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Operator
Good day, ladies and gentlemen, and welcome to Third Quarter 2018 Ventas Earnings Conference Call. (Operator Instructions) As a reminder, this conference is being recorded.
I would now like to introduce your host for today's conference, Ryan Shannon, Investor Relations. Sir, please begin.
Ryan K. Shannon - Manager of IR
Thanks, Irma. Good morning, and welcome to the Ventas conference call to review the company's announcement today regarding its results for the second -- third quarter ended September 30, 2018.
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 laws. 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, 2017 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.
I will now turn the call over to Debra A. Cafaro, Chairman and CEO of the company.
Debra A. Cafaro - Chairman & CEO
Thank you, Ryan, and good morning to all of our shareholders and other participants. It's great to be with you on today's Ventas third quarter earnings call. I'm also delighted to be joined by members of the Ventas team to report on another solid quarter and to highlight our financial strength, our investment in growth, expanded pipeline and partnerships and commitment and recognition to ESG. After Bob provides detailed insights into our financial results, we'll be happy to answer your questions.
Let me start with our results and full year 2018 expectations. We're pleased to report normalized funds from operations of $0.99 per share this quarter to improve our full year normalized FFO expectations and to confirm our same-store cash NOI expectations for the year.
Turning now to our enterprise and capital allocation strategy. We continued to enhance the long-term durability of Ventas by following our differentiated and deliberate approach of investing in our future growth with top-tier customers and extending and expanding our key partnerships. First, this quarter and immediately following, we invested approximately $100 million in attractive medical office buildings and outpatient facilities with 2 key partners, Ardent and Pacific Medical.
We also announced our pending acquisition of a premier independent senior living community, located in the appealing Battery Park neighborhood of downtown Manhattan, firmly establishing our leadership in the high-end senior living Manhattan market.
Second, we extended our exclusive partnership with Pacific Medical, or PMB, for a further 10-year term. With almost 50 years of experience in outpatient facility development with key U.S. health systems, PMB's knowledge and expertise in development is extraordinary. The attractive MOB investments we made this quarter are an example of the benefits of our partnership with PMB, as is our trophy MOB development attached to Sutter's new flagship hospital in downtown San Francisco, which is on track to open in early 2019.
We're also happy to report on the great performance, lease-up and delivery of our university-based research and innovation centers. Our forward pipeline of excellent projects is robust and growing. In light of strong university demand, our leading market position and the positive risk/reward investment profile of these projects, we intend to ramp-up our investment activity in this space.
The attractiveness of our university-based development model was recently brought to life at a summit hosted by Ventas and our partner, Wexford. The buzz among attendees was palpable as we brought together leaders from universities and academic medical centers to share ideas and discuss innovative approaches to achieving their strategic goals. Our partner Wexford is a trusted adviser catering to university needs and enjoys an incredible track record and reputation for conceiving, building, leasing and delivering powerful knowledge communities on university campuses that supercharge research and innovation. We're proud to partner with these leading universities and Wexford, and to fund and own these knowledge communities for the long term.
In this business, I'd like to note that one of our newest research and innovation buildings at Penn just opened. This project, which is on the precipice of already being 90% leased, further builds out our footprint in the attractive U City submarket.
The success of this project follows on the heels of another recently owned project at Wash U's Cortex Innovation District, which we expect to be 100% leased very shortly. Finally, Atria Senior Living also continues to distinguish itself. In addition to Atria's consistent operational excellence in our portfolio, it just inked a $3 billion agreement with the Related Companies to develop high-end urban senior living projects in major markets. We are effectively a general partner in these potential projects through our 1/3 ownership interest in Atria. With Atria's expertise and Related's world-class development capabilities, we are excited about the potential for this deal.
I'd like to turn to another area where we are making significant investments, specifically environmental, social and governance, or ESG matters. We believe that our commitment to ESG principles underpins our long-term success. This year, we have been recognized repeatedly by leading organizations for our positive impacts.
Today, we are pleased to launch our inaugural corporate sustainability report, showing our leadership and commitment to ESG policies and practices. I'd like to give a special shout out to our whole ESG team who worked long and hard at improving our ESG profile showcased in this excellent report.
To my mind, sustainability starts with financial strength and resilient cash flows from a high-quality diverse portfolio. At Ventas, we're focused on both. This quarter, we continued our proactive and successful efforts to build financial strength and reduce risk through debt refinancing and maturity extensions, and our portfolio produced growing same-store cash NOI performance of 1.3% as a result of its quality and diversification in product types and operating model.
Looking at macro senior housing trends, we are very encouraged with the recently reported continued improvement in senior living starts, which are at a 5-year low. Importantly, in primary markets, net absorption in assisted living in the third quarter of 2018 was the strongest third quarter for net demand on record. However, as has been widely documented, we expect to experience another year of elevated deliveries in 2019 as the industry works its way through the opening of new communities that were started in anticipation of the demographic demand that will accelerate in the coming years. If current trends continue, the current supply/demand equation will surely reverse in our favor, and that's why our senior housing assets continue to be so highly valued.
Finally, we're always mindful that seniors live in our communities, patients are receiving health care in our facilities and tens of thousands of employees are serving in our properties. Thus, we were heartened when all seniors, patients, physicians and employees were reported safe despite the devastation of recent hurricanes Florence and Michael. We're thankful for the preparation and execution by our care providers, especially Ardent, whose team exercised extraordinary efforts in the face of the storm. We sincerely thank our operating partners for their preparedness and care.
In sum, our cohesive team is confident in our enterprise and our continued success. This confidence is founded on the resiliency of our portfolio, our financial strength, our focus in increasing investment in our future growth, the quality of our partnerships and relationships and accelerating demographic demand.
