VTR-2012.12.31-10K

 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
FORM 10-K
(Mark One)
 
 
x
 
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2012
OR
¨
 
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from            to          
Commission File Number 1-10989
 
VENTAS, INC.
(Exact Name of Registrant as Specified in Its Charter)
Delaware
(State or Other Jurisdiction of
Incorporation or Organization)
 
61-1055020
(IRS Employer
Identification No.)
353 N. Clark Street, Suite 3300, Chicago, Illinois
(Address of Principal Executive Offices)
 
60654
(Zip Code)
(877) 483-6827
(Registrant’s Telephone Number, Including Area Code)
Securities registered pursuant to Section 12(b) of the Act:
Title of Each Class
 
Name of Each Exchange on Which Registered
Common Stock, par value $0.25 per share
 
New York Stock Exchange
         Securities registered pursuant to Section 12(g) of the Act: None
 
Indicate by check mark if the Registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes x    No ¨
Indicate by check mark if the Registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.  Yes ¨    No x
Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes x    No ¨
Indicate by check mark whether the Registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the Registrant was required to submit and post such files).  Yes x    No ¨
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of Registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment of this Form 10-K. x
Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer x
 
Accelerated filer ¨
 
Non-accelerated filer ¨
 (Do not check if a
smaller reporting company)
 
Smaller reporting company ¨
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes ¨    No x
The aggregate market value of shares of the Registrant’s common stock held by non-affiliates of the Registrant, computed by reference to the closing price of the common stock as reported on the New York Stock Exchange as of June 29, 2012, was $18.1 billion. For purposes of the foregoing calculation only, all directors, executive officers and 10% beneficial owners of the Registrant have been deemed affiliates.
As of February 12, 2013, 291,943,762 shares of the Registrant’s common stock were outstanding.
DOCUMENTS INCORPORATED BY REFERENCE
Portions of the Registrant’s definitive Proxy Statement for the Annual Meeting of Stockholders to be held on May 16, 2013 are incorporated by reference into Part III, Items 10 through 14 of this Annual Report on Form 10-K.
 




CAUTIONARY STATEMENTS
Unless otherwise indicated or except where the context otherwise requires, the terms “we,” “us” and “our” and other similar terms in this Annual Report on Form 10-K refer to Ventas, Inc. and its consolidated subsidiaries.
Forward-Looking Statements
This Annual Report on Form 10-K includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). All statements regarding our or our tenants’, operators’, borrowers’ or managers’ expected future financial condition, results of operations, cash flows, funds from operations, dividends and dividend plans, financing opportunities and plans, capital markets transactions, business strategy, budgets, projected costs, operating metrics, capital expenditures, competitive positions, acquisitions, investment opportunities, dispositions, merger integration, growth opportunities, expected lease income, continued qualification as a real estate investment trust (“REIT”), plans and objectives of management for future operations, and statements that include words such as “anticipate,” “if,” “believe,” “plan,” “estimate,” “expect,” “intend,” “may,” “could,” “should,” “will,” and other similar expressions are forward-looking statements. These forward-looking statements are inherently uncertain, and actual results may differ from our expectations. We do not undertake a duty to update these forward-looking statements, which speak only as of the date on which they are made.
Our actual future results and trends may differ materially from expectations depending on a variety of factors discussed in our filings with the Securities and Exchange Commission (the “SEC”). These factors include without limitation:
The ability and willingness of our tenants, operators, borrowers, managers and other third parties to satisfy their obligations under their respective contractual arrangements with us, including, in some cases, their obligations to indemnify, defend and hold us harmless from and against various claims, litigation and liabilities;
The ability of our tenants, operators, borrowers and managers to maintain the financial strength and liquidity necessary to satisfy their respective obligations and liabilities to third parties, including without limitation obligations under their existing credit facilities and other indebtedness;
Our success in implementing our business strategy and our ability to identify, underwrite, finance, consummate and integrate diversifying acquisitions and investments, including investments in different asset types and outside the United States;
Macroeconomic conditions such as a disruption of or lack of access to the capital markets, changes in the debt rating on U.S. government securities, default or delay in payment by the United States of its obligations, and changes in the federal budget resulting in the reduction or nonpayment of Medicare or Medicaid reimbursement rates;
The nature and extent of future competition;
The extent of future or pending healthcare reform and regulation, including cost containment measures and changes in reimbursement policies, procedures and rates;
Increases in our borrowing costs as a result of changes in interest rates and other factors;
The ability of our operators and managers, as applicable, to comply with laws, rules and regulations in the operation of our properties, to deliver high quality services, to attract and retain qualified personnel and to attract residents and patients;
Changes in general economic conditions or economic conditions in the markets in which we may, from time to time, compete, and the effect of those changes on our revenues, earnings and funding sources;
Our ability to pay down, refinance, restructure or extend our indebtedness as it becomes due;
Our ability and willingness to maintain our qualification as a REIT in light of economic, market, legal, tax and other considerations;
Final determination of our taxable net income for the year ended December 31, 2012 and for the year ending December 31, 2013;
The ability and willingness of our tenants to renew their leases with us upon expiration of the leases, our ability to reposition our properties on the same or better terms in the event of nonrenewal or in the event we exercise our right to replace an existing tenant, and obligations, including indemnification obligations, we may incur in connection with the replacement of an existing tenant;

i


Risks associated with our senior living operating portfolio, such as factors that can cause volatility in our operating income and earnings generated by those properties, including without limitation national and regional economic conditions, costs of food, materials, energy, labor and services, employee benefit costs, insurance costs and professional and general liability claims, and the timely delivery of accurate property-level financial results for those properties;
Changes in U.S. and Canadian currency exchange rates;
Year-over-year changes in the Consumer Price Index (“CPI”) and the effect of those changes on the rent escalators contained in our leases, including the rent escalators for two of our master lease agreements with Kindred Healthcare, Inc. (together with its subsidiaries, “Kindred”), and our earnings;
Our ability and the ability of our tenants, operators, borrowers and managers to obtain and maintain adequate property, liability and other insurance from reputable, financially stable providers;
The impact of increased operating costs and uninsured professional liability claims on the liquidity, financial condition and results of operations of our tenants, operators, borrowers and managers and the ability of our tenants, operators, borrowers and managers to accurately estimate the magnitude of those claims;
Risks associated with our medical office building (“MOB”) portfolio and operations, including our ability to successfully design, develop and manage MOBs, to accurately estimate our costs in fixed fee-for-service projects and to retain key personnel;
The ability of the hospitals on or near whose campuses our MOBs are located and their affiliated health systems to remain competitive and financially viable and to attract physicians and physician groups;
Our ability to build, maintain and expand our relationships with existing and prospective hospital and health system clients;
Risks associated with our investments in joint ventures and unconsolidated entities, including our lack of sole decision-making authority and our reliance on our joint venture partners’ financial condition;
The impact of market or issuer events on the liquidity or value of our investments in marketable securities;
Merger and acquisition activity in the healthcare and seniors housing industries resulting in a change of control of, or a competitor’s investment in, one or more of our tenants, operators, borrowers or managers or significant changes in the senior management of our tenants, operators, borrowers or managers; and
The impact of litigation or any financial, accounting, legal or regulatory issues that may affect us or our tenants, operators, borrowers or managers.
Many of these factors, some of which are described in greater detail under “Risk Factors” in Part I, Item 1A of this Annual Report on Form 10-K, are beyond our control and the control of our management.
Kindred, Brookdale Senior Living, Atria and Sunrise Information
Each of Kindred and Brookdale Senior Living Inc. (together with its subsidiaries, “Brookdale Senior Living”) is subject to the reporting requirements of the SEC and is required to file with the SEC annual reports containing audited financial information and quarterly reports containing unaudited financial information. The information related to Kindred and Brookdale Senior Living contained or referred to in this Annual Report on Form 10-K has been derived from SEC filings made by Kindred or Brookdale Senior Living, as the case may be, or other publicly available information or was provided to us by Kindred or Brookdale Senior Living, and we have not verified this information through an independent investigation or otherwise. We have no reason to believe that this information is inaccurate in any material respect, but we cannot provide any assurance of its accuracy. We are providing this data for informational purposes only, and you are encouraged to obtain Kindred’s and Brookdale Senior Living’s publicly available filings, which can be found on the SEC’s website at www.sec.gov.
Neither Atria Senior Living, Inc. (“Atria”) nor Sunrise Senior Living, LLC (formerly Sunrise Senior Living, Inc. and, together with its subsidiaries, “Sunrise”) is currently subject to the reporting requirements of the SEC. The information related to Atria and Sunrise contained or referred to in this Annual Report on Form 10-K has been derived from publicly available information or was provided to us by Atria or Sunrise, as the case may be, and we have not verified this information through an independent investigation or otherwise. We have no reason to believe that this information is inaccurate in any material respect, but we cannot provide any assurance of its accuracy.

ii


TABLE OF CONTENTS

 
 
Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Management’s Discussion and Analysis of Financial Condition and Results of Operations
 
 


iii


PART I
ITEM 1.    Business
BUSINESS
Overview
Ventas, Inc., an S&P 500 company, is a REIT with a highly diversified portfolio of seniors housing and healthcare properties located throughout the United States and Canada. As of December 31, 2012, we owned more than 1,400 properties, including seniors housing communities, skilled nursing and other facilities, MOBs, and hospitals, in 46 states, the District of Columbia and two Canadian provinces, and we had three new properties under development. Our company was incorporated under the laws of Kentucky in 1983, commenced operations in 1985, reorganized as a Delaware corporation in 1987 and is currently headquartered in Chicago, Illinois.
We primarily acquire and own seniors housing and healthcare properties and lease our properties to unaffiliated tenants or operate them through independent third-party managers. As of December 31, 2012, we leased 898 properties (excluding MOBs and properties classified as held for sale) to various healthcare operating companies under “triple-net” or “absolute-net” leases that obligate the tenants to pay all property-related expenses, including maintenance, utilities, repairs, taxes, insurance and capital expenditures, and we engaged independent operators, such as Atria and Sunrise, to manage 223 of our seniors housing communities pursuant to long-term management agreements.
In addition, through our Lillibridge Healthcare Services, Inc. (“Lillibridge”) subsidiary and our ownership interest in PMB Real Estate Services LLC (“PMBRES”), we provide MOB management, leasing, marketing, facility development and advisory services to highly rated hospitals and health systems throughout the United States. From time to time, we also make secured and unsecured loans and other investments relating to seniors housing and healthcare operators or properties.
We conduct our operations through three reportable business segments: triple-net leased properties; senior living operations; and MOB operations. See our Consolidated Financial Statements and the related notes, including “Note 2—Accounting Policies,” included in Part II, Item 8 of this Annual Report on Form 10-K.
Business Strategy
Our principal objective is to enhance shareholder value by delivering superior, reliable returns. To achieve this objective, we pursue a business strategy of: (1) generating consistent, reliable and growing cash flows; (2) maintaining a balanced, well-diversified portfolio of high-quality assets; and (3) preserving our financial strength, flexibility and liquidity.
Generating Consistent, Reliable and Growing Cash Flows
Consistent, reliable and growing cash flows from our seniors housing and healthcare assets enable us to pay regular cash dividends to stockholders and create opportunities to increase shareholder value through profitable investments. Our ability to generate consistent, reliable and growing cash flows is driven by the combination of steady contractual growth from long-term triple-net leases with our tenants, greater growth potential from our seniors housing operating assets that are subject to management agreements and stable cash flows from our MOBs.
Maintaining a Balanced, Well-Diversified Portfolio
We believe that maintaining a balanced portfolio of high-quality assets diversified across many key attributes – geographic location, asset type, tenant/manager mix, revenue source and operating model – diminishes the risk that any single factor or event could materially harm our business. Portfolio diversification also reduces our exposure to any individual tenant or manager and makes us less susceptible to single-state regulatory or reimbursement changes, regional climate events and local economic downturns.
Preserving Our Financial Strength, Flexibility and Liquidity
A strong, flexible balance sheet and excellent liquidity position us favorably to capitalize on strategic growth opportunities in the seniors housing and healthcare industries through acquisitions, investments and development projects. We strive to maintain our financial strength and invest profitably by actively managing our leverage, continuing to lower our cost of capital and preserving our access to multiple sources of liquidity, including unsecured bank debt, mortgage financings and the public debt and equity markets.

1


2012 Highlights
During the year ended December 31, 2012:
We completed $2.7 billion of gross investments, including the acquisitions of:
Cogdell Spencer Inc. (“Cogdell”), with its 71 real estate assets (including properties owned through joint ventures) and its MOB property management business, for an investment of approximately $760 million, including debt;
16 seniors housing communities managed by Sunrise (the “Sunrise-Managed 16 Communities”) for approximately $362 million;
100% of various private investment funds (the “Funds”) previously managed by Lazard Frères Real Estate Investors LLC or its affiliates (“LFREI”), which Funds own a 34% interest in Atria and 3.7 million shares of our common stock; and
Controlling interests in 36 MOBs that that we previously accounted for as investments in unconsolidated entities;
We sold 43 properties and received final repayment on loans receivable and marketable debt securities for aggregate proceeds of approximately $422 million, including certain fees, and recognized a net gain of $81.0 million from the dispositions;
We paid an annual cash dividend on our common stock of $2.48 per share, which represents an 8% increase over the prior year and was paid to stockholders in equal quarterly installments of $0.62 per share;
We issued and sold $2.4 billion aggregate principal amount of senior notes and entered into a new $180.0 million term loan, collectively having a weighted average stated interest rate of 3.2% and a weighted average maturity at the time of issuance of 7.7 years;
We completed a public offering and sale of 5,980,000 shares of our common stock for aggregate proceeds of $342.5 million;
Of the 89 properties leased to Kindred whose current lease term expires on April 30, 2013, Kindred renewed or entered into a new lease with respect to a total of 35 properties, and we entered into new leases or sale contracts for the remaining 54 properties, the majority of which remain subject to operating transitions and regulatory approvals; and
We redeemed or repaid $780.4 million aggregate principal amount of outstanding unsecured debt, including our 9% senior notes due 2012, 8.25% senior notes due 2012, 6¾% senior notes due 2017, 6½% senior notes due 2016, and unsecured term loan due 2013, and $344.2 million of mortgage debt.


2


Portfolio Summary
The following table summarizes our portfolio of properties and other investments, excluding investments in unconsolidated entities and properties classified as held for sale, as of and for the year ended December 31, 2012:
 
 
 
 
 
 
Real Estate Property Investments
 
Revenues
 
 
 
Asset Type
 
# of
Properties(1)
 
# of
Units/Beds/
Sq. Ft.
(2)
 
Real Estate Property Investment, at Cost
 
Percent of
Total Real Estate Property Investments
 
Real Estate
Property
Investment Per Unit/Bed/Sq. Ft.
 
Revenue
(3)
 
Percent of Total Revenues
 
 
Number
of
States/
Provinces(4)
 
 
(Dollars in thousands)
Properties
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Seniors housing communities
 
659

 
56,445

 
$
12,531,820

 
61.2
%
 
$
222.0

 
$1,601,501
 
64.5
%
 
 
45

Skilled nursing and other facilities
 
381

 
43,711

 
3,033,679

 
14.8

 
69.4

 
346,480

 
13.9

 
 
41

Hospitals
 
47

 
3,878

 
473,737

 
2.3

 
122.2

 
112,720

 
4.5

 
 
17

MOBs (5)
 
300

 
16,107,008

 
3,801,780

 
18.6

 
0.2

 
383,579

 
15.4

 
 
29

Total properties
 
1,387

 
 
 
19,841,016

 
96.9
%
 
 
 
2,444,280

 
98.3
%
 
 
49

Other Investments and Income
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Loans and investments
 
 
 
 
 
635,002

 
3.1

 
 
 
39,913

 
1.6

 
 
 
Other
 
 

 
 

 
 
 
 
 
 

 
1,106

 
0.1

 
 
 

Total
 
 

 
 

 
$
20,476,018

 
100.0
%
 
 

 
$2,485,299
 
100.0
%
 
 
 

    
nm—not meaningful. 
(1)
Excludes 20 seniors housing communities, 14 skilled nursing facilities and 21 MOBs included in investments in unconsolidated entities. Also, excludes six seniors housing communities, nine skilled nursing facilities and four MOBs classified as held for sale as of December 31, 2012.
(2)
Seniors housing communities are measured in units; skilled nursing facilities, hospitals and personal care facilities are measured by bed count; and MOBs are measured by square footage.
(3)
Revenues relate to the actual period of ownership and do not necessarily reflect a full year.
(4)
As of December 31, 2012, our consolidated properties were located in 46 states, the District of Columbia and two Canadian provinces and, excluding MOBs, were operated or managed by 95 different third-party healthcare operating companies, including the following publicly traded companies: Kindred (196 properties); Brookdale (148 properties); Emeritus Corporation (17 properties) and Capital Senior Living, Inc. (12 properties).
(5)
As of December 31, 2012, 30 of our consolidated MOBs were leased pursuant to triple-net leases, Lillibridge or PMBRES managed 193 of our consolidated MOBs and 77 of our consolidated MOBs were managed by 14 different third-party managers. Through Lillibridge and PMBRES, we provided management and leasing services to third parties with respect to 82 MOBs as of December 31, 2012.
Seniors Housing and Healthcare Properties
As of December 31, 2012, we owned 1,442 seniors housing and healthcare properties, including investments in unconsolidated entities, but excluding properties classified as held for sale, as follows:
 
Consolidated
(100% interest)
 
Consolidated
(<100% interest)
 
Unconsolidated
(5-25% interest)
 
Total
Seniors housing communities
648

 
11

 
20

 
679

Skilled nursing and other facilities
372

 
9

 
14

 
395

Hospitals
46

 
1

 

 
47

MOBs
272

 
28

 
21

 
321

Total
1,338

 
49

 
55

 
1,442


3


Seniors Housing Communities
Our seniors housing communities include independent and assisted living communities, continuing care retirement communities and communities providing care for individuals with Alzheimer’s disease and other forms of dementia or memory loss. These communities offer studio, one bedroom and two bedroom residential units on a month-to-month basis primarily to elderly individuals requiring various levels of assistance. Basic services for residents of these communities include housekeeping, meals in a central dining area and group activities organized by the staff with input from the residents. More extensive care and personal supervision, at additional fees, are also available for such needs as eating, bathing, grooming, transportation, limited therapeutic programs and medication administration, which allow residents certain conveniences and enable them to live as independently as possible according to their abilities. These services are often met by home health providers, close coordination with the resident’s physician and skilled nursing facilities. Charges for room, board and services are generally paid from private sources.
Skilled Nursing and Other Facilities    
Our skilled nursing facilities provide rehabilitative, restorative, skilled nursing and medical treatment for patients and residents who do not require the high technology, care-intensive, high cost setting of an acute care or rehabilitation hospital. Treatment programs include physical, occupational, speech, respiratory and other therapies, including sub-acute clinical protocols such as wound care and intravenous drug treatment. Charges for these services are generally paid from a combination of government reimbursement and private sources.
Our personal care facilities provide specialized care, including supported living services, neurorehabilitation, neurobehavioral management and vocational programs, for persons with acquired or traumatic brain injury.
Hospitals 
Substantially all of our hospitals are operated as long-term acute care hospitals, which have a Medicare average length of stay greater than 25 days and serve medically complex, chronically ill patients who require a high level of monitoring and specialized care, but whose conditions do not necessitate the continued services of an intensive care unit. The operators of these hospitals have the capability to treat patients who suffer from multiple systemic failures or conditions such as neurological disorders, head injuries, brain stem and spinal cord trauma, cerebral vascular accidents, chemical brain injuries, central nervous system disorders, developmental anomalies and cardiopulmonary disorders. Chronic patients often depend on technology for continued life support, such as mechanical ventilators, total parenteral nutrition, respiration or cardiac monitors and dialysis machines, and, due to their severe medical conditions, generally are not clinically appropriate for admission to a nursing facility or rehabilitation hospital. All of our long-term acute care hospitals are freestanding facilities, and we do not own any “hospitals within hospitals.” We also own two hospitals focused on providing children’s care and five rehabilitation hospitals devoted to the rehabilitation of patients with various neurological, musculoskeletal, orthopedic and other medical conditions following stabilization of their acute medical issues.
Medical Office Buildings
Our MOBs are typically multi-tenant properties leased to several different unrelated medical practices, although they can be associated with a large single specialty or multi-specialty group. Tenants include physicians, dentists, psychologists, therapists and other healthcare providers, with space devoted to patient examination and treatment, diagnostic imaging, outpatient surgery and other outpatient services. While MOBs are similar to commercial office buildings, they require more plumbing, electrical and mechanical systems to accommodate physicians’ requirements such as sinks in every room, brighter lights and specialized medical equipment. As of December 31, 2012, we owned or managed for third parties more than 21 million square feet of MOBs, a significant majority of which are “on campus,” defined as being located on or near an acute care hospital campus.
Geographic Diversification of Properties
Our portfolio of seniors housing and healthcare properties is broadly diversified by geographic location throughout the United States and Canada, with properties in one state (California) accounting for more than 10% of our total revenues for the year ended December 31, 2012.

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The following table shows our rental income and resident fees and services derived by geographic location for the year ended December 31, 2012:
 
Rental Income and
Resident Fees and
Services (1)
 
Percent of Total
Revenues
 
 
(Dollars in thousands)
 
Geographic Location
 
 
 
 
California
$
348,418

 
14.0
%

New York
246,082

 
9.9

 
Texas
149,801

 
6.0

 
Illinois
123,789

 
5.0

 
Massachusetts
115,273

 
4.6

 
Florida
102,249

 
4.1

 
Pennsylvania
95,987

 
3.9

 
New Jersey
78,923

 
3.2

 
Connecticut
74,723

 
3.0

 
Arizona
73,888

 
3.0

 
Other (36 states and the District of Columbia)
918,462

 
36.9

 
Total U.S
2,327,595

 
93.6
%

Canada (two Canadian provinces)
95,944

 
3.9

 
Total
$
2,423,539

 
97.5
%
(2)
    
(1)Revenues relate to the actual period of ownership and do not necessarily reflect a full year.
(2)
The remainder of our total revenues is medical office building and other services revenue, income from loans and investments and interest and other income. This presentation excludes revenues from properties sold during 2012 or classified as held for sale as of December 31, 2012.
See “Note 20—Segment Information” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K for more information regarding the geographic diversification of our portfolio.
Certificates of Need
Our skilled nursing facilities and hospitals are generally subject to federal, state and local licensure statutes and statutes that may require regulatory approval, in the form of a certificate of need (“CON”) issued by a governmental agency with jurisdiction over healthcare facilities, prior to the expansion of existing facilities, construction of new facilities, addition of beds, acquisition of major equipment or introduction of new services. CON requirements, which are not uniform throughout the United States, may restrict our or our operators’ ability to expand our properties in certain circumstances.
The following table shows the percentage of our rental income for the year ended December 31, 2012 derived by skilled nursing facilities and hospitals in states with and without CON requirements:
 
Skilled
Nursing
Facilities
 
Hospitals
 
Total
States with CON requirements
68.3
%
 
41.8
%
 
61.8
%
States without CON requirements
31.7

 
58.2

 
38.2

Total
100.0
%
 
100.0
%
 
100.0
%
Secured and Unsecured Loans and Other Investments
Loans Receivable
Our real estate loans provide us with interest income, principal amortization and transaction fees and are typically secured by mortgage liens, leasehold mortgages and corporate or personal guarantees. In some cases, the loans are secured by a pledge of ownership interests in the entity or entities that own the related real estate. As of December 31, 2012, we had $697.1 million

5


of net loans receivable relating to seniors housing and healthcare operators or properties. See “Note 6—Loans Receivable” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
Development and Redevelopment Projects
We are party to certain agreements that obligate us to develop healthcare properties, the construction of which is funded through capital that we and, in certain circumstances, our joint venture partners provide. As of December 31, 2012, we had three new properties under development pursuant to these agreements. In addition, from time to time, we engage in redevelopment projects with respect to our seniors housing operating communities to maximize the value, increase net operating income (“NOI”), maintain a market-competitive position, achieve property stabilization or change the primary use of the property.
Segment Information
We evaluate our business and make resource allocations among three reportable business segments: triple-net leased properties; senior living operations; and MOB operations. For further information regarding our business segments, see “Note 20—Segment Information” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
Significant Tenants, Operators and Managers
The following table provides information regarding our tenant/manager concentration as of and for the year ended December 31, 2012:
 
Number of
Properties
Leased or
Managed
 
Percent of Total Real Estate Investments (1)
 
Percent of Total Revenues (2)
 
Percent of
NOI (2)
Senior living operations
223

 
32.6
%
 
49.6
%
 
25.7
%
Kindred
196

 
4.4

 
10.5

 
17.4

Brookdale Senior Living (3)
148

 
10.4

 
6.4

 
10.5

    
(1)
Based on gross book value (excluding amounts held for sale as of December 31, 2012).
(2)
Amounts relate to the actual period of ownership and do not necessarily reflect a full year. Excludes amounts in discontinued operations. NOI is defined as total revenues, less interest and other income, property-level operating expenses and medical office building services costs.
(3)
Excludes six properties included in investments in unconsolidated entities.
Triple-Net Leased Properties
Each of our master lease agreements with Kindred (the “Kindred Master Leases”) and our leases with Brookdale Senior Living is a triple-net lease that obligates the tenant to pay all property-related expenses, including maintenance, utilities, repairs, taxes, insurance and capital expenditures, and to comply with the terms of the mortgage financing documents, if any, affecting the properties. In addition, each of these leases have guaranty and cross-default provisions tied to other leases with the same tenant, as well as bundled lease renewals (as described in more detail below).
Because the properties we lease to Kindred and Brookdale Senior Living account for a significant portion of our total revenues and NOI, our financial condition and results of operations could be weakened and our ability to service our indebtedness and to make distributions to our stockholders could be limited if either Kindred or Brookdale Senior Living becomes unable or unwilling to satisfy its obligations to us or to renew its leases with us upon expiration of the terms thereof. We cannot assure you that either Kindred or Brookdale Senior Living will have sufficient assets, income and access to financing to enable it to satisfy its respective obligations to us, and any inability or unwillingness by Kindred or Brookdale Senior Living to do so could have a material adverse effect on our business, financial condition, results of operations or liquidity, our ability to service our indebtedness and other obligations and our ability to make distributions to our stockholders, as required for us to continue to qualify as a REIT (a “Material Adverse Effect”). We also cannot assure you that either Kindred or Brookdale Senior Living will elect to renew its respective leases with us upon expiration of their terms or that we will be able to reposition any properties that are not renewed on a timely basis or on the same or better economic terms, if at all. See “Risks Factors—Risks Arising from Our Business—We depend on Kindred and Brookdale Senior Living for a significant portion of our revenues and operating income; Any inability or unwillingness by Kindred or Brookdale Senior Living to satisfy its obligations under its agreements with us could have a Material Adverse Effect on us” included in Item 1A of this Annual Report on Form 10-K.

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Kindred Master Leases
As of December 31, 2012, we leased 196 properties to Kindred pursuant to four original Kindred Master Leases, with the properties grouped into bundles or renewal groups (each, a “renewal group”) containing a varying number of properties. Each renewal group is diversified by geography and contains at least one long-term acute care hospital. Under the four original Kindred Master Leases, the properties within a single renewal group have the same primary lease term of ten to 15 years (which commenced May 1, 1998), and each renewal group is subject to three successive five-year renewal terms at Kindred’s option, provided certain conditions are satisfied. Kindred’s renewal option is “all or nothing” with respect to the properties contained in each renewal group.
The lease terms for ten renewal groups under the four original Kindred Master Leases covering a total of 89 properties have an April 30, 2013 expiration date. We have entered into lease renewals, new leases or sale contracts for all 89 properties whose lease term expires on April 30, 2013. We expect 2013 cash revenue and NOI from these 89 properties (including the yield on reinvested sale proceeds from the five properties for sale) to be $125 million, compared to 2012 rent for all 89 properties of $125 million.
Of these 89 properties, Kindred will remain the tenant in 35 properties for estimated aggregate annual base rent commencing on May 1, 2013 of $76.1 million, including escalations. Specifically, Kindred irrevocably renewed for a five-year term three renewal groups covering a total of 25 properties, and we entered into a fifth Kindred Master Lease with respect to ten long-term acute care hospitals. The new Kindred Master Lease has an initial term expiring on April 30, 2023 and is subject to three successive five-year, “all or nothing” renewal options at Kindred’s option.
With respect to the remaining 54 skilled nursing facilities whose lease term expires on April 30, 2013 (the “Marketed Assets”), 49 Marketed Assets have been leased pursuant to new long-term triple-net leases (the “New Leases”) with seven qualified healthcare operators (the “New Tenants”), and we have entered into definitive agreements to sell five Marketed Assets. The New Leases have an average weighted initial lease term of over 11 years.
Six of the Marketed Assets transitioned to New Tenants on February 1, 2013. Kindred is required to continue to perform all of its obligations under the applicable Kindred Master Lease for the Marketed Assets until expiration of the current lease term, including without limitation, payment of all rental amounts. Moreover, we own or have the rights to all licenses and CONs at the properties, and Kindred has extensive and detailed obligations to cooperate and ensure an orderly transition of the properties to another operator.
Although leases and sale contracts have been executed and we expect the remaining transitions and sales to be completed or occur in the first half of 2013, these transitions and sales remain subject to customary closing conditions, including licensure and regulatory approval. Accordingly, we cannot assure you as to whether or when the transitions or sales of the remaining Marketed Assets will be completed, if at all, or upon what terms. Our ability to transition or sell the Marketed Assets could be significantly delayed or limited by state licensing, CON or other laws, as well as by the Medicare and Medicaid change-of-ownership rules, and we could incur substantial additional expenses in connection with any licensing or change-of-ownership proceedings. In addition, if any transition or sale has not occurred by May 1, 2013, Kindred has certain obligations to continue operating the properties on modified terms for a limited period, but we may be required to fund certain expenses and obligations (e.g., real estate taxes, insurance and maintenance expenses or general operating expenses) related to the applicable properties after May 1, 2013.
The current lease term for ten renewal groups covering another 108 properties leased to Kindred pursuant to the four original Kindred Master Leases will expire on April 30, 2015 (the “2015 Assets”), subject to two successive five-year renewal options for those properties exercisable by Kindred. Kindred has from November 1, 2013 until April 30, 2014 to provide us with renewal notices with respect to those properties. Therefore, as to any renewal group for which we do not receive a renewal notice, we will have at least one year to arrange for the repositioning of the applicable properties with new operators. Regardless of whether Kindred renews any of the renewal groups, Kindred is obligated to continue to perform all of its obligations under the applicable Kindred Master Lease with respect to the 2015 Assets, including the payment of full rent, through April 30, 2015.
All ten renewal groups whose current lease term expires on April 30, 2015 will be, upon renewal, in the second five-year renewal period and, therefore, we have a unilateral bundle-by-bundle option to initiate a fair market rental reset process on any renewal group for which Kindred delivers a renewal notice. If we elect to initiate the fair market rental reset process for any renewal group, the renewal rent will be the higher of contract rent and fair market rent determined by an appraisal process set forth in the applicable Kindred Master Lease. In certain cases following our initiation of a fair market rental reset process with respect to a renewal group, Kindred may have the right to revoke its renewal of that particular renewal group.
We cannot assure you that Kindred will elect to renew any or all of the renewal groups for the 2015 Assets or that we will be able to reposition any or all non-renewed assets on a timely basis or on the same or better economic terms, if at all. In

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addition, the determination of market rent, whether on re-leasing or under the reset process, is dependent on and may be influenced by a variety of factors and is highly speculative, and we cannot assure you as to what the market rent may be for any of the 2015 Assets. See “Risk Factors—Risks Arising from Our Business—If we must replace any of our tenants or operators, we might be unable to reposition the properties on as favorable terms, or at all, and we could be subject to delays, limitations and expenses, which could have a Material Adverse Effect on us” included in Item 1A of this Annual Report on Form 10-K.
The aggregate annual rent we receive under each Kindred Master Lease is referred to as “base rent.” Base rent escalates on May 1 of each year at a specified rate over the prior period base rent, with base rent escalation under the four original Kindred Master Leases contingent upon the satisfaction of specified facility revenue parameters. The annual rent escalator under three Kindred Master Leases is 2.7%, and the annual rent escalator under the other two Kindred Master Leases is based on year-over-year changes in CPI, subject to floors and caps.
Assuming that all of the Marketed Assets are sold or transitioned on or prior to May 1, 2013 and assuming the applicable facility revenue parameters are met, and regardless of whether Kindred provides renewal notices with respect to any or all of the 2015 Assets, we currently expect that approximately $216 million of aggregate base rent will be due under the five Kindred Master Leases for the period from May 1, 2013 through April 30, 2014. See “Note 3—Concentration of Credit Risk” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
Brookdale Senior Living Leases
Our leases with Brookdale Senior Living have an average term of 15 years (commencing as early as 1995) and are subject to two or more successive five- or ten-year renewal terms at Brookdale Senior Living’s option, provided certain conditions are satisfied.
Under the terms of our leases, Brookdale Senior Living is obligated to pay base rent, which escalates annually by an amount equal to the lesser of (i) four times the percentage increase in CPI during the immediately preceding year or (ii) either 2.5% or 3%, depending on the lease, or, in the case of our remaining “Grand Court” property, the greater of (i) 2% or (ii) 75% of the increase in CPI during the immediately preceding year. For 2013, the current aggregate contractual cash base rent due to us from Brookdale Senior Living, excluding variable interest that Brookdale Senior Living is obligated to pay as additional rent based on certain floating rate mortgage debt, is approximately $154.3 million, and the current aggregate contractual base rent (computed in accordance with U.S. generally accepted accounting principles (“GAAP”)) due to us from Brookdale Senior Living, excluding the variable interest, is approximately $153.9 million (in each case, excluding properties included in investments in unconsolidated entities and properties held for sale as of December 31, 2012). See “Note 3—Concentration of Credit Risk” and “Note 14—Commitments and Contingencies” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
During 2012, we sold 18 properties to Brookdale Senior Living for aggregate consideration of $167.6 million, including lease termination fees.
Senior Living Operations
As of December 31, 2012, Atria and Sunrise, collectively, provided comprehensive property management and accounting services with respect to 220 of our seniors housing communities, for which we pay annual management fees pursuant to long-term management agreements. Substantially all of our management agreements with Atria have initial terms expiring December 31, 2027, with successive automatic ten-year renewal periods. The management fees we pay to Atria under the Atria management agreements are equal to 5% of revenues generated by the applicable properties, plus, in most cases, an incentive management fee of up to an additional 1% of revenues based on the achievement of specified performance targets. Our management agreements with Sunrise have terms ranging from 25 to 30 years, commencing as early as 2004 and as recently as 2012. The management fees we pay to Sunrise under the Sunrise management agreements range from 5% to 7% of revenues generated by the applicable properties. For the year ended December 31, 2012, the management fees (including incentive fees) we paid pursuant to our Sunrise management agreements were equal to 6.4% of revenues generated by the applicable properties. See “Note 3—Concentration of Credit Risk” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
Because Atria and Sunrise manage, but do not lease, our properties, we are not directly exposed to their credit risk in the same manner or to the same extent as our triple-net tenants. However, we rely on our managers’ personnel, expertise, technical resources and information systems, proprietary information, good faith and judgment to manage our seniors housing communities efficiently and effectively. We also rely on our managers to set resident fees and otherwise operate those properties in compliance with the terms of our management agreements. Although we have various rights as the property owner under our management agreements, including various rights to terminate and exercise remedies under the agreements that may relate to all properties or a specific property or group of properties as provided therein, Atria’s or Sunrise’s inability or unwillingness to satisfy its obligations under those agreements, to efficiently and effectively manage our properties or to

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provide timely and accurate accounting information with respect thereto could have a Material Adverse Effect on us. In addition, significant changes in Atria’s or Sunrise’s senior management or any adverse developments in their businesses and affairs or financial condition could have a Material Adverse Effect on us. See “Risk Factors—Risks Arising from Our Business—The properties managed by Atria and Sunrise account for a significant portion of our revenues and operating income; Although Atria and Sunrise are managers, not tenants, of our properties, adverse developments in their businesses and affairs or financial condition could have a Material Adverse Effect on us” and “—We have rights to terminate our management agreements with Atria and Sunrise in whole or with respect to specific properties under certain circumstances, and we may be unable to replace Atria or Sunrise if our management agreements are terminated or not renewed” included in Item 1A of this Annual Report on Form 10-K.
In December 2012, we acquired 100% of the Funds previously managed by LFREI. The acquired Funds own (a) a 34% interest in Atria and (b) 3.7 million shares of Ventas common stock. In conjunction with this acquisition, we also extinguished our obligation related to the “earnout,” a contingent performance-based payment arising out of our 2011 acquisition of the real estate assets of Atria Senior Living Group, Inc. (together with its affiliates, “ASLG”), which was previously reflected on our Consolidated Balance Sheets as a liability, for an additional $44 million. This amount represented the discounted net present value of the potential future payment of approximately $63 million. Additionally, in connection with this transaction, we obtained certain rights and minority protections regarding material transactions affecting Atria, as well as the right to appoint two directors to the Atria Board of Directors.
In August 2012, Sunrise announced that it had agreed to be acquired by Health Care REIT, Inc. (“Health Care REIT”). In connection with this announcement, Sunrise effected an internal reorganization to separate its subsidiaries that operate and manage seniors housing communities (collectively, the “Sunrise management business”) from its real estate assets and its equity interests in subsidiaries and joint ventures that hold real estate assets (collectively, the “Sunrise real estate”). In January 2013, the Sunrise management business was sold to a partnership comprised of three private equity firms and Health Care REIT, and the Sunrise real estate was acquired by Health Care REIT.
Competition
We generally compete for the acquisition, leasing and financing of seniors housing and healthcare properties with publicly traded, private and non-listed healthcare REITs, real estate partnerships, healthcare providers, healthcare lenders and other investors, including without limitation developers, banks, insurance companies, pension funds, government sponsored entities and private equity firms. Some of our competitors may have greater financial resources and lower costs of capital than we do. Increased competition makes it more challenging for us to identify and successfully capitalize on opportunities that meet our objectives, and our ability to compete is affected by, among other factors, the availability of suitable acquisition or investment targets, our ability to negotiate acceptable acquisition or investment terms and our access to and cost of capital. See “Risk Factors—Risks Arising from Our Business—Our pursuit of investments in, and acquisitions or development of, seniors housing and healthcare assets may be unsuccessful or fail to meet our expectations” included in Item 1A of this Annual Report on Form 10-K and “Note 10—Borrowing Arrangements” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
The tenants and managers that operate our properties compete on a local and regional basis with healthcare operating companies that provide comparable services. The operators and managers of our seniors housing communities, skilled nursing facilities and hospitals compete to attract and retain residents and patients based on scope and quality of care, reputation and financial condition, price, location and physical appearance of the properties, services offered, qualified personnel, physician referrals and family preferences. The managers of our MOBs compete to attract and retain tenants based on many of the same factors, in addition to quality of the affiliated health system, physician preferences and proximity to hospital campuses. The ability of our tenants and managers to compete successfully could be affected by private, federal and state reimbursement programs and other laws and regulations. See “Risk Factors—Risks Arising from Our Business—Our tenants, operators and managers may be adversely affected by healthcare regulation and enforcement” and “—Changes in the reimbursement rates or methods of payment from third-party payors, including the Medicare and Medicaid programs, could have a material adverse effect on certain of our tenants and operators and on us” included in Item 1A of this Annual Report on Form 10-K.
Employees
As of December 31, 2012, we had 439 employees, none of whom is subject to a collective bargaining agreement and 304 of whom are employed in our MOB operations reportable business segment.
Insurance
We maintain or require in our lease, management and other agreements that our tenants, operators and managers maintain all applicable lines of insurance on our properties and their operations. We believe that the amount and scope of insurance coverage provided by our policies and the policies maintained by our tenants, operators and managers are customary for

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similarly situated companies in our industry. Although we believe that our tenants, operators and managers are in compliance with their respective insurance requirements, we cannot assure you that they will maintain the required insurance coverages, and the failure by any of them to do so could have a Material Adverse Effect on us. We also cannot assure you that we will continue to require the same levels of insurance coverage under our lease, management and other agreements, that such insurance will be available at a reasonable cost in the future or that the insurance coverage provided will fully cover all losses on our properties upon the occurrence of a catastrophic event, nor can we assure you of the future financial viability of the insurers.
We maintain property and casualty insurance for our senior living operations, and we maintain general and professional liability insurance for our seniors housing communities and related operations managed by Atria. The general and professional liability insurance for our seniors housing communities and related operations managed by Sunrise is currently maintained by Sunrise in accordance with the terms of our management agreements. Under our management agreements with Sunrise, we may elect, on an annual basis, whether we or Sunrise will bear responsibility for maintaining the required insurance coverage for the applicable properties, but the costs of such insurance are facility expenses paid from the revenues of those properties, regardless of who maintains the insurance.
As part of our MOB development business, we provide engineering, construction and architectural services, and any design, construction or systems failures related to the properties we develop could result in substantial injury or damage to clients or third parties. Any such injury or damage claims may arise in the ordinary course and may be asserted with respect to ongoing or completed projects. Although we maintain liability insurance to protect us against these claims, if any claim results in a loss, we cannot assure you that our policy limits would be adequate to cover the loss in full. If we sustain losses in excess of our insurance coverage, we may be required to pay the difference and we could lose our investment in, or experience reduced profits and cash flows from, the affected MOB, which could have a Material Adverse Effect on us.
In an effort to reduce and manage costs and for various other reasons, many companies in the healthcare industry, including some of our tenants, operators and managers, utilize different organizational and corporate structures coupled with self-insurance trusts or programs (commonly referred to as “captives”) that may provide them with less insurance coverage. As a result, those companies who self-insure could incur large funded and unfunded professional liability expenses, which could have a material adverse effect on their liquidity, financial condition and results of operations. The implementation of a trust or captive by any of our tenants, operators or managers could adversely affect such person’s ability to satisfy its obligations under, or otherwise comply with the terms of, its respective lease, management and other agreements with us, which could have a Material Adverse Effect on us. Likewise, if we decide to implement a captive self-insurance program, any large funded and unfunded professional liability expenses that we incur could have a Material Adverse Effect on us.
Additional Information
We maintain a website at www.ventasreit.com. The information on our website is not incorporated by reference in this Annual Report on Form 10-K, and our web address is included as an inactive textual reference only.
We make available, free of charge, through our website our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and amendments to those reports filed or furnished pursuant to Section 13 or 15(d) of the Exchange Act as soon as reasonably practicable after we electronically file such material with, or furnish it to, the SEC. In addition, our Guidelines on Governance, our Code of Ethics and Business Conduct and the charters for each of our Audit and Compliance, Nominating and Corporate Governance and Executive Compensation Committees are available on our website, and we will mail copies of the foregoing documents to stockholders, free of charge, upon request to our Corporate Secretary at Ventas, Inc., 353 North Clark Street, Suite 3300, Chicago, Illinois 60654.

GOVERNMENTAL REGULATION
Healthcare Regulation
Overview
For the year ended December 31, 2012, approximately 20% of our total revenues and 30% of our total NOI (in each case excluding amounts in discontinued operations) were attributable to skilled nursing and other facilities and hospitals where our tenants (not our company) receive reimbursement for their services under governmental healthcare programs, such as Medicare and Medicaid. We are not a participant in these programs relating to our skilled nursing and other facilities and hospitals operated by tenants under lease agreements with us.
While the properties within our portfolio are all susceptible to many varying types of regulation, we expect that the healthcare industry, in general, will continue to face increased regulation and pressure in the areas of fraud, waste and abuse,

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cost control, healthcare management and provision of services, among others. A significant expansion of applicable federal, state or local laws and regulations, previously enacted or future healthcare reform, new interpretations of existing laws and regulations or changes in enforcement priorities could have a material adverse effect on certain of our operators’ liquidity, financial condition and results of operations and, in turn, their ability to satisfy their contractual obligations, including making rental payments under, or otherwise complying with the terms of, their leases with us. In addition, efforts by third-party payors, such as the federal Medicare program, state Medicaid programs and private insurance carriers, including health maintenance organizations and other health plans, to impose greater discounts and more stringent cost controls upon operators (through changes in reimbursement rates and methodologies, discounted fee structures, the assumption by healthcare providers of all or a portion of the financial risk or otherwise) are expected to intensify and continue. Significant limits on the scope of services reimbursed and on reimbursement rates and fees could also have a Material Adverse Effect on certain of our operators’ liquidity, financial condition and results of operations and, in turn, their ability to satisfy their contractual obligations, including making rental payments under, and otherwise complying with the terms of, their leases with us.
Licensure, Certification and CONs
Participation in the Medicare and Medicaid programs generally requires the operators of our skilled nursing facilities to be licensed on an annual or biannual basis and certified annually through various regulatory agencies that determine compliance with federal, state and local laws. These legal requirements relate to the quality of the nursing care provided, the qualifications of the administrative personnel and nursing staff, the adequacy of the physical plant and equipment and continuing compliance with the laws and regulations governing the operation of skilled nursing facilities. The failure of an operator to maintain or renew any required license or regulatory approval or to correct serious deficiencies identified in compliance surveys could prevent it from continuing operations at a property. A loss of licensure or certification could also adversely affect a skilled nursing facility operator’s ability to receive payments from the Medicare and Medicaid programs, which, in turn, could adversely affect its ability to satisfy its contractual obligations, including making rental payments under, and otherwise complying with the terms of, its leases with us.
Similarly, in order to receive Medicare and Medicaid reimbursement, our hospitals must meet the applicable conditions of participation established by the U.S. Department of Health and Human Services (“HHS”) relating to the type of hospital and its equipment, personnel and standard of medical care, as well as comply with state and local laws and regulations. Hospitals undergo periodic on-site licensure surveys, which generally are limited if the hospital is accredited by The Joint Commission (formerly the Joint Commission on Accreditation of Healthcare Organizations) or other recognized accreditation organizations. A loss of licensure or certification could adversely affect a hospital’s ability to receive payments from the Medicare and Medicaid programs, which, in turn, could adversely affect its ability to satisfy its contractual obligations, including making rental payments under, and otherwise complying with the terms of, its leases with us.
Our skilled nursing facilities and hospitals are also subject to various state CON laws requiring governmental approval prior to the development or expansion of healthcare facilities and services. The approval process in these states generally requires a facility to demonstrate the need for additional or expanded healthcare facilities or services. CONs, where applicable, are also sometimes necessary for changes in ownership or control of licensed facilities, addition of beds, investment in major capital equipment, introduction of new services or termination of services previously approved through the CON process. CON laws and regulations may restrict an operator’s ability to expand our properties and grow its business in certain circumstances, which could have an adverse effect on the operator’s revenues and, in turn, its ability to make rental payments under, and otherwise comply with the terms of, its leases with us. See “Risk Factors—Risks Arising from Our Business—If we must replace any of our tenants or operators, we might be unable to reposition the properties on as favorable terms, or at all, and we could be subject to delays, limitations and expenses, which could have a Material Adverse Effect on us” included in Part I, Item 1A of this Annual Report on Form 10-K.
Seniors housing communities, in contrast, are subject to relatively few, if any, federal regulations. Instead, to the extent they are regulated, the regulation is conducted mainly by state and local laws governing licensure, provision of services, staffing requirements and other operational matters. These laws vary greatly from one jurisdiction to another. Although recent growth in the U.S. seniors housing industry has attracted the attention of various federal agencies that believe more federal regulation of these properties is necessary, thus far, Congress has deferred to state regulation of seniors housing communities. However, as a result of this growth and increased federal scrutiny, some states have revised and strengthened their regulation of seniors housing communities, and more states are expected to do the same in the future.
Fraud and Abuse Enforcement
Various federal and state laws and regulations prohibit a wide variety of fraud and abuse by healthcare providers who participate in, receive payments from or make or receive referrals for work in connection with government-funded healthcare programs, including Medicare and Medicaid. The federal laws include, by way of example, the following:

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The anti-kickback statute (Section 1128B(b) of the Social Security Act), which prohibits certain business practices and relationships, including the payment, receipt or solicitation of any remuneration, directly or indirectly, to induce a referral of any patient or service or item covered by a federal health care program, including Medicare or a state health program, such as Medicaid;
The physician self-referral prohibition (Ethics in Patient Referral Act of 1989, commonly referred to as the “Stark Law”), which prohibits referrals by physicians of Medicare or Medicaid patients to providers of a broad range of designated healthcare services with which the physicians (or their immediate family members) have ownership interests or certain other financial arrangements;
The False Claims Act, which prohibits any person from knowingly presenting false or fraudulent claims for payment by the federal government (including the Medicare and Medicaid programs);
The Civil Monetary Penalties Law, which authorizes HHS to impose civil penalties administratively for fraudulent acts; and
The Health Insurance Portability and Accountability Act of 1996 (commonly referred to as “HIPAA”), which among other things, protects the privacy and security of individually identifiable health information by limiting its use and disclosure.
Sanctions for violating these federal laws include criminal and civil penalties such as punitive sanctions, damage assessments, monetary penalties, imprisonment, denial of Medicare and Medicaid payments, and exclusion from the Medicare and Medicaid programs. These laws also impose an affirmative duty on operators to ensure that they do not employ or contract with persons excluded from the Medicare and other government programs.
Many states have adopted or are considering legislative proposals similar to the federal anti-fraud and abuse laws, some of which extend beyond the Medicare and Medicaid programs, to prohibit the payment or receipt of remuneration for the referral of patients and physician self-referrals, regardless of whether the service was reimbursed by Medicare or Medicaid. Many states have also adopted or are considering legislative proposals to increase patient protections, such as minimum staffing levels, criminal background checks, and limiting the use and disclosure of patient specific health information. These state laws also impose criminal and civil penalties similar to the federal laws.
In the ordinary course of their business, the operators of our properties have been and are subject regularly to inquiries, investigations and audits by federal and state agencies that oversee applicable laws and regulations. Increased funding through recent federal and state legislation has led to a significant increase in the number of investigations and enforcement actions over the past several years. Private enforcement of healthcare fraud has also increased, due in large part to amendments to the civil False Claims Act in 1986 that were designed to encourage private individuals to sue on behalf of the government. These whistleblower suits by private individuals, known as qui tam suits, may be filed by almost anyone, including present and former patients or nurses and other employees. HIPAA also created a series of new healthcare crimes.
As federal and state budget pressures persist, administrative agencies may continue to escalate their investigation and enforcement efforts to eliminate waste and to control fraud and abuse in governmental healthcare programs. A violation of federal or state anti-fraud and abuse laws or regulations by an operator of our properties could have a material adverse effect on the operator’s liquidity, financial condition or results of operations, which could adversely affect its ability to satisfy its contractual obligations, including making rental payments under, and otherwise complying with the terms of, its leases and other agreements with us.
Reimbursement
In March 2010, President Obama signed into law the Patient Protection and Affordable Care Act, along with a reconciliation measure, the Health Care and Education Reconciliation Act of 2010 (collectively, the “Affordable Care Act”). The passage of the Affordable Care Act has resulted in comprehensive reform legislation that is expected to expand health care coverage to millions of currently uninsured people beginning in 2014. To help fund this expansion, the Affordable Care Act outlines certain reductions in Medicare reimbursement rates for various healthcare providers, including long-term acute care hospitals and skilled nursing facilities, as well as certain other changes to Medicare payment methodologies.
The Affordable Care Act, among other things, reduced the inflationary market basket increase included in standard federal payment rates for long-term acute care hospitals by 25 basis points in fiscal year 2010, 50 basis points in fiscal year 2011, 10 basis points in fiscal years 2012 and 2013, 30 basis points in fiscal year 2014, 20 basis points in fiscal years 2015 and 2016, and 75 basis points in fiscal years 2017 through 2019. In addition, under the Affordable Care Act, long-term acute care hospitals and skilled nursing facilities are subject to a rate adjustment to the market basket increase, which began in fiscal year 2012, to reflect improvements in productivity. In July 2012, after considering the constitutionality of various provisions of the Affordable Care Act, the U.S. Supreme Court upheld the so-called individual mandate and, while it found the provisions

