessee to purchase the leased property at fair
    12

    Notes to Condensed Consolidated Financial Statements - Continued
    value or at an amount greater than the Company's gross investment in the leased property at the time of the purchase. At September 30, 2024, the Company had an aggregate gross investment of approximately $32.9 million in 10 real estate properties with purchase options exercisable at September 30, 2024 that had not been exercised.

    Sales-type Lease
    The Company has a portion of one property accounted for as a sales-type lease with a gross amount totaling approximately $3.0 million included in other assets, net on the Company's Condensed Consolidated Balance Sheets. Future lease payments due to the Company under this lease for the years ending December 31, as of September 30, 2024, are as follows (in thousands):

    2024 (three months ended December 31)$88 
    2025356 
    2026367 
    2027378 
    2028389 
    2029 and thereafter4,821 
    Total undiscounted lease receivable6,399 
    Discount(3,382)
    Lease receivable$3,017 

    The Company recognized interest income of approximately $0.1 million during each of the three months ended September 30, 2024 and 2023 and approximately $0.2 million during each of the nine months ended September 30, 2024 and 2023 related to this lease, which is included in other operating interest on the Company's Condensed Consolidated Statements of Operations.

    Lessee Accounting
    At September 30, 2024, the Company was obligated, as the lessee, under four non-prepaid ground leases accounted for as operating leases with expiration dates, including renewal options, through 2076, and two non-prepaid ground leases accounted for as financing leases with expiration dates through 2109, including renewal options. Any rental increases related to the Company's ground leases are generally either stated or based on the Consumer Price Index. The Company's future lease payments under these non-prepaid ground leases were as follows (in thousands):

    OperatingFinancing
    2024 (three months ended December 31)$11 $37 
    202544 154 
    202644 154 
    202745 154 
    202846 154 
    2029 and thereafter1,102 6,802 
    Total undiscounted lease payments1,292 7,455 
    Discount(526)(4,190)
    Lease liabilities$766 $3,265 


    13

    Notes to Condensed Consolidated Financial Statements - Continued
    The following table discloses other information regarding the ground leases.
    Three Months Ended
    September 30,
    20242023
    Operating leases:
    Weighted-average remaining lease term in years (including renewal options)34.235.4
    Weighted-average discount rate4.0 %4.0 %
    Financing leases:
    Weighted-average remaining lease term in years (including renewal options)39.140.1
    Weighted-average discount rate4.3 %4.3 %

    NOTE 4. REAL ESTATE ACQUISITIONS, DISPOSITION, AND ASSETS HELD FOR SALE

    Acquisitions
    During the third quarter of 2024, the Company acquired one physician clinic. Upon acquisition, the property was 100.0% leased to a tenant with a lease expiration in 2027. Amounts reflected in revenues and net income for the property for the three months ended September 30, 2024 were approximately $116,000 and $26,000, respectively, and transaction costs totaling approximately $123,000 were capitalized relating to this property acquisition.

    During the second quarter of 2024, the Company acquired one inpatient rehabilitation facility. The property was 100.0% leased to a tenant with a lease expiration in 2039. Amounts reflected in revenues and net income for this property for the nine months ended September 30, 2024 was approximately $1.1 million and $0.8 million, respectively, and transaction costs totaling approximately $47,000 were capitalized relating to this property acquisition.

    During the first quarter of 2024, the Company acquired four real estate properties in three transactions. Upon acquisition, the properties were 98.6% leased in the aggregate with lease expirations through 2039. Amounts reflected in revenues and net income for these properties for the nine months ended September 30, 2024 were approximately $2.1 million and $1.0 million, respectively, and transaction costs totaling approximately $0.3 million were capitalized relating to these property acquisitions.

    The following table summarizes our property acquisitions for the nine months ended September 30, 2024:
    Location
    Property
    Type (1)
    Number of PropertiesDate
    Acquired
    Purchase
    Price
    Cash
    Consideration
    Real Estate
    Other (2)
    Square Footage
    (000's)(000's)(000's)(000's)
    New Bedford, MALTACH11/31/24$6,500 $6,540 $6,547 $(7)70,657 
    Elkton, MDMOB13/25/244,500 4,578 4,757 (179)19,656 
    Bemidji, MNMOB23/29/2423,200 23,179 23,375 (196)74,700 
    San Antonio, TXIRF14/16/2423,500 23,547 23,547 — 38,009 
    Camp Hill, PAPC17/22/246,200 6,308 6,323 (15)20,400 
    $63,900 $64,152 $64,549 $(397)223,422 
    (1) LTACH - Long-term Acute Care Hospital; MOB - Medical Office Building; IRF - Inpatient Rehabilitation Facility; PC - Physician Clinic
    (2) Includes other assets acquired, liabilities assumed, and above and below-market intangibles recognized at acquisition


    14

    Notes to Condensed Consolidated Financial Statements - Continued
    The following table summarizes the relative fair values of the assets acquired and liabilities assumed in the property acquisitions for the nine months ended September 30, 2024:
    Relative
    Fair Value
    Estimated
    Useful Life
    (in thousands)(in years)
    Land and land improvements$7,659 9.2
    Building and building improvements53,116 35.0
    Intangibles:
    In-place lease intangibles3,774 3.7
    Above-market lease intangibles121 5.0
    Below-market lease intangibles(275)2.0
    Total intangibles3,620 
    Accounts payable, accrued liabilities and other liabilities assumed(194)
    Accounts receivable and other assets acquired48 
    Prorated rent, interest and operating expense reimbursement amounts collected(97)
    Total cash consideration$64,152 

    Disposition
    During the third quarter of 2024, the Company disposed of an 11,200 square foot surgical center in Texas, and received net proceeds of approximately $1.0 million. The vacant property was previously classified as real estate property held for sale on the Company's Condensed Consolidated Balance Sheet. The Company recorded impairments on the property in previous quarters to adjust the carrying value of the property to its fair value less costs to sell, recorded a casualty loss due to vandalism at the property, and sold the property during the three months ended September 30, 2024, recording an immaterial gain on sale.

    Real Estate Properties Held for Sale
    The Company had one property classified as held for sale as of September 30, 2024 and two properties classified as held for sale as of December 31, 2023. The table below reflects the real estate assets classified as held for sale as of September 30, 2024 and December 31, 2023.

    (Dollars in thousands)September 30, 2024December 31, 2023
    Balance Sheet data:
    Land$1,048 $1,576 
    Building, improvements, and lease intangibles7,689 10,056 
    8,737 11,632 
    Accumulated depreciation(2,386)(4,166)
    Real estate properties held for sale, net$6,351 $7,466 


    15

    Notes to Condensed Consolidated Financial Statements - Continued
    NOTE 5. DEBT, NET

    The table below details the Company's debt as of September 30, 2024 and December 31, 2023.
    Balance as of
    (Dollars in thousands)September 30, 2024December 31, 2023Maturity Dates
    Credit Facility:
    Revolving Credit Facility$125,000 $50,000 3/26
    A-3 Term Loan, net74,822 74,730 3/26
    A-4 Term Loan, net124,607 124,522 3/28
    A-5 Term Loan, net149,287 149,189 3/30
    Mortgage Note Payable, net— 4,815 5/24
    $473,716 $403,256 

    Credit Facility
    The Company's third amended and restated credit agreement, as amended (the "Credit Facility") is by and among
    Community Healthcare Trust Incorporated, as borrower, the several banks and financial institutions party thereto as lenders, and Truist Bank, as administrative agent. The Company amended the Credit Facility on October 16, 2024. See Note 14 – Subsequent Events on the Credit Facility refinancing.

    As of September 30, 2024, the Credit Facility provided for a $150.0 million revolving credit facility (the "Revolving Credit Facility") and $350.0 million in term loans (the "Term Loans"). The Revolving Credit Facility was scheduled to mature on March 19, 2026 and included one 12-month option to extend the maturity date, subject to the satisfaction of certain conditions. The Term Loans include a seven-year term loan facility in the aggregate principal amount of $75.0 million (the "A-3 Term Loan"), which was scheduled to mature on March 29, 2026, a seven-year term loan facility in the aggregate principal amount of $125.0 million (the "A-4 Term Loan"), which matures on March 19, 2028, and a seven-year and three-month term loan facility in the aggregate principal amount of $150.0 million (the "A-5 Term Loan") which matures on March 14, 2030. Loans under the Credit Facility are interest only with principal amounts due as of each facility's applicable maturity date. The Credit Facility allowed the Company to borrow, through the accordion feature, up to $700.0 million, including the ability to add and fund incremental term loans. The Company's material subsidiaries are guarantors of the obligations under the Credit Facility.

    Amounts outstanding under the Revolving Credit Facility bore interest at a floating rate based on the Company's option, on either: (i) adjusted term SOFR or adjusted daily simple SOFR plus 1.25% to 1.90% or (ii) a base rate plus 0.25% to 0.90% in each case, depending upon the Company’s leverage ratio. In addition, the Company is obligated to pay an annual fee equal to 0.20% of the amount of the unused portion of the Revolving Credit Facility if amounts borrowed are greater than 33.3% of the borrowing capacity under the Revolving Credit Facility and 0.25% of the unused portion of the Revolving Credit Facility if amounts borrowed are less than or equal to 33.3% of the borrowing capacity under the Revolving Credit Facility. At September 30, 2024, the Company had $125.0 million outstanding under the Revolving Credit Facility with a weighted average interest rate of 6.58% and a borrowing capacity remaining of $25.0 million.

    Amounts outstanding under the Term Loans will bear interest at a floating rate that is based, at the Company's option, on either (i) adjusted term SOFR or adjusted daily SOFR plus 1.65% to 2.30%, plus a simple SOFR adjustment equal to 0.10% per annum, or (ii) a base rate plus 0.65% to 1.30%, in each case, depending upon the Company’s leverage ratio. The Company has entered into interest rate swaps to fix the interest rates on the Term Loans. See Note 6 – Derivative Financial Instruments for more details on the interest rate swaps. At September 30, 2024, the Company had $350.0 million outstanding under the Term Loans with a fixed weighted average interest rate under the swaps of approximately 4.4%.

    16

    Notes to Condensed Consolidated Financial Statements - Continued
    The Company’s ability to borrow under the Credit Facility is subject to its ongoing compliance with a number of customary affirmative and negative covenants, including limitations with respect to liens, indebtedness, distributions, mergers, consolidations, investments, restricted payments and asset sales, as well as financial maintenance covenants. The Company was in compliance with its financial covenants under its Credit Facility as of September 30, 2024.

    Mortgage Note Payable
    During the three months ended June 30, 2024, the Company repaid its mortgage note payable totaling approximately $4.8 million.

    NOTE 6. DERIVATIVE FINANCIAL INSTRUMENTS

    Risk Management Objective of Using Derivatives
    The Company may use derivative financial instruments, including interest rate swaps, caps, options, floors and other interest rate derivative contracts, to hedge all or a portion of the interest rate risk associated with its borrowings. The principal objective of such arrangements is to minimize the risks and/or costs associated with the Company’s operating and financial structure as well as to hedge specific anticipated transactions. The Company does not intend to utilize derivatives for speculative or other purposes other than interest rate risk management. 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, the Company only enters into derivative financial instruments with counterparties with high credit ratings and with major financial institutions with which the Company and its affiliates may also have other financial relationships. The Company does not anticipate that any of the counterparties will fail to meet their obligations.