I'm now happy to turn the call over to our CFO, Bob Probst.
Robert F. Probst - Executive VP & CFO
Thank you, Debbie, and congratulations on once again being named as one of the top 100 best performing CEOs in the world by Harvard Business Review.
I'll begin with a review of our segment level performance, which, on a combined basis, delivered solid portfolio, same-store cash NOI growth of 1.3% in the third quarter.
Let me start the segment discussion with SHOP, and the key leading indicator for future SHOP performance, namely the new construction starts. We are very excited that the trend line of lower new construction starts in our trade areas continued in the third quarter. In fact, new stores -- starts for our portfolio are at the lowest level observed in nearly 5 years. Annualized new starts for the first 3 quarters of 2018 represent just 1.7% of inventory in our trade areas, well below the roughly 2% near-term demand growth rate for our senior target market.
In terms of current performance, third quarter SHOP NOI performed in line with our expectations with same-store cash NOI lowered versus prior year by 2.7%. Occupancy was ahead of our expectations, while rate growth moderated, together delivering 1.2% revenue growth in the quarter. Occupancy in the third quarter reached 88%, a sequential improvement of 80 basis points, which is better than our normal seasonal trends and better than the industry overall as reported by NIC.
On a year-over-year basis, the gap in SHOP occupancy also improved in the third quarter to 60 basis points below Q3 of 2017. Third quarter REVPOR growth moderate to 1.8% as new competition drove wider re-leasing spreads. Operating expenses grew 3.1% in the third quarter. Wage cost per hour continues to run at roughly 4%, partially offset by more efficient staffing levels and reduced indirect costs.
At a market level, we're seeing strong NOI growth in Los Angeles and San Francisco. Meanwhile, NOI is lower in markets affected by new competition, such as Atlanta and Chicago.
Our SHOP 2018 full year same-store NOI guidance range remains unchanged at minus 1% to minus 3%. Though we will give formal guidance in February with the benefit of observing our year-end finish and early start to next year, we do expect elevated levels of new deliveries to continue in 2019. As a result, same-store SHOP NOI may evidence a similar year-over-year percentage decline in 2019 as in 2018. That said, with the positive trend of lower new starts, together with accelerating demand, we do expect supply/demand fundamentals to offer powerful senior housing upside over time.
Our valuable office reporting segment, which comprises 26% of our portfolio, increased same-store cash NOI by a robust 3.5% in the third quarter. The office segment was led by a terrific result from our university-based life science portfolio, which grew same-store cash NOI by 12.4% in the third quarter as a result of strong lease-up activity. The total life science portfolio grew NOI by nearly 23% in the third quarter, fueled by exciting new projects at Wash U, Duke and Penn. For the full year life science same-store pool in 2018, we continue to expect very robust same-store NOI growth in the range of 3% to 4%.
Our reliable and valuable medical office business grew same-store NOI by 1.1% in the third quarter as a result of in-place escalators approximately 3%, investing class tenant retention of nearly 87%. Q3 operating expenses were 3% higher versus prior year, due in part to timing of expenses. We continue to forecast a 1.5% to 2.5% full year NOI increase from our same-store medical office portfolio.
Our combined office portfolio of life science and MOB assets same-store cash NOI guidance range is also unchanged at 1.75% to 2.75% growth for the full year 2018.
A quick note on the recent hurricanes is appropriate here as their principal impact was on 2 Ventas-owned MOBs and 1 Ardent-owned hospital in Panama City, Florida, which were significantly damaged. It is too early to determine the financial impacts of the hurricanes, and therefore, they're not included in our guidance.
Moving on to our triple-net lease segment, which grew overall same-store cash NOI by 3% in the third quarter. In-place lease escalations were the primary driver of this increase. In terms of rent coverage, trailing 12-month EBITDARM coverage in our triple-net same-store seniors housing portfolio held steady at 1.2x through Q2, our latest available reporting period.
Notably, the asset sales announced as part of the Brookdale transaction are progressing. We expect the first tranche of these sales to occur in 2019.
In our triple-net post-acute portfolio, cash flow coverage held steady at 1.4x. We continue to expect our LTAC to generate improving results in the second half of 2018 with operational strategies mitigating LTAC criteria.
In health systems, Ardent coverage remains strong and steady at 2.9x on the back of a solid second quarter. Momentum at Ardent continues, and the business is performing exceptionally well. We are holding our 2018 same-store NOI guidance range for the triple-net portfolio overall to grow between 2.5% and 3%.
Finally, our book of loans extended by Ventas now stands at 4% of NOI, down from 7% at the start of 2018 due to repayments of profitable loans. We expect further reduction in store loan investment book, with maturities on existing loans of roughly $300 million in the second half of 2019, with proceeds earmarked to fund our exciting life science development pipeline.
Let's turn to our overall company third quarter financial results. Normalized FFO per share was $0.99 in the third quarter. This result was principally driven by 2 factors: first, the expected receipt of a $0.03 per share fee from Kindred's successful go private transaction in July; and second, the dilutive net impact of $1.3 billion in disposition and loan repayment proceeds received in the first half of the year and used to reduce debt.
Stepping back, since 2005, we have completed nearly $8 billion in value-creating capital recycling activity. Over that same time period, we've also been highly proactive in refinancing our debt maturities to extend duration and limit interest rate exposure.
