8/6/2021

speaker
Operator

Good day, and thank you for standing by. Welcome to the VENTAS second quarter 2021 earnings conference call. At this time, all participants are in a listen-only mode. After this speaker's presentation, there will be a question and answer session. To ask a question during this session, you will need to press star 1 on your telephone. If you require any further assistance, please press star 0. Please be advised that today's conference is being recorded. I would now like to hand the conference over to your speaker today, Sarah Whitford, Director of Investor Relations.

speaker
Sarah Whitford

Please go ahead. Thanks, Tammy. Good morning and welcome to the Ventas second quarter financial results conference call. Earlier this morning, we issued our second quarter earnings release supplemental and investor presentation. These materials are available on the Ventas website at ir.ventasrete.com. As a reminder, remarks made today may include forward-looking statements. including certain expectations related to COVID-19 and other matters. Forward-looking statements are subject to risks and uncertainties, and a variety of factors may cause actual results to differ materially from those contemplated by such statements. For a more detailed discussion of those factors, please refer to our earnings release for this quarter and to our most recent SEC filings, all of which are available on the Ventas website. Certain non-GAAP financial measures will also be discussed on this call. For reconciliation of these measures to the most closely comparable GAAP measures, please refer to our supplemental posted on the investor relations section of our website. This earnings call does not constitute an offer to buy or sell or the solicitation of an offer to buy or sell any securities or solicitation of any vote or approval. In connection with the proposed acquisition of New Senior, Ventas filed with the SEC a registration statement on Form S-4 that includes a preliminary prospectus for the Ventas common stock that will be issued in the proposed acquisition, and that also constitutes a preliminary proxy statement for a special meeting of New Senior stockholders to approve the proposed acquisition. The proxy statement prospectus and other documents filed by Ventas and New Senior with the SEC may be obtained free of charge at Ventas' investor relations website at ir.ventasrete.com or New Senior's investor relations website at ir.newseniorinv.com as applicable or at SEC's website at www.sec.gov. You should review such materials filed via SEC carefully because they contain or will contain important information about the proposed transaction, including information about Vantos and New Senior and their respective directors, executive officers, and other employees who may be deemed to be participants in the solicitation of proxies in respect of the proposed acquisition and a description of their direct and indirect interest by security holdings or otherwise. I will now turn the call over to Deborah A. Cafaro, Ventas Chairman and CEO.

speaker
Tammy

Deborah A. Well done. Your first public company merger. Congratulations. Well, good morning, everyone. I want to welcome our shareholders and other participants to the Ventas Second Quarter 2021 Earnings Call. Ventas delivered an outstanding second quarter, and we have strong momentum across the board in health and safety, capital deployment and access, realization of the benefits of prior successful investments, financial strength, and most importantly, in portfolio growth, led by our high-quality shop business with significant contributions from office and stability in our triple net lease business. We see a clear path to growth in our demographically driven diversified enterprise through capturing the embedded upside in our senior housing business, the benefit of external investments, reliable cash flow from our office and triple net businesses, and delivery and stabilization of ongoing developments, primarily in the life sciences, research and innovation, and Canadian senior housing areas. our experienced team is committed to winning the recovery for all of our stakeholders. Let me first turn to our second quarter results. We posted 73 cents of normalized FFO per share, which is above the high end of our previously provided guidance. I'm delighted that our same store property portfolio grew 3.6% sequentially. our outperformance was driven by shop, which produced $111 million in quarterly NOI, a recovery of $50 million of annualized NOI, representing industry-leading growth in same-store cash NOI and occupancy. July continued these positive shop trends for the fifth consecutive month of occupancy growth. Importantly, by the end of July, leads reached their highest level since the pandemic began. Justin will unpack these trends more fully in his remarks. As a result, we've never been more confident that the senior living business is supported by powerful demand that is growing and resilient, while supply remains constrained. If the last 18 months have taught us anything, it is that as soon as our communities and care providers are ready to welcome residents and their families, we experience a surge of leads and move-ins almost immediately, which then builds sustainably and rapidly. That said, given the macro uncertainty in the COVID-19 environment, particularly the national and regional rise in cases and the measures that have been taken or may be taken to contain COVID spread, the path to full recovery may not be a straight line, but we believe it will point inexorably upward. In our third quarter outlook, we have assumed the increase in COVID cases throughout the U.S. may have some impact on the velocity of leasing and expenses. Rounding out our portfolio performance, office grew nicely in the quarter and our triple net portfolio continued its stability. Peace efforts to increase leasing, keep high retention rates, improve customer relationships, and grow NOI are showing results. Our on-campus and affiliated MOB strategy with leading health systems continues to shine. Turning to health systems, our investment in Ardent also continues to deliver benefits. In addition to strong cash flow coverage on our $1.3 billion leasehold position, our 10% equity stake in the Arden Enterprise is benefiting from excellent Arden results, and our prior purchase of $200 million of Arden Senior Notes recently paid off with a $15 million prepayment fee, providing us with a 13% unlevered return on our investment in the Arden Notes, When all is said and done, I believe and hope that our ardent investment in real estate, equity, and debt will prove to be one of our best risk-adjusted return investments. Turning to other capital allocation priorities, we certainly are on our front foot regarding external investments. In total, in 2021, we have over $3.5 billion in investments completed, pending, or underway with another $1 billion life science research and innovation pipeline with our exclusive development partner, Wexford, right behind that. Our team is also busy evaluating attractive deals across our asset classes. This year to date, we have already reviewed about as many investment opportunities as we saw in all of 2019. We will pursue those that meet our multi-factor investment philosophy, which is focused on growing reliable cash flow and favorable risk-adjusted returns, taking into account factors such as cost per square foot or unit, downside protection, and ultimate potential for cash flow growth and asset appreciation. Our $2.3 billion pending investment in New Senior announced in the second quarter is a great example. In this deal, we are acquiring over 100 high-quality independent living communities that are well invested and located in advantaged markets at compelling pricing. The per-unit cost is estimated to be 20% to 30% below replacement costs. The 5% cash going in cap rate is expected to grow to a 6% cap rate on expected 2022 NOI with upside as the senior housing recovery continues. And the FFO multiple of less than 12 times post synergized 2022 estimated FFO are all attractive valuation metrics. I commend Susan Givens and her team for doing a tremendous job creating and realizing value for their stakeholders. We are also confident that Ventas shareholders will receive immediate and long-term accretion and upside from the deal as senior housing recovers and the large middle market demographic expands significantly in the near term. As Justin will describe, the new senior portfolio also fits in with our senior housing strategy and framework. New senior also performed well in Q2 and into July, with occupancy increasing in its same-store portfolio for five straight months. A unique strategic advantage of the new senior transaction is the longstanding relationship we have with the principal managers of the portfolio, Atria and Holiday, two leading operators who recently combined to form the second largest senior housing manager. As a one-third owner of Atria, we are excited about the opportunities the combination creates, We will directly benefit from growth in Atria's management platform, and we welcome the combination of Atria and Holiday's talent in Atria's advanced enterprise. Congratulations to Atria for pulling together this industry-changing transaction. Switching to our attractive life science research and innovation business, it continues to provide us with value-creating opportunities to invest capital. The Ventus Life Science portfolio now exceeds 9 million square feet, is located in three of the top five cluster markets, includes three ongoing development projects, and is affiliated with over 16 of the nation's top research universities. We also have an incremental $1 billion in potential projects we are working on with Westford. The first and largest new life science project in the pipeline, totaling about half a billion dollars in cost, is gaining steam. expected to be 60% pre-leased to a major public research university that ranks in the top 5% of NIH funding. This project will be located on the West Coast and should break ground in the first half of 2022. Wexford, with its exceptional reputation among universities, is also exploring significant additional life science potential projects beyond those in our existing pipeline. North of the border, we continue to invest capital in high-end, large-scale, independent living communities with our partner Le Groupe Maurice in Quebec. We have always tried to create value through both internal and external growth, and we're pleased that we've returned to being a net acquirer in 2021. Our team is active and engaged beyond our announced deals and our pipeline of potential investments across asset classes. To fund new investments, we have access to significant liquidity and a wide array of capital sources, including the asset dispositions and receipt of loan repayments, as Bob will describe in greater detail. The demand for senior housing has been robust and sustainable, proving out the value proposition our communities and care providers offer to seniors and their families. The shop recovery has begun, and we've started capturing the significant upside embedded in our existing senior housing portfolio from both pandemic recovery and the 17.5% growth in the senior population projected over the next few years. Our diversified business model continues to provide uplift and stability to our enterprise. We are investing nearly $4 billion in announced deals and development projects, and our access to and pricing of capital are positive. In closing, the U.S. is in the midst of an impressive economic recovery that, together with demographic demand for all our asset classes, will benefit our business. We embrace the opportunity to take on any near-term challenges that are temporarily caused by the strength and speed of this recovery, especially because now, unlike last year in the beginning of 2021, our employees, residents, tenants, and caregivers are largely safe and healthy. As a team at Ventas, we're incredibly pleased about the results we've delivered and the strength and momentum we've demonstrated. Justin, over to you.