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expanding Medicaid eligibility unconstitutional, determined that the issue was appropriately remedied by circumscribing the Secretary of Health and Human Services’ enforcement authority, thus leaving the Medicaid expansion intact.
Healthcare is one of the largest industries in the United States and continues to attract a great deal of legislative interest and public attention. We cannot assure you that previously enacted or future healthcare reform legislation or changes in the administration or implementation of governmental and non-governmental healthcare reimbursement programs will not have a material adverse effect on our operators’ liquidity, financial condition or results of operations, or on their ability to satisfy their obligations to us, which, in turn, could have a Material Adverse Effect on us.
In August 2011, President Obama and the U.S. Congress enacted the Budget Control Act of 2011 (the “Budget Control Act”) to increase the federal government’s borrowing authority (the so-called “debt ceiling”) and reduce the federal government’s projected operating deficit. Under the Budget Control Act, a 2% reduction in Medicare payments to long-term acute care hospitals and skilled nursing facilities (part of $1.2 trillion in automatic spending cuts commonly referred to as “sequestration”) was expected to take effect on February 1, 2013. The American Taxpayer Relief Act of 2012 delayed the expected effectiveness of this 2% reduction to April 1, 2013. These measures, alternatives to sequestration or any future federal legislation relating to the debt ceiling or deficit reduction could have a material adverse effect on our operators’ liquidity, financial condition or results of operations, which could adversely affect their ability to satisfy their obligations to us and which, in turn, could have a Material Adverse Effect on us.
Medicare Reimbursement; Long-Term Acute Care Hospitals
The Balanced Budget Act of 1997 (“BBA”) mandated the creation of a prospective payment system for long-term acute care hospitals (“LTAC PPS”) for cost reporting periods commencing on or after October 1, 2002. LTAC PPS requires payment for a Medicare beneficiary at a predetermined, per discharge amount for each defined patient category (called “Long-Term Care—Diagnosis Related Groups” or “LTC-DRGs”), adjusted for differences in area wage levels.
Updates to LTAC PPS payment rates are established by regulators and published annually for the long-term acute care hospital rate year, which coincides with annual updates to the LTC-DRG classification system and corresponds to the federal fiscal year (October 1 through September 30). The Medicare, Medicaid, and SCHIP Extension Act of 2007 (Pub. L. No. 110-173) (the “Medicare Extension Act”) significantly expanded medical necessity reviews by the Centers for Medicare & Medicaid Services (“CMS”) by requiring long-term acute care hospitals to institute a patient review process to better assess patients upon admission and on a continuing basis for appropriateness of care.
In addition, the Medicare Extension Act, among other things, provided the following long-term acute care hospital payment policy changes, all of which were extended for two years by the Affordable Care Act:
It prevented CMS from applying the “25-percent rule,” which limits payments from referring co-located hospitals, to freestanding and grandfathered long-term acute care hospitals for three years;
It modified the application of the 25-percent rule to certain urban and rural long-term acute care “hospitals-within-hospitals” and “satellite” facilities for three years;
It prevented CMS from applying the “very short stay outlier” policy for three years; and
It prevented CMS from making any one-time adjustments to correct estimates used in implementing LTAC PPS for three years.
Lastly, the Medicare Extension Act introduced a moratorium on new long-term acute care hospitals and beds for three years. In its May 2008 final rule, CMS delayed the extension of the 25-percent rule to freestanding and grandfathered long-term acute care hospitals and increased the patient percentage thresholds for certain urban and rural long-term acute care “hospitals-within-hospitals” and “satellite” facilities for three years, as mandated by the Medicare Extension Act. The rule also set forth policies on implementing the moratorium on new long-term acute care hospitals and beds imposed by the Medicare Extension Act.
In its August 2009 final rule, CMS finalized policies to implement changes required by Section 124 of the Medicare Improvements for Patients & Providers Act of 2008 (Pub. L. No. 110-275), continuing reforms intended to improve the accuracy of Medicare payments for inpatient acute care through the severity-adjusted diagnosis-related group (MS-LTC-DRG) classification system for long-term acute care hospitals.
On August 31, 2012, CMS published its final rule updating LTAC PPS for the 2013 fiscal year (October 1, 2012 through September 30, 2013). Under the rule, the LTAC PPS standard federal payment rate will increase by 1.8% in fiscal year 2013, reflecting a 2.6% increase in the market basket index, less both a 0.7% productivity adjustment and a 10 basis point adjustment mandated by the Affordable Care Act. After a one-time budget neutrality adjustment that the rule phases in over three years, the

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LTAC PPS standard federal payment rate in fiscal 2013 will increase by 0.5%. In addition, under the final rule, the moratorium on new long-term acute care hospitals and beds imposed by the Medicare Extension Act, and subsequently extended by the Affordable Care Act, expired on December 29, 2012, and the extension of the 25-percent rule to freestanding and grandfathered long-term acute care hospitals is delayed for another year until December 29, 2013. As a result, CMS estimates that net payments to long-term acute care hospitals under the final rule will increase by approximately $92 million, or 1.7%, in fiscal 2013 due to increases in high-cost and short-stay outlier payments and other changes; however, for discharges during the period from October 1, 2012 to December 29, 2012 (the effective date of the budget neutrality adjustment), net payments to long-term acute care hospitals will increase by 3%.
We regularly assess the financial implications of CMS’s rules on the operators of our long-term acute care hospitals, but we cannot assure you that current rules or future updates to LTAC PPS, LTC-DRGs or Medicare reimbursement for long-term acute care hospitals will not materially adversely affect our operators, which, in turn, could have a Material Adverse Effect on us. See “Risk Factors—Risks Arising from Our Business—Changes in the reimbursement rates or methods of payment from third-party payors, including the Medicare and Medicaid programs, could have a material adverse effect on certain of our tenants and operators and on us” included in Item 1A of this Annual Report on Form 10-K.
Medicare Reimbursement; Skilled Nursing Facilities
The BBA also mandated the creation of a prospective payment system for skilled nursing facilities (“SNF PPS”) offering Part A covered services. Under SNF PPS, payment amounts are based upon classifications determined through assessments of individual Medicare patients in the skilled nursing facility, rather than on the facility’s reasonable costs. SNF PPS payments are made on a per diem basis for each resident and are generally intended to cover all inpatient services for Medicare patients, including routine nursing care, most capital-related costs associated with the inpatient stay, and ancillary services, such as respiratory therapy, occupational and physical therapy, speech therapy and certain covered drugs.
In response to widespread healthcare industry concern about the reductions in payments under the BBA, the federal government enacted the Balanced Budget Refinement Act of 1999 (“BBRA”). The BBRA increased the per diem reimbursement rates for certain high acuity patients by 20% from April 1, 2000 until CMS refined the resource utilization groups (“RUGs”) used to determine the daily payment for beneficiaries in skilled nursing facilities in the 2006 fiscal year. The BBRA also imposed a two-year moratorium on the annual cap mandated by the BBA on physical, occupational and speech therapy services provided to a patient by outpatient rehabilitation therapy providers, including Part B covered therapy services in nursing facilities. Although extended multiple times by Congress, relief from the BBA therapy caps expired on December 31, 2009.
Under its final rule updating LTC-DRGs for the 2007 fiscal year, CMS reduced reimbursement of uncollectible Medicare coinsurance amounts for all beneficiaries (other than beneficiaries of both Medicare and Medicaid) from 100% to 70% for skilled nursing facility cost reporting periods beginning on or after October 1, 2005 and set forth various options for classifying and weighting patients transferred to a skilled nursing facility after a hospital stay less than the mean length of stay associated with that particular diagnosis-related group.
Under its final rule updating SNF PPS for the 2010 fiscal year, CMS recalibrated the case-mix indexes for RUGs used to determine the daily payment for beneficiaries in skilled nursing facilities and implemented the RUG-IV classification model for skilled nursing facilities for the 2011 fiscal year. However, the Affordable Care Act delayed the implementation of RUG-IV for one year, and CMS subsequently modified the implementation schedule in its notice updating SNF PPS for the 2011 fiscal year.
In its final Medicare Physician Fee Schedule rule for the 2012 calendar year, CMS set a $1,880 cap on physical therapy and speech-language pathology services and a separate $1,880 cap on occupational therapy services, including therapy provided in skilled nursing facilities, both without an exceptions process. However, in January 2013, the Middle Class Tax Relief and Job Creation Act of 2012 (Pub. L. No. 112-96) was enacted to lift the caps on therapy services and require a manual review process for those exceptions for which the beneficiary therapy services exceed $3,700 in a year.
On July 27, 2012, CMS issued a notice updating SNF PPS for the 2013 fiscal year (October 1, 2012 through September 30, 2013). Pursuant to the notice, the update to the SNF PPS standard federal payment rate contained in CMS’s final rule for the 2012 fiscal year includes a 2.5% increase in the market basket index, less a 0.7% productivity adjustment mandated by the Affordable Care Act, resulting in a net 1.8% increase in the SNF PPS standard federal payment rate for fiscal year 2013. However, this update does not take into account the potential impact of sequestration. CMS estimates that net payments to skilled nursing facilities will increase by approximately $670 million in fiscal year 2013 as a result of the update pursuant to the notice.
We regularly assess the financial implications of CMS’s rules on the operators of our skilled nursing facilities, but we cannot assure you that current rules or future updates to SNF PPS, therapy services or Medicare reimbursement for skilled nursing facilities will not materially adversely affect our operators, which, in turn, could have a Material Adverse Effect on us.

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See “Risk Factors—Risks Arising from Our Business—Changes in the reimbursement rates or methods of payment from third-party payors, including the Medicare and Medicaid programs, could have a material adverse effect on certain of our tenants and operators and on us” included in Item 1A of this Annual Report on Form 10-K.
Medicaid Reimbursement; Skilled Nursing Facilities
Approximately two-thirds of all nursing home residents are dependent on Medicaid. Medicaid reimbursement rates, however, typically are less than the amounts charged by the operators of our skilled nursing facilities. Although the federal government and the states share responsibility for financing Medicaid, states have a wide range of discretion, within certain federal guidelines, to determine eligibility and reimbursement methodology. In addition, federal legislation limits an operator’s ability to withdraw from the Medicaid program by restricting the eviction or transfer of Medicaid residents. As state budget pressures continue to escalate and in an effort to address actual or potential budget shortfalls, many state legislatures have enacted or proposed reductions to Medicaid expenditures by implementing “freezes” or cuts in Medicaid rates paid to providers, including hospitals and skilled nursing facilities, or by restricting eligibility and benefits.
In the Deficit Reduction Act of 2005 (Pub. L. No. 109 171), Congress made changes to the Medicaid program that were estimated to result in $10 billion in savings to the federal government over the five years following enactment of the legislation, primarily through the accounting practices some states use to calculate their matched payments and revising the qualifications for individuals who are eligible for Medicaid benefits. The changes made by CMS’s final rule updating SNF PPS for the 2006 fiscal year were also anticipated to reduce Medicaid payments to skilled nursing facility operators, and as part of the Tax Relief and Health Care Act of 2006 (Pub. L. No. 109-432), Congress reduced the ceiling on taxes that states may impose on healthcare providers and that would qualify for federal financial participation under Medicaid by 0.5%, from 6% to 5.5%, until October 1, 2011. However, it was anticipated that this reduction would have a negligible effect, impacting only those states with taxes in excess of 5.5%.
The American Recovery and Reinvestment Act of 2009 (Pub. L. No. 111-5) (the “Recovery Act”), in contrast, temporarily increased federal payments to state Medicaid programs by $86.6 billion through, among other things, a 6.2% increase in the federal share of Medicaid expenditures across the board, with additional funds available depending on a state’s federal medical assistance percentage and unemployment rate. Though the Medicaid federal assistance payments were originally expected to expire on December 31, 2010, the President’s fiscal year 2011 budget extended those payments through June 30, 2011. The Recovery Act also requires states to promptly pay nursing facilities under their Medicaid program, and precludes states, as a condition of receiving the additional funding, from heightening their Medicaid eligibility requirements.
We expect more states to adopt significant Medicaid rate freezes or cuts or other program changes as their reimbursement methodologies continue to evolve. In addition, the U.S. government may revoke, reduce or stop approving “provider taxes” that have the effect of increasing Medicaid payments to the states. We cannot predict what impact these actions would have on the operators of our skilled nursing facilities, and we cannot assure you that payments under Medicaid are now or in the future will be sufficient to fully reimburse those operators for the cost of providing skilled nursing services. Severe and widespread Medicaid rate cuts or freezes could materially adversely affect our skilled nursing facility operators, which, in turn, could adversely affect their ability to satisfy their contractual obligations, including making rental payments under, and otherwise complying with the terms of, their leases with us.
Environmental Regulation
As an owner of real property, we are subject to various federal, state and local laws and regulations regarding environmental, health and safety matters. These laws and regulations address, among other things, asbestos, polychlorinated biphenyls, fuel oil management, wastewater discharges, air emissions, radioactive materials, medical wastes, and hazardous wastes, and in certain cases, the costs of complying with these laws and regulations and the penalties for non-compliance can be substantial. Even with respect to properties that we do not operate or manage, we may be held primarily or jointly and severally liable for costs relating to the investigation and clean-up of any property from which there is or has been an actual or threatened release of a regulated material and any other affected properties, regardless of whether we knew of or caused the release. Such costs typically are not limited by law or regulation and could exceed the property’s value. In addition, we may be liable for certain other costs, such as governmental fines and injuries to persons, property or natural resources, as a result of any such actual or threatened release. See “Risk Factors—Risks Arising from Our Business—If any of our properties are found to be contaminated, or if we become involved in any environmental disputes, we could incur substantial liabilities and costs” included in Item 1A of this Annual Report on Form 10-K.
Under the terms of our lease and management agreements, we generally have a right to indemnification by the tenants, operators and managers of our properties for any contamination caused by them. However, we cannot assure you that our tenants, operators and managers will have the financial capability or willingness to satisfy their respective indemnification obligations to us, and any such inability or unwillingness to do so may require us to satisfy the underlying environmental

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claims. See “Risk Factors—Risks Arising from Our Business—We depend on Kindred and Brookdale Senior Living for a significant portion of our revenues and operating income; Any inability or unwillingness by Kindred or Brookdale Senior Living to satisfy its obligations under its agreements with us could have a Material Adverse Effect on us” included in Item 1A of this Annual Report on Form 10-K.
In general, we have also agreed to indemnify our tenants against any environmental claims (including penalties and clean-up costs) resulting from any condition arising in, on or under, or relating to, the leased properties at any time before the applicable lease commencement date. With respect to our senior living operating portfolio, we have agreed to indemnify our managers against any environmental claims (including penalties and clean-up costs) resulting from any condition on those properties, unless the manager caused or contributed to that condition.
We did not make any material capital expenditures in connection with environmental, health, and safety laws, ordinances and regulations in 2012 and do not expect that we will be required to make any such material capital expenditures during 2013.
CERTAIN U.S. FEDERAL INCOME TAX CONSIDERATIONS
The following discussion summarizes certain U.S. federal income tax considerations that you may deem relevant as a holder of our common stock. It is not tax advice, nor does it purport to address all aspects of U.S. federal income taxation that may be important to particular stockholders in light of their personal circumstances or to certain types of stockholders, such as insurance companies, tax-exempt organizations (except to the extent discussed below under “—Treatment of Tax-Exempt Stockholders”), financial institutions, pass-through entities (or investors in such entities) or broker-dealers, and non-U.S. individuals and entities (except to the extent discussed below under “—Special Tax Considerations for Non-U.S. Stockholders”), that may be subject to special rules.
The statements in this section are based on the Internal Revenue Code of 1986, as amended (the “Code”), U.S. Treasury Regulations, Internal Revenue Service (“IRS”) rulings, and judicial decisions now in effect, all of which are subject to change or different interpretation, possibly with retroactive effect. The laws governing the U.S. federal income tax treatment of REITs and their stockholders are highly technical and complex, and this discussion is qualified in its entirety by the authorities listed above. We cannot assure you that new laws, interpretations of law or court decisions will not cause any statement herein to be inaccurate.
Federal Income Taxation of Ventas
We elected REIT status beginning with the year ended December 31, 1999. Beginning with the 1999 tax year, we believe that we have satisfied the requirements to qualify as a REIT, and we intend to continue to qualify as a REIT for federal income tax purposes. If we continue to qualify for taxation as a REIT, we generally will not be subject to federal income tax on net income that we currently distribute to stockholders. This treatment substantially eliminates the “double taxation” (i.e., taxation at both the corporate and stockholder levels) that generally results from investment in a corporation.
Notwithstanding such qualification, we will be subject to federal income tax on any undistributed taxable income, including undistributed net capital gains, at regular corporate rates. In addition, we will be subject to a 4% excise tax if we do not satisfy specific REIT distribution requirements. See “—Requirements for Qualification as a REIT—Annual Distribution Requirements.” Under certain circumstances, we may be subject to the “alternative minimum tax” on our undistributed items of tax preference. If we have net income from the sale or other disposition of “foreclosure property” (see below) held primarily for sale to customers in the ordinary course of business or certain other non-qualifying income from foreclosure property, we will be subject to tax at the highest corporate rate on that income. See “—Requirements for Qualification as a REIT—Asset Tests.” In addition, if we have net income from “prohibited transactions” (which are, in general, certain sales or other dispositions of property (other than foreclosure property) held primarily for sale to customers in the ordinary course of business), that income will be subject to a 100% tax.
We may also be subject to “Built-in Gains Tax” on any appreciated asset that we own or acquire that was previously owned by a C corporation (i.e., a corporation generally subject to full corporate-level tax). If we dispose of any such asset and recognize gain on the disposition during the ten-year period immediately after the asset was owned by a C corporation (either prior to our REIT election, or through stock acquisition or merger), then we generally will be subject to regular corporate income tax on the gain equal to the lesser of the recognized gain at the time of disposition or the built-in gain in that asset as of the date it became a REIT asset.
In addition, if we fail to satisfy either of the gross income tests for qualification as a REIT (as discussed below), but still maintain such qualification under the relief provisions of the Code, we will be subject to a 100% tax on the gross income attributable to the amount by which we failed the applicable test, multiplied by a fraction intended to reflect our profitability. If we violate one or more of the REIT asset tests (as discussed below), we may avoid a loss of our REIT status if we qualify under certain relief provisions and, among other things, pay a tax equal to the greater of $50,000 or the highest corporate tax rate

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multiplied by the net income generated by the non-qualifying asset during a specified period. If we fail to satisfy any requirement for REIT qualification, other than the gross income or assets tests mentioned above, but nonetheless maintain such qualification by meeting certain other requirements, we may be subject to a $50,000 penalty for each failure. Finally, we will incur a 100% excise tax on the income derived from certain transactions with a taxable REIT subsidiary (including rental income derived from leasing properties to a taxable REIT subsidiary) that are not conducted on an arm’s-length basis.
See “—Requirements for Qualification as a REIT” below for other circumstances in which we may be required to pay federal taxes.
Requirements for Qualification as a REIT
To qualify as a REIT, we must meet the requirements discussed below relating to our organization, sources of income, nature of assets and distributions of income to stockholders.
Organizational Requirements
The Code defines a REIT as a corporation, trust or association: (i) that is managed by one or more directors or trustees; (ii) the beneficial ownership of which is evidenced by transferable shares or by transferable certificates of beneficial interest; (iii) that would be taxable as a domestic corporation but for Sections 856 through 859 of the Code; (iv) that is neither a financial institution nor an insurance company subject to certain provisions of the Code; (v) the beneficial ownership of which is held by 100 or more persons during at least 335 days of a taxable year of 12 months, or during a proportionate part of a shorter taxable year (the “100 Shareholder Rule”); (vi) not more than 50% in value of the outstanding stock of which is owned, directly or indirectly, by five or fewer individuals (as defined in the Code to include certain entities) during the last half of each taxable year (the “5/50 Rule”); (vii) that makes an election to be a REIT (or has made such election for a previous taxable year) and satisfies all relevant filing and other administrative requirements established by the IRS that must be met in order to elect and to maintain REIT status; (viii) that uses a calendar year for federal income tax purposes; and (ix) that meets certain other tests, described below, regarding the nature of its income and assets.
We believe but cannot assure you that we have satisfied and will continue to satisfy the organizational requirements for qualification as a REIT. Our certificate of incorporation contains certain restrictions on the transfer of our shares that are intended to prevent a concentration of ownership of our stock that would cause us to fail the 5/50 Rule or the 100 Shareholder Rule; however, we cannot assure you as to the effectiveness of these restrictions.
In addition, to qualify as a REIT, a corporation may not have (as of the end of the taxable year) any earnings and profits that were accumulated in periods before it elected REIT status or that are from acquired non-REIT corporations. We believe that we have not had any accumulated earnings and profits that are attributable to non-REIT periods or from acquired corporations that were not REITs, although the IRS is entitled to challenge that determination.
Gross Income Tests
We must satisfy two annual gross income requirements to qualify as a REIT:
At least 75% of our gross income (excluding gross income from prohibited transactions) for each taxable year must consist of defined types of income derived directly or indirectly from investments relating to real property or mortgages on real property (including pledges of equity interest in certain entities holding real property and also including “rents from real property” (as defined in the Code)) and, in certain circumstances, interest on certain types of temporary investment income; and
At least 95% of our gross income (excluding gross income from prohibited transactions) for each taxable year must be derived from such real property or temporary investments, dividends, interest and gain from the sale or disposition of stock or securities, or from any combination of the foregoing.
We believe but cannot assure you that we have been and will continue to be in compliance with the gross income tests described above. If we fail to satisfy one or both gross income tests for any taxable year, we may nevertheless qualify as a REIT for that year if we qualify under certain relief provisions of the Code, in which case we would be subject to a 100% tax on the gross income attributable to the amount by which we failed the applicable test. If we fail to satisfy one or both of the gross income tests and do not qualify under the relief provisions for any taxable year, we will not qualify as a REIT for that year, which would have a Material Adverse Effect on us.
Asset Tests
At the close of each quarter of our taxable year, we must satisfy the following tests relating to the nature of our assets:
At least 75% of the value of our total assets must be represented by cash or cash items (including certain

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receivables), government securities, “real estate assets” (including interests in real property and in mortgages on real property and shares in other qualifying REITs) or, in cases where we raise new capital through stock or long-term (maturity of at least five years) debt offerings, temporary investments in stock or debt instruments during the one-year period following our receipt of such capital (the “75% asset test”); and
Of the investments not meeting the requirements of the 75% asset test, the value of any one issuer’s debt and equity securities owned by us (other than our equity interests in any entity classified as a partnership for federal income tax purposes, the stock or debt of a taxable REIT subsidiary or the stock or debt of a qualified REIT subsidiary or other disregarded entity subsidiary) may not exceed 5% of the value of our total assets (the “5% asset test”), and we may not own more than 10% of any one issuer’s outstanding voting securities (the “10% voting securities test”) or 10% of the value of any one issuer’s outstanding securities (the “10% value test”), subject to limited “safe harbor” exceptions.
In addition, no more than 25% of the value of our assets (20% for taxable years beginning prior to 2009) can be represented by securities of taxable REIT subsidiaries (the “25% TRS test”).
We believe but cannot assure you that we have been and will continue to be in compliance with the asset tests described above. If we fail to satisfy one or more asset tests at the end of any quarter, we may nevertheless continue to qualify as a REIT if we satisfied all of the asset tests at the close of the preceding calendar quarter and the discrepancy between the value of our assets and the asset test requirements is due to changes in the market values of our assets and not caused in any part by our acquisition of non-qualifying assets.
Furthermore, if we fail to satisfy any of the asset tests at the end of any calendar quarter without curing such failure within 30 days after the end of such quarter, we would fail to qualify as a REIT unless we qualified under certain relief provisions enacted as part of the American Jobs Creation Act of 2004. Under one relief provision, we would continue to qualify as a REIT if our failure to satisfy the 5% asset test, the 10% voting securities test or the 10% value test is due to our ownership of assets having a total value not exceeding the lesser of 1% of our assets at the end of the relevant quarter or $10 million and we disposed of such assets (or otherwise met such asset tests) within six months after the end of the quarter in which the failure was identified. If we fail to satisfy any of the asset tests for a particular quarter but do not qualify under the relief provision described in the preceding sentence, then we would be deemed to have satisfied the relevant asset test if: (i) following identification of the failure, we filed a schedule with a description of each asset that caused the failure; (ii) the failure is due to reasonable cause and not willful neglect; (iii) we disposed of the non-qualifying asset (or otherwise met the relevant asset test) within six months after the end of the quarter in which the failure was identified; and (iv) we paid a penalty tax equal to the greater of $50,000 or the highest corporate tax rate multiplied by the net income generated by the non-qualifying asset during the period beginning on the first date of the failure and ending on the date we disposed of the asset (or otherwise cured the asset test failure). We cannot predict, however, whether in all circumstances we would be entitled to the benefit of these relief provisions. If we fail to satisfy any of the asset tests and do not qualify for the relief provisions, we will lose our REIT status, which would have a Material Adverse Effect on us.
Foreclosure Property
The foreclosure property rules permit us (by our election) to foreclose or repossess properties without being disqualified as a REIT as a result of receiving income that does not qualify under the gross income tests. However, in that case, we would be subject to a corporate tax on the net non-qualifying income from “foreclosure property,” and the after-tax amount would increase the dividends we would be required to distribute to stockholders. See “—Annual Distribution Requirements” below. The corporate tax imposed on non-qualifying income would not apply to income that qualifies as “good REIT income,” such as a lease of qualified healthcare property to a taxable REIT subsidiary, where the taxable REIT subsidiary engages an eligible independent contractor to manage and operate the property.
Foreclosure property treatment will end on the first day on which we enter into a lease of the applicable property that will give rise to income that does not constitute “good REIT income” under Section 856(c)(3) of the Code, but such treatment will not end if the lease will give rise only to “good REIT income.” In addition, foreclosure property treatment will end if any construction takes place on the property (other than completion of a building or other improvement more than 10% complete before default became imminent). Foreclosure property treatment (other than for qualified healthcare property) is available for an initial period of three years and may, in certain circumstances, be extended for an additional three years. Foreclosure property treatment for qualified healthcare property is available for an initial period of two years and may, in certain circumstances, be extended for an additional four years.
Taxable REIT Subsidiaries
A taxable REIT subsidiary, or “TRS,” is a corporation subject to tax as a regular C corporation. Generally, a TRS can own assets that cannot be owned by a REIT and can perform tenant services (excluding the direct or indirect operation or

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management of a lodging or healthcare facility) that would otherwise disqualify the REIT’s rental income under the gross income tests. Also, notwithstanding general restrictions on related party rent, a REIT can lease healthcare properties to a TRS if the TRS does not manage or operate the healthcare facilities and instead engages an “eligible independent contractor” to manage the healthcare facilities. We are permitted to own up to 100% of a TRS, subject to the 25% TRS test, but there are certain limits on the ability of a TRS to deduct interest payments made to us. In addition, we are subject to a 100% penalty tax on any excess payments that we receive or any excess expenses deducted by the TRS if the economic arrangements between the REIT, the REIT’s tenants and the TRS are not comparable to similar arrangements among unrelated parties.
Annual Distribution Requirements
In order to be taxed as a REIT, we are required to distribute dividends (other than capital gain dividends) to our stockholders in an amount at least equal to the sum of (i) 90% of our “REIT taxable income” (computed without regard to the dividends paid deduction and our net capital gain) and (ii) 90% of the net income (after tax), if any, from foreclosure property, minus the sum of certain items of non-cash income. These dividends must be paid in the taxable year to which they relate, or in the following taxable year if (i) they are declared in October, November or December, payable to stockholders of record on a specified date in any one of those months and actually paid during January of such following year or (ii) they are declared before we timely file our tax return for such year and paid on or before the first regular dividend payment after such declaration, and we elect on our federal income tax return for the prior year to have a specified amount of the subsequent dividend treated as paid in the prior year. To the extent we do not distribute all of our net capital gain or at least 90%, but less than 100%, of our “REIT taxable income,” as adjusted, we will be subject to tax on the undistributed amount at regular capital gains and ordinary corporate tax rates except to the extent of our net operating loss or capital loss carryforwards. If we pay any Built-in Gains Taxes, those taxes will be deductible in computing REIT taxable income. Moreover, if we fail to distribute during each calendar year (or, in the case of distributions with declaration and record dates falling in the last three months of the calendar year, by the end of January following such calendar year) at least the sum of 85% of our REIT ordinary income for such year, 95% of our REIT capital gain net income for such year (other than long-term capital gain we elect to retain and treat as having been distributed to stockholders), and any undistributed taxable income from prior periods, we will be subject to a 4% nondeductible excise tax on the excess of such required distribution over the amounts actually distributed.
We believe but cannot assure you that we have satisfied the annual distribution requirements for the year of our initial REIT election and each year thereafter through the year ended December 31, 2012. Although we intend to satisfy the annual distribution requirements to continue to qualify as a REIT for the year ending December 31, 2013 and subsequent years, economic, market, legal, tax or other considerations could limit our ability to meet those requirements.
We also have net operating loss carryforwards that we may use to reduce our annual distribution requirements. See “Note 13—Income Taxes” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
Failure to Continue to Qualify
If we fail to satisfy one or more requirements for REIT qualification, other than by violating a gross income or asset test for which relief is otherwise available as described above, we would retain our REIT qualification if the failure is due to reasonable cause and not willful neglect and if we pay a penalty of $50,000 for each such failure. We cannot predict, however, whether in all circumstances we would be entitled to the benefit of this relief provision.
If our election to be taxed as a REIT is revoked or terminated (e.g., due to a failure to meet the REIT qualification tests without qualifying for any applicable relief provisions), we would be subject to tax (including any applicable alternative minimum tax) on our taxable income at regular corporate rates (for all open tax years beginning with the year our REIT election is revoked or terminated), and distributions to stockholders would not be deductible by us, nor would they be required to be made. To the extent of current and accumulated earnings and profits, all distributions to stockholders would be taxable as ordinary income (except to the extent such dividends are eligible for the qualified dividends rate generally available to non-corporate holders), and, subject to certain limitations in the Code, corporate stockholders may be eligible for the dividends received deduction. In addition, we would be prohibited from re-electing REIT status for the four taxable years following the year during which we ceased to qualify as a REIT, unless certain relief provisions of the Code applied. We cannot predict, however, whether we would be entitled to such relief.
Federal Income Taxation of U.S. Stockholders
As used herein, the term “U.S. Stockholder” refers to any beneficial owner of our common stock that is, for U.S. federal income tax purposes, an individual who is a citizen or resident of the United States, a corporation created or organized in or under the laws of the United States, any state thereof or the District of Columbia, an estate the income of which is includible in gross income for U.S. federal income tax purposes regardless of its source, or a trust if (i) a U.S. court is able to exercise primary supervision over the administration of such trust and one or more U.S. persons have authority to control all substantial

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decisions of the trust or (ii) the trust has elected under applicable U.S. Treasury Regulations to retain its pre-August 20, 1996 classification as a U.S. person. If an entity treated as a partnership for U.S. federal income tax purposes holds our common stock, the tax treatment of a partner in the partnership will generally depend on the status of the partner and the activities of the partnership. Partners of partnerships holding our stock should consult their tax advisors. This section assumes the U.S. Stockholder holds our common stock as a capital asset.
As long as we qualify as a REIT, distributions made to our taxable U.S. Stockholders out of current or accumulated earnings and profits (and not designated as capital gain dividends) generally will be taxable to such U.S. Stockholders as ordinary income and will not be eligible for the qualified dividends rate generally available to non-corporate holders or for the dividends received deduction generally available to corporations. Distributions that are designated as capital gain dividends will be taxed as a long-term capital gain (to the extent such distributions do not exceed our actual net capital gain for the taxable year) without regard to the period for which the stockholder has held its shares. Distributions in excess of current and accumulated earnings and profits will not be taxable to a U.S. Stockholder to the extent they do not exceed the adjusted basis of the stockholder’s shares (determined on a share-by-share basis), but rather will reduce the adjusted basis of those shares. To the extent that distributions in excess of current and accumulated earnings and profits exceed the adjusted basis of a stockholder’s shares, such distributions will be included in income as capital gains. The tax rate applicable to such capital gains will depend on the stockholder’s holding period for the shares. Any distribution declared by us and payable to a stockholder of record on a specified date in October, November or December of any year will be treated as both paid by us and received by the stockholder on December 31 of that year, provided that we actually pay the distribution during January of the following calendar year.
We may elect to treat all or a part of our undistributed net capital gain as if it had been distributed to our stockholders. If we make such an election, our stockholders would be required to include in their income as long-term capital gain their proportionate share of our undistributed net capital gain, as designated by us. Each such stockholder would be deemed to have paid its proportionate share of the income tax imposed on us with respect to such undistributed net capital gain, and this amount would be credited or refunded to the stockholder. In addition, the tax basis of the stockholder’s shares would be increased by its proportionate share of undistributed net capital gains included in its income, less its proportionate share of the income tax imposed on us with respect to such gains.
Stockholders may not include in their individual income tax returns any of our net operating losses or net capital losses. Instead, we would carry over those losses for potential offset against our future income, subject to certain limitations. Taxable distributions from us and gain from the disposition of our common stock will not be treated as passive activity income, and, therefore, stockholders generally will not be able to apply any “passive activity losses” (such as losses from certain types of limited partnerships in which the stockholder is a limited partner) against such income. In addition, taxable distributions from us generally will be treated as investment income for purposes of the investment interest limitations.
We will notify stockholders after the close of our taxable year as to the portions of the distributions attributable to that year that constitute ordinary income, return of capital and capital gain. To the extent a portion of the distribution is designated as a capital gain dividend, we will notify stockholders as to the portion that is a “20% rate gain distribution” and the portion that is an unrecaptured Section 1250 distribution. A 20% rate gain distribution is a capital gain distribution to domestic stockholders that are individuals, estates or trusts that is taxable at a maximum rate of 20%. An unrecaptured Section 1250 gain distribution would be taxable to taxable domestic stockholders that are individuals, estates or trusts at a maximum rate of 25%.
Taxation of U.S. Stockholders on the Disposition of Shares of Common Stock
In general, a U.S. Stockholder who is not a dealer in securities must treat any gain or loss realized upon a taxable disposition of our common stock as long-term capital gain or loss if the stockholder has held the shares for more than one year, and otherwise as short-term capital gain or loss. However, a U.S. Stockholder must treat any loss upon a sale or exchange of shares of our common stock held for six months or less as a long-term capital loss to the extent of capital gain dividends and any other actual or deemed distributions from us which the stockholder treats as long-term capital gain. All or a portion of any loss that a U.S. Stockholder realizes upon a taxable disposition of our common stock may be disallowed if the stockholder purchases other shares of our common stock (or certain options to acquire our common stock) within 30 days before or after the disposition.
Medicare Tax on Investment Income
For taxable years beginning after December 31, 2012, certain U.S. stockholders who are individuals, estates or trusts and whose income exceeds certain thresholds will be required to pay a 3.8% Medicare tax on dividends and certain other investment income, including capital gains from the sale or other disposition of our common stock.

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Treatment of Tax-Exempt Stockholders
Tax-exempt organizations, including qualified employee pension and profit sharing trusts and individual retirement accounts (collectively, “Exempt Organizations”), generally are exempt from U.S. federal income taxation. However, they are subject to taxation on their unrelated business taxable income (“UBTI”). While many investments in real estate generate UBTI, the IRS has issued a published ruling that dividend distributions by a REIT to an exempt employee pension trust do not constitute UBTI, provided that the shares of the REIT are not otherwise used in an unrelated trade or business of the exempt employee pension trust. Based on that ruling, and subject to the exceptions discussed below, amounts distributed by us to Exempt Organizations generally should not constitute UBTI. However, if an Exempt Organization finances its acquisition of our common stock with debt, a portion of its income from us will constitute UBTI pursuant to the “debt-financed property” rules. Furthermore, social clubs, voluntary employee benefit associations, supplemental unemployment benefit trusts and qualified group legal services plans that are exempt from taxation under paragraphs (7), (9), (17) and (20), respectively, of Section 501(c) of the Code are subject to different UBTI rules, which generally require them to characterize distributions from us as UBTI. In addition, in certain circumstances, a pension trust that owns more than 10% of our stock is required to treat a percentage of the dividends from us as UBTI.
Special Tax Considerations for Non-U.S. Stockholders
As used herein, the term “Non-U.S. Stockholder” refers to any beneficial owner of our common stock that is, for U.S. federal income tax purposes, a nonresident alien individual, foreign corporation, foreign estate or foreign trust, but does not include any foreign stockholder whose investment in our stock is “effectively connected” with the conduct of a trade or business in the United States. Such a foreign stockholder, in general, will be subject to U.S. federal income tax with respect to its investment in our stock in the same manner as a U.S. Stockholder (subject to applicable alternative minimum tax and a special alternative minimum tax in the case of nonresident alien individuals). In addition, a foreign corporation receiving income that is treated as effectively connected with a U.S. trade or business also may be subject to an additional 30% “branch profits tax” on its effectively connected earnings and profits (subject to adjustments) unless an applicable tax treaty provides a lower rate or an exemption. Certain certification requirements must be satisfied in order for effectively connected income to be exempt from withholding.
Distributions to Non-U.S. Stockholders that are not attributable to gain from sales or exchanges by us of U.S. real property interests and are not designated by us as capital gain dividends (or deemed distributions of retained capital gains) will be treated as dividends of ordinary income to the extent that they are made out of our current or accumulated earnings and profits. Such distributions ordinarily will be subject to a withholding tax equal to 30% of the gross amount of the distribution unless an applicable tax treaty reduces or eliminates that tax. Distributions in excess of our current and accumulated earnings and profits will not be taxable to a Non-U.S. Stockholder to the extent that such distributions do not exceed the adjusted basis of the stockholder’s shares (determined on a share-by-share basis), but rather will reduce the adjusted basis of those shares. To the extent that distributions in excess of current and accumulated earnings and profits exceed the adjusted basis of a Non-U.S. Stockholder’s shares, such distributions will give rise to tax liability if the Non-U.S. Stockholder would otherwise be subject to tax on any gain from the sale or disposition of its shares, as described below.
We expect to withhold U.S. tax at the rate of 30% on the gross amount of any dividends, other than dividends treated as attributable to gain from sales or exchanges of U.S. real property interests and capital gain dividends, paid to a Non-U.S. Stockholder, unless (i) a lower treaty rate applies and the required IRS Form W-8BEN evidencing eligibility for that reduced rate is filed with us or the appropriate withholding agent or (ii) the Non-U.S. Stockholder files an IRS Form W-8ECI or a successor form with us or the appropriate withholding agent properly claiming that the distributions are effectively connected with the Non-U.S. Stockholder’s conduct of a U.S. trade or business.
For any year in which we qualify as a REIT, distributions to a Non-U.S. Stockholder that owns more than 5% of our common shares at any time during the one-year period ending on the date of distribution and that are attributable to gain from sales or exchanges by us of U.S. real property interests will be taxed to the Non-U.S. Stockholder under the provisions of the Foreign Investment in Real Property Tax Act of 1980 (“FIRPTA”) as if such gain were effectively connected with a U.S. business. Accordingly, a Non-U.S. Stockholder that owns more than 5% of our common shares will be taxed at the normal capital gain rates applicable to a U.S. Stockholder (subject to any applicable alternative minimum tax and a special alternative minimum tax in the case of nonresident alien individuals) and would be required to file a U.S. federal income tax return. Distributions subject to FIRPTA also may be subject to a branch profits tax equal to 30% of its effectively connected earnings and profits (subject to adjustments) if the recipient is a foreign corporate stockholder not entitled to treaty relief or exemption. Under FIRPTA, we are required to withhold 35% (which is higher than the maximum rate on long-term capital gains of non-corporate persons) of any distribution to a Non-U.S. Stockholder that owns more than 5% of our common shares which is or could be designated as a capital gain dividend attributable to U.S. real property interests. Moreover, if we designate previously made distributions as capital gain dividends attributable to U.S. real property interests, subsequent distributions (up to the amount of such prior distributions) will be treated as capital gain dividends subject to FIRPTA withholding. This amount is

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creditable against the Non-U.S. Stockholder’s FIRPTA tax liability.
If a Non-U.S. Stockholder does not own more than 5% of our common shares at any time during the one-year period ending on the date of a distribution, any capital gain distributions, to the extent attributable to sales or exchanges by us of U.S. real property interests, will not be considered to be effectively connected with a U.S. business, and the Non-U.S. Stockholder would not be required to file a U.S. federal income tax return by receiving such a distribution. In that case, the distribution will be treated as a REIT dividend to that Non-U.S. Stockholder and taxed as a REIT dividend that is not a capital gain distribution (and subject to withholding), as described above. In addition, the branch profits tax will not apply to the distribution. Any capital gain distribution, to the extent not attributable to sales or exchanges by us of U.S. real property interests, generally will not be subject to U.S. federal income taxation (regardless of the amount of our common shares owned by a Non-U.S. Stockholder). For so long as our common stock continues to be regularly traded on an established securities market, the sale of such stock by any Non-U.S. Stockholder who is not a Five Percent Non-U.S. Stockholder (as defined below) generally will not be subject to U.S. federal income tax (unless the Non-U.S. Stockholder is a nonresident alien individual who was present in the United States for more than 182 days during the taxable year of the sale and certain other conditions apply, in which case such gain (net of certain sources within the U.S., if any) will be subject to a 30% tax on a gross basis). A “Five Percent Non-U.S. Stockholder” is a Non-U.S. Stockholder who, at some time during the five-year period preceding such sale or disposition, beneficially owned (including under certain attribution rules) more than 5% of the total fair market value of our common stock (as outstanding from time to time).
In general, the sale or other taxable disposition of our common stock by a Five Percent Non-U.S. Stockholder also will not be subject to U.S. federal income tax if we are a “domestically controlled REIT.” A REIT is a “domestically controlled REIT” if, at all times during the five-year period preceding the disposition in question, less than 50% in value of its shares is held directly or indirectly by Non-U.S. Stockholders. Although we believe that we currently qualify as a domestically controlled REIT, because our common stock is publicly traded, we cannot assure you that we do so qualify or that we will qualify as a domestically controlled REIT at any time in the future. If we do not constitute a domestically controlled REIT, a Five Percent Non-U.S. Stockholder generally will be taxed in the same manner as a U.S. Stockholder with respect to gain on the sale of our common stock (subject to applicable alternative minimum tax and a special alternative minimum tax in the case of nonresident alien individuals).
A 30% withholding tax will be imposed on dividends paid after December 31, 2013 and redemption proceeds paid after December 31, 2016 to (i) foreign financial institutions including non-U.S. investment funds, unless they agree to collect and disclose to the IRS information regarding their direct and indirect U.S. account holders and (ii) certain other foreign entities, unless they certify certain information regarding their direct and indirect U.S. owners.  To avoid withholding, foreign financial institutions will need to (i) enter into agreements with the IRS that state that they will provide the IRS information, including the names, addresses and taxpayer identification numbers of direct and indirect U.S. account holders, comply with due diligence procedures with respect to the identification of U.S. accounts, report to the IRS certain information with respect to U.S. accounts maintained, agree to withhold tax on certain payments made to non-compliant foreign financial institutions or to account holders who fail to provide the required information, and determine certain other information as to their account holders, or (ii) in the event that an applicable intergovernmental agreement and implementing legislation are adopted, provide local revenue authorities with similar account holder information. Other foreign entities will need to either provide the name, address, and taxpayer identification number of each substantial U.S. owner or certifications of no substantial U.S. ownership unless certain exceptions apply or agree to provide certain information to other revenue authorities for transmittal to the IRS.
Information Reporting Requirements and Backup Withholding Tax
Information returns may be filed with the IRS and backup withholding tax may be collected in connection with distributions paid or required to be treated as paid during each calendar year and payments of the proceeds of a sale or other disposition of our common stock. Under the backup withholding rules, a stockholder may be subject to backup withholding at the applicable rate (currently 28%) with respect to distributions paid and proceeds from a disposition of our common stock unless such holder is a corporation, non-U.S. person or comes within certain other exempt categories and, when required, demonstrates this fact or provides a taxpayer identification number, certifies as to no loss of exemption from backup withholding and otherwise complies with the applicable requirements of the backup withholding rules. A stockholder who does not provide us with its correct taxpayer identification number also may be subject to penalties imposed by the IRS.
Backup withholding is not an additional tax. Rather, the U.S. federal income tax liability of persons subject to backup withholding tax will be offset by the amount of tax withheld. If backup withholding tax results in an overpayment of U.S. federal income taxes, a refund or credit may be obtained from the IRS, provided the required information is furnished timely thereto.
As a general matter, backup withholding and information reporting will not apply to a payment of the proceeds of a sale of our common stock by or through a foreign office of a foreign broker. Information reporting (but not backup withholding) will

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apply, however, to a payment of the proceeds of a sale of our common stock by a foreign office of a broker that is a U.S. person, a foreign partnership that engaged during certain periods in the conduct of a trade or business in the United States or more than 50% of whose capital or profit interests are owned during certain periods by U.S. persons, any foreign person that derives 50% or more of its gross income for certain periods from the conduct of a trade or business in the United States, or a “controlled foreign corporation” for U.S. tax purposes, unless the broker has documentary evidence in its records that the holder is a Non-U.S. Stockholder and certain other conditions are satisfied, or the stockholder otherwise establishes an exemption. Payment to or through a U.S. office of a broker of the proceeds of a sale of our common stock is subject to both backup withholding and information reporting unless the stockholder certifies under penalties of perjury that the stockholder is a Non-U.S. Stockholder or otherwise establishes an exemption. A stockholder may obtain a refund of any amounts withheld under the backup withholding rules in excess of its U.S. federal income tax liability by timely filing the appropriate claim for a refund with the IRS.
Other Tax Consequences
State and Local Taxes
We and our stockholders may be subject to taxation by various states and localities, including those in which we or a stockholder transact business, own property or reside. State and local tax treatment may differ from the federal income tax treatment described above. Consequently, stockholders should consult their own tax advisers regarding the effect of state and local tax laws, in addition to federal, foreign and other tax laws, in connection with an investment in our common stock.
Possible Legislative or Other Actions Affecting Tax Consequences
You should recognize that future legislative, judicial and administrative actions or decisions, which may be retroactive in effect, could adversely affect our federal income tax treatment or the tax consequences of an investment in shares of our common stock. The rules dealing with U.S. federal income taxation are constantly under review by persons involved in the legislative process and by the IRS and the U.S. Treasury Department, resulting in statutory changes as well as promulgation of new, or revisions to existing, regulations and revised interpretations of established concepts. We cannot predict the likelihood of passage of any new tax legislation or other provisions either directly or indirectly affecting us or our stockholders or the value of an investment in our common stock.
ITEM 1A.    Risk Factors
This section discusses the most significant factors that affect our business, operations and financial condition. It does not describe all risks and uncertainties applicable to us, our industry or ownership of our securities. If any of the following risks, or any other risks and uncertainties that we have not yet identified or that we currently deem not material, actually occur, we could be materially adversely affected. In that event, the value of our securities could decline.
We have grouped these risk factors into three general categories:
Risks arising from our business;
Risks arising from our capital structure; and
Risks arising from our status as a REIT.
Risks Arising from Our Business
We depend on Kindred and Brookdale Senior Living for a significant portion of our revenues and operating income; Any inability or unwillingness by Kindred or Brookdale Senior Living to satisfy its obligations under its agreements with us could have a Material Adverse Effect on us.
The properties we lease to Kindred and Brookdale Senior Living account for a significant portion of our revenues and NOI, and because the Kindred Master Leases and our leases with Brookdale Senior Living are triple-net leases, we also depend on Kindred and Brookdale Senior Living to pay all insurance, taxes, utilities and maintenance and repair expenses in connection with the leased properties. We cannot assure you that either Kindred or Brookdale Senior Living will have sufficient assets, income and access to financing to enable it to make rental payments to us or to otherwise satisfy its respective obligations under our leases, and any inability or unwillingness by Kindred or Brookdale Senior Living to do so could have a Material Adverse Effect on us. In addition, any failure by either Kindred or Brookdale Senior Living to effectively conduct its operations or to maintain and improve our properties could adversely affect its business reputation and its ability to attract and retain patients and residents in our properties, which could have a Material Adverse Effect on us. Kindred and Brookdale Senior Living have also agreed to indemnify, defend and hold us harmless from and against various claims, litigation and liabilities arising in connection with their respective businesses, and we cannot assure you that either Kindred or Brookdale