In 2018 alone, we have retired or refinanced $3.2 billion in debt. As a result, we have a strategic asset in our sector-leading financial strength and flexibility. Some evidence from the third quarter: fixed charge coverage was 4.6x at quarter end; our net debt-to-EBITDA ratio stood at 5.4x; less than 12% of our total debt matures in the next 3 years; and we enjoy liquidity of nearly $3 billion. Our aggressive efforts to reduce debt, extend and stagger our maturity profile and significantly reduce medium-term refinancing risk has already paid off as we completed these efforts prior to the recent strong move upwards in rates.
Let's close out the prepared remarks with our 2018 guidance for the company. For 2018, for the third time this year, we are improving our full year outlook for normalized FFO per fully diluted share, which we now forecast to range between $4.03 and $4.07. We have also confirmed our total and segment-level same-store cash NOI guidance for the full year 2018. The assumptions within this guidance range are substantially the same as our previous guidance in July, including the previously described $1.3 billion in capital recycling and related debt retirement.
To close out, the Ventas team is cohesive, determined and sharply focused on delivering against our financial commitments as we close out 2018.
With that, I will hand it back to the operator to open the line for questions.
Operator
(Operator Instructions) Our first question comes from Smedes Rose of Citi.
Bennett Smedes Rose - Director & Analyst
I wanted to ask you just on your SHOP guidance for next year. So one of the things you actually pointed out, there is about 7% of in-place inventory under construction in primary markets. Do you have a sense of what percentage will open over the course of 2019? Would you think it would look kind of similar to the 12 months trailing that you just mentioned? And just on that front, what are your operators telling you about wage increases going forward into next year there, the implications around that.
Robert F. Probst - Executive VP & CFO
Sure, Smedes, it's Bob here. First of all, just to clarify, an early indication for SHOP of 2019, I would say, as opposed to formal guidance, we'll give that in February. But there are things we now know standing here today which include deliveries. Having seen 3 quarters of the year, we have a pretty good view into delivery levels next year. And our view today is that they're roughly in line with where we're going to see 2018 pan out. So effectively equivalent down the deliveries line. And they're in light of the comment to say we expect performance in '19 to look quite similar to '18 in terms of year-over-year. And within that of course, the same themes I would highlight, whether it be price, occupancy, wages, the same themes will likely play out in '19 as we saw in '18. But again, we want to see the year end, we want to see the rate letters and so on before we give formal guidance.
Bennett Smedes Rose - Director & Analyst
Okay. And then just with your relationship with Atria, would you -- will you be investing more capital into that relationship now, given their announcement with Related? Or does that remain unchanged?
Debra A. Cafaro - Chairman & CEO
This is Debbie, Smedes. The deal with Related is a really exciting one and has potential to be $3 billion of high-end urban senior living over time. And we will have the opportunity, of course, to invest capital in an effectively general partner position in those projects. And then if there are other opportunities to invest capital in the projects that we see as attractive, those opportunities could manifest for us as well.
Operator
Our next question comes from Juan Sanabria of Bank of America.
Juan Carlos Sanabria - VP
On Holiday, I just wanted to ask about some of your peers have been talking about how they've been exposed to that, converting some of the leases in triple-net to RIDEA. Can you confirm if you've been approached and how you're thinking about your exposure, and also as part of those broader discussions, are you interested in acquiring any incremental Holiday assets at this point in the cycle given they may become available for sale?
Debra A. Cafaro - Chairman & CEO
Good. So I'd like to put Holiday into context for Ventas. It's about 3% of our NOI, and as you now, they did do a deal with New Senior that is public that has a conversion of assets from a lease to a management fee -- management structure with the payment of a large fee connected therewith. I think just like every other customer that we have, we would typically engage in conversations, just like we did with Brookdale, just like we've done with Kindred over the years. And we will be thoughtful, I think, and have a lot of ways of coming up with optimal changes should we believe they're appropriate.
Juan Carlos Sanabria - VP
Great. And then just on the seniors housing on the RIDEA side, going back to that. Can you comment on how new and renewal spreads are trending? And if there's been any expansion between those 2. Just looking at the sequential same-store numbers, it looked like REVPAR did come down despite occupancy ticking up. I'm not sure if you could comment on what drove that specifically. I don't know if that was Eclipse related or not.
Robert F. Probst - Executive VP & CFO
Sure, Juan. So I think you're referring to REVPOR, which was 2.1% year-over-year in the second quarter, 1.8% in the third quarter, and that is driven by, what I call, re-leasing spreads -- or new leasing spreads, if you want to refer to it that way. In other words, former resident and new resident, what does that look like? That, I quoted last quarter, was about mid-single digits down and that has widened a bit. Again, that's one of the artifacts of new competition. So that's really what's driving that drift sequentially.
Operator
Our next question comes from Michael Carroll of RBC Capital Markets.
Michael Albert Carroll - Analyst
Bob, the quarterly run rates -- FFO run rate has bounced around this year, and the guidance is currently implying that there's going to be another drop in the fourth quarter even if you exclude the Kindred fee this quarter. Can you kind of like provide some color on what is the correct run rate of FFO and what's driving the drop between 4Q and 3Q?
Debra A. Cafaro - Chairman & CEO
We've been asked to repeat the questions. I understand there may be some static on the operator's line, for which we apologize. So I think in sum, the question is really to discuss the fourth quarter normalized FFO rate implied in our 2018 guidance.