speaker
Deborah A. Well

Thank you, Debbie. We remain excited about delivering industry-leading occupancy and NOI growth, and we are encouraged about recent trends in the senior housing portfolio. Although we are still in the early stages of the recovery, we are off to a very strong start. Ventas is well positioned to benefit from significant senior housing tailwinds, including the sector recovery upside, supportive demand fundamentals, and continued improvement in leading indicators. I'll review three topics today. First, our second quarter performance. Second, our perspective on the senior housing operating environment. And third, our continued execution of our senior housing strategy. I'll start by covering our second quarter performance. In shop, leading indicators continued to trend favorably and accelerated during the quarter, as leads and move-ins each surpassed 100% of 2019 levels, while move-outs remained steady. June marked the best month for leads and move-ins since the start of the pandemic, and July has sustained strong momentum. Strong sales activity has now driven five consecutive months of occupancy growth, inclusive of July. In the second quarter, approximate spot occupancy from March 31st to June 30th increased 229 basis points, led by the U.S., with growth of 313 basis points and accelerating leads and move-ins. In Canada, the trends were more muted due to this lower vaccine rollout, but approximate spot occupancy still increased during the second quarter, driven by 33 basis points of growth in June. Leading indicators remain strong in our portfolio as the digital footprint of our operators has significantly expanded over the past year, casting a wider net as traditional high-converting lead sources such as personal referrals, respite, and professional referrals continue recovering. Turning to shop operating results, same-store revenue in the second quarter increased sequentially by $3.5 million as strong occupancy growth was partially offset by the impact of of a new resident move-in incentives on pricing, specifically at Atria. I will touch on that more in a minute. Operating expenses declined sequentially by $9.2 million, or 2.3%, excluding the impact of HHS grants received in the first quarter, driven by a better than expected reduction of COVID-19 operating costs, partially offset by a modest increase in routine operating expenses. For the sequential same-store pool, SHOP generated approximately $111 million of NOI received in the first quarter, which represents a sequential increase of $12.4 million, or 12.6%, when excluding the impact of HHS grants. This marks the first quarter of sequential underlying NOI growth since the onset of COVID-19 and approximates a nearly $50 million NOI improvement on an annualized basis. During the quarter, we saw a solid contribution to sequential NOI growth in both revenue and operating expenses, as average occupancy increased to 110 basis points, and COVID-19 costs declined substantially and ahead of expectations. Turning to TripleNet, sequential same-store cash NOI was largely stable in the second quarter, and 98% of all contractual TripleNet rent was received from the company's tenants. Our trailing 12-month cash flow coverage for senior housing, which is reported one quarter in arrears, is 1.2 times and down versus the prior quarter, reflecting the timing associated with coverage reporting, which now includes effectively four full quarters of operations impacted by COVID. Moving on to the current operating environment, which is full of green shoots. Our market-leading operators continue to demonstrate their strong market position through broad occupancy gains. Sunrise led the way with 627 basis points of spot occupancy growth from the low point in mid-March to the end of July, benefiting from a rejuvenated management team, significantly well-invested communities in a balanced approach, demonstrating very strong occupancy gains and pricing power. We would like to congratulate Sunrise's CEO, Jack Callison, for adding experience and depth to his management team with his recently announced hires. Atria, which benefits from a higher absolute occupancy of 81.8% at July end, continues to deliver solid volume growth. Spot occupancy in July increased 529 basis points since the low point in mid-March, resulting from the combination of their industry-leading vaccine mandate and strategic price incentives to capture movements. Atria anticipates tightening incentives moving forward as pricing power recovers and occupancy stabilizes. Supporting all of this is Atria's industry-leading vaccination rates, which are impressively high at nearly 100% of both residents and employees. Looking ahead, as Debbie mentioned, the third quarter is off to a strong start, with July spot occupancy increasing 74 basis points versus June and leads continuing to stand strong at 105% of pre-pandemic levels. Our operators have been prioritizing resident safety and weathering several near-term headwinds including the Delta variant and transitory wage pressures from staffing shortages in select markets. Underpinning our leading operating partner relationships and recent sales momentum is our attractive market footprint, which positions us to benefit from the compelling supply and demand outlook in the senior housing sector. Our communities in the U.S. are poised for improving performance over time due to our strong presence in submarkets that outpace the U.S. national average in aging population growth and wealth demographics, but with significantly lower exposure to new construction starts and construction as a percentage of inventory. Approximately 30% of our shop portfolio on a stabilized basis is located in Canada. The senior housing sector in Canada has performed exceptionally well, with occupancy exceeding 90%. every year from 2010 to 2020 and demand outpacing new supply in eight of that last 11 years. As a foundation to these attractive fundamentals, the 75 plus population in Canada is projected to grow more than 20% over the next five years, about twice the pace of the US. The Ventos team has been busy executing our senior housing strategy driven by experiential operating expertise, and underpinned by our analytical capabilities to further strengthen our senior housing business. The underlying goal of our strategy is simply to execute portfolio actions that ensure we are located in the right markets, with the right operator, with assets, with strong local market positioning. A notable example of our strategy execution is the new senior transaction. New senior has a track record of strong operating performance benefits from a geographically diverse footprint with favorable exposure to compelling market fundamentals and demographics, and represents a well-invested, high-quality portfolio catering to an attractive market segment. The acquisition also represents an excellent opportunity to further expand our relationships with two longstanding operators, Holiday Retirement and Atria Senior Living, and with new relationships, such as Hawthorne Senior Living. New Senior will strengthen our existing senior housing business from several strategic perspectives. Operationally, New Senior will enhance Ventos' cash flow generation profile. Its margin has remained resilient in the 35% plus range during the COVID-19, and occupancy has weathered the pandemic headwinds approximately 80 basis points better than the NIC industry average. Most recently, New Senior has seen strong sales trends as we progress through the early stages of the senior housing recovery with powerful upside as the portfolio occupancy grew 100 basis points in June. Geographically, New Senior has a diverse presence across 36 states, which includes exposure to markets with high home values and high household income levels, ideal proximity to premium retail, and high-visibility locations in favorable supply outlooks versus industry averages. This transaction is a reflection of our focus on adding high-quality assets to our senior housing platform and maintaining balance across independent living and assisted living product types. We see new seniors' independent living assets as complementary to our existing high-end major market portfolio as it provides a lower average resident age and longer length of stay at an accessible price point, with REV4 of approximately $2,700. The purpose-built nature of these communities, which include consistent layouts with 120 units per building, also will strengthen our ability to effectively and efficiently redevelop and invest in these assets over time. Moving on to new developments. We continue to drive value from our development pipeline through our relationship with the group LARISSE. where we have opened three communities with more than 1,000 units over the past year. Two of the three developments were delivered in the fourth quarter of 2020. Both projects had substantial pre-leasing activity and have already stabilized at approximately 95% occupancy. The third project, a 287-unit expansion of an existing Le Groupe Maurice community in Montreal, was delivered in June of this year. Initial leasing activity has been strong with more than half of the new units occupied as of the end of July. Our plans across our broader shop portfolio include significant deployment of refresh and redevelopment capital, strengthening our market-leading position where we expect to realize occupancy growth and pricing upside over the next few years. We continue to actively manage our portfolio with the disposition of non-strategic assets and the transition of operators in select markets to position our senior housing business for long-term success. In summary, our recovery is off to a strong start. We are well positioned in markets that benefit from outside aging and wealth demographics. We are executing our senior housing strategy to help ensure success in the near and long term. I