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Senior Living will have sufficient assets, income, access to financing and insurance coverage to enable it to satisfy its indemnification obligations.
The properties managed by Atria and Sunrise account for a significant portion of our revenues and operating income; Although Atria and Sunrise are managers, not tenants, of our properties, adverse developments in their businesses and affairs or financial condition could have a Material Adverse Effect on us.
As of December 31, 2012, Atria and Sunrise, collectively, managed 220 of our seniors housing communities pursuant to long-term management agreements. These properties represent a substantial portion of our portfolio, based on their gross book value, and account for a significant portion of our revenues and NOI. Although we have various rights as the property owner under our management agreements, we rely on Atria’s and Sunrise’s personnel, expertise, technical resources and information systems, proprietary information, good faith and judgment to manage our seniors housing communities efficiently and effectively. We also rely on Atria and Sunrise to set resident fees, to provide accurate property-level financial results for our properties in a timely manner and to otherwise operate our properties in accordance with the terms of our management agreements and in compliance with all applicable laws and regulations. For example, we depend on Atria’s and Sunrise’s ability to attract and retain skilled management personnel who are responsible for the day-to-day operations of our seniors housing communities. A shortage of nurses or other trained personnel or general inflationary pressures may force Sunrise or Atria to enhance its pay and benefits package to compete effectively for such personnel, and Atria or Sunrise may not be able to offset such added costs by increasing the rates charged to residents. Any increase in labor costs and other property operating expenses, any failure by Atria or Sunrise to attract and retain qualified personnel, or significant changes in Atria’s or Sunrise’s senior management could adversely affect the income we receive from our seniors housing communities and have a Material Adverse Effect on us.
Because Atria and Sunrise manage, but do not lease, our properties, we are not directly exposed to their credit risk in the same manner or to the same extent as a triple-net tenant. However, any adverse developments in Atria’s or Sunrise’s business and affairs or financial condition could impair their ability to manage our properties efficiently and effectively and could have a Material Adverse Effect on us. If Atria or Sunrise experiences any significant financial, legal, accounting or regulatory difficulties due to a weak economy or otherwise, such difficulties could result in, among other adverse events, acceleration of its indebtedness, impairment of its continued access to capital, the enforcement of default remedies by its counterparties, or the commencement of insolvency proceedings by or against it under the U.S. Bankruptcy Code, any one or a combination of which indirectly could have a Material Adverse Effect on us.
We face potential adverse consequences of bankruptcy or insolvency by our tenants, operators, borrowers, managers and other obligors.
We are exposed to the risk that our tenants, operators, borrowers, managers or other obligors could become bankrupt or insolvent. Although our lease, loan and management agreements provide us with the right to exercise certain remedies in the event of default on the obligations owing to us or upon the occurrence of certain insolvency events, the bankruptcy and insolvency laws afford certain rights to a party that has filed for bankruptcy or reorganization. For example, a debtor-lessee may reject its lease with us in a bankruptcy proceeding. In such a case, our claim against the debtor-lessee for unpaid and future rents would be limited by the statutory cap of the U.S. Bankruptcy Code. This statutory cap could be substantially less than the remaining rent actually owed under the lease, and any claim we have for unpaid rent might not be paid in full. In addition, a debtor-lessee may assert in a bankruptcy proceeding that its lease should be re-characterized as a financing agreement. If such a claim is successful, our rights and remedies as a lender, compared to a landlord, are generally more limited. Similarly, if a debtor-manager seeks bankruptcy protection, the automatic stay provisions of the U.S. Bankruptcy Code would preclude us from enforcing our remedies against the manager unless relief is first obtained from the court having jurisdiction over the bankruptcy case. In the event of an obligor bankruptcy, we may also be required to fund certain expenses and obligations (e.g., real estate taxes, debt costs and maintenance expenses) to preserve the value of our properties, avoid the imposition of liens on our properties or transition our properties to a new tenant, operator or manager.
If we must replace any of our tenants or operators, we might be unable to reposition the properties on as favorable terms, or at all, and we could be subject to delays, limitations and expenses, which could have a Material Adverse Effect on us.
We cannot predict whether our tenants will renew existing leases beyond their current term. If the Kindred Master Leases, our leases with Brookdale Senior Living or any of our other leases are not renewed, we would attempt to reposition those properties with another tenant or operator. In case of non-renewal, we generally have one year prior to expiration of the lease term to arrange for repositioning of the properties and our tenants are required to continue to perform all of their obligations (including the payment of all rental amounts) for the non-renewed assets until such expiration. However, following expiration of a lease term or if we exercise our right to replace a tenant or operator in default, rental payments on the related properties could decline or cease altogether while we reposition the properties with a suitable replacement tenant or operator. We also might not be successful in identifying suitable replacements or entering into leases or other arrangements with new

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tenants or operators on a timely basis or on terms as favorable to us as our current leases, if at all, and we may be required to fund certain expenses and obligations (e.g., real estate taxes, debt costs and maintenance expenses) to preserve the value of, and avoid the imposition of liens on, our properties while they are being repositioned. In addition, we may incur certain obligations and liabilities, including obligations to indemnify the replacement tenant or operator, which could have a Material Adverse Effect on us.
In the event of non-renewal or a tenant default, our ability to reposition our properties with a suitable tenant or operator could be significantly delayed or limited by state licensing, receivership, CON or other laws, as well as by the Medicare and Medicaid change-of-ownership rules. We could also incur substantial additional expenses in connection with any licensing, receivership or change-of-ownership proceedings. In addition, our ability to locate suitable replacement tenants could be impaired by the specialized healthcare uses or contractual restrictions on use of the properties, and we may be forced to spend substantial amounts to adapt the properties to other uses to attract suitable replacement tenants. Any such delays, limitations and expenses could adversely impact our ability to collect rent, obtain possession of leased properties or otherwise exercise remedies for tenant default and could have a Material Adverse Effect on us.
Moreover, in connection with certain of our properties, we have entered into intercreditor agreements with the tenants’ lenders or tri-party agreements with our lenders. Our ability to exercise remedies under those leases or management agreements or to reposition the applicable properties may be significantly delayed or limited by the terms of the intercreditor agreement or tri-party agreement. Any such delay or limit on our rights and remedies could adversely affect our ability to mitigate our losses and could have a Material Adverse Effect on us.
We have rights to terminate our management agreements with Atria and Sunrise in whole or with respect to specific properties under certain circumstances, and we may be unable to replace Atria or Sunrise if our management agreements are terminated or not renewed.
We are parties to long-term management agreements with each of Atria and Sunrise pursuant to which Atria and Sunrise, collectively, provide comprehensive property management and accounting services with respect to 220 of our seniors housing communities. Substantially all of our management agreements with Atria have terms expiring December 31, 2027, with successive automatic ten-year renewal periods. Our management agreements with Sunrise have terms ranging from 25 to 30 years, commencing as early as 2004 and as recently as 2012. Our ability to terminate these long-term management agreements is limited to specific circumstances set forth in the agreements and may relate to all properties or a specific property or group of properties.
We may terminate any of our Atria management agreements upon the occurrence of an event of default by Atria in the performance of a material covenant or term thereof (including, in certain circumstances, the revocation of any license or certificate necessary for operation), subject in most cases to Atria’s right to cure such default, or upon the occurrence of certain insolvency events relating to Atria. In addition, we may terminate most of our management agreements with Atria based on the failure to achieve certain NOI targets or upon the payment of a fee.
We may terminate any of our Sunrise management agreements upon the occurrence of an event of default by Sunrise in the performance of a material covenant or term thereof (including, in certain circumstances, the revocation of any license or certificate necessary for operation), subject in most cases to Sunrise’s right to cure such default, or upon the occurrence of certain insolvency events relating to Sunrise. In addition, we may terminate most of our management agreements with Sunrise based on the failure to achieve certain NOI targets or to comply with certain expense control covenants, also subject to certain rights of Sunrise to make cure payments to us, and upon the occurrence of certain other events or the existence of certain other conditions.
We continually monitor our contractual rights with Atria and Sunrise under their respective management agreements and assess our rights and remedies. When determining whether to pursue any existing or future rights or remedies under the Atria or Sunrise management agreements, including termination rights, we consider numerous factors, including legal, contractual, regulatory, business and other relevant considerations. In the event that we exercise our rights to terminate our management agreements with Atria or Sunrise for any reason or such agreements are not renewed upon expiration of their terms, we would attempt to find another manager for the properties covered by those agreements. Although we believe that many qualified national and regional seniors care providers would be interested in managing our seniors housing communities, we cannot provide any assurance that we would be able to locate another suitable manager or, if we are successful in locating such a manager, that it would manage the properties effectively. Moreover, any such replacement manager would require approval by the applicable regulatory authorities and, in most cases, the mortgage lenders for the properties, and we cannot provide any assurance that such approvals would be granted on a timely basis or at all. Any inability to replace, or a lengthy delay in replacing, Atria or Sunrise as manager following termination or non-renewal of our management agreements could have a Material Adverse Effect on us.

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Merger and acquisition activity or consolidation in the healthcare and seniors housing industries resulting in a change of control of, or a competitor’s investment in, one or more of our tenants, operators or managers could have a Material Adverse Effect on us.
The healthcare and seniors housing industries have recently experienced increased consolidation, including among owners of real estate and care providers. We compete with other healthcare REITs, healthcare providers, healthcare lenders, real estate partnerships, banks, insurance companies, private equity firms and other investors that pursue a variety of investments, which may include investments in our tenants, operators and managers. A competitor’s investment in one of our tenants, operators or managers could enable our competitor to influence such tenant’s, operator’s or managers’ business and strategy in a manner that impairs our relationship with the tenant, operator or manager or is otherwise adverse to our interests. In certain cases involving our competitor’s investment in, a change of control of, or other transactions impacting a tenant, operator or manager, depending on our contractual agreements and the specific facts and circumstances, we may have the right to consent to such investment, change of control or other transaction or otherwise exercise rights and remedies, including termination rights, on account thereof. In deciding whether to exercise our rights and remedies, including termination rights, we consider numerous factors, including legal, contractual, regulatory, business and other relevant considerations. In addition, in connection with any change of control of a tenant, operator or manager, the tenant’s, operator’s or manager’s management team may change, which could lead to a change in the tenant’s, operator’s or manager’s strategy or adversely affect the business of the tenant, operator or manager, either of which could have a Material Adverse Effect on us.
Our significant acquisition and investment activity presents certain risks to our business and operations.
We continue to make significant acquisitions and investments as part of our overall business strategy. Our significant acquisition and investment activity presents certain risks to our business and operations, including, among other things, that:
We may be unable to successfully integrate the operations or information technology of acquired companies, maintain consistent standards, controls, policies and procedures, or realize the anticipated benefits of acquisitions and other investments within the anticipated timeframe or at all;
We may be unable to effectively monitor and manage our expanded portfolio of properties, retain key employees or attract highly qualified new employees;
Projections of estimated future revenues, costs savings or operating metrics that we develop during the due diligence and integration planning process might be inaccurate;
Acquisitions and other new investments could divert management’s attention from our existing assets;
The value of acquired assets or the market price of our common stock may decline; and
We may be unable to continue paying dividends at the current rate.
We cannot assure you that we will be able to achieve the economic benefit we expect from acquired properties and other investments or integrate acquisitions without encountering difficulties or that any such difficulties will not have a Material Adverse Effect on us.
Our pursuit of investments in, and acquisitions or development of, seniors housing and healthcare assets may be unsuccessful or fail to meet our expectations.
We intend to continue to pursue investments in, and acquisitions or development of, additional seniors housing and healthcare assets domestically and internationally, subject to the contractual restrictions contained in the instruments governing our existing indebtedness. When we attempt to finance, acquire or develop these types of properties, we compete with other healthcare REITs, healthcare providers, healthcare lenders, real estate partnerships, banks, insurance companies, private equity firms and other investors, some of whom have greater financial resources and lower costs of capital than we do. Increased competition makes it more challenging for us to identify and successfully capitalize on opportunities that meet our business objectives and could improve the bargaining power of property owners seeking to sell, thereby impeding our investment, acquisition and development activities. Our ability to compete successfully for investment and acquisition opportunities is affected by many factors, including our ability to obtain debt and equity capital at costs comparable to or better than our competitors. See “Business—Competition” included in Item 1 of this Annual Report on Form 10-K. Further, if we incur additional debt or issue equity securities, or both, to finance future investments, acquisitions or development activity, our leverage could increase or our per share financial results could decline.
Investments in and acquisitions of seniors housing and healthcare properties entail risks associated with real estate investments generally, including that the investment’s performance will fail to meet expectations, that the cost estimates for necessary property improvements will prove inaccurate or that the tenant, operator or manager will underperform. Real estate development projects present other risks, including construction delays or cost overruns that increase expenses, the inability to

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obtain required zoning, occupancy and other governmental approvals and permits on a timely basis, and the incurrence of significant development costs prior to completion of the project. In addition to risks associated with real estate investments and development generally, healthcare properties are often highly customized and may require costly tenant-specific improvements. Furthermore, investments outside the United States create legal, economic and market risks associated with operating in foreign countries, such as currency exchange fluctuations and foreign tax risks.
If the liabilities we have assumed in connection with past acquisitions or the liabilities we assume in connection with future acquisitions are greater than expected, or if there are unknown liabilities, our business could be materially and adversely affected.
We may assume or incur certain liabilities in connection with our acquisitions, including, in some cases, contingent liabilities. As we integrate these acquisitions, we may learn additional information about the sellers, the properties, their operations and their liabilities that adversely affects us, such as:
Liabilities relating to the clean-up or remediation of undisclosed environmental conditions;
Unasserted claims of vendors or other persons dealing with the sellers;
Liabilities, claims and litigation, including indemnification obligations, whether or not incurred in the ordinary course of business, relating to periods prior to or following our acquisition;
Claims for indemnification by general partners, directors, officers and others indemnified by the sellers; and
Liabilities for taxes relating to periods prior to our acquisition.
As a result, we cannot assure you that our past or future acquisitions will be successful or will not, in fact, harm our business. Among other things, if the liabilities we have assumed in connection with past acquisitions or the liabilities we assume in connection with future acquisitions are greater than expected, or if there are obligations relating to the acquired properties or businesses of which we were or are not aware at the time we completed or complete the acquisition, our business and results of operations could be materially adversely affected.
Our investments are concentrated in seniors housing and healthcare real estate, making us more vulnerable economically to adverse changes in the real estate market and the seniors housing and healthcare industries than if our investments were diversified.
We invest primarily in seniors housing and healthcare properties, and our ability to make investments outside the seniors housing and healthcare industries is restricted by the terms of our existing indebtedness. Our investment focus exposes us to greater economic risk than if our portfolio were to include real estate assets in other industries or non-real estate assets.
The healthcare industry is highly regulated, and changes in government regulation and reimbursement can have material adverse consequences on the healthcare industry, some of which may be unintended. The healthcare industry is also highly competitive and our operators and managers may encounter increased competition that could limit their ability to attract residents and patients or expand their businesses, which could materially adversely affect their ability to meet their obligations to us. The occupancy levels at, and revenues from, our properties depend on the ability of our tenants, operators and managers to successfully compete with other operators and managers, including with respect to the scope and quality of care and services provided, reputation and financial condition, physical appearance of the properties, price and location. We cannot assure you that future changes in government regulation will not adversely affect the healthcare industry, including our seniors housing and healthcare operations, tenants and operators, nor can we be certain that our tenants, operators and managers will be able to achieve and maintain occupancy and rate levels that will enable them to meet all of their obligations to us. Any adverse changes in the regulation of the healthcare industry or the competitiveness of our tenants, operators and managers could have a more pronounced effect on us than if our investments were further diversified.
Real estate investments are relatively illiquid, and our ability to quickly sell or exchange our properties in response to changes in economic or other conditions is limited. In the event we desire or need to sell any of our properties, the value of those properties and our ability to sell at a price or on terms acceptable to us could be adversely affected by a downturn in the real estate industry or any weakness in the seniors housing and healthcare industries. In addition, transfers of healthcare properties may be subject to regulatory approvals that are not required for transfers of other types of commercial properties. We cannot assure you that we will recognize the full value of any property that we sell for liquidity or other reasons, and the inability to respond quickly to changes in the performance of our investments could adversely affect our business, results of operations and financial condition.

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We have now, and may have in the future, exposure to contingent rent escalators, which can hinder our growth and profitability.
We receive a significant portion of our revenues by leasing certain of our assets under long-term triple-net leases that generally provide for fixed rental rates that are subject to annual escalations. The annual escalations in certain of our leases are contingent upon the achievement of specified revenue parameters or based on changes in the Consumer Price Index. If, as a result of weak economic conditions or other factors, the properties subject to these leases do not generate sufficient revenue to achieve the specified rent escalation parameters or the Consumer Price Index does not increase, our growth and profitability will be hindered by these leases.
Our operating assets expose us to various operational risks, liabilities and claims that could adversely affect our ability to generate revenues or increase our costs and could have a Material Adverse Effect on us.
Our senior living and MOB operating assets expose us to various operational risks, liabilities and claims that could increase our costs or adversely affect our ability to generate revenues, thereby reducing our profitability. These operational risks include fluctuations in occupancy levels, the inability to achieve economic resident fees (including anticipated increases in those fees), rent control regulations, increases in the cost of food, materials, energy, labor (as a result of unionization or otherwise) or other services, national and regional economic conditions, the imposition of new or increased taxes, capital expenditure requirements, professional and general liability claims, and the availability and cost of professional and general liability insurance. Any one or a combination of these factors could result in operating deficiencies in our senior living operations or MOB operations reportable business segments, which could have a Material Adverse Effect on us.
We own certain properties subject to ground lease, air rights or other restrictive agreements that limit our uses of the properties, restrict our ability to sell or otherwise transfer the properties and expose us to the loss of the properties if such agreements are breached by us or terminated.
We invest in many of our MOBs and other properties, and we may invest in additional properties in the future, through leasehold interests in the land on which the buildings are located, leases of air rights for the space above the land on which the buildings are located, or other similar restrictive arrangements. Many of these ground lease, air rights and other restrictive agreements impose significant limitations on our uses of the subject properties, restrict our ability to sell or otherwise transfer our interests in the properties or restrict the leasing of the properties. These restrictions may limit our ability to timely sell or exchange the properties, impair the properties’ value or negatively impact our ability to find suitable tenants for the properties. In addition, we could lose our interests in the subject properties if the ground lease, air rights or other restrictive agreements are breached by us or terminated.
We may be unable to successfully foreclose on the collateral securing our loans and other investments, and even if we are successful in our foreclosure efforts, we may be unable to successfully sell any acquired equity interests or reposition any acquired properties, which may adversely affect our ability to recover our investments.
If a borrower defaults under mortgage or other secured loans for which we are the lender, we may attempt to foreclose on the collateral securing those loans, including by acquiring the pledged equity interests or acquiring title to the subject properties, to protect our investment. In response, the defaulting borrower may contest our enforcement of foreclosure or other available remedies, seek bankruptcy protection against our exercise of enforcement or other available remedies, or bring claims against us for lender liability. If a defaulting borrower seeks bankruptcy protection, the automatic stay provisions of the U.S. Bankruptcy Code would preclude us from enforcing foreclosure or other available remedies against the borrower unless relief is first obtained from the court with jurisdiction over the bankruptcy case. In addition, we may be subject to intercreditor agreements that delay, impact, govern or limit our ability to foreclose on a lien securing a loan or otherwise delay or limit our pursuit of our rights and remedies. Any such delay or limit on our ability to pursue our rights or remedies could have a Material Adverse Effect on us. Even if we successfully foreclose on the collateral securing our mortgage loans and other investments, foreclosure-related costs, high loan-to-value ratios or declines in equity or property value could prevent us from realizing the full amount of our secured loans, and we could be required to record a valuation allowance for such losses. Moreover, we may acquire equity interests that we are unable to sell due to securities law restrictions or otherwise, and we may acquire title to properties that we are unable to reposition with new tenants or operators on a timely basis, if at all, or without making improvements or repairs to the properties. Any delay or costs incurred in repositioning the properties could adversely affect our ability to recover our investments.
The federal government’s failure to increase its borrowing authority, scheduled reductions in federal government spending or future legislation to address the federal government’s projected operating deficit could have a material adverse effect on our operators’ liquidity, financial condition or results of operations.
The amount of debt that the federal government is permitted to incur (the “debt ceiling”) is limited by statute and can be increased only by legislation adopted by the U.S. Congress. The U.S. Department of the Treasury has indicated in public

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statements that, without an increase or suspension of the debt ceiling beyond its current effective date of May 20, 2013, the federal government will be unable to meet all of its financial commitments. The federal government’s failure to increase the debt ceiling as needed to meet its future financial commitments or a downgrade in the debt rating on U.S. government securities as a result of the uncertainty related to the debt ceiling could lead to a weakened U.S. dollar, rising interest rates and constrained access to capital, which could materially adversely affect the U.S. and global economies, increase our costs of borrowing and have a Material Adverse Effect on us.
Under the Budget Control Act, a 2% reduction in Medicare payments to long-term acute care hospitals and skilled nursing facilities (part of $1.2 trillion of sequestration), is expected to take effect on April 1, 2013. President Obama and members of the U.S. Congress have proposed various spending cuts and tax reform initiatives as alternatives to sequestration. Such alternatives or sequestration could result in changes (including substantial reductions in funding) to Medicare, Medicaid or Medicare Advantage Plans. Any such alternative, sequestration or future federal legislation relating to deficit reduction that reduces reimbursement payments to healthcare providers could have a material adverse effect on our operators’ liquidity, financial condition or results of operations, which could adversely affect their ability to satisfy their obligations to us and could have a Material Adverse Effect on us.
Our tenants, operators and managers may be adversely affected by healthcare regulation and enforcement.
The regulatory environment of the long-term healthcare industry has generally intensified over time both in the amount and type of regulations and in the efforts to enforce those regulations. This is particularly true for large for-profit, multi-facility providers like Kindred, Brookdale Senior Living, Atria and Sunrise. The extensive federal, state and local laws and regulations affecting the healthcare industry include those relating to, among other things, licensure, conduct of operations, ownership of facilities, addition of facilities and equipment, allowable costs, services, prices for services, qualified beneficiaries, quality of care, patient rights, fraudulent or abusive behavior, and financial and other arrangements that may be entered into by healthcare providers. Moreover, changes in enforcement policies by federal and state governments have resulted in an increase in the number of inspections, citations of regulatory deficiencies and other regulatory sanctions, including terminations from the Medicare and Medicaid programs, bars on Medicare and Medicaid payments for new admissions, civil monetary penalties and even criminal penalties. See “Governmental Regulation—Healthcare Regulation” included in Item 1 of this Annual Report on Form 10-K. We are unable to predict the scope of future federal, state and local regulations and legislation, including the Medicare and Medicaid statutes and regulations, or the intensity of enforcement efforts with respect to such regulations and legislation, and any changes in the regulatory framework could have a material adverse effect on our tenants, operators and managers, which, in turn, could have a Material Adverse Effect on us.
Further, if our tenants, operators and managers fail to comply with the extensive laws, regulations and other requirements applicable to their businesses and the operation of our properties, they could become ineligible to receive reimbursement from governmental and private third-party payor programs, face bans on admissions of new patients or residents, suffer civil or criminal penalties or be required to make significant changes to their operations. Our tenants, operators and managers also could be forced to expend considerable resources responding to an investigation or other enforcement action under applicable laws or regulations. In such event, the results of operations and financial condition of our tenants, operators and managers and the results of operations of our properties operated or managed by those entities could be adversely affected, which, in turn, could have a Material Adverse Effect on us.
Changes in the reimbursement rates or methods of payment from third-party payors, including the Medicare and Medicaid programs, could have a material adverse effect on certain of our tenants and operators and on us.
Certain of our tenants and operators rely on reimbursement from third-party payors, including the Medicare and Medicaid programs, for substantially all of their revenues. Federal and state legislators and regulators have adopted or proposed various cost-containment measures that would limit payments to healthcare providers, and budget crises and financial shortfalls have caused states to implement or consider Medicaid rate freezes or cuts. See “Governmental Regulation—Healthcare Regulation” included in Item 1 of this Annual Report on Form 10-K. Private third-party payors have also continued their efforts to control healthcare costs. We cannot assure you that adequate reimbursement levels will be available for services to be provided by our tenants and operators that currently depend on Medicare, Medicaid or private payor reimbursement. Significant limits by governmental and private third-party payors on the scope of services reimbursed or on reimbursement rates and fees—whether from sequestration, alternatives to sequestration or future legislation or administrative actions—could have a material adverse effect on the liquidity, financial condition and results of operations of certain of our tenants and operators, which could affect adversely their ability to make rental payments under, and otherwise comply with the terms of, their leases with us and have a Material Adverse Effect on us.

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Our investments in joint ventures and unconsolidated entities could be adversely affected by our lack of sole decision-making authority regarding major decisions, our reliance on our joint venture partners’ financial condition, any disputes that may arise between us and our joint venture partners, and our exposure to potential losses from the actions of our joint venture partners.
As of December 31, 2012, we owned 28 MOBs, 11 seniors housing communities, nine skilled nursing facilities and one hospital through consolidated joint ventures, and we had ownership interests ranging between 5% and 25% in 21 MOBs, 20 seniors housing communities and 14 skilled nursing facilities through investments in unconsolidated entities. In addition, we had a 34% ownership interest in Atria as of December 31, 2012. These joint ventures and unconsolidated entities involve risks not present with respect to our wholly owned properties, including the following:
We may be unable to take actions that are opposed by our joint venture partners under arrangements that require us to share decision-making authority over major decisions affecting the ownership or operation of the joint venture and any property owned by the joint venture, such as the sale or financing of the property or the making of additional capital contributions for the benefit of the property;
For joint ventures in which we have a noncontrolling interest, our joint venture partners may take actions that we oppose;
Our ability to sell or transfer our interest in a joint venture to a third party may be restricted if we fail to obtain the prior consent of our joint venture partners;
Our joint venture partners might become bankrupt or fail to fund their share of required capital contributions, which could delay construction or development of a property or increase our financial commitment to the joint venture;
Our joint venture partners might have business interests or goals with respect to a property that conflict with our business interests and goals, including with respect to the timing, terms and strategies for investment, which could increase the likelihood of disputes regarding the ownership, management or disposition of the property;
Disagreements with our joint venture partners about decisions affecting a property or the joint venture could result in litigation or arbitration that increases our expenses, distracts our officers and directors and disrupts the day-to-day operations of the property, including by delaying important decisions until the dispute is resolved; and
We may suffer losses as a result of actions taken by our joint venture partners with respect to our joint venture investments.
Events that adversely affect the ability of seniors and their families to afford daily resident fees at our seniors housing communities could cause our occupancy rates, resident fee revenues and results of operations to decline.
By and large, assisted and independent living services are not reimbursable under government reimbursement programs, such as Medicare and Medicaid. Hence, substantially all of the resident fee revenues generated by our senior living operations are derived from private pay sources consisting of the income or assets of residents or their family members. Due to the significant expense associated with building new properties and the staffing and other costs of providing services, the daily resident and care fees at seniors housing communities are generally affordable only for seniors with income or assets that meet or exceed the comparable regional median. A weak economy, depressed housing market or changes in demographics could adversely affect the continued ability of these seniors and their families to afford the daily resident and care fees. If the managers of our seniors housing communities are unable to attract and retain seniors that have sufficient income, assets or other resources to pay the fees associated with assisted and independent living services, the occupancy rates, resident fee revenues and results of operations of our senior living operations could decline, which, in turn, could have a Material Adverse Effect on us.
Termination of resident lease agreements could adversely affect our revenues and earnings.
Applicable regulations governing assisted living communities generally require a written lease agreement with each resident that gives the resident the right to terminate his or her lease agreement for any reason on reasonable notice. Consistent with these regulations, the resident lease agreements entered into by the managers of our seniors housing communities generally allow residents to terminate their lease agreements on 30 days’ notice. Thus, unlike typical apartment lease agreements that have terms of one year or longer, our managers cannot contract with residents to stay for longer periods of time. Due to the terms of the lease agreements and the age of the residents, the resident turnover rate in our seniors housing communities may be difficult to predict. If a large number of resident lease agreements terminate at or around the same time, and if the affected units remain unoccupied, our revenues and earnings could be adversely affected, which, in turn, could have a Material Adverse Effect on us.

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Overbuilding in markets in which our seniors housing communities and MOBs are located could adversely affect our future occupancy rates, operating margins and profitability.
The seniors housing and MOB industries generally have limited barriers to entry, and, as a consequence, the development of new seniors housing communities or MOBs could outpace demand. If development outpaces demand for those asset types in the markets in which our properties are located, those markets may become saturated and we could experience decreased occupancy, reduced operating margins and lower profitability.
The hospitals on whose campuses our MOBs are located and their affiliated health systems could fail to remain competitive or financially viable, which could adversely impact their ability to attract physicians and physician groups to our MOBs.
Our MOB operations depend on the viability of the hospitals on or near whose campuses our MOBs are located and their ability to attract physicians and other healthcare-related clients to our MOBs. The viability of these hospitals, in turn, depends on factors such as the quality and mix of healthcare services provided, competition, demographic trends in the surrounding community, market position and growth potential, as well as the ability of the affiliated health systems to provide economies of scale and access to capital. If a hospital on or near whose campus one of our MOBs is located is unable to meet its financial obligations, and if an affiliated health system is unable to support that hospital, the hospital may be unable to compete successfully or could be forced to close or relocate, which could adversely impact its ability to attract physicians and other healthcare-related clients. Because we rely on our proximity to and affiliations with these hospitals to create demand for space in our MOBs, the hospitals’ inability to remain competitive or financially viable, or to attract physicians and physician groups, could materially adversely affect our MOB operations and have a Material Adverse Effect on us.
We may not be able to maintain or expand our relationships with our existing and future hospital and health system clients.
The success of our MOB operations depends, to a large extent, on our past, current and future relationships with hospitals and their affiliated health systems. We invest a significant amount of time to develop our relationships with both new and existing clients, and these relationships have helped us to secure acquisition and development opportunities, as well as other advisory, property management and hospital project management projects. If our relationships with hospitals and their affiliated health systems deteriorate, or if a conflict of interest or non-compete arrangement prevents us from expanding these relationships, our ability to secure new acquisition and development opportunities or other advisory, property management and hospital project management projects could be adversely impacted and our professional reputation within the industry could be damaged.
Our development and redevelopment projects, including projects undertaken on a fee-for-service basis or through our joint ventures, may not yield anticipated returns.
We consider and, when appropriate, invest in development and redevelopment projects. In deciding whether to make an investment in a particular project, we make certain assumptions regarding the expected future performance of the property. Our assumptions are subject to risks generally associated with development and redevelopment projects, including, among others, that:
We may be unable to obtain financing for the project on favorable terms or at all;
We may not complete the project on schedule or within budgeted amounts;
We may encounter delays in obtaining or fail to obtain all necessary zoning, land use, building, occupancy, environmental and other governmental permits and authorizations, or underestimate the costs necessary to develop or redevelop the property to market standards;
Construction or other delays may provide tenants or residents the right to terminate preconstruction leases or cause us to incur additional costs;
Volatility in the price of construction materials or labor may increase our project costs;
In the case of our MOB developments, hospitals or health systems may maintain significant decision-making authority with respect to the development schedule;
Our builders may fail to perform or satisfy the expectations of our clients or prospective clients;
We may incorrectly forecast risks associated with development in new geographic regions;
Tenants may not lease space at the quantity or rental rate levels or on the schedule projected;

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Demand for our project may decrease prior to completion, including due to competition from other developments; and
Lease rates and rents at newly developed or redeveloped properties may fluctuate based on factors beyond our control, including market and economic conditions.
In MOB development projects that we undertake on a fee-for-service basis, we generally construct properties for clients in exchange for a fixed fee, which creates additional risks such as the inability to pass on increased labor and construction material costs to our clients, development and construction delays that could give our counterparties the right to receive penalties from us, and bankruptcy or default by our contractors. We attempt to mitigate these risks by establishing certain limits on our obligations, shifting some of the risk to the general contractor or seeking other legal protections, but we cannot assure you that our mitigation efforts will be effective.
If any of the risks described above occur, our development and redevelopment projects, including projects undertaken on a fee-for-service basis or through our joint ventures, may not yield anticipated returns, which could have a Material Adverse Effect on us.
The amount and scope of insurance coverage provided by our policies and policies maintained by our tenants, operators and managers may not adequately insure against losses.
We maintain or require in our existing lease, management and other agreements that our tenants, operators and managers maintain adequate insurance coverage on our properties and their operations. Although we regularly review the scope and level of insurance maintained by us and our tenants, operators and managers and believe the coverage provided to be customary for similarly situated companies in our industry, we cannot assure you that we or our tenants, operators and managers will continue to be able to maintain adequate levels of insurance. We also cannot assure you that we will continue to maintain or require that our tenants, operators and managers maintain the same levels of insurance coverage, that such insurance will be available at a reasonable cost in the future or that the insurance coverage provided will fully cover all losses on our properties upon the occurrence of a catastrophic event, nor can we make any guaranty as to the future financial viability of the insurers.
Should an uninsured loss or a loss in excess of insured limits occur, we could incur substantial liability or lose all or a portion of the capital we have invested in a property, as well as the anticipated future revenues from the property. Following the occurrence of such an event, we might nevertheless remain obligated for any mortgage debt or other financial obligations related to the property. We cannot assure you that material uninsured losses, or losses in excess of insurance proceeds, will not occur in the future.
As part of our MOB development business, we provide engineering, construction and architectural services, and any design, construction or systems failures related to the properties we develop may result in substantial injury or damage to clients or third parties. Injury or damage claims may arise in the ordinary course and may be asserted with respect to ongoing or completed projects. Although we maintain liability insurance, if any claim results in a loss, we cannot assure you that our insurance coverage would be adequate to cover the loss in full. If we sustain losses in excess of our insurance coverage, we may be required to make a payment for the difference and could lose our investment in, or experience reduced profits and cash flows from, the affected MOB, which could have a Material Adverse Effect on us.
Significant legal actions could subject us or our tenants, operators and managers to increased operating costs and substantial uninsured liabilities, which could materially adversely affect our or their liquidity, financial condition and results of operations.
From time to time, we may be subject to claims brought against us in lawsuits and other legal proceedings arising out of our alleged actions or the alleged actions of our tenants, operators and managers for which such tenants, operators and managers may have agreed to indemnify, defend and hold us harmless. An unfavorable resolution of any such pending or future litigation could materially adversely affect our or their liquidity, financial condition and results of operations and have a Material Adverse Effect on us.
In certain cases, we and our tenants, operators and managers may be subject to professional liability claims brought by plaintiffs’ attorneys seeking significant punitive damages and attorneys’ fees. Due to the historically high frequency and severity of professional liability claims against healthcare and seniors housing providers, the availability of professional liability insurance has been restricted and the premiums on such insurance coverage remain very high. As a result, our insurance coverage and the insurance coverage of our tenants, operators and managers might not cover all claims against us or them and might not be available to us or them at a reasonable cost. If we or our tenants, operators and managers are unable to maintain adequate insurance coverage or are required to pay punitive damages, we or they may be exposed to substantial liabilities.

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In an effort to reduce and manage costs and for various other reasons, many companies in the healthcare industry, including some of our tenants, operators and managers, utilize different organizational and corporate structures coupled with self-insurance trusts or programs (commonly referred to as “captives”) that may provide them with less insurance coverage. Companies that insure any part of their general and professional liability risks through their own captive limited purpose entities generally estimate the future cost of general and professional liability through actuarial studies that rely primarily on historical data. However, due to the rise in the number and severity of professional claims against healthcare providers, these actuarial studies may underestimate the future cost of claims, and reserves for future claims may not be adequate to cover the actual cost of those claims. As a result, the tenants, operators and managers of our properties who self-insure could incur large funded and unfunded professional liability expense, which could materially adversely affect their liquidity, financial condition and results of operations and, in turn, their ability to satisfy their obligations to us or, in the case of our senior living operations, our results of operations and, in either case, have a Material Adverse Effect on us. Likewise, if we decide to implement a captive self-insurance program, any large funded and unfunded professional liability expenses that we incur could have a Material Adverse Effect on us.
Our operators may be sued under a federal whistleblower statute.
Our operators who engage in business with the federal government may be sued under a federal whistleblower statute designed to combat fraud and abuse in the healthcare industry. See “Governmental Regulation—Healthcare Regulation” included in Item 1 of this Annual Report on Form 10-K. These lawsuits can involve significant monetary damages and award bounties to private plaintiffs who successfully bring these suits. If any of these lawsuits were to be brought against our operators, such suits combined with increased operating costs and substantial uninsured liabilities could have a material adverse effect on our operators’ liquidity, financial condition and results of operation and on their ability to comply with the terms of their leases with us, including their ability to make rental payments to us, which, in turn, could have a Material Adverse Effect on us.
If any of our properties are found to be contaminated, or if we become involved in any environmental disputes, we could incur substantial liabilities and costs.
Under federal and state environmental laws and regulations, a current or former owner of real property may be liable for costs related to the investigation, removal and remediation of hazardous or toxic substances or petroleum that are released from or are present at or under, or that are disposed of in connection with such property. Owners of real property may also face other environmental liabilities, including government fines and penalties imposed by regulatory authorities and damages for injuries to persons, property or natural resources. Environmental laws and regulations often impose liability without regard to whether the owner was aware of, or was responsible for, the presence, release or disposal of hazardous or toxic substances or petroleum. In certain circumstances, environmental liability may result from the activities of a current or former operator of the property. Although we are generally indemnified by the current operators of our properties for contamination caused by them, these indemnities may not adequately cover all environmental costs. See “Governmental Regulation—Environmental Regulation” included in Item 1 of this Annual Report on Form 10-K.
Volatility or disruption in the capital markets could prevent our counterparties from satisfying their obligations to us.
Interest rate fluctuations, financial market volatility or credit market disruptions could limit the ability of our tenants, operators and managers to obtain credit to finance their businesses on acceptable terms, which could adversely affect their ability to satisfy their obligations to us. In addition, any difficulty in accessing capital or other sources of funds experienced by our other counterparties, such as letters of credit issuers, insurance carriers, banking institutions, title companies and escrow agents, could prevent such counterparties from remaining viable entities or satisfying their obligations to us, which could have a Material Adverse Effect on us.
Our success depends, in part, on our ability to attract and retain talented employees, and the loss of any one of our key personnel could adversely impact our business.
The success of our business depends, in part, on the leadership and performance of our executive management team and key employees, and our ability to attract, retain and motivate talented employees could significantly impact our future performance. Competition for these individuals is intense, and we cannot assure you that we will retain our key officers and employees or that we will be able to attract and retain other highly qualified individuals in the future. Losing any one or more of these persons could have a Material Adverse Effect on us.
Failure to maintain effective internal control over financial reporting could harm our business, results of operations and financial condition.
Pursuant to the Sarbanes-Oxley Act of 2002, we are required to provide a report by management on internal control over financial reporting, including management’s assessment of the effectiveness of such control. Internal control over financial

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reporting may not prevent or detect misstatements because of its inherent limitations, including the possibility of human error, the circumvention or overriding of controls, or fraud. Therefore, even effective internal controls can provide only reasonable assurance with respect to the preparation and fair presentation of financial statements. Moreover, changes to our business will necessitate ongoing changes to our internal control systems and processes. If we fail to maintain the adequacy of our internal controls, including any failure to implement required new or improved controls, or if we experience difficulties in their implementation, our business, results of operations and financial condition could be materially adversely harmed and we could fail to meet our reporting obligations.
Economic and other conditions that negatively affect geographic areas to which a greater percentage of our NOI is attributed could adversely affect our financial results.
For the year ended December 31, 2012, approximately 37.3% of our total NOI (excluding amounts in discontinued operations) was derived from properties located in California (12.6%), Texas (7.2%), New York (6.8%), Illinois (5.4%), and Massachusetts (5.3%). As a result, we are subject to increased exposure to adverse conditions affecting these regions, including downturns in the local economies or changes in local real estate conditions, increased competition or decreased demand, regional climate events and changes in state-specific legislation, which could adversely affect our business and results of operations.
We may be adversely affected by fluctuations in currency exchange rates.
Our ownership of 12 seniors housing communities in the Canadian provinces of Ontario and British Columbia subjects us to fluctuations in U.S. and Canadian currency exchange rates, which may, from time to time, impact our financial condition and results of operations. If we increase our international presence through investments in, or acquisitions or development of, seniors housing or healthcare assets outside the United States, we may transact business in currencies other than U.S. or Canadian dollars. Although we may pursue hedging alternatives, including borrowing in local currencies, to protect against foreign currency fluctuations, we cannot assure you that such fluctuations will not have a Material Adverse Effect on us.
Risks Arising from Our Capital Structure
We may become more leveraged.
As of December 31, 2012, we had approximately $8.4 billion of outstanding indebtedness (including capital lease obligations). The instruments governing our existing indebtedness permit us to incur substantial additional debt, including secured debt, and we may elect to meet our capital and liquidity needs through additional borrowings. A high level of indebtedness would require us to dedicate a substantial portion of our cash flow from operations to the payment of debt service, thereby reducing the funds available to implement our business strategy and make distributions to stockholders. A high level of indebtedness could also have the following consequences:
Potential limits on our ability to adjust rapidly to changing market conditions and vulnerability in the event of a downturn in general economic conditions or in the real estate or healthcare industries;
Potential impairment of our ability to obtain additional financing for our business strategy; and
Potential downgrade in the rating of our debt securities by one or more rating agencies, which could have the effect of, among other things, limiting our access to capital and increasing our cost of borrowing.
In addition, from time to time, we mortgage certain of our properties to secure payment of indebtedness. If we are unable to meet our mortgage payments, then the encumbered properties could be foreclosed upon or transferred to the mortgagee with a consequent loss of income and asset value.
We are exposed to increases in interest rates, which could reduce our profitability and adversely impact our ability to refinance existing debt, sell assets or engage in acquisition, investment and development activity, and our decision to hedge against interest rate risk might not be effective.
We receive a significant portion of our revenues by leasing certain of our assets under long-term triple-net leases that generally provide for fixed rental rates that are subject to annual escalations. Certain of our debt obligations are floating rate obligations with interest and related payments that vary with the movement of LIBOR, Bankers’ Acceptance or other indexes. The generally fixed rate nature of a significant portion of our revenues and the variable rate nature of certain of our debt obligations create interest rate risk. Although our operating assets provide a partial hedge against interest rate fluctuations, if interest rates rise, the costs of our existing floating rate debt and any new debt that we incur would also increase. These increased costs could reduce our profitability, impair our ability to meet our debt obligations, or increase the cost of financing our acquisition, investment and development activity. Further, rising interest rates could limit our ability to refinance existing debt upon maturity or cause us to pay higher rates upon refinancing. An increase in interest rates could also decrease the

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amount that third parties are willing to pay for our assets, thereby limiting our ability to promptly reposition our portfolio in response to changes in economic or other conditions.
We may seek to manage our exposure to interest rate volatility with hedging arrangements that involve risk, including the risk that counterparties may fail to honor their obligations under these arrangements, that these arrangements may not be effective in reducing our exposure to interest rate changes, that the amount of income we earn from hedging transactions may be limited by federal tax provisions governing REITs, and that these arrangements may cause us to pay higher interest rates on our debt obligations than would otherwise be the case. Moreover, no amount of hedging activity can fully insulate us from the risks associated with changes in interest rates. Failure to hedge effectively against interest rate risk, if we choose to engage in such activities, could adversely affect our results of operations and financial condition.
Limitations on our ability to access capital could have an adverse effect on our ability to make required payments on our debt obligations, make distributions to our stockholders or make future investments necessary to implement our business strategy.
We cannot assure you that we will be able to raise the necessary capital to meet our debt service obligations, make distributions to our stockholders or make future investments necessary to implement our business strategy, and the failure to do so could have a Material Adverse Effect on us. Although we believe that we have sufficient access to capital and other sources of funding to meet our expected liquidity needs, we cannot assure you that conditions in the capital markets will not deteriorate or that our access to capital and other sources of funding will not become constrained, which could adversely affect the availability and terms of future borrowings, renewals or refinancings and our results of operation and financial condition. If we cannot access capital at an acceptable cost or at all, we may be required to liquidate one or more investments in properties at times that may not permit us to realize the maximum return on those investments or that could result in adverse tax consequences to us.
As a public company, our access to debt and equity capital depends, in part, on the trading prices of our senior notes and common stock, which, in turn, depend upon market conditions that change from time to time, such as the market’s perception of our financial condition, our growth potential and our current and future earnings and cash distributions. Our failure to meet the market’s expectation with regard to future earnings and cash distributions or a significant downgrade in the ratings assigned to our long-term debt could impact our ability to access capital or increase our borrowing costs. We also rely on the financial institutions that are parties to our unsecured revolving credit facility. If these institutions become capital constrained, tighten their lending standards or become insolvent or if they experience excessive volumes of borrowing requests from other borrowers within a short period of time, they may be unable or unwilling to honor their funding commitments to us, which would adversely affect our ability to draw on our unsecured revolving credit facility and, over time, could negatively impact our ability to consummate acquisitions, repay indebtedness as it matures, fund capital expenditures or make distributions to our stockholders.
Covenants in the instruments governing our existing indebtedness limit our operational flexibility, and a covenant breach could materially adversely affect our operations.
The terms of the instruments governing our existing indebtedness require us to comply with certain customary financial and other covenants, such as maintaining debt service coverage, leverage ratios and minimum net worth requirements. Our continued ability to incur additional debt and to conduct business in general is subject to our compliance with these covenants, which limit our operational flexibility. Breaches of these covenants could result in defaults under the applicable debt instruments and could trigger defaults under any other indebtedness of ours that is cross-defaulted against such instruments, even if we satisfy our payment obligations. Financial and other covenants that limit our operational flexibility, as well as defaults resulting from our breach of any of these covenants, could have a Material Adverse Effect on us.
Risks Arising from Our Status as a REIT
Loss of our status as a REIT would have significant adverse consequences for us and the value of our common stock.
If we lose our status as a REIT (currently and/or with respect to any tax years for which the statute of limitations has not expired), we will face serious tax consequences that will substantially reduce the funds available to satisfy our obligations, to implement our business strategy and to make distributions to our stockholders for each of the years involved because:
We would not be allowed a deduction for distributions to stockholders in computing our taxable income and would be subject to federal income tax at regular corporate rates;
We could be subject to the federal alternative minimum tax and increased state and local taxes; and
Unless we are entitled to relief under statutory provisions, we could not elect to be subject to tax as a REIT for four taxable years following the year during which we were disqualified.

35


In addition, in such event we would no longer be required to pay dividends to maintain REIT status, which could adversely affect the value of our common stock.
Qualification as a REIT involves the application of highly technical and complex Code provisions for which there are only limited judicial and administrative interpretations. The determination of factual matters and circumstances not entirely within our control, as well as new legislation, regulations, administrative interpretations or court decisions, may adversely affect our investors or our ability to remain qualified as a REIT for tax purposes. Although we believe that we qualify as a REIT, we cannot provide any assurance that we will continue to qualify as a REIT for tax purposes.
The 90% distribution requirement will decrease our liquidity and may limit our ability to engage in otherwise beneficial transactions.
To comply with the 90% distribution requirement applicable to REITs and to avoid the nondeductible excise tax, we must make distributions to our stockholders. See “Certain U.S. Federal Income Tax Considerations—Requirements for Qualification as a REIT—Annual Distribution Requirements” included in Item 1 of this Annual Report on Form 10-K. Such distributions will limit our liquidity to finance investments, acquisitions and new developments and may limit our ability to engage in transactions that are otherwise in the best interests of our stockholders.
Although we do not anticipate any inability to satisfy the REIT distribution requirement, from time to time, we may not have sufficient cash or other liquid assets to do so. For example, timing differences between the actual receipt of income and actual payment of deductible expenses, on the one hand, and the inclusion of that income and deduction of those expenses in arriving at our taxable income, on the other hand, or non-deductible expenses such as principal amortization or repayments or capital expenditures in excess of non-cash deductions may cause us to fail to have sufficient cash or liquid assets to enable us to satisfy the 90% distribution requirement.
In the event that timing differences occur or we decide to retain cash or to distribute such greater amount as may be necessary to avoid income and excise taxation, we may seek to borrow funds, issue additional equity securities, pay taxable stock dividends, distribute other property or securities or engage in a transaction intended to enable us to meet the REIT distribution requirements. Any of these actions may require us to raise additional capital to meet our obligations; however, see “—Risks Arising from Our Capital Structure—Limitations on our ability to access capital could have an adverse effect on our ability to make required payments on our debt obligations, make distributions to our stockholders or make future investments necessary to implement our business strategy.” The terms of the instruments governing our existing indebtedness restrict our ability to engage in certain of these transactions.
To preserve our qualification as a REIT, our certificate of incorporation contains ownership limits with respect to our capital stock that may delay, defer or prevent a change of control of our company.
To assist us in preserving our qualification as a REIT, our certificate of incorporation provides that if a person acquires beneficial ownership of more than 9.9% of our outstanding preferred stock or more than 9.0% of our outstanding common stock, the shares that are beneficially owned in excess of the applicable limit are considered “excess shares” and are automatically deemed transferred to a trust for the benefit of a charitable institution or other qualifying organization selected by our Board of Directors. The trust is entitled to all dividends with respect to the excess shares and the trustee may exercise all voting power over the excess shares. In addition, we have the right to purchase the excess shares for a price equal to the lesser of (i) the price per share in the transaction that created the excess shares or (ii) the market price on the day we purchase the shares, but if we do not purchase the excess shares, the trustee of the trust is required to transfer the shares at the direction of our Board of Directors. These ownership limits could delay, defer or prevent a transaction or a change of control that might involve a premium price for our common stock or might otherwise be in the best interests of our stockholders.
ITEM 1B.    Unresolved Staff Comments
None.
ITEM 2.    Properties
Seniors Housing and Healthcare Properties
As of December 31, 2012, we owned more than 1,400 properties, including seniors housing communities, skilled nursing and other facilities, MOBs, and hospitals, in 46 states, the District of Columbia and two Canadian provinces, and we had three new properties under development. We believe that maintaining a balanced portfolio of high-quality assets diversified across many key attributes – geographic location, asset type, tenant/manager mix, revenue source and operating model – makes us less

36


susceptible to single-state regulatory or reimbursement changes, regional climate events and local economic downturns and diminishes the risk that any single factor or event could materially harm our business.
As of December 31, 2012, we had $2.9 billion aggregate principal amount of mortgage loan obligations outstanding, secured by 248 properties, of which our share was $2.7 billion.