Robert F. Probst - Executive VP & CFO
Right. And I'll just frame that again, the third quarter FFO was $0.99. That included a $0.03 Kindred fee, which we were very explicit about last quarter. In fact, we see as of this call last quarter, that's in the third quarter. When you adjust for that, that's $0.96. As you say, the implied midpoint when we look at the fourth quarter is approximately $0.94. What's going on there? The key as we think about it, and this is the first half to second half conversation, but most now evident in the fourth quarter. The cumulative impact of the dispositions that we've seen over the last year, including the LHP repayment, including the Kindred dispositions of last year and effectively using those proceeds to retire debt. And so that now really is completed -- it was complete as of the end of the second quarter, and therefore, we're seeing that run rate impacts really manifest in the fourth quarter.
Michael Albert Carroll - Analyst
Okay, great. And then last question for me. Debbie, I think in your prepared remarks, you highlighted that you expect a ramp up investment within the Wexford platform? Can you quantify what that ramp up means? It seems like the investments have been trending between $300 million to $500 million. Will 2019 exceed that pace?
Debra A. Cafaro - Chairman & CEO
Well, as I mentioned, we're seeing a lot of good projects. The timing -- they're large and they're high-quality projects with elite institutions, either existing customers or new universities. And the timing is harder to predict with certainty, but I could see that substantially increasing.
Operator
And our next question comes from Steve Sakwa of Evercore ISI.
Stephen Thomas Sakwa - Senior MD & Senior Equity Research Analyst
I guess, I just wanted to follow-up on that last line of questioning, Bob. You made the comment that most of the dispositions were sort of done by the end of the second quarter. So I would've thought that the negative impact would have been felt fully in the third quarter, and therefore, there wouldn't be a further drop from Q3 to Q4. So can you just maybe help me understand, were all those really not done by the second quarter, or is there something else that's kind of dragging down Q4?
Robert F. Probst - Executive VP & CFO
Sure, Steve. The question is, why does $0.96 go to $0.94, third quarter to fourth quarter sequentially when adjusted for the Kindred fee, and I would point to seasonality, particularly in SHOP for that difference. That's the key item. The fourth quarter on a dollars basis is seasonally lowest at that stage, and that's really the biggest driver, Steve.
Debra A. Cafaro - Chairman & CEO
And that really has to do with seniors behavior, moving in and around the holidays, and things like that. So that's a typical pattern.
Operator
And our next question comes from Rich Anderson of Mizuho Securities.
Richard Charles Anderson - MD
So if I can get back to the run rate question, I think Mike asked it earlier. So if you take $0.94 and multiply it by 4, you're $3.76 consensus for next year is $4, I know you're not giving guidance, but let me maybe frame the question this way. I know you also said that you're ready to do some more on the life science side, but is this the time to be a buyer in senior housing as well before the inevitable upturn starts to happen? I think everybody on this call is waiting for the next big thing from Ventas, and I'm wondering how you feel about that in context with what the Street is currently thinking about you guys for 2019?
Debra A. Cafaro - Chairman & CEO
Okay, so I'll try to repeat the question. And I think it started with woo hoo, but the question is really around buying senior housing, if I could summarize, Rich, yes?
Richard Charles Anderson - MD
The noise just went down a little bit. So when you annualize your $0.94 run rate, you get to a lower number for '19 versus what the Street is currently expecting. And I'm wondering, if perhaps the missing variable is something going on, is this the time for Ventas to be buying senior housing before the recovery actually starts to take shape?
Debra A. Cafaro - Chairman & CEO
Well, good question. So I would say that we are, for example, buying the trophy Battery Park asset because we do see strength there. The good news, as I said, is our assets are very highly valued, so there continues to be a very strong bid in senior housing for the inevitable upturn. And we're continuing to look at investment opportunities that we think are -- would do something for Ventas, strategically, accretively, and so very open to value-creating transactions. And so, as always, we'll be opportunistic, and if there's a next big thing, you'll be the first to know.
Richard Charles Anderson - MD
Okay. And then if I could just get a reconciliation or explanation. Bob, you reiterated the same-store guidance of 35 basis points to 1.5%. But if -- on the back of the supplemental, the range in the more detailed breakout is lower, 0.6% to 1.3%, what is the difference?
Debra A. Cafaro - Chairman & CEO
Rich, can you refer us again to the page? We didn't hear you.
Richard Charles Anderson - MD
It's the last sort of guidance breakout page in the supplemental. And if you look at it, the total same-store growth is 0.6% to 1.3%, and I'm just curious what the difference is between your public same-store outlook?
Debra A. Cafaro - Chairman & CEO
Yes, our total company outlook, which has been reaffirmed is the 0.75% to 1.5%.
Robert F. Probst - Executive VP & CFO
The difference, Rich, you'll see a line item there, which is called fees, that's the Brookdale cash fee we received in the year. And if you adjust for that item, it's included in the guidance, but we want to show it with and without that item, and that's the difference.
Operator
Our next question comes from Jordan Sadler of KeyBanc Capital Markets.
Jordan Sadler - MD and Equity Research Analyst
It looks like there may be a little bit of an increased appetite for traditional MOBs. Any insight that you could offer there? And maybe a little bit of a compare and contrast on what was sold versus purchased since the end of the last quarter.
Debra A. Cafaro - Chairman & CEO
So the question was really about our investments in outpatient and MOBs. We have built a great business here, which is a 19%, 20% of our portfolio. We like this business. It's been a very steady grower, very reliable, and then I'm going to turn to Pete Bulgarelli, our new leader of the business, to talk about what we like about the investments that we make.
Peter J. Bulgarelli - EVP of Office
Sure. Thanks, Debbie. As Debbie said in her opening remarks, we're being very opportunistic and careful with our investments, but these 5 assets that we bought and the 1 additional, we felt fit our operating thesis very well. They're in great locations, primarily in California, Arizona and Texas. They're associated with great hospitals, Baylor, Dignity and Tenet. They're essentially fully leased. And very importantly, they're associated with key partners of ours. One of them is associated with Ardent, and we have an existing MOB on that same campus, and 5 others are with PMB, our key development partner. And the last piece is that all these transactions were off market, and so they were very attractively priced.