    Cash Flow Hedges of Interest Rate Risk
    The Company’s objectives in using interest rate derivatives are to add stability to interest expense and to manage its exposure to interest rate movements. To accomplish these objectives, the Company primarily uses interest rate swaps as part of its interest rate risk management strategy. Interest rate swaps designated as cash flow hedges involve the receipt of variable-rate amounts from a counterparty in exchange for the Company making fixed-rate payments over the life of the agreements without exchange of the underlying notional amount.

    As of September 30, 2024, the Company had fifteen outstanding interest rate derivatives that were designated as cash flow hedges of interest rate risk for notional amounts totaling $350.0 million, which mature between 2026 and 2030, at the maturity dates of the associated term loans (see Note 5 – Debt, net).

    Tabular Disclosure of Fair Value of Derivative Instruments on the Balance Sheet
    The table below presents the fair value of the Company’s derivative financial instruments as well as their classification on the Condensed Consolidated Balance Sheets as of September 30, 2024 and December 31, 2023.
    Asset Derivatives Fair Value atLiability Derivatives Fair Value at
    (Dollars in thousands)September 30, 2024December 31, 2023Balance Sheet ClassificationSeptember 30, 2024December 31, 2023Balance Sheet Classification
    Interest rate swaps$10,492 $16,417 Other assets, net$476 $— Other liabilities, net

    The changes in the fair value of derivatives designated and that qualify as cash flow hedges are recorded in accumulated other comprehensive income ("AOCI") and are subsequently reclassified to interest expense in the period that the hedged forecasted transaction affects earnings.

    Amounts reported in AOCI related to derivatives will be reclassified to interest expense as interest payments are made on the Company’s Term Loans. During the next twelve months, the Company estimates that an additional $5.4 million will be reclassified from AOCI as a decrease to interest expense.

    17

    Notes to Condensed Consolidated Financial Statements - Continued
    Tabular Disclosure of the Effect of Cash Flow Hedge Accounting on Accumulated Other Comprehensive Income
    The table below details the location in the financial statements of the gain or loss recognized on interest rate derivatives designated as cash flow hedges for the three and nine months ended September 30, 2024 and 2023.
    Three Months Ended
    September 30,
    Nine Months Ended
    September 30,
    (Dollars in thousands)2024202320242023
    Amount of unrealized (loss) gain recognized in OCI on derivative$(8,749)$8,691 $1,824 $13,593 
    Amount of gain reclassified from AOCI into interest expense$(2,725)$(2,738)$(8,225)$(7,222)
    Total interest expense presented in the Condensed Consolidated Statements of Operations in which the effects of the cash flow hedges are recorded
    $6,253 $4,641 $17,301 $12,773 

    Tabular Disclosures of Offsetting Derivatives
    The tables below present a gross presentation, the effects of offsetting, and a net presentation of the Company's derivatives as of September 30, 2024 and December 31, 2023. The net amounts of derivative assets or liabilities can be reconciled to the tabular disclosure of fair value. The tabular disclosure of fair value provides the location that derivative assets and liabilities are presented on the Condensed Consolidated Balance Sheets.
    Offsetting of Derivative Assets (as of September 30, 2024)
    Gross Amounts Not Offset in the Condensed Consolidated Balance Sheets
    (In thousands)Gross Amounts of Recognized AssetsGross Amounts Offset in the Condensed Consolidated Balance SheetNet Amounts of Assets in the Condensed Consolidated Balance SheetsFinancial InstrumentsCash Collateral ReceivedNet Amount
    Derivatives$10,492 $— $10,492 $(476)$— $10,016 

    Offsetting of Derivative Liabilities (as of September 30, 2024)
    Gross Amounts Not Offset in the Condensed Consolidated Balance Sheets
    (In thousands)Gross Amounts of Recognized LiabilitiesGross Amounts Offset in the Condensed Consolidated Balance SheetNet Amounts of Liabilities in the Condensed Consolidated Balance SheetsFinancial InstrumentsCash Collateral ReceivedNet Amount
    Derivatives$(476)$— $(476)$476 $— $— 

    Offsetting of Derivative Assets (as of December 31, 2023)
    Gross Amounts Not Offset in the Condensed Consolidated Balance Sheets
    (In thousands)Gross Amounts of Recognized AssetsGross Amounts Offset in the Condensed Consolidated Balance SheetNet Amounts of Assets in the Condensed Consolidated Balance SheetsFinancial InstrumentsCash Collateral ReceivedNet Amount
    Derivatives$16,417 $— $16,417 $— $— $16,417 

    18

    Notes to Condensed Consolidated Financial Statements - Continued
    Offsetting of Derivative Liabilities (as of December 31, 2023)
    Gross Amounts Not Offset in the Condensed Consolidated Balance Sheets
    (In thousands)Gross Amounts of Recognized LiabilitiesGross Amounts Offset in the Condensed Consolidated Balance SheetNet Amounts of Liabilities in the Condensed Consolidated Balance SheetsFinancial InstrumentsCash Collateral ReceivedNet Amount
    Derivatives$— $— $— $— $— $— 

    Credit-risk-related Contingent Features
    As of September 30, 2024, the Company did not have any derivatives in a net liability position. As of September 30, 2024, the Company had not posted any collateral related to these agreements and was not in breach of any agreement provisions. If the Company terminated these interest rate swaps or breached any of these provisions, it could have been required to settle its obligations under the agreements at their aggregate termination value.


    NOTE 7. STOCKHOLDERS' EQUITY

    Common Stock
    The following table provides a reconciliation of the beginning and ending common stock balances for the nine months ended September 30, 2024 and for the year ended December 31, 2023:
    (In thousands)Nine Months Ended
    September 30, 2024
    Year Ended
    December 31, 2023
    Balance, beginning of period27,61325,897
    Issuance of common stock3131,385
    Vested RSUs11— 
    Restricted stock issued, net of withheld shares and forfeitures305331
    Balance, end of period28,24227,613
    _____________

    ATM Program
    The Company has an at-the-market offering program ("ATM Program"), with Piper Sandler & Co., Evercore Group L.L.C., Truist Securities, Inc., Regions Securities LLC, Robert W. Baird & Co. Incorporated, Fifth Third Securities, Inc. and Janney Montgomery Scott LLC, as sales agents (collectively, the “Agents”). Under the ATM Program, the Company may issue and sell shares of its common stock, having an aggregate gross sales price of up to $500.0 million. The shares of common stock may be sold from time to time through or to one or more of the Agents, as may be determined by the Company in its sole discretion, subject to the terms and conditions of the agreement and applicable law.

    The Company's activity under the ATM Program during the nine months ended September 30, 2024 is detailed in the table below. As of September 30, 2024, the Company had approximately $426.3 million remaining that may be issued under the ATM Program.
    Three Months Ended
    September 30, 2024
    Nine Months Ended
    September 30, 2024
    Shares issued (in thousands)
    — 313
    Net proceeds received (in millions)
    — $7.5
    Average gross sales price per share— $24.38


    19

    Notes to Condensed Consolidated Financial Statements - Continued
    NOTE 8. NET INCOME (LOSS) PER COMMON SHARE

    The following table sets forth the computation of basic and diluted net income (loss) per common share for the three and nine months ended September 30, 2024 and 2023, respectively.

    Three Months Ended
    September 30,
    Nine Months Ended
    September 30,
    (In thousands, except per share data)2024202320242023
    Net income (loss)$1,749 $3,492 $(5,013)$3,147 
              Participating securities' share in earnings(756)(622)(2,075)(1,995)
    Net income (loss), less participating securities' share in earnings$993 $2,870 $(7,088)$1,152 
    Weighted average Common Shares outstanding
    Weighted average Common Shares outstanding
    28,168 26,823 27,910 26,411 
    Unvested restricted shares
    (1,508)(1,309)(1,431)(1,471)
    Weighted average Common Shares outstanding–Basic26,660 25,514 26,479 24,940 
    Weighted average Common Shares outstanding –Diluted
    26,660 25,514 26,479 24,940 
    Basic Net Income (Loss) Per Common Share$0.04 $0.11 $(0.27)$0.05 
    Diluted Net Income (Loss) Per Common Share$0.04 $0.11 $(0.27)$0.05 

    NOTE 9. STOCK INCENTIVE PLAN

    Adoption of the 2024 Incentive Plan
    The 2024 Incentive Plan, as amended, (the "Plan") was approved by our stockholders at our annual meeting on May 2, 2024. The Plan replaced our 2014 Incentive Plan, as amended, (the "2014 Plan") which had expired on March 31, 2024. The Plan, which will expire on March 4, 2034, implements several changes from the previous 2014 Plan:
    •Freezes all awards under the 2014 Plan as of its expiration date;
    •Removes the "evergreen provision" which allowed for the incremental automatic increase in the number of shares of common stock reserved for issuance under the Plan;
    •Increases the number of shares of common stock authorized for issuance under the Plan to 1,150,000; and
    •Expands the types of awards that may be awarded under the Plan.
    A summary of restricted stock activity for the three and nine months ended September 30, 2024 and 2023 is included in the table below, as well as compensation expense recognized from the amortization of the value of shares over the applicable vesting periods.
    Three Months Ended
    September 30,
    Nine Months Ended
    September 30,
    (Dollars and shares in thousands)2024202320242023
    Stock-based awards, beginning of period1,417 1,203 1,374 1,708 
    Stock in lieu of compensation98 57 157 141 
    Stock awards97 114 182 220 
       Total stock granted195 171 339 361 
    Vested shares (1)
    (51)— (152)(692)
    Forfeited shares(1)— (1)(3)
    Stock-based awards, end of period1,560 1,374 1,560 1,374 
    Amortization expense (1)
    $2,255 $1,898 $6,514 $17,936 
    ___________
    (1) Amortization expense for the nine months ended September 30, 2023 included accelerated amortization totaling approximately $11.8 million recognized during the three months ended March 31, 2023, upon the passing of our former CEO and President. These shares vested during the three months ended June 30, 2023.

    20

    Notes to Condensed Consolidated Financial Statements - Continued
    Restricted Stock Issuances
    On January 12, 2024, pursuant to the 2014 Incentive Plan and the Third Amended and Restated Alignment of Interest Program, the Company granted 79,533 shares of restricted stock to its employees, in lieu of salary, that will cliff vest between three and eight years. Of the shares granted, 43,292 shares of restricted stock were granted in lieu of compensation from the program pool and 36,241 shares of restricted stock were awarded based on the restriction period elected from the plan pool. Also, on January 12, 2024, pursuant to the 2014 Incentive Plan and the Non-Executive Officer Incentive Program, the Company granted 10,159 shares of restricted stock to certain employees that will cliff vest in five years.