37


The following table provides additional information regarding the geographic diversification of our portfolio of properties as of December 31, 2012 (including investments in unconsolidated entities, but excluding properties classified as held for sale):
 
Seniors Housing
Communities
 
Skilled Nursing and Other
Facilities
 
MOBs
 
Hospitals
Geographic Location
Number of
Properties
 
Units
 
Number of Properties
 
Licensed
Beds
 
Number of Properties
 
Square Feet
 
Number of Properties
 
Licensed Beds
Alabama
9

 
609

 
2

 
329

 
4

 
468,887

 

 

Arizona
21

 
1,803

 
3

 
462

 
13

 
938,176

 
4

 
220

Arkansas
6

 
369

 
8

 
875

 

 

 

 

California
66

 
7,770

 
9

 
1,115

 
24

 
1,924,325

 
7

 
587

Colorado
15

 
1,307

 
4

 
460

 
10

 
764,887

 
1

 
68

Connecticut
13

 
1,513

 
7

 
798

 

 

 

 

District of Columbia

 

 

 

 
2

 
101,580

 

 

Florida
45

 
4,426

 
1

 
171

 
19

 
547,533

 
6

 
511

Georgia
10

 
910

 
5

 
620

 
16

 
1,250,105

 

 

Idaho
1

 
70

 
7

 
624

 

 

 

 

Illinois
17

 
2,606

 
1

 
82

 
28

 
806,544

 
4

 
430

Indiana
16

 
1,236

 
34

 
3,782

 
15

 
947,857

 
1

 
59

Kansas
12

 
726

 
5

 
374

 

 

 

 

Kentucky
7

 
624

 
29

 
3,273

 
3

 
160,534

 
2

 
424

Louisiana
1

 
58

 

 

 
8

 
560,792

 
1

 
168

Maine
4

 
624

 
8

 
654

 

 

 

 

Maryland
5

 
360

 
3

 
445

 
2

 
82,663

 

 

Massachusetts
18

 
1,922

 
47

 
5,358

 

 

 
2

 
109

Michigan
24

 
1,642

 
1

 
330

 
11

 
439,429

 

 

Minnesota
17

 
910

 
4

 
626

 
3

 
243,406

 

 

Mississippi
1

 
52

 

 

 
1

 
50,575

 

 

Missouri

 

 
12

 
1,086

 
21

 
1,105,185

 
2

 
227

Montana
3

 
295

 
2

 
276

 

 

 

 

Nebraska
1

 
135

 

 

 

 

 

 

Nevada
6

 
618

 
3

 
299

 
2

 
149,248

 
1

 
52

New Hampshire

 

 
3

 
502

 

 

 

 

New Jersey
14

 
1,242

 
1

 
153

 

 

 

 

New Mexico
5

 
459

 

 

 

 

 
1

 
61

New York
41

 
4,587

 
9

 
1,566

 
1

 
111,634

 

 

North Carolina
19

 
1,810

 
17

 
1,876

 
21

 
877,512

 
1

 
124

North Dakota
1

 
48

 

 

 

 

 

 

Ohio
26

 
1,755

 
21

 
2,780

 
29

 
1,286,936

 

 

Oklahoma
10

 
617

 
3

 
235

 

 

 
1

 
59

Oregon
18

 
1,518

 
14

 
1,358

 
1

 
105,375

 

 

Pennsylvania
31

 
2,319

 
7

 
934

 
7

 
564,634

 
2

 
115

Rhode Island
6

 
648

 
1

 
129

 

 

 

 

South Carolina
3

 
224

 
4

 
602

 
23

 
1,299,015

 

 

South Dakota
4

 
182

 
2

 
246

 

 

 

 

Tennessee
19

 
1,620

 
5

 
601

 
12

 
459,120

 
1

 
49

Texas
52

 
3,765

 
53

 
5,586

 
17

 
1,128,762

 
10

 
615

Utah
3

 
393

 
5

 
476

 

 

 

 

Vermont

 

 
1

 
144

 

 

 

 

Virginia
8

 
655

 
9

 
1,323

 
4

 
139,296

 

 

Washington
18

 
1,838

 
19

 
1,876

 
11

 
586,975

 

 

West Virginia
2

 
124

 
4

 
326

 

 

 

 

Wisconsin
68

 
2,931

 
18

 
2,441

 
12

 
482,093

 

 

Wyoming
1

 
48

 
4

 
371

 
1

 
78,932

 

 

Total U.S.
667

 
57,368

 
395

 
45,564

 
321

 
17,662,010

 
47

 
3,878

British Columbia
3

 
276

 

 

 

 

 

 

Ontario
9

 
848

 

 

 

 

 

 

Total Canada
12

 
1,124

 

 

 

 

 

 

Total
679

 
58,492

 
395

 
45,564

 
321

 
17,662,010

 
47

 
3,878


38


Corporate Offices
Our headquarters are located in Chicago, Illinois, and we have additional offices in Louisville, Kentucky, Plano, Texas, Irvine, California and Charlotte, North Carolina. We lease all of our corporate offices other than our North Carolina office.
ITEM 3.    Legal Proceedings
The information contained in “Note 16—Litigation” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K is incorporated by reference into this Item 3. Except as set forth therein, we are not a party to, nor is any of our property the subject of, any material pending legal proceedings.
ITEM 4.    (Removed and Reserved)

PART II
ITEM 5.    Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Market Information
Our common stock, par value $0.25 per share, is listed and traded on the New York Stock Exchange (the “NYSE”) under the symbol “VTR.” The following table sets forth, for the periods indicated, the high and low sales prices of our common stock as reported on the NYSE and the dividends declared per share.
 
Sales Price of
Common Stock
 
Dividends
Declared
 
High
 
Low
 
2012
 
 
 
 
 
First Quarter
$
59.05

 
$
53.24

 
$
0.62

Second Quarter
63.12

 
53.94

 
0.62

Third Quarter
68.15

 
61.52

 
0.62

Fourth Quarter
65.71

 
61.30

 
0.62

2011
 
 
 
 
 
First Quarter
$
57.45

 
$
50.98

 
$
0.575

Second Quarter
57.08

 
50.87

 
0.575

Third Quarter
55.75

 
43.25

 
0.575

Fourth Quarter
56.73

 
46.21

 
0.575

As of February 12, 2013, we had 291,943,762 shares of our common stock outstanding held by approximately 5,200 stockholders of record.
Dividends and Distributions
We pay regular quarterly dividends to holders of our common stock to comply with the provisions of the Code governing REITs. On February 13, 2013, our Board of Directors declared the first quarterly installment of our 2013 dividend in the amount of $0.67 per share, payable in cash on March 28, 2013 to stockholders of record on March 8, 2013. We expect to distribute at least 100% of our taxable net income, after the use of any net operating loss carryforwards, to our stockholders for 2013. See “Certain U.S. Federal Income Tax Considerations—Requirements for Qualification as a REIT—Annual Distribution Requirements” included in Part I, Item 1 of this Annual Report on Form 10-K.
In general, our Board of Directors makes decisions regarding the nature, frequency and amount of our dividends on a quarterly basis. Because the Board considers a number of factors when making these decisions, including our current and future liquidity needs and financial condition, our current and projected results of operations and the performance and credit quality of our tenants, operators, managers and borrowers, we cannot provide any assurance that we will maintain the policy of paying regular quarterly dividends to continue to qualify as a REIT. Please see “Cautionary Statements” and the risk factors included in Part I, Item 1A of this Annual Report on Form 10-K for a description of other factors that may affect our distribution policy.
Our stockholders may reinvest all or a portion of any cash distribution on their shares of our common stock by

39


participating in our Distribution Reinvestment and Stock Purchase Plan, subject to the terms of the plan. See “Note 17—Capital Stock” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
Director and Employee Stock Sales
Certain of our directors, executive officers and other employees have adopted and may adopt, from time to time in the future, non-discretionary, written trading plans that comply with Rule 10b5-1 under the Exchange Act, or otherwise monetize, gift or transfer their equity-based compensation. These transactions typically are conducted for estate, tax and financial planning purposes and are subject to compliance with our Amended and Restated Securities Trading Policy and Procedures (“Securities Trading Policy”), the minimum stock ownership requirements contained in our Guidelines on Governance and all applicable laws and regulations.
Our Securities Trading Policy expressly prohibits our directors, executive officers and employees from buying or selling derivatives with respect to our securities or other financial instruments that are designed to hedge or offset a decrease in the market value of our securities and from engaging in short sales with respect to our securities. In addition, our Securities Trading Policy prohibits our directors and executive officers from holding our securities in margin accounts or pledging our securities to secure loans without the prior approval of our Audit and Compliance Committee. Each of our executive officers has advised us that he or she is in compliance with the Securities Trading Policy and has not pledged any of our equity securities to secure margin or other loans.
Stock Repurchases
The table below summarizes repurchases of our common stock made during the quarter ended December 31, 2012:
 
Number of Shares
Repurchased
 
Average Price
Per Share
October 1 through October 31

 
$

November 1 through November 30 (1)
13,079

 
$
63.65

December 1 through December 31 (2)
3,697,541

 
$
59.79

    
(1)
Repurchases represent shares withheld to pay (i) taxes on the vesting of restricted stock or restricted stock units or on the exercise of options granted to employees under our 2006 Incentive Plan or under the Nationwide Health Properties, Inc. (“NHP”) 2005 Performance Incentive Plan and assumed by us in connection with our acquisition of NHP or (ii) the exercise price of options granted to employees under the NHP 2005 Performance Incentive Plan and assumed by us in connection with our acquisition of NHP. The value of the shares withheld is the closing price of our common stock on the date the vesting or exercise occurs or the fair value of our common stock at the time of exercise, as the case may be.
(2)
Repurchases represent shares owned by the Funds that we acquired in December 2012.

40


Stock Performance Graph
The following performance graph compares the cumulative total return (including dividends) to the holders of our common stock from December 31, 2007 through December 31, 2012, with the cumulative total returns of the NYSE Composite Index, the FTSE NAREIT Composite REIT Index (the “Composite REIT Index”) and the S&P 500 Index over the same period. The comparison assumes $100 was invested on December 31, 2007 in our common stock and in each of the foregoing indexes and assumes reinvestment of dividends, as applicable. We have included the NYSE Composite Index in the performance graph because our common stock is listed on the NYSE, and we have included the S&P 500 Index because we are a member of the S&P 500. We have included the Composite REIT Index because we believe that it is most representative of the industries in which we compete, or otherwise provides a fair basis for comparison with us, and is therefore particularly relevant to an assessment of our performance. The figures in the table below are rounded to the nearest dollar.
 
12/31/2007
 
12/31/2008
 
12/31/2009
 
12/31/2010
 
12/31/2011
 
12/31/2012
Ventas
$100
 
$78
 
$108
 
$136
 
$149
 
$183
NYSE Composite Index
$100
 
$61
 
$78
 
$88
 
$85
 
$99
Composite REIT Index
$100
 
$62
 
$79
 
$101
 
$109
 
$130
S&P 500 Index
$100
 
$63
 
$80
 
$92
 
$94
 
$109

41


ITEM 6.    Selected Financial Data
You should read the following selected financial data in conjunction with “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in Item 7 of this Annual Report on Form 10-K and our Consolidated Financial Statements and the notes thereto included in Item 8 of this Annual Report on Form 10-K, as acquisitions, divestitures, changes in accounting policies and other items impact the comparability of the financial data.
 
As of and For the Years Ended December 31,
 
2012
 
2011
 
2010
 
2009
 
2008
 
(Dollars in thousands, except per share data)
Operating Data
 
 
 
 
 
 
 
 
 
Rental income
$
1,194,060

 
$
803,455

 
$
523,339

 
$
480,531

 
$
461,017

Resident fees and services
1,229,479

 
868,095

 
446,301

 
421,058

 
429,257

Interest expense
293,401

 
229,346

 
172,474

 
172,358

 
201,022

Property-level operating expenses
969,342

 
647,193

 
315,953

 
302,813

 
306,944

General, administrative and professional fees
98,801

 
74,537

 
49,830

 
38,830

 
40,651

Income from continuing operations attributable to common stockholders
305,573

 
363,133

 
213,444

 
187,026

 
165,043

Discontinued operations
57,227

 
1,360

 
32,723

 
79,469

 
57,560

Net income attributable to common stockholders
362,800

 
364,493

 
246,167

 
266,495

 
222,603

Per Share Data
 
 
 
 
 
 
 
 
 
Income from continuing operations attributable to common stockholders, basic
$
1.04

 
$
1.59

 
$
1.36

 
$
1.23

 
$
1.18

Net income attributable to common stockholders, basic
$
1.24

 
$
1.60

 
$
1.57

 
$
1.75

 
$
1.59

Income from continuing operations attributable to common stockholders, diluted
$
1.04

 
$
1.57

 
$
1.35

 
$
1.22

 
$
1.18

Net income attributable to common stockholders, diluted
$
1.23

 
$
1.58

 
$
1.56

 
$
1.74

 
$
1.59

Dividends declared per common share
$
2.48

 
$
2.30

 
$
2.14

 
$
2.05

 
$
2.05

Other Data
 
 
 
 
 
 
 
 
 
Net cash provided by operating activities
$
992,816

 
$
773,197

 
$
447,622

 
$
422,101

 
$
379,907

Net cash used in investing activities
(2,169,689
)
 
(997,439
)
 
(301,920
)
 
(1,746
)
 
(136,256
)
Net cash provided by (used in) financing activities
1,198,914

 
248,282

 
(231,452
)
 
(490,180
)
 
(95,979
)
FFO(1)
1,024,567

 
824,851

 
421,506

 
393,409

 
412,357

Normalized FFO(1)
1,120,225

 
776,963

 
453,981

 
409,045

 
379,469

Balance Sheet Data
 
 
 
 
 
 
 
 
 
Real estate investments, at cost
$
19,745,607

 
$
17,830,262

 
$
6,747,699

 
$
6,399,421

 
$
6,256,562

Cash and cash equivalents
67,908

 
45,807

 
21,812

 
107,397

 
176,812

Total assets
18,980,000

 
17,271,910

 
5,758,021

 
5,616,245

 
5,771,418

Senior notes payable and other debt
8,413,646

 
6,429,116

 
2,900,044

 
2,670,101

 
3,136,998

_______________

(1)
We believe that net income, as defined by U.S. generally accepted accounting principles (“GAAP”), is the most appropriate earnings measurement. However, we consider Funds From Operations (“FFO”) and normalized FFO to be appropriate measures of operating performance of an equity REIT. We also believe that normalized FFO provides useful information because it allows investors, analysts and our management to compare our operating performance to the

42


operating performance of other real estate companies and between periods on a consistent basis without having to account for differences caused by unanticipated items and other events such as transactions and litigation. In some cases, we provide information about identified non-cash components of FFO and normalized FFO because it investors, allows analysts and our management to assess the impact of those items.

We use the National Association of Real Estate Investment Trusts (“NAREIT”) definition of FFO. NAREIT defines FFO as net income (computed in accordance with GAAP), excluding gains (or losses) from sales of real estate property, including gain on re-measurement of equity method investments, and impairment write-downs of depreciable real estate, plus real estate depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. Adjustments for unconsolidated partnerships and joint ventures will be calculated to reflect FFO on the same basis. We define normalized FFO as FFO excluding the following income and expense items (which may be recurring in nature): (a) net gains on real estate activity; (b) merger-related costs and expenses, including amortization of intangibles and transition and integration expenses, and deal costs and expenses, including expenses and recoveries relating to our lawsuit against HCP, Inc. in 2011; (c) the impact of any expenses related to asset impairment and valuation allowances, the write-off of unamortized deferred financing fees, or additional costs, expenses, discounts, make-whole payments, penalties or premiums incurred as a result of early retirement or payment of our debt; (d) the non-cash effect of income tax benefits or expenses; (e) the impact of future unannounced acquisitions or divestitures (including pursuant to tenant options to purchase) and capital transactions; (f) the financial impact of contingent consideration; (g) charitable donations made to the Ventas Charitable Foundation; and (h) gains and losses for non-operational foreign currency hedge agreements and changes in the fair value of financial instruments.

FFO, normalized FFO and certain non-cash items presented in this Annual Report on Form 10-K, or otherwise disclosed by us, may not be identical to FFO, normalized FFO or identified non-cash items presented by other real estate companies due to the fact that not all real estate companies use the same definitions. FFO and normalized FFO (or either measure adjusted for non-cash items) should not be considered alternatives to net income (determined in accordance with GAAP) as indicators of our financial performance or as alternatives to cash flow from operating activities (determined in accordance with GAAP) as measures of our liquidity, nor are FFO and normalized FFO (or either measure adjusted for non-cash items) necessarily indicative of sufficient cash flow to fund all of our needs. See “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Funds From Operations and Normalized Funds from Operations” included in Item 7 of this Annual Report on Form 10-K for a reconciliation of FFO and normalized FFO to our GAAP earnings.

ITEM 7.    Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following discussion and analysis provides information that management believes is relevant to an assessment and understanding of the consolidated results of operations and financial condition of Ventas, Inc. (together with its subsidiaries, unless otherwise indicated or except where the context otherwise requires, “we,” “us” or “our”). You should read this discussion in conjunction with our Consolidated Financial Statements and the notes thereto included in Item 8 of this Annual Report on Form 10-K. This Management’s Discussion and Analysis will help you understand:
Who we are and the environment in which we operate;
Our 2012 highlights;
Our critical accounting policies and estimates;
Our results of operations for the last three years;
How we manage our assets and liabilities;
Our liquidity and capital resources;
Our cash flows; and
Our future contractual obligations.
Corporate and Operating Environment
We are a real estate investment trust (“REIT”) with a highly diversified portfolio of seniors housing and healthcare properties located throughout the United States and Canada. As of December 31, 2012, we owned more than 1,400 properties, including seniors housing communities, skilled nursing and other facilities, medical office buildings (“MOBs”), and hospitals, in 46 states, the District of Columbia and two Canadian provinces, and we had three new properties under development. We are an S&P 500 company and currently headquartered in Chicago, Illinois.

43


We primarily acquire and own seniors housing and healthcare properties and lease our properties to unaffiliated tenants or operate them through independent third-party managers. As of December 31, 2012, we leased 898 properties (excluding MOBs and properties classified as held for sale) to healthcare operating companies under “triple-net” or “absolute-net” leases that obligate the tenants to pay all property-related expenses, including maintenance, utilities, repairs, taxes, insurance and capital expenditures, and we engaged independent operators, such as Atria Senior Living, Inc. (“Atria”) and Sunrise Senior Living, LLC (formerly Sunrise Senior Living, Inc. and, together with its subsidiaries, “Sunrise”), to manage 223 of our seniors housing communities pursuant to long-term management agreements. Kindred Healthcare, Inc. (together with its subsidiaries, “Kindred”) and Brookdale Senior Living Inc. (together with its subsidiaries, “Brookdale Senior Living”) leased from us 196 properties and 148 properties (excluding six properties included in investments in unconsolidated entities and properties classified as held for sale), respectively, as of December 31, 2012.
In addition, through our Lillibridge Healthcare Services, Inc. (“Lillibridge”) subsidiary and our ownership interest in PMB Real Estate Services LLC (“PMBRES”), we provide MOB management, leasing, marketing, facility development and advisory services to highly rated hospitals and health systems throughout the United States. From time to time, we also make secured and unsecured loans and other investments relating to seniors housing and healthcare operators or properties.
We conduct our operations through three reportable business segments: triple-net leased properties; senior living operations; and MOB operations. See “Note 20—Segment Information” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
As of December 31, 2012, we had: 100% ownership interests in 1,338 properties; controlling interests in 28 MOBs, 11 seniors housing communities, nine skilled nursing facilities and one hospital owned through consolidated joint ventures; and ownership interests ranging between 5% and 25% in 21 MOBs, 20 seniors housing communities and 14 skilled nursing facilities through investments in unconsolidated entities. Through Lillibridge and PMBRES, we also provided management and leasing services to third parties with respect to 82 MOBs as of December 31, 2012.
Our principal objective is to enhance shareholder value by delivering superior, reliable returns. To achieve this objective, we pursue a business strategy of: (1) generating consistent, reliable and growing cash flows; (2) maintaining a balanced, well-diversified portfolio of high-quality assets; and (3) preserving our financial strength, flexibility and liquidity.
Our ability to access capital in a timely and cost effective manner is critical to the success of our business strategy because it affects our ability to satisfy existing obligations, including the repayment of maturing indebtedness, and to make future investments. Our access to and cost of external capital are dependent on various factors, including general market conditions, interest rates, credit ratings on our securities, expectations of our potential future earnings and cash distributions, and the trading price of our common stock. Generally, we attempt to match the long-term duration of our investments in senior housing and healthcare properties with long-term financing through the issuance of shares of our common stock or the incurrence of long-term fixed rate debt. At December 31, 2012, approximately 20% of our consolidated debt (excluding debt related to real estate assets classified as held for sale) was variable rate debt.
2012 Highlights
During the year ended December 31, 2012:
We completed $2.7 billion of gross investments, including the acquisitions of:
Cogdell Spencer Inc. (“Cogdell”), with its 71 real estate assets (including properties owned through joint ventures) and its MOB property management business, for an investment of approximately $760 million, including debt;
16 seniors housing communities managed by Sunrise (the “Sunrise-Managed 16 Communities”) for approximately $362 million;
100% of various private investment funds (the “Funds”) previously managed by Lazard Frères Real Estate Investors LLC or its affiliates (“LFREI”), which Funds own a 34% interest in Atria and 3.7 million shares of our common stock; and
Controlling interests in 36 MOBs that that we previously accounted for as investments in unconsolidated entities;
We sold 43 properties and received final repayment on loans receivable and marketable debt securities for aggregate proceeds of approximately $422 million, including certain fees, and recognized a net gain of $81.0 million from the dispositions;

44


We paid an annual cash dividend on our common stock of $2.48 per share, which represents an 8% increase over the prior year and was paid to stockholders in equal quarterly installments of $0.62 per share;
We issued and sold $2.4 billion aggregate principal amount of senior notes and entered into a new $180.0 million term loan, collectively having a weighted average stated interest rate of 3.2% and a weighted average maturity at the time of issuance of 7.7 years;
We completed a public offering and sale of 5,980,000 shares of our common stock for aggregate proceeds of $342.5 million;
Of the 89 properties leased to Kindred whose current lease term expires on April 30, 2013, Kindred renewed or entered into a new lease with respect to a total of 35 properties, and we entered into new leases or sale contracts for the remaining 54 properties, the majority of which remain subject to operating transitions and regulatory approvals; and
We redeemed or repaid $780.4 million aggregate principal amount of outstanding unsecured debt, including our 9% senior notes due 2012, 8.25% senior notes due 2012, 6¾% senior notes due 2017, 6½% senior notes due 2016, and unsecured term loan due 2013, and $344.2 million of mortgage debt.
Critical Accounting Policies and Estimates
Our Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) set forth in the Accounting Standards Codification (“ASC”), as published by the Financial Accounting Standards Board (“FASB”). GAAP requires us to make estimates and assumptions regarding future events that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting periods. We base these estimates on our experience and assumptions we believe to be reasonable under the circumstances. However, if our judgment or interpretation of the facts and circumstances relating to various transactions or other matters had been different, we may have applied a different accounting treatment, resulting in a different presentation of our financial statements. We periodically reevaluate our estimates and assumptions, and in the event they prove to be different from actual results, we make adjustments in subsequent periods to reflect more current estimates and assumptions about matters that are inherently uncertain. We believe that the critical accounting policies described below, among others, affect our more significant estimates and judgments used in the preparation of our financial statements. For more information regarding our critical accounting policies, see “Note 2—Accounting Policies” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
Principles of Consolidation
The Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K include our accounts and the accounts of our wholly owned subsidiaries and the joint venture entities over which we exercise control. All intercompany transactions and balances have been eliminated in consolidation, and our net earnings are reduced by the portion of net earnings attributable to noncontrolling interests.
GAAP requires us to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of variable interest entities (“VIEs”). A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (b) as a group, the holders of the equity investment at risk lack (i) the ability to make decisions about the entity’s activities through voting or similar rights, (ii) the obligation to absorb the expected losses of the entity, or (iii) the right to receive the expected residual returns of the entity; or (c) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights. We consolidate investments in VIEs when we are determined to be the primary beneficiary of the VIE. We may change our original assessment of a VIE due to events such as modifications of contractual arrangements that affect the characteristics or adequacy of the entity’s equity investments at risk and the disposal of all or a portion of an interest held by the primary beneficiary.
We identify the primary beneficiary of a VIE as the enterprise that has both: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. We perform this analysis on an ongoing basis.
As it relates to investments in joint ventures, based on the type of rights held by the limited partner(s), GAAP may preclude consolidation by the sole general partner in certain circumstances in which the general partner would otherwise consolidate the joint venture. We assess limited partners’ rights and their impact on the presumption of control of the limited

45


partnership by the sole general partner when an investor becomes the sole general partner, and we reassess if: (i) there is a change to the terms or in the exercisability of the rights of the limited partners; (ii) the sole general partner increases or decreases its ownership of limited partnership interests; or (iii) there is an increase or decrease in the number of outstanding limited partnership interests. We also apply this guidance to managing member interests in limited liability companies.
Business Combinations
We account for acquisitions using the acquisition method and allocate the cost of the businesses acquired among tangible and recognized intangible assets and liabilities based upon their estimated fair values as of the acquisition date. Recognized intangibles primarily include the value of in-place leases, acquired lease contracts, tenant and customer relationships, trade names/trademarks and goodwill. We do not amortize goodwill, which represents the excess of the purchase price paid over the fair value of the net assets of the acquired business and is included in other assets on our Consolidated Balance Sheets.
Our method for allocating the purchase price to acquired investments in real estate requires us to make subjective assessments for determining fair value of the assets acquired and liabilities assumed. This includes determining the value of the buildings, land and improvements, construction in progress, ground leases, tenant improvements, in-place leases, above and/or below market leases, purchase option intangible assets and/or liabilities, and any debt assumed. These estimates require significant judgment and in some cases involve complex calculations. These allocation assessments directly impact our results of operations, as amounts allocated to certain assets and liabilities have different depreciation or amortization lives. In addition, we amortize the value assigned to above and/or below market leases as a component of revenue, unlike in-place leases and other intangibles, which we include in depreciation and amortization in our Consolidated Statements of Income.
We estimate the fair value of buildings acquired on an as-if-vacant basis and depreciate the building value over the estimated remaining life of the building, not to exceed 35 years. We determine the allocated value of other fixed assets, such as site improvements and furniture, fixtures and equipment, based upon the replacement cost and depreciate such value over the assets’ estimated remaining useful lives as determined at the applicable acquisition date. We determine the value of land either by considering the sales prices of similar properties in recent transactions or based on internal analyses of recently acquired and existing comparable properties within our portfolio. We generally determine the value of construction in progress based upon the replacement cost. However, for certain acquired properties that are part of a ground-up development, we determine fair value by using the same valuation approach as for all other properties and deducting the estimated cost to complete the development. During the remaining construction period, we capitalize interest expense until the development has reached substantial completion. Construction in progress, including capitalized interest, is not depreciated until the development has reached substantial completion.
The fair value of acquired lease-related intangibles, if any, reflects: (i) the estimated value of any above and/or below market leases, determined by discounting the difference between the estimated market rent and the in-place lease rent; and (ii) the estimated value of in-place leases related to the cost to obtain tenants, including leasing commissions, and an estimated value of the absorption period to reflect the value of the rent and recovery costs foregone during a reasonable lease-up period as if the acquired space was vacant. We amortize any acquired lease-related intangibles to revenue or amortization expense over the remaining life of the associated lease plus any assumed bargain renewal periods. If a lease is terminated prior to its stated expiration or not renewed upon expiration, we recognize all unamortized lease-related intangibles associated with that lease in operations at that time.
We estimate the fair value of purchase option intangible assets and liabilities by discounting the difference between the applicable property’s acquisition date fair value and an estimate of the future option price. We do not amortize the resulting intangible asset or liability over the term of the lease, but rather adjust the recognized value of the asset or liability upon sale.
We estimate the fair value of tenant or other customer relationships acquired, if any, by considering the nature and extent of existing business relationships with the tenant or customer, growth prospects for developing new business with the tenant or customer, the tenant’s credit quality, expectations of lease renewals with the tenant, and the potential for significant, additional future leasing arrangements with the tenant, and we amortize that value over the expected life of the associated arrangements or leases, including the remaining terms of the related leases and any expected renewal periods. We estimate the fair value of trade names/trademarks using a royalty rate methodology and amortize that value over the estimated useful life of the trade name/trademark.
In connection with a business combination, we may assume rights and obligations under certain lease agreements pursuant to which we become the lessee of a given property. We assume the lease classification previously determined by the prior lessee absent a modification in the assumed lease agreement. All of our assumed capital leases contain bargain purchase options that we intend to exercise. Therefore, we recognized real estate assets based on the acquisition date fair values of the underlying properties and liabilities based on the acquisition date fair values of the capital lease obligations. We depreciate assets recognized under capital leases that contain bargain purchase options over the assets’ respective useful lives. Lease

46


payments are allocated between the reduction of the capital lease obligation and interest expense using the interest method. We assess assumed operating leases, including ground leases, to determine whether the lease terms are favorable or unfavorable to us given current market conditions on the acquisition date. To the extent the lease terms are favorable or unfavorable relative to market conditions on the acquisition date, we recognize an intangible asset or liability at fair value, and we amortize the recognized asset or liability (excluding purchase option intangibles) to interest or rental expense in our Consolidated Statements of Income over the applicable lease term. We include all lease-related intangible assets and liabilities within acquired lease intangibles and accounts payable and other liabilities, respectively, on our Consolidated Balance Sheets.
We determine the fair value of loans receivable acquired in connection with a business combination by discounting the estimated future cash flows using current interest rates at which similar loans with the same maturities and same terms would be made to borrowers with similar credit ratings. The estimated future cash flows reflect our judgment regarding the uncertainty of those cash flows, so we do not establish a valuation allowance at the acquisition date. We recognize the difference between the acquisition date fair value and the total expected cash flows as interest income using an effective interest method over the life of the applicable loan. Subsequent to the acquisition date, we evaluate changes regarding the uncertainty of future cash flows and the need for a valuation allowance.
We estimate the fair value of noncontrolling interests assumed using assumptions that are consistent with those used in valuing all of the underlying assets and liabilities.
We base the initial carrying value of investments in unconsolidated entities on the fair value of the assets at the time we acquired the joint venture interest. We estimate fair values for our equity method investments based on discounted cash flow models that include all estimated cash inflows and outflows over a specified holding period and, where applicable, any estimated debt premiums or discounts. The capitalization rates, discount rates and credit spreads we use in these models are based upon assumptions that we believe to be within a reasonable range of current market rates for the respective investments.
We generally amortize any difference between our cost basis and the basis reflected at the joint venture level over the lives of the related assets and liabilities and include that amortization in our share of income or loss from unconsolidated entities. For earnings of equity method investments with pro rata distribution allocations, net income or loss is allocated between the partners in the joint venture based on their respective stated ownership percentages. In other instances, net income or loss is allocated between the partners in the joint venture based on the hypothetical liquidation at book value method.
We calculate the fair value of long-term debt by discounting the remaining contractual cash flows on each instrument at the current market rate for those borrowings, which we approximate based on the rate at which we would expect to incur to a replacement instrument on the date of acquisition, and recognize any fair value adjustments related to long-term debt as effective yield adjustments over the remaining term of the instrument.
Impairment of Long-Lived and Intangible Assets
We periodically evaluate our long-lived assets, primarily consisting of our investments in real estate, for impairment indicators. If indicators of impairment are present, we evaluate the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying operations. In performing this evaluation, we consider market conditions and our current intentions with respect to holding or disposing of the asset. We adjust the net book value of leased properties and other long-lived assets to fair value if the sum of the expected future undiscounted cash flows, including sales proceeds, is less than book value. We recognize an impairment loss at the time we make any such determination.
If impairment indicators arise with respect to intangible assets with finite useful lives, we evaluate impairment by comparing the carrying amount of the asset to the estimated future undiscounted net cash flows expected to be generated by the asset. If estimated future undiscounted net cash flows are less than the carrying amount of the asset, then we estimate the fair value of the asset and compare the estimated fair value to the intangible asset’s carrying value. We recognize any shortfall from carrying value as an impairment loss in the current period.
We evaluate our investments in unconsolidated entities for impairment whenever events or changes in circumstances indicate that the carrying value of our investment may exceed its fair value. If we determine that a decline in the fair value of our investment in an unconsolidated entity is other-than-temporary, and if such reduced fair value is below the carrying value, we record an impairment. The determination of the fair value of investments in unconsolidated entities involves significant judgment. Our estimates consider all available evidence, including, as appropriate, the present value of the expected future cash flows discounted at market rates, general economic conditions and trends and other relevant factors.
We test goodwill for impairment at least annually, and more frequently if indicators arise. We first assess qualitative factors to determine the likelihood that the fair value of a reporting unit is less than its carrying amount. Qualitative factors we assess include current macroeconomic conditions, state of the equity and capital markets and our overall financial and operating performance. If we determine it is more likely than not that the fair value of a reporting unit is less than its carrying

47


amount, then we proceed with the two-step approach to evaluating impairment. In the first step of this approach, we estimate the fair value of a reporting unit and compare it to the reporting unit’s carrying value. If the carrying value exceeds fair value, we proceed with the second step. The second step of this approach requires us to assign the fair value of a reporting unit to all the assets and liabilities of the reporting unit as if it had been acquired in a business combination at the date of the impairment test. The excess fair value of the reporting unit over the amounts assigned to the assets and liabilities is the implied value of goodwill and is used to determine the amount of impairment. We recognize an impairment loss to the extent the carrying value of goodwill exceeds the implied value in the current period.
Estimates of fair value used in our evaluation of goodwill, investments in real estate and intangible assets are based upon discounted future cash flow projections or other acceptable valuation techniques, which are based, in turn, upon various estimates and assumptions, such as revenue and expense growth rates, capitalization rates, discount rates or other available market data. Our ability to accurately predict future operating results and cash flows and estimate and allocate fair values impacts the timing and recognition of impairments. While we believe our assumptions are reasonable, changes in these assumptions may have a material impact on our financial results.
Loans Receivable
We record loans receivable, other than those acquired in connection with a business combination, on our Consolidated Balance Sheets (either in secured loans receivable, net or, with respect to unsecured loans receivable, other assets) at the unpaid principal balance, net of any deferred origination fees, purchase discounts or premiums and valuation allowances. We amortize net deferred origination fees, which are comprised of loan fees collected from the borrower net of certain direct costs, and purchase discounts or premiums over the contractual life of the loan using the effective interest method and immediately recognize in income any unamortized balances if the loan is repaid before its contractual maturity.
We regularly evaluate the collectibility of loans receivable based on factors such as corporate and facility-level financial and operational reports, compliance with financial covenants set forth in the applicable loan agreement, the financial strength of the borrower and any guarantor, the payment history of the borrower and current economic conditions. If our evaluation of these factors indicates it is probable that we will be unable to collect all amounts due under the terms of the applicable loan agreement, we provide a reserve against the portion of the receivable that we estimate may not be collected.
Fair Value
GAAP defines fair value and provides direction for measuring fair value and making the necessary related disclosures. GAAP emphasizes that fair value is a market-based measurement, not an entity-specific measurement, and should be determined based on the assumptions that market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, the guidance establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within levels one and two of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within level three of the hierarchy).
Level one inputs utilize unadjusted quoted prices for identical assets or liabilities in active markets that we have the ability to access. Level two inputs are inputs other than quoted prices included in level one that are directly or indirectly observable for the asset or liability. Level two inputs may include quoted prices for similar assets and liabilities in active markets, as well as other inputs for the asset or liability, such as interest rates, foreign exchange rates and yield curves, that are observable at commonly quoted intervals. Level three inputs are unobservable inputs for the asset or liability, which are typically based on our own assumptions, as there is little, if any, related market activity. If the determination of the fair value measurement is based on inputs from different levels of the hierarchy, the level within which the entire fair value measurement falls is the lowest level input that is significant to the fair value measurement in its entirety. If the volume and level of market activity for an asset or liability has decreased significantly relative to the normal market activity for such asset or liability (or similar assets or liabilities), then transactions or quoted prices may not accurately reflect fair value. In addition, if there is evidence that a transaction for an asset or liability is not orderly, little, if any, weight is placed on that transaction price as an indicator of fair value. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability.
Revenue Recognition
Triple-Net Leased Properties and MOB Operations
Certain of our triple-net leases, including a majority of the leases we acquired in connection with our acquisition of Nationwide Health Properties, Inc. (“NHP”), and most of our MOB leases provide for periodic and determinable increases in base rent. We recognize base rental revenues under these leases on a straight-line basis over the applicable lease term when collectibility is reasonably assured. Recognizing rental income on a straight-line basis generally results in recognized revenues

48


during the first half of a lease term exceeding the cash amounts contractually due from our tenants, creating a straight-line rent receivable that is included in other assets on our Consolidated Balance Sheets.
Four of our five master lease agreements with Kindred (the “Kindred Master Leases”) and certain of our other leases provide for periodic increases in base rent only if certain revenue parameters or other substantive contingencies are met. We recognize the increased rental revenue under these leases as the related parameters or contingencies are met, rather than on a straight-line basis over the applicable lease term.
Senior Living Operations
We recognize resident fees and services, other than move-in fees, monthly as services are provided. We recognize move-in fees on a straight-line basis over the average resident stay. Our lease agreements with residents generally have a term of 12 to 18 months and are cancelable by the resident upon 30 days’ notice.
Other
We recognize interest income from loans, including discounts and premiums, using the effective interest method when collectibility is reasonably assured. We apply the effective interest method on a loan-by-loan basis and recognize discounts and premiums as yield adjustments over the related loan term. We recognize interest income on an impaired loan to the extent our estimate of the fair value of the collateral is sufficient to support the balance of the loan, other receivables and all related accrued interest. When the balance of the loan, other receivables and all related accrued interest is equal to our estimate of the fair value of the collateral, we recognize interest income on a cash basis. We provide a reserve against an impaired loan to the extent our total investment in the loan exceeds our estimate of the fair value of the loan collateral.
We recognize income from rent, lease termination fees, development services, management advisory services, and all other income when all of the following criteria are met in accordance with Securities and Exchange Commission (“SEC”) Staff Accounting Bulletin 104: (i) the applicable agreement has been fully executed and delivered; (ii) services have been rendered; (iii) the amount is fixed or determinable; and (iv) collectibility is reasonably assured.
Allowances
We assess the collectibility of our rent receivables, including straight-line rent receivables, and we defer recognition of revenue if collectibility is not reasonably assured. We base our assessment of the collectibility of rent receivables (other than straight-line rent receivables) on several factors, including, among other things, payment history, the financial strength of the tenant and any guarantors, the value of the underlying collateral, if any, and current economic conditions. If our evaluation of these factors indicates it is probable that we will be unable to recover the full value of the receivable, we provide a reserve against the portion of the receivable that we estimate may not be recovered. We base our assessment of the collectibility of straight-line rent receivables on several factors, including, among other things, the financial strength of the tenant and any guarantors, the historical operations and operating trends of the property, the historical payment pattern of the tenant, and the type of property. If our evaluation of these factors indicates it is probable that we will be unable to receive the rent payments due in the future, we defer recognition of the straight-line rental revenue and, in certain circumstances, provide a reserve against the previously recognized straight-line rent receivable asset for the portion, up to its full value, that we estimate may not be recovered. If we change our assumptions or estimates regarding the collectibility of future rent payments required by a lease, we may adjust our reserve to increase or reduce the rental revenue recognized and/or to increase or reduce the reserve against the previously recognized straight-line rent receivable asset.
Federal Income Tax
We have elected to be treated as a REIT under the applicable provisions of the Internal Revenue Code of 1986, as amended (the “Code”), for every year beginning with the year ended December 31, 1999. Accordingly, provided that we continue to qualify as a REIT, we generally will not be subject to federal income tax on net income that we distribute to our stockholders. However, with respect to certain of our subsidiaries that have elected to be treated as “taxable REIT subsidiaries,” we record income tax expense or benefit, as those entities are subject to federal income tax similar to regular corporations.
We account for deferred income taxes using the asset and liability method and recognize deferred tax assets and liabilities for the expected future tax consequences of events that have been included in our financial statements or tax returns. Under this method, we determine deferred tax assets and liabilities based on the differences between the financial reporting and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. Any increase or decrease in the deferred tax liability that results from a change in circumstances, and that causes us to change our judgment about expected future tax consequences of events, is included in the tax provision when such changes occur. Deferred income taxes also reflect the impact of operating loss and tax credit carryforwards. A valuation allowance is provided if we

49


believe it is more likely than not that all or some portion of the deferred tax asset will not be realized. Any increase or decrease in the valuation allowance that results from a change in circumstances, and that causes us to change our judgment about the realizability of the related deferred tax asset, is included in the tax provision when such changes occur.
Recently Issued or Adopted Accounting Standards
In June 2011, the FASB issued Accounting Standards Update (“ASU”) 2011-05, Presentation of Comprehensive Income (“ASU 2011-05”), which amends ASC Topic 220, Comprehensive Income. ASU 2011-05 requires entities to present comprehensive income in either: (i) one continuous financial statement or (ii) two separate but consecutive statements that display net income and the components of other comprehensive income. Totals and individual components of both net income and other comprehensive income must be included in either presentation. In December 2011, the FASB issued ASU 2011-12, Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in Accounting Standards Update No. 2011-05 (“ASU 2011-12”). The provisions of ASU 2011-12 indefinitely defer portions of ASU 2011-05 related to the presentation of reclassification of items out of accumulated other comprehensive income. We adopted the provisions of ASU 2011-05 and ASU 2011-12 on January 1, 2012.
Results of Operations
As of December 31, 2012, we operated through three reportable business segments: triple-net leased properties; senior living operations; and MOB operations. Under our triple-net leased properties segment, we acquire and own seniors housing and healthcare properties throughout the United States and lease those properties to healthcare operating companies under “triple-net” or “absolute-net” leases that obligate the tenants to pay all property-related expenses. Under our senior living operations segment, we invest in seniors housing communities throughout the United States and Canada and engage independent operators, such as Atria and Sunrise, to manage those communities. Under our MOB operations segment, we primarily acquire, own, develop, lease, and manage MOBs. Information provided for “all other” includes income from loans and investments and other miscellaneous income and various corporate-level expenses not directly attributable to our three reportable business segments. Assets included in “all other” consist primarily of corporate assets, including cash, restricted cash, deferred financing costs, loans receivable and miscellaneous accounts receivable.
    

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Years Ended December 31, 2012 and 2011
The table below shows our results of operations for each year and the effect on our income of changes in those results from year to year.

 
For the Year Ended
December 31,
 
Increase (Decrease) to
Income
 
2012
 
2011
 
$
 
%
 
(Dollars in thousands)
Segment NOI:
 
 
 
 
 
 
 
Triple-Net Leased Properties
$
835,659

 
$
639,511

 
$
196,148

 
30.7
 %
Senior Living Operations
386,289

 
277,944

 
108,345

 
39.0

MOB Operations
243,107

 
116,291

 
126,816

 
> 100

All Other
39,913

 
34,415

 
5,498

 
16.0

Total segment NOI
1,504,968

 
1,068,161

 
436,807

 
40.9

Interest and other income
1,106

 
1,217

 
(111
)
 
(9.1
)
Interest expense
(293,401
)
 
(229,346
)
 
(64,055
)
 
(27.9
)
Depreciation and amortization
(725,981
)
 
(447,664
)
 
(278,317
)
 
(62.2
)
General, administrative and professional fees
(98,801
)
 
(74,537
)
 
(24,264
)
 
(32.6
)
Loss on extinguishment of debt, net
(37,640
)
 
(27,604
)
 
(10,036
)
 
(36.4
)
Litigation proceeds, net

 
202,259

 
(202,259
)
 
nm

Merger-related expenses and deal costs
(63,183
)
 
(153,923
)
 
90,740

 
59.0

Other
(6,956
)
 
(7,270
)
 
314

 
4.3

Income before income (loss) from unconsolidated entities, income taxes, discontinued operations and noncontrolling interest
280,112

 
331,293

 
(51,181
)
 
(15.4
)
Income (loss) from unconsolidated entities
18,154

 
(52
)
 
18,206

 
nm

Income tax benefit
6,282

 
30,660

 
(24,378
)
 
(79.5
)
Income from continuing operations
304,548

 
361,901

 
(57,353
)
 
(15.8
)
Discontinued operations
57,227

 
1,360

 
55,867

 
nm

Net income
361,775

 
363,261

 
(1,486
)
 
(0.4
)
Net loss attributable to noncontrolling interest, net of tax
(1,025
)
 
(1,232
)
 
207

 
16.8

Net income attributable to common stockholders
$
362,800

 
$
364,493

 
$
(1,693
)
 
(0.5
)%
    
nm—not meaningful 
Segment NOI—Triple-Net Leased Properties
NOI for our triple-net leased properties reportable business segment equals the rental income earned from our triple-net assets and other services revenue. We incur no direct operating expenses for this segment.

51


The following table summarizes results of continuing operations in our triple-net leased properties reportable business segment:
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Income
 
2012
 
2011
 
$
 
%
 
(Dollars in thousands)
Segment NOI—Triple-Net Leased Properties:
 
 
 
 
 
 
 
Rental income
$
831,221

 
$
637,294

 
$
193,927

 
30.4
%
Other services revenue
4,438

 
2,217

 
2,221

 
> 100

Segment NOI
$
835,659

 
$
639,511

 
$
196,148

 
30.7
%
Triple-net leased properties segment NOI increased in 2012 over the prior year primarily due to rental income from the properties we acquired in July 2011 in connection with the NHP acquisition ($177.7 million) and contractual escalations, and increases in base and other rent, under our existing triple-net leases, partially offset by a decline in rental income due to our sale of certain triple-net leased properties during 2012.
In our triple-net leased properties segment, revenues generally do not depend on the underlying operating performance of our properties, but rather consist of fixed rental amounts (subject to annual contractual escalations) received from our tenants in accordance with the applicable lease terms. Therefore, occupancy rates may affect the profitability of our tenants’ operations but do not have a direct impact on our revenues or financial results. The following table sets forth average occupancy rates related to the triple-net leased properties we owned at December 31, 2012 for the third quarter of 2012 (which is the most recent information available to us from our tenants) and average occupancy rates related to the triple-net leased properties we owned at December 31, 2011 for the third quarter of 2011.

 
Number of
Properties at
December 31, 2012 (1)
 
Average Occupancy
for the Trailing 12 Months
Ended September 30,
2012 (1)
 
 
Number of
Properties at
December 31, 2011 (2)
 
Average Occupancy
for the Trailing 12 Months
Ended September 30,
2011 (2)
Seniors Housing Communities
423

 
85.5
%
 
 
458

 
85.9
%
Skilled Nursing Facilities
373

 
82.4

 
 
382

 
83.9

Hospitals
47

 
57.5

 
 
47

 
58.1

    
(1)
Excludes 34 seniors housing communities and skilled nursing facilities included in investments in unconsolidated entities. Also excludes 12 properties acquired during the three months ended December 31, 2012, one development property that was completed during the three months ended December 31, 2012, 15 properties classified as held for sale as of December 31, 2012 and eight other facilities for which we do not receive occupancy information.
(2)
Excludes 34 seniors housing communities and skilled nursing facilities included in investments in unconsolidated entities and eight other facilities for which we do not receive occupancy information. Includes 38 properties sold during 2012, 15 properties classified as held for sale as of December 31, 2012 and eight properties acquired during the trailing 12 months ended September 30, 2012 .

52


The following table compares results of continuing operations for our 374 same-store triple-net leased properties. For purposes of this table, we define same-store properties as properties that we owned for the entire period from January 1, 2011 through December 31, 2012.
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Income
 
2012
 
2011
 
$
 
%
 
(Dollars in thousands)
Same-Store Segment NOI—Triple-Net Leased Properties:
 
 
 
 
 
 
 
Rental income
$
474,945

 
$
464,090

 
$
10,855

 
2.3
%
Other services revenue

 

 

 
nm

Segment NOI
$
474,945

 
$
464,090

 
$
10,855

 
2.3
%
    
nm—not meaningful 
The year-over-year increase in same-store triple-net leased properties NOI is due to contractual escalations in rent pursuant to the terms of our leases, including our four original Kindred Master Leases. Cash receipts may differ due to straight-line recognition of certain rental income and the application of other GAAP policies.
Segment NOI—Senior Living Operations
The following table summarizes results of continuing operations in our senior living operations reportable business segment:
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Income
 
2012
 
2011
 
$
 
%
 
(Dollars in thousands)
Segment NOI—Senior Living Operations:
 
 
 
 
 
 
 
Total revenues
$
1,229,479

 
$
868,095

 
$
361,384

 
41.6
 %
Less:
 
 
 
 
 
 
 
Property-level operating expenses
(843,190
)
 
(590,151
)
 
(253,039
)
 
(42.9
)
Segment NOI
$
386,289

 
$
277,944

 
$
108,345

 
39.0
 %
Revenues attributed to our senior living operations segment consist of resident fees and services, which include all amounts earned from residents at our seniors housing communities, such as rental fees related to resident leases, extended health care fees and other ancillary service income. Our senior living operations segment revenues increased in 2012 over the prior year primarily due to the properties we acquired in May 2011 in connection with our acquisition of substantially all of the real estate assets and working capital of privately-owned Atria Senior Living Group, Inc. (together with its affiliates, “ASLG”), the seniors housing communities we acquired in 2012 (including the Sunrise-Managed 16 Communities), and higher average unit occupancy rates and higher average monthly revenue per occupied room.
Property-level operating expenses related to our senior living operations segment include labor, food, utilities, marketing, management and other costs of operating the properties. Property-level operating expenses increased year over year primarily due to the acquired properties described above and higher management fees and labor expenses at the 79 Sunrise-managed communities we acquired in 2007 (the “Original Sunrise-Managed Communities”). Under our management agreements with respect to the Original Sunrise-Managed Communities, the management fees paid to Sunrise were temporarily reduced to 3.75% of revenues generated by the applicable properties for 2011, but reverted to their contractual level of 6% of revenues generated by the applicable properties (with a range of 5% to 7%) for 2012 and subsequent years. The management fees (including incentive fees) we paid pursuant to our Sunrise management agreements in 2012 were equal to 6.4% of revenues generated by the applicable properties.

53


The following table compares results of continuing operations for our 81 same-store stabilized senior living operating communities. For purposes of this table, we define same-store stabilized communities as communities that we owned and classified as stable for the entire period from January 1, 2011 through December 31, 2012.
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Income
 
2012
 
2011
 
$
 
%
 
(Dollars in thousands)
Same-Store Stabilized Segment NOI—Senior Living Operations:
 
 
 
 
 
 
 
Total revenues
$
493,929

 
$
467,770

 
$
26,159

 
5.6
 %
Less:
 
 
 
 
 
 
 
Property-level operating expenses
(335,154
)
 
(310,808
)
 
(24,346
)
 
(7.8
)
Segment NOI
$
158,775

 
$
156,962

 
$
1,813

 
1.2
 %
Same-store stabilized senior living operations NOI increased in 2012 over the prior year primarily due to higher average unit occupancy rates and higher average monthly revenue per occupied room, partially offset by the increase in management fees with respect to the Original Sunrise-Managed Communities. Management fee expense for our same-store stabilized communities increased $13.8 million year over year.
The following table sets forth average unit occupancy rates and the average monthly revenue per occupied room related to continuing operations in our senior living operations segment for the years ended December 31, 2012 and 2011:
 
Number of
Properties at
December 31,
 
Average Unit
Occupancy
for the Year
Ended
December 31,
 
Average Monthly Revenue Per Occupied Room for the Year
Ended
December 31,
 
2012 (1)
 
2011 (2)
 
2012 (1)
 
2011 (2)
 
2012 (1)
 
2011 (2)
Stabilized communities
214

 
189

 
90.4
%
 
88.1
%
 
$5,423
 
$5,463
Non-stabilized communities
9

 
9

 
79.7

 
73.9

 
4,654

 
4,745

Total
223

 
198

 
89.8

 
87.5

 
5,390

 
5,434

Same-store stabilized communities
81

 
81

 
90.1

 
87.7

 
6,911

 
6,724

    
(1)
Information attributable to senior living operations for the year ended December 31, 2012 includes operations related to the Sunrise-Managed 16 Communities only for the period from May 1, 2012 (the date of acquisition) through December 31, 2012 and operations related to other seniors housing communities managed by Atria that we acquired during 2012 only for the periods from the applicable date of acquisition to December 31, 2012.
(2)
Information attributable to senior living operations for the year ended December 31, 2011 includes operations related to our Atria-managed communities only for the period from May 12, 2011 (the date of the ASLG acquisition) through December 31, 2011.