Jordan Sadler - MD and Equity Research Analyst
Pete, can you just expand on maybe the asset that was sold? I know it was a -- I think you had a 40% stake in that one, but the cap rate there was a bit higher relative to the going cap rates on the assets? Can you talk about the quality or the caliber of that asset?
Debra A. Cafaro - Chairman & CEO
Yes, this is Debbie, real quickly, Jordan, the question was about a sold asset, and that was pursuant to a purchase option.
Jordan Sadler - MD and Equity Research Analyst
Okay, that makes sense. Lastly, one more quick one for Bob. Bob, can you just clarify the re-leasing spread count that you quoted? Does that include concessions or is that just straight face value to face value?
Robert F. Probst - Executive VP & CFO
That's face value to face value, but it's actuals. So it's not like a street price against which there is significant discount, it's actuals. So I think it's a pretty clean number.
Operator
Our next question comes from John Kim of BMO Capital Markets.
John P. Kim - Senior Real Estate Analyst
On your early indication for SHOP next year, can you provide some color on some of the components of this? In other words, maybe occupancy is higher offset by lower rate growth and higher expenses?
Robert F. Probst - Executive VP & CFO
Sure, I'll summarize the question. Could we have some more insight into your '19 early indications as we look through the P&L? And I would say, the theme is, again, very similar. And if you just look at the third quarter P&L, I think it's a nice guide as we think about next year in the sense of year-over-year occupancy has been improving, albeit still a gap to prior year. Some moderating pricing. I expect we'll still have nice price increases on the in-place annual rent letters that we get at the beginning of the year, but I do expect we'll have some of the continued pressure through re-leasing spreads through the balance of the year. And then on the operating expense line, certainly, the tight labor market, wage pressure will carry on as we think about next year. The operators have done a wonderful job this year, as I've said repeatedly in the staffing models, and how they've managed that cost. I do expect there is some runway to continue there as we think about next year, but again, you have to look at that relative to the occupancy line also. So very thematically similar to the P&L as we look at the third quarter.
John P. Kim - Senior Real Estate Analyst
And Bob, for this year's guidance, your CapEx to get the FAD is $145 million at the midpoint, but year-to-date, your FAD CapEx is $79 million. Are these 2 comparable figures?
Robert F. Probst - Executive VP & CFO
Great question. So we -- typically, the question is the ramp on FAD CapEx in the fourth quarter, and is it achievable would be my interpretation of the question, because it is a significant ramp. We typically do have seasonally in the fourth quarter a significant increase. That hill to climb this year is a little bit steeper. So all else equal, perhaps we have a little bit of "opportunity" there. But seasonally, we do expect a significant increase in the fourth.
John P. Kim - Senior Real Estate Analyst
Okay. And finally, the feedback from the NIC conference seems to be there's an abundant amount of capital looking at the health care space. I'm wondering if you agree with this characterization that it's increased and also what verticals that may impact the most?
Debra A. Cafaro - Chairman & CEO
So the question really is about the capital that's interested in our business lines, and the answer is, yes. There -- over the 20 years, when I couldn't get anyone to talk to me about health care at the beginning to now where it has been a highly institutionally attractive business for all the qualities we discussed, whether it's MOBs and the core-like returns that you get there, the demographic demand and the asset classes that we have, the private pay nature of senior housing and multifamily shared characteristics, we are very attractive, and therefore, capital is coming our way and that continues to enhance and improve the value of our assets as people look to the coming years when, not too long from now, 20% of the population will be in the senior category. So you are 100% right with the interest in our verticals.
John P. Kim - Senior Real Estate Analyst
But is that broad-based? Or is that a specific sector that may benefit more than others?
Debra A. Cafaro - Chairman & CEO
It is fairly broad-based at the moment. I do think that the highest interest from institutional capital is in senior living and MOB outpatient, but we also see significant interest in the hospital space, for example, as we look to the performance of the public and rate increases that have started in the fourth quarter. So it's fairly broad-based.
Operator
Our next question comes from Chad Vanacore of Stifel.
Chad Christopher Vanacore - Senior Analyst
Just a couple of quick ones here. One point of clarification, your supplement shows you're going to have dispositions year-to-date, but guidance only assumes $1.3 billion. This doesn't seem to refer to net dispositions, what's the difference there?
Robert F. Probst - Executive VP & CFO
Sure. The question is, on the sup, we show $1.5 billion of gross dispositions, our guidance says $1.3 billion. The difference is our share, Chad, of that. So it's not all 100% owned, so that's the net difference.
Chad Christopher Vanacore - Senior Analyst
Okay. And then just looking at your segment guide into your overall NOI guidance doesn't change, but SHOP looks a little bit lower and the nonsegment is higher, so what's pushing that nonsegment guidance higher?
Debra A. Cafaro - Chairman & CEO
The question is about our segment guidance, which again, we've reconfirmed from the July 27 guidance, and Bob can speak specifically if there's anything further you'd like to add.
Chad Christopher Vanacore - Senior Analyst
Yes, what's pushing that nonsegment guidance higher?
Robert F. Probst - Executive VP & CFO
Yes, some small amount of acquisitions, the net impact of small amount of acquisitions that we've built in now is in non-same store. So that's the difference.
Chad Christopher Vanacore - Senior Analyst
All right. And what assets are in there?
Robert F. Probst - Executive VP & CFO
Those that have been reported in the supplemental.