will now hand over to Pete. Thanks, Justin. I'll cover the office and healthcare triple net segments. Together, these segments represent over 50% of NTAS's NOI. They continue to produce positive and reliable results. Within these segments, we're seeing a changing business climate. Health system and university business confidence is rising, leading to longer-term commitments and strategic growth investments. During the pandemic, we kept our business confidence. We remain focused on growth, and we continue to invest in incremental leasing resources and in creating a leasing center of excellence led by an industry veteran. She is now two years in. We built a technical engineering team to assist our local property teams in running our buildings more efficiently, also led by an industry veteran. He is now 18 months in. We doubled our capital invested in our MOVs to ensure their competitiveness. including major redevelopments in Phoenix, Atlanta, and Austin, Texas. We expanded our tenant satisfaction programs under the leadership of our new property management leader. He is also 18 months in. Because of this focus, I'm proud to say that our MOVs now rank in the top quartile of tenant overall satisfaction as surveyed by Kingsley, the National Real Estate Survey leader. Happy tenants equals higher occupancy. Our focus on the fundamentals and growth is showing results. Let me describe them now. Office, which includes our medical office and research and innovation segments, performed well, delivering 10.5% sequential same store growth. Office quarterly same store growth was 12.6% year on year. The R&I portfolio benefited from a $12 million termination fee from a large tenant in the Winston-Salem Innovation Center anchored by Wake Forest. Adjusted for the termination fee, office sequential same-store growth with 90 basis points and 2.8% for year-on-year same-store quarterly growth, a strong quarter. Medical office same-store sequential growth with 80 basis points and year-on-year quarterly same-store growth was 2.4%. For the quarter, we executed 230,000 square feet in office new leasing and 460,000 square feet year-to-date, a 78% improvement from prior year. Medical office had strong same-store retention of 94% for the quarter and 85% for the trailing 12 months. The result is the total MOV occupancy increased 20 basis points sequentially. Total office leasing was 750,000 square feet for the quarter and 1.8 million square feet year-to-date. We were also pleased there are annual escalators for the new MOV leases averaged 2.9% for the quarter, which caused MOV same-store portfolio annual rent escalators to increase from 2.4% to 2.6%. Our R&I business continues to excel as it strives to provide effective facilities to support the record level of investment into life sciences research. Same-store sequential growth was 38.9%. Adjusted for the termination fee, same-store sequential growth was 1.1%. Year-on-year quarterly same-store growth was 42.6%. Adjusted for the termination fee, year-on-year quarterly same-store growth was a strong 3.9%. Quarterly same-store occupancy was now standing 94%, with sequential occupancy increasing by 10 basis points. Looking forward, we have three R&I buildings comprising of 1.2 million square feet of space under construction. Collectively, they are 78% leased or committed. Of the two buildings in our U City complex in Philadelphia, the Drexel building is 100% leased, while one U City square is over 55% leased or committed. We are oversubscribed for the remaining space with 11 above pro forma proposals currently outstanding. In Pittsburgh, Our new building is 70% pre-leased, University of Pittsburgh and UPMC, with significant activity on the remaining space. In our recently opened project with Arizona State University in Phoenix, we are 86% leased or committed and expect to be 100% leased shortly. These performance numbers reflect the quality of our well-located R&I assets. Now let's turn to healthcare triple nets. During the second quarter, our healthcare triple net assets showed continued strength and reliability with 100% rent collections. Second quarter same-store cash NOI growth was 2.5% year-on-year. Trailing 12-month EBITDARM cash flow coverage through June 30th was strong across the portfolio. Health systems trailing 12-month coverage was an excellent 3.6 times in the first quarter. a 10 basis point sequential improvement. As Debbie mentioned, Arden continues to perform extremely well in this dynamic market. IRF and LTAC coverage improved 20 basis points to 1.9 times in the first quarter, buoyed by strong business results. Although skilled nursing declined 10 basis points to 1.8 times as the pandemic continued to impact census, total post-acute coverage increased sequentially by 20 basis points to 1.9 times in the first quarter of 21. Finally, several of our partners have been approached for M&A opportunities. Kindred is expected to merge with LifePoint, Inspire recently entertained multiple offers by Ramsey. It is a testament to the underlying value of our healthcare operators and the associated real estate. With that, I'll turn the call over to Bob. Thanks, Pete. In my remarks today, I'll cover our second quarter results, our recent liquidity, balance sheet, and capital activities, and finally, our expectations for the third quarter of 21. Starting with our results in the second quarter, PENTOS recorded strong second quarter net income of 23 cents per share and normalized funds from operations of 73 cents per share. Normalized FFO per share was two pennies above the high end of our initial guidance range of 67 to 71 cents per quarter. and it's consistent with our June update to be at the high end or better than that original range. The Q2 outturns served by growth in office, continued stable performance from triple net, strong results from margins, and better than expected NOI in our shop portfolio. Turning to capital, we've been busy and proactively managing our capital structure, duration of debt, and liquidity since our last earnings call. First, following the announcement of the new senior agreement, we raised $300 million in equity at an average gross price of approximately $58.60 per share under our ATM program. This $300 million equity raise, together with $800 million of new equity to be issued to new senior shareholders per the fixed exchange ratio, and $1.2 billion of new senior debt to be assumed or refinanced, constitutes the overall $2.3 billion funding of the new senior transactions. Second through August 5th, we've received $450 million of disposition proceeds and receipts of loan receivables. Included in the $450 million received to date is repayment of two well-structured loans in July, Arden's redemption of $200 million of 9.75% senior notes due 2026, and Halliday's repayment of $66 million of 9.4% notes due 2025. Medical office building children in the second quarter also resulted in proceeds of approximately $107 million. Using proceeds from these dispositions, in the third quarter, Ventas will improve its near-term debt maturity profile further by fully repaying a total of $664 million in outstanding 3.25% senior notes due August 22 and 3.13% notes due June of 2023. As a result of the recovery of senior housing NOI and our capital structure actions, we're seeing strengthening credit metrics. Reporting Q2 net that EBITDA was better than expectations, improving 10 basis points sequentially to seven times. Within that 10 basis points improvement, underlying shop annualized EBITDA improved nearly 50 million, or 25 basis points beneficial impact to the ratio in just one quarter. This organic improvement was offset by the elimination of shop HHS grants in Q2. This provides a proof point of the anticipated material improvement in leverage resulting from the underlying recovery in senior housing over time. Proforma for announced ATM issuance and capital activities, Centops' Q2 net debt EBITDA rose lower from 7 times to 6.8 times. I would highlight that the new senior transaction is expected to be 30 basis points levering on projected new senior 2022 NOI. And it's supported by the forecasted growth in cash flows from the new senior portfolio. Penthouse has ample liquidity, totaling 3.3 billion. As of August 5th, the company had 2.7 billion of undrawn revolver capacity, 600 million cash, and no commercial paper outstanding. Let's finish with our Q3 guidance. The recorded net income is estimated to range from flat to $0.05 per fully diluted share. Our guidance range for normalized FFO for Q3 is $0.70 to $0.74 per share. The Q3 FFO midpoint of $0.72 can be bridged from Q2 of $0.73 by a $0.02 benefit from the ARG loan prepayment fee in Q3, net of the ARG HHS grant in Q2. Offset by $0.02 from lost interest income on the loan prepayments and the July equity rates. NOI reduction from assets intended for disposition describes the last 20. Key third quarter assumptions underlying our guidance are as follows. Shop Q3 spot occupancy from June 30 to September 30 is forecast to increase between 150 to 250 basis points, with the midpoint roughly assuming a continuation of occupancy growth trends observed in July. REV4 is expected to be roughly flat sequentially, and move-in incentives are expected to narrow in the quarter. Sequential shop revenue growth is expected to be offset by increasing operating costs due to an additional day in the quarter, higher occupancy, labor, and routine seasonal items, including repair and maintenance and utility costs. No HHS grants are assumed to be received in the third quarter, Stable performance is expected in the office and triple net segments. We continue to expect $1 billion in asset sales and loan repayments for the full year 2021, the blind of sight for the remaining balance in the second half of this year. Fully alluded share count is now 383 million shares, reflecting the equity raised in anticipation of new senior.

