Earnings Labs

Ventas, Inc. (VTR)

Q2 2020 Earnings Call· Fri, Aug 7, 2020

$87.05

+2.77%

Key Takeaways · AI generated
AI summary not yet generated for this transcript. Generation in progress for older transcripts; check back soon, or browse the full transcript below.

Same-Day

+2.58%

1 Week

-2.22%

1 Month

+6.55%

vs S&P

+4.99%

Transcript

Operator

Operator

Ladies and gentlemen, thank you for standing by, and welcome to the Second Quarter 2020 Ventas Earnings Conference Call. At this time, all participants’ lines are in a listen-only mode. After the speakers’ presentation, there will be a question-and-answer session. [Operator Instructions] Please be advised that today’s conference is being recorded. [Operator Instructions] I would now like to hand the conference over to your speaker today, Sarah Whitford, Investor Relations. Thank you. The floor is yours.

Sarah Whitford

Analyst

Thanks, Tina. Good morning, and welcome to the Ventas conference call to review the company’s announcement today regarding its results for the second quarter ended June 30, 2020. As we start, let me express that all projections and predictions and certain other statements to be made during this conference call may be considered forward-looking statements within the meaning of the federal securities law. The company cautions that these forward-looking statements are subject to many risks, uncertainties and contingencies, and stockholders and others should recognize that actual results may differ materially from the company’s expectations, whether expressed or implied. Ventas expressly disclaims any obligation to release publicly any updates or revisions to any forward-looking statements to reflect any changes in expectations. Additional information about the factors that may affect the company’s operations and results is included in the company’s Annual Report on Form 10-K for the year ended December 31, 2019, and the company’s other SEC filings. Please note that quantitative reconciliations between each non-GAAP financial measure referenced on this conference call and its most directly comparable GAAP measure as well as the company’s supplemental disclosure schedule are available in the Investor Relations section of our website at www.ventasreit.com. Before I hand the call off to Debra A. Cafaro, Chairman and CEO of the company; I’d like to note that we’ve posted an investor presentation this morning on our website, which includes helpful information that the team will reference in our prepared remarks. With those formalities out of the way, I’ll hand it over to Debbie.

Debra A. Cafaro

Analyst

Nicely done, Sarah, and thank you. Good morning to all of our shareholders and other participants. And welcome to the Ventas second quarter 2020 earnings call. I sincerely hope that you are safe and healthy and staying positive as the COVID-19 pandemic persists in our country. I’m proud to say that the Ventas team has been cohesive skilled and enormously hard-working as we’ve addressed key issues and weathered the initial storm created by the pandemic. We still have a long way to go, and conditions remain highly uncertain and uneven, but we are encouraged by second quarter performance and trends, which have continued into July. Our enterprise benefited significantly in the second quarter from our long-standing commitment to asset class, operator and geographical diversification. We delivered $0.77 of normalized FFO per share in the quarter, led by our medical office building, research and innovation and health care triple-net business, which collectively represent nearly half of our enterprise. As a result of the pandemic, we recorded a number of non-cash charges in the quarter, primarily focused on senior housing. These items reflect the conditions affecting senior housing we shared with you in late June, and our expectations remain unchanged regarding our business prospects and potential from that point. As expected and consistent with those communications, the COVID-19 pandemic significantly affected our senior housing financial results in the quarter. Our SHOP portfolio experienced the maximum occupancy impact from mid-March through April, particularly in our large, high quality, high rate, New York and New Jersey communities. Since then, we are heartened to see the resilience of demand for senior living and the recognition of the value our industry provides to seniors and their families. We saw sustained intra-quarter improvement in leads and move-ins and clinical results for our residents that continues into July.…

Justin Hutchens

Analyst

Thanks, Debbie. Let me start by noting that we witnessed an impact from COVID-19 on the senior housing industry in the second quarter that is truly unprecedented. That said, I am proud of how our industry came together in a crisis to protect health and safety for the most vulnerable segment of our population. I’d like to publicly acknowledge all the hard work, dedication and skill of our employees, operators, tenants and their teams and frontline care providers for their courageous efforts throughout this pandemic. I’ll start with a quick overview of our results in the SHOP and triple-net portfolio. It seems like agent history, but we began the year and SHOP with a strong first quarter performance with NOI growth of 6% versus fourth quarter 2019 when excluding COVID impacts. The second quarter was a different story as our SHOP operators battled the pandemic. Second quarter 2020 average monthly occupancy came in approximately 470 basis points lower than first quarter average monthly occupancy for our same-store senior living operating portfolio pool. At the end of the second quarter, occupancy stood at 80.6%. COVID-19 related operating expenses totaled $42 million, and after netting $15 million of estimated mitigating cost savings the OpEx impact totaled $27 million, and therefore, total operating expenses grew 3.4% sequentially, which improved from previous expectations. All COVID-19 expenses, including testing, labor and supplies have been reflected in property operating results. RevPOR declined 2.9% sequentially due to the disproportionate clinical impact in New York and New Jersey when these high red four communities were locked down, and occupancy loss was most pronounced in the Northeast. Net-net, as expected, cash NOI for our 390 asset sequential same-store portfolio declined from $165 million in the first quarter to $106 million in the second quarter, a reduction of $59 million.…