Chad Christopher Vanacore - Senior Analyst
All right. Let's move on. So just any update on your selling of Brookdale leased assets that you'd earlier in the year, agreed to market up to $30 million of rents.
Debra A. Cafaro - Chairman & CEO
Yes, good. As you recall, did a deal with Brookdale that extended the leases and had some other components in it, including asset sales of about 15% of the portfolio to prune the portfolio and improve the quality, and that does represent probably about $30 million in rents. And so as Bob mentioned in his remarks, those are starting to get underway.
Chad Christopher Vanacore - Senior Analyst
All right. Just early in their marketing stages right now?
Debra A. Cafaro - Chairman & CEO
I would say, just emerging, yes. It's pre-marketing, I would say, at this point. So we expect those to happen -- those sales to happen over time. And as you recall, they would basically be effectively at a 6.25% to Ventas.
Operator
Our next question comes from Tayo Okusanya of Jefferies.
Omotayo Tejamude Okusanya - MD and Senior Equity Research Analyst
I might ask one additional question, if you don't mind?
Debra A. Cafaro - Chairman & CEO
Absolutely, go right ahead.
Omotayo Tejamude Okusanya - MD and Senior Equity Research Analyst
But the first one again as I think Rich and Rob kind of alluded to this earlier on. When people just kind of take a look at the run rate, it almost kind of implies that something big has to happen next year in order for Ventas to get closer towards consensus numbers. And you talked a little bit about university MOBs being an area that you wanted to put more money to work in. Just curious, one, is that somewhere where you can actually grow fairly quickly, like is there a Wexford-type transaction available in that group? And if it's not a university MOB-type deal, would you possibly consider hospitals where again the yields there are pretty attractive relative to your cost of capital?
Debra A. Cafaro - Chairman & CEO
So the question really is about the fourth quarter run rate and how that may relate to analyst consensus numbers. I mean, I would just say that, when we provide guidance, we typically do so with limited to no acquisitions in them and we will obviously do so consistent with our practice in February. And other than that, I think I would just repeat what Bob said about the fourth quarter 2018 run rate.
Omotayo Tejamude Okusanya - MD and Senior Equity Research Analyst
Okay, that's helpful. But I guess, when I think of the acquisition outlook again on the MOB side, is there something big that could happen outside of the traditional stake more in this university -- I'm sorry, the university life sciences side ala Wexford or is it a hospital-type transaction that could make up the difference if you're still actively looking at that space?
Debra A. Cafaro - Chairman & CEO
Well, as you know, I mean acquisitions and investments are always difficult to predict, which is -- and they're lumpy. We've done more than our share over the years. We have these great relationships that we are able to leverage to find good strategic, accretive acquisitions, and they could be across the board of our asset classes. I do want to remind you that our #1 capital allocation priority is really in the development of these university-based knowledge communities. And so when we talk about investing in future growth, those are assets that we will deploy capital into, we will ramp that capital, and that generally takes multiple years in order to produce cash flow, EBITDA, but we are thereby creating a very high-quality company, very high-quality portfolio and investing in future growth. So I think that's an important other aspect as you think about our investment priorities going forward. We'll continue to be opportunistic. We'll continue to look across the board, as we have in the past, and those -- but those tend to be, again, unpredictable, and therefore, we generally don't attempt to predict them while you guys sometimes try to.
Omotayo Tejamude Okusanya - MD and Senior Equity Research Analyst
That's fair enough, Debbie. I appreciate that. And then another quick one for Bob, and again, I'm sure it's something that I'm just missing. But the big jump in the triple-net leased rental income from 2Q to 3Q, just trying to understand what that was.
Debra A. Cafaro - Chairman & CEO
Tayo, we're having some feedback too, so could you repeat the question, please?
Omotayo Tejamude Okusanya - MD and Senior Equity Research Analyst
Yes, it's one for Bob. The triple-net leased rental income, there was a big jump in 3Q versus 2Q to about $23 million? I'm just trying to understand what that was. Did you get that?
Robert F. Probst - Executive VP & CFO
Tayo, can you hear me?
Omotayo Tejamude Okusanya - MD and Senior Equity Research Analyst
Yes.
Robert F. Probst - Executive VP & CFO
We had a write-off of about $22 million as a result of -- it's basically the closure of a JV that we had that had Brookdale -- pardon me, the Brookdale lease extension, pardon me, was approximately $21 million that we wrote off in the quarter -- second quarter last year -- last second quarter.
Omotayo Tejamude Okusanya - MD and Senior Equity Research Analyst
The last quarter...
Robert F. Probst - Executive VP & CFO
Anyway, that's sequentially. So it's that set item.
Omotayo Tejamude Okusanya - MD and Senior Equity Research Analyst
Okay. So it's just that one item?
Robert F. Probst - Executive VP & CFO
Yes, it's that one time. That's what it is.
Omotayo Tejamude Okusanya - MD and Senior Equity Research Analyst
(inaudible)
Debra A. Cafaro - Chairman & CEO
Yes, remember that, and then just to repeat, that's a noncash item.
Robert F. Probst - Executive VP & CFO
Right.
Operator
Our next question comes from Lukas Hartwich of Green Street Advisors.
Lukas Michael Hartwich - Senior Analyst
So given the tight coverage on triple-net senior housing, I'm just curious how comfortable you guys are that those properties are receiving the necessary CapEx to not only maintain, but also compete effectively with all the new supply growth?