    On May 2, 2024, pursuant to the 2024 Incentive Plan, the Company granted an aggregate of 22,070 shares of restricted stock to its Board of Directors, which will cliff vest in three years. On May 16, 2024, pursuant to the 2024 Incentive Plan and the Fourth Amended and Restated Alignment of Interest Program, the Company granted an aggregate of 24,887 shares of restricted stock to its Board of Directors, in lieu of fees, that will cliff vest in three years. Of the shares granted, 15,553 shares of restricted stock were granted in lieu of compensation from the program pool and 9,334 shares of restricted stock were awarded based on the restriction period elected from the plan pool. Also, on June 3, 2024, pursuant to the 2024 Incentive Plan, the Company granted 7,000 shares of restricted stock to an employee that will cliff vest in five years.

    During the third quarter of 2024, pursuant to the 2024 Incentive Plan and the Fourth Amended and Restated Alignment of Interest Program, the Company granted an aggregate of 195,447 shares of restricted stock to its employees, in lieu of salary and bonus compensation, which will cliff vest between three and eight years. Of the shares granted, 98,111 shares of restricted stock were granted in lieu of compensation from the program pool and 97,336 shares of restricted stock were awarded based on the restriction period elected from the plan pool.

    Compensation Programs under the 2024 Incentive Plan
    The Company's various programs under the 2024 Incentive Plan have been amended during 2024 for various items, including: (i) allowing for the grant of RSUs and other types of awards other than restricted stock; (ii) limiting the maximum elective deferral percentage amount of salary and bonus to 50% to the acquisition of restricted stock for certain participants (previously 100%); and (iii) limiting the duration of the restriction period election depending on the retirement eligibility date per those participant's employment agreement. The deferral and restriction period limitations were effective beginning January 1, 2024 for salary and other compensation deferrals and are now effective for performance periods commencing on and after July 1, 2024 for cash bonus deferrals.

    Restricted Stock Units
    The Plan, and previous 2014 Plan, provide for the award of restricted stock units ("RSUs"). The Company historically granted long-term incentive awards to its executive officers which was comprised of restricted stock that vested in 8 years, based on backward-looking performance metrics. On January 2, 2024, the Board approved and adopted a new incentive compensation structure for its executive officers, including the issuance of time-based and performance-based RSUs with three-year forward-looking performance targets beginning with an initial performance period beginning July 1, 2023.

    On January 2, 2024, the Company granted performance-based and time-based RSUs to its executive officers under the 2014 Incentive Plan and the Third Amended and Restated Executive Officer Incentive Program. These RSUs with a grant date value totaling $2.6 million are forward-looking with a three-year performance period beginning July 1, 2023. The performance-based RSUs were valued by independent specialists utilizing a Monte Carlo simulation to calculate the weighted average grant date fair values of $13.67 per share for the Absolute TSR units and $20.77 per share for the Relative TSR units. The grant date fair value of the Time-based TSR units was based on the Company's stock price on the grant date of $26.62. The combined weighted average grant date fair value of the RSUs granted was $19.24 per share. The following assumptions were used in valuing the performance-based RSUs:

    21

    Notes to Condensed Consolidated Financial Statements - Continued
    Volatility25.0 %
    Dividend assumption5.4 %
    Expected term3 years
    Risk-free rate4.3 %
    Stock price (per share)$26.62 

    A summary of the Company's RSU activity during the three and nine months ended September 30, 2024 and 2023, respectively, is included in the table below, as well as compensation expense recognized from the amortization of the value of RSUs over the applicable vesting periods.
    Three Months Ended September 30,Nine Months Ended September 30,
    (Dollars and RSUs in thousands)2024202320242023
    Restricted Stock Units, beginning of period134 — — — 
    Absolute TSR Performance-based RSUs granted (1)
    — — 57 — 
    Relative TSR Performance-based RSUs granted (1)
    — — 43 — 
    Time-based RSUs granted (2)
    — — 34 — 
    Total RSUs granted— — 134 — 
    Vested RSUs (2)
    (11)— (11)— 
    Restricted Stock Units, end of period123 — 123 — 
    Amortization expense$242 $— $876 $— 
    Grant Date Value Remaining at period end to be Amortized During the Performance Period$1,694 $— $1,694 $— 
    ______________
    (1) The number of Performance-based RSUs granted were based on target levels. Actual number of shares granted will be based on performance at the end of the performance period which is June 30, 2026. The Performance-based RSUs, if earned, will vest at the end of the performance period.
    (2) The number of Time-based RSUs granted were based on target levels. One-third of these RSUs will vest on each of June 30, 2025 and 2026. The first tranche of the 11,206 Time-Based RSUs was fully amortized as of June 30, 2024 and vested on July 1, 2024, the next business day after June 30, 2024.

    NOTE 10. OTHER ASSETS, NET

    Other assets, net on the Company's Condensed Consolidated Balance Sheets as of September 30, 2024 and December 31, 2023 are detailed in the table below.
    Balance as of
    (Dollars in thousands)September 30, 2024December 31, 2023
    Notes receivable, net of credit loss reserve$20,280 $30,775 
    Straight-line rent receivables, net19,711 18,481 
    Fair value of interest rate swaps10,492 16,417 
    Leasing commissions, net3,920 2,312 
    Sales-type lessor receivable3,017 3,028 
    Financing lease right-of-use assets2,442 2,486 
    Prepaid assets2,294 1,203 
    Accounts receivable, net2,137 2,739 
    Above-market intangible assets, net2,126 2,645 
    Interest receivable, net1,798 1,906 
    Operating lease right of use assets706 729 
    Deferred financing costs, net312 471 
    Other641 684 
    $69,876 $83,876 


    22

    Notes to Condensed Consolidated Financial Statements - Continued
    The Company's notes receivable mainly included:

    •At September 30, 2024 and December 31, 2023, notes receivable included a term loan totaling $3.8 million and $6.0 million, respectively, secured by all assets and ownership interests in seven long-term acute care hospitals and one inpatient rehabilitation hospital owned by the borrower. The term loan will be repaid in equal monthly installments of $250,000 through the maturity date of December 31, 2025 and bears interest at 9% per annum.

    •At September 30, 2024 and December 31, 2023, notes receivable included a term loan totaling $17.0 million, and a revolving credit facility with $6.3 million and $5.4 million drawn, respectively, secured by assets and ownership interests of six geriatric behavioral hospitals and affiliated companies all of which are co-borrowers on the loans. At September 30, 2024, the Company had an unfunded commitment of $2.2 million on the revolving credit facility and an unfunded commitment of up to $2.0 million on an advancing term loan facility. The term loan bears interest at 9% per annum, with interest only payments due initially and then equal monthly installments of principal payments due beginning March 31, 2025. The term loan facility matures on December 31, 2032. The revolving credit facility bears interest at 9% per annum and matures on December 31, 2025. The advancing term loan may be funded at the Company's discretion, and bears interest at 9% per annum on any amount funded, that may be used by the borrower to pay existing liabilities of co-borrowers. The term loan, the revolving credit facility and the additional commitment all include a 3% per annum non-cash interest charge that is due and payable upon the earlier of the repayment or maturity of each note.

    In the second quarter of 2024, the Company determined that the collectability of the term loan and revolver loan was not reasonably assured. The tenant/borrower has experienced challenges with patient census and employee staffing, which has impacted cash flows from operations and the consistency of rent and interest payments to the Company. In the second quarter of 2024, the Company valued the notes based on its estimated value of the underlying collateral. As a result, in the second quarter of 2024, the Company recorded an $11.0 million credit loss reserve on its notes receivable with the tenant and reversed approximately $1.4 million of interest and placed the notes on non-accrual status. Changes in cash flows of the business, changes in market data, such as market multiples, and other relevant data may drive a change in the estimated value of the underlying collateral. At September 30, 2024, however, the Company did not believe that there were any material changes to warrant a change in the credit loss reserve recorded in the second quarter of 2024.

    •At September 30, 2024 and December 31, 2023, notes receivable also included a $2.2 million and $2.3 million, respectively, revolving credit facility. This note will be repaid in equal monthly installments of $40,000 beginning on November 1, 2024, through the maturity date of April 1, 2027. The revolving credit facility bears interest at 9% per annum, as well as a 3% per annum non-cash interest charge that is due and payable upon the earlier of the repayment or maturity of the note.

    •At September 30, 2024, notes receivable also included a $2.0 million construction mortgage loan with a developer which is secured by the land, improvements, and personal property. The mortgage loan, which bears interest at 10% per annum, will be interest only until the principal is due at the earlier of the completion and acquisition of the property, or August 15, 2027.

    The Company identified the borrowers of these notes as variable interest entities ("VIEs"), but management determined that the Company was not the primary beneficiary of the VIEs because we lack either directly or through related parties any material decision-making rights or control of the entities that impact the borrowers' economic performance. We are not obligated to provide support beyond our stated commitment to the borrowers, and accordingly our maximum exposure to loss as a result of this relationship is limited to the amount of our outstanding notes receivable. The VIEs that we have identified at September 30, 2024 are summarized in the table below.
    23

    Notes to Condensed Consolidated Financial Statements - Continued
    Classification
    Carrying Amount
    (in thousands)
    Maximum Exposure to Loss
    (in thousands)
    Note receivable (term loan)$3,750 $3,750 
    Note receivable (revolving credit facility)$2,220 $2,220 
    Note receivable (mortgage note)$2,000 $2,000 
    Notes receivable (revolving credit facility and term loan), net of credit loss$12,310 $12,310 

    NOTE 11. OTHER LIABILITIES, NET

    Other liabilities, net on the Company's Condensed Consolidated Balance Sheets as of September 30, 2024 and December 31, 2023 are detailed in the table below.
    Balance as of
    (Dollars in thousands)September 30, 2024December 31, 2023
    Prepaid rent$5,880 $5,378 
    Security deposits2,951 3,765 
    Below-market lease intangibles, net2,593 3,188 
    Fair value of interest rate swaps476 — 
    Financing lease liability3,265 3,277 
    Operating lease liability766 775 
    Other558 485 
    $16,489 $16,868 

    NOTE 12. FAIR VALUE OF FINANCIAL INSTRUMENTS

    The following methods and assumptions were used to estimate the fair value of each class of financial instruments for which it is practical to estimate the fair value.

    Cash and cash equivalents and restricted cash - The carrying amount approximated the fair value. The fair value estimates were determined using level 1 inputs.

    Notes and mortgage note receivable - The fair value was estimated using cash flow analyses, based on an assumed market rate of interest or at a rate consistent with the rates on notes carried by the Company and were classified as level 2 inputs in the hierarchy. The fair value of notes receivable with one tenant was determined utilizing the fair value of the receivables' collateral, as the receivables are collateral-dependent, and were classified as level 3 inputs in the hierarchy.

    Borrowings under our Credit Facility - The carrying amount approximated the fair value because the borrowings were based on variable market interest rates. The fair value estimates were determined using level 2 inputs.

    Derivative financial instruments (Interest rate swaps) - The fair value was estimated using discounted cash flow techniques. These techniques incorporate primarily level 2 inputs. The market inputs were utilized in the discounted cash flow calculation considering the instrument’s term, notional amount, discount rate and credit risk. Significant inputs to the derivative valuation model for interest rate swaps were observable in active markets and were classified as level 2 inputs in the hierarchy.

    Mortgage note payable - The fair value was estimated using cash flow analyses which were based on an assumed market rate of interest or at a rate consistent with the rates on mortgage notes assumed by the Company and were classified as level 2 inputs in the hierarchy.