Pete Bulgarelli

Analyst

Thanks, Justin. I’ll cover the office segment second quarter results and trends. Our office segment, which now represents 30% of Ventas’ NOI continues to show its value proposition, financial strength and growth amidst the pandemic. MOBs and research and innovation centers, the two lines of business within our office portfolio, play a key role in the delivery of crucial health care services and research for life-saving vaccines and therapeutics. For the second quarter of 2020, reported office same-store cash NOI increased by 2.7% year-over-year. This outstanding result was led by our R&I portfolio, which grew 14.4%, driven by strong lease-up and with occupancy improving by 500 basis points and rent growth of 6.1%. Strong performance in our university based developments affiliated with the University of Pennsylvania and Washington University fueled our growth. This growth was partially offset by a modest 40 basis point decline in the medical office portfolio. It was driven by a difficult comparison period, lower paid parking receipts and increased cleaning expenses caused by COVID-19. After adjusting for these factors, office and MOB same-store, cash NOI versus prior year would have grown by 5.7% and 2.3%, respectively. These results exceeded our expectations for the quarter. Office occupancy grew by 20 basis points sequentially in the second quarter, with occupancy in our 361 asset sequential same-store pool, reaching 91.4% as of June 30. MOB retention has increased to record levels, at 97% for second quarter of 2020. Total office leasing, which includes renewals and new leasing, was 860,000 square feet for the quarter, and nearly 1.5 million square feet year-to-date. Lab space continues to be in high demand in our R&I portfolio, which is currently 97% leased. This is a clear opportunity area. In terms of rent collections, office tenants paid an industry-leading 99% of contractual rent in…

Bob Probst

Analyst

Thanks, Pete. I’ll touch on our health care triple-net lease portfolio before I close with some enterprise level commentary. During the second quarter, our health care triple-net assets showed continued strength. As evidenced by receiving 100% of second quarter, July and August rents from our health care triple-net tenants. Acute and post-acute providers have had access to significant government funding to create liquidity and mitigate losses related to the COVID-19 pandemic. In terms of rent coverage through Q1, acute care hospital coverage was a strong 3 times. Nationally, hospital inpatient admissions and surgeries rebounded in Q3 with differences by market. 100% of Ardent’s hospitals are in states or counties that are open for elective procedures. Ardent continues to perform extremely well despite the challenging market conditions. LTACs have proven their value proposition in the pandemic, and census has benefited from the increasing need for hospital capacity due to COVID-19 as well as the ultimate discharge of patients into this important care setting. The majority of this benefit began to accrue in the second quarter, so was not yet reflected in the coverage stats reported today. IRF census initially declined due to lower surgeries and acute care volumes, but census has improved since mid-April and has benefited from rate enhancements. SNFs experienced notably higher mortality rates with census down dramatically and the most profitable rehab patients also down. But have also benefited from significant government support. Turning to our second quarter financial performance. Let me start with Q2 GAAP net income. In the second quarter, we recognized net income of $50 million for the Holiday transaction. And even though our second quarter rent collections were robust across the business, we assess the go-forward collectibility of future rents in the context of COVID. We also took the appropriate step in the quarter…

Operator

Operator

[Operator Instructions] And your first question comes from the line of Michael Carroll with RBC Capital Markets.

Michael Carroll

Analyst

Yes, thanks. I wanted to talk a little bit about the seniors housing trends, I guess, the leading indicators. It looked like in July, the improvement of up 70% over the prior year is similar to June. Does that mean that the leads trends is flat or are we continuing to see an increase as we go through July and beyond?

Debra A. Cafaro

Analyst

Good morning, Mike. Justin will take that one.

Justin Hutchens

Analyst

Good morning. So if you look closely at the numbers, you’ll see this is on Page 13 of the investor deck that we shared. The total number is up. So we have 13,000 – over 13,000 leads in July; we had a little close to 12,500 in June. There was a little bit of slowness around the 4th of July, as reported by our operators. But altogether, we really view this as an improving trend. The percent versus prior year is just there for reference.

Michael Carroll

Analyst

Okay, that’s helpful. And then can we talk a little bit about the move-outs. I mean, honestly, they’re still below the historical trend. Do you expect some of those voluntary move-outs to kind of pick up as we kind of hit the stabilized level kind of as we move through the post COVID environment? Or do you think it will stay low until a vaccine actually comes through?

Justin Hutchens

Analyst

Well, in regards to move-outs, they’ve been relatively consistent versus prior year levels, except for the month of April, which we’ve mentioned was driven by New York, New Jersey. And we’re not getting any reports of pent-up move-outs or any really notable drivers that would change the trend. So we expect move-outs really to be relatively stable, absent any external circumstances we’re not aware of today. And the big focus is really just to see leads and ultimately move-ins to overcome the move-outs over time.

Michael Carroll

Analyst

Okay, great. Thank you.

Debra A. Cafaro

Analyst

Thank you.

Operator

Operator

And your next question is from Nick Joseph with Citi.

Nick Joseph

Analyst

Thanks. Debbie, you mentioned the potential continued government support on the senior housing side or kind of the need for it. How do you view the probability, timing and potential structure of any support that could come about?