Debra A. Cafaro - Chairman & CEO
So let me repeat the question. I think it was about the triple-net senior housing portfolio and CapEx expenditure. So most of our leases have minimum CapEx required expenditures, most if not all. And so we monitor that, and that's the way we ensure that the assets continue to be in good market position. I would also add that the Brookdale portfolio, which of course, is 40-plus-percent of that portfolio, that does have minimum expenditure requirements, and we also agreed with Brookdale that for other CapEx, that we think would keep the assets in excellent market positioning and so on and so forth, that we would consider funding additional CapEx for a market return. And so there are 2 different ways, really, that I could give as examples of the way we can ensure that those triple-net assets continue to maintain market positioning.
Lukas Michael Hartwich - Senior Analyst
Great, very helpful. And then just another quick one, can you provide some color on the strong print for life science NOI growth?
Robert F. Probst - Executive VP & CFO
Sure. It was a strong quarter we had in life science, so 12% growth. And that was really, first and foremost, lease-up, particularly in one of our newer communities that we have with Brown in Rhode Island, which is now 100% occupied, performing incredibly well, and that is really the driver for the quarterly pool. On the full year pool basis, we continue to do incredibly well, also over 4% growth on the full year pool. So strong every which way you look at it.
Operator
Our next question comes from Karin Ford of MUFG Securities.
Karin Ann Ford - Senior Real Estate Analyst
I wanted to ask about the Battery Park acquisition. What kind of creation opportunity do you see there? How do you expect the 5% cap rate to trend? And would you like additional scale in New York City?
Debra A. Cafaro - Chairman & CEO
Great. So the question is really about the pending Battery Park asset acquisition. That is a deal that we're excited about. We've been in the Manhattan senior living market really since 2011, and we think that the pricing on this asset is well below replacement cost. So we could foresee with the attractive demographics in New York and the unique positioning of this asset that we would have, obviously, just stabilized NOI growth going forward. And there are potential redevelopment and licensing opportunities over time that could provide additional opportunities for really great returns. So we have multiple paths to success, is what I would conclude.
Karin Ann Ford - Senior Real Estate Analyst
Great. And second question is just follow-up on John's question from earlier, are you seeing any change in the cap rates in any of your segments? And have you changed your return expectations with the move up in base rates or with your increasing excitement about the university life science investment process?
Debra A. Cafaro - Chairman & CEO
So the question is really on cap rates, I'm sitting across from John Cobb, our Chief Investment Officer, and I would say that this amount of capital that is attracted to our space for all the reasons previously mentioned, it's continuing to keep valuations high and cap rates relatively in the same range that they've been for several years now. And in terms of the way we underwrite assets, we obviously are always looking at our cost of capital, we're looking at the growth rate of the asset, the reliability of the expected cash flows. And as we look at the university-based life science, as we said at the beginning, there is a range of stabilized yields that we would expect that are in the, frankly, 6% to 8% or 8.5% range depending on the profile of the asset. And as we've discussed before, I'll give you an example, if you have a 100% pre-leased building with a AA credit that is in a great location, that's going to be on the lower end of that. If you have a 20% pre-leased building, that obviously would have a different expected stabilized cap rate. So that's how we're looking at these opportunities, but the big takeaway is at the end of the day, as we grow this part of our portfolio, it is increasing and improving the overall age, quality and reliability of our portfolio with these highly rated really elite institutions. So I hope that's responsive, Karin.
Operator
Our next question comes from Todd Stender of Wells Fargo.
Todd Jakobsen Stender - Director & Senior Analyst
Back to the MOB transactions, the cap rates shown on the floor that you acquired was a 5.6%. Does that include any fees you paid PNB? Or maybe you can talk about some of the economics around your relationship with PNB and just how did you get that what I would consider above-market yield?
Debra A. Cafaro - Chairman & CEO
Right, as Pete said -- the question is about the yields on the acquired MOBs. And as Pete said, because these were assets that we acquired through existing relationships, we do think the pricing is very attractive in terms of the NOI to the extent that there is a management fee for the asset that's embedded in the cap rate already.
Todd Jakobsen Stender - Director & Senior Analyst
Okay. And how about same-store expectations for these 4? I think Pete may have said there is California exposure, maybe Texas, I forget the other states. So maybe a range of NOI expectations.
Debra A. Cafaro - Chairman & CEO
Again, what we like about the MOBs is the core-like returns and steady returns. And so we would expect that type of normal MOB year-over-year growth rate.
Operator
Our next question comes from Daniel Bernstein of Capital One.
Daniel Marc Bernstein - Research Analyst
I thought of switching up just a little bit and just ask about how ESL is doing, and whether that was -- the outlook for '19, I know it's a preliminary outlook, includes ESL performance in that?
Robert F. Probst - Executive VP & CFO
Yes. So ESL, now I guess 8 months old or so, maybe 10, continuing to roll out operational initiatives, I'd say, and Kai and team are deep into that right now on things like the staffing model and the operating model and really bringing best practice there. So they're on it. Certainly, we've seen some transition impact in terms of NOI, that's always expected. But again, I think we've stabilized on that and we're looking forward to the impact of those initiatives as he is rolling them out.
Daniel Marc Bernstein - Research Analyst
Okay, I'm just trying to ask also, are they performing better or worse in the general Ventas previous SHOP portfolio. I'm just trying to -- is this leading to positive NOI or is this leading to negative NOI that we're seeing...
Debra A. Cafaro - Chairman & CEO
Yes, I think again -- this is Debbie, when you have a transition, you basically are getting to a stabilization point, which, as Bob said, we're at a stabilization point, and then, over time, you would expect it to perform basically in line with the industry but offset to the positive potentially as operating initiatives take hold. So directionally, you would expect from here to be the same, but again, with some upside as we've discussed before from operating and occupancy improvements over time.