speaker
Sunrise

Guidance does not include any unannounced capital markets activity. our Q3 guidance excludes any impact from the pending acquisition of New Senior.

speaker
Deborah A. Well

The New Senior transaction is expected to close in the second half of 2021, and once closed, is forecast to be between $0.09 to $0.11 accretive to normalize FFO per share in 2022. I'd like to underscore that we're still in a highly uncertain environment. Though Trans and Shop are positive, the pandemic's impact on our business remains very difficult to predict. Fantastic is exciting about our business and our future, and we believe we have the well-diversified portfolio, best-in-class operators, and experienced team to win the recovery that is now underway. That concludes our prepared remarks.

speaker
Sunrise

Before we start with Q&A, we're limiting each caller to two questions to be respectful to everyone on the line.

speaker
Deborah A. Well

With that, I will turn the call back to the operator.

speaker
Operator

Thank you. As a reminder, to ask a question, you will need to press star 1 on your telephone. To withdraw your question, press the pound key. Please stand by while we compile the Q&A roster. Your first question comes from the line of Jonathan Hughes.

speaker
Deborah A. Well

Hey, good morning. Justin, can you share some more details on your seniors housing occupancy versus rate philosophy and Why, when I look at the rate, it seems that there's a little bit more discounting here than some other portfolios. I see Rev4 was down about 2% year-over-year. Some others were up low single digits. I guess it just seems giving domain is rebounding and length of stay is only a few years, and affordability is probably as attractive now as it's been perhaps ever. Why wasn't Rev4 growth maybe at least flat, if not positive? Hi, nice to talk to you. Um, let me start with the year over year kind of comment that you made. Um, so you were to look at our, our year over year rep for, and you exclude Atria, which was, I mentioned prepared remarks, had some discounting. I'll come back to that and exclude LGM, which performed really well in this past year, but they operate at a lower price point in an active living product in Canada. So there's a mixed shift impact from LGM. So if you were to take those two out, our rev pour would have increased 1.8%. So set LGM aside, and then let's get back to Atria. You might remember that Atria, starting back during the pandemic, had positioned themselves to go for volume in a few different ways. Very early on, they were the first to execute testing broadly. As they moved throughout the pandemic, they saw an opportunity for volume ahead of the worst part of the pandemic, which was emerging in the fall and into the winter. So they offered price incentives. And if you were to look at Atria's occupancy growth, if you go a little further back from the low point and start back, for instance, December 31st, they've grown 372 basis points. versus the rest of our shop in total, which would be like 227 basis points. And so they are an absolute bona fide leader in driving occupancy volume. They chose to stay with the discounting. Into recent months, we've noticed in the underlying trends that they're starting to tighten. They also have a higher absolute occupancy than the rest of our portfolio and a lot of operators in the sector. So we believe that they are well-positioned to start to push pricing in markets where they're seeing stabilization. That's their intent. They started to do it. They'll continue to do it. And they have a long track record of driving both occupancy and price. And we're in the very early stages of this recovery. So we're comfortable and confident that over time they'll deliver. One other point, and that is that we have Sunrise Senior living in our portfolio. Sunrise is a 9,000 rev4. They're sitting at 72% octopied. They've been driving a lot of occupancy growth as well. And the mix shift that I mentioned that kind of went the other way with LGM outperforming will shift the other way as Sunrise starts to grow. So I think our rev4 outlook will be fine in the long term. Okay. Yeah, that's helpful. It's just tough for us to see the mix shift on our side, but that color is really helpful. So I appreciate you sharing that. And then Just one more for me on the life science and the R&I pipeline. Are you still planning to utilize some JV partners on some of those future potential developments to help spread out risk and lower the earnings dilution?

speaker
Rev4

Or given the strength of that business, is there maybe a desire now to keep those wholly owned and let that value creation benefit drop to shareholders?

speaker
Tammy

Good morning. That's a great question. We're excited about this business that is going to continue to grow, and Wexford has a lot of opportunities. What I would say is the answer will be some and some. So there are some pre-identified projects that are in the pipeline that we'll do in joint ventures. And they're carefully selected to make sure we have a coherent strategy around the joint venture. And there are others that Wexford is working on that may go on balance sheet, depending on, again, the risk-reward profile. So I think we'll have a lot of benefits from this business initiative going forward, both on balance sheet and with our joint venture strategy.

speaker
Deborah A. Well

Okay. I'll jump off. Thank you for the time.

speaker
Tammy

Thank you.

speaker
Operator

Your next question comes from the line of Nick Joseph with Citi.

speaker
Nick Joseph

Thanks. Good morning. I was hoping to get more color on the underlying assumptions for the shop occupancy growth in third quarter. Obviously, you've already had July at about 75 basis points. I recognize the recovery won't be a straight line, as you said, but how do you think about the near-term risks from the Delta variant and the impact on at least near-term senior housing occupancy?