Debra A. Cafaro

Analyst

Well, the industry has a very strong case to tell. Essentially, the senior living care providers care for the largest group of seniors. The vast majority of the seniors are 85 and over, many have significant comorbidities. And importantly, the clinical record of the senior care providers and keeping seniors safe has been far superior than in other sectors that have received significant support. So all of the policy predicates for receiving support from HHS to mitigate the financial costs of the COVID pandemic are there. And really, it’s just a question of continuing to educate the policymakers on those key points and continuing to, again, respectfully request their financial support. And we’re hopeful, but remaining cautious around our outreach.

Nick Joseph

Analyst

Thanks. And then just on the senior housing portfolio, I think you talked about the sequential same-store pool outperforming. You mentioned LGM for July. What’s the sequential occupancy change for the annual same-store pool, so for the smaller pool? I think you quoted 50 basis points on the sequential side.

Debra A. Cafaro

Analyst

I’ll take – I’ll ask Justin or Bob to take that question.

Bob Probst

Analyst

I just want to clarify the question. Was that the – you wanted the year-over-year occupancy change?

Nick Joseph

Analyst

No, the sequential change in July for the 340 same-store pool that’s on the annual basis because I think the 50 basis points you talked about was for the 390 properties and includes LGM.

Debra A. Cafaro

Analyst

It is because the sequential pool contains that. So Nick, we don’t have that broken out, but we can take that offline with you.

Nick Joseph

Analyst

Thank you.

Debra A. Cafaro

Analyst

Thank you.

Operator

Operator

Our next question is from Jonathan Hughes with Raymond James.

Jonathan Hughes

Analyst

Hey, good morning.

Debra A. Cafaro

Analyst

Good morning.

Jonathan Hughes

Analyst

Looking at the slide deck on Page 17 and Bob, I believe you referenced this other triple-net senior housing portfolio in your remarks. What’s the plan there? I know you’re going to try to collect the rents, like you said, but any plans to sell or maybe re-tenant those properties? Just curious about the outlook there.

Debra A. Cafaro

Analyst

Thanks. We are really happy. As we’ve said, that we have reached these attractive transactions with our biggest triple-net senior housing operators, Capital Senior, Holiday and Brookdale, and I will turn it over to Justin to address the remaining 40%.

Justin Hutchens

Analyst

Thank you, Debbie. This other pool contains many operators. There’s only one operator within it that’s more than 1% of our NOI. The rest – really, it’s very diverse, too. I mean, they’re diverse from a geographic standpoint, they’re diverse from the standpoint of how the pandemic has impacted performance. There are certainly different product types mixed in. And then there’s also different credit profiles within each of the operators, and they all have slightly different coverage ratios. So there’s a lot of moving parts that we’ve been evaluating. Certainly, it’s something we’ve kept a very close eye on. There are a few operators, in particular, that we’ve been more focused on, and there’s just one that has a little bit more than 1% of the NOI, and that’s had most of our focus, and we anticipate having a resolution with them relatively soon. But I think what’s – the key takeaway is the bigger and higher priority leases have been addressed already. We have a track record of taking action, and then we have certainly a close eye on all the dynamics I just described to determine any actions we may take moving forward.

Jonathan Hughes

Analyst

Okay. Fair enough. That’s helpful. And then just one more for me. And I say this with all due respect to you, Debbie, but has the Board discussed succession planning for the day when you maybe decide to take a step back from running the business and laid out who will be filling your shoes. I would just appreciate any color there, if you can share it as the only Board member on the call. Thank you.

Debra A. Cafaro

Analyst

Sure. I can tell you that our Board – we have a great Board. Our Board is very experienced and very independent. Obviously, succession planning, regardless of the tenure or age of a CEO, is one of the core functions of any board, and I can assure you that our Board performs all of its duties in an exceptionally positive and good way, and that would include succession. And I’ve always been really proud of the deep and experienced Ventas team that we have and that we’ve continued to augment this year. So you should feel really good about that.

Jonathan Hughes

Analyst

Okay, got it. I appreciate the answer. Thanks for the time this morning.

Debra A. Cafaro

Analyst

You bet. Thanks.

Operator

Operator

Our next question is from Rich Anderson with SMBC Global.

Rich Anderson

Analyst

Thanks, good morning. Bob, you mentioned the $20 million NOI monthly average in decline during the second quarter, and then you thought there would be improvement in the third quarter from that run rate. What does that imply in the third quarter, as you’re looking at this, if you break it out between occupancy and rate?

Bob Probst

Analyst

You know qualitatively, Rich – sorry, qualitatively, the story in the third quarter, we expect a sequential decline on occupancy and in the bottom line. And it really will be led by two things that will determine that; one is the pace of the occupancy decline, which we’ve seen good trends there as you see in the deck; and then secondly, RevPOR, and RevPOR is really a function of the pricing environment in the market. Those will be the key drivers. Cost, sequentially, we expect will not be a key driver. It’s really going to be revenue driven. But all in, we expect that sequential decline, the pace of that decline to improve versus that $20 million you referenced.

Rich Anderson

Analyst

Right. And so I am asking if you can break out the occupancy assumption in that decline. Is it 50 basis points what you’ve been…

Debra A. Cafaro

Analyst

Yes. I mean, it’s really going to depend on how August and September play out, Rich.