Daniel Marc Bernstein - Research Analyst
Okay, okay. And one last quick one here on life science. We've always talked about hospitals and universities monetizing MOBs. Is there any opportunity to buy life science assets rather than just develop? Any discussions with universities to monetize your existing life science assets?
Debra A. Cafaro - Chairman & CEO
So the question is about acquisitions of university-based kind of research and innovation life science assets, and the answer is, that was and has been a trend in medical office for several decades, and we are seeing that as well in the universities in the life science space.
Operator
(Operator Instructions) Our next question comes from Smedes Rose with Citi.
Michael Bilerman - MD and Head of the US Real Estate and Lodging Research
It's Michael Bilerman here with Smedes. I don't know if I talk slower if the noise won't be as bad. I had a couple of questions. The first is just on senior housing supply. And you talked in your opening comments about how you were perfectly surprised by the reduction in the growth rate, but at the same time, you talk about -- we see what Related is doing with Atria, launching $3 billion of the high-end senior housing. I guess, what gives you confidence that the supply is not going to stop anytime soon, especially with that demographic wave that will come out in the future?
Debra A. Cafaro - Chairman & CEO
Michael, you snuck in there. We thought this was Smedes. So we'll open and close the call with Citi, I guess. So the question is really about senior housing supply, and I think the key data points are around new starts, which are very encouraging in the sense that they are at a 5-year low. And as we were able to predict years ago that supply would be coming at this moment, I think based on the data that we now see, one could expect we can predict a big upside as we look at the data sitting here today in the coming years. So it is true that there continues to be interest in the assets and interest in developing as we talked about with the Related high-end urban developments. And that continues, but if these trends continue that we are seeing now with starts, then we feel very optimistic and upbeat about the supply/demand fundamentals being very much in our favor.
Michael Bilerman - MD and Head of the US Real Estate and Lodging Research
Got it. Just a couple of others, Bob, just on the loan portfolio, running at about $800 million. Is there any maturities that we should be aware of or prepayments that you're aware of as we think about 2019?
Robert F. Probst - Executive VP & CFO
Yes, Michael, we have $300 million approximately of loans maturing in 2019 -- in the back half of 2019. That is all that matures next year. So that today we have 4% of NOI, the implication obviously is that we would have a lower percentage now of our loan book as a percent of NOI next year.
Michael Bilerman - MD and Head of the US Real Estate and Lodging Research
As we think about when you do provide guidance, your assumption around that would be that, that gets repaid and not replenished and that capital just goes to repay debt or you would make an assumption that you would find other loans to invest in?
Robert F. Probst - Executive VP & CFO
So right now, we're earmarking that, Michael, for reinvestment to the life science development pipeline.
Michael Bilerman - MD and Head of the US Real Estate and Lodging Research
Okay. And then actually, on the pipeline from a redevelopment and development standpoint, your gross pipeline right now stands at about $1,730,000,000 your share, and you recently completed about $200 million of development and redevelopment. How should we think about the tailwind that those investments give you as we go through '19? Clearly not all the assets are going to be stabilized by then, but a number of them -- a lot of them are going to start producing income in '19. How should we think about the yield on that $1 billion dollars of in-process and completed development at your share?
Robert F. Probst - Executive VP & CFO
You're right on, Michael. We will start to see, starting in '19 but really accelerating from there, the income benefit of the developments in particular in life science. Some of which have recently opened, but we mentioned, for example, Wash U, Penn, to name a few. Those will really start to pick up steam in the back half of '19 and into '20. So certainly, a tailwind as we come out in February with the puts and takes. That's certainly on the good side. We're excited about that, but it really takes off in '20.
Michael Bilerman - MD and Head of the US Real Estate and Lodging Research
And then on the redevelopment, it would be helpful just like you have the dates for the development on Page 20 in the supplemental, just so on the redevelopment side, when -- because that's obviously a big chunk, almost $0.5 billion, when those start to become income producing from a date perspective, the same way that you have it on Page 21 for the active development pipeline.
Debra A. Cafaro - Chairman & CEO
Okay, so Michael, good. So if I could just repeat that for everyone's benefit, the idea of including some more completion information for investors and analysts on the redevelopment page in terms of deliveries, I think we can look at that, it's good suggestion as we provide guidance going forward. I would add, you do have to distinguish between senior housing developments and office developments, because in senior housing, while you're going through the post-opening lease-up periods, you actually have some negative EBITDA as you have operating expenses until you get to lease-up and break even. So it's important if we provide that information that we also make sure people understand what the different impacts are of the different asset class developments and redevelopments as they start to come online. But this is very good input, and we appreciate it.
Michael Bilerman - MD and Head of the US Real Estate and Lodging Research
All right. There's a lot of moving parts as we transition. Clearly, the fourth quarter has the seasonality that Bob talked about on the senior housing side. As you roll into '19, you have the same-store pulling back modestly like it did this year, you have the investments that you're making which will start to earn income, there's just a lot of pieces to 2019 that need to be taken into consideration.
Debra A. Cafaro - Chairman & CEO
Yes, Michael, is observing, so rest of you who can hear, there's a lot of moving pieces to '19, which we've noticed recently, actually, and we'll look forward to enunciating those in February.
And with that, I really want to certainly reaffirm how confident the team is and how aligned we are about going to get these opportunities, and we want to thank everyone for your support and attention, and we look forward to talking with you further at NAREIT. Thank you.
Operator
Ladies and gentlemen, thank you for your participation in today's conference. You may disconnect. Have a wonderful day.