speaker
Deborah A. Well

Sure, I'll start on that, Nick. So just in terms of the numbers, the outlook is 150 to 250 spot occupancy gains. You're right to say 74 in the first month. So times three, that is above the midpoint. And you're right to say it's not a straight line. I mean, clearly the pandemic backdrop, you know, is something we're thinking about, no doubt about it, if you think about occupancy. And it's never month to month if you look at it. You know, take one month times three. That said, the strength in leads in July is worth noting as well, in light of that is what translates into move-ins in the future. So we are still seeing very positive trends. Now five consecutive months of occupancy and strong leads, but with a backdrop of caution. I'm not sure what you're saying about it.

speaker
Nick Joseph

Thanks. And then you talked about the supply outlook on senior housing kind of being positive for the near and medium term. Given the recovery that's underway, when would you expect that supply to start picking up in terms of new starts?

speaker
Deborah A. Well

Yeah, so hi to Justin. You know, there's a little bit of catch up in terms of supply from last year that we're experiencing in the short term. It's a bump in the road. But starts and deliveries are very low, and so there's a window that we can look out, we think, a few years of runway to really have strong absorption in the sector. Certainly, capital will follow the fundamentals, and we expect to see development chase this sector. But when they do, they'll be faced with the strongest aging demographic that the sector has ever faced. We're certainly bullish and confident on the demand for senior housing. Thank you.

speaker
Operator

Your next question comes from the line of Joshua Dinnerline with Bank of America.

speaker
Deborah A. Well

Hey, everyone. Hope everyone's doing well. I'm curious on Ardent, since you got the loan repayment, just curious if you have any interest to kind of expand further into the hospital sector. It feels like, yeah, just kind of curious there.

speaker
Tammy

Well, good morning. Thanks for the question. You know, Ardent has been a great investment in many different ways, great risk-adjusted return, great performance, and I think even better days ahead. I would say that if we were able to find, you know, additional assets in the health system space that have the characteristics that we like about Arden, we certainly would commit additional capital there. And those characteristics really are around growing markets, position in local markets, being one of the leaders, having pricing power with commercial payers, and those types of characteristics, obviously population growth and so on. and good, strong, experienced care providers. So we continue to explore opportunities in this space, and if we can find anything even close to as good as Arden, I think we'd be happy to commit additional capital there.

speaker
Deborah A. Well

Okay. And then on the disposition guidance, the billion dollars, did that originally include the Arden repayment? And, you know, is that additional or kind of takes the place of maybe some other sales that you were going to do? Yeah, Josh, that was in the initial billion, the $200 million loan repayment. That was in our guidance originally, so no surprises there. You know, the balance being property, real estate, dispositions continues to be the assumption, both senior housing and MOBs. But that was in our – Our first guidance. Okay. Just one real quick follow up. If Colony was to, I think Colony could repay back their loan, that's not included or is that?

speaker
Sunrise

Correct. That is not. That's correct. That is not in the billion dollars. That is not assumed. Okay. Got it.

speaker
Tammy

You got it. Thank you.

speaker
Operator

Your next question comes from the line of Michael Carroll. with RBC Capital Markets.

speaker
Michael Carroll

Yeah, thanks. I wanted to stay on the REVPOR outlook real quick. And can you talk about how operators are setting rates today? Are they able to be more aggressive pushing rates, I guess, in August versus February, beginning of this year? And if not, at what point will they be able to be more aggressive? I mean, does occupancy have to hit back into the mid-80% range?

speaker
Deborah A. Well

Yeah, hi, Justin. So, you know, even throughout the second quarter, we could see underlying tightening, particularly in asking rents. Operators tend to use short-term incentives, you know, first and foremost, and we think those will be, you know, those will persist as asking rents tighten. Clearly, the demand is really strong, you know, for independent and assisted living, as that continues, I would expect pricing power to return, and particularly as communities and markets reach pre-pandemic occupancy. So we think there's plenty of potential ahead to drive pricing. Of course, as Debbie mentioned, there may not be a straight line as we face this next phase of the recovery.

speaker
Tammy

And different operators will clearly pursue different strategies, and we support and work with them on those strategies, and we should see the benefit from that going forward.

speaker
Michael Carroll

Okay, and then back in 2014 or 15 when the shop portfolio had occupancy of 90-plus percent, I mean, at that point, how aggressive were your operators able to push rate? I mean, could we expect rev pour or maybe not expect? I mean, could we see rev pour get back into the mid-single digits if something like that occurs?

speaker
Deborah A. Well

Yeah, it's a completely different market moving forward than it was then. That would have been really the beginning of facing new supply. And there was still some pricing power persisted during that time, but the outlook moving ahead, given the demographic backdrop and the new supply backdrop that we're facing, it certainly supports that. you know, occupancy growth and pricing power.

speaker
Tammy

Yes, I mean, Michael, you're reminding me of the very good times, and thank you for doing that, where occupancies were in the low to mid-90s, and, you know, REV4 was growing considerably. And so, as Justin said, with the demographic growth, and we have this window of, where the supply is baked over a multi-year period and it's going to be baked at low levels, that is a very constructive backdrop for getting back to very positive outcomes, rev pour growth, occupancy growth, et cetera.

speaker
Michael Carroll

Okay, great. Thank you.

speaker
Operator

Our next question comes from the line.

speaker
Tammy

That's where we went ahead for sure.

speaker
Operator

Your next question comes from the line of Stephen Valliquette with Barclays.

speaker
Stephen Valliquette

Great, thanks. Good morning, everybody. Good morning. So with the new senior transactions focused mainly on the independent living market, I'm curious to hear just any updated thoughts you have around strategy and senior housing by property type. You're just thinking about it on memory care versus AL versus IL. We've seen some operators, some of the largest operators, talk about some of the biggest gains in occupancy and memory care. We're just curious on your thoughts by a property subtype in light of the transaction, how you think about those three areas on the pace of recovery. Thanks.

speaker
Tammy

Right. And Justin will answer that. Thank you. I mean, with the new senior pro forma, I think we're going to be over 50%, including Canada, in the IL product, which we really like and is a less labor-intensive model, for example. But we do like the diversification in our enterprise, and we also like it within our senior housing portfolio. So I'll ask Justin really to describe the strategy and framework that we're thinking about as we build the portfolio with Justin's kind of imprint upon it.

speaker
Deborah A. Well

Thanks. So first and foremost, we just want to make sure, as I mentioned in our prepared remarks, and I like to say this a lot, that we're in the right markets, with the right asset and the right operator managing that asset. And so that might be member care or assisted living or independent living. Um, they, you know, really all the product sites have, you know, good characteristics. The assisted living and member care are more need driven. They do have higher price point. Um, they also do run at higher costs. And so depending on the, the, the rep for associated with your product, you know, your margins can vary. but it's a product that does tend to recover quickly. You know, it did after the financial crisis. It's doing really well, you know, after the pandemic so far. So it's great to have exposure as long as you're in the right markets with the right operator to that product. Independent living has a longer length of stay. It also has less new competition facing it. In the case of New Senior, there's extreme affordability relative to an AL product. It's about at least twice as good in terms of if you're a resident making a choice within your local market for a New Senior Independent Living versus for AL. So it reaches a broader audience. It also has pricing upside through investment and faces the same strong demographic wave that I was describing earlier. One other thing about independent living is because it faces less new competition, it does have a higher ceiling. Pre-pandemic, it was outpacing AL and member care by about 400 basis points. We don't see any reason why coming out the other side that it doesn't also have a higher ceiling moving forward.