Rich Anderson

Analyst

All right. Fair enough. Second question. So listening to your closest peers, PEAK has sort of said their area of growth going forward is more in life science and medical office, Welltower has been more thinking about growing in senior housing. So two different choices there, which is good for investors. You always want choice. Where does Ventas stand on that on a go-forward basis based on the experience you had? Is senior housing still something that you would consider a vital growth area for the company? Or will you sort of turn your attention incrementally elsewhere, not saying you’ll abandon, but just what you’re thinking going forward from this?

Debra A. Cafaro

Analyst

Thanks. I mean, obviously, capital allocation is something that’s extremely important. We start out with a view that we price diversification by geography, by asset class, by operator. We found it to be a tremendous strength over a long period of time. Over the past several years, our focus really has been on growing the MOB, life science and R&I development business, and that has been a capital allocation priority and, again, is serving us really well. Our team is active really across sectors, although I would say that we would likely prioritize, again, the life science, R&I development and MOB businesses, while at the same time, I would say we have terrific exposure to upside in senior housing in a variety of ways. It is a significant part of our business. So we’re happy about that for when the business turns, but we would continue to be very selective in our senior housing investments were we to make any at this time.

Rich Anderson

Analyst

Great color. Thanks, Debbie. Thanks, everyone.

Debra A. Cafaro

Analyst

All right. Be well.

Operator

Operator

Our next question is from Vikram Malhotra with Morgan Stanley.

Vikram Malhotra

Analyst

Thanks for taking the question. Good morning, everyone. Just maybe first on seniors housing. Thanks for all the color and the detail you provided in the deck, very useful. I just want to understand on Slide 13, where you show kind of the spot point-to-point movements and move-in, move-outs. Typically, does the sort of end of the month benefit from just lower move-outs, meaning is it somewhat sort of contractual when these – when people move out? And I’m just trying to the 10 bps increase, is it more of a function of – it seems like move-ins were higher, but I just want to clarify, is it more of a function of move-ins outpacing move-outs or vice versa?

Debra A. Cafaro

Analyst

I’m going to ask Justin to take that, and he will school all of us on the operating trends.

Justin Hutchens

Analyst

Thank you. The first thing I’d say is it’s not really a direct connection between the chart and the bottom right and the move-ins and move-outs reflected on the left. Move-ins and move-outs are really recorded on a month and the bottom right is really showing a weekly trend. And so if you’re trying to do some math and correlate the two, it’s going to be difficult. But I will point this out, and this hopefully is helpful to you, it’s really an age-old rule in the sector that the vast majority of move-in activity happens on the last day of the month. And then the vast majority of move-out activity happens on the first day of the month. And so that – as you look across this trend here, and you can see it on a weekly basis, it clearly plays out that way. And that just gives you a feel for how the two work together to ultimately net occupancy.

Vikram Malhotra

Analyst

Okay, okay. That’s helpful. And just, I guess, second question, still on senior housing, maybe sticking with you, Justin. You’ve talked about the – you’ve given us a lot of data on the leads. But maybe you can just size the so-called pent-up demand for us maybe as a percent of occupancy, just how should we think about? And how should we think about that in terms of the – when it impacts? Is it a third quarter impact, assuming everything remains open, is it just a gradual kind of bump to whatever move-in, move-out activity we see? How should we think about this pent-up demand?

Justin Hutchens

Analyst

Well, I’ll tell you, the short answer is we really don’t know for sure. And there’s encouraging trends. As we’ve all mentioned, I think the one that I was most encouraged about, quite frankly, was the clinical outcomes. As the U.S. had increases in new cases with COVID-19, our portfolio resisted that trend. And all the credit goes to our operators for protecting the health and safety of all of our residents, and that’s a real credit. But I bring that up because the virus is a bit unpredictable as well, and that’s the big backdrop that we’re facing. We are encouraged, though, by two things; one is the fact that we’re starting to offer a lifestyle within our communities that more residents are attracted to where they can move about and do activities and participate in dining and visit most importantly is that with their loved ones, and we’re really encouraged to see the improvement in leads. So the demand characteristics are improving, and they look good. But it’s a bit too early to start making predictions about additional demand at this stage.

Vikram Malhotra

Analyst

Okay. But just to clarify, the leads, if we – I’m just trying to understand the needs-based nature of assisted living, and the independent living is probably a little bit less needs based. But if you take the leads and think about this as a percent of the whole resident population, is that a rough way to think about the occupancy impact, or maybe just help us size it a bit.

Justin Hutchens

Analyst

Yes, I’m not really sure how to size it more than what we’ve shown you here. You can see, if you look at Page 13, and then you just look at – you can see the trend, particularly in the top two boxes, you can see the leads, you can see how the leads are translating into move-ins. The things we look at, we look at conversion ratios, we look at lead volume. And there has been strong conversions in our need based product. Our independent living benefits from longer length of stay. So they’ve had less dependency to maintain occupancy on new move-in traffic. And all of this is working together really to create the outcome that we’ve been reporting. There’s a lot of moving parts in a big diversified portfolio. I don’t know I’m going to place really pinpoint anything more on that point.