    The table below details the fair values and carrying values for our notes and mortgage note receivable, interest rate swaps, and mortgage note payable at September 30, 2024 and December 31, 2023, using level 2 and level 3 inputs.
    24

    Notes to Condensed Consolidated Financial Statements - Continued
    September 30, 2024December 31, 2023
    (Dollars in thousands)Carrying ValueFair ValueCarrying ValueFair Value
    Notes and mortgage note receivable (Level 2)$7,970 $7,835 $8,340 $8,159 
    Notes receivable, net of credit loss (1)
    $12,310 $12,310 $22,435 $23,040 
    Interest rate swap asset$10,492 $10,492 $16,417 $16,417 
    Interest rate swap liability$476 $476 $— $— 
    Mortgage note payable (principal amount)$— $— $4,821 $4,791 
    ___________________
    (1) Calculated utilizing Level 3 inputs at September 30, 2024 and Level 2 inputs at December 31, 2023.

    NOTE 13. COMMITMENTS AND CONTINGENCIES

    Tenant Improvements
    The Company may provide tenant improvement allowances in new or renewal leases for the purpose of refurbishing or renovating tenant space. The Company may also assume tenant improvement obligations included in leases acquired in its real estate acquisitions. As of September 30, 2024, the Company had approximately $26.0 million in commitments for tenant improvements. Six of these projects totaling $13.1 million, represent redevelopment projects of the buildings into different healthcare uses backed by long-term leases.

    Capital Improvements
    The Company has entered into contracts with various vendors for various capital improvement projects related to its portfolio. As of September 30, 2024, the Company had approximately $3.1 million in commitments for capital improvement projects. Six of these projects totaling $0.8 million, represent redevelopment projects of the buildings into different healthcare uses backed by long-term leases.

    Legal Proceedings
    The Company is not aware of any pending or threatened litigation that, if resolved against the Company, would have a material adverse effect on the Company's Consolidated Financial Statements.

    NOTE 14. SUBSEQUENT EVENTS

    Dividend Declared
    On October 24, 2024, the Company’s Board of Directors declared a quarterly common stock dividend in the amount of $0.465 per share. The dividend is payable on November 22, 2024 to stockholders of record on November 8, 2024.

    Credit Facility Refinancing
    On October 16, 2024, the Company entered into a second amendment to the third amended and restated credit agreement (the "Amended Credit Facility") with a syndicate of lenders, under which Truist Bank serves as administrative agent. The Amended Credit Facility, among other things, (i) increased the Company's Revolving Credit Facility from $150.0 million to $400.0 million, (ii) extended the maturity date of the Revolving Credit Facility from March 19, 2026 to October 16, 2029, and (iii) lowered pricing on the Revolving Credit Facility by 10 to 30 basis points, depending on the Company's leverage ratio. Proceeds from the increased Revolving Credit Facility were used to repay the existing $75.0 million A-3 Term Loan which was scheduled to mature on March 29, 2026. In addition, amounts outstanding under the Revolving Credit Facility prior to the second Amendment will remain outstanding. Interest rate swaps previously entered into to fix the interest rates on the A-3 Term Loan will remain in place on the Revolving Credit Facility through their maturity on March 29, 2026.
    25


    ITEM 2.    MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

    Disclosure Regarding Forward-Looking Statements
    This report and other materials that Community Healthcare Trust Incorporated (the "Company") has filed or may file with the Securities and Exchange Commission, as well as information included in oral statements or other written statements made, or to be made, by management of the Company, contain, or will contain, statements that are “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are generally identifiable by use of forward-looking terminology such as “believes”, “expects”, “may”, "will', “should”, “seeks”, “approximately”, “intends”, “plans”, “estimates”, “anticipates” or other similar words or expressions, including the negative thereof. Forward-looking statements are based on certain assumptions and can include future expectations, future plans and strategies, financial and operating projections or other forward-looking information. Such forward-looking statements reflect management’s current beliefs and are based on information currently available to management. Because forward-looking statements relate to future events, they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict and many of which are outside of the Company’s control. Thus, the Company’s actual results and financial condition may differ materially from those indicated in such forward-looking statements. Some factors that might cause such a difference include the following: general volatility of the capital markets and the market price of the Company’s common stock, changes in the Company’s business strategy, availability, terms and deployment of capital, the Company’s ability to refinance existing indebtedness at or prior to maturity on favorable terms, or at all, changes in the real estate industry in general, interest rates or the general economy, adverse developments related to the healthcare industry, changes in governmental regulations, the degree and nature of the Company’s competition, the ability to consummate acquisitions under contract, catastrophic or extreme weather and other natural events and the physical effects of climate change, the occurrence of cyber incidents, effects on global and national markets as well as businesses resulting from increased inflation, changes in interest rates, supply chain disruptions, labor conditions, the conflicts in Ukraine and the Middle East, and/or uncertainties related to the 2024 U.S. presidential election, and the other factors described in the section entitled “Risk Factors” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023, and the Company’s other filings with the Securities and Exchange Commission from time to time. Readers are therefore cautioned not to place undue reliance on the forward-looking statements contained herein which speak only as of the date hereof. The Company intends these forward-looking statements to speak only as of the time of this report and the Company undertakes no obligation to update forward-looking statements, whether as a result of new information, future developments, or otherwise, except as may be required by law.

    The purpose of this Management's Discussion and Analysis ("MD&A") is to provide an understanding of the Company's consolidated financial condition, results of operations and cash. MD&A is provided as a supplement to, and should be read in conjunction with, the Company's Condensed Consolidated Financial Statements and accompanying notes.

    Overview
    References such as "we," "us," "our," and "the Company" mean Community Healthcare Trust Incorporated, a Maryland corporation, and its consolidated subsidiaries.

    We were organized in the State of Maryland on March 28, 2014. We are a self-administered, self-managed healthcare real estate investment trust, or REIT, that acquires and owns properties that are leased to hospitals, doctors, healthcare systems or other healthcare service providers.

    Trends and Matters Impacting Operating Results
    Management monitors factors and trends that it believes are important to the Company and the REIT industry in order to gauge their potential impact on the operations of the Company. Certain of the factors and trends that management believes may impact the operations of the Company are discussed below.
    26

    Management's Discussion and Analysis of Financial Condition and Results of Operations - Continued
    Real Estate Acquisitions
    During the first nine months of 2024, the Company acquired six real estate properties totaling approximately 223,000 square feet for an aggregate purchase price of approximately $63.9 million and cash consideration of approximately $64.2 million. Upon acquisition, the properties were 99.3% leased in the aggregate with lease expirations through 2039. These acquisitions were funded with net proceeds from equity sales through the ATM program and the Company's Revolving Credit Facility. See Note 4 – Real Estate Acquisitions, Disposition, and Assets Held for Sale to the Condensed Consolidated Financial Statements for more details on these acquisitions.

    Real Estate Dispositions
    During the third quarter of 2024, the Company disposed of an 11,200 square foot surgical center in Texas, received net proceeds of approximately $1.0 million, and recognized an immaterial gain on sale.

    Acquisition Pipeline
    The Company has four properties under definitive purchase agreements for an aggregate expected purchase price of approximately $8.8 million. The Company's expected returns on these investments range from 9.29% to 9.50%. The Company expects to close on these properties in the fourth quarter of 2024; however, the Company cannot provide assurance as to the timing of when, or whether, these transactions will actually close. The Company expects to fund these acquisitions with proceeds from the Company's Revolving Credit Facility.

    The Company has seven properties under definitive purchase agreements, to be acquired after completion and occupancy, for an aggregate expected purchase price of approximately $169.5 million. The Company's expected return on these investments will approximate 9.1% to 9.75%. The Company anticipates closing on these properties throughout 2025, 2026 and 2027; however, the Company cannot provide assurance as to the timing of when, or whether, these transactions will actually close.

    Leased Square Footage
    As of September 30, 2024, our real estate portfolio was approximately 91.3% leased, excluding real estate properties held for sale. During the first nine months of 2024, we had expiring or terminated leases related to approximately 431,000 square feet, and we leased or renewed leases relating to approximately 427,000 square feet.

    Purchase Option Provisions
    Certain of the Company's leases provide the lessee with a purchase option or a right of first refusal to purchase the leased property. The purchase option provisions generally allow the lessee to purchase the leased property at fair value or at an amount greater than the Company's gross investment in the leased property at the time of the purchase.

    At September 30, 2024, the Company had an aggregate gross investment of approximately $32.9 million in 10 real estate properties with purchase options exercisable at September 30, 2024 that had not been exercised.

    Inflation
    Periods of high and persistent inflation could cause an increase in our expenses, capital expenditures, and cost of our variable-rate borrowings which could have a material impact on our financial position or results of operations. Many of our lease agreements contain provisions designed to mitigate the adverse impact of inflation, including annual rent increases based on stated increases or CPI increases. In response to inflationary pressures, the Federal Reserve began raising interest rates in 2022. Though these higher interest rates have just begun to decline, these higher rates may adversely impact real estate asset values and increase our interest expense on our variable-rate borrowings under our revolving credit facility.

    Executive Compensation
    During the first quarter of 2024, the Company's Board approved and adopted certain changes to executive compensation. Through the adoption of the Third Amended and Restated Alignment of Interest Program, the Board established a maximum elective deferral percentage amount of 50% (previously 100%) of compensation allowed to be deferred and applied to the acquisition of restricted stock for certain participants in the program, and limited the
    27

    Management's Discussion and Analysis of Financial Condition and Results of Operations - Continued
    duration of the restriction period election depending on each individual's retirement eligibility date. These changes were effective beginning January 1, 2024 for salary and other compensation deferrals and are now effective beginning July 1, 2024 for cash bonus deferrals.

    Further, the Board approved and adopted a new long-term incentive compensation structure for its executive officers, which includes the issuance of time-based RSUs and performance-based RSUs with three-year forward-looking performance targets. Historically, the Company had granted long-term incentive awards to its executive officers comprised of restricted stock that vested in eight years, based on backward-looking performance metrics. See Note 9 – Stock Incentive Plan for more details.

    Results of Operations
    The Company's results of operations for the three and nine months ended September 30, 2024 compared to the same period in 2023 were impacted by real estate acquisitions, lease receivable, interest and loan loss reserves recognized in the second quarter of 2024 related to a tenant, the amortization of non-cash compensation, including the accelerated amortization of unvested restricted shares upon the passing of the Company's former CEO and President in the first quarter of 2023, the new executive compensation program implemented in the first quarter of 2024, as well as other items discussed in more detail below.