speaker
Stephen Valliquette

Okay, great. That's helpful. Just one other real quick follow-up on new senior transactions. You have a bullet point about Ventas expecting to make revenue-generating capital investments for additional value and opportunities. Just curious to hear more about that and how critical that is as part of the overall transaction.

speaker
Deborah A. Well

Yeah, so this is Justin again. This is a product type that I mentioned that has great characteristics. It's 120 units. Large units, if you've been to a holiday community, you've kind of been to all of them because they're exactly the same. Big open floor plan when you walk in, open dining. There's three stories. And so it lends itself well to redevelopment and refresh investment. And we happen to be situated in several markets that are great locations. They're high traffic locations. They're located close to premium retail. They have strong income and wealth and aging demographics. So, you know, in a lot of cases we think we're pushing on open the door to make additional investment. And the goal on a targeted basis is to make investments, support the occupancy growth, but also push pricing. So we're in the process of evaluating those opportunities, and we'll integrate that into our plans over the next couple few years. Got it.

speaker
Stephen Valliquette

Okay, thanks.

speaker
Operator

Thank you. Your next question comes from the line of Juan Sanabria with EMO Capital.

speaker
Sunrise

Hi, good morning. I was just hoping to talk a little bit about big picture strategy, just trying to gauge how much appetite you have to truly meaningfully grow the seniors housing exposure at this point in the cycle. given this nice window you have over the next few years versus kind of the long-term stated desire to be diversified across asset types and different products. So just curious how you're thinking about it, given the opportunities set in seniors housing and that nice window for the next couple of years.

speaker
Tammy

Well, we've definitely put our money where our mouth is in terms of the new senior investment of $2.3 billion in well-invested, well-located senior living. We're excited about that. That will increase our percentage NOI coming from the senior living sector. area and will enable us not only to capture embedded upside in the Ventas portfolio in senior housing but also new senior. So that's great and we will continue to invest where we think there's good risk-adjusted return and upside in the senior living business. We do believe, as you know, in a diversified model. And we will continue to invest in other areas of our business that have performed exceedingly well for us and have really proven their value over the last year because the benefit of diversification really is that, you know, you never know really what the external market and environment are going to throw at you. And so, uh these different these different asset classes are unified by demographic demand that they perform differently in different uh environments and we've gotten the benefit of that so much so in the medical office area the life science area the hospital area over the last year that we remain of a belief that that is the best profile to deliver the kind of value proposition we want to deliver to our shareholders.

speaker
Sunrise

Great. Thank you. Super helpful. And then just on serious housing, I guess for Justin, just curious on the latest thoughts on the flow through of incremental revenue to the NOI line and if I could be sneaky, just any thoughts on

speaker
Deborah A. Well

or latest data points on the delta variant if there's any implications on operators visitation policies as a result of the uncertainty and kind of a very fluid landscape sure so i'll start with the flow through and you know maybe just kind of refer to it as margin um one thing that's interesting you can kind of show your supplemental you'll catch this that Our operating margin, even on a much lower occupancy right now, is only like 150 or 200 basis points off of the margin from a year ago on a much higher occupancy. And so margin is kind of hanging in there. We think if you fast forward and get the portfolio back to a pre-pandemic occupancy, We think you're very, very close potentially to, you know, within 100, 200 basis points of the pre-pandemic margin, plus there should be some pricing power, plus there should be some more occupancy upside than we were seeing at that time. So we feel good about the flow through. And, you know, it's going to be – we're in this period where, you know, Atria – one of our best performing operators, as I mentioned, in terms of occupancy, but they have another 700 basis points to go to get back to where they were pre-pandemic. And it's, you know, during this kind of next wave of occupancy fill that we expect to see the flow through really increase and margin grow as well. And then the second part of the question is to do with the Delta.

speaker
Tammy

Right. I mean, right now, you know, it's kind of business as usual, but as I mentioned in my remark, And you clearly understand there is fluidity and the environment's very dynamic. And so we want to be prudent in our thought process about the third quarter. But right now, the communities are all open for new move-ins and visitation. And we hope that that continues because the communities are so highly vaccinated and protected. And that is the you know, the comfort and the happiness, frankly, that we have sitting here today that we feel really good about.

speaker
Sunrise

Fingers crossed. Good luck, everybody.

speaker
Tammy

Exactly. Thank you.

speaker
Operator

Your next question comes from the line of Lucas Hartwich with Green Street.

speaker
Bob

Thanks. Good morning. Can you provide any color on the in-process senior housing dispositions? Just maybe... level of interest? And is there a sense of how pricing compares to pre COVID levels?

speaker
Tammy

Well, we're making good progress. We have a line of sight to, as Bob said, to the balance of the investments, which are composed of medical office and senior housing. And because the outlook for senior housing is very favorable, there is significant interest in the asset class, and we think pricing will be in line with our expectations.

speaker
Bob

Great. And then during the quarter, it looks like a tenant exercised a purchase option. Can you provide a sense of how pervasive those types of options are in the portfolio?

speaker
Tammy

They are absolutely de minimis because this is a historical one, frankly, that we got from going back to PMB. So this is a long-standing one. We did recognize a very significant gain on the sale, which was $30 or $40 million. I can't remember on a $100 million deal, so that was good. But we have very, very limited purchase options for tenants.

speaker
Sunrise

Great. Thank you.

speaker
Tammy

Thanks, Lucas.

speaker
Operator

Your next question comes from the line of Jordan Sadler with KeyBank Capital Markets.

speaker
Rev4

Thanks. Good morning. I wanted a quick follow-up on the colony loan investment. Any update there surrounding your expectations or did the fact that you excluded it from the sales guide indicate that you still don't expect it to be repaid?

speaker
Tammy

I think the latter. As you know from the colony call, they've moved that portfolio to intended for disposition of the real estate portfolio that is encumbered by our loan. And the loan continues to perform well. And my guess would be that, and it's only a guess, but that a buyer of the real estate portfolio would likely assume the existing capital stack.

speaker
Rev4

Okay. Although I guess if it goes to somebody, I mean, who looks to parcel off the portfolio or doesn't want to own or hold the entire portfolio, there's a possibility that they might have to repay the loan, right? Because it's supported by the entire portfolio?

speaker
Tammy

Yeah, I mean, it is supported by the pooled portfolio, definitely. And, you know, it's a very well-structured loan. And we always feel good when our loans get repaid, even though we have to, you know, recycle the capital. But it, you know, proves the merits of the investment, if you will. So we're open-minded. I think either way could be favorable for Ventas.

speaker
Rev4

And then just as a follow-up relative to one of Pete's comments in his closing to his comments, he mentioned, you know, some of the partners being approached and pursued, the Kindred deal, the Inspire portfolio. Any anticipated actions you guys might see within your portfolio as a result of those transactions?

speaker
Tammy

yes i mean whenever there's activity there can be opportunity and um you know we look forward to exploring those kinds of things we've had a good relationship with kindred for 22 years and and we've done lots of really constructive things together and i would hope that that will continue okay thank you thank you

speaker
Operator

Your next question comes from the line of Daniel Bernstein, Capital One.