54


Segment NOI—MOB Operations
The following table summarizes results of continuing operations in our MOB operations reportable business segment:
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Income
 
2012
 
2011
 
$
 
%
 
(Dollars in thousands)
Segment NOI—MOB Operations:
 
 
 
 
 
 
 
Rental income
$
362,839

 
$
166,161

 
$
196,678

 
> 100 %

Medical office building services revenue
16,303

 
34,254

 
(17,951
)
 
(52.4
)
Total revenues
379,142

 
200,415

 
178,727

 
89.2

Less:
 
 
 
 
 
 
 
Property-level operating expenses
(126,152
)
 
(57,042
)
 
(69,110
)
 
( > 100 )

Medical office building services costs
(9,883
)
 
(27,082
)
 
17,199

 
63.5

Segment NOI
$
243,107

 
$
116,291

 
$
126,816

 
> 100 %

MOB operations segment revenues and property-level operating expenses increased in 2012 over the prior year primarily due to the MOBs we acquired in connection with the NHP acquisition in July 2011 and the Cogdell acquisition in April 2012, and 44 other MOBs we acquired in 2012 (including 36 MOBs that we previously accounted for as investments in unconsolidated entities), and three MOB developments that were completed during 2012.
Medical office building services revenue and costs both decreased in 2012 over the prior year primarily due to reduced construction activity during 2012 compared to 2011.
The following table compares results of continuing operations for our 63 same-store stabilized MOBs. For purposes of this table, we define same-store stabilized MOBs as MOBs that we owned and classified as stable for the entire period from January 1, 2011 through December 31, 2012. Cash receipts may differ due to straight-line recognition of certain rental income and the application of other GAAP policies.
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Income
 
2012
 
2011
 
$
 
%
 
(Dollars in thousands)
Same-Store Stabilized Segment NOI—MOB Operations:
 
 
 
 
 
 
 
Rental income
$
83,111

 
$
82,275

 
$
836

 
1.0
 %
Property-level operating expenses
(29,179
)
 
(28,319
)
 
(860
)
 
(3.0
)
Segment NOI
$
53,932

 
$
53,956

 
$
(24
)
 
(0.0
)%
The following table sets forth occupancy rates and the annualized average rent per occupied square foot related to continuing operations in our MOB operations segment at and for the years ended December 31, 2012 and 2011:
 
Number of
Properties at
December 31,
 
Occupancy at
December 31,
 
Annualized Average Rent Per Occupied Square Foot for the Year Ended Ended December 31,
 
2012
 
2011
 
2012
 
2011
 
2012
 
2011
Stabilized MOBs
285

 
173

 
91.9
%
 
92.5
%
 
$30
 
$29
Non-stabilized MOBs
15

 
12

 
75.0

 
73.9

 
38
 
35
Total
300

 
185

 
90.5

 
90.2

 
30
 
29
Same-store stabilized MOBs
63

 
63

 
92.7

 
93.9

 
28
 
27

55


Segment NOI—All Other
All other NOI consists solely of income from loans and investments. Income from loans and investments increased in 2012 over the prior year primarily due to income (including prepayment fees) on the loans receivable portfolio we acquired in connection with the NHP acquisition, partially offset by decreased interest income due to loan repayments during both 2011 and 2012.
Interest Expense
The $60.0 million increase in total interest expense, including interest allocated to discontinued operations of $8.6 million and $12.7 million for the years ended December 31, 2012 and 2011, respectively, is attributed primarily to a $114.2 million increase in interest due to higher debt balances, partially offset by a $59.3 million decrease in interest due to lower effective interest rates, including the amortization of any fair value adjustments. Our effective interest rate, excluding activity related to our capital leases, was 4.0% for 2012, compared to 4.9% for 2011.
Depreciation and Amortization
Depreciation and amortization expense increased in 2012 over the prior year primarily due to the ASLG, NHP and Cogdell acquisitions and other properties we acquired in 2012, including the Sunrise-Managed 16 Communities.
General, Administrative and Professional Fees
General, administrative and professional fees increased in 2012 primarily due to our continued organizational growth.
Loss on Extinguishment of Debt, Net
The loss on extinguishment of debt, net in 2012 relates primarily to our redemption in March 2012 of all $200.0 million principal amount then outstanding of our 6½% senior notes due 2016 and our redemption in May 2012 of all $225.0 million principal amount then outstanding of our 6¾% senior notes due 2017, partially offset by gains recognized on the repayment of certain mortgage debt. The loss on extinguishment of debt, net in 2011 relates primarily to our early repayment of $307.2 million principal amount of existing mortgage debt in February 2011, our redemption of $200.0 million principal amount of our 6½% senior notes due 2016 in July 2011 and termination of our previous unsecured revolving credit facilities in October 2011.
Litigation Proceeds, Net
Litigation proceeds, net in 2011 reflects our receipt of $102.8 million in payment of the compensatory damages award from HCP, Inc. (“HCP”) arising out of our 2007 acquisition of Sunrise Senior Living Real Estate Investment Trust (“Sunrise REIT”), plus certain costs and interest, and the receipt of an additional $125 million from HCP in final settlement of our outstanding lawsuit against HCP, net of certain fees and expenses, the contingent fee for our outside legal counsel and donations to the Ventas Charitable Foundation. No similar events occurred during 2012.
Merger-Related Expenses and Deal Costs
Merger-related expenses and deal costs in both years consist of transition and integration expenses related to consummated transactions and deal costs required by GAAP to be expensed rather than capitalized into the asset value. These transition and integration expenses and deal costs reflect certain fees and expenses incurred in connection with the ASLG, NHP and Cogdell acquisitions. Merger-related expenses and deal costs during the year ended December 31, 2011 also include expenses relating to our favorable litigation against HCP and subsequent cross-appeals, which were fully concluded in November 2011. The $90.7 million decrease in merger-related expenses and deal costs in 2012 over the prior year is due primarily to the significant size of our 2011 acquisitions, as well as the conclusion of the HCP litigation in late 2011.
Income/Loss from Unconsolidated Entities
Income/loss from unconsolidated entities in 2012 and 2011 relates to our interests in joint ventures we acquired in connection with the NHP and Lillibridge acquisitions. Income from unconsolidated entities for the year ended December 31, 2012 is attributed primarily to a gain of $16.6 million as a result of the re-measurement of equity interest upon our acquisition in August 2012 of the controlling interests (ranging from 80% to 95%) in 36 MOBs and one other MOB that is being marketed for sale that we previously accounted for as investments in unconsolidated entities. Subsequent to the acquisition date, operations relating to these properties are consolidated in our Consolidated Statements of Income. As of December 31, 2012, we had ownership interests ranging between 5% and 25% in joint ventures with respect to 21 MOBs, 20 seniors housing communities and 14 skilled nursing facilities. As of December 31, 2011, we had ownership interests ranging between 5% and 25% in joint ventures with respect to 58 MOBs, 20 seniors housing communities and 14 skilled nursing facilities.

56


Income Tax Benefit
We recorded an income tax benefit for 2012 due primarily to ordinary losses (in part due to the reversal of acquisition deferred tax liabilities) related to our TRS entities, net of the current period valuation allowance. We recorded an income tax benefit for 2011 due primarily to the reversal of certain income tax contingency reserves, including interest, related to our 2007 U.S. federal income tax returns and ordinary losses (in part due to the reversal of acquisition deferred tax liabilities) related to our TRS entities.
Discontinued Operations
Discontinued operations for 2012 reflects activity related to 64 properties, 43 of which were sold during 2012, resulting in a $81.0 million net gain, and 19 of which were classified as held for sale as of December 31, 2012. We also declined to exercise our option to renew an operating lease (in which we were the lessee) related to two seniors housing communities we acquired as part of the ASLG acquisition that expired on June 30, 2012. Discontinued operations for 2011 reflects activity related to 65 properties, four of which were sold during 2011 with no resulting gain or loss.
Net Loss Attributable to Noncontrolling Interest
Net loss attributable to noncontrolling interest for 2012 represents our partners’ joint venture interests in 50 properties. Net loss attributable to noncontrolling interest for 2011 represents our partners’ joint venture interests in 28 properties.
Years Ended December 31, 2011 and 2010
The table below shows our results of operations for each year and the effect on our income of changes in those results from year to year.
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Income
 
2011
 
2010
 
$
 
%
 
(Dollars in thousands)
Segment NOI:
 
 
 
 
 
 
 
Triple-Net Leased Properties
$
639,511

 
$
453,592

 
$
185,919

 
41.0
 %
Senior Living Operations
277,944

 
154,470

 
123,474

 
79.9

MOB Operations
116,291

 
50,205

 
66,086

 
> 100

All Other
34,415

 
16,412

 
18,003

 
> 100

Total segment NOI
1,068,161

 
674,679

 
393,482

 
58.3

Interest and other income
1,217

 
484

 
733

 
> 100

Interest expense
(229,346
)
 
(172,474
)
 
(56,872
)
 
(33.0
)
Depreciation and amortization
(447,664
)
 
(200,682
)
 
(246,982
)
 
( > 100 )

General, administrative and professional fees
(74,537
)
 
(49,830
)
 
(24,707
)
 
(49.6
)
Loss on extinguishment of debt, net
(27,604
)
 
(9,791
)
 
(17,813
)
 
( > 100 )

Litigation proceeds, net
202,259

 

 
202,259

 
nm

Merger-related expenses and deal costs
(153,923
)
 
(19,243
)
 
(134,680
)
 
( > 100 )

Other
(7,270
)
 
(272
)
 
(6,998
)
 
nm

Income before loss from unconsolidated entities, income taxes, discontinued operations and noncontrolling interest
331,293

 
222,871

 
108,422

 
48.6

Loss from unconsolidated entities
(52
)
 
(664
)
 
612

 
92.2

Income tax benefit (expense)
30,660

 
(5,201
)
 
35,861

 
> 100

Income from continuing operations
361,901

 
217,006

 
144,895

 
66.8

Discontinued operations
1,360

 
32,723

 
(31,363
)
 
(95.8
)
Net income
363,261

 
249,729

 
113,532

 
45.5

Net (loss) income attributable to noncontrolling interest, net of tax
(1,232
)
 
3,562

 
(4,794
)
 
( > 100 )

Net income attributable to common stockholders
$
364,493

 
$
246,167

 
$
118,326

 
48.1
 %
    
nm—not meaningful 

57


Segment NOI—Triple-Net Leased Properties
The following table summarizes results of continuing operations in our triple-net leased properties reportable business segment:
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Income
 
2011
 
2010
 
$
 
%
 
(Dollars in thousands)
Segment NOI—Triple-Net Leased Properties:
 
 
 
 
 
 
 
Rental income
$
637,294

 
$
453,592

 
$
183,702

 
40.5
%
Other services revenue
2,217

 

 
2,217

 
nm

Segment NOI
$
639,511

 
$
453,592

 
$
185,919

 
41.0
%
    

nm—not meaningful 
Triple-net leased properties segment NOI increased in 2011 over the prior year primarily due to $179.2 million of rental income from the properties we acquired in connection with the NHP acquisition, $6.0 million of additional rent attributable to the annual contractual escalations in the rent paid under the Kindred Master Leases effective May 1, 2011, other services revenue directly attributable to the NHP acquisition ($2.2 million), and various rent increases at our other existing triple-net leased properties.
The following table compares results of continuing operations for our 373 same-store triple-net leased properties. For purposes of this table, we define same-store properties as properties that we owned for the entire period from January 1, 2010 through December 31, 2011.
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Income
 
2011
 
2010
 
$
 
%
 
(Dollars in thousands)
Same-Store Segment NOI—Triple-Net Leased Properties:
 
 
 
 
 
 
 
Rental income
$
463,026

 
$
452,753

 
$
10,273

 
2.3
%
Other services revenue

 

 

 

Segment NOI
$
463,026

 
$
452,753

 
$
10,273

 
2.3
%
The year-over-year increase in same-store triple-net leased properties NOI is due to contractual escalations in rent pursuant to the terms of our leases, including the Kindred Master Leases.
Segment NOI—Senior Living Operations
The following table summarizes results of continuing operations in our senior living operations reportable business segment:
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Income
 
2011
 
2010
 
$
 
%
 
(Dollars in thousands)
Segment NOI—Senior Living Operations:
 
 
 
 
 
 
 
Total revenues
$
868,095

 
$
446,301

 
$
421,794

 
94.5
%
Less:
 
 
 
 
 
 
 
Property-level operating expenses
(590,151
)
 
(291,831
)
 
(298,320
)
 
( > 100 )

Segment NOI
$
277,944

 
$
154,470

 
$
123,474

 
79.9
%
Our senior living operations segment revenues increased in 2011 over the prior year primarily due to the properties we acquired in connection with the ASLG acquisition and higher average unit occupancy rates and higher average monthly revenue per occupied room.

58


Property-level operating expenses related to our senior living operations segment increased in 2011 over the prior year primarily due to the properties we acquired in connection with the ASLG acquisition and the receipt of a $5 million cash payment from Sunrise in 2010 for expense overages.
The following table compares results of continuing operations for our 79 same-store stabilized senior living operating communities. For purposes of this table, we define same-store stabilized communities as communities that we owned and classified as stable for the entire period from January 1, 2010 through December 31, 2011.
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Income
 
2011
 
2010
 
$
 
%
 
(Dollars in thousands)
Same-Store Stabilized Segment NOI—Senior Living Operations:
 
 
 
 
 
 
 
Total revenues
$
453,180

 
$
432,846

 
$
20,334

 
4.7
 %
Less:
 
 
 
 
 
 
 
Property-level operating expenses
(300,723
)
 
(282,907
)
 
(17,816
)
 
(6.3
)
Segment NOI
$
152,457

 
$
149,939

 
$
2,518

 
1.7
 %
Same-store stabilized senior living operations NOI increased in 2011 over the prior year primarily due to higher average monthly revenue per occupied room and the temporary reduction in management fees with respect to the Original Sunrise-Managed Communities in 2011, partially offset by the receipt of a $5 million cash payment from Sunrise in 2010 for expense overages.
The following table sets forth average unit occupancy rates and the average monthly revenue per occupied room related to continuing operations in our senior living operations segment for the years ended December 31, 2011 and 2010:
 
Number of
Properties at
December 31,
 
Average Unit
Occupancy for
the Year
Ended
December 31,
 
Average
Monthly Revenue Per Occupied Room for
the Year
Ended
December 31,
 
2011
 
2010
 
2011
 
2010
 
2011
 
2010
Stabilized communities
189

 
81

 
88.1
%
 
87.3
%
 
$5,463
 
$6,449
Non-stabilized communities
9

 
1

 
73.9

 
59.5

 
4,745
 
2,998
Total
198

 
82

 
87.5

 
87.1

 
5,434
 
6,430
Same-store stabilized communities
79

 
79

 
87.6

 
87.6

 
6,820
 
6,514
Segment NOI—MOB Operations
The following table summarizes results of continuing operations in our MOB operations reportable business segment:
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Income
 
2011
 
2010
 
$
 
%
 
(Dollars in thousands)
Segment NOI—MOB Operations:
 
 
 
 
 
 
 
Rental income
$
166,161

 
$
69,747

 
$
96,414

 
> 100 %
Medical office building services revenue
34,254

 
14,098

 
20,156

 
> 100
Total revenues
200,415

 
83,845

 
116,570

 
> 100
Less:
 
 
 
 
 
 
 
Property-level operating expenses
(57,042
)
 
(24,122
)
 
(32,920
)
 
( > 100 )
Medical office building services costs
(27,082
)
 
(9,518
)
 
(17,564
)
 
( > 100 )
Segment NOI
$
116,291

 
$
50,205

 
$
66,086

 
> 100 %

59


MOB operations segment revenues and property-level operating expenses increased in 2011 over the prior year primarily due to the MOBs we acquired in connection with the NHP acquisition ($68.6 million) and a full year of activity related to the MOBs we acquired in connection with the Lillibridge acquisition.
Medical office building services revenue and costs, which are a direct result of our Lillibridge acquisition in July 2010, both increased in 2011 over the prior year due primarily to a full year of operations in 2011 and a full year of construction activity during 2011 compared to 2010.
The following table compares results of continuing operations for our 24 same-store stabilized MOBs. For purposes of this table, we define same-store stabilized MOBs as MOBs that we owned and classified as stable for the entire period from January 1, 2010 through December 31, 2011.
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Income
 
2011
 
2010
 
$
 
%
 
(Dollars in thousands)
Same-Store Stabilized Segment NOI—MOB Operations:
 
 
 
 
 
 
 
Rental income
$
45,629

 
$
45,252

 
$
377

 
0.8
 %
Property-level operating expenses
(15,138
)
 
(14,966
)
 
(172
)
 
(1.1
)
Segment NOI
$
30,491

 
$
30,286

 
$
205

 
0.7
 %
The following table sets forth occupancy rates and the annualized average rent per occupied square foot related to continuing operations in our MOB operations segment at and for the years ended December 31, 2011 and 2010:
 
Number of
Properties at
December 31,
 
Occupancy at
December 31,
 
Annualized Average Rent Per Occupied Square Foot for the Year Ended December 31,
 
2011
 
2010
 
2011
 
2010
 
2011
 
2010
Stabilized MOBs
173

 
63

 
92.5
%
 
95.0
%
 
$29
 
$28
Non-stabilized MOBs
12

 
6

 
73.9

 
73.8

 
35
 
29
Total
185

 
69

 
90.2

 
91.6

 
29
 
28
Same-store stabilized MOBs
24

 
24

 
94.0

 
95.3

 
31
 
30
Segment NOI—All Other
All other NOI consists solely of income from loans and investments. Income from loans and investments increased in 2011 over the prior year primarily due to income on the loans receivable portfolio we acquired in connection with the NHP acquisition, gains from the sale of marketable debt securities and additional investments we made in loans receivable during 2011 and 2010, partially offset by decreased interest income related to loans receivable repayments we received during 2011.
Interest Expense
The $62.1 million increase in total interest expense, including interest allocated to discontinued operations of $12.7 million and $7.4 million for the years ended December 31, 2011 and 2010, respectively, is due primarily to a $117.6 million increase in interest due to higher debt balances and $7.7 million of interest related to the capital leases we assumed in connection with our 2011 acquisitions, partially offset by a $65.1 million decrease in interest due to lower effective interest rates, including the amortization of any fair value adjustments. Our effective interest rate, excluding activity related to our capital leases, was 4.9% for 2011, compared to 6.4% for 2010. A decrease in the average Canadian dollar exchange rate had an unfavorable impact on interest expense of $0.2 million in 2011, compared to 2010.
Depreciation and Amortization
Depreciation and amortization expense increased in 2011 over the prior year primarily due to the NHP and ALSG acquisitions and other properties we acquired in 2011.

60


General, Administrative and Professional Fees
General, administrative and professional fees increased in 2011 over the prior year due primarily to our continued organizational growth.
Loss on Extinguishment of Debt, Net
The loss on extinguishment of debt, net in 2011 relates primarily to our early repayment of $307.2 million principal amount of existing mortgage debt in February 2011, our redemption of $200.0 million principal amount of our 6½% senior notes due 2016 in July 2011 and termination of our previous unsecured revolving credit facilities in October 2011. The loss on extinguishment of debt, net in 2010 relates primarily to our redemption of all $142.7 million principal amount then outstanding of our 71/8% senior notes due 2015 in June 2010, our redemption of all $71.7 million principal amount then outstanding of our 65/8% senior notes due 2014 in October 2010 and various mortgage debt repayments in December 2010.
Litigation Proceeds, Net
Litigation proceeds, net in 2011 reflects our receipt of $102.8 million in payment of the compensatory damages award from HCP arising out of our 2007 Sunrise REIT acquisition, plus certain costs and interest, and the receipt of an additional $125 million from HCP in final settlement of our outstanding lawsuit against HCP, net of certain fees and expenses, the contingent fee for our outside legal counsel and donations to the Ventas Charitable Foundation. No similar events occurred during 2010.
Merger-Related Expenses and Deal Costs
Merger-related expenses and deal costs in both years consist of expenses relating to our favorable litigation against HCP and subsequent cross-appeals, which were fully concluded in November 2011, transition and integration expenses related to consummated transactions and deal costs required by GAAP to be expensed rather than capitalized into the asset value. These transition and integration expenses and deal costs reflect certain fees and expenses incurred in connection with the Lillibridge, ASLG and NHP acquisitions.
Other
Other consists primarily of the fair value adjustment on interest rate swaps we acquired in connection with the ASLG and NHP acquisitions, partially offset by other miscellaneous expenses.
Loss from Unconsolidated Entities
Loss from unconsolidated entities in 2011 and 2010 relates to our interests in joint ventures we acquired in connection with the NHP and Lillibridge acquisitions. As of December 31, 2011, we had ownership interests ranging between 5% and 25% in joint ventures with respect to 58 MOBs, 20 seniors housing communities and 14 skilled nursing facilities. As of December 31, 2010, we had ownership interests ranging between 5% and 20% in joint ventures with respect to 58 MOBs.
Income Tax Benefit/Expense
We recorded an income tax benefit for 2011 due primarily to the reversal of certain income tax contingency reserves, including interest, related to our 2007 U.S. federal income tax returns, and ordinary losses (due in part to the reversal of acquisition deferred tax liabilities) related to our TRS entities. Income tax expense for 2010 represents amounts related to our taxable REIT subsidiaries as a result of the Sunrise REIT acquisition.
Discontinued Operations
Discontinued operations for 2011 reflects activity related to 65 properties, four of which were sold during 2011 with no resulting gain or loss. Discontinued operations for 2010 reflects activity related to 26 properties, seven of which were sold during 2010 resulting in a $17.3 million gain, and a $7.9 million previously deferred gain recognized in the fourth quarter of 2010 upon repayment of a note to the buyer.
Net Loss/Income Attributable to Noncontrolling Interest
Net loss attributable to noncontrolling interest for 2011 represents our partners’ joint venture interests in 28 properties. Net income attributable to noncontrolling interest, net of tax for 2010 represents Sunrise’s share of net income from its previous ownership interests in 60 of our seniors housing communities, which we acquired during 2010, and our partner’s joint venture interests in six MOBs.

61


Non-GAAP Financial Measures
We believe that net income, as defined by GAAP, is the most appropriate earnings measurement. However, we consider certain non-GAAP financial measures to be useful supplemental measures of our operating performance. A non-GAAP financial measure is generally defined as one that purports to measure historical or future financial performance, financial position or cash flows, but excludes or includes amounts that would not be so adjusted in the most comparable GAAP measure. Set forth below are descriptions of the non-GAAP financial measures we use in evaluating our operating performance and that we consider most useful to investors, as well as reconciliations of these measures to the most directly comparable GAAP financial measures.
The non-GAAP financial measures we present in this Annual Report on Form 10-K may not be identical to those presented by other real estate companies due to the fact that not all real estate companies use the same definitions. These measures should not be considered as alternatives to net income (determined in accordance with GAAP) as indicators of our financial performance or as alternatives to cash flow from operating activities (determined in accordance with GAAP) as measures of our liquidity, nor are these measures necessarily indicative of sufficient cash flow to fund all of our needs. We believe that in order to facilitate a clear understanding of our consolidated historical operating results, these measures should be examined in conjunction with net income as presented in our Consolidated Financial Statements and other financial data included elsewhere in this Annual Report on Form 10-K.
Funds From Operations and Normalized Funds From Operations
Historical cost accounting for real estate assets implicitly assumes that the value of real estate assets diminishes predictably over time. However, since real estate values historically have risen or fallen with market conditions, many industry investors deem presentations of operating results for real estate companies that use historical cost accounting to be insufficient by themselves. To overcome this problem, we consider Funds From Operations (“FFO”) and normalized FFO to be appropriate measures of operating performance of an equity REIT. We also believe that normalized FFO provides useful information because it allows investors, analysts and our management to compare our operating performance to the operating performance of other real estate companies and between periods on a consistent basis without having to account for differences caused by unanticipated items and other events such as transactions and litigation. In some cases, we provide information about identified non-cash components of FFO and normalized FFO because it investors, allows analysts and our management to assess the impact of those items.
We use the National Association of Real Estate Investment Trusts (“NAREIT”) definition of FFO. NAREIT defines FFO as net income (computed in accordance with GAAP), excluding gains (or losses) from sales of real estate property, including gain on re-measurement of equity method investments, and impairment write-downs of depreciable real estate, plus real estate depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. Adjustments for unconsolidated partnerships and joint ventures will be calculated to reflect FFO on the same basis. We define normalized FFO as FFO excluding the following income and expense items (which may be recurring in nature): (a) net gains on real estate activity; (b) merger-related costs and expenses, including amortization of intangibles and transition and integration expenses, and deal costs and expenses, including expenses and recoveries relating to our lawsuit against HCP; (c) the impact of any expenses related to asset impairment and valuation allowances, the write-off of unamortized deferred financing fees, or additional costs, expenses, discounts, make-whole payments, penalties or premiums incurred as a result of early retirement or payment of our debt; (d) the non-cash effect of income tax benefits or expenses; (e) the impact of future unannounced acquisitions or divestitures (including pursuant to tenant options to purchase) and capital transactions; (f) the financial impact of contingent consideration; (g) charitable donations made to the Ventas Charitable Foundation; and (h) gains and losses for non-operational foreign currency hedge agreements and changes in the fair value of financial instruments.

62


Our FFO and normalized FFO for each of the five years ended December 31, 2012 are summarized in the following table. Our FFO for the year ended December 31, 2012 increased over the prior year primarily due to our $2.7 billion of gross investments in 2012, including our acquisitions of Cogdell and the Sunrise-Managed 16 Communities, and the full year benefit of our 2011 acquisitions, including NHP and ASLG. Additionally, we benefited from excellent performance in our senior living operations reportable business segment, rental increases from our triple-net lease portfolio and lower weighted average interest rates. These benefits were partially offset by our receipt of $202.3 million of net litigation proceeds in 2011 related to our lawsuit against HCP, increases in general and administrative expenses (including stock-based compensation), higher debt balances, a scheduled increase in the management fees with respect to the Original Sunrise-Managed Communities, and asset sales and loan repayments during 2011 and 2012.
 
For the Year Ended December 31,
 
2012
 
2011
 
2010
 
2009
 
2008
 
(In thousands)
Net income attributable to common stockholders
$
362,800

 
$
364,493

 
$
246,167

 
$
266,495

 
$
222,603

Adjustments:
 
 
 
 
 
 
 
 
 
Real estate depreciation and amortization
721,558

 
445,237

 
199,048

 
193,530

 
225,811

Real estate depreciation related to noncontrolling interest
(8,503
)
 
(3,471
)
 
(6,217
)
 
(6,349
)
 
(8,484
)
Real estate depreciation related to unconsolidated entities
7,516

 
6,552

 
2,367

 

 

Gain on re-measurement of equity interest upon acquisition, net
(16,645
)
 

 

 

 

Discontinued operations:
 
 
 
 
 
 
 
 
 
Gain on real estate dispositions, net
(80,952
)
 

 
(25,241
)
 
(67,305
)
 
(39,026
)
Depreciation on real estate assets
38,793

 
12,040

 
5,382

 
7,038

 
11,453

FFO
1,024,567

 
824,851

 
421,506

 
393,409

 
412,357

Adjustments:
 
 
 
 
 
 
 
 
 
Litigation proceeds, net

 
(202,259
)
 

 

 

Change in fair value of financial instruments
99

 
2,959

 

 

 

Reversal of contingent liability

 

 

 

 
(23,328
)
Provision for loan losses

 

 

 

 
5,994

Income tax (benefit) expense
(6,286
)
 
(31,137
)
 
2,930

 
(3,459
)
 
(17,616
)
Loss (gain) on extinguishment of debt, net
37,640

 
27,604

 
9,791

 
6,080

 
(2,398
)
Merger-related expenses and deal costs
63,183

 
153,923

 
19,243

 
13,015

 
4,460

Amortization of other intangibles
1,022

 
1,022

 
511

 

 

Normalized FFO
$
1,120,225

 
$
776,963

 
$
453,981

 
$
409,045

 
$
379,469

    

63


Adjusted EBITDA
We consider Adjusted EBITDA to be an important supplemental measure to net income because it provides additional information with which to evaluate the performance of our operations and serves as another indication of our ability to service debt. We define Adjusted EBITDA as earnings before interest, taxes, depreciation and amortization (including non-cash stock-based compensation expense), excluding net loss on extinguishment of debt, net litigation proceeds, merger-related expenses and deal costs, net gains on real estate activity and changes in the fair value of financial instruments (including amounts in discontinued operations). The following is a reconciliation of Adjusted EBITDA to net income (including amounts in discontinued operations) for the years ended December 31, 2012, 2011 and 2010:
 
For the Year Ended December 31,
 
2012
 
2011
 
2010
 
(In thousands)
Net income
$
361,775

 
$
363,261

 
$
249,729

Adjustments:
 
 
 
 
 
Interest (including amounts in discontinued operations)
302,031

 
242,057

 
179,918

Loss on extinguishment of debt, net
37,640

 
27,604

 
9,791

Taxes (including amounts in general, administrative and professional fees) (including amounts in discontinued operations)
(2,627
)
 
(29,136
)
 
6,280

Depreciation and amortization (including amounts in discontinued operations)
764,774

 
459,704

 
206,064

Non-cash stock-based compensation expense
20,784

 
19,346

 
14,078

Merger-related expenses and deal costs
63,183

 
153,923

 
19,243

Gain on real estate dispositions, net
(80,952
)
 

 
(25,241
)
Litigation proceeds, net

 
(202,259
)
 

Changes in fair value of financial instruments
99

 
2,959

 

Gain on re-measurement of equity interest upon acquisition, net
(16,645
)
 

 

Adjusted EBITDA
$
1,450,062

 
$
1,037,459

 
$
659,862

    

64


NOI
We also consider NOI an important supplemental measure to net income because it allows investors, analysts and our management to measure unlevered property-level operating results and to compare our operating results to the operating results of other real estate companies and between periods on a consistent basis. We define NOI as total revenues, less interest and other income, property-level operating expenses and medical office building services costs (including amounts in discontinued operations). Cash receipts may differ due to straight-line recognition of certain rental income and the application of other GAAP policies. The following is a reconciliation of NOI to net income (including amounts in discontinued operations) for the years ended December 31, 2012, 2011 and 2010:
 
For the Year Ended December 31,
 
2012
 
2011
 
2010
 
(In thousands)
Net income
$
361,775

 
$
363,261

 
$
249,729

Adjustments:
 
 
 
 
 
Interest and other income (including amounts in discontinued operations)
(6,158
)
 
(1,217
)
 
(1,209
)
Interest (including amounts in discontinued operations)
302,031

 
242,057

 
179,918

Depreciation and amortization (including amounts in discontinued operations)
764,774

 
459,704

 
206,064

General, administrative and professional fees (including amounts in discontinued operations)
98,813

 
74,537

 
49,830

Loss on extinguishment of debt, net
37,640

 
27,604

 
9,791

Litigation proceeds, net

 
(202,259
)
 

Merger-related expenses and deal costs
63,183

 
153,923

 
19,243

Other (including amounts in discontinued operations)
8,842

 
8,653

 
272

(Income) loss from unconsolidated entities
(18,154
)
 
52

 
664

Income tax (benefit) expense (including amounts in discontinued operations)
(6,286
)
 
(31,137
)
 
5,201

Gain on real estate dispositions, net
(80,952
)
 

 
(25,241
)
NOI (including amounts in discontinued operations)
1,525,508

 
1,095,178

 
694,262

Discontinued operations
(20,540
)
 
(27,017
)
 
(19,583
)
NOI (excluding amounts in discontinued operations)
$
1,504,968

 
$
1,068,161

 
$
674,679

Asset/Liability Management
Asset/liability management is a key element of our overall risk management program. The objective of our asset/liability management process, which focuses on various risks such as market risk (primarily interest rate risk and foreign currency exchange risk) and credit risk, is to support the achievement of our business strategy, while maintaining appropriate risk levels. Effective management of these risks is an important determinant of the absolute levels and variability of our FFO and net worth. The following discussion addresses our integrated management of assets and liabilities, including the use of derivative financial instruments.
Market Risk
We are exposed to market risk related to changes in interest rates on borrowings under our unsecured revolving credit facility and our unsecured term loans, certain of our mortgage loans that are floating rate obligations, certain mortgage loans receivable that bear interest at floating rates and marketable debt securities. These market risks result primarily from changes in LIBOR or prime rates. We continuously monitor our level of floating rate debt with respect to total debt and other factors, including our assessment of current and future economic conditions.

65


The table below sets forth certain information with respect to our debt, excluding premiums, discounts and capital lease obligations.
 
As of December 31,
 
2012
 
2011
 
2010
 
(Dollars in thousands)
Balance:
 
 
 
 
 
Fixed rate:
 
 
 
 
 
Senior notes and other
$
4,079,643

 
$
2,460,026

 
$
1,537,433

Mortgage loans and other(1)
2,442,652

 
2,357,268

 
1,234,263

Variable rate:
 
 
 
 
 
Unsecured revolving credit facilities
540,727

 
455,578

 
40,000

Unsecured term loans
685,336

 
501,875

 

Mortgage loans(1)
437,957

 
405,696

 
115,258

Total
$
8,186,315

 
$
6,180,443

 
$
2,926,954

Percent of total debt:
 
 
 
 
 
Fixed rate:
 
 
 
 
 
Senior notes and other
49.8
%
 
39.8
%
 
52.5
%
Mortgage loans and other(1)
29.8

 
38.1

 
42.2

Variable rate:
 
 
 
 
 
Unsecured revolving credit facilities
6.6

 
7.4

 
1.4

Unsecured term loans
8.4

 
8.1

 

Mortgage loans(1)
5.4

 
6.6

 
3.9

Total
100.0
%
 
100.0
%
 
100.0
%
Weighted average interest rate at end of period:
 
 
 
 
 
Fixed rate:
 
 
 
 
 
Senior notes and other
4.0
%
 
5.3
%
 
5.1
%
Mortgage loans and other(1)
6.1

 
6.1

 
6.2

Variable rate:
 
 
 
 
 
Unsecured revolving credit facilities
1.5

 
1.4

 
3.1

Unsecured term loans
1.6

 
1.8

 
N/A

Mortgage loans(1)
1.9

 
2.0

 
1.5

Total
4.1

 
4.8

 
5.4

    
(1)
The amounts presented above exclude debt related to real estate assets classified as held for sale as of December 31, 2012 and 2011. The total mortgage debt for these properties as of December 31, 2012 and 2011 was $23.2 million and $14.6 million, respectively.
The variable rate debt in the table above reflects, in part, the effect of (i) $167.3 million notional amount of interest rate swaps that matured on February 1, 2013 and (ii) $61.4 million notional amount of interest rate swaps with maturities ranging from March 2, 2015 to April 1, 2019, in each case that effectively convert variable rate debt to fixed rate debt. The increase in our outstanding variable rate debt at December 31, 2012 compared to December 31, 2011 is primarily attributable to additional borrowings under our unsecured revolving credit facility and our unsecured term loans. Pursuant to the terms of certain leases with one of our tenants, if interest rates increase on certain variable rate debt that we have totaling $80.0 million as of December 31, 2012, our tenant is required to pay us additional rent (on a dollar-for-dollar basis) in an amount equal to the increase in interest expense resulting from the increased interest rates. Therefore, the increase in interest expense related to this debt is equally offset by an increase in additional rent due to us from the tenant. Assuming a 100 basis point increase in the weighted average interest rate related to our variable rate debt (excluding debt related to real estate assets classified as held for sale at December 31, 2012), and assuming no change in our variable rate debt outstanding as of December 31, 2012, interest expense for 2013 would increase, and our net income would decrease, by approximately $16.4 million, or $0.06 per diluted common share. The fair value of our fixed and variable rate debt is based on current interest rates at which we could obtain similar borrowings.

66


As of December 31, 2012 and 2011, our joint venture and operating partners’ aggregate share of total debt was $174.7 million and $103.1 million, respectively, with respect to certain properties we owned through consolidated joint ventures and an operating partnership. Total debt does not include our portion of debt related to investments in unconsolidated entities, which was $92.8 million and $131.5 million as of December 31, 2012 and 2011, respectively. The decrease in debt related to investments in unconsolidated entities is the result of our August 2012 acquisition of the controlling interests in 36 MOBs.
For fixed rate debt, interest rate fluctuations generally affect the fair value, but do not impact our earnings or cash flows. Therefore, interest rate risk does not have a significant impact on our fixed rate debt obligations until such obligations mature or until we elect to prepay and refinance such obligations. If interest rates have risen at the time our fixed rate debt matures or is refinanced, our future earnings and cash flows could be adversely affected by additional borrowing costs. Conversely, lower interest rates at the time of maturity or refinancing may lower our overall borrowing costs.
To highlight the sensitivity of our fixed rate debt to changes in interest rates, the following summary shows the effects of a hypothetical instantaneous change of 100 basis points (“BPS”) in interest rates as of December 31, 2012 and 2011:
 
As of December 31,
 
2012
 
2011
 
(In thousands)
Gross book value
$
6,522,295

 
$
4,984,743

Fair value(1)
6,936,849

 
5,439,222

Fair value reflecting change in interest rates:(1)
 
 
 
-100 BPS
7,164,166

 
5,401,585

+100 BPS
6,559,949

 
4,963,413

    

(1)
The change in fair value of our fixed rate debt was due primarily to overall changes in interest rates and a net increase in the aggregate principal amount of our outstanding senior notes.
As of December 31, 2012, the fair value of our secured and unsecured loans receivable, based on our estimates of currently prevailing interest rates for comparable loans, was $701.9 million. See “Note 6—Loans Receivable” and “Note 11—Fair Values of Financial Instruments” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
We are subject to fluctuations in U.S. and Canadian currency exchange rates that may, from time to time, affect our financial condition and results of operations. Increases or decreases in the value of the Canadian dollar impact the amount of net income we earn from our 12 seniors housing communities in Canada. Based solely on our 2012 results, if the Canadian dollar exchange rate were to increase or decrease by $0.10, our net income from these communities would decrease or increase, as applicable, by less than $0.1 million per year. If we increase our international presence through investments in, or acquisitions or development of, seniors housing or healthcare assets outside the United States, we may also decide to transact additional business or borrow funds under our unsecured revolving credit facility in currencies other than U.S. or Canadian dollars. Although we may decide to pursue hedging alternatives (including additional borrowings in local currencies) to protect against foreign currency fluctuations, we cannot assure you that any such fluctuations will not have a material adverse effect on our business, financial condition, results of operations or liquidity, our ability to service our indebtedness or our ability to make distributions to our stockholders, as required for us to continue to qualify as a REIT (a “Material Adverse Effect”).
In the future, we may engage in hedging strategies to manage our exposure to market risk, depending on an analysis of the interest rate and foreign currency exchange rate environments and the costs and risks of such strategies. However, we do not use derivative financial instruments for speculative purposes.
    

67


Concentration and Credit Risk
We use concentration ratios to understand and evaluate the potential risks of economic downturns or other adverse events affecting our asset types, geographic locations, business models, and tenants, operators and managers. We evaluate our concentration risk in terms of investment mix and operations mix. Investment mix measures the percentage of our investments that is concentrated in a specific asset type or that is operated or managed by a particular tenant, operator or manager. Operations mix measures the percentage of our operating results that is attributed to a particular tenant, operator or manager, geographic location or business model. The following tables reflect our concentration risk as of the dates and for the periods presented:
 
As of
December 31,
 
2012
 
2011
Investment mix by asset type(1):
 
 
 
Seniors housing communities
61.2
%
 
66.7
%
Skilled nursing and other facilities
14.8

 
16.5

MOBs
18.6

 
13.1

Hospitals
2.3

 
2.6

Loans receivable, net
3.1

 
1.1

Investment mix by tenant, operator and manager(1):
 
 
 
Atria
17.8
%
 
19.0
%
Sunrise
14.8

 
14.4

Brookdale Senior Living
10.4

 
13.0

Kindred
4.4

 
5.0

All other
52.6

 
48.6

    
(1)
Ratios are based on the gross book value of real estate investments (excluding assets classified as held for sale) as of each reporting date.

68


 
For the Year Ended
December 31,
 
2012
 
2011
 
2010
Operations mix by tenant and operator and business model:
 
 
 
 
 
Revenues (1):
 
 
 
 
 
Senior living operations (2)
49.6
%
 
49.8
%
 
44.6
%
Kindred
10.5

 
14.5

 
24.7

Brookdale Senior Living
6.4

 
7.7

 
10.9

All others
33.5

 
28.0

 
19.8

Adjusted EBITDA (3):
 
 
 
 
 
Senior living operations (2)
26.0
%
 
26.0
%
 
22.7
%
Kindred
16.1

 
21.9

 
34.6

Brookdale Senior Living
10.9

 
13.0

 
17.0

All others
47.0

 
39.1

 
25.7

NOI (4):
 
 
 
 
 
Senior living operations (2)
25.7
%
 
26.0
%
 
22.9
%
Kindred
17.4

 
23.7

 
36.6

Brookdale Senior Living
10.5

 
12.5

 
16.2

All others
46.4

 
37.8

 
24.3

Operations mix by geographic location (5):
 
 
 
 
 
California
14.0
%
 
13.9
%
 
12.2
%
New York
9.9

 
8.8

 
3.5

Texas
6.0

 
5.0

 
2.6

Illinois
5.0

 
6.5

 
10.4

Massachusetts
4.6

 
5.0

 
5.1

All others
60.5

 
60.8

 
66.2

    

(1)
Total revenues include medical office building and other services revenue, revenue from loans and investments and interest and other income (excluding amounts in discontinued operations).
(2)
Amounts relate to the actual period of ownership and do not necessarily reflect a full year.
(3)
Includes amounts in discontinued operations.
(4)
Excludes amounts in discontinued operations.
(5)
Ratios are based on total revenues for each period presented (excluding amounts in discontinued operations).
See “Non-GAAP Financial Measures” included elsewhere in this Annual Report on Form 10-K for additional disclosure and reconciliations of Adjusted EBITDA and NOI to our net income as computed in accordance with GAAP.
We derive a significant portion of our revenue by leasing certain of our assets under long-term triple-net leases in which the rental rate is generally fixed with annual escalators, subject to certain limitations. Some of our triple-net lease escalators are tied to the Consumer Price Index (“CPI”), with caps, floors or collars. We also earn revenue from individual residents at our seniors housing communities managed by independent operators, such as Atria and Sunrise, and tenants in our MOBs. For the year ended December 31, 2012, 40.5% of our Adjusted EBITDA (including amounts in discontinued operations) was derived from our senior living operations and MOB operations, for which rental rates may fluctuate more frequently upon lease rollovers and renewals due to economic or market conditions.
Our reliance on Kindred and Brookdale Senior Living for a significant portion of our total revenues and NOI creates credit risk. Our financial condition and results of operations could be weakened and our ability to service our indebtedness and to make distributions to our stockholders could be limited if either Kindred or Brookdale Senior Living becomes unable or unwilling to satisfy its obligations to us. We cannot assure you that either Kindred or Brookdale Senior Living will have sufficient assets, income and access to financing to enable it to satisfy its respective obligations to us, and any inability or unwillingness by Kindred or Brookdale Senior Living to do so could have a Material Adverse Effect on us. In addition, any

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failure by either Kindred or Brookdale Senior Living to effectively conduct its operations or to maintain and improve our properties could adversely affect its business reputation or its ability to attract and retain patients and residents in our properties, which could have an indirect Material Adverse Effect on us. See “Risk Factors—Risks Arising from Our Business—We depend on Kindred and Brookdale Senior Living for a significant portion of our revenues and operating income; Any inability or unwillingness by Kindred or Brookdale Senior Living to satisfy its obligations under its agreements with us could have a Material Adverse Effect on us” included in Part I, Item 1A of this Annual Report on Form 10-K and “Note 3Concentration of Credit Risk” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
We regularly monitor the relative credit risk of our significant tenants, and changes therein, particularly when those tenants have recourse obligations under their triple-net leases. The ratios and metrics we use to evaluate a significant tenant’s liquidity and creditworthiness depend on facts and circumstances specific to that tenant and the industry or industries in which it operates, including without limitation the tenant’s credit history and economic conditions related to the tenant, its operations and the markets in which the tenant operates, that may vary over time. Among other things, we may (i) review and analyze information regarding the real estate, seniors housing and healthcare industries generally, publicly available information regarding the significant tenant, and information required to be provided by the tenant under the terms of its lease agreements with us, (ii) examine monthly and/or quarterly financial statements of the significant tenant to the extent publicly available or otherwise provided under the terms of our lease agreements, and (iii) participate in periodic discussions and in-person meetings with representatives of the significant tenant.  From this data, we endeavor to calculate multiple financial ratios (which may, but do not necessarily, include net debt to EBITDAR or EBITDARM, fixed charge coverage and tangible net worth), after making certain adjustments based on our judgment, and to assess other metrics we deem relevant to an understanding of the significant tenant’s credit risk.
Because Atria and Sunrise manage, but do not lease, our properties, we are not directly exposed to their credit risk in the same manner or to the same extent as our triple-net tenants. However, we rely on our managers’ personnel, expertise, technical resources and information systems, proprietary information, good faith and judgment to manage our seniors housing communities efficiently and effectively. We also rely on our managers to set resident fees and otherwise operate those properties in compliance with the terms of our management agreements. Although we have various rights as the property owner under our management agreements, including various rights to terminate and exercise remedies under the agreements that may relate to all properties or a specific property or group of properties as provided therein, Atria’s or Sunrise’s inability or unwillingness to satisfy its obligations under those agreements, to efficiently and effectively manage our properties or to provide timely and accurate accounting information with respect thereto could have a Material Adverse Effect on us. In addition, significant changes in Atria’s or Sunrise’s senior management or any adverse developments in their businesses and affairs or financial condition could have a Material Adverse Effect on us. See “Risk Factors—Risks Arising from Our Business—The properties managed by Atria and Sunrise account for a significant portion of our revenues and operating income; Although Atria and Sunrise are managers, not tenants, of our properties, adverse developments in their businesses and affairs or financial condition could have a Material Adverse Effect on us” and “—We have rights to terminate our management agreements with Atria and Sunrise in whole or with respect to specific properties under certain circumstances, and we may be unable to replace Atria or Sunrise if our management agreements are terminated or not renewed” included in Part I, Item 1A of this Annual Report on Form 10-K.
In December 2012, we acquired a 34% ownership interest in Atria through the acquisition of the Funds previously managed by LFREI. As a result, we obtained certain rights and minority protections regarding material transactions affecting Atria, as well as the right to appoint two directors to the Atria Board of Directors.
In August 2012, Sunrise announced that it had agreed to be acquired by Health Care REIT, Inc. (“Health Care REIT”). In connection with this announcement, Sunrise effected an internal reorganization to separate its subsidiaries that operate and manage seniors housing communities (collectively, the “Sunrise management business”) from its real estate assets and its equity interests in subsidiaries and joint ventures that hold real estate assets (collectively, the “Sunrise real estate”). In January 2013, the Sunrise management business was sold to a partnership comprised of three private equity firms and Health Care REIT, and the Sunrise real estate was acquired by Health Care REIT.