    Three Months Ended September 30, 2024 Compared to Three Months Ended September 30, 2023
    The table below shows our results of operations for the three months ended September 30, 2024 compared to the same period in 2023 and the effect of changes in those results from period to period on our net income.
    Three Months Ended September 30,Increase (Decrease)
    (Dollars in thousands)
    20242023$%
    REVENUES
    Rental income$29,335 $27,690 $1,645 5.9 %
    Other operating interest, net304 1,045 (741)n/m
    29,639 28,735 904 3.1 %
    EXPENSES
    Property operating5,986 5,456 (530)(9.7)%
    General and administrative4,935 3,618 (1,317)(36.4)%
    Depreciation and amortization10,927 11,208 281 2.5 %
    21,848 20,282 (1,566)(7.7)%
    OTHER (EXPENSE) INCOME
    Gain on sale (impairment) of depreciable real estate asset5 (102)107 n/m
    Interest expense(6,253)(4,641)(1,612)(34.7)%
    Deferred income tax expense— (221)221 n/m
    Interest and other income, net206 3 203 n/m
    (6,042)(4,961)(1,081)21.8 %
    NET INCOME$1,749 $3,492 $(1,743)(49.9)%
    ___________
    n/m-not meaningful

    Revenues
    Rental income increased approximately $1.6 million, or 5.9%, for the three months ended September 30, 2024 compared to the same period in 2023. Rental income on properties acquired during 2023 and 2024 resulted in additional rental income of approximately $2.7 million in 2024 compared to 2023, offset partially by the impact of moving a tenant to cash basis in 2024 resulting in a reduction of approximately $0.8 million, with the remaining reduction due mainly to lease terminations, including two Genesis Care leases with the Company that they rejected in 2023 as part of their bankruptcy.
    28

    Management's Discussion and Analysis of Financial Condition and Results of Operations - Continued

    Other operating interest decreased approximately $0.7 million for the three months ended September 30, 2024 compared to the same period in 2023 due mainly to placing a tenant note on non-accrual and reversing interest due from that tenant, as well as a reduction in interest on notes due to reduced principal balances from payments received.

    Expenses
    Property operating expenses increased approximately $0.5 million, or 9.7%, for the three months ended September 30, 2024 compared to the same period in 2023 due mainly to additional expenses on properties acquired during 2023 and 2024.

    General and administrative expenses increased approximately $1.3 million, or 36.4%, for the three months ended September 30, 2024 compared to the same period in 2023 due mainly to compensation-related expenses. The non-cash amortization of deferred compensation increased approximately $0.6 million and cash compensation increased approximately $0.7 million for the three months ended September 30, 2024 compared to the same period in 2023 due to the issuance of additional restricted shares and from the impact of adopting the new executive compensation program in January 2024 which included the grant of 3-year forward-looking restricted stock units, as well as limiting the maximum elective deferral percentage amount of salary and bonus to 50% (previously 100%) as described in more detail in Note 9 – Stock Incentive Plan to the Condensed Consolidated Financial Statements.

    Depreciation and amortization expense decreased approximately $0.3 million, or 2.5%, for the three months ended September 30, 2024 compared to the same period in 2023. This decrease was due mainly to the following:
    •Fully amortized real estate lease intangibles which generally have a shorter depreciable life than a building resulted in a decrease of approximately $1.9 million;
    •Depreciation and amortization on the two properties classified as held for sale during the second and fourth quarters of 2023 resulted in a decrease of approximately $1.3 million;
    •Accelerated amortization of lease intangibles on the two GenesisCare properties where the leases were rejected resulted in a decrease of approximately $1.5 million;
    •Depreciation and amortization on real estate acquired during 2023 and 2024 resulted in an increase of approximately $1.3 million; and
    •Depreciation on tenant and other capital improvements resulted in an increase of approximately $3.2 million.

    Interest expense
    Interest expense increased approximately $1.6 million, or 34.7%, for the three months ended September 30, 2024 compared to the same period in 2023 due mainly to increases in the weighted average balance and interest rates on the revolving credit facility.

    Deferred income tax expense
    Deferred income tax expense decreased approximately $0.2 million for the three months ended September 30, 2024 compared to the same period in 2023. During the three months ended September 30, 2023, the Company recorded an additional valuation allowance on its deferred tax asset.

    Interest and other income, net
    Interest and other income, net increased approximately $0.2 million for the three months ended September 30, 2024 compared to the same period in 2023. During the three months ended September 30, 2023, the Company received earnest money on a terminated contract on a property held for sale.

    29

    Management's Discussion and Analysis of Financial Condition and Results of Operations - Continued
    Nine Months Ended September 30, 2024 Compared to Nine Months Ended September 30, 2023
    The table below shows our results of operations for the nine months ended September 30, 2024 compared to the same period in 2023 and the effect of changes in those results from period to period on our net (loss) income.
    Nine Months Ended
    September 30,
    Increase (Decrease)
    (Dollars in thousands)
    20242023$%
    REVENUES
    Rental income
    $85,582 $80,582 $5,000 6.2 %
    Other operating interest, net
    906 3,139 (2,233)n/m
    86,488 83,721 2,767 3.3 %
    EXPENSES
    Property operating
    17,349 15,115 (2,234)(14.8)%
    General and administrative
    14,249 23,610 9,361 39.6 %
    Depreciation and amortization
    31,981 29,445 (2,536)(8.6)%
    63,579 68,170 4,591 6.7 %
    OTHER (EXPENSE) INCOME
    Impairment of depreciable real estate asset(135)(102)(33)(32.4)%
    Interest expense
    (17,301)(12,773)(4,528)(35.4)%
    Credit loss reserve(11,000)— (11,000)n/m
    Deferred income tax expense
    — (306)306 n/m
    Interest and other income, net
    514 777 (263)(33.8)%
    (27,922)(12,404)(15,518)n/m
    NET (LOSS) INCOME$(5,013)$3,147 $(8,160)n/m
    n/m - not meaningful

    Revenues
    Rental income increased approximately $5.0 million, or 6.2%, for the nine months ended September 30, 2024 compared to the same period in 2023 due mainly to rental income on properties acquired during 2023 and 2024 resulting in additional rental income of approximately $9.2 million, offset partially by the impact of moving a tenant to cash basis in the second quarter of 2024 totaling approximately $1.9 million (including $0.9 million of straight-line rent) with the remaining reduction due mainly to lease terminations, including two Genesis Care leases with the Company that they rejected in 2023 as part of their bankruptcy.

    Other operating interest decreased $2.2 million for the nine months ended September 30, 2024 compared to the same period in 2023 due mainly to placing a tenant note on non-accrual and reversing interest due from that tenant, as well as a reduction in interest on notes due to reduced principal balances from payments received.

    Expenses
    Property operating expenses increased approximately $2.2 million, or 14.8%, for the nine months ended September 30, 2024 compared to the same period in 2023 due mainly to the following:

    •Expenses on properties acquired during 2023 and 2024 increased property operating expenses by approximately $1.5 million;
    •Property insurance resulted in an increase of approximately $0.2 million;
    •Snow plow and landscaping services resulted in an increase of approximately $0.2 million;
    •Repairs and maintenance expenses resulted in an increase of approximately $0.2 million; and
    •Amortization of leasing commissions resulted in an increase of approximately $0.1 million.

    30

    Management's Discussion and Analysis of Financial Condition and Results of Operations - Continued
    General and administrative expenses decreased approximately $9.4 million, or 39.6% for the nine months ended September 30, 2024 compared to the same period in 2023 due mainly to the following:

    •Non-cash accelerated amortization of deferred compensation in the first quarter of 2023 for non-vested restricted common shares held by former CEO and President Timothy Wallace at the time of his passing in March 2023 accounted for a decrease of approximately $11.8 million; offset partially by
    •An increase in the non-cash amortization of other deferred compensation of approximately $1.3 million and cash compensation of approximately $1.4 million for the nine months ended September 30, 2024 compared to the same period in 2023 due to the issuance of additional restricted shares and from the impact of adopting the new executive compensation program in January 2024 which included the grant of 3-year forward-looking restricted stock units, as well as limiting the maximum elective deferral percentage amount of salary and bonus to 50% (previously 100%) as described in more detail in Note 9 – Stock Incentive Plan to the Condensed Consolidated Financial Statements.

    Depreciation and amortization expense increased approximately $2.5 million, or 8.6%, for the nine months ended September 30, 2024 compared to the same period in 2023. This increase was comprised mainly of the following:

    •Acquisitions of real estate in 2023 and 2024 resulted in an increase of approximately $4.2 million;
    •Tenant improvements and other capital expenditures resulted in an increase of approximately $4.2 million; offset against
    •Fully amortized real estate lease intangibles which generally have a shorter depreciable life than a building resulted in a decrease of approximately $2.8 million;
    •Accelerated amortization of lease intangibles on the two GenesisCare properties in 2023 where the leases were rejected resulted in a decrease of approximately $1.5 million; and
    •Depreciation and amortization on the two properties classified as held for sale during the second and fourth quarters of 2023 ceased at that time resulting in a decrease of approximately $1.5 million.

    Interest expense
    Interest expense increased approximately $4.5 million, or 35.4%, for the nine months ended September 30, 2024 compared to the same period in 2023. Interest due under the Credit Facility increased approximately $4.2 million due mainly to an increase in the revolving credit facility balance and a rise in interest rates (See Note 5 – Debt, net to the Condensed Consolidated Financial Statements), and the maturity of two interest rate swaps, which were replaced with two forward-starting interest swaps (See Note 6 – Derivative Financial Instruments to the Condensed Consolidated Financial Statements). Also, capitalized interest on redevelopment projects decreased approximately $0.4 million for the nine months ended September 30, 2024 compared to the same period in 2023. Mortgage interest decreased approximately $0.1 million for the nine months ended September 30, 2024 compared to the same period in 2023 due to the repayment of the mortgage note at maturity.

    Credit loss reserve
    Credit loss reserve totaling $11.0 million was recorded during the second quarter of 2024 related to notes receivable with a geriatric inpatient behavioral hospital tenant. See Note 10 – Other Assets, net for more details on the credit loss reserve.

    Deferred income tax expense
    Deferred income tax expense decreased approximately $0.3 million for the nine months ended September 30, 2024 compared to the same period in 2023. During the nine months ended September 30, 2023, the Company recorded an additional valuation allowance on its deferred tax asset.

    Interest and other income, net
    Interest and other income, net decreased approximately $0.3 million, or 33.8%, for the nine months ended September 30, 2024 compared to the same period in 2023. During the nine months ended September 30, 2023, the Company recognized a net casualty gain relating to a property totaling $0.7 million. During the second quarter of
    31

    Management's Discussion and Analysis of Financial Condition and Results of Operations - Continued
    2024, the Company recorded into income an undistributed allowance for tenant improvements totaling $0.3 million for a lease that expired on June 30, 2024. Also, during the nine months ended September 30, 2024, the Company recorded into income $0.2 million of earnest money on a terminated contract on a property held for sale.
    Non-GAAP Financial Measures and Key Performance Indicators
    Management considers certain non-GAAP financial measures and key performance indicators to be useful supplemental measures of the Company's operating performance. A non-GAAP financial measure is generally defined as one that purports to measure financial performance, financial position or cash flows, but excludes or includes amounts that would not be so adjusted in the most comparable measure determined in accordance with GAAP. The Company reports non-GAAP financial measures because these measures are observed by management to also be among the most predominant measures used by the REIT industry and by industry analysts to evaluate REITs. For these reasons, management deems it appropriate to disclose and discuss these non-GAAP financial measures. Set forth below are descriptions of the non-GAAP financial measures management considers relevant to the Company's business and useful to investors, as well as reconciliations of those measures to the most directly comparable GAAP financial measure.