speaker
Daniel Bernstein

Hi. Good morning. Congrats on a good quarter with CHOP. It's kind of a broad question here on seniors housing. I mean, there's been some real success from the larger operators like Brookdale, Sunrise, obviously the merger at H or Holiday. You know, I kind of want to get your perspective on maybe the importance of scale in seniors housing. going forward you know historically scale has not worked out too well versus regional operators in terms of performance but maybe that's changing and just want to try to get your perspective on that and and maybe how the how ventas as a reed can participate in that

speaker
Tammy

Well, that's a great question. It's clearly from someone who's been around the industry for a long time. As we said, as a third owner of Atria, we do like the combination of the talent, the IL and the AL capabilities coming together on Atria. you know, a very advanced platform that Atria has to become the second largest operator. So, you know, that can really yield some benefits, I would say, with the data analytics and technology capabilities and the talent all coming together. So it's more about that than it is about the scale, I would say. There also can be benefits from, you know, smaller operators. Justin mentioned we're going to have a new relationship with Hawthorne, and those were, as you know, the original holiday guys, if you will. And, you know, I think there are some strong benefits that those local operators operators can provide as well. So we look forward to having those relationships and building them out as appropriate.

speaker
Daniel Bernstein

Okay. And then I guess the other question, I just wanted to go back to labor. I mean, we heard from some other REITs and operators that maybe a lack of labor could slow down or You know, occupancy gains and more maybe skilled nursing and senior counseling, but kind of wanted to get your thought on whether, you know, there's any limits in terms of near-term occupancy momentum that could occur because of the shortage of labor.

speaker
Tammy

Right. Well, I mean, again, I think we as a country and we then pass with our strong second quarter have a really what I would call my mother would call really a high class problem. And that is that, you know, our economy is recovering. and demand is recovering in such a speedy and robust way that both the labor market and the supply chain are having trouble keeping up with it. And that is an environment that we feel very comfortable kind of managing through to the other side because when you step back, it's really all about that demand, the demographics, building that occupancy and pricing power, and capturing that embedded upside in both Ventas Senior Housing as well as now New Senior. So, you know, We'd rather have this environment than many others, and I think we can successfully really manage through it because of the demand that is right in front of us.

speaker
Daniel Bernstein

That's a helpful perspective. Thanks.

speaker
Tammy

Right. And to the specific question, I mean, our communities are able to take residents. There hasn't been any capacity constraint to date on our ability to accept occupancy.

speaker
Daniel Bernstein

All right. Thank you.

speaker
Operator

Thank you. Your next question comes from the line of Amanda Schweitzer.

speaker
Amanda Schweitzer

Thanks. Good morning. You touched on higher conversion lead sources continuing to recover in your prepared remarks. Can you just expand on where those higher conversion sources are trending today relative to pre-COVID levels and how much additional upside you think you could realize through those?

speaker
Deborah A. Well

Yeah, sure. So, you know, there's really kind of two things happening. One is the digital footprint that is expanding, and then the other is the traditional leads coming back. So, referral agencies and internet-based leads are way over 100%, you know, 150, 160% of pre-pandemic levels. And so they played a huge role in driving leads. That's, you know, maybe a silver lining that came from the pandemic where it forced operators to invest into that source of referrals. And it's a game changer, really. And And so we've seen those leads pick up. Now, those do convert at a lower rate, though, but the more the merrier. So in addition to that, you know, there's three other lead sources. There's respite, professional referrals, and personal referrals. Personal referrals in the second quarter for us were at 110% at pre-pandemic levels. So those have come roaring back. Professional is still down around 74%, 75%, and respites are just under that. So there's still a ways to go yet with professional and respites to recover, which we think is encouraging because the lead levels have been quite strong. That's great and helpful.

speaker
Amanda Schweitzer

And then following up on some of your expense growth guidance, particularly for the third quarter, just your expectation that increased shop expenses will largely offset the increased revenue growth. I guess, what did you see in terms of sequential expense growth in July and how meaningful are the potential COVID-related expenses that you're including in guidance?

speaker
Deborah A. Well

I'll have a go at that one for the third quarter. So you're right to say revenue growth, you know, pretty much offset by expense growth. There's a number of different buckets within the expense line I think worth highlighting. One is simply an extra day, which is meaningful when you think sequentially, third quarter versus second quarter. That has a meaningful impact. The next is I call a typical seasonal cost increase in the third quarter. Utilities is the easy one. Repairs and maintenance is another, but you see that every third quarter. The third bucket is really a function of occupancy growth and activity levels increasing in the communities.

speaker
Sunrise

And obviously, you have incremental costs associated with that, which is a good thing.

speaker
Deborah A. Well

And kind of overlaying all that is back to this question of short-term wage pressure in light of the labor market, which is effectively embedded in the thinking. But there's a series of different buckets that all together add up to that third quarter expense number.

speaker
Amanda Schweitzer

That's helpful.

speaker
Operator

Appreciate the time. Thank you. Your next question comes from the line of Nick Hulico with Scotiabank.

speaker
Nick

Thank you. I just wanted to follow up on that expense question. Maybe you just give us a feel for you know, how this is going to work in terms of as you get increased occupancy in the portfolio, you know, how much of an offset going forward that's going to be from same-store expense growth, meaning that, you know, if your occupancy instead was up 400 basis points in the third quarter and not 200 basis points, you know, would you then have same-store and a wide growth sequentially? Or, you know, just trying to think about how as occupancy is going up, as well as some of your, you know, the flexing of labor that worked on the downside is now, you know, I guess going against you a bit on the expense side.

speaker
Deborah A. Well

Yeah, and Nick, I think it's right to say that as occupancy grows, you're going to have some level. It's not a perfect linear, you know, one-for-one relationship whereby you add an occupancy, you add a head. It is more of a step change type function. There's always great debate as to what level that is, You know, I think qualitatively we would tell you we're in that. We're growing labor as we're growing occupancy right now as a consequence of having come out the other side, flexing labor, as you say, but should reach a level where then there's some scale advantage, if you like, that you can then hold off until you get to the next level of occupancy. I can't give you a number on that, but we're certainly in that upward trajectory right now.

speaker
Nick

Okay, yeah, I appreciate that.

speaker
Tammy

And I guess just following up on... Yeah, I mean, some of it is really related to this mismatch that I discussed in terms of, you know, shifting gears in the economy, and that should be transitory.

speaker
Nick

Okay, thank you. And just following up on that, I know earlier, Justin, you were saying about the margin outlook. You thought there was a good chance you'd get back. I think you said within 100, 200 basis points of pre-COVID margin as you're building the occupancy back. And I guess the way – is that the right way to think about this, that, you know, in the meantime over the next year, you know, you're still going to be about 100, 200 basis points below on margin versus where you were? Because if I look at the third quarter guidance, it does feel like your margin is going to be about 20%. You know, in CHOP and, you know, in the third quarter a year ago, it was almost 22%. So that kind of fits that. you know, piece of still being down a bit, which is, you know, maybe it's COVID expenses. It's also, I guess, the, you know, the rev pour being down year over year.

speaker
Deborah A. Well

Yeah, I would, you know, I would kind of stretch out your timing a little further. You know, there's, you know, as Bob mentioned, there's going to be kind of, you know, you'll have periods where you have revenue increase and a little bit of expense catch up. Debbie mentioned that, you know, the near term has a transitory effect as well. So if you kind of push out the timetable a ways, and we don't really have the crystal ball in terms of when we stabilize, but I was thinking more on a stabilized basis. You know, when we get there to that pre-pandemic occupancy, margins, you know, should be within, you know, reach of where they were. And then from there, the pricing power and the occupancy upside could support, you know, even higher margins over time. So that's all I was saying. And I didn't really mean to kind of, painted as kind of a near-term picture, except to say that our margins in Q2 were only like 150, 200 basis points off of a year ago.