Vikram Malhotra

Analyst

Okay. No worries. I can follow-up. Yes. I think it will be helpful just maybe get a sense of the – just historically how leads have – what the conversion rates and just the time line. I’m more just interested in trying to understand, is this – the lead, is it a six-month thing, is it a 12-month thing or is it just – historically, at least how long has that conversion taken place? But I can follow-up offline.

Debra A. Cafaro

Analyst

Okay, thank you.

Operator

Operator

Our next question is from Nick Yulico with Scotiabank.

Nick Yulico

Analyst

Thanks. Good morning, everyone. First question is just going back to this issue of move-ins being still below where they were pre-COVID. And I’m wondering if there’s any data that you’re getting from prospective residents on why they’re delaying move-ins and for how long because clearly, you’ve had a rebound off the bottom, but leads, move-ins are still down 20%, 25% versus last year. And I think there’s a lot of debate right now about whether we should be looking at these improvements in move-ins and leads versus the bottom and making an interpretation that there’s going to keep being linear improvement, or the other way to look at it is that you had pent-up demand that you didn’t capture in April, happened in June, July, but structurally, there’s still not as much demand for move-ins as there was a year ago and this could persist because of COVID still being an issue. So is there any way anything you have, you could share with us on that?

Debra A. Cafaro

Analyst

Yes. Good question. Let me start and then I’ll turn it over to Justin. So basically, again, as you say, we are encouraged by the sustained improvement in demand that we saw from the April time frame to where we are now. And it has – I think it’s more in the former category of your question rather than the latter. It’s a need-based business, it’s demographically driven. Obviously, if you just watch the news, there’s going to be a psychological impact on individuals and families willingness and readiness to move-in. And I think that has had an effect. What we are happy about seeing is in places like New York, where that was the epicenter and, obviously, early and where there was a deep psychological and clinical impact of the pandemic, Atria, for example, had a July that was better than it had last July, significantly so, and better than June. So I almost think of it as a time series, where you start to see the virus. At some point, it effects, it then – we’re a lagging indicator, let me say. And then it may affect move-ins either because of psychology or because the communities are restricted to do move-ins, as Justin said. And then at some point, the cases get under control and improvements are made, communities move back into the green and can offer richer lifestyle and over time, psychology improves, people feel more confident. We have testing protocols. And then you can see an improvement in the trends. And we’re seeing this on a geographical basis operating exactly as I’ve described. Within the U.S. at this time with New York, at this point, starting to show some stronger trends, having been a month or two or three away from the real nadir of the pandemic there. And what’s also encouraging is that in the regions where the virus is more widespread, the south and the west, we’ve learned a lot clinically and treatments are better, protocols are better and, therefore, clinical results are better, which is keeping more communities open to new residents. And so this is a multifaceted situation. As we’ve said, remains uncertain. We have to be very humble in our expectations about our ability to predict the future. But so far, we’re seeing the sustained positive trend. So I hope that puts it in perspective for you and answers your question.

Nick Yulico

Analyst

Yes. That’s helpful. Thank you. My second question is just going back to that straight line rent receivable write-off. I just want to be clear, that – does that – the $53 million that’s on Slide 17, does that exclude Holiday and Brookdale and then also, in terms of that rent that was cited here, the $80 million of annual cash rent, did you actually collect 100% of that rent in the second quarter?

Bob Probst

Analyst

Yes. I’ll take that one. The answer to the first question is Holiday and Brookdale are not in that $53 million. And the second question is, we have collected all of the rents that we expected on these eight tenants. So this is really a go-forward assessment of future rents, meaning that we’re fully current.

Nick Yulico

Analyst

Okay. So as a note, if we’re just looking at a cash NOI number for the quarter, there’s no adjustments we need to make for those tenants?

Justin Hutchens

Analyst

Nothing material now.

Nick Yulico

Analyst

Okay, thank you.

Debra A. Cafaro

Analyst

Thank you.

Operator

Operator

And our next question is from Tayo Okusanya with Mizuho.

Tayo Okusanya

Analyst

Yes. Good morning, everyone. Bob, it just sounds like excited about difficult season.

Bob Probst

Analyst

Debbie is more excited.

Tayo Okusanya

Analyst

All right. So my first question is really around the senior housing portfolio, both SHOP and triple-net. So you’ve adjusted the Holiday and Brookdale leases. You’ve moved some of the smaller tenants to a cash basis. So it sounds like a lot of things people were expecting to happen have happened. The two things I wanted to focus on. First of all, ESL that you guys have kind of indicated a couple of quarters ago seems to be struggling more so than some of the other SHOP operators. Is anything being done at that end to kind of improve things at ESL? And second of all, further diversification of the SHOP portfolio operator group. Any update on that.

Debra A. Cafaro

Analyst

Justin?