    The non-GAAP financial measures and key performance indicators presented herein are not necessarily identical to those presented by other real estate companies due to the fact that not all real estate companies use the same definitions. These measures should not be considered as alternatives to net income, as indicators of the Company's financial performance, or as alternatives to cash flow from operating activities as measures of the Company's liquidity, nor are these measures necessarily indicative of sufficient cash flow to fund all of the Company's needs. Management believes that in order to facilitate a clear understanding of the Company's historical consolidated operating results, these measures should be examined in conjunction with net income and cash flows from operations as presented in the Condensed Consolidated Financial Statements and other financial data included elsewhere in this Quarterly Report on Form 10-Q.

    Funds from Operations ("FFO") and Adjusted Funds from Operations ("AFFO")
    FFO is an operating performance measure adopted by the National Association of Real Estate Investment Trusts, Inc. (“NAREIT”). NAREIT defines FFO as the most commonly accepted and reported measure of a REIT’s operating performance equal to net income (calculated in accordance with GAAP), excluding gains or losses from the sale of certain real estate assets, gains and losses from change in control, impairment write-downs of certain real estate assets and investments in entities when the impairment is directly attributable to decreases in the value of depreciable real estate held by the entity, plus depreciation and amortization related to real estate properties, and after adjustments for unconsolidated partnerships and joint ventures. NAREIT also provides REITs with an option to exclude gains, losses and impairments of assets that are incidental to the main business of the REIT from the calculation of FFO.

    In addition to FFO, the Company presents AFFO and AFFO per share. The Company defines AFFO as FFO, excluding certain expenses related to closing costs of properties acquired accounted for as business combinations and mortgages funded, excluding straight-line rent and the amortization of stock-based compensation, and including or excluding other non-cash items from time to time. AFFO presented herein may not be comparable to similar measures presented by other real estate companies due to the fact that not all real estate companies use the same definition.

    Management believes that net income, as defined by GAAP, is the most appropriate earnings measurement. However, management believes FFO, AFFO, FFO per share and AFFO per share provide an understanding of the operating performance of the Company’s properties without giving effect to certain significant non-cash items, primarily depreciation and amortization expense. Historical cost accounting for real estate assets in accordance with GAAP assumes that the value of real estate assets diminishes predictably over time. However, real estate values instead have historically risen or fallen with market conditions. The Company believes that by excluding the effect of depreciation, amortization, impairments and gains or losses from sales of real estate, losses and impairment of incidental assets, all of which are based on historical costs and which may be of limited relevance in evaluating current performance, FFO, AFFO, FFO per share and AFFO per share can facilitate comparisons of operating
    32

    Management's Discussion and Analysis of Financial Condition and Results of Operations - Continued
    performance between periods. The table below reconciles net income (loss) to FFO and AFFO for the three and nine months ended September 30, 2024 compared to the same periods in 2023.
    Three Months Ended
    September 30,
    Nine Months Ended
    September 30,
    (In thousands, except per share amounts)2024202320242023
    Net income (loss) (1) (2) (3)
    $1,749 $3,492 $(5,013)$3,147 
    Real estate depreciation and amortization
    11,077 11,375 32,350 29,756 
    (Gain on sale) impairment of depreciable real estate asset (2)
    (5)102 135 102 
    Credit loss reserve (4)
    — — 11,000 — 
    FFO12,821 14,969 38,472 33,005 
    Straight-line rent (1)
    (679)(444)(1,230)(2,180)
    Stock-based compensation
    2,497 1,898 7,390 6,137 
    Accelerated amortization of stock-based compensation (3)
    — — — 11,799 
    Net gain from insurance recovery on casualty loss (2)
    — — — (706)
    AFFO$14,639 $16,423 $44,632 $48,055 
    FFO per diluted common share$0.48 $0.58 $1.44 $1.29 
    AFFO per diluted common share$0.55 $0.63 $1.67 $1.88 
    Weighted average common shares outstanding - diluted (5)
    26,853 26,025 26,781 25,538 
    ___________________
    (1) During the three months ended June 30, 2024, the Company placed leases related to a tenant on cash basis and reversed rent and placed notes related to the tenant on non-accrual and reversed interest totaling approximately $3.2 million, including straight-line rent of approximately $0.9 million.
    (2) During the three months ended June 30, 2023, the Company recognized a $0.7 million net casualty gain from insurance proceeds received related to one property. The Company recorded impairments on the property in previous quarters based on contracts to sell, and sold the property during the three months ended September 30, 2024, recording an immaterial gain on sale.
    (3) During the three months ended March 31, 2023, the Company accelerated the amortization of stock-based compensation totaling $11.8 million upon the passing of our former CEO and President.
    (4) During the three months ended June 30, 2024, the Company recorded an $11.0 million credit loss reserve related to notes receivable that are incidental to the Company's main business with a geriatric inpatient behavioral hospital tenant.
    (5) Diluted weighted average common shares outstanding for FFO and AFFO are calculated based on the treasury method, rather than the 2-class method used to calculate earnings per share.

    Net Operating Income ("NOI")
    NOI is a key performance indicator. NOI is defined as net income or loss, computed in accordance with GAAP, generated from our total portfolio of properties and other investments before general and administrative expenses, depreciation and amortization expense, gains or loss on the sale of real estate properties or other investments, interest expense, and income tax expense. We believe that NOI provides an accurate measure of operating performance of our operating assets because NOI excludes certain items that are not associated with management of the properties. The Company's use of the term NOI may not be comparable to that of other real estate companies as they may have different methodologies for computing NOI.


    33

    Management's Discussion and Analysis of Financial Condition and Results of Operations - Continued
    The table below reconciles net income (loss) to NOI for the three and nine months ended September 30, 2024 compared to the same periods in 2023.
    Three Months Ended
    September 30,
    Nine Months Ended
    September 30,
    (In thousands)2024202320242023
    Net income (loss) (1) (2)
    $1,749 $3,492 $(5,013)$3,147 
    General and administrative (3)
    4,935 3,618 14,249 11,811 
    Accelerated amortization of stock-based compensation— — — 11,799 
    Depreciation and amortization10,927 11,208 31,981 29,445 
    (Gain on sale) impairment of depreciable real estate asset (2)
    (5)102 135 102 
    Credit loss reserve (4)
    — — 11,000 — 
    Interest expense6,253 4,641 17,301 12,773 
    Deferred income tax expense— 221 — 306 
    Interest and other income, net(206)(3)(514)(777)
    NOI$23,653 $23,279 $69,139 $68,606 
    ____________
    (1) During the three months ended June 30, 2024, the Company placed leases related to a tenant on cash basis and reversed rent and placed notes related to the tenant on non-accrual and reversed interest totaling approximately $3.2 million, including straight-line rent of approximately $0.9 million.
    (2) During the three months ended June 30, 2023, the Company recognized a $0.7 million net casualty gain from insurance proceeds received related to one property. The Company recorded impairments on the property in previous quarters based on contracts to sell, and sold the property during the three months ended September 30, 2024, recording an immaterial gain on sale.
    (3) During the three months ended March 31, 2023, the Company accelerated the amortization of stock-based compensation totaling $11.8 million upon the passing of our former CEO and President.
    (4) During the three months ended June 30, 2024, the Company recorded an $11.0 million credit loss reserve related to notes receivable that are incidental to the Company's main business with a geriatric inpatient behavioral hospital tenant.

    EBITDAre and Adjusted EBITDAre
    The Company uses the NAREIT definition of EBITDAre which is net income or loss plus interest expense, income tax expense, and depreciation and amortization, plus losses or minus gains on the disposition of depreciable property, including losses/gains on change of control, plus impairment write-downs of depreciable property and of investments in unconsolidated affiliates caused by a decrease in value of depreciable property in the affiliate, plus or minus adjustments to reflect the entity's share of EBITDAre of unconsolidated affiliates and consolidated affiliates with non-controlling interest. The Company also presents Adjusted EBITDAre which is EBITDAre before non-cash stock-based compensation expense.

    We consider EBITDAre and Adjusted EBITDAre important measures because they provide additional information to allow management, investors, and our current and potential creditors to evaluate and compare our core operating results and our ability to service debt.


    34

    Management's Discussion and Analysis of Financial Condition and Results of Operations - Continued
    The table below reconciles net income (loss) to EBITDAre and Adjusted EBITDAre for the three and nine months ended September 30, 2024 compared to the same periods in 2023.

    Three Months Ended
    September 30,
    Nine Months Ended
    September 30,
    (In thousands)2024202320242023
    Net (loss) income (1) (2)
    $1,749 $3,492 $(5,013)$3,147 
    Interest expense6,253 4,641 17,301 12,773 
    Depreciation and amortization10,927 11,208 31,981 29,445 
    Deferred income tax expense— 221 — 306 
    (Gain on sale) impairment of depreciable real estate asset (2)
    (5)102 135 102 
    EBITDAre
    $18,924 $19,664 $44,404 $45,773 
    Non-cash stock-based compensation expense (3)
    2,497 1,898 7,390 6,137 
    Accelerated amortization of stock-based compensation— — — 11,799 
    Net gain from insurance recovery on casualty loss— — — (706)
    Credit loss reserve (4)
    — — 11,000 — 
    Adjusted EBITDAre
    $21,421 $21,562 $62,794 $63,003 
    _____________
    (1) During the three months ended June 30, 2024, the Company placed leases related to a tenant on cash basis and reversed rent and placed notes related to the tenant on non-accrual and reversed interest totaling approximately $3.2 million, including straight-line rent of approximately $0.9 million.
    (2) During the three months ended June 30, 2023, the Company recognized a $0.7 million net casualty gain from insurance proceeds received related to one property. The Company recorded impairments on the property in previous quarters based on contracts to sell, and sold the property during the three months ended September 30, 2024, recording an immaterial gain on sale.
    (3) During the three months ended March 31, 2023, the Company accelerated the amortization of stock-based compensation totaling $11.8 million upon the passing of our former CEO and President.
    (4) During the three months ended June 30, 2024, the Company recorded an $11.0 million credit loss reserve related to notes receivable that are incidental to the Company's main business with a geriatric inpatient behavioral hospital tenant.

    Liquidity and Capital Resources
    The Company monitors its liquidity and capital resources and relies on several key indicators in its assessment of capital markets for financing acquisitions and other operating activities as needed, including the following:

    •Leverage ratios and financial covenants included in our Credit Facility;

    •Dividend payout percentage; and

    •Interest rates, underlying treasury rates, debt market spreads and equity markets.

    The Company uses these indicators and others to compare its operations to its peers and to help identify areas in which the Company may need to focus its attention.

    Financing Policy
    The Company’s current financing policy limits aggregate debt (secured or unsecured) in excess of 40% of the Company's total capitalization, except for short-term, transitory periods. At September 30, 2024, our debt to total capitalization ratio (debt plus stockholders' equity plus accumulated depreciation) was approximately 40.0%.

    Sources and Uses of Cash
    The Company derives most of its revenues from its real estate properties. Our rental income represents our primary source of liquidity to fund our dividends, general and administrative expenses, property operating expenses, capital improvements on our properties, interest expense on our Credit Facility, and other expenses incurred related to managing our existing portfolio. To the extent additional resources are needed, the Company will fund its investment activity generally through equity or debt issuances either in the public or private markets or through proceeds from our Credit Facility, which was amended in October 2024 to provide additional financing for
    35

    Management's Discussion and Analysis of Financial Condition and Results of Operations - Continued
    acquisitions, capital improvements and other cash needs. See Note 14 – Subsequent Events to the Condensed Consolidated Financial Statements.