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Triple-Net Lease Expirations
As our triple-net leases expire, we face the risk that our tenants may elect not to renew those leases and, in the event of non-renewal, we may be unable to reposition the applicable properties on a timely basis or on the same or better economic terms, if at all. During the year ended December 31, 2012, we had no triple-net lease renewals or expirations without renewal that had a material effect on our financial condition or our results of operations for that period. The following table summarizes our triple-net lease expirations currently scheduled to occur over the next ten years (excluding leases related to assets classified as held for sale as of December 31, 2012):
 
Number of
Properties
 
2012 Annual
Rental Income
 
% of 2012 Total
Triple-Net Rental
Income
 
(Dollars in thousands)
2013
72

 
$
69,158

 
8.3
%
2014
16

 
19,670

 
2.4

2015
150

 
163,850

 
19.7

2016
24

 
22,112

 
2.7

2017
47

 
23,573

 
2.8

2018
33

 
51,819

 
6.2

2019
88

 
135,950

 
16.4

2020
105

 
87,061

 
10.5

2021
77

 
63,940

 
7.7

2022
68

 
56,555

 
6.8

The non-renewal of some or all of our triple-net leases could have a Material Adverse Effect on us. See “Risk Factors—Risks Arising from Our Business—If we must replace any of our tenants or operators, we might be unable to reposition the properties on as favorable terms, or at all, and we could be subject to delays, limitations and expenses, which could have a Material Adverse Effect on us” included in Part I, Item IA of this Annual Report on Form 10-K.
As of December 31, 2012, we leased 196 properties to Kindred pursuant to four original Kindred Master Leases, with the properties grouped into bundles or renewal groups (each, a “renewal group”) containing a varying number of properties. Each renewal group is diversified by geography and contains at least one long-term acute care hospital. Under the four original Kindred Master Leases, the properties within a single renewal group have the same primary lease term of ten to 15 years (which commenced May 1, 1998), and each renewal group is subject to three successive five-year renewal terms at Kindred’s option, provided certain conditions are satisfied. Kindred’s renewal option is “all or nothing” with respect to the properties contained in each renewal group.
The lease terms for ten renewal groups under the four original Kindred Master Leases covering a total of 89 properties have an April 30, 2013 expiration date. We have entered into lease renewals, new leases or sale contracts for all 89 properties whose lease term expires on April 30, 2013. We expect 2013 cash revenue and NOI from these 89 properties (including yield on reinvested sale proceeds from the five properties for sale) to be $125 million, compared to 2012 rent for all 89 properties of $125 million.
Of these 89 properties, Kindred will remain the tenant in 35 properties for estimated aggregate annual base rent commencing on May 1, 2013 of $76.1 million, including escalations. Specifically, Kindred irrevocably renewed for a five-year term three renewal groups covering a total of 25 properties, and we entered into a fifth Kindred Master Lease with respect to ten long-term acute care hospitals. The New Kindred Master Lease has an initial term expiring on April 30, 2023 and is subject to three successive five-year, “all or nothing” renewal options at Kindred’s option.
With respect to the remaining 54 skilled nursing facilities whose lease term expires on April 30, 2013 (the “Marketed Assets”), 49 Marketed Assets have been leased pursuant to new long-term triple-net leases (the “New Leases”) with seven qualified healthcare operators (the “New Tenants”), and we have entered into definitive agreements to sell five Marketed Assets. The New Leases have an average weighted initial lease term of over 11 years.
Six of the Marketed Assets transitioned to New Tenants on February 1, 2013. Kindred is required to continue to perform all of its obligations under the applicable Kindred Master Lease for the Marketed Assets until expiration of the current lease term, including without limitation, payment of all rental amounts. Moreover, we own or have the rights to all licenses and CONs at the properties, and Kindred has extensive and detailed obligations to cooperate and ensure an orderly transition of the

71


properties to another operator.
Although leases and sale contracts have been executed and we expect the remaining transitions and sales to be completed or occur in the first half of 2013, these transitions and sales remain subject to customary closing conditions, including licensure and regulatory approval. Accordingly, we cannot assure you as to whether or when the transitions or sales of the remaining Marketed Assets will be completed, if at all, or upon what terms. Our ability to transition or sell the Marketed Assets could be significantly delayed or limited by state licensing, CON or other laws, as well as by the Medicare and Medicaid change-of-ownership rules, and we could incur substantial additional expenses in connection with any licensing or change-of-ownership proceedings. In addition, if any transition or sale has not occurred by May 1, 2013, Kindred has certain obligations to continue operating the properties on modified terms for a limited period, but we may be required to fund certain expenses and obligations (e.g., real estate taxes, insurance and maintenance expenses or general operating expenses) related to the applicable properties after May 1, 2013.
The current lease term for ten renewal groups covering another 108 properties leased to Kindred pursuant to the original four Kindred Master Leases will expire on April 30, 2015 (the “2015 Assets”), subject to two successive five-year renewal options for those properties exercisable by Kindred. Kindred has from November 1, 2013 until April 30, 2014 to provide us with renewal notices with respect to those properties. Therefore, as to any renewal group for which we do not receive a renewal notice, we will have at least one year to arrange for the repositioning of the applicable properties with new operators. Regardless of whether Kindred renews any of the renewal groups, Kindred is obligated to continue to perform all of its obligations under the applicable Master Leases with respect to the 2015 Assets, including the payment of full rent, through April 30, 2015.
All ten renewal groups whose current lease term expires on April 30, 2015 will be, upon renewal, in the second five-year renewal period and, therefore, we have a unilateral bundle-by-bundle option to initiate a fair market rental reset process on any renewal group for which Kindred delivers a renewal notice. If we elect to initiate the fair market rental reset process for any renewal group, the renewal rent will be the higher of contract rent and fair market rent determined by an appraisal process set forth in the applicable Kindred Master Lease. In certain cases following our initiation of a fair market rental reset process with respect to a renewal group, Kindred may have the right to revoke its renewal of that particular renewal group.
We cannot assure you that Kindred will elect to renew any or all of the renewal groups for the 2015 Assets or that we will be able to reposition any or all non-renewed assets on a timely basis or on the same or better economic terms, if at all. In addition, the determination of market rent, whether on re-leasing or under the reset process, is dependent on and may be influenced by a variety of factors and is highly speculative, and we cannot assure you as to what the market rent may be for any of the 2015 Assets. See “Risk Factors—Risks Arising from Our Business—If we must replace any of our tenants or operators, we might be unable to reposition the properties on as favorable terms, or at all, and we could be subject to delays, limitations and expenses, which could have a Material Adverse Effect on us” included in Item 1A of this Annual Report on Form 10-K.
The aggregate annual rent we receive under each Kindred Master Lease is referred to as “base rent.” Base rent escalates on May 1 of each year at a specified rate over the prior period base rent, with base rent escalation under the four original Kindred Master Leases contingent upon the satisfaction of specified facility revenue parameters. The annual rent escalator under three Kindred Master Leases is 2.7%, and the annual rent escalator under the other two Kindred Master Leases is based on year-over-year changes in CPI, subject to floors and caps.
Assuming that all of the Marketed Assets are sold or transitioned on or prior to May 1, 2013 and assuming the applicable facility revenue parameters are met, and regardless of whether Kindred provides renewal notices with respect to any or all of the 2015 Assets, we currently expect that approximately $216 million of aggregate base rent will be due under the five Kindred Master Leases for the period from May 1, 2013 through April 30, 2014. See “Note 3—Concentration of Credit Risk” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
Liquidity and Capital Resources
As of December 31, 2012, we had a total of $67.9 million of unrestricted cash and cash equivalents, operating cash and cash related to our senior living operations and MOB operations reportable business segments that is deposited and held in property-level accounts. Funds maintained in the property-level accounts are used primarily for the payment of property-level expenses, debt service payments and certain capital expenditures. As of December 31, 2012, we also had escrow deposits and restricted cash of $105.9 million and $1.5 billion of unused borrowing capacity available under our unsecured revolving credit facility.
During 2012, our principal sources of liquidity were proceeds from the issuance of debt and equity securities, cash flows from operations, borrowings under our unsecured revolving credit facilities and term loans, proceeds from repayments of our

72


loans receivable and marketable securities portfolios, proceeds from sales of real estate assets, assumption of mortgage debt and cash on hand. In addition to working capital and general corporate purposes, our principal uses of liquidity during 2012 were to fund $2.7 billion of investments, including deal costs, repay $1.2 billion of debt and fund $728.5 million of common stock dividends.
During 2013, our principal liquidity needs are to: (i) fund normal operating expenses; (ii) meet our debt service requirements; (iii) repay maturing mortgage and other debt, including $270.0 million aggregate principal amount of our 6.25% senior notes due 2013; (iv) fund capital expenditures primarily for our senior living operations and our MOB operations reportable business segments; (v) fund acquisitions, investments and commitments, including development activities; and (vi) make distributions to our stockholders and unitholders, as required for us to continue to qualify as a REIT. We believe that these liquidity needs generally will be satisfied by cash flows from operations, cash on hand, debt assumptions and financings, issuances of debt and equity securities, proceeds from sales of real estate assets and borrowings under our unsecured revolving credit facility. However, if any of these sources of liquidity is unavailable to us or is not available at an acceptable cost or if we engage in significant acquisition or investment activity, we may seek or require additional capital through debt assumptions and financings (including secured financings), dispositions of assets (in whole or in part through joint venture arrangements with third parties) and the issuance of secured or unsecured long-term debt or other securities, or any combination thereof. See “Risk Factors—Risks Arising from Our Capital Structure—Limitations on our ability to access capital could have an adverse effect on our ability to make required payments on our debt obligations, make distributions to our stockholders or make future investments necessary to implement our business strategy” included in Part I, Item 1A of this Annual Report on Form 10-K.
Unsecured Revolving Credit Facility and Term Loans
We have $2.0 billion of aggregate borrowing capacity under our unsecured revolving credit facility, which may be increased to up to $2.5 billion at our option, subject to the satisfaction of certain conditions, and includes sublimits of (a) up to $200 million for letters of credit, (b) up to $200 million for swingline loans, (c) up to $250 million for loans in certain alternative currencies, and (d) up to 50% of the facility for certain negotiated rate loans. Borrowings under our unsecured revolving credit facility bear interest at a fluctuating rate per annum equal to a reference rate (the applicable LIBOR for Eurocurrency rate loans and the higher of (i) the federal funds rate plus 0.50%, (ii) the administrative agent’s prime rate and (iii) the applicable LIBOR plus 1.0% for base rate loans) plus a spread based on our senior unsecured long-term debt ratings. We also pay a facility fee ranging from 15 to 45 basis points per annum (based on our senior unsecured long-term debt ratings) on the aggregate revolving commitments under our unsecured revolving credit facility. At December 31, 2012, the applicable spread was 110 basis points for Eurocurrency rate loans and 10 basis points for base rate loans and the facility fee was 17.5 basis points. Borrowings under our unsecured revolving credit facility mature in October 2015, but may be extended for an additional period of one year at our option, subject to the satisfaction of certain conditions.
As of December 31, 2012, we also had $500.0 million of borrowings outstanding under an unsecured term loan facility with a weighted average maturity of 4.5 years. Borrowings under the term loan facility bear interest at the applicable LIBOR plus a spread based on our senior unsecured long-term debt ratings (125 basis points at December 31, 2012). The term loan facility is comprised of a three-year tranche and a five-year tranche and contains an accordion feature that permits us to increase our aggregate borrowing capacity thereunder to up to $900.0 million, subject to the satisfaction of certain conditions.
In August 2012, we prepaid in full our $200.0 million unsecured term loan that was scheduled to mature in September 2013. The term loan was non-amortizing and bore interest at an all-in fixed rate of 4% per annum. In October 2012, we entered into a new $180.0 million unsecured term loan that matures in January 2018. Borrowings under the new term loan bear interest at the applicable LIBOR plus a spread based on our senior unsecured long-term debt ratings (120 basis points at December 31, 2012).
The agreements governing our unsecured revolving credit facility and each of our unsecured term loans require us to comply with various financial and other restrictive covenants. See “Note 10—Borrowing Arrangements” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K. We were in compliance with all of these covenants at December 31, 2012.
Senior Notes
As of December 31, 2012, we had $3.5 billion aggregate principal amount of senior notes issued by our subsidiaries, Ventas Realty, Limited Partnership and Ventas Capital Corporation (collectively, the “Ventas Issuers”), outstanding as follows:
$400.0 million principal amount of 3.125% senior notes due 2015;
$700.0 million principal amount of 2.00% senior notes due 2018;
$600.0 million principal amount of 4.00% senior notes due 2019;

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$700.0 million principal amount of 4.750% senior notes due 2021;
$600.0 million principal amount of 4.25% senior notes due 2022; and
$500.0 million principal amount of 3.25% senior notes due 2022.
In addition, as of December 31, 2012, we had approximately $580 million aggregate principal amount of senior notes of our subsidiary, Nationwide Health Properties, LLC (“NHP LLC”), as successor to NHP, outstanding as follows:
$270.0 million principal amount of 6.25% senior notes due 2013 (repaid in full, at par, upon maturity in February 2013);
$234.4 million principal amount of 6% senior notes due 2015;
$52.4 million principal amount of 6.90% senior notes due 2037 (subject to earlier repayment at the option of the holder); and
$23.0 million principal amount of 6.59% senior notes due 2038 (subject to earlier repayment at the option of the holder).
In February 2012, we issued and sold $600.0 million aggregate principal amount of 4.25% senior notes due 2022, at a public offering price equal to 99.214% of par, for total proceeds of $595.3 million before the underwriting discount and expenses.
In April 2012, we issued and sold $600.0 million aggregate principal amount of 4.00% senior notes due 2019, at a public offering price equal to 99.489% of par, for total proceeds of $596.9 million before the underwriting discount and expenses.
In August 2012, we initially issued and sold $275.0 million aggregate principal amount of 3.25% senior notes due 2022 (“2022 notes”), at a public offering price equal to 99.027% of par, for total proceeds of $272.3 million before the underwriting discount and expenses. In December 2012, we issued and sold an additional $225.0 million principal amount of 2022 notes, at a public offering price equal to 98.509% of par, for total proceeds of $221.6 million before the underwriting discount and expenses.
Also in December 2012, we issued and sold $700.0 million aggregate principal amount of 2.00% senior notes due 2018, at a public offering price equal to 99.739% of par, for total proceeds of $698.2 million before the underwriting discount and expenses.
During 2012, we repaid in full, at par, $155.4 million aggregate principal amount then outstanding of our 9% senior notes due 2012 and our 8.25% senior notes due 2012 upon maturity, and we redeemed (i) all $225.0 million principal amount then outstanding of our 6¾% senior notes due 2017 at a redemption price equal to 103.375% of par, plus accrued and unpaid interest to the redemption date, and (ii) all $200.0 million principal amount then outstanding of our 6½% senior notes due 2016 at a redemption price equal to 103.25% of par, plus accrued and unpaid interest to the redemption date, in each case pursuant to the terms of the applicable indenture governing the notes. As a result of these redemptions, we recognized a total loss on extinguishment of debt of $39.7 million.
In May 2011, we issued and sold $700.0 million aggregate principal amount of 4.750% senior notes due 2021, at a public offering price equal to 99.132% of par, for total proceeds of $693.9 million before the underwriting discount and expenses.
During 2011, we repaid in full, at par, $339.0 million principal amount then outstanding of our 6.50% senior notes due 2011 upon maturity, and we redeemed $200.0 million principal amount outstanding of our 6½% senior notes due 2016 at a redemption price equal to 103.25% of par, plus accrued and unpaid interest to the redemption date, pursuant to the terms of the indenture governing the notes. As a result of this redemption, we recognized a loss on extinguishment of debt of $8.7 million during 2011.
We may, from time to time, seek to retire or purchase additional amounts of our outstanding senior notes for cash or in exchange for equity securities in open market purchases, privately negotiated transactions or otherwise. Such repurchases or exchanges, if any, will depend on prevailing market conditions, our liquidity requirements, contractual restrictions, prospects for future access to capital and other factors. The amounts involved may be material.
The indentures governing our outstanding senior notes require us to comply with various financial and other restrictive covenants. See “Note 10—Borrowing Arrangements” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K. We were in compliance with all of these covenants at December 31, 2012.

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Mortgage Loan Obligations
As of December 31, 2012 and 2011, our consolidated aggregate principal amount of mortgage debt outstanding was $2.9 billion and $2.8 billion, respectively, of which $2.7 billion was our share.
During 2012, we assumed mortgage debt of $380.3 million in connection with our $2.7 billion of gross investments, and we repaid in full mortgage loans outstanding in the aggregate principal amount of $344.2 million and recognized a gain on extinguishment of debt of $2.1 million in connection with these repayments.
During 2011, we assumed mortgage debt of $1.6 billion, including $1.2 billion and $442 million, respectively, in connection with the ASLG and NHP acquisitions, and we repaid in full mortgage loans outstanding in the aggregate principal amount of $307.2 million and recognized a loss on extinguishment of debt of $16.5 million in connection with these repayments. See “Note 4Acquisitions of Real Estate Property” and “Note 10Borrowing Arrangements” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
Dividends
In order to continue to qualify as a REIT, we must make annual distributions to our stockholders of at least 90% of our REIT taxable income (excluding net capital gain). In 2012, our Board of Directors declared and we paid cash dividends on our common stock aggregating $2.48 per share, which exceeds 100% of our 2012 estimated taxable income after the use of any net operating loss carryforwards. We also intend to pay dividends greater than 100% of our taxable income, after the use of any net operating loss carryforwards, for 2013. On February 13, 2013, our Board of Directors declared the first quarter 2013 dividend of $0.67 per share, payable in cash on March 28, 2013 to holders of record on March 8, 2013.
We expect that our REIT taxable income will be less than our cash flows due to the allowance of depreciation and other non-cash deductions in computing REIT taxable income. Although we expect to be able to satisfy the 90% distribution requirement, from time to time, we may not have sufficient cash on hand or other liquid assets to meet this requirement or we may decide to retain cash or distribute such greater amount as may be necessary to avoid income and excise taxation. If we do not have sufficient cash on hand or other liquid assets to enable us to satisfy the 90% distribution requirement, or if we desire to retain cash, we may borrow funds, issue additional equity securities, pay taxable stock dividends, if possible, distribute other property or securities or engage in a transaction intended to enable us to meet the REIT distribution requirements or any combination of the foregoing. See “Certain U.S. Federal Income Tax Considerations—Requirements for Qualification as a REIT—Annual Distribution Requirements” included in Part I, Item 1 of this Annual Report on Form 10-K.
Capital Expenditures
The terms of our triple-net leases generally obligate our tenants to pay capital expenditures necessary to maintain and improve our triple-net leased properties. From time to time, however, we may fund the capital expenditures for our triple-net leased properties through loans to the tenants or advances, some of which may increase the amount of rent payable with respect to the properties. After the terms of the triple-net leases expire, or in the event that our tenants are unable or unwilling to meet their obligations under those leases, we would expect to fund any capital expenditures for which we may become responsible with cash flows from operations or through additional borrowings.
With respect to our senior living operations and MOB operations reportable business segments, we expect that capital expenditures will be funded by the cash flows from the properties or through additional borrowings. To the extent that unanticipated expenditures or significant borrowings are required, our liquidity may be affected adversely. Our ability to borrow additional funds may be restricted in certain circumstances by the terms of the instruments governing our outstanding indebtedness.
We are party to certain agreements that obligate us to develop healthcare or seniors housing properties. The construction of these properties is funded through capital provided by us and, in some circumstances, our joint venture partners. As of December 31, 2012, two seniors housing communities and one hospital were in various stages of development pursuant to these agreements. Through December 31, 2012, we have funded $35.3 million of our estimated total commitment over the projected development period ($60.0 million to $80.0 million) toward these projects.
Equity Offerings and Related Events
In April 2012, we filed an automatic shelf registration statement on Form S-3 relating to the sale, from time to time, of an indeterminate amount of debt securities and related guarantees, common stock, preferred stock, depositary shares and warrants. This registration statement replaced our previous automatic shelf registration statement, which expired pursuant to the SEC’s rules.

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In June 2012, we completed the public offering and sale of 5,980,000 shares of our common stock for $342.5 million in aggregate proceeds.
In February 2011, we completed the public offering and sale of 5,563,000 shares of our common stock for $300.0 million in aggregate proceeds.
In May 2011, we filed a shelf registration statement relating to the resale by the selling stockholders of the shares of our common stock issued as partial consideration for the ASLG acquisition. In January 2012, the selling stockholders completed an underwritten public offering of 21,070,658 shares of our common stock pursuant to the resale shelf registration statement. We did not receive any proceeds from the offering.
In July 2011, we filed a shelf registration statement relating to the offer and sale, from time to time, of up to 2,103,086 shares of our common stock that we may issue upon redemption of the Class A limited partnership units in NHP/PMB L.P. See “Note 2—Accounting Policies” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
In July 2011, following approval by our stockholders, we amended our Amended and Restated Certificate of Incorporation, as previously amended, to increase the number of authorized shares of our capital stock to 610,000,000, comprised of 600,000,000 shares of common stock, par value $0.25 per share, and 10,000,000 shares of preferred stock, par value $1.00 per share.
In November 2011, we filed a shelf registration statement relating to our Distribution Reinvestment and Stock Purchase Plan (“DRIP”), under which existing stockholders may purchase shares of common stock by reinvesting all or a portion of the cash distribution on their shares of our common stock, subject to certain limits. This registration statement replaced our previous shelf registration statement, which expired pursuant to the SEC’s rules.
Also in November 2011, we repaid in full $230.0 million principal amount outstanding of our 37/8% convertible senior notes due 2011 upon maturity. In accordance with the terms of the indenture governing the convertible notes, we paid the principal amount of the notes and accrued but unpaid interest thereon in cash and issued an aggregate of 943,714 shares of our common stock in settlement of the conversion value in excess of the principal amount.
Other
We received proceeds of $19.0 million and $1.8 million for the years ended December 31, 2012 and 2011, respectively, from the exercises of outstanding stock options. Future proceeds from the exercises of stock options will be affected primarily by the future trading price of our common stock and the number of options outstanding. The number of options outstanding decreased to 1.9 million as of December 31, 2012, from 2.0 million as of December 31, 2011. The weighted average exercise price was $47.20 as of December 31, 2012.
We issued approximately 16,000 and 13,500 shares of common stock under the DRIP for net proceeds of $1.0 million and $0.6 million for the years ended December 31, 2012 and 2011, respectively. We currently offer a 1% discount on the purchase price of our stock to shareholders who reinvest their cash distributions or make optional cash purchases of common stock through the plan. Each month or quarter, as applicable, we may lower or eliminate the discount without prior notice, thereby affecting the future proceeds that we receive from this plan.
Cash Flows
The following table sets forth our sources and uses of cash flows for the years ended December 31, 2012 and 2011:
 
For the Year Ended
December 31,
 
Increase (Decrease)
to Cash
 
2012
 
2011
 
$
 
%
 
(Dollars in thousands)
Cash and cash equivalents at beginning of period
$
45,807

 
$
21,812

 
$
23,995

 
> 100 %

Net cash provided by operating activities
992,816

 
773,197

 
219,619

 
28.4

Net cash used in investing activities
(2,169,689
)
 
(997,439
)
 
(1,172,250
)
 
( > 100 )

Net cash provided by financing activities
1,198,914

 
248,282

 
950,632

 
> 100

Effect of foreign currency translation on cash and cash equivalents
60

 
(45
)
 
105

 
> 100

Cash and cash equivalents at end of period
$
67,908

 
$
45,807

 
$
22,101

 
48.2
%

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Cash Flows from Operating Activities
Cash flows from operating activities increased in 2012 over the prior year primarily due to the NHP, ASLG, Cogdell and other 2011 and 2012 acquisitions, higher NOI from our senior living and MOB operations reportable business segments for the reasons previously discussed, decreased merger-related expenses and deal costs and lower weighted average interest rates, partially offset by the litigation proceeds we received in 2011 in connection with our lawsuit against HCP and higher general, administrative and professional fees and increased interest expense from higher debt balances, both due to our enterprise growth.
Cash Flows from Investing Activities
Cash used in investing activities during 2012 and 2011 consisted primarily of cash paid for our investments in real estate ($1.5 billion and $531.6 million in 2012 and 2011, respectively), purchase of private investment funds ($276.4 million in 2012, including the Funds’ share of the ASLG transaction earnout), investments in loans receivable ($452.6 million and $628.1 million in 2012 and 2011, respectively), capital expenditures ($69.4 million and $50.5 million in 2012 and 2011, respectively) and development project expenditures ($114.0 million and $47.6 million in 2012 and 2011, respectively). The increase in capital expenditures and development project expenditures is the direct result of the growth in our senior living and MOB operations reportable business segments. These uses were partially offset by proceeds from loans receivable ($43.2 million and $220.2 million in 2012 and 2011, respectively), proceeds from the sale or maturity of marketable debt securities ($37.5 million and $23.1 million in 2012 and 2011, respectively), and proceeds from real estate disposals ($149.0 million and $20.6 million in 2012 and 2011, respectively).
Cash Flows from Financing Activities
Cash provided by financing activities during 2012 and 2011 consisted primarily of net borrowings under our unsecured revolving credit facilities ($84.9 million and $537.5 million in 2012 and 2011, respectively), net proceeds from the issuance of debt ($2.7 billion and $1.3 billion in 2012 and 2011, respectively) and net proceeds from the issuance of common stock ($342.5 million and $299.8 million in 2012 and 2011, respectively). These cash inflows were partially offset by debt repayments ($1.2 billion and $1.4 billion in 2012 and 2011, respectively), cash distributions to common stockholders, unitholders and noncontrolling interest parties ($738.2 million and $526.0 million in 2012 and 2011, respectively) and payments for deferred financing costs ($23.8 million and $20.0 million in 2012 and 2011, respectively).
Contractual Obligations
The following table summarizes the effect that minimum debt (which includes principal and interest payments) and other material noncancelable commitments are expected to have on our cash flow in future periods as of December 31, 2012:
 
Total
 
Less than 1
year(6)
 
1 - 3 years(7)
 
3 - 5 years(8)
 
More than 5
years(9)
 
(In thousands)
Long-term debt obligations (1)(2)(3)
$
10,206,844

 
$
875,079

 
$
2,556,737

 
$
1,784,812

 
$
4,990,216

Capital lease obligations (4)
145,000

 
145,000

 

 

 

Acquisition commitments (5)
73,200

 
73,200

 

 

 

Operating obligations, including ground lease obligations
553,676

 
29,690

 
56,996

 
40,542

 
426,448

Total
$
10,978,720

 
$
1,122,969

 
$
2,613,733

 
$
1,825,354

 
$
5,416,664


(1)
Amounts represent contractual amounts due, including interest.
(2)
Interest on variable rate debt was based on forward rates obtained as of December 31, 2012.
(3)
Excludes debt related to one property classified as held for sale as of December 31, 2012. The total mortgage debt for this property as of December 31, 2012 was $23.2 million and is scheduled to mature in 2013.
(4)
In January 2013, we acquired eight seniors housing communities that we previously leased pursuant to arrangements that we accounted for as capital leases for aggregate consideration of $145.0 million, thereby eliminating our capital lease obligation.
(5)
Represents our acquisition commitments related to one seniors housing community and two MOBs.
(6)
Includes $270.0 million outstanding principal amount of our 6.25% senior notes due 2013 (repaid in full, at par, upon maturity in February 2013).

77


(7)
Includes $130.3 million of borrowings under our unsecured term loan due 2015, $400.0 million outstanding principal amount of our 3.125% senior notes due 2015, and $234.4 million outstanding principal amount of our 6% senior notes due 2015.
(8)
Includes $375.0 million of borrowings under our unsecured term loan due 2017.
(9)
Includes $180.0 million of borrowings under our unsecured term loan due 2018 and $3.2 billion aggregate principal amount outstanding of our senior notes maturing between 2018 and 2038. $52.4 million aggregate principal amount outstanding of our 6.90% senior notes due 2037 are subject to repurchase, at the option of the holders, on October 1 in each of the years 2017 and 2027, and $23.0 million aggregate principal amount outstanding of our 6.59% senior notes due 2038 are subject to repurchase, at the option of the holders, on July 7 in each of the years 2013, 2018, 2023 and 2028.
As of December 31, 2012, we had $19.5 million of unrecognized tax benefits that are excluded from the table above, as we are unable to make a reasonable reliable estimate of the period of cash settlement, if any, with the respective tax authority.
ITEM 7A.    Quantitative and Qualitative Disclosures About Market Risk

The information set forth in Item 7 of this Annual Report on Form 10-K under “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Asset/Liability Management” is incorporated by reference into this Item 7A.


78


ITEM 8.    Financial Statements and Supplementary Data
Ventas, Inc.
Index to Consolidated Financial Statements and Financial Statement Schedules


 


79


MANAGEMENT REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING
Management of Ventas, Inc. (the “Company”) is responsible for establishing and maintaining adequate internal control over financial reporting, as defined in Rule 13a-15(f) and 15d-15(f) under the Securities Exchange Act of 1934, as amended. Management, with the participation of the Company’s Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of the Company’s internal control over financial reporting based on the framework established in a report entitled Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Based on this evaluation, management has determined that the Company’s internal control over financial reporting as of December 31, 2012 was effective.
On April 2, 2012, the Company acquired Cogdell Spencer Inc. (together with its subsidiaries, “Cogdell”). As permitted under Securities and Exchange Commission guidelines, the Company excluded from the assessment of the effectiveness of its internal control over financial reporting as of December 31, 2012, internal control over financial reporting of the Cogdell assets and operations. Total assets and total revenues related to Cogdell represented 4.6% and 3.1%, respectively, of the Company’s related consolidated financial statement amounts as of and for the year ended December 31, 2012.
The effectiveness of the Company’s internal control over financial reporting as of December 31, 2012 has been audited by Ernst & Young LLP, an independent registered public accounting firm, as stated in their report included herein.


80


REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
Stockholders and Board of Directors
Ventas, Inc.
We have audited the accompanying consolidated balance sheets of Ventas, Inc. (the “Company”) as of December 31, 2012 and 2011, and the related consolidated statements of income and comprehensive income, equity, and cash flows for each of the three years in the period ended December 31, 2012. Our audits also included the financial statement schedule listed in the accompanying index to the financial statements and financial statement schedule. These financial statements and schedule are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements and schedule based on our audits.
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of Ventas, Inc. at December 31, 2012 and 2011, and the consolidated results of its operations and its cash flows for each of the three years in the period ended December 31, 2012, in conformity with U.S. generally accepted accounting principles. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic financial statements taken as a whole, presents fairly in all material respects the information set forth therein.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), Ventas Inc.’s internal control over financial reporting as of December 31, 2012, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission and our report dated February 18, 2013 expressed an unqualified opinion thereon.
/s/ Ernst & Young LLP
Chicago, Illinois
February 18, 2013


81


REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
ON INTERNAL CONTROL OVER FINANCIAL REPORTING

Stockholders and Board of Directors
Ventas, Inc.
We have audited Ventas, Inc.’s (the “Company”) internal control over financial reporting as of December 31, 2012, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (the COSO criteria). Ventas, Inc.’s management is responsible for maintaining effective internal control over financial reporting, and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying Management Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the company’s internal control over financial reporting based on our audit.
We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the company’s assets that could have a material effect on the financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
As indicated in the accompanying Management Report on Internal Control over Financial Reporting, management’s assessment of and conclusion on the effectiveness of internal control over financial reporting did not include internal controls of Cogdell Spencer Inc. (“Cogdell”), which are included in the 2012 consolidated financial statements of Ventas, Inc. and constituted 4.6% and 3.1% of total assets and total revenues, respectively, as of and for the year ended December 31, 2012. Our audit of internal control over financial reporting of Ventas, Inc. also did not include an evaluation of the internal control over financial reporting of Cogdell.
In our opinion, Ventas, Inc. maintained, in all material respects, effective internal control over financial reporting as of December 31, 2012, based on the COSO criteria.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the 2012 consolidated financial statements and financial statement schedule of Ventas, Inc. and our report dated February 18, 2013 expressed an unqualified opinion thereon.
/s/ Ernst & Young LLP
Chicago, Illinois
February 18, 2013


82


VENTAS, INC.
CONSOLIDATED BALANCE SHEETS
As of December 31, 2012 and 2011
(In thousands, except per share amounts)

 
2012
 
2011
 
(In thousands, except per
share amounts)
Assets
 
 
 
Real estate investments:
 
 
 
Land and improvements
$
1,772,417

 
$
1,614,847

Buildings and improvements
16,920,821

 
15,337,919

Construction in progress
70,665

 
76,638

Acquired lease intangibles
981,704

 
800,858

 
19,745,607

 
17,830,262

Accumulated depreciation and amortization
(2,634,075
)
 
(1,916,530
)
Net real estate property
17,111,532

 
15,913,732

Secured loans receivable, net
635,002

 
212,577

Investments in unconsolidated entities
95,409

 
105,303

Net real estate investments
17,841,943

 
16,231,612

Cash and cash equivalents
67,908

 
45,807

Escrow deposits and restricted cash
105,913

 
76,590

Deferred financing costs, net
42,551

 
26,669

Other assets
921,685

 
891,232

Total assets
$
18,980,000

 
$
17,271,910

Liabilities and equity
 
 
 
Liabilities:
 
 
 
Senior notes payable and other debt
$
8,413,646

 
$
6,429,116

Accrued interest
47,565

 
37,694

Accounts payable and other liabilities
995,156

 
1,085,597

Deferred income taxes
259,715

 
260,722

Total liabilities
9,716,082

 
7,813,129

Redeemable OP unitholder and noncontrolling interests
174,555

 
102,837

Commitments and contingencies

 

Equity:
 
 
 
Ventas stockholders’ equity:
 
 
 
Preferred stock, $1.00 par value; 10,000 shares authorized, unissued

 

Common stock, $0.25 par value; 600,000 shares authorized, 295,565 and 288,823 shares issued at December 31, 2012 and 2011, respectively
73,904

 
72,240

Capital in excess of par value
9,920,962

 
9,593,583

Accumulated other comprehensive income
23,354

 
22,062

Retained earnings (deficit)
(777,927
)
 
(412,181
)
Treasury stock, 3,699 and 14 shares at December 31, 2012 and 2011, respectively
(221,165
)
 
(747
)
Total Ventas stockholders’ equity
9,019,128

 
9,274,957

Noncontrolling interest
70,235

 
80,987

Total equity
9,089,363

 
9,355,944

Total liabilities and equity
$
18,980,000

 
$
17,271,910

  See accompanying notes.

83


VENTAS, INC.
CONSOLIDATED STATEMENTS OF INCOME
For the Years Ended December 31, 2012, 2011 and 2010
 
2012
 
2011
 
2010
 
(In thousands, except per share
amounts)
Revenues:
 
 
 
 
 
Rental income:
 
 
 
 
 
Triple-net leased
$
831,221

 
$
637,294

 
$
453,592

Medical office buildings
362,839

 
166,161

 
69,747

 
1,194,060

 
803,455

 
523,339

Resident fees and services
1,229,479

 
868,095

 
446,301

Medical office building and other services revenue
20,741

 
36,471

 
14,098

Income from loans and investments
39,913

 
34,415

 
16,412

Interest and other income
1,106

 
1,217

 
484

Total revenues
2,485,299

 
1,743,653

 
1,000,634

Expenses:
 
 
 
 
 
Interest
293,401

 
229,346

 
172,474

Depreciation and amortization
725,981

 
447,664

 
200,682

Property-level operating expenses:
 
 
 
 
 
Senior living
843,190

 
590,151

 
291,831

Medical office buildings
126,152

 
57,042

 
24,122

 
969,342

 
647,193

 
315,953

Medical office building services costs
9,883

 
27,082

 
9,518

General, administrative and professional fees
98,801

 
74,537

 
49,830

Loss on extinguishment of debt, net
37,640

 
27,604

 
9,791

Litigation proceeds, net

 
(202,259
)
 

Merger-related expenses and deal costs
63,183

 
153,923

 
19,243

Other
6,956

 
7,270

 
272

Total expenses
2,205,187

 
1,412,360

 
777,763

Income before income (loss) from unconsolidated entities, income taxes, discontinued operations and noncontrolling interest
280,112

 
331,293

 
222,871

Income (loss) from unconsolidated entities
18,154

 
(52
)
 
(664
)
Income tax benefit (expense)
6,282

 
30,660

 
(5,201
)
Income from continuing operations
304,548

 
361,901

 
217,006

Discontinued operations
57,227

 
1,360

 
32,723

Net income
361,775

 
363,261

 
249,729

Net (loss) income attributable to noncontrolling interest (net of tax of $0, $0, and $2,271 for the years ended December 31, 2012, 2011 and 2010, respectively)
(1,025
)
 
(1,232
)
 
3,562

Net income attributable to common stockholders
$
362,800

 
$
364,493

 
$
246,167

Earnings per common share:
 
 
 
 
 
Basic:
 
 
 
 
 
Income from continuing operations attributable to common stockholders
$
1.04

 
$
1.59

 
$
1.36

Discontinued operations
0.20

 
0.01

 
0.21

Net income attributable to common stockholders
$
1.24

 
$
1.60

 
$
1.57

Diluted:
 
 
 
 
 
Income from continuing operations attributable to common stockholders
$
1.04

 
$
1.57

 
$
1.35

Discontinued operations
0.19

 
0.01

 
0.21

Net income attributable to common stockholders
$
1.23

 
$
1.58

 
$
1.56

Weighted average shares used in computing earnings per common share:
 
 
 
 
 
Basic
292,064

 
228,453

 
156,608

Diluted
294,488

 
230,790

 
157,657

  See accompanying notes.

84


VENTAS, INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
For the Years Ended December 31, 2012, 2011 and 2010
 
2012
 
2011
 
2010
 
(In thousands)
 
 
 
 
 
 
Net income
$
361,775

 
$
363,261

 
$
249,729

Other comprehensive income (loss):
 
 
 
 
 
Foreign currency translation
2,375

 
(1,944
)
 
6,951

Change in unrealized gain on marketable debt securities
(1,296
)
 
(2,691
)
 
354

Other
213

 
(171
)
 
(106
)
Total other comprehensive income (loss)
1,292

 
(4,806
)
 
7,199

Comprehensive income
363,067

 
358,455

 
256,928

Comprehensive (loss) income attributable to noncontrolling interest
(1,025
)
 
(1,232
)
 
3,562

Comprehensive income attributable to common stockholders
$
364,092

 
$
359,687

 
$
253,366




85


VENTAS, INC.
CONSOLIDATED STATEMENTS OF EQUITY
For the Years Ended December 31, 2012, 2011 and 2010
 
Common
Stock Par
Value
 
Capital in
Excess of
Par Value
 
Accumulated
Other
Comprehensive
Income
 
Retained
Earnings
(Deficit)
 
Treasury
Stock
 
Total Ventas
Stockholders’
Equity
 
Noncontrolling
Interest
 
Total Equity
 
(In thousands, except per share amounts)
Balance at January 1, 2010
$
39,160

 
$
2,573,039

 
$
19,669

 
$
(165,710
)
 
$
(647
)
 
$
2,465,511

 
$
18,549

 
$
2,484,060

Net income

 

 

 
246,167

 

 
246,167

 
3,562

 
249,729

Other comprehensive income

 

 
7,199

 

 

 
7,199

 

 
7,199

Net change in noncontrolling interest

 
(18,503
)
 

 

 

 
(18,503
)
 
(18,632
)
 
(37,135
)
Dividends to common stockholders—$2.14 per share

 

 

 
(336,085
)
 

 
(336,085
)
 

 
(336,085
)
Issuance of common stock for stock plans
197

 
21,076

 

 

 
3,371

 
24,644

 

 
24,644

Grant of restricted stock, net of forfeitures
34

 
1,231

 

 

 
(3,472
)
 
(2,207
)
 

 
(2,207
)
Balance at December 31, 2010
39,391

 
2,576,843

 
26,868

 
(255,628
)
 
(748
)
 
2,386,726

 
3,479

 
2,390,205

Net income (loss)

 

 

 
364,493

 

 
364,493

 
(1,232
)
 
363,261

Other comprehensive loss

 

 
(4,806
)
 

 

 
(4,806
)
 

 
(4,806
)
Acquisition-related activity
31,181

 
6,711,081

 

 

 
(4,326
)
 
6,737,936

 
81,192

 
6,819,128

Net change in noncontrolling interest

 
(3,188
)
 

 

 

 
(3,188
)
 
(2,452
)
 
(5,640
)
Dividends to common stockholders—$2.30 per share

 

 

 
(521,046
)
 

 
(521,046
)
 

 
(521,046
)
Issuance of common stock
1,627

 
297,931

 

 

 

 
299,558

 

 
299,558

Issuance of common stock for stock plans
9

 
18,999

 

 

 
3,293

 
22,301

 

 
22,301

Adjust redeemable OP unitholder interests to current fair value

 
(4,442
)
 

 

 

 
(4,442
)
 

 
(4,442
)
Purchase of OP units

 
(52
)
 

 

 

 
(52
)
 

 
(52
)
Grant of restricted stock, net of forfeitures
32

 
(3,589
)
 

 

 
1,034

 
(2,523
)
 

 
(2,523
)
Balance at December 31, 2011
72,240

 
9,593,583

 
22,062

 
(412,181
)
 
(747
)
 
9,274,957

 
80,987

 
9,355,944

Net income (loss)

 

 

 
362,800

 

 
362,800

 
(1,025
)
 
361,775

Other comprehensive income

 

 
1,292

 

 

 
1,292

 

 
1,292

Acquisition-related activity

 
(8,571
)
 

 

 
(221,076
)
 
(229,647
)
 
(9,429
)
 
(239,076
)
Net change in noncontrolling interest

 

 

 

 

 

 
(5,194
)
 
(5,194
)
Dividends to common stockholders—$2.48 per share

 

 

 
(728,546
)
 

 
(728,546
)
 

 
(728,546
)
Issuance of common stock
1,495

 
340,974

 

 

 

 
342,469

 

 
342,469

Issuance of common stock for stock plans
128

 
22,126

 

 

 
2,841

 
25,095

 

 
25,095

Change in redeemable noncontrolling interest

 
(17,317
)
 

 

 

 
(17,317
)
 
4,896

 
(12,421
)
Adjust redeemable OP unitholder interests to current fair value

 
(19,819
)
 

 

 

 
(19,819
)
 

 
(19,819
)
Purchase of OP units
3

 
(1,651
)
 

 

 
324

 
(1,324
)
 

 
(1,324
)
Grant of restricted stock, net of forfeitures
38

 
11,637

 

 

 
(2,507
)
 
9,168

 

 
9,168

Balance at December 31, 2012
$
73,904

 
$
9,920,962

 
$
23,354

 
$
(777,927
)
 
$
(221,165
)
 
$
9,019,128

 
$
70,235

 
$
9,089,363

   See accompanying notes.

86


VENTAS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
For the Years Ended December 31, 2012, 2011 and 2010
 
2012
 
2011
 
2010
 
(In thousands)
Cash flows from operating activities:
 
 
 
 
 
Net income
$
361,775

 
$
363,261

 
$
249,729

Adjustments to reconcile net income to net cash provided by operating activities:
 
 
 
 
 
Depreciation and amortization (including amounts in discontinued operations)
764,775

 
459,704

 
206,064

Amortization of deferred revenue and lease intangibles, net
(17,118
)
 
(12,159
)
 
(1,764
)
Other non-cash amortization
(39,943
)
 
(13,163
)
 
8,750

Change in fair value of financial instruments
99

 
2,959

 

Stock-based compensation
20,784

 
19,346

 
14,078

Straight-lining of rental income, net
(24,042
)
 
(14,885
)
 
(10,167
)
Loss on extinguishment of debt, net
37,640

 
27,604

 
9,791

Gain on real estate dispositions, net (including amounts in discontinued operations)
(80,952
)
 

 
(25,241
)
Gain on real estate loan investments
(5,230
)
 
(3,255
)
 
(915
)
Gain on sale of marketable securities

 
(733
)
 

Income tax (benefit) expense (including amounts in discontinued operations)
(6,286
)
 
(31,137
)
 
5,201

(Income) loss from unconsolidated entities
(1,509
)
 
52

 
664

Gain on re-measurement of equity interest upon acquisition, net
(16,645
)
 

 

Other
10,315

 
4,446

 
(46
)
Changes in operating assets and liabilities:
 
 
 
 
 
Decrease (increase) in other assets
3,756

 
424

 
(8,245
)
Increase (decrease) in accrued interest
9,969

 
(9,150
)
 
1,311

Decrease in accounts payable and other liabilities
(24,572
)
 
(20,117
)
 
(1,588
)
Net cash provided by operating activities
992,816

 
773,197

 
447,622

Cash flows from investing activities:
 
 
 
 
 
Net investment in real estate property
(1,453,065
)
 
(531,605
)
 
(274,441
)
Purchase of private investment funds
(276,419
)
 

 

Purchase of noncontrolling interest
(3,934
)
 
(3,319
)
 
(42,333
)
Investment in loans receivable
(452,558
)
 
(628,133
)
 
(38,725
)
Funds held in escrow for future development expenditures
(28,050
)
 

 

Proceeds from real estate disposals
149,045

 
20,618

 
58,163

Proceeds from loans receivable
43,219

 
220,179

 
19,291

Proceeds from sale or maturity of marketable securities
37,500

 
23,050

 

Development project expenditures
(114,002
)
 
(47,591
)
 
(1,662
)
Capital expenditures
(69,430
)
 
(50,473
)
 
(18,193
)
Other
(1,995
)
 
(165
)
 
(4,020
)
Net cash used in investing activities
(2,169,689
)
 
(997,439
)
 
(301,920
)
Cash flows from financing activities:
 
 
 
 
 
Net change in borrowings under revolving credit facilities
84,938

 
537,452

 
28,564

Proceeds from debt
2,710,405

 
1,343,640

 
597,382

Repayment of debt
(1,193,023
)
 
(1,388,962
)
 
(524,760
)
Payment of deferred financing costs
(23,770
)
 
(20,040
)
 
(2,694
)
Issuance of common stock, net
342,469

 
299,847

 

Cash distribution to common stockholders
(728,546
)
 
(521,046
)
 
(336,085
)
Cash distribution to redeemable OP unitholders
(4,446
)
 
(2,359
)
 

Purchases of redeemable OP units
(4,601
)
 
(185
)
 

Distributions to noncontrolling interest
(5,215
)
 
(2,556
)
 
(8,082
)
Other
20,703

 
2,491

 
14,223

Net cash provided by (used in) financing activities
1,198,914

 
248,282

 
(231,452
)
Net increase (decrease) in cash and cash equivalents
22,041

 
24,040

 
(85,750
)
Effect of foreign currency translation on cash and cash equivalents
60

 
(45
)
 
165

Cash and cash equivalents at beginning of period
45,807

 
21,812

 
107,397

Cash and cash equivalents at end of period
$
67,908

 
$
45,807

 
$
21,812


87


VENTAS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS (Continued)
For the Years Ended December 31, 2012, 2011 and 2010
 
2012
 
2011
 
2010
 
(In thousands)
Supplemental disclosure of cash flow information:
 
 
 
 
 
Interest paid including swap payments and receipts
$
329,655

 
$
257,175

 
$
161,352

Supplemental schedule of non-cash activities:
 
 
 
 
 
Assets and liabilities assumed from acquisitions:
 
 
 
 
 
Real estate investments
$
582,694

 
$
10,973,093

 
$
125,846

Utilization of funds held for an Internal Revenue Code Section 1031 exchange
(134,003
)
 

 

Other assets acquired
77,730

 
594,176

 
(385
)
Debt assumed
412,825

 
3,651,089

 
125,320

Other liabilities
70,391

 
952,279

 
141

Deferred income tax liability
4,299

 
43,889

 

Redeemable OP unitholder interests

 
100,888

 

Noncontrolling interests
34,580

 
81,192

 

Equity issued
4,326

 
6,737,932

 

Debt transferred on the sale of assets
14,535

 

 

See accompanying notes.

88

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS



Note 1—Description of Business
Ventas, Inc. (together with its subsidiaries, unless otherwise indicated or except where the context otherwise requires, “we,” “us” or “our”) is a real estate investment trust (“REIT”) with a highly diversified portfolio of seniors housing and healthcare properties located throughout the United States and Canada. As of December 31, 2012, we owned more than 1,400 properties, including seniors housing communities, skilled nursing and other facilities, medical office buildings (“MOBs”), and hospitals, in 46 states, the District of Columbia and two Canadian provinces, and we had three new properties under development. We are an S&P 500 company and currently headquartered in Chicago, Illinois.
We primarily acquire and own seniors housing and healthcare properties and lease our properties to unaffiliated tenants or operate them through independent third-party managers. As of December 31, 2012, we leased 898 properties (excluding MOBs and properties classified as held for sale) to healthcare operating companies under “triple-net” or “absolute-net” leases that obligate the tenants to pay all property-related expenses, including maintenance, utilities, repairs, taxes, insurance and capital expenditures, and we engaged independent operators, such as Atria Senior Living, Inc. (“Atria”) and Sunrise Senior Living, LLC (formerly Sunrise Senior Living, Inc. and, together with its affiliates, “Sunrise”), to manage 223 of our seniors housing communities pursuant to long-term management agreements. Kindred Healthcare, Inc. (together with its subsidiaries, “Kindred”) and Brookdale Senior Living Inc. (together with its subsidiaries, “Brookdale Senior Living”) leased from us 196 properties and 148 properties (excluding six properties included in investments in unconsolidated entities), respectively, as of December 31, 2012.
In addition, through our Lillibridge Healthcare Services, Inc. (“Lillibridge”) subsidiary and our ownership interest in PMB Real Estate Services LLC (“PMBRES”), we provide MOB management, leasing, marketing, facility development and advisory services to highly rated hospitals and health systems throughout the United States. From time to time, we also make secured and unsecured loans and other investments relating to seniors housing and healthcare operators or properties.
Note 2—Accounting Policies
Principles of Consolidation
The accompanying Consolidated Financial Statements include our accounts and the accounts of our wholly owned subsidiaries and the joint venture entities over which we exercise control. All intercompany transactions and balances have been eliminated in consolidation, and our net earnings are reduced by the portion of net earnings attributable to noncontrolling interests.
U.S. generally accepted accounting principles (“GAAP”) requires us to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of variable interest entities (“VIEs”). A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (b) as a group, the holders of the equity investment at risk lack (i) the ability to make decisions about the entity’s activities through voting or similar rights, (ii) the obligation to absorb the expected losses of the entity, or (iii) the right to receive the expected residual returns of the entity; or (c) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights. We consolidate investments in VIEs when we are determined to be the primary beneficiary of the VIE. We may change our original assessment of a VIE due to events such as modifications of contractual arrangements that affect the characteristics or adequacy of the entity’s equity investments at risk and the disposal of all or a portion of an interest held by the primary beneficiary.
We identify the primary beneficiary of a VIE as the enterprise that has both: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. We perform this analysis on an ongoing basis. At December 31, 2012, we did not have any unconsolidated VIEs.
As it relates to investments in joint ventures, based on the type of rights held by the limited partner(s), GAAP may preclude consolidation by the sole general partner in certain circumstances in which the general partner would otherwise consolidate the joint venture. We assess limited partners’ rights and their impact on the presumption of control of the limited partnership by the sole general partner when an investor becomes the sole general partner, and we reassess if: there is a change

89

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


to the terms or in the exercisability of the rights of the limited partners; the sole general partner increases or decreases its ownership of limited partnership interests; or there is an increase or decrease in the number of outstanding limited partnership interests. We also apply this guidance to managing member interests in limited liability companies.
Investments in Unconsolidated Entities
We report investments in unconsolidated entities over whose operating and financial policies we have the ability to exercise significant influence under the equity method of accounting. Under this method of accounting, our share of the investee’s earnings or losses is included in our Consolidated Statements of Income.
We base the initial carrying value of investments in unconsolidated entities on the fair value of the assets at the time we acquired the joint venture interest. We estimate fair values for our equity method investments based on discounted cash flow models that include all estimated cash inflows and outflows over a specified holding period and, where applicable, any estimated debt premiums or discounts. The capitalization rates, discount rates and credit spreads we use in these models are based upon assumptions that we believe to be within a reasonable range of current market rates for the respective investments.
We generally amortize any difference between our cost basis and the basis reflected at the joint venture level over the lives of the related assets and liabilities and include that amortization in our share of income or loss from unconsolidated entities. For earnings of equity method investments with pro rata distribution allocations, net income or loss is allocated between the partners in the joint venture based on their respective stated ownership percentages. In other instances, net income or loss is allocated between the partners in the joint venture based on the hypothetical liquidation at book value method (the “HLBV method”). Under the HLBV method, net income or loss is allocated between the partners based on the difference between each partner’s claim on the net assets of the joint venture at the end and beginning of the period, after taking into account contributions and distributions. Each partner’s share of the net assets of the joint venture is calculated as the amount that the partner would receive if the joint venture were to liquidate all of its assets at net book value and distribute the resulting cash to creditors and partners in accordance with their respective priorities. Under this method, in any given period, we could record more or less income than the joint venture has generated, more or less income than actual cash distributions received or more or less income than the amount we may receive in the event of an actual liquidation.
Redeemable OP Unitholder and Noncontrolling Interests
In connection with our acquisition of Nationwide Health Properties, Inc. (“NHP”) in July 2011, we acquired a majority interest in NHP/PMB L.P. (“NHP/PMB”), a limited partnership formed in 2008 to acquire properties from entities affiliated with Pacific Medical Buildings LLC. We consolidate NHP/PMB, as our wholly owned subsidiary is the general partner and exercises control of the partnership. As of December 31, 2012, third party investors owned 2,257,629 Class A limited partnership units in NHP/PMB (“OP Units”), which represented 27.0% of the total units then outstanding, and we owned 6,099,930 Class B limited partnership units in NHP/PMB, representing the remaining 73.0%. At any time following the first anniversary of the date of their issuance, the OP Units may be redeemed at the election of the holder for cash or, at our option, 0.7866 shares of our common stock per unit, subject to adjustment in certain circumstances. We are party by assumption to a registration rights agreement with the holders of the OP Units that requires us, subject to the terms and conditions set forth therein, to file and maintain a registration statement relating to the issuance of shares of our common stock upon redemption of OP Units.
As redemption rights are outside of our control, the redeemable OP unitholder interests are classified outside of permanent equity on our Consolidated Balance Sheets. We applied the provisions of ASC Topic 480, Distinguishing Liabilities from Equity, to reflect the redeemable OP unitholder interests at the greater of cost or fair value. As of December 31, 2012 and 2011, the fair value of the redeemable OP unitholder interests was $114.9 million and $102.8 million, respectively. We recognize changes in fair value through capital in excess of par value, net of cash distributions paid and purchases by us of any OP Units. Our diluted earnings per share (“EPS”) includes the effect of any potential shares outstanding from redemption of the OP Units.
Certain noncontrolling interests of other consolidated joint ventures were also classified as redeemable at December 31, 2012 and 2011. Accordingly, we record the carrying amount of these noncontrolling interests at the greater of (i) their initial carrying amount, increased or decreased for the noncontrolling interest’s share of net income or loss and distributions, or (ii) the redemption value. With respect to these joint ventures, our joint venture partner has certain redemption rights that are outside our control and the redeemable noncontrolling interests are classified outside of permanent equity on our Consolidated Balance Sheets. We recognize changes in carrying value of redeemable noncontrolling interests through capital in excess of par value.
    