Justin Hutchens

Analyst

Good morning. Let me start with ESL, and I’ll revisit a comment I made on the last earnings call where I referenced the improvement – the sequential improvement in first quarter performance versus the fourth quarter, and ESL was a contributor to that improvement. So that was a good indicator. Certainly, they have – it’s a relatively young company, but it’s a company that has strengthened their management team. They have a lot of experience at the senior management level. And we’ve observed really good steps that they’ve made to strengthen the company and the platform. We’ve also noted that during this pandemic, which obviously completely changes the performance profile of every company, that they’ve done really well. They’ve navigated the pandemic well and just as well as the rest of our operators in the portfolio, and we’re very pleased and very proud of the ESL management team for their contributions. In regards to the second part, in terms of diversification, the SHOP operating platform, really, where we’ve been focused in this stage of the pandemic is supporting existing operators in every way that we can. We’ve been a little less forward-looking as we’ve been dealing with the leases that you mentioned, and we’ve been giving a lot of support to the SHOP operating platform. So that’s where our focus has been at this time.

Tayo Okusanya

Analyst

Okay. That’s helpful. My second question is around leverage at about net debt to EBITDA, that’s a little bit higher than your peers. Just kind of curious, target leverage for the company and any other additional plans going forward to delever, whether it’s naturally by an improvement in EBITDA growth post-pandemic, or how do you kind of think about leverage overall in regards to our target leverage ratio?

Debra A. Cafaro

Analyst

Well, that would be our first choice, it’s improving EBITDA. I’ll turn it over to Bob to answer.

Bob Probst

Analyst

Right. That’s plan A. This is the same question, I’m sure you’re asking everybody in the REIT sector Tayo, because we’re all seeing the same sorts of leverage pressure just toward the EBITDA degradation, which ultimately we believe is timing. And we believe in the stabilization and the recovery in senior housing, particularly, and so that’s the key. In the meantime, the focus is on liquidity, first and foremost, and we’re in a great spot there. We remain committed to a strong balance sheet. We have a long track record of being within that 5 to 6 times range. And when we’ve gone out, we found a way back in for net debt to EBITDA. So it’s I’m sure a conversation in every boardroom, but is really a timing issue in my mind.

Tayo Okusanya

Analyst

Okay. That’s helpful. And then just if you could indulge me with one more question. Again, acquisitions, right now, again, not a lot going on industry-wide. But can you just kind of tell us a little bit about what you’re seeing out there, cap rates for some of your major kind of sector you’re interested in, is that changing? Is that moving? Is nothing really happening?

Debra A. Cafaro

Analyst

You’re an abuser, but I’ll give you one tidbit. So I mean, obviously, we’re very pleased that we got into the life science business and have expanded that part of our business, and have a longstanding commitment to hospital affiliated medical office buildings, mostly on-campus, as Pete described. And the cap rates for research and innovation or life science have continued to stay strong and, in many cases, have even strengthened further. So that’s a little tidbit for you that has enhanced the value of our portfolio.

Tayo Okusanya

Analyst

Great, thank you.

Debra A. Cafaro

Analyst

All right.

Operator

Operator

Your next question is from Jordan Sadler with KeyBanc Capital Markets.

Jordan Sadler

Analyst

Thank you. Good morning, and I will keep it to the two questions, for sure. First, I wanted to follow-up on the triple-net seniors housing business. In the business update on Page 17, there is a reference to the other – all other triple-net tenants at 1.3 times EBITDARM through 1Q. So I’m assuming, given the performance mirrors what you’re seeing in the SHOP portfolio, that continues to dip, and that’s probably what precipitated the write-offs. But any incremental color you can give us around what those write-offs portend for the $80 million of annual rent for those eight tenants or for the rest of that portfolio?

Debra A. Cafaro

Analyst

So again, that’s about $170 million of cash rent. It’s all relatively small tenants, as Justin said. These tenants are performing on an aggregate basis, substantially better than the capital senior Brookdale and Holiday tenants were prior to the pandemic. They certainly will feel the same pressures of the sector that the SHOP operators are feeling directionally, but may have different credit profiles, different geographies, different business models, et cetera, that could make the outcomes vary. And also, I would just say that really, the outcomes are going to be really dependent upon basically, what the trajectory of the property performance is going forward, whether there is some kind of government relief for the industry, what the credit support that we have for the individual leases is and, obviously, where the pandemic goes. And so I think we’ve really demonstrated a commitment to being decisive and proactive, creative, whatever word you want to use, and you have our commitment to continue to do so. But as Bob said, we will continue to try to collect our rents.

Jordan Sadler

Analyst

Okay. That’s fair. And then Bob, I believe you did touch base on the Colony loan, I heard a mention, but I think the $40 million allowance was unrelated to that. Can you maybe speak to what the assessment is of the Colony loan at this point?

Debra A. Cafaro

Analyst

Bob, I’ll take that. I mean, that’s correct. It was not in the $40 million. And the Colony loan is a LIBOR-based loan, and there continues to be, for the time being, very significant cushion between the cash flow of the collateral and the debt service.

Jordan Sadler

Analyst

Okay. Thank you.

Debra A. Cafaro

Analyst

Thank you.

Operator

Operator

Our next question is from Joshua Dennerlein with Bank of America.

Joshua Dennerlein

Analyst

Hey, good morning, everyone. Thanks for the question. I guess I’m curious to hear you’ve had any communities that maybe went from that kind of red like restricting move-ins to green where they’re allowing move-ins to back now that COVID cases are rising across the country?