    The Company expects to meet its liquidity needs through cash on hand, cash flows from operations and cash flows from sources discussed above. The Company believes that its liquidity and sources of capital are adequate to satisfy its cash requirements. The Company cannot, however, be certain that these sources of funds will be available at a time and upon terms acceptable to the Company in sufficient amounts to meet its liquidity needs.

    Credit Facility
    On October 16, 2024, the Company amended its Credit Facility to increase the Revolving Credit Facility capacity from $150.0 million to $400.0 million and extend the maturity through October 16, 2029. The amended Credit Facility also lowered pricing on the Revolving Credit Facility by 10 to 30 basis points, depending on the Company's leverage ratio. Proceeds from the increased Revolving Credit Facility were used to repay the existing $75.0 million A-3 Term Loan which was scheduled to mature on March 29, 2026. In addition, amounts outstanding under the Revolving Credit Facility prior to this amendment will remain outstanding. Interest rate swaps previously entered into to fix the interest rates on the A-3 Term Loan will remain in place on the Revolving Credit Facility through their maturity on March 29, 2026. See Note 5 – Debt, net and Note 14 – Subsequent Events to the Condensed Consolidated Financial Statements which provide more details on the Company's Credit Facility. At September 30, 2024, prior to the amendment, the Company had borrowing capacity remaining under the Revolving Credit Facility of approximately $25.0 million. At the time of closing on the amendment, on October 16, 2024, the Company had borrowing capacity remaining under the Revolving Credit Facility of approximately $198.0 million.

    The Company’s ability to borrow under the Credit Facility is subject to its ongoing compliance with a number of customary affirmative and negative covenants, including limitations with respect to liens, indebtedness, distributions, mergers, consolidations, investments, restricted payments and asset sales, as well as financial maintenance covenants. The Company was in compliance with its financial covenants under its Credit Facility as of September 30, 2024.

    Ground Leases
    At September 30, 2024, the Company was obligated, as the lessee, under four non-prepaid ground leases accounted for as operating leases with expiration dates, including renewal options, through 2076, and two non-prepaid ground leases accounted for as financing leases with expiration dates through 2109, including renewal options. Any rental increases related to the Company's ground leases are generally either stated or based on the Consumer Price Index. At September 30, 2024, the Company's aggregate obligation under these ground leases was approximately $8.7 million. See Note 3 – Real Estate Leases to the Condensed Consolidated Financial Statements.

    Acquisition Pipeline
    The Company has four properties under definitive purchase agreements for an aggregate expected purchase price of approximately $8.8 million. The Company's expected returns on these investments range from 9.29% to 9.50%. The Company expects to close on these properties in the fourth quarter of 2024; however, the Company cannot provide assurance as to the timing of when, or whether, these transactions will actually close. The Company expects to fund these acquisitions with proceeds from the Company's Revolving Credit Facility.

    The Company has seven properties under definitive purchase agreements, to be acquired after completion and occupancy, for an aggregate expected purchase price of approximately $169.5 million. The Company anticipates closing on these properties throughout 2025, 2026 and 2027; however, the Company cannot provide assurance as to the timing of when, or whether, these transactions will actually close. The Company expects to fund these acquisitions through net proceeds from equity sales through the ATM program and the Company's Revolving Credit Facility.

    Tenant Improvements and Capital Improvements
    Subject to Company approval, we may fund or reimburse tenants for tenant improvements, which are allowed for in certain leases, of up to approximately $26.0 million as of September 30, 2024. At September 30, 2024, six of these
    36

    Management's Discussion and Analysis of Financial Condition and Results of Operations - Continued
    projects, totaling $13.1 million, represented redevelopment projects on buildings with tenants backed by long-term leases.

    The Company has also entered into contracts regarding certain capital expenditures with remaining commitments totaling approximately $3.1 million as of September 30, 2024. Six of these projects totaling $0.8 million, represent redevelopment projects of the buildings into different healthcare uses backed by long-term leases. Reimbursement of these expenditures by our tenants will be determined by each tenant's lease.

    The Company expects to fund these expenditures through the Company's free cash flow, proceeds from equity sales through the ATM program, and the Company's Revolving Credit Facility.

    Notes Receivable
    The Company has two notes with a tenant with unfunded commitments remaining totaling $4.2 million at September 30, 2024. See Note 10 – Other Assets, net to the Condensed Consolidated Financial Statements.

    Automatic Shelf Registration Statement
    On November 2, 2022, the Company filed an automatic shelf registration statement on Form S-3 with the Securities and Exchange Commission. The registration statement is for an indeterminate number of securities and is effective for three years. Under this registration statement, the Company has the capacity to offer and sell from time to time various types of securities, including common stock, preferred stock, depository shares, rights, debt securities, warrants and units.

    Operating Activities
    Cash flows provided by operating activities for the nine months ended September 30, 2024 and 2023 were approximately $43.2 million and $47.1 million, respectively. Cash flows provided by operating activities were generally provided by contractual rents and interest on our notes receivable, net of property operating expenses not reimbursed by the tenants and general and administrative expenses.

    Investing Activities
    Cash flows used in investing activities for the nine months ended September 30, 2024 and 2023 were approximately $83.2 million and $100.1 million, respectively. During the nine months ended September 30, 2024, the Company invested in six properties for an aggregate cash consideration of approximately $64.2 million and sold a property for cash consideration of approximately $1.0 million. Also, during the nine months ended September 30, 2024, the Company funded notes totaling $2.9 million, received payments on its notes totaling $2.4 million and funded capital expenditures on its existing portfolio totaling approximately $19.5 million.

    During the nine months ended September 30, 2023, the Company invested in 17 properties and one land parcel for an aggregate cash consideration of approximately $92.0 million and funded notes receivable totaling approximately $2.0 million. Also, during the nine months ended September 30, 2023, the Company received payments on its notes receivable totaling $3.0 million, received insurance proceeds from a casualty loss totaling $2.3 million, and funded capital expenditures on its existing portfolio totaling approximately $11.5 million.

    Financing Activities
    Cash flows provided by financing activities for the nine months ended September 30, 2024 and 2023 were approximately $38.2 million and $45.9 million, respectively. During the nine months ended September 30, 2024, the Company (i) borrowed $75.0 million under its Revolving Credit Facility, (ii) repaid a mortgage note totaling approximately $4.8 million, (iii) paid dividends totaling approximately $38.6 million, (iv) completed equity offerings under its at-the-market program, resulting in net proceeds, net of underwriters' discount and offering costs, of approximately $7.3 million, and (v) upon the vesting of stock-based awards for certain employees, withheld shares and paid taxes totaling approximately $0.8 million on behalf of the employees.

    During the nine months ended September 30, 2023, the Company (i) borrowed $48.0 million under its Revolving Credit Facility, (ii) completed equity offerings under its at-the-market program, resulting in net proceeds, net of
    37

    Management's Discussion and Analysis of Financial Condition and Results of Operations - Continued
    underwriters' discount and offering costs, of approximately $34.6 million, (iii) upon the vesting of stock-based awards for certain employees, withheld shares and paid taxes totaling approximately $1.0 million on behalf of employees, and (iv) paid dividends totaling approximately $35.6 million.

    Security Deposits
    As of September 30, 2024, the Company held approximately $2.9 million in security deposits for the benefit of the Company in the event the obligated tenant fails to perform under the terms of its respective lease. Generally, the Company may, at its discretion and upon notification to the tenant, draw upon the security deposits if there are any defaults under the leases.

    Dividends
    The Company is required to pay dividends to its stockholders at least equal to 90% of its taxable income in order to maintain its qualification as a REIT.

    On October 24, 2024, the Company’s Board of Directors declared a quarterly common stock dividend in the amount of $0.465 per share. The dividend is payable on November 22, 2024 to stockholders of record on November 8, 2024. This rate equates to an annualized dividend of $1.86 per share.

    The ability of the Company to pay dividends is dependent upon its ability to generate cash flows and to make accretive new investments.

    Corporate Responsibility
    The Company is committed to conducting its business according to the highest ethical standards and upholding its corporate responsibilities as a public company operating for the benefit of its stockholders. To that end, the Company modified its Governance Committee to be the Environmental, Social, and Governance (“ESG”) Committee with a revised charter included on the Company’s website at www.chct.reit. Among other duties, the ESG Committee meets at least annually to review and recommend to the Board the general strategy and initiatives regarding ESG matters, including the Company’s internal and external communications and disclosures.

    The Company’s Board of Directors has adopted a revised Code of Ethics and Business Conduct that not only applies to its directors, officers, and other employees but also extends the Company's expectations that its vendors, service providers, contractors, and consultants will embrace the Company's commitment to integrity and personal responsibility by complying with this Code at all times. The Code of Ethics and Business Conduct includes the Company’s commitment to promote high standards of integrity by conducting its affairs honestly and ethically and to include in its periodic reports or other publicly available documents information and metrics related to internal monitoring, whistleblower, or reporting systems.

    The Company’s whistleblower policy prohibits the Company and its affiliates and their officers, employees and agents from discharging, demoting, suspending, threatening, harassing or in any other manner discriminating against any employee for raising a concern. If an employee desires to raise a concern in a confidential or anonymous manner, the concern may be directed to the whistleblower officer at the Company’s whistleblower hotline. During the quarter ended September 30, 2024, the whistleblower officer received no whistleblower complaints.

    The Company’s Information Technology infrastructure is cloud-based, utilizing Software as a Service (“SaaS”) applications for substantially all of its software requirements. Management has formed an IT Committee consisting of the Chief Executive Officer, Chief Financial Officer, and the Vice President of Information Technology to review and discuss information security matters and cyber security risks. The committee meets at least twice a year and reports to the Board of Directors as needed. The Company has adopted the Center of Internet Security (CIS) v8 IG1 cyber security controls including adopting an annual information security training program for its employees. The Company has partnered with a global cyber security leader to continuously and proactively manage and mitigate the ever growing list of cyber threats. As part of the managed monitoring and remediation platform, the Company benefits from a $100,000 breach prevention warranty. Since its inception, the Company has not had a security breach, and has not incurred any resulting expenses, penalties or settlements.
    38



    ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

    Our future income, cash flows and fair values relevant to financial instruments are dependent upon prevailing market interest rates. Market risk refers to the risk of loss from adverse changes in market prices and interest rates. We may use certain derivative financial instruments to manage, or hedge, interest rate risks related to our borrowings. We will not use derivatives for trading or speculative purposes and only enter into contracts with major financial institutions based upon their credit rating and other factors. An interest rate swap is a contractual agreement entered into by two counterparties under which each agrees to make periodic payments to the other for an agreed period of time based on a notional amount of principal. Under the most common form of interest rate swap, known from our perspective as a floating-to-fixed interest rate swap, a series of floating, or variable, rate payments on a notional amount of principal is exchanged for a series of fixed interest rate payments on such notional amount. During the nine months ended September 30, 2024, there were no material changes in the quantitative and qualitative disclosures about market risks presented in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023.