speaker
Nick

OK. Thank you, everyone.

speaker
Operator

Thank you. Your next question comes from the line of Icrum with Morgan Stanley.

speaker
Lillibridge

Thanks so much, Moni. Thanks so much for taking the question. So, Justin, going back to sort of the occupancy increase near-term, but also, you know, maybe over the next 12 to 18 months. So, first, I guess if I look at your slide and look at the lead volumes very recently, they're over 100 percent of 2019, and your move-outs are trending lower. And certainly, the leads are higher than the last few months or the second quarter number. Why would the occupancy uptake just be similar to what you saw in your view in the second quarter? Why wouldn't the midpoint of your guidance be the low point? Because your leads are just higher than what you've seen in the last, call it, four months.

speaker
Tammy

Well, this is Debbie. You know, again, in July, well, first of all, we are really happy that leads in July are the highest they've been since the beginning of the pandemic. That is a very important and meaningful statistic and certainly portends It means there's demand, and it portends higher occupancy. So that is really good, as you say. In July, as we've talked about, we had spot-to-spot growth of about 75 basis points. And, you know, there's a lot of uncertainty in the environment. So if you just roll that forward, that's near the midpoint of the 150 to 250, and that's how our guidance is constructed.

speaker
Lillibridge

Got it. Okay. Now, I was just – You're right, the July lead should translate into whatever, August, September. I don't think it's more than that in terms of conversion time, but it just feels like the setup is one for you to pretty easily hit your mid to maybe even the high end of your numbers, of your occupancy guide. I guess just tied to that, a lot of smaller operators surveyed by Nick do have a view that they could get back to pre-COVID occupancy next year. I want to just ask you from your perspective, like, do you think that's too optimistic? What's your sort of broad view on the puts and takes? I recognize the strategies are different in terms of occupancy versus rents, etc. But where do you think, A, do you think those smaller operators are maybe too bullish? Or what are the puts and takes?

speaker
Tammy

Yeah, I mean, the patient slope of the recovery and the clinical environment broadly in the U.S. is really going to determine how quickly we get back to that pre-pandemic occupancy level. We're on a good path. I think it's very sustainable. It has been so far. And we are very encouraged by that, as well as the demographic growth that's right in front of us. I think Justin mentioned Atria had about, what, 700 basis points of occupancy to continue to get back to pre-pandemic levels. And again, it's really going to depend upon this pandemic. We're predicting the third quarter. We have this ability and line of sight to that. And thereafter, I think we, you know, we want to be conscious that it continues to be a pretty dynamic environment. So we're encouraged. And I hope you're right about many of the things that you said, Vikram.

speaker
Rev4

Debbie, if I can just... Sorry, go ahead.

speaker
Deborah A. Well

I was just going to add a quick, just a kind of stat you might be interested in and kind of support that. So... As we currently sit, we only have just around or just about 20% of our communities that are at the pre-pandemic occupancy. Over 60% are achieving pre-pandemic movement levels. So we have great activity and we're really pleased with this early recovery, but we have a long way to go. And so far, really good support for it. But there's still a ways to go yet.

speaker
Lillibridge

Okay, great. Debbie, if I can just squeeze one bigger picture question. You know, I'm struck now by how, you know, the big three healthcare REITs are now different from, you know, maybe several years ago where there were a lot more similarities. You have a very strong momentum in the life science research segment. Obviously, senior housing, there's a lot of momentum, as you've just laid out on this call. I'm just wondering, from a strategic and maybe a differentiation or even value perspective, the MOB segment, there seems to be a lot of demand on the private side. Cap rates are really low, pretty good. I know maybe three years ago, you set out to maybe sell, correct me if I'm wrong, I think it was $600 million, $700 million of assets. Why is this not a good time to maybe exit a fair amount of MOBs and become more pure play, I guess, or focused on two segments, life science and senior housing?

speaker
Tammy

Love the question. Thank you. Again, we do believe that we've created a lot of value with our MOB portfolio, as you point out. We have a differentiated strategy with our Lillibridge management platform that Pete runs, and that's going really well. We have mentioned that as part of the billion dollars of 2021 capital recycling, that it's and senior housing, so you're right on there. I do think that we've benefited from the stability of the cash flows at the MOBs with our strategy of being on campus and affiliated. And I think you're right, that commands a very low cap rate, but it also provides a really good differentiated and diversifying aspect to our overall cash flow stream. And so we like that. So we'll prune here and there. We'll recycle capital. We'll take advantage of some of the value that we've created. But we really believe that owning the MOB business as we do is a benefit to our shareholders.

speaker
Lillibridge

Okay. I'll follow up on that offline, but thanks so much and have a great weekend.

speaker
Operator

Thank you. Your next question comes from the line of Rich Anderson with SMBC.

speaker
Rich Anderson

Well, I'm sorry to keep you going. I logged in about two hours ago and found out it didn't take for some reason, so one question for me.

speaker
Tammy

It must be you.

speaker
Rich Anderson

Yeah, fat fingers or something. You're welcome. The one question I have or that I'll ask in the interest of time is concentration risk. With Atria following New Holiday and following their own merger with New Senior, I mean, and their merger with Holiday, it gets over 20% depending on how you slice it. I'm curious how much of that is an issue to you and how quickly you'd like to whittle that down. you know, through other investments outside of it. You know, the idea of concentration in the past, you know, at the time sounds good, and I recognize Atria is a great operator, but, you know, people have come to regret concentration risks. you know, as time has moved on. So I'm curious if that's something that's sort of high on your radar screen to get back down to something, you know, in the mid-teens or something like that over the next couple of years.

speaker
Tammy

Yeah. Yeah. Rich, thank you for asking that because that has always been something that is near and dear to my heart. And there's always this tension, as you mentioned, between really, you know, putting your assets with the right operator, the right markets, and certainly the best operators. And, you know, Atria has been that. You know, Holiday has been a leading operator. So there's a tension between that and making sure you don't put all your eggs in one basket and you manage your concentration wisely. And so, you know, we do think the combination of Atria and Holiday, you know, provides strategic benefits to us. And as an owner of Atria, we like that. We like the growth in Atria's platform. That having been said, I think we do have a lot of flexibility in the new senior management contracts and our own holiday contracts. that gives us the ability through both growth and the way the management contracts are structured to move in the right direction on the diversification of manager point.

speaker
Rich Anderson

Okay, great. Thanks very much.

speaker
Tammy

So we have all the tools we need to manage it in the right way.

speaker
Rich Anderson

What's your, like, long-term, this is as much as I want to own or have a piece of my pie situation, Is it 10% or 15%? Is that kind of the threshold for Ventas?

speaker
Tammy

I mean, it'll change over time and with specific situations, but that seems directionally, you know, the right kind of way to think about it.

speaker
Rich Anderson

Okay, great. Thank you.

speaker
Tammy

Thank you.

speaker
Operator

And there are no other audio questions at this time.

speaker
Tammy

Well, thank you all for sticking with us and for your interest in Ventus. We really appreciate it. We're so delighted with a great quarter of health and safety and results, and we look forward to seeing you all in person soon. Thank you again.

speaker
Operator

This concludes today's conference call. Thank you for participating. You may now disconnect.

Disclaimer

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