90

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Noncontrolling Interests
Other than redeemable noncontrolling interests described above, we present the portion of any equity that we do not own in entities that we control (and thus consolidate) as noncontrolling interests and classify such interests as a component of consolidated equity, separate from total Ventas stockholders’ equity, on our Consolidated Balance Sheets. For earnings of consolidated joint ventures with pro rata distribution allocations, net income or loss is allocated between the partners in the joint venture based on their respective stated ownership percentages. In other instances, net income or loss is allocated between the partners in the joint venture based on the HLBV method. We account for purchases or sales of equity interests that do not result in a change of control as equity transactions, through capital in excess of par value. In addition, we include net income attributable to the noncontrolling interests in net income in our Consolidated Statements of Income.
Accounting Estimates
The preparation of financial statements in accordance with GAAP requires us to make estimates and assumptions regarding future events that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
Business Combinations
We account for acquisitions using the acquisition method and allocate the cost of the businesses acquired among tangible and recognized intangible assets and liabilities based upon their estimated fair values as of the acquisition date. Recognized intangibles primarily include the value of in-place leases, acquired lease contracts, tenant and customer relationships, trade names/trademarks and goodwill. We do not amortize goodwill, which represents the excess of the purchase price paid over the fair value of the net assets of the acquired business and is included in other assets on our Consolidated Balance Sheets.
We estimate the fair value of buildings acquired on an as-if-vacant basis and depreciate the building value over the estimated remaining life of the building, not to exceed 35 years. We determine the allocated value of other fixed assets, such as site improvements and furniture, fixtures and equipment, based upon the replacement cost and depreciate such value over the assets’ estimated remaining useful lives as determined at the applicable acquisition date. We determine the value of land either by considering the sales prices of similar properties in recent transactions or based on internal analyses of recently acquired and existing comparable properties within our portfolio. We generally determine the value of construction in progress based upon the replacement cost. However, for certain acquired properties that are part of a ground-up development, we determine fair value by using the same valuation approach as for all other properties and deducting the estimated cost to complete the development. During the remaining construction period, we capitalize interest expense until the development has reached substantial completion. Construction in progress, including capitalized interest, is not depreciated until the development has reached substantial completion.
The fair value of acquired lease-related intangibles, if any, reflects: (i) the estimated value of any above and/or below market leases, determined by discounting the difference between the estimated market rent and the in-place lease rent; and (ii) the estimated value of in-place leases related to the cost to obtain tenants, including leasing commissions, and an estimated value of the absorption period to reflect the value of the rent and recovery costs foregone during a reasonable lease-up period as if the acquired space was vacant. We amortize any acquired lease-related intangibles to revenue or amortization expense over the remaining life of the associated lease plus any assumed bargain renewal periods. If a lease is terminated prior to its stated expiration or not renewed upon expiration, we recognize all unamortized amounts of lease-related intangibles associated with that lease in operations at that time.
We estimate the fair value of purchase option intangible assets and liabilities by discounting the difference between the applicable property’s acquisition date fair value and an estimate of the future option price. We do not amortize the resulting intangible asset or liability over the term of the lease, but rather adjust the recognized value of the asset or liability upon sale. Net real estate property for which we have recorded a tenant purchase option intangible liability (excluding properties classified as held for sale) was $432.5 million and $644.0 million at December 31, 2012 and 2011, respectively.
We estimate the fair value of tenant or other customer relationships acquired, if any, by considering the nature and extent of existing business relationships with the tenant or customer, growth prospects for developing new business with the tenant or customer, the tenant’s credit quality, expectations of lease renewals with the tenant, and the potential for significant, additional future leasing arrangements with the tenant, and we amortize that value over the expected life of the associated arrangements or leases, including the remaining terms of the related leases and any expected renewal periods. We estimate the fair value of trade names/trademarks using a royalty rate methodology and amortize that value over the estimated useful life of the trade name/trademark.

91

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


In connection with a business combination, we may assume rights and obligations under certain lease agreements pursuant to which we become the lessee of a given property. We assume the lease classification previously determined by the prior lessee absent a modification in the assumed lease agreement. All of our assumed capital leases contain bargain purchase options that we intend to exercise. Therefore, we recognized real estate assets based on the acquisition date fair values of the underlying properties and liabilities (within senior notes payable and other debt) based on the acquisition date fair values of the capital lease obligations. We depreciate assets recognized under capital leases that contain bargain purchase options over the assets’ respective useful lives. Lease payments are allocated between the reduction of the capital lease obligation and interest expense using the interest method. We assess assumed operating leases, including ground leases, to determine whether the lease terms are favorable or unfavorable to us given current market conditions on the acquisition date. To the extent the lease terms are favorable or unfavorable relative to market conditions on the acquisition date, we recognize an intangible asset or liability at fair value, and we amortize the recognized asset or liability (excluding purchase option intangibles) to interest or rental expense in our Consolidated Statements of Income over the applicable lease term. We include all lease-related intangible assets and liabilities within acquired lease intangibles and accounts payable and other liabilities, respectively, on our Consolidated Balance Sheets.
We determine the fair value of loans receivable acquired in connection with a business combination by discounting the estimated future cash flows using current interest rates at which similar loans with the same maturities and same terms would be made to borrowers with similar credit ratings. The estimated future cash flows reflect our judgment regarding the uncertainty of those cash flows, so we do not establish a valuation allowance at the acquisition date. We recognize the difference between the acquisition date fair value and the total expected cash flows as interest income using an effective interest method over the life of the applicable loan. Subsequent to the acquisition date, we evaluate changes regarding the uncertainty of future cash flows and the need for a valuation allowance.
We estimate the fair value of noncontrolling interests assumed using assumptions that are consistent with those used in valuing all of the underlying assets and liabilities.
We calculate the fair value of long-term debt by discounting the remaining contractual cash flows on each instrument at the current market rate for those borrowings, which we approximate based on the rate at which we would expect to incur a replacement instrument on the date of acquisition, and recognize any fair value adjustments related to long-term debt as effective yield adjustments over the remaining term of the instrument.
We record a liability for contingent consideration (included in accounts payable and other liabilities on our Consolidated Balance Sheets) at fair value as of the acquisition date and reassess the fair value at the end of each reporting period, with any changes being recognized in earnings. Increases or decreases in the fair value of contingent consideration can result from changes in discount periods, discount rates and probabilities that contingencies will be met.
Impairment of Long-Lived and Intangible Assets
We periodically evaluate our long-lived assets, primarily consisting of our investments in real estate, for impairment indicators. If indicators of impairment are present, we evaluate the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying operations. In performing this evaluation, we consider market conditions and our current intentions with respect to holding or disposing of the asset. We adjust the net book value of leased properties and other long-lived assets to fair value if the sum of the expected future undiscounted cash flows, including sales proceeds, is less than book value. We recognize an impairment loss at the time we make any such determination. We recorded $35.6 million of real estate impairment charges for the year ended December 31, 2012, primarily related to our triple-net leased properties reportable business segment. These charges are primarily recorded as a component of depreciation and amortization in both continuing and discontinued operations in our Consolidated Statements of Income.
If impairment indicators arise with respect to intangible assets with finite useful lives, we evaluate impairment by comparing the carrying amount of the asset to the estimated future undiscounted net cash flows expected to be generated by the asset. If estimated future undiscounted net cash flows are less than the carrying amount of the asset, then we estimate the fair value of the asset and compare the estimated fair value to the intangible asset’s carrying value. We recognize any shortfall from carrying value as an impairment loss in the current period.
We evaluate our investments in unconsolidated entities for impairment whenever events or changes in circumstances indicate that the carrying value of our investment may exceed its fair value. If we determine that a decline in the fair value of our investment in an unconsolidated entity is other-than-temporary, and if such reduced fair value is below the carrying value, we record an impairment. The determination of the fair value of investments in unconsolidated entities involves significant judgment. Our estimates consider all available evidence, including, as appropriate, the present value of the expected future cash flows discounted at market rates, general economic conditions and trends and other relevant factors.

92

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


We test goodwill for impairment at least annually, and more frequently if indicators arise. We first assess qualitative factors to determine the likelihood that the fair value of a reporting unit is less than its carrying amount. Qualitative factors we assess include current macroeconomic conditions, state of the equity and capital markets and our overall financial and operating performance. If we determine it is more likely than not that the fair value of a reporting unit is less than its carrying amount, then we proceed with the two-step approach to evaluating impairment. In the first step of this approach, we estimate the fair value of a reporting unit and compare it to the reporting unit’s carrying value. If the carrying value exceeds fair value, we proceed with the second step. The second step of this approach requires us to assign the fair value of a reporting unit to all the assets and liabilities of the reporting unit as if it had been acquired in a business combination at the date of the impairment test. The excess fair value of the reporting unit over the amounts assigned to the assets and liabilities is the implied value of goodwill and is used to determine the amount of impairment. We recognize an impairment loss to the extent the carrying value of goodwill exceeds the implied value in the current period.
Estimates of fair value used in our evaluation of goodwill, investments in real estate, investments in unconsolidated entities and intangible assets are based upon discounted future cash flow projections or other acceptable valuation techniques, which are based, in turn, upon level three inputs, such as revenue and expense growth rates, capitalization rates, discount rates or other available market data. Our ability to accurately predict future operating results and cash flows and estimate and allocate fair values impacts the timing and recognition of impairments. While we believe our assumptions are reasonable, changes in these assumptions may have a material impact on our financial results.
Assets Held for Sale and Discontinued Operations
We sell properties from time to time for various reasons, including market conditions or the exercise of purchase options by tenants. We classify certain long-lived assets as held for sale once the criteria, as defined by GAAP, has been met. Long-lived assets to be disposed of are reported at the lower of their carrying amount or fair value minus cost to sell and are no longer depreciated. Discontinued operations is defined as a component of an entity that has either been disposed of or is deemed to be held for sale if both the operations and cash flows of the component have been or will be eliminated from ongoing operations as a result of the disposal transaction and the entity will not have any significant continuing involvement in the operations of the component after the disposal transaction. The results of operations and any gain or loss on assets sold or classified as held for sale are reflected in our Consolidated Statements of Income as discontinued operations for all periods presented. We have estimated interest expense allocated to discontinued operations based on property values and our weighted average interest rate or the property’s actual mortgage interest.
Loans Receivable
We record loans receivable, other than those acquired in connection with a business combination, on our Consolidated Balance Sheets (either in secured loans receivable, net or, with respect to unsecured loans receivable, other assets) at the unpaid principal balance, net of any deferred origination fees, purchase discounts or premiums and valuation allowances. We amortize net deferred origination fees, which are comprised of loan fees collected from the borrower net of certain direct costs, and purchase discounts or premiums over the contractual life of the loan using the effective interest method and immediately recognize in income any unamortized balances if the loan is repaid before its contractual maturity.
We regularly evaluate the collectibility of loans receivable based on factors such as corporate and facility-level financial and operational reports, compliance with financial covenants set forth in the applicable loan agreement, the financial strength of the borrower and any guarantor, the payment history of the borrower and current economic conditions. If our evaluation of these factors indicates it is probable that we will be unable to collect all amounts due under the terms of the applicable loan agreement, we provide a reserve against the portion of the receivable that we estimate may not be collected.
Cash Equivalents
Cash equivalents consist of highly liquid investments with a maturity date of three months or less when purchased. These investments are stated at cost, which approximates fair value.
Escrow Deposits and Restricted Cash
Escrow deposits consist of amounts held by us or our lenders to provide for future real estate tax and insurance expenditures and tenant improvements related to our properties and operations. Restricted cash represents amounts paid to us for security deposits and other similar purposes.
Deferred Financing Costs
We amortize deferred financing costs as a component of interest expense over the terms of the related borrowings using a method that approximates a level yield. Deferred financing costs, net of accumulated amortization, were approximately $42.6

93

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


million and $26.7 million at December 31, 2012 and 2011, respectively. Amortized costs of approximately $10.5 million for the year ended December 31, 2012 and $17.8 million for each of the years ended December 31, 2011 and 2010 were included in interest expense.
Marketable Debt and Equity Securities
We record marketable debt and equity securities as available-for-sale and classify them as a component of other assets on our Consolidated Balance Sheets. We record these securities at fair value and include unrealized gains and losses recorded in stockholders’ equity as a component of accumulated other comprehensive income on our Consolidated Balance Sheets. We report interest income, including discount or premium amortization, on marketable debt securities and gains or losses on securities sold, which are based on the specific identification method, in income from loans and investments in our Consolidated Statements of Income.
Derivative Instruments
We recognize all derivative instruments in either other assets or accounts payable and other liabilities on our Consolidated Balance Sheets at fair value as of the reporting date. We recognize changes in the fair value of derivative instruments in other expenses in our Consolidated Statements of Income or accumulated other comprehensive income on our Consolidated Balance Sheets, depending on the intended use of the derivative and our designation of the instrument.
We do not use our derivative financial instruments, including interest rate caps, interest rate swaps, and foreign currency forward contracts, for trading or speculative purposes. Our interest rate caps were designated as having a hedging relationship with their underlying securities and therefore meet the criteria for hedge accounting under GAAP. Accordingly, our interest rate caps are recorded on our Consolidated Balance Sheets at fair value, and we recognize changes in the fair value of these instruments in accumulated other comprehensive income on our Consolidated Balance Sheets. Our interest rate swaps (excluding the interest rate swap contract of an unconsolidated joint venture described below) and foreign currency forward contracts were not designated as having a hedging relationship with their underlying securities and therefore do not meet the criteria for hedge accounting under GAAP. Accordingly, our interest rate swaps and foreign currency forward contracts are recorded on our Consolidated Balance Sheets at fair value, and we recognize changes in the fair value of these instruments in current earnings (in other expenses) in our Consolidated Statements of Income. One of our unconsolidated joint ventures is party to an interest rate swap contract that was designated as effectively hedging the variability of expected cash flows related to variable rate debt secured by a portion of its real estate portfolio. We recognize our proportionate share of the change in fair value of this swap in accumulated other comprehensive income on our Consolidated Balance Sheets.
Fair Values of Financial Instruments
Fair value is a market-based measurement, not an entity-specific measurement, and we determine fair value based on the assumptions that we expect market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, GAAP establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within levels one and two of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within level three of the hierarchy).
Level one inputs utilize unadjusted quoted prices for identical assets or liabilities in active markets that we have the ability to access. Level two inputs are inputs other than quoted prices included in level one that are directly or indirectly observable for the asset or liability. Level two inputs may include quoted prices for similar assets and liabilities in active markets, as well as other inputs for the asset or liability, such as interest rates, foreign exchange rates and yield curves, that are observable at commonly quoted intervals. Level three inputs are unobservable inputs for the asset or liability, which are typically based on our own assumptions, as there is little, if any, related market activity. If the determination of the fair value measurement is based on inputs from different levels of the hierarchy, the level within which the entire fair value measurement falls is the lowest level input that is significant to the fair value measurement in its entirety. If the volume and level of market activity for an asset or liability has decreased significantly relative to the normal market activity for such asset or liability (or similar assets or liabilities), then transactions or quoted prices may not accurately reflect fair value. In addition, if there is evidence that a transaction for an asset or liability is not orderly, little, if any, weight is placed on that transaction price as an indicator of fair value. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability.

94

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


We use the following methods and assumptions in estimating the fair value of our financial instruments.
Cash and cash equivalents - The carrying amount of unrestricted cash and cash equivalents reported on our Consolidated Balance Sheets approximates fair value due to the short maturity of these instruments.
Loans receivable - We estimate the fair value of loans receivable using level two and level three inputs: we discount future cash flows using current interest rates at which similar loans with the same maturities and same terms would be made to borrowers with similar credit ratings. Additionally, we determine the valuation allowance for losses, if any, on loans receivable using level three inputs.
Marketable debt securities - We estimate the fair value of marketable debt securities using level two inputs: we observe quoted prices for similar assets or liabilities in active markets that we have the ability to access.
Derivative instruments - With the assistance of a third party, we estimate the fair value of derivative instruments, including interest rate caps, interest rate swaps, and foreign currency forward contracts, using level two inputs: for interest rate caps, we observe forward yield curves and other relevant information; for interest rate swaps, we observe alternative financing rates derived from market-based financing rates, forward yield curves and discount rates; and for foreign currency forward contracts, we estimate the future values of the two currency tranches using forward exchange rates that are based on traded forward points and calculate a present value of the net amount using a discount factor based on observable traded interest rates.
Senior notes payable and other debt - We estimate the fair value of senior notes payable and other debt using level two inputs: we discount the future cash flows using current interest rates at which we could obtain similar borrowings.
Contingent consideration - We estimate the fair value of contingent consideration using level three inputs: we assess the probability of expected future cash flows over the period during which the obligation is expected to be settled and apply a discount rate that appropriately captures a market participant’s view of the risk associated with the obligation.
Redeemable OP unitholder interests - We estimate the fair value of our redeemable Class A limited partnership units using level two inputs: we base fair value on the closing price of our common stock, as units may be redeemed at the election of the holder for cash or, at our option, 0.7866 shares of our common stock per unit, subject to adjustment in certain circumstances.
Revenue Recognition
Triple-Net Leased Properties and MOB Operations
Certain of our triple-net leases, including a majority of the leases we acquired in connection with the NHP acquisition, and most of our MOB leases provide for periodic and determinable increases in base rent. We recognize base rental revenues under these leases on a straight-line basis over the applicable lease term when collectability is reasonably assured. Recognizing rental income on a straight-line basis generally results in recognized revenues during the first half of a lease term exceeding the cash amounts contractually due from our tenants, creating a straight-line rent receivable that is included in other assets on our Consolidated Balance Sheets. At December 31, 2012 and 2011, this cumulative excess (net of allowances) totaled $120.3 million and $96.9 million, respectively.
Four of our five master lease agreements with Kindred (the “Kindred Master Leases”) and certain of our other leases provide for periodic increases in base rent only if certain revenue parameters or other substantive contingencies are met. We recognize the increased rental revenue under these leases as the related parameters or contingencies are met, rather than on a straight-line basis over the applicable lease term.
Senior Living Operations
We recognize resident fees and services, other than move-in fees, monthly as services are provided. We recognize move-in fees on a straight-line basis over the average resident stay. Our lease agreements with residents generally have a term of 12 to 18 months and are cancelable by the resident upon 30 days’ notice.
Other
We recognize interest income from loans, including discounts and premiums, using the effective interest method when collectibility is reasonably assured. We apply the effective interest method on a loan-by-loan basis and recognize discounts and premiums as yield adjustments over the related loan term. We recognize interest income on an impaired loan to the extent our estimate of the fair value of the collateral is sufficient to support the balance of the loan, other receivables and all related

95

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


accrued interest. When the balance of the loan, other receivables and all related accrued interest is equal to our estimate of the fair value of the collateral, we recognize interest income on a cash basis. We provide a reserve against an impaired loan to the extent our total investment in the loan exceeds our estimate of the fair value of the loan collateral.
We recognize income from rent, lease termination fees, development services, management advisory services, and all other income when all of the following criteria are met in accordance with Securities and Exchange Commission (“SEC”) Staff Accounting Bulletin 104: (i) the applicable agreement has been fully executed and delivered; (ii) services have been rendered; (iii) the amount is fixed or determinable; and (iv) collectibility is reasonably assured.
Allowances
We assess the collectibility of our rent receivables, including straight-line rent receivables, and we defer recognition of revenue if collectibility is not reasonably assured. We base our assessment of the collectibility of rent receivables (other than straight-line rent receivables) on several factors, including, among other things, payment history, the financial strength of the tenant and any guarantors, the value of the underlying collateral, if any, and current economic conditions. If our evaluation of these factors indicates it is probable that we will be unable to recover the full value of the receivable, we provide a reserve against the portion of the receivable that we estimate may not be recovered. We base our assessment of the collectibility of straight-line rent receivables on several factors, including, among other things, the financial strength of the tenant and any guarantors, the historical operations and operating trends of the property, the historical payment pattern of the tenant, and the type of property. If our evaluation of these factors indicates it is probable that we will be unable to receive the rent payments due in the future, we defer recognition of the straight-line rental revenue and, in certain circumstances, provide a reserve against the previously recognized straight-line rent receivable asset for the portion, up to its full value, that we estimate may not be recovered. If we change our assumptions or estimates regarding the collectibility of future rent payments required by a lease, we may adjust our reserve to increase or reduce the rental revenue recognized and/or to increase or reduce the reserve against the previously recognized straight-line rent receivable asset.
Stock-Based Compensation
We recognize share-based payments to employees and directors, including grants of stock options, in our Consolidated Statements of Income generally on a straight-line basis over the requisite service period based on the fair value of the award.
Gain on Sale of Assets
We recognize sales of assets only upon the closing of the transaction with the purchaser. We record payments received from purchasers prior to closing as deposits and classify them as other assets on our Consolidated Balance Sheets. We recognize gains on assets sold using the full accrual method upon closing if the collectibility of the sales price is reasonably assured, we are not obligated to perform any significant activities after the sale to earn the profit, we have received adequate initial investment from the purchaser, and other profit recognition criteria have been satisfied. We may defer recognition of gains in whole or in part until: (i) the profit is determinable, meaning that the collectibility of the sales price is reasonably assured or the amount that will not be collectible can be estimated; and (ii) the earnings process is virtually complete, meaning that we are not obliged to perform any significant activities after the sale to earn the profit.
Federal Income Tax
We have elected to be treated as a REIT under the applicable provisions of the Internal Revenue Code of 1986, as amended (the “Code”), for every year beginning with the year ended December 31, 1999. Accordingly, provided that we continue to qualify as a REIT, we generally will not be subject to federal income tax on net income that we distribute to our stockholders. However, with respect to certain of our subsidiaries that have elected to be treated as “taxable REIT subsidiaries,” we record income tax expense or benefit, as those entities are subject to federal income tax similar to regular corporations.
We account for deferred income taxes using the asset and liability method and recognize deferred tax assets and liabilities for the expected future tax consequences of events that have been included in our financial statements or tax returns. Under this method, we determine deferred tax assets and liabilities based on the differences between the financial reporting and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. Any increase or decrease in the deferred tax liability that results from a change in circumstances, and that causes us to change our judgment about expected future tax consequences of events, is included in the tax provision when such changes occur. Deferred income taxes also reflect the impact of operating loss and tax credit carryforwards. A valuation allowance is provided if we believe it is more likely than not that all or some portion of the deferred tax asset will not be realized. Any increase or decrease in the valuation allowance that results from a change in circumstances, and that causes us to change our judgment about the realizability of the related deferred tax asset, is included in the tax provision when such changes occur.

96

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Foreign Currency
Certain of our subsidiaries’ functional currencies are the local currencies of their respective countries. We translate the results of operations of our foreign subsidiaries into U.S. dollars using average rates of exchange in effect during the period, and we translate balance sheet accounts using exchange rates in effect at the end of the period. We record resulting currency translation adjustments in accumulated other comprehensive income, a component of stockholders’ equity, on our Consolidated Balance Sheets. We record foreign currency transaction gains and losses in our Consolidated Statements of Income.
Segment Reporting
As of December 31, 2012, we operated through three reportable business segments: triple-net leased properties; senior living operations; and MOB operations. Under our triple-net leased properties segment, we acquire and own seniors housing and healthcare properties throughout the United States and lease those properties to healthcare operating companies under “triple-net” or “absolute-net” leases that obligate the tenants to pay all property-related expenses. Under our senior living operations segment, we invest in seniors housing communities throughout the United States and Canada and engage independent operators, such as Atria and Sunrise, to manage those communities. Under our MOB operations segment, we primarily acquire, own, develop, lease, and manage MOBs.
On July 1, 2010, we completed the acquisition of businesses owned and operated by Lillibridge and its related entities and their real estate interests in 96 MOBs and ambulatory facilities. With the addition of these businesses and properties, we believed that the segregation of our MOB operations into its own reportable business segment would be useful in assessing the performance of our MOB business in the same way that management evaluates our performance and makes operating decisions. Prior to the acquisition, we operated through two reportable business segments: triple-net leased properties; and senior living operations. See “Note 20—Segment Information.”
Convertible Debt Instruments
We separately account for the liability and equity components of convertible debt instruments that may be settled in cash upon conversion (including partial cash settlement) in a manner that reflects our nonconvertible debt borrowing rate when interest cost is recognized in subsequent periods. As a result of convertible debt instruments we had outstanding during 2011 and 2010, our interest expense increased and our net income decreased by $4.0 million ($0.02 per diluted share) and $4.2 million ($0.03 per diluted share) for the years ended December 31, 2011 and 2010, respectively. In November 2011, we repaid in full $230.0 million principal amount outstanding of our convertible notes upon maturity and issued 943,714 shares of our common stock in settlement of the conversion value in excess of the principal amount. See “Note 10—Borrowing Arrangements.”
Operating Leases
We account for payments made pursuant to operating leases in our Consolidated Statements of Income based on actual rent paid, plus or minus a straight-line rent adjustment for leases that provide for periodic and determinable increases in base rent.
Recently Issued or Adopted Accounting Standards
In June 2011, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2011-05, Presentation of Comprehensive Income (“ASU 2011-05”), which amends ASC Topic 220, Comprehensive Income. ASU 2011-05 requires entities to present comprehensive income in either: (i) one continuous financial statement or (ii) two separate but consecutive statements that display net income and the components of other comprehensive income. Totals and individual components of both net income and other comprehensive income must be included in either presentation. In December 2011, the FASB issued ASU 2011-12, Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in Accounting Standards Update No. 2011-05 (“ASU 2011-12”). The provisions of ASU 2011-12 indefinitely defer portions of ASU 2011-05 related to the presentation of reclassification of items out of accumulated other comprehensive income. We adopted the provisions of ASU 2011-05 and ASU 2011-12 on January 1, 2012.
Reclassifications
Certain prior year amounts have been reclassified to conform to the current year presentation.


97

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Note 3—Concentration of Credit Risk
As of December 31, 2012, Atria, Sunrise, Brookdale Senior Living and Kindred managed or operated approximately 17.8%, 14.8%, 10.4% and 4.4%, respectively, of our real estate investments based on their gross book value (excluding properties classified as held for sale as of December 31, 2012). Also, as of December 31, 2012, seniors housing communities constituted approximately 61.2% of our real estate portfolio based on gross book value (excluding properties classified as held for sale as of December 31, 2012), with skilled nursing and other facilities, MOBs and hospitals, collectively comprising the remaining 38.8%. Our properties were located in 46 states, the District of Columbia and two Canadian provinces as of December 31, 2012, with properties in one state (California) accounting for more than 10% of our total revenues or total net operating income (“NOI,” which is defined as total revenues, excluding interest and other income, less property-level operating expenses and medical office building services costs) (in each case excluding amounts in discontinued operations) for the year ended December 31, 2012. Properties in one state (California) and properties in two states (California and Illinois) each accounted for more than 10% of our total revenues or total NOI (in each case excluding amounts in discontinued operations) for the years ended December 31, 2011 and 2010, respectively.
Triple-Net Leased Properties
For the years ended December 31, 2012, 2011 and 2010, approximately 10.5%, 14.5% and 24.7%, respectively, of our total revenues and 17.4%, 23.7% and 36.6%, respectively, of our total NOI (in each case excluding amounts in discontinued operations) were derived from our lease agreements with Kindred. For the same periods, approximately 6.4%, 7.7% and 10.9%, respectively, of our total revenues and 10.5%, 12.5% and 16.2%, respectively, of our total NOI (in each case excluding amounts in discontinued operations) were derived from our lease agreements with Brookdale Senior Living. Each of the Kindred Master Leases and our leases with Brookdale Senior Living is a triple-net lease that obligates the tenant to pay all property-related expenses, including maintenance, utilities, repairs, taxes, insurance and capital expenditures, and to comply with the terms of the mortgage financing documents, if any, affecting the properties. In addition, each of these leases has guaranty and cross-default provisions tied to other leases with the same tenant, as well as bundled lease renewals.
Because the properties we lease to Kindred and Brookdale Senior Living account for a significant portion of our total revenues and NOI, our financial condition and results of operations could be weakened and our ability to service our indebtedness and to make distributions to our stockholders could be limited if either Kindred or Brookdale Senior Living becomes unable or unwilling to satisfy its obligations to us or to renew its leases with us upon expiration of the terms thereof. We cannot assure you that either Kindred or Brookdale Senior Living will have sufficient assets, income and access to financing to enable it to satisfy its respective obligations to us, and any inability or unwillingness by Kindred or Brookdale Senior Living to do so could have a material adverse effect on our business, financial condition, results of operations and liquidity, our ability to service our indebtedness and other obligations and our ability to make distributions to our stockholders, as required for us to continue to qualify as a REIT (a “Material Adverse Effect”). We also cannot assure you that either Kindred or Brookdale Senior Living will elect to renew its respective leases with us upon expiration of their terms or that we will be able to reposition any properties that are not renewed on a timely basis or on the same or better economic terms, if at all.
The following table sets forth the future contracted minimum rentals, excluding contingent rent escalations, but including straight-line rent adjustments where applicable, for all of our triple-net and MOB leases as of December 31, 2012 (excluding properties included in investments in unconsolidated entities and properties classified as held for sale as of December 31, 2012):
 
Kindred
 
Brookdale
Senior
Living
 
Other
 
Total
 
(In thousands)
2013
$
229,845

 
$
153,919

 
$
738,635

 
$
1,122,399

2014
219,255

 
144,493

 
720,055

 
1,083,803

2015
127,200

 
135,822

 
698,249

 
961,271

2016
81,641

 
134,072

 
651,125

 
866,838

2017
83,786

 
134,072

 
594,915

 
812,773

Thereafter
258,226

 
296,265

 
3,796,780

 
4,351,271

Total
$
999,953

 
$
998,643

 
$
7,199,759

 
$
9,198,355

Senior Living Operations
As of December 31, 2012, Atria and Sunrise, collectively, provided comprehensive property management and accounting services with respect to 220 of our seniors housing communities, for which we pay annual management fees pursuant to long-term management agreements.

98

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Because Atria and Sunrise manage, but do not lease, our properties, we are not directly exposed to their credit risk in the same manner or to the same extent as our triple-net tenants. However, we rely on our managers’ personnel, expertise, technical resources and information systems, proprietary information, good faith and judgment to manage our seniors housing communities efficiently and effectively. We also rely on our managers to set resident fees and otherwise operate those properties in compliance with the terms of our management agreements. Although we have various rights as the property owner under our management agreements, including various rights to terminate and exercise remedies under the agreements as provided therein, Atria’s or Sunrise’s inability or unwillingness to satisfy its obligations under those agreements, to efficiently and effectively manage our properties or to provide timely and accurate accounting information with respect thereto could have a Material Adverse Effect on us. In addition, significant changes in Atria’s or Sunrise’s senior management or any adverse developments in their businesses and affairs or financial condition could have a Material Adverse Effect on us.
In December 2012, we acquired a 34% ownership interest in Atria through the acquisition of certain private equity funds (the “Funds”) previously managed by Lazard Frères Real Estate Investments LLC or its affiliates (“LFREI”). In connection with this transaction, we obtained certain rights and minority protections regarding material transactions affecting Atria, as well as the right to appoint two directors to the Atria Board of Directors.
In August 2012, Sunrise announced that it had agreed to be acquired by Health Care REIT, Inc. (“Health Care REIT”). In connection with this announcement, Sunrise effected an internal reorganization to separate its subsidiaries that operate and manage seniors housing communities (collectively, the “Sunrise management business”) from its real estate assets and its equity interests in subsidiaries and joint ventures that hold real estate assets (collectively, the “Sunrise real estate”). In January 2013, the Sunrise management business was sold to a partnership comprised of three private equity firms and Health Care REIT, and the Sunrise real estate was acquired by Health Care REIT.
Kindred, Brookdale Senior Living, Atria and Sunrise Information
Each of Kindred and Brookdale Senior Living is subject to the reporting requirements of the SEC and is required to file with the SEC annual reports containing audited financial information and quarterly reports containing unaudited financial information. The information related to Kindred and Brookdale Senior Living contained or referred to in this Annual Report on Form 10-K has been derived from SEC filings made by Kindred or Brookdale Senior Living, as the case may be, or other publicly available information, or was provided to us by Kindred or Brookdale Senior Living, and we have not verified this information through an independent investigation or otherwise. We have no reason to believe that this information is inaccurate in any material respect, but we cannot provide any assurance of its accuracy. We are providing this data for informational purposes only, and you are encouraged to obtain Kindred’s and Brookdale Senior Living’s publicly available filings, which can be found at the SEC’s website at www.sec.gov.
Neither Atria nor Sunrise is currently subject to the reporting requirements of the SEC. The information related to Atria and Sunrise contained or referred to in this Annual Report on Form 10-K has been derived from publicly available information or was provided to us by Atria or Sunrise, as the case may be, and we have not verified this information through an independent investigation or otherwise. We have no reason to believe that this information is inaccurate in any material respect, but we cannot provide any assurance of its accuracy.
Note 4—Acquisitions of Real Estate Property
The following summarizes our acquisitions in 2012, 2011 and 2010. We make acquisitions and investments in seniors housing and healthcare properties primarily to achieve an expected yield on investment, to grow and diversify our portfolio and revenue base, and to reduce our dependence on any single tenant, operator or manager, geographic area, asset type, business model or revenue source.
2012 Acquisitions
Funds Acquisition
In December 2012, we acquired 100% of the Funds previously managed by LFREI. The acquired Funds primarily own a 34% interest in Atria, which is recorded as an investment in unconsolidated entities on our Consolidated Balance Sheets, and 3.7 million shares of our common stock. In conjunction with this acquisition, we also extinguished our obligation related to the “earnout,” a contingent performance-based payment arising out of our 2011 acquisition of the real estate assets of Atria Senior Living Group, Inc. (together with its affiliates, “ASLG”), for an additional $44 million. This amount represented the discounted net present value of the potential future payment, which was previously reflected on our Consolidated Balance Sheets as a liability.
          

99

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Cogdell Acquisition
In April 2012, we acquired Cogdell Spencer Inc. (together with its subsidiaries, “Cogdell”), including its 71 real estate assets (including properties owned through joint ventures) and its MOB property management business, which had existing agreements with third parties to manage 44 MOBs, in an all-cash transaction. At closing, our investment in Cogdell, including our share of debt, was approximately $760 million. In addition, our joint venture partners’ share of net debt assumed was $36.3 million at the time of the acquisition.
Pursuant to the terms of, and subject to the conditions set forth in, the agreement and plan of merger, at the effective time of the merger, (a) each outstanding share of Cogdell common stock, and each outstanding unit of limited partnership interest in Cogdell’s operating partnership, Cogdell Spencer LP, that was not owned by subsidiaries of Cogdell was converted into the right to receive $4.25 in cash, and (b) each outstanding share of Cogdell’s 8.500% Series A Cumulative Redeemable Perpetual Preferred Stock was converted into the right to receive an amount in cash equal to $25.00, plus accrued and unpaid dividends through the date of closing. We financed our acquisition of Cogdell through the assumption of $203.8 million of existing Cogdell mortgage debt (including $36.3 million of our joint venture partners’ share) and borrowings under our unsecured revolving credit facility. Prior to the closing, Cogdell completed the sale of its design-build and development business to an unaffiliated third party.
As of December 31, 2012, we had incurred a total of $28.6 million of acquisition-related costs related to the Cogdell acquisition, all of which were expensed as incurred and included in merger-related expenses and deal costs in our Consolidated Statements of Income for the applicable periods.
Completed Developments
During 2012, we completed the development of three MOBs and two seniors housing communities. These completed developments represent $116.9 million of net real estate property on our Consolidated Balance Sheets as of December 31, 2012.
Other 2012 Acquisitions
In May 2012, we acquired 16 seniors housing communities managed by Sunrise in an all-cash transaction. Sunrise continues to manage the acquired assets under existing long-term management agreements. During 2012, we also invested in 21 seniors housing communities, two skilled nursing facilities and 44 MOBs, including 36 MOBs that we had previously accounted for as investments in unconsolidated entities. See “Note 7—Investments in Unconsolidated Entities.”
Estimated Fair Value
We are accounting for our 2012 acquisitions under the acquisition method in accordance with ASC Topic 805, Business Combinations (“ASC 805”), and we have completed our initial accounting for these acquisitions, which are subject to further adjustment. The following table summarizes the acquisition date fair values of the assets acquired and liabilities assumed, which we determined using level two and level three inputs (in thousands):
 
Cogdell
 
Sunrise
 
Other
 
Total
 
(In thousands)
Land and improvements
$
93,585

 
$
41,689

 
$
59,538

 
$
194,812

Buildings and improvements
626,302

 
311,888

 
782,870

 
1,721,060

Construction in progress
23,944

 

 
1,653

 
25,597

Acquired lease intangibles
117,132

 
14,320

 
71,347

 
202,799

Other assets
24,466

 
890

 
20,520

 
45,876

Total assets acquired
885,429

 
368,787

 
935,928

 
2,190,144

Notes payable and other debt
213,430

 

 
199,395

 
412,825

Other liabilities
51,280

 
10,565

 
65,837

 
127,682

Total liabilities assumed
264,710

 
10,565

 
265,232

 
540,507

Noncontrolling interest assumed
29,058

 

 
8,640

 
37,698

Net assets acquired
591,661

 
358,222

 
662,056

 
1,611,939

Cash acquired
12,202

 

 
12,669

 
24,871

Total cash used
$
579,459

 
$
358,222

 
$
649,387

 
$
1,587,068


100

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


2011 Acquisitions
ASLG Acquisition
In May 2011, we acquired substantially all of the real estate assets and working capital of privately-owned ASLG. We funded a portion of the purchase price through the issuance of 24.96 million shares of our common stock (which shares had a total value of $1.38 billion based on the acquisition date closing price of our common stock of $55.33 per share). In October 2011, we cancelled 83,441 shares issued to the sellers for a working capital adjustment in accordance with the purchase agreement.
As a result of the ASLG transaction, we added to our senior living operating portfolio 117 private pay seniors housing communities and one development land parcel, located primarily in affluent coastal markets such as the New York metropolitan area, New England and California. Prior to the closing, ASLG spun off its management operations to a newly formed entity, Atria, which continues to operate the acquired assets under long-term management agreements with us.
We accounted for the ASLG acquisition under the acquisition method in accordance with ASC 805. The following table summarizes the acquisition date fair values of the assets acquired and liabilities assumed, which we determined using level two and level three inputs (in thousands):
Land and improvements
$
341,540

Buildings and improvements
2,876,717

Acquired lease intangibles
159,610

Other assets
215,708

Total assets acquired
3,593,575

Notes payable and other debt
1,629,212

Deferred tax liability
43,466

Other liabilities
202,278

Total liabilities assumed
1,874,956

Net assets acquired
1,718,619

Cash acquired
77,718

Equity issued
1,376,437

Total cash used
$
264,464

Included in other assets above is $80.5 million of goodwill, which represents the excess of the purchase price over the fair value of the assets acquired and liabilities assumed as of the acquisition date. All of the goodwill was assigned to our senior living operations reportable business segment.
As partial consideration for the ASLG acquisition, the sellers received the right to earn additional amounts (“contingent consideration”) based upon the achievement of certain performance metrics, including the future operating results of the acquired assets, and other factors. We estimated the acquisition date fair value of contingent consideration ($44.2 million included in other liabilities above) using probability assessments of expected future cash flows over the period in which the obligation is expected to be settled and applying a discount rate that appropriately captures a market participant’s view of the risk associated with the obligation. See “2012 Acquisitions—Funds Acquisition” above for a discussion of subsequent activity related to this contingent consideration.
NHP Acquisition
In July 2011, we acquired NHP in a stock-for-stock transaction. Pursuant to the terms and subject to the conditions set forth in the agreement and plan of merger dated as of February 27, 2011, at the effective time of the merger, each outstanding share of NHP common stock (other than shares owned by us or any of our subsidiaries or any wholly owned subsidiary of NHP) was converted into the right to receive 0.7866 shares of our common stock, with cash paid in lieu of fractional shares. In connection with the acquisition, we paid $105 million at closing to repay amounts then outstanding and terminated the commitments under NHP’s revolving credit facility. The NHP acquisition added 643 seniors housing and healthcare properties to our portfolio (including properties owned through joint ventures).

101

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


We accounted for the NHP acquisition under the acquisition method in accordance with ASC 805. The following table summarizes the acquisition date fair values of the assets acquired and liabilities assumed, which we determined using level two and level three inputs (in thousands):
Land and improvements
$
701,154

Buildings and improvements
6,147,737

Acquired lease intangibles
493,125

Investment in unconsolidated entities
93,553

Other assets
815,968

Total assets acquired
8,251,537

Notes payable and other debt
1,882,752

Other liabilities
720,420

Total liabilities assumed
2,603,172

Redeemable OP unitholder interests assumed
100,888

Noncontrolling interest assumed (including redeemable interests)
76,658

Net assets acquired
5,470,819

Cash acquired
29,205

Equity issued
5,365,819

Total cash used
$
75,795

The allocation of fair values of the assets acquired and liabilities assumed differs from the allocation reported in “Note 4—Acquisitions of Real Estate Property” of the Notes to Consolidated Financial Statements included in Part I, Item 1 of our Annual Report on Form 10-K for the year ended December 31, 2011, filed with the SEC on February 22, 2012, due primarily to reclassification adjustments for presentation, adjustments to our valuation assumptions and acquiring additional information not readily available at the date of acquisition. The changes to our valuation assumptions were based on more accurate information concerning the subject assets and liabilities.
Included in other assets above is $399.0 million of goodwill, which represents the excess of the purchase price over the fair value of the assets acquired and liabilities assumed as of the acquisition date. We have allocated $338.5 million and $60.5 million of the goodwill balance to our triple-net leased properties and MOB operations reportable business segments, respectively, based on relative fair value.
Other 2011 Acquisitions
During 2011, we also invested approximately $329.5 million, including the assumption of $134.9 million in debt, in 14 MOBs and five seniors housing communities.
2010 Acquisitions
Lillibridge Acquisition
In July 2010, we completed the acquisition of businesses owned and operated by Lillibridge and its related entities and their real estate interests in 96 MOBs and ambulatory facilities for approximately $381 million, including the assumption of $79.5 million of mortgage debt that was not repaid in connection with the closing.
As a result of the Lillibridge acquisition, we acquired: a 100% interest in Lillibridge’s property management, leasing, marketing, facility development, and advisory services business; a 100% interest in 38 MOBs; a 20% joint venture interest in 24 MOBs; and a 5% joint venture interest in 34 MOBs. We are the managing member of these joint ventures and the property manager for the joint venture properties. Two institutional third parties hold the controlling interests in these joint ventures, and we have a right of first offer on those interests. We funded the acquisition with cash on hand, borrowings under our unsecured revolving credit facilities and the assumption of mortgage debt. In connection with the acquisition, $132.7 million of mortgage debt was repaid. See “Note 7—Investments in Unconsolidated Entities” for a discussion of our subsequent acquisition of controlling interests in certain of the aforementioned joint ventures.
          

102

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Other 2010 Acquisitions
During 2010, we also purchased five MOBs for a purchase price of $36.6 million and acquired Sunrise’s noncontrolling interests in 58 of our Sunrise-managed seniors housing communities for a total valuation of approximately $186 million, including the assumption of Sunrise’s share of mortgage debt totaling approximately $144 million. The noncontrolling interests acquired represented between 15% and 25% ownership interests in the communities. We recorded the difference between the consideration paid and the noncontrolling interest balance as a component of equity in capital in excess of par value on our Consolidated Balance Sheets.
Unaudited Pro Forma
The following table illustrates the effect on net income and earnings per share as if we had consummated the ASLG and NHP acquisitions as of January 1, 2010:
 
For the Year Ended December 31,
 
2011
 
2010
 
(In thousands, except per share amounts)
Revenues
$
2,256,319

 
$
2,178,897

Income from continuing operations attributable to common stockholders
583,446

 
321,637

Earnings per common share:
 
 
 
Basic:
 
 
 
Income from continuing operations attributable to common stockholders
$
2.03

 
$
1.14

Diluted:
 
 
 
Income from continuing operations attributable to common stockholders
$
2.02

 
$
1.14

Weighted average shares used in computing earnings per common share:
 
 
 
Basic
286,856

 
281,333

Diluted
289,193

 
282,382

Acquisition-related costs related to the ASLG and NHP acquisitions were not expected to have a continuing significant impact on our financial results and therefore have been excluded from these pro forma results. The pro forma results also do not include the impact of any synergies or lower borrowing costs that we have achieved or may achieve as a result of the acquisitions or any strategies that management has or may consider in order to continue to efficiently manage our operations, nor do they give pro forma effect to any other acquisitions, investments, dispositions or capital markets transactions that we completed during the periods presented or eliminate the litigation proceeds we received in 2011 in connection with our lawsuit against HCP, Inc. (“HCP”). These pro forma results are not necessarily indicative of the operating results that would have been obtained had the ASLG and NHP acquisitions occurred at the beginning of the periods presented, nor are they necessarily indicative of future operating results.
Note 5—Dispositions
2012 Dispositions
Triple-Net Leased Properties
During 2012, we sold 36 seniors housing communities (ten of which were pursuant to the exercise of tenant purchase options) and two skilled nursing facilities for aggregate consideration of $318.9 million, including fees of $5.0 million. We recognized a net gain on the sales of these assets of $81.0 million during 2012. We deposited a majority of the proceeds from the sale of 21 seniors housing communities in an Internal Revenue Code (the “Code”) Section 1031 exchange escrow account with a qualified intermediary, and we used approximately $134.5 million of these proceeds for certain of our seniors housing communities and MOB acquisitions during 2012. As of December 31, 2012, no proceeds remained in the 1031 exchange escrow account related to these sales.
Senior Living Operations
In June 2012, we declined to exercise our renewal option on the operating leases (in which we were the lessee) related to two seniors housing communities we acquired as part of the ASLG acquisition that expired on June 30, 2012.

103

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


MOB Operations
During 2012, we sold five MOBs for aggregate consideration of $27.2 million. We recognized a gain on the sale of these assets of $4.5 million.
2011 Dispositions
During 2011, we sold two seniors housing communities and two skilled nursing facilities pursuant to the exercise of tenant purchase options for aggregate consideration of $20.6 million. We recognized no gain or loss from these sales.
2010 Dispositions
During 2010, we sold seven seniors housing communities for aggregate consideration of $60.5 million, including lease termination fees of $0.7 million, and recognized a gain from these sales of $17.3 million.
Discontinued Operations
We present separately, as discontinued operations in all periods presented, the results of operations for all assets classified as held for sale as of December 31, 2012, and all assets disposed of and all operating leases (under which we were the lessee) not renewed during the three-year period ended December 31, 2012. Set forth below is a summary of our results of operations for properties within discontinued operations for the three years ended December 31, 2012, 2011 and 2010. As of December 31, 2012, we classified six seniors housing communities, nine skilled nursing facilities and four MOBs as assets held for sale, included within other assets on our Consolidated Balance Sheets. We recognized impairments of $13.9 million for the year ended December 31, 2012, representing our estimated aggregate loss on the expected sales of these assets. These charges are primarily recorded as a component of depreciation and amortization in the table below.
 