    ITEM 4. CONTROLS AND PROCEDURES

    Evaluation of Disclosure Controls and Procedures
    The Company’s management, with the participation of the Company’s Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of the Company’s disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”)), as of the end of the period covered by this report. Based on this evaluation, the Company’s Chief Executive Officer and Chief Financial Officer has concluded that, as of the end of such period, the Company’s disclosure controls and procedures were effective.

    Changes In Internal Control Over Financial Reporting
    There were no changes in our system of internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the quarter ended September 30, 2024 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

    39


    PART II. OTHER INFORMATION

    ITEM 1.    LEGAL PROCEEDINGS

    The Company may, from time to time, be involved in litigation arising in the ordinary course of business or which may be expected to be covered by insurance. The Company is not aware of any pending or threatened litigation that, if resolved against the Company, would have a material adverse effect on the Company’s consolidated financial position, results of operations or cash flows.

    ITEM 1A.    RISK FACTORS

    In addition to the other information set forth in this Quarterly Report on Form 10-Q, an investor should consider the risk factors included in its Annual Report on Form 10-K for the year ended December 31, 2023 and other reports that may be filed by the Company. There were no material changes in the risk factors presented in the Company's Annual Report on Form 10-K for the year ended December 31, 2023.

    ITEM 2.   UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

    During the three months ended September 30, 2024, the Company canceled shares of the Company's common stock to satisfy employee tax withholding obligation payable upon the vesting of stock-based awards, as follows:

    PeriodTotal Number of
    Shares Purchased
    Average Price Paid
    per share
    Total Number of Shares purchased
    as part of publicly announced plans
    or programs
    Maximum Number of Shares that may yet be purchased under the
    plans or programs
    July 1 - July 312,701 $23.22 — — 
    August 1 - August 319,241 $18.56 — — 
    September 1 - September 30— $— — — 
    Total11,942 

    ITEM 3.   DEFAULTS UPON SENIOR SECURITIES

    None.

    ITEM 4.   MINE SAFETY DISCLOSURES

    None.

    ITEM 5.   OTHER INFORMATION

    During the quarter ended September 30, 2024, none of our directors or officers (as defined in Rule 16a-1(f) of the Exchange Act) adopted, terminated or modified a Rule 10b5-1 trading arrangement or non-Rule 10b5-1 trading arrangement (as such terms are defined in Item 408 of Regulation S-K).

    ITEM 6.    EXHIBITS
    The exhibits required by Item 601 of Regulation S-K which are filed with this report are listed in the Exhibit Index and are hereby incorporated in by reference.
    40



    EXHIBIT INDEX
    Exhibit No.
    Description
    3.1
    Corporate Charter of Community Healthcare Trust Incorporated, as amended (1)
    3.2
    Amended and Restated Bylaws of Community Healthcare Trust Incorporated (2)
    10.1
    Second Amendment, dated as of October 16, 2024, to Third Amended and Restated Credit Agreement, dated as of March 19, 2021, by and among Community Healthcare Trust Incorporated, as borrower, the several banks and financial institutions party thereto as lenders, and Truist Bank, as administrative agent (3)
    31.1 *
    Certification of the Chief Executive Officer of Community Healthcare Trust Incorporated pursuant to Rule 13a-14 of the Securities Exchange Act of 1934, as amended, as adopted pursuant to Rule 302 of the Sarbanes-Oxley Act of 2002
    31.2 *
    Certification of the Chief Financial Officer of Community Healthcare Trust Incorporated pursuant to Rule 13a-14 of the Securities Exchange Act of 1934, as amended, as adopted pursuant to Rule 302 of the Sarbanes-Oxley Act of 2002
    32.1 **
    Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
    101.INSInline XBRL Instance Document
    101.SCHInline XBRL Taxonomy Extension Schema Document
    101.CALInline XBRL Taxonomy Extension Calculation Linkbase Document
    101.LABInline XBRL Taxonomy Extension Labels Linkbase Document
    101.DEFInline XBRL Taxonomy Extension Definition Linkbase Document
    101.PREInline XBRL Taxonomy Extension Presentation Linkbase Document
    104Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)
    ___________________
    (1)Filed as Exhibit 3.1 to Amendment No. 2 to the Registration Statement on Form S-11 of the Company filed with the Securities and Exchange Commission on May 6, 2015 (Registration No. 333-203210) and incorporated herein by reference.
    (2)Filed as Exhibit 3.2 to the Quarterly Report on Form 10-Q of the Company filed with the Securities and Exchange Commission on November 3, 2020 (File No. 001-37401) and incorporated herein by reference.
    (3)Filed as Exhibit 10.1 to the Current Report on Form 8-K of the Company filed with the Securities and Exchange Commission on October 16, 2024 (File No. 001-37401) and incorporated herein by reference.

    *    Filed herewith.
    **    Furnished herewith.
    †    Denotes executive compensation plan or arrangement.

    41


    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.
    Date: October 29, 2024
    COMMUNITY HEALTHCARE TRUST INCORPORATED
    By:/s/ David H. Dupuy
    David H. Dupuy
    Chief Executive Officer and President
    By:/s/ William G. Monroe IV
    William G. Monroe IV
    Executive Vice President and Chief Financial Officer
    42
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    FRANKLIN, Tenn., Feb. 17, 2026 /PRNewswire/ -- Community Healthcare Trust Incorporated (NYSE:CHCT) (the "Company") today announced results for the three months ended December 31, 2025. The Company reported net income for the three months ended December 31, 2025 of approximately $14.4 million, or $0.51 per diluted common share. Funds from operations ("FFO") and adjusted funds from operations ("AFFO") for the three months ended December 31, 2025 totaled $0.49 and $0.55 per diluted common share, respectively. Items Impacting Our Results include:During the fourth quarter of 2025, the Company acquired an inpatient rehabilitation facility in Florida upon completion of construction for a purchase p

    2/17/26 4:30:00 PM ET
    $CHCT
    Real Estate Investment Trusts
    Real Estate

    Community Healthcare Trust Announces Fourth Quarter Earnings Release Date And Conference Call

    FRANKLIN, Tenn., Jan. 21, 2026 /PRNewswire/ -- Community Healthcare Trust Incorporated (NYSE:CHCT) today announced that on Tuesday evening, February 17, 2026, after the market closes, it will report results for the fourth quarter of 2025.  On February 18, 2026, at 9:00 a.m. Central Time, Community Healthcare Trust will hold a conference call to discuss earnings results, quarterly activities, general operations of the Company and industry trends. Simultaneously, a webcast of the conference call will be available to interested parties via an Internet link at www.chct.reit under the Investor Relations section. A webcast replay will be available following the call at the same Internet site addr

    1/21/26 9:35:00 AM ET
    $CHCT
    Real Estate Investment Trusts
    Real Estate

    Community Healthcare Trust Announces Results for the Three Months Ended September 30, 2025

    FRANKLIN, Tenn., Oct. 28, 2025 /PRNewswire/ -- Community Healthcare Trust Incorporated (NYSE:CHCT) (the "Company") today announced results for the three months ended September 30, 2025. The Company reported net income for the three months ended September 30, 2025 of approximately $1.6 million, or $0.03 per diluted common share. Funds from operations ("FFO") and adjusted funds from operations ("AFFO") for the three months ended September 30, 2025 totaled $0.50 and $0.56, respectively, per diluted common share. Items Impacting Our Results include: During the third quarter of 2025, the Company acquired an inpatient rehabilitation facility in Florida upon completion of construction for a purcha

    10/28/25 4:15:00 PM ET
    $CHCT
    Real Estate Investment Trusts
    Real Estate

    $CHCT
    Leadership Updates

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    Palantir Technologies, Dell Technologies, and Erie Indemnity Set to Join S&P 500; Others to Join S&P MidCap 400 and S&P SmallCap 600

    NEW YORK, Sept. 6, 2024 /PRNewswire/ -- S&P Dow Jones Indices ("S&P DJI") will make the following changes to the S&P 500, S&P MidCap 400, and S&P SmallCap 600 indices effective prior to the open of trading on Monday, September 23, to coincide with the quarterly rebalance. The changes ensure each index is more representative of its market capitalization range. All companies being added to the S&P 500 are more representative of the large-cap market space, all companies being added to the S&P MidCap 400 are more representative of the mid-cap market space, and all companies being added to the S&P SmallCap 600 are more representative of the small-cap market space. The companies being removed from

    9/6/24 6:43:00 PM ET
    $AAL
    $ADMA
    $ADNT
    Air Freight/Delivery Services
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    Community Healthcare Trust Incorporated Announces Appointment of Bill Monroe as Chief Financial Officer

    FRANKLIN, Tenn., May 17, 2023 /PRNewswire/ -- Community Healthcare Trust Incorporated (NYSE:CHCT) (the "Company") today announced that its Board of Directors appointed William G. Monroe IV to be the Company's Chief Financial Officer, effective as of June 1, 2023.  David H. Dupuy, the Company's Chief Executive Officer, said, "On behalf of the Company, we are excited to welcome Bill as our Chief Financial Officer. Bill's experience demonstrates a deep understanding of our industry, and I am confident that he is an excellent choice for this role. We look forward to working with Bill." Mr. Monroe has served as Managing Director of the Healthcare Investment Banking Group at Truist Securities, Inc

    5/17/23 5:00:00 PM ET
    $CHCT
    Real Estate Investment Trusts
    Real Estate

    Community Healthcare Trust Incorporated Announces Appointment of David H. Dupuy as CEO and to Board of Directors

    FRANKLIN, Tenn., March 7, 2023 /PRNewswire/ -- Community Healthcare Trust Incorporated (NYSE:CHCT) (the "Company") today announced that its Board of Directors appointed David H. Dupuy, who has served as the Company's Interim Chief Executive Officer since February 10, 2023, to be the Company's Chief Executive Officer on a permanent basis, effective as of March 6, 2023.  Mr. Dupuy was also appointed to the Board of Directors of the Company, effective as of March 6, 2023, to fill the vacancy created by the death of Timothy G. Wallace.  Mr. Dupuy will continue to serve as the Company's Chief Financial Officer until a successor is chosen for that position. Alan Gardner the Chairman of the Board o

    3/7/23 4:15:00 PM ET
    $CHCT
    Real Estate Investment Trusts
    Real Estate

    $CHCT
    Large Ownership Changes

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    Amendment: SEC Form SC 13G/A filed by Community Healthcare Trust Incorporated

    SC 13G/A - Community Healthcare Trust Inc (0001631569) (Subject)

    10/17/24 12:36:20 PM ET
    $CHCT
    Real Estate Investment Trusts
    Real Estate

    SEC Form SC 13G/A filed by Community Healthcare Trust Incorporated (Amendment)

    SC 13G/A - Community Healthcare Trust Inc (0001631569) (Subject)

    2/13/24 5:02:29 PM ET
    $CHCT
    Real Estate Investment Trusts
    Real Estate

    SEC Form SC 13G/A filed by Community Healthcare Trust Incorporated (Amendment)

    SC 13G/A - Community Healthcare Trust Inc (0001631569) (Subject)

    1/30/24 10:00:45 AM ET
    $CHCT
    Real Estate Investment Trusts
    Real Estate