Debra A. Cafaro

Analyst

We – as Justin said, we are glad that in the greens and even yellow, we have record levels of communities now offering the richer environment to seniors really since the beginning of the pandemic. And Justin, can you talk about the movement that we’ve seen perhaps as the virus has moved in the country?

Justin Hutchens

Analyst

Sure. So if you we were to talk about the month of July, one way to look at this is that 99% of our communities, at any given time, were open; and 1% were not taking move-ins. But even within that, there was movement, and among the segments there was movement. So frankly, I think there’s around 30 communities that actually moved backwards among the segments. But then we had just as many or close as many approved. So there is a little bit of movement back and forth. But very few communities, quite frankly, that are involved in the movement throughout the month of July, and the net result, of course, is very positive to see the vast majority of the portfolio offering the more robust lifestyle.

Joshua Dennerlein

Analyst

Okay, thank you. Okay, sounds like the rising COVID cases hasn’t been a big impact. And then maybe touching base on expenses going forward, how should we think about operators’ ability to flex labor? I’m assuming a lot of folks cut their marketing budgets. What are the kind of expectations for ramping that back up? And maybe how that might impact move-ins and leads going forward?

Debra A. Cafaro

Analyst

Bob, do you want to take that?

Bob Probst

Analyst

Sure. Kind of a gas and clutch answer, I think, to that question because, again, we saw $42 million of direct COVID costs in the second – labor and supplies and PP&E and so on. And we expect just because of the protocol necessary to keep residents safe, and we’re going to continue to see that kind of expense. At the same time, some of the offset, and this really was better than we had expected from the last time we talked, was on other mitigating costs. And you mentioned, for example, sales and marketing costs which, again, as you have more communities in segments one and two, we’ll have less marketing costs. So I would expect as we have more activity on the sales side, you’ll see some increase in the costs there. Meanwhile, we can begin to dampen some of the pressure on the direct costs just because per unit costs are going down and are managing the labor very efficiently. So I mentioned earlier to a question of kind of flattish, if I thought about sequential OpEx, and it’s really that gas and clutch phenomenon that’s driving that.

Joshua Dennerlein

Analyst

Got it, thank you.

Operator

Operator

Our next question is Steve Valiquette with Barclays .

Steve Valiquette

Analyst

Hey, thanks. Good morning, Debbie, and Bob, thanks for taking the questions.

Debra A. Cafaro

Analyst

Good morning.

Steve Valiquette

Analyst

So I just had a couple on the Brookdale restructuring. First, I guess, it seemed to us that Ventas was focused on gaining some liquidity as part of that restructured Brookdale agreement with the $235 million of upfront consideration. So I guess, first, I’m wondering if you can just speak to a little more of your thoughts on wanting to gain some upfront cash as opposed to maybe absorbing a smaller rent reduction unless that’s the nearest characterization, of course, and then I’ll have an accounting follow-up question on Brookdale after this one.

Debra A. Cafaro

Analyst

Sure thing. So we think the Brookdale deal is a really well balanced, thoughtful structure that’s really customized to create some significant key benefits for Ventas, of course, but also for Brookdale. So we are trying to balance creating certainty for our shareholders, a sustainable rent stream and that’s really important over the – as we still – and the industry still is combating COVID. We wanted to create significant opportunity for upside, which we did through the 8% warrant in Brookdale, so that we have the opportunity to hear an industry recovery and, in particular, at Brookdale, not only on our own portfolio, but also on their own portfolio, so a broader-based upside participation opportunity. And of course, getting the cash upfront and all the upfront consideration really replaces over 2.5 years of the cash rent reduction that we gave. And so we thought that was really great. And in the meanwhile, we did improve lease coverage and we created a better, stronger, more stable tenant overall. And that was really a very thoughtful, again, I think, very mutually beneficial type of transaction that accomplished the objectives of both companies.

Steve Valiquette

Analyst

Okay, that’s helpful. And then the accounting question around this separate from the rent reduction, you had that statement in the press release that Ventas expects to recognize the full value of the upfront consideration from Brookdale ratably over the remaining base term of lease.

Debra A. Cafaro

Analyst

Correct.

Steve Valiquette

Analyst

I just want to confirm, as you divide that $235 million and recognize that, presumably, I guess, quarterly over the next five years or so, will that show up in one of the other income lines as opposed to property revenue? I’m assuming it will still flow into NOI, but I just want to make sure I understand which line that will flow into. Thanks.

Debra A. Cafaro

Analyst

Great question. I’m going to hand that over to Bob.

Bob Probst

Analyst

Yes, it’s treated as deferred revenue flowing through NOI, so that – and amortized over the remaining period of at least 5.5 years.

Debra A. Cafaro

Analyst

I think of it as prepaid rent, but they won’t let me write it that way, but that’s sort of what I think about.

Steve Valiquette

Analyst

So will it show up as property revenue, though, in terms of how we should think about it?

Bob Probst

Analyst

Yes.

Steve Valiquette

Analyst

Okay. That’s helpful. Okay, thank you.

Debra A. Cafaro

Analyst

Thank you.

Operator

Operator

Our next question is from Lukas Hartwich with Green Street Advisors.

Lukas Hartwich

Analyst

Thanks. Good morning. I was hoping you could go a little bit deeper into MOB performance this quarter.