2012
 
2011
 
2010
 
(In thousands)
Revenues:
 
 
 
 
 
Rental income
$
21,511

 
$
26,196

 
$
19,583

Resident fees and services
4,080

 
5,213

 

Interest and other income
5,052

 

 
725

 
30,643

 
31,409

 
20,308

Expenses:
 
 
 
 
 
Interest
8,630

 
12,711

 
7,444

Depreciation and amortization
38,793

 
12,040

 
5,382

Property-level operating expenses
5,051

 
4,392

 

General, administrative and professional fees
12

 

 

Other
1,886

 
1,383

 

 
54,372

 
30,526

 
12,826

(Loss) income before income taxes and gain on sale of real estate assets
(23,729
)
 
883

 
7,482

Income tax benefit
4

 
477

 

Gain on real estate dispositions, net
80,952

 

 
25,241

Discontinued operations
$
57,227

 
$
1,360

 
$
32,723

Note 6—Loans Receivable
As of December 31, 2012 and 2011, we had $697.1 million and $276.2 million, respectively, of net loans receivable relating to seniors housing and healthcare operators or properties.
In December 2012, we made two secured loans in an aggregate principal amount totaling $425.0 million and having a weighted average interest rate of 8.5% per annum as of December 31, 2012. Both loans mature in 2017.
During 2012, we received aggregate proceeds of $37.6 million in final repayment of three secured loans receivable and four unsecured loans receivable.
In 2011, in connection with the NHP acquisition, we acquired (i) mortgage loans receivable having an initial aggregate fair value of approximately $271.7 million and secured by 53 seniors housing and healthcare properties and (ii) unsecured loans

104

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


receivable having an initial aggregate fair value of approximately $60.5 million. Also in 2011, we made a first mortgage loan in the aggregate principal amount of $12.9 million, bearing interest at a fixed rate of 9.0% per annum and maturing in 2016.
During 2011, we received aggregate proceeds of $218.5 million in final repayment of eight secured loans receivable and recognized a gain of $4.4 million (included in income from loans and investments in our Consolidated Statements of Income) in connection with these repayments.
Note 7—Investments in Unconsolidated Entities
We report investments in unconsolidated entities over whose operating and financial policies we have the ability to exercise significant influence under the equity method of accounting. In December 2012, we acquired a 34% interest in Atria. At December 31, 2012 and 2011, we also owned interests ranging between 5% and 25% in 55 properties and 92 properties, respectively, that were accounted for under the equity method.
With the exception of our interest in Atria, we serve as the managing member of each unconsolidated entity and provide various services in exchange for fees and reimbursements. Total management fees earned in connection with these entities were $7.3 million, $5.7 million and $1.9 million for the years ended December 31, 2012, 2011 and 2010, respectively.
We are not required to consolidate these entities, as our joint venture partners have significant participating rights, nor are these entities considered variable interest entities, as they are controlled by equity holders with sufficient capital. Our net investment in properties owned through unconsolidated entities as of December 31, 2012 and 2011 was $95.4 million and $105.3 million, respectively. For the years ended December 31, 2012, 2011 and 2010, we recorded income (loss) from unconsolidated entities of $18.2 million, $(0.1) million and $(0.7) million, respectively.
In August 2012, we acquired the controlling interests (ranging between 80% and 95%) in 36 MOBs and one other MOB that is being marketed for sale for approximately $350.0 million, including the assumption of $101.6 million in debt. This transaction had a total value of approximately $380.0 million. Prior to this acquisition, our equity method investment in these joint ventures was approximately $12.5 million. In connection with our acquisition of the controlling interests, we re-measured the fair value of our previously held equity interest at the acquisition date fair value to be approximately $30.0 million and recognized a net gain of $16.6 million, which is included in income (loss) from unconsolidated entities in our Consolidated Statements of Income. Operations relating to these properties are now consolidated in our Consolidated Statements of Income.
Note 8—Intangibles
The following is a summary of our intangibles as of December 31, 2012 and 2011:
 
December 31, 2012
 
December 31, 2011
 
Balance
 
Remaining
Weighted Average
Amortization
Period in Years
 
Balance
 
Remaining
Weighted Average
Amortization
Period in Years
 
(Dollars in thousands)
Intangible assets:
 
 
 
 
 
 
 
Above market lease intangibles
$
215,367

 
9.5
 
$
210,358

 
10.1
In-place and other lease intangibles
766,337

 
23.3
 
590,500

 
22.4
Other intangibles
33,378

 
8.6
 
16,169

 
13.5
Accumulated amortization
(352,692
)
 
 N/A
 
(188,442
)
 
 N/A
Goodwill
490,452

 
 N/A
 
448,393

 
 N/A
Net intangible assets
$
1,152,842

 
19.3
 
$
1,076,978

 
18.5
Intangible liabilities:
 
 
 
 
 
 
 
Below market lease intangibles
$
429,907

 
15.3
 
$
442,612

 
15.3
Other lease intangibles
28,966

 
15.8
 
27,157

 
7.9
Accumulated amortization
(78,560
)
 
 N/A
 
(37,607
)
 
 N/A
Purchase option intangibles
36,048

 
 N/A
 
112,670

 
 N/A
Net intangible liabilities
$
416,361

 
15.3
 
$
544,832

 
15.2
________
N/A—Not Applicable 

105

Table of Contents

Above market lease intangibles and in-place and other lease intangibles are included in acquired lease intangibles within real estate investments on our Consolidated Balance Sheets. Other intangibles (including non-compete agreements and trade names/trademarks) and goodwill are included in other assets on our Consolidated Balance Sheets. Below market lease, other lease and purchase option intangibles are included in accounts payable and other liabilities on our Consolidated Balance Sheets. For the years ended December 31, 2012, 2011 and 2010, our net amortization expense related to these intangibles was $123.3 million, $62.5 million and $6.9 million, respectively. The estimated net amortization expense related to these intangibles for each of the next five years is as follows: 2013—$63.0 million; 2014—$43.1 million; 2015—$31.6 million; 2016—$23.8 million; and 2017—$14.8 million.
Note 9—Other Assets
The following is a summary of our other assets as of December 31, 2012 and 2011:
 
2012
 
2011
 
(In thousands)
Straight-line rent receivables, net
$
120,325

 
$
96,883

Marketable debt securities
5,400

 
43,331

Unsecured loans receivable, net
62,118

 
63,598

Goodwill and other intangibles, net
515,429

 
462,655

Assets held for sale
111,556

 
119,290

Other
106,857

 
105,475

Total other assets
$
921,685

 
$
891,232

At December 31, 2012, we held corporate marketable debt securities, classified as available-for-sale and included within other assets on our Consolidated Balance Sheets, having an aggregate amortized cost basis and fair value of $4.6 million and $5.4 million, respectively, and maturing on April 15, 2016. At December 31, 2011, our marketable debt securities had an aggregate amortized cost basis and fair value of $41.2 million and $43.3 million, respectively. In October 2012, we received payment on $37.5 million of our corporate marketable debt securities at par upon maturity. During 2011, we sold certain marketable debt securities for $23.1 million in proceeds and recognized aggregate gains from these sales of approximately $1.8 million (included in income from loans and investments in our Consolidated Statements of Income).


106

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Note 10—Borrowing Arrangements
The following is a summary of our senior notes payable and other debt as of December 31, 2012 and 2011:

 
2012
 
2011
 
(In thousands)
Unsecured revolving credit facilities
$
540,727

 
$
455,578

9% Senior Notes due 2012

 
82,433

8¼% Senior Notes due 2012

 
72,950

Unsecured term loan due 2013

 
200,000

6.25% Senior Notes due 2013
269,850

 
269,850

Unsecured term loan due 2015(1)
130,336

 
126,875

3.125% Senior Notes due 2015
400,000

 
400,000

6% Senior Notes due 2015
234,420

 
234,420

6½% Senior Notes due 2016

 
200,000

Unsecured term loan due 2017(1)
375,000

 
375,000

6¾% Senior Notes due 2017

 
225,000

Unsecured term loan due 2018
180,000

 

2.00% Senior Notes due 2018
700,000

 

4.00% Senior Notes due 2019
600,000

 

4.750% Senior Notes due 2021
700,000

 
700,000

4.25% Senior Notes due 2022
600,000

 

3.25% Senior Notes due 2022
500,000

 

6.90% Senior Notes due 2037
52,400

 
52,400

6.59% Senior Notes due 2038
22,973

 
22,973

Mortgage loans and other(2)
2,880,609

 
2,762,964

Total
8,186,315

 
6,180,443

Capital lease obligations
142,412

 
143,006

Unamortized fair value adjustment
111,623

 
144,923

Unamortized discounts
(26,704
)
 
(39,256
)
Senior notes payable and other debt
$
8,413,646

 
$
6,429,116

_______
(1)
These amounts represent in aggregate the approximate $500.0 million of borrowings outstanding under our unsecured term loan facility. Certain amounts included in the 2015 tranche are in the form of Canadian dollar borrowings.
(2)
Excludes debt related to real estate assets classified as held for sale as of December 31, 2012 and 2011, respectively. The total mortgage debt for these properties as of December 31, 2012 and 2011 was $23.2 million and $14.6 million, respectively, and is included in accounts payable and other liabilities on our Consolidated Balance Sheets.
Unsecured Revolving Credit Facility and Unsecured Term Loans
We have $2.0 billion of aggregate borrowing capacity under our unsecured revolving credit facility, which may be increased to up to $2.5 billion at our option, subject to the satisfaction of certain conditions, and includes sublimits of (a) up to $200 million for letters of credit, (b) up to $200 million for swingline loans, (c) up to $250 million for loans in certain alternative currencies, and (d) up to 50% of the facility for certain negotiated rate loans. Borrowings under our unsecured revolving credit facility bear interest at a fluctuating rate per annum (based on the applicable LIBOR for Eurocurrency rate loans and the higher of (i) the federal funds rate plus 0.50%, (ii) the administrative agent’s prime rate and (iii) the applicable LIBOR plus 1.0% for base rate loans, plus, in each case, a spread based on our senior unsecured long-term debt ratings). We also pay a facility fee ranging from 15 to 45 basis points per annum (based on our senior unsecured long-term debt ratings) on the aggregate revolving commitments under our unsecured revolving credit facility. At December 31, 2012, the applicable spread was 110 basis points for Eurocurrency rate loans and 10 basis points for base rate loans, and the facility fee was 17.5

107

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


basis points. Borrowings under our unsecured revolving credit facility mature on October 16, 2015, but may be extended for an additional period of one year at our option, subject to the satisfaction of certain conditions.
Our unsecured revolving credit facility imposes certain customary restrictions on us, including restrictions pertaining to: (i) liens; (ii) investments; (iii) the incurrence of additional indebtedness; (iv) mergers, sales of assets and dissolutions; (v) certain dividend, distribution and other payments; (vi) permitted businesses; (vii) transactions with affiliates; (viii) agreements limiting certain liens; and (ix) the maintenance of certain consolidated total leverage, secured debt leverage, unsecured leverage and fixed charge coverage ratios and minimum consolidated adjusted net worth, and contains customary events of default.
At December 31, 2012, we had $540.7 million of borrowings outstanding, $5.9 million of outstanding letters of credit and $1.45 billion of available borrowing capacity under our unsecured revolving credit facility. We recognized a $2.4 million loss on extinguishment of debt for the year ended December 31, 2011, representing the write-off of unamortized deferred financing fees as a result of terminating our previous unsecured revolving credit facilities.
In October 2012, we entered into a new $180.0 million unsecured term loan that matures in January 2018. Borrowings under the term loan bear interest at the applicable LIBOR plus a spread based on our senior unsecured long-term debt ratings (120 basis points at December 31, 2012).
In August 2012, we prepaid in full our $200.0 million three-year unsecured term loan that was scheduled to mature in September 2013. The term loan was non-amortizing and bore interest at an all-in fixed rate of 4% per annum.
In December 2011, we entered into a new $500.0 million unsecured term loan facility with a weighted average maturity of 4.5 years, initially priced at 125 basis points over LIBOR . The term loan facility consists of a three-year tranche and a five-year tranche and includes an accordion feature that permits us to expand our borrowing capacity to up to $900.0 million, subject to the satisfaction of certain conditions. Borrowings under the term loan facility may be made in U.S. dollars or Canadian dollars.
Each of our existing term loans contains the same restrictive covenants as our unsecured revolving credit facility.
Convertible Senior Notes
In November 2011, we repaid in full $230.0 million principal amount outstanding of our 37/8% convertible senior notes due 2011 upon maturity. In accordance with the terms of the indenture governing the convertible notes, we paid the principal amount of the notes and accrued but unpaid interest thereon in cash and issued an aggregate of 943,714 shares of our common stock in settlement of the conversion value in excess of the principal amount. The conversion rate of the convertible notes had been subject to adjustment in certain circumstances, including the payment of certain quarterly dividends in excess of a reference amount. To the extent the market price of our common stock exceeded the conversion price, our earnings per share were diluted. The convertible notes had a minimal dilutive impact per share for the years ended December 31, 2011 and 2010. See “Note 15—Earnings Per Share.”
Senior Notes
As of December 31, 2012, we had outstanding $3.5 billion aggregate principal amount of senior notes issued by our subsidiaries, Ventas Realty and Ventas Capital Corporation (collectively, the “Ventas Issuers”), and approximately $580 million aggregate principal amount of senior notes that were issued by NHP and assumed by our subsidiary, Nationwide Health Properties, LLC (“NHP LLC”), as successor to NHP, in connection with the NHP acquisition.
In February 2013, we repaid in full, at par, $270.0 million principal amount then outstanding of our 6.25% senior notes due 2013 upon maturity.
In December 2012, we issued and sold $700.0 million aggregate principal amount of 2.00% senior notes due 2018, at a public offering price equal to 99.739% of par, for total proceeds of $698.2 million before the underwriting discount and expenses.
In August 2012, we initially issued and sold $275.0 million aggregate principal amount of 3.25% senior notes due 2022 (the “2022 Notes”), at a public offering price equal to 99.027% of par, for total proceeds of $272.3 million before the underwriting discount and expenses. In December 2012, we issued and sold an additional $225.0 million principal amount of 2022 Notes, at a public offering price equal to 98.509% of par, for total proceeds of $221.6 million before the underwriting discount and expenses.
In April 2012, we issued and sold $600.0 million aggregate principal amount of 4.00% senior notes due 2019, at a public offering price equal to 99.489% of par, for total proceeds of $596.9 million before the underwriting discount and expenses.

108

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


In February 2012, we issued and sold $600.0 million aggregate principal amount of 4.25% senior notes due 2022, at a public offering price equal to 99.214% of par, for total proceeds of $595.3 million before the underwriting discount and expenses.
During 2012, we repaid in full, at par, $155.4 million aggregate principal amount then outstanding of our 9% senior notes due 2012 and our 8.25% senior notes due 2012 upon maturity, and we redeemed (i) all $225.0 million principal amount then outstanding of our 6¾% senior notes due 2017 at a redemption price equal to 103.375% of par, plus accrued and unpaid interest to the redemption date, and (ii) all $200.0 million principal amount then outstanding of our 6½% senior notes due 2016 at a redemption price equal to 103.25% of par, plus accrued and unpaid interest to the redemption date, in each case pursuant to the terms of the applicable indenture governing the notes. As a result of these redemptions, we recognized a total loss on extinguishment of debt of $39.7 million.
In May 2011, we issued and sold $700.0 million aggregate principal amount of 4.750% senior notes due 2021, at a public offering price equal to 99.132% of par, for total proceeds of $693.9 million before the underwriting discount and expenses.
During 2011, we repaid in full, at par, $339.0 million principal amount then outstanding of our 6.50% senior notes due 2011 upon maturity, and we redeemed $200.0 million principal amount outstanding of our 6½% senior notes due 2016 at a redemption price equal to 103.25% of par, plus accrued and unpaid interest to the redemption date, pursuant to the terms of the indenture governing the notes. As a result of this redemption, we recognized a loss on extinguishment of debt of $8.7 million.
In November 2010, we issued and sold $400.0 million aggregate principal amount of 3.125% senior notes due 2015, at a public offering price equal to 99.528% of par, for total proceeds of $398.1 million before the underwriting discount and expenses.
During 2010, we repaid in full, at par, $1.4 million principal amount outstanding of our 6¾% senior notes due 2010 upon maturity, and we redeemed (i) all $71.7 million principal amount then outstanding of our 65/8% senior notes due 2014 at a redemption price equal to 102.21% of par, plus accrued and unpaid interest to the redemption date, and (ii) all $142.7 million principal amount then outstanding of our 71/8% senior notes due 2015 at a redemption price equal to 103.56% of par, plus accrued and unpaid interest to the redemption date, in each case pursuant to the terms of the applicable indenture governing the notes. As a result of these redemptions, we recognized a total loss on extinguishment of debt of $8.9 million.
All of the Ventas Issuers’ senior notes are unconditionally guaranteed by Ventas. The Ventas Issuers’ senior notes are part of our and the Ventas Issuers’ general unsecured obligations, ranking equal in right of payment with all of our and the Ventas Issuers’ existing and future senior obligations and ranking senior in right of payment to all of our and the Ventas Issuers’ existing and future subordinated indebtedness. However, the Ventas Issuers’ senior notes are effectively subordinated to our and the Ventas Issuers’ secured indebtedness, if any, to the extent of the value of the assets securing that indebtedness. The Ventas Issuers’ senior notes are also structurally subordinated to the preferred equity and indebtedness, whether secured or unsecured, of our subsidiaries (other than the Ventas Issuers).
NHP LLC’s senior notes are part of NHP LLC’s general unsecured obligations, ranking equal in right of payment with all of NHP LLC’s existing and future senior obligations and ranking senior to all of NHP LLC’s existing and future subordinated indebtedness. However, NHP LLC’s senior notes are effectively subordinated to NHP LLC’s secured indebtedness, if any, to the extent of the value of the assets securing that indebtedness. NHP LLC’s senior notes are also structurally subordinated to the preferred equity and indebtedness, whether secured or unsecured, of its subsidiaries.
The Ventas Issuers may redeem each series of their senior notes and NHP LLC may redeem each series of its senior notes (other than our 6.90% senior notes due 2037 and our 6.59% senior notes due 2038), in whole at any time or in part from time to time, prior to maturity at the redemption prices set forth in the applicable indenture (which include, in many instances, a make-whole premium), plus, in each case, accrued and unpaid interest thereon to the redemption date.
Our 6.90% senior notes due 2037 are subject to repurchase at the option of the holders, at par, on October 1 in each of the years 2017 and 2027, and our 6.59% senior notes due 2038 are subject to repurchase at the option of the holders, at par, on July 7 in each of the years 2013, 2018, 2023 and 2028.
Mortgages
At December 31, 2012, we had 244 mortgage loans outstanding in the aggregate principal amount of $2.9 billion and secured by 248 of our properties. Of these loans, 223 loans in the aggregate principal amount of $2.5 billion bear interest at fixed rates ranging from 4.0% to 8.6% per annum, and 21 loans in the aggregate principal amount of $438.0 million bear interest at variable rates ranging from 1.0% to 7.3% per annum as of December 31, 2012. At December 31, 2012, the weighted average annual rate on our fixed rate mortgage loans was 6.1%, and the weighted average annual rate on our variable rate mortgage loans was 1.9%. Our mortgage loans had a weighted average maturity of 5.6 years as of December 31, 2012.

109

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


During 2012, we assumed mortgage debt of $380.3 million and repaid in full mortgage loans oustanding in the aggregate principal amount of $344.2 million, and recognized a gain on extinguishment of debt of $2.1 million in connection with these repayments.
Scheduled Maturities of Borrowing Arrangements and Other Provisions
As of December 31, 2012, our indebtedness (excluding capital lease obligations) had the following maturities:
 
Principal Amount
Due at Maturity
 
Unsecured
Revolving Credit
Facility(1)
 
Scheduled Periodic
Amortization
 
Total Maturities
 
(In thousands)
2013 (2)
$
501,029

 
$

 
$
52,198

 
$
553,227

2014
291,708

 

 
47,960

 
339,668

2015
1,073,272

 
540,727

 
38,673

 
1,652,672

2016
410,917

 

 
31,601

 
442,518

2017
922,731

 

 
19,427

 
942,158

Thereafter(2)(3)
4,098,227

 

 
157,845

 
4,256,072

Total maturities
$
7,297,884

 
$
540,727

 
$
347,704

 
$
8,186,315

    
(1)
At December 31, 2012, we had $67.9 million of unrestricted cash and cash equivalents, for $472.8 million of net borrowings outstanding under our unsecured revolving credit facility.
(2)
Excludes debt related to one property classified as held for sale as of December 31, 2012. The total mortgage debt for this property as of December 31, 2012 was $23.2 million and is scheduled to mature in 2013.
(3)
Includes $52.4 million aggregate principal amount of our 6.90% senior notes due 2037 that are subject to repurchase, at the option of the holders, on October 1 in each of the years 2017 and 2027, and $23.0 million aggregate principal amount of our 6.59% senior notes due 2038 that are subject to repurchase, at the option of the holders, on July 7 in each of the years 2013, 2018, 2023 and 2028.
The instruments governing our outstanding indebtedness contain covenants that limit our ability and the ability of certain of our subsidiaries to, among other things: (i) incur debt; (ii) make certain dividends, distributions and investments; (iii) enter into certain transactions; and/or (iv) merge, consolidate or sell certain assets. The Ventas Issuers’ senior notes also require us and our subsidiaries to maintain total unencumbered assets of at least 150% of our unsecured debt. Our unsecured revolving credit facility and term loans also require us to maintain certain financial covenants pertaining to, among other things, our consolidated leverage, secured debt, fixed charge coverage and net worth.
As of December 31, 2012, we were in compliance with all of these covenants.
Derivatives and Hedging
In the normal course of our business, we are exposed to the effects of interest rate movements on future cash flows under our variable rate debt obligations and foreign currency exchange rate movements on our senior living operations. We follow established risk management policies and procedures, including the use of derivative instruments, to mitigate these risks.
For interest rate exposures, we use derivatives primarily to fix the rate on our variable rate debt and to manage the cost of our borrowing obligations. We do not use derivative instruments for trading or speculative purposes, and we have a policy of entering into contracts only with major financial institutions based upon their credit ratings and other factors. When considered together with the underlying exposure that the derivative is designed to hedge, we do not expect that the use of derivatives in this manner would have any material adverse effect on our future financial condition or results of operations.
Capital Leases
As of December 31, 2012, we leased eight seniors housing communities pursuant to arrangements that are accounted for as capital leases. Net assets held under capital leases and included in net real estate investments on our Consolidated Balance Sheets totaled $215.0 million and $224.7 million as of December 31, 2012 and 2011, respectively. In January 2013, we acquired these facilities for aggregate consideration of $145.0 million, thereby eliminating our capital lease obligation.
    

110

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Unamortized Fair Value Adjustment
As of December 31, 2012, the unamortized fair value adjustment related to the long-term debt we assumed in connection with various acquisitions was $111.6 million and will be recognized as effective yield adjustments over the remaining term of the instruments. The estimated aggregate amortization of the fair value adjustment related to long-term debt (which is reflected as a reduction of interest expense) was $52.3 million for the year ended December 31, 2012 and for each of the next five years will be as follows: 2013$34.1 million; 2014$28.2 million; 2015$15.6 million; 2016$8.9 million; and 2017$5.3 million.
Note 11—Fair Values of Financial Instruments
As of December 31, 2012 and 2011, the carrying amounts and fair values of our financial instruments were as follows:
 
2012
 
2011
 
Carrying
Amount
 
Fair Value
 
Carrying
Amount
 
Fair Value
 
(In thousands)
Assets:
 
 
 
 
 
 
 
Cash and cash equivalents
$
67,908

 
$
67,908

 
$
45,807

 
$
45,807

Secured loans receivable, net
635,002

 
636,714

 
212,577

 
216,315

Derivative instruments

 

 
11

 
11

Marketable debt securities
5,400

 
5,400

 
43,331

 
43,331

Unsecured loans receivable, net
62,118

 
65,146

 
63,598

 
65,219

Liabilities:
 
 
 
 
 
 
 
Senior notes payable and other debt, gross
8,186,315

 
8,600,450

 
6,180,443

 
6,637,691

Derivative instruments and other liabilities
45,966

 
45,966

 
80,815

 
80,815

Redeemable OP unitholder interests
114,933

 
114,933

 
102,837

 
102,837

Fair value estimates are subjective in nature and based upon several important assumptions, including estimates of future cash flows, risks, discount rates and relevant comparable market information associated with each financial instrument. The use of different market assumptions and estimation methodologies may have a material effect on the reported estimated fair value amounts. Accordingly, the estimates presented above are not necessarily indicative of the amounts we would realize in a current market exchange.
Note 12—Stock-Based Compensation
Compensation Plans
We have: five plans under which outstanding options to purchase common stock and shares or units of restricted stock have been, or may be, granted to our officers, employees and non-employee directors (the 2000 Incentive Compensation Plan (Employee Plan), the 2004 Stock Plan for Directors, the 2006 Incentive Plan, the 2006 Stock Plan for Directors, and the 2012 Incentive Plan); one plan under which executive officers may receive common stock in lieu of compensation (the Executive Deferred Stock Compensation Plan); and two plans under which certain non-employee directors have received or may receive common stock in lieu of director fees (the Common Stock Purchase Plan for Directors (the “Directors Stock Purchase Plan”) and the Nonemployee Directors’ Deferred Stock Compensation Plan). These plans are referred to collectively as the “Plans.”
During the year ended December 31, 2012, we were permitted to make option, restricted stock and restricted stock unit grants and stock issuances only under the Executive Deferred Stock Compensation Plan, the Nonemployee Directors’ Deferred Stock Compensation Plan, the 2006 Incentive Plan and the 2006 Stock Plan for Directors. The 2006 Incentive Plan and the 2006 Stock Plan for Directors expired on December 31, 2012, and no additional grants are permitted under those Plans after that date.

111

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


The number of shares initially reserved for issuance and the number of shares available for future grants or issuance under these Plans as of December 31, 2012 were as follows:
Executive Deferred Stock Compensation Plan—500,000 shares were reserved initially for issuance to our executive officers in lieu of the payment of all or a portion of their salary, at their option, and 500,000 shares were available for future issuance as of December 31, 2012.
Nonemployee Directors’ Deferred Stock Compensation Plan—500,000 shares were reserved initially for issuance to nonemployee directors in lieu of the payment of all or a portion of their retainer and meeting fees, at their option, and 432,070 shares were available for future issuance as of December 31, 2012.
2012 Incentive Plan - The number of shares reserved for grants or issuance to employees and non-employee directors as of December 31, 2012 equaled the sum of (1) 7,500,000 shares, plus (2) 1,336,614 shares that were available for grant under the 2006 Incentive Plan and the 2006 Stock Plan for Directors (together, the “Existing Plans”) as of December 31, 2012, plus (3) up to 1,835,325 shares subject to stock options granted under the Existing Plans that were outstanding as of December 31, 2012 and that expire, or for any reason are forfeited, cancelled or terminated, after December 31, 2012 without being exercised, plus (4) up to 595,480 shares of restricted stock or restricted stock units granted under the Existing Plans that were outstanding as of December 31, 2012 and that for any reason are forfeited, cancelled, terminated or otherwise reacquired by us after December 31, 2012 without having become vested. 8,836,614 of these shares were available for future issuance, effective as of January 1, 2013. The 2012 Incentive Plan replaced the Existing Plans.
Under the Plans that provide for the issuance of stock options, outstanding options are exercisable at the market price on the date of grant, expire ten years from the date of grant, and vest over periods of two or three years. The vesting of stock options may accelerate upon a change of control of Ventas, as defined in the applicable Plan, and other specified events.
In connection with the NHP acquisition, we assumed certain outstanding options, shares of restricted stock and restricted stock units previously issued to NHP employees pursuant to the Nationwide Health Properties, Inc. 2005 Performance Incentive Plan, as amended (the “NHP Plan”). The outstanding awards continue to be subject to the terms and conditions of the NHP Plan and the applicable award agreements.
Stock Options
In determining the estimated fair value of our stock options as of the date of grant, we used the Black-Scholes option pricing model with the following assumptions:
 
2012
 
2011
 
2010
Risk-free interest rate
0.68 - 1.39%

 
1.22 - 2.78%

 
2.00 - 3.45%

Dividend yield
6.75
%
 
6.75
%
 
6.75
%
Volatility factors of the expected market price for our common stock
35.9 - 42.9%

 
35.7 - 44.3%

 
37.1 - 44.6%

Weighted average expected life of options
4.25 - 7.0 years

 
4.25 - 7.0 years

 
4.25 - 7.0 years

The following is a summary of stock option activity in 2012:

Shares
 
Range of Exercise
Prices
 
Weighted Average
Exercise Price
 
Weighted
Average
Remaining
Contractual
Life (years)
 
Intrinsic
Value
($000’s)
Outstanding as of December 31, 2011
2,047,005

 
$11.45 - $57.19
 
$
42.10

 
 
 
 

Options granted
459,015

 
55.13 - 55.69
 
55.58

 
 
 
 

Options exercised
(596,021
)
 
11.45 - 57.19
 
36.14

 
 
 
 

Outstanding as of December 31, 2012
1,909,999

 
11.86 - 57.19
 
47.20

 
6.9
 
$
33,469

Exercisable as of December 31, 2012
1,488,579

 
$11.86 - $57.19
 
$
44.96

 
6.3
 
$
29,410

Compensation costs for all share-based awards are based on the grant date fair value and are recognized on a straight-line basis during the requisite service periods. Compensation costs related to stock options for the years ended December 31, 2012, 2011 and 2010 were $4.4 million, $4.2 million and $3.1 million, respectively.

112

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


A summary of the status of our nonvested stock options as of December 31, 2012 and changes during the year then ended follows:
 
Shares
 
Weighted Average
Grant Date Fair
Value
Nonvested at beginning of year
361,040

 
$
10.76

Granted
459,015

 
10.54

Vested
(398,629
)
 
10.40

Nonvested at end of year
421,426

 
$
10.86

As of December 31, 2012, we had $1.6 million of total unrecognized compensation cost related to nonvested stock options granted under the Plans. We expect to recognize that cost over a weighted average period of 1.2 years. Aggregate proceeds received from options exercised under the Plans or the NHP Plan for the years ended December 31, 2012, 2011 and 2010 were $21.5 million, $2.5 million and $10.9 million, respectively.
Restricted Stock and Restricted Stock Units
We recognize the fair value of shares of restricted stock and restricted stock units on the grant date of the award as stock-based compensation expense over the requisite service period, with charges to general and administrative expenses of approximately $16.4 million in 2012, $15.1 million in 2011 and $11.0 million in 2010. Restricted stock and restricted stock units generally vest over periods ranging from two to five years. The vesting of restricted stock and restricted stock units may accelerate upon a change of control of Ventas, as defined in the applicable Plan, and other specified events.
A summary of the status of our nonvested restricted stock and restricted stock units as of December 31, 2012, and changes during the year ended December 31, 2012 follows:
 
Restricted
Stock
 
Weighted
Average
Grant Date
Fair Value
 
Restricted
Stock Units
 
Weighted
Average
Grant Date
Fair Value
Nonvested at December 31, 2011
592,198

 
$
50.09

 
33,289

 
$
50.04

Granted
276,484

 
55.61

 
4,112

 
55.13

Vested
(271,224
)
 
50.12

 
(30,576
)
 
50.65

Forfeited
(5,574
)
 
49.36

 

 

Nonvested at December 31, 2012
591,884

 
$
52.66

 
6,825

 
$
50.34

As of December 31, 2012, we had $18.2 million of unrecognized compensation cost related to nonvested restricted stock and restricted stock units under the Plans and $0.1 million of unrecognized compensation cost related to nonvested restricted stock and restricted stock units assumed in the NHP acquistion. We expect to recognize that cost over a weighted average period of 2.7 years.
Employee and Director Stock Purchase Plan
We have in effect an Employee and Director Stock Purchase Plan (“ESPP”) under which our employees and directors may purchase shares of our common stock at a discount. Pursuant to the terms of the ESPP, on each purchase date, participants may purchase shares of common stock at a price not less than 90% of the market price on that date (with respect to the employee tax-favored portion of the plan) and not less than 95% of the market price on that date (with respect to the additional employee and director portion of the plan). We initially reserved 2,500,000 shares for issuance under the ESPP. As of December 31, 2012, 53,845 shares had been purchased under the ESPP and 2,446,155 shares were available for future issuance.
Employee Benefit Plan
We maintain a 401(k) plan that allows eligible employees to defer compensation subject to certain limitations imposed by the Code. In 2012, we made contributions for each qualifying employee of up to 3.5% of his or her salary, subject to certain limitations. During 2012, 2011 and 2010, our aggregate contributions were approximately $768,000, $267,000 and $200,000, respectively.


113

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Note 13—Income Taxes
We have elected to be taxed as a REIT under the applicable provisions of the Code for every year beginning with the year ended December 31, 1999. We have also elected for certain of our subsidiaries to be treated as taxable REIT subsidiaries (“TRS” or “TRS entities”), which are subject to federal and state income taxes. All entities other than the TRS entities are collectively referred to as the “REIT” within this Note 13.
Although we intend to continue to operate in such a manner as to enable us to qualify as a REIT, our actual qualification and taxation as a REIT depends upon our ability to meet, on a continuing basis, distribution levels, stock ownership and various qualification tests. During the years ended December 31, 2012, 2011 and 2010, our tax treatment of distributions per common share was as follows:
 
2012
 
2011
 
2010
Tax treatment of distributions:
 
 
 
 
 
Ordinary income
$
2.23124

 
$
2.28131

 
$
1.99928

Long-term capital gain
0.18884

 
0.01869

 
0.07644

Unrecaptured Section 1250 gain
0.05992

 

 
0.06428

Distribution reported for 1099-DIV purposes
$
2.48000

 
$
2.30000

 
$
2.14000

We believe we have met the annual REIT distribution requirement by payment of at least 90% of our estimated taxable income for 2012, 2011 and 2010. Our consolidated (benefit) provision for income taxes for the years ended December 31, 2012, 2011 and 2010 was as follows:
 
2012
 
2011
 
2010
 
(In thousands)
Current
$
1,208

 
$
(4,080
)
 
$
2,459

Deferred
(7,490
)
 
(26,580
)
 
2,742

Total
$
(6,282
)
 
$
(30,660
)
 
$
5,201

The income tax benefit for the year ended December 31, 2012 primarily relates to the income tax benefit of ordinary losses (in part due to the reversal of acquisition deferred tax liabilities) related to our TRS entities, net of the current period valuation allowance. The income tax benefit for the year ended December 31, 2011 primarily relates to the reversal of certain income tax contingency reserves, including interest, and the income tax benefit of ordinary losses (in part due to the reversal of acquisition deferred tax liabilities) related to our TRS entities. The statute of limitations with respect to our 2008 U.S. federal income tax returns expired in September 2012. We did not recognize any income tax expense as a result of the litigation proceeds that we received in the third and fourth quarters of 2011, as no income taxes are payable on these proceeds.
The deferred tax expense for the year ended December 31, 2010 was adjusted by income tax expense of $2.3 million related to the noncontrolling interest share of net income. For the tax years ended December 31, 2012, 2011 and 2010, the Canadian income tax provision included in the consolidated benefit for income taxes was a benefit of $0.7 million, an expense of $0.5 million and a benefit of $0.3 million, respectively.
Although the TRS entities have paid minimal cash federal income taxes, their federal income tax liabilities may increase in future years as we exhaust net operating loss (“NOL”) carryforwards and as our senior living operations reportable business segment grows. Such increases could be significant.

114

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


A reconciliation of income tax expense, which is computed by applying the federal corporate tax rate for the years ended December 31, 2012, 2011 and 2010, to the income tax benefit is as follows:
 
2012
 
2011
 
2010
 
(In thousands)
Tax at statutory rate on earnings from continuing operations before unconsolidated entities, noncontrolling interest and income taxes
$
104,392

 
$
115,953

 
$
78,381

State income taxes, net of federal benefit
(842
)
 
(2,364
)
 
700

Increase in valuation allowance
33,072

 
9,408

 
5,705

Increase (decrease) in ASC 740 income tax liability
656

 
(4,084
)
 
2,420

Tax at statutory rate on earnings not subject to federal income taxes
(143,400
)
 
(151,264
)
 
(82,208
)
Other differences
(160
)
 
1,691

 
203

Income tax (benefit) expense
$
(6,282
)
 
$
(30,660
)
 
$
5,201

The REIT made no income tax payments for the years ended December 31, 2012, 2011 and 2010.
In connection with our acquisition of Sunrise Senior Living Real Estate Investment Trust (“Sunrise REIT”) in 2007 and the ASLG acquisition in 2011, we established a beginning net deferred tax liability of $306.3 million and $44.6 million, respectively, related to temporary differences between the financial reporting and tax bases of assets acquired and liabilities assumed (primarily property, intangible and related assets, net of NOL carryforwards). No net deferred tax asset or liability was recorded for the Lillibridge acquisition.
Each TRS is a tax paying component for purposes of classifying deferred tax assets and liabilities. The tax effects of temporary differences and carryforwards included in the net deferred tax liabilities at December 31, 2012, 2011 and 2010 are summarized as follows:
 
2012
 
2011
 
2010
 
(In thousands)
Property, primarily differences in depreciation and amortization, the tax basis of land assets and the treatment of interests and certain costs
$
(310,756
)
 
$
(332,111
)
 
$
(287,165
)
Operating loss and interest deduction carryforwards
366,590

 
343,843

 
103,733

Expense accruals and other
13,984

 
11,511

 
3,093

Valuation allowance
(326,837
)
 
(281,954
)
 
(60,994
)
Net deferred tax liabilities(1)
$
(257,019
)
 
$
(258,711
)
 
$
(241,333
)
    
(1)
2012 and 2011 includes approximately $2.7 million and $2.0 million, respectively, of deferred tax assets included in other assets on our Consolidated Balance Sheets.
Our net deferred tax liability decreased $1.7 million during 2012 due primarily to the reversal of deferred liabilities. Our net deferred tax liability increased $17.4 million during 2011 due primarily to the initial deferred tax liability related to the ASLG acquisition. See “Note 4—Acquisitions of Real Estate Property.”
Due to our uncertainty regarding the realization of certain deferred tax assets, we have established valuation allowances, the majority of which relate to the NOL carryforward related to the REIT.
For the years ended December 31, 2012 and 2011, the net difference between tax bases and the reported amount of REIT assets and liabilities for federal income tax purposes was approximately $5.1 billion and $5.3 billion, respectively, less than the book bases of those assets and liabilities for financial reporting purposes.
We are subject to corporate level taxes for any asset dispositions during the ten-year period immediately after the assets were owned by a C corporation (either prior to our REIT election, through stock acquisition or merger) (“built-in gains tax”). The amount of income potentially subject to built-in gains tax is generally equal to the lesser of the excess of the fair value of the asset over its adjusted tax basis as of the date it became a REIT asset or the actual amount of gain. Some, but not all, future gains could be offset by available NOL carryforwards.
Generally, we are subject to audit under the statute of limitations by the Internal Revenue Service (“IRS”) for the year ended December 31, 2009 and subsequent years and are subject to audit by state taxing authorities for the year ended December 31, 2008 and subsequent years. We are also subject to audit by the Canada Revenue Agency (“CRA”) and provincial

115

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


authorities generally for periods subsequent to 2007 related to entities acquired or formed in connection with our Sunrise REIT acquisition.
At December 31, 2012, we had a combined NOL carryforward of $289 million related to the TRS entities and an NOL carryforward related to the REIT of $692 million. The REIT NOL carryforward increased from 2011 by $38.7 million and $546.8 million due to the NHP and ASLG acquisitions, respectively. These amounts can be used to offset future taxable income (and/or taxable income for prior years if an audit determines that tax is owed), if any. The REIT will be entitled to utilize NOLs and tax credit carryforwards only to the extent that REIT taxable income exceeds our deduction for dividends paid. Lillibridge and ASLG NOL carryforwards are limited as to their utilization by Section 382 of the Code. The NOL carryforwards begin to expire in 2024 with respect to the TRS entities and in 2016 for the REIT.
As a result of our uncertainty regarding the use of existing REIT NOLs, we have not ascribed any net deferred tax benefit to REIT NOL carryforwards as of December 31, 2012 and 2011. The IRS may challenge our entitlement to these tax attributes during its review of the tax returns for the previous tax years. We believe we are entitled to these tax attributes, but we cannot assure you as to the outcome of these matters.
The following table summarizes the activity related to our unrecognized tax benefits:
 
2012
 
2011
 
(In thousands)
Balance as of January 1
$
19,583

 
$
21,883

Additions to tax positions related to the current year
3,489

 
3,752

Additions to tax positions related to prior years
59

 
490

Subtractions to tax positions related to prior years
(968
)
 
(850
)
Subtractions to tax positions related to settlements
(47
)
 

Subtractions to tax positions as a result of the lapse of the statute of limitations
(2,650
)
 
(5,692
)
Balance as of December 31
$
19,466

 
$
19,583

Included in the unrecognized tax benefits of $19.5 million and $19.6 million at December 31, 2012 and 2011, respectively, was $17.9 million and $19.1 million of tax benefits that, if recognized, would reduce our annual effective tax rate. We accrued no penalties. Interest of $0.3 million related to the unrecognized tax benefits was accrued during 2012. We expect our unrecognized tax benefits to increase by $2.0 million during 2013.
Note 14—Commitments and Contingencies
Certain Obligations, Liabilities and Litigation
We may be subject to various obligations, liabilities and litigation assumed in connection with or arising out of our acquisitions or otherwise arising in connection with our business. Some of these liabilities may be indemnified by third parties. However, if these liabilities are greater than expected or were not known to us at the time of acquisition, if we are not entitled to indemnification, or if the responsible third party fails to indemnify us for these liabilities, such obligations, liabilities and litigation could have a Material Adverse Effect on us. In addition, in connection with the sale or leasing of our properties, we may incur various obligations and liabilities, including indemnification obligations, relating to the operations of those properties, which could have a Material Adverse Effect on us.
Other
We are subject to certain operating and ground lease obligations that generally require fixed monthly or annual rent payments and may also include escalation clauses and renewal options. These leases have terms that expire during the next 88 years, excluding extension options. Our future minimum lease obligations under non-cancelable operating and ground leases as of December 31, 2012 were $29.7 million in 2013, $29.4 million in 2014, $27.6 million in 2015, $23.7 million in 2016, $16.8 million in 2017, and $426.4 million thereafter.


116

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Note 15—Earnings Per Share
The following table shows the amounts used in computing our basic and diluted earnings per common share:

 
For the Year Ended December 31,
 
2012
 
2011
 
2010
 
(In thousands, except per share amounts)
Numerator for basic and diluted earnings per share:
 
 
 
 
 
Income from continuing operations attributable to common stockholders
$
305,573

 
$
363,133

 
$
213,444

Discontinued operations
57,227

 
1,360

 
32,723

Net income attributable to common stockholders
$
362,800

 
$
364,493

 
$
246,167

Denominator:
 
 
 
 
 
Denominator for basic earnings per share—weighted average shares
292,064

 
228,453

 
156,608

Effect of dilutive securities:
 
 
 
 
 
Stock options
496

 
449

 
407

Restricted stock awards
92

 
53

 
70

OP units
1,836

 
942

 

Convertible notes

 
893

 
572

Denominator for diluted earnings per share—adjusted weighted average shares
294,488

 
230,790

 
157,657

Basic earnings per share:
 
 
 
 
 
Income from continuing operations attributable to common stockholders
$
1.04

 
$
1.59

 
$
1.36

Discontinued operations
0.20

 
0.01

 
0.21

Net income attributable to common stockholders
$
1.24

 
$
1.60

 
$
1.57

Diluted earnings per share:
 
 
 
 
 
Income from continuing operations attributable to common stockholders
$
1.04

 
$
1.57

 
$
1.35

Discontinued operations
0.19

 
0.01

 
0.21

Net income attributable to common stockholders
$
1.23

 
$
1.58

 
$
1.56

There were 372,440, 309,650 and 0 anti-dilutive options outstanding for the years ended December 31, 2012, 2011 and 2010, respectively.
Note 16—Litigation
Litigation Relating to the NHP Acquisition
In the weeks following the announcement of our acquisition of NHP on February 28, 2011, purported stockholders of NHP filed seven lawsuits against NHP and its directors. Six of these lawsuits also named Ventas, Inc. as a defendant and five named our subsidiary, Needles Acquisition LLC, as a defendant.
On June 9, 2011, we and NHP agreed on a settlement in principle with the plaintiffs in the consolidated action pending in the Circuit Court for Baltimore City, Maryland (the “Maryland State Court”), which required us and NHP to make certain supplemental disclosures to stockholders concerning the merger. We and NHP made the supplemental disclosures on June 10, 2011. The parties executed a Stipulation of Settlement and Release on April 18, 2012, which was approved by the Maryland State Court on October 30, 2012.
Litigation Relating to the Cogdell Acquisition
In the weeks following the announcement of our acquisition of Cogdell on December 27, 2011, purported stockholders of Cogdell filed seven lawsuits against Cogdell and its directors. Each of these lawsuits also named Ventas, Inc. as a defendant, and certain of the lawsuits also named our subsidiaries, TH Merger Corp, Inc. and TH Merger Sub, LLC, as defendants. Plaintiffs commenced these actions in two jurisdictions: the Superior Court of the State of North Carolina, Mecklenburg County; and the Maryland State Court.

117

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Each of these actions was brought as a putative class action and alleges that Cogdell’s directors breached their fiduciary duties to Cogdell’s stockholders by approving the merger agreement with us. The complaints also allege that Ventas, Inc. and, in some cases, Cogdell, TH Merger Corp, Inc. and TH Merger Sub, LLC aided and abetted those purported breaches. All of the complaints request an injunction of the merger, declaratory relief, attorneys’ fees and costs, and other unspecified monetary relief.
On February 29, 2012, we and Cogdell agreed on a settlement in principle with the plaintiffs in the Maryland and North Carolina actions, pursuant to which Cogdell agreed to make certain supplemental disclosures to stockholders concerning the merger. Cogdell made the supplemental disclosures on February 29, 2012. The parties executed a Stipulation of Settlement and Release on December 26, 2012, which is subject to final approval by the Maryland State Court.
We believe that each of these actions is without merit.
Litigation Relating to the Sunrise REIT Acquisition
In May 2007, we filed a lawsuit against HCP in the United States District Court for the Western District of Kentucky (the “District Court”), asserting claims of tortious interference with contract and tortious interference with prospective business advantage arising out of our 2007 acquisition of Sunrise REIT. Following trial in the District Court, in September 2009, a jury awarded us $101.6 million in compensatory damages from HCP, and following subsequent cross-appeals by both parties, in May 2011, the Sixth Circuit unanimously affirmed the jury verdict in our favor and ruled that we were entitled to seek punitive damages against HCP.
In August 2011, HCP paid us $102.8 million for the judgment plus certain costs and interest, and in November 2011, HCP paid us an additional $125.0 million in final settlement of our outstanding litigation. As part of the settlement, both parties agreed to dismissals of their cases, appeals and petitions, and all aspects of the litigation were terminated. After certain fees and expenses, the contingent fee for our outside legal counsel and donations to the Ventas Charitable Foundation, we recognized approximately $202.3 million in net proceeds from the compensatory damages award and the final settlement in our Consolidated Statements of Income for the year ended December 31, 2011.
Proceedings against Tenants, Operators and Managers
From time to time, Kindred, Brookdale Senior Living, Atria, Sunrise and our other tenants, operators and managers are parties to certain legal actions, regulatory investigations and claims arising in the conduct of their business and operations. Even though we generally are not party to these proceedings, the unfavorable resolution of any such actions, investigations or claims could, individually or in the aggregate, materially adversely affect such tenants’, operators’ or managers’ liquidity, financial condition or results of operations and their ability to satisfy their respective obligations to us, which, in turn, could have a Material Adverse Effect on us.
Proceedings Indemnified and Defended by Third Parties
From time to time, we are party to certain legal actions, regulatory investigations and claims for which third parties are contractually obligated to indemnify, defend and hold us harmless. The tenants of our triple-net leased properties and, in some cases, their affiliates are required by the terms of their leases and other agreements with us to indemnify, defend and hold us harmless against certain actions, investigations and claims arising in the course of their business and related to the operations of our triple-net leased properties. In addition, third parties from whom we acquired certain of our assets and, in some cases, their affiliates are required by the terms of the related conveyance documents to indemnify, defend and hold us harmless against certain actions, investigations and claims related to the acquired assets and arising prior to our ownership or related to excluded assets and liabilities. In some cases, a portion of the purchase price consideration is held in escrow for a specified period of time as collateral for these indemnification obligations. We are presently being defended by certain tenants and other obligated third parties in these types of matters. We cannot assure you that our tenants, their affiliates or other obligated third parties will continue to defend us in these matters, that our tenants, their affiliates or other obligated third parties will have sufficient assets, income and access to financing to enable them to satisfy their defense and indemnification obligations to us or that any purchase price consideration held in escrow will be sufficient to satisfy claims for which we are entitled to indemnification. The unfavorable resolution of any such actions, investigations or claims could, individually or in the aggregate, materially adversely affect our tenants’ or other obligated third parties’ liquidity, financial condition or results of operations and their ability to satisfy their respective obligations to us, which, in turn, could have a Material Adverse Effect on us.
Proceedings Arising in Connection with Senior Living and MOB Operations; Other Litigation
From time to time, we are party to various legal actions, regulatory investigations and claims (some of which may not be insured) arising in connection with our senior living and MOB operations or otherwise in the course of our business. In limited

118

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


circumstances, the manager of the applicable seniors housing community or MOB may be contractually obligated to indemnify, defend and hold us harmless against such actions, investigations and claims. It is the opinion of management that, except as otherwise set forth in this Note 16, the disposition of any such actions, investigations and claims that are currently pending will not, individually or in the aggregate, have a Material Adverse Effect on us. However, regardless of their merits, these matters may force us to expend significant financial resources. We are unable to predict the ultimate outcome of these actions, investigations and claims, and if management’s assessment of our liability with respect thereto is incorrect, such actions, investigations and claims could have a Material Adverse Effect on us.
Note 17—Capital Stock
In December 2012, we acquired the Funds, which own 3.7 million shares of our common stock that are reflected as treasury stock on our Consolidated Balance Sheet as of December 31, 2012. See “Note 4—Acquisitions of Real Estate Property.”
In June 2012, we completed the public offering and sale of 5,980,000 shares of our common stock for $342.5 million in aggregate proceeds.
On November 15, 2011, we issued an aggregate of 943,714 shares of our common stock in settlement of the conversion value in excess of the $230.0 million principal amount outstanding of our 37/8% convertible senior notes due 2011 upon maturity.
On July 1, 2011, following approval by our stockholders, we amended our Amended and Restated Certificate of Incorporation, as previously amended (our “Charter”), to increase the number of authorized shares of our capital stock to 610,000,000, comprised of 600,000,000 shares of common stock, par value $0.25 per share, and 10,000,000 shares of preferred stock, par value $1.00 per share.
On July 1, 2011, in connection with the NHP acquisition, we issued 99,849,106 shares of our common stock to NHP stockholders and holders of NHP equity awards (which shares had a total value of $5.4 billion based on the July 1, 2011 closing price of our common stock of $53.74 per share). We reserved 2,253,366 additional shares of our common stock for issuance in connection with equity awards and other convertible or exchangeable securities (specifically the OP Units) that we assumed in connection with the NHP acquisition.
On May 12, 2011, as partial consideration for the ASLG acquisition, we issued to the sellers in a private placement an aggregate of 24,958,543 shares of our common stock (which shares had a total value of $1.38 billion based on the May 12, 2011 closing price of our common stock of $55.33 per share). On November 2, 2011, we cancelled 83,441 shares issued to the sellers for a working capital adjustment in accordance with the purchase agreement.
In February 2011, we completed the public offering and sale of 5,563,000 shares of our common stock for $300.0 million in aggregate proceeds.
Excess Share Provision
In order to preserve our ability to maintain REIT status, our Charter provides that if a person acquires beneficial ownership of more than 9% of our outstanding common stock or 9.9% of our outstanding preferred stock, the shares that are