Debra A. Cafaro

Analyst

Thank you, Lukas. I know that Pete Bulgarelli has been awaiting that question. So Pete, I’m going to turn it over to you.

Pete Bulgarelli

Analyst

Yes. Thanks so much, Lukas for asking a question. Appreciate that. Yes. So this quarter, we’re actually very happy with the MOB performance, particularly given COVID condition. We have a substantial amount of paid parking that took, as you might not be surprised, a hit in the second quarter. We were down in paid parking by over $2.6 million for the quarter. In addition, we had premium cleaning costs. Our protocol was when we were aware of someone walking through our building, a patient walking through a building, who is COVID positive, we would do a deep clean in the premises as well as the lobbies in all common areas. So there is substantial cleaning costs. And then in addition, in the second quarter of 2019, we had some fairly large offsets on the operating expenses, such as real estate tax appeals that came in during the second quarter. So it was a poor comparison; tough comparison in the second quarter on the expense line. Does that answer your question?

Lukas Hartwich

Analyst

Yes. Perfect, yes. And then sorry, my next question is on senior housing, but…

Pete Bulgarelli

Analyst

I’m just curious.

Lukas Hartwich

Analyst

I’m curious what your senior housing operators in terms of how they’re preparing for the fall. Are they preparing to go back into quarantine mode? Or how are they thinking about it? I understand there’s a lot of uncertainty, but I’m just curious how they’re preparing for it.

Debra A. Cafaro

Analyst

Good question. We sit here at the beginning of August, and there’s obviously a lot of uncertainty in schools and other types of settings. And I’ll ask Justin to really comment on what the operators are doing as it relates to the fall protocol.

Justin Hutchens

Analyst

Thank you, Debbie. The one thing I would just point to is just the approaches that our operators have used to keep our residents safe. And you actually see it in investor deck on Page 15 it falls into three categories; there’s screening, which is something as a practice, they really started it right way, and then you’re familiar with daily temperature checks and symptom screening and the health questionnaires that happen; and then the protecting, which has to do with social distancing and PPE and resident cohorts and cleaning and disinfecting; and then testing has been widely utilized across our operators as well. So all of those have been – things have been working together to create an environment that is safe for our residents and our employees. And as you can see, really from everything we’ve shared and both on the call and through the materials, so that the results have been good. And so as long as those trends persist, we would expect to see communities open and accepting move-ins and allowing for residents to move about safely among – in the community and have visitation with relatives that is really, really important to the residents and – but done so in a very safe way in a restricted manner. So at this time, the trend really is leaning more towards opening. And certainly, as we’ve seen in our own portfolio, that if there is a new infection or new infections that find their way into a community, they may reverse course a bit. But the overwhelming trend has really been more towards opening at this point.

Debra A. Cafaro

Analyst

And it’s also going to be interesting to see whether all of the processes that have been adopted and the heightened sensitivity is really going to have any measurable positive effects on the spread of influenza in the fall. And we don’t yet know that, there are various hypotheses floating around, but that will be an interesting – it will be an interesting test case this year to see whether that shows better trends than usual. So we’ll have to wait and see on that.

Lukas Hartwich

Analyst

Thank you. Appreciate it.

Debra A. Cafaro

Analyst

Thank you.

Operator

Operator

And our final question comes from the line of Sarah Tan with J.P. Morgan. Please go ahead.

Sarah Tan

Analyst

Hi, this is Sarah on for Mike Mueller. The question is for Justin. Just wondering how sensitive has the move-in and tour trends been trending in markets where you see virus flareups and has progress stall when that happened?

Justin Hutchens

Analyst

That’s a great question. And if you can look at – if you look at the deck we provided, if you go to Page 14 then you can see that we’ve included a map that describes what I’m going to tell you. And that is that the – to Debbie’s point earlier, where we had the most impact really from the virus in the early stages was in New York and New Jersey. But the virus peak in that geography is well behind us as well. And the highest lead and move-in trend right now in recent weeks is really in the northeast, primarily in New York and New Jersey. But having said that, away from that outlier, it’s very consistently improving all across the country. And you can see it as we reflect it, we have the size of the circle on this page that reflects the NOI concentration. The color really reflects that – the state is reflecting the number of new cases per 100,000 population and the general population. So it indicates whether or not there’s increased virus spread in the general population. And then the color of the circle is really about the move-in versus prior year. And you can see there’s a lot of green circles and irregardless of what’s happening externally with the virus. And that’s an indicator of the demand for our services. And as I said, we’re seeing that across all geographies.

Debra A. Cafaro

Analyst

And part of it also is the ability of the buildings to stay in the more rich resident experience, which encourages move-ins. And again, that’s a very – it’s a very unpredictable trend and communities, as Justin said, are moving in and out of this frequently and depending on virus activity. But overall, I think the math presents the right picture at this moment in time. But again, we want to be cautious and humble about the predictive abilities going forward. So if there are no further questions, I really want to thank everyone for their attendance today for their interest in our company, for their participation. And I hope you and yours stay vigilant and safe, and we look forward to seeing you on the other side of this thing. Take care.

Operator

Operator

Thank you again for joining us today. This does conclude today’s presentation. You may now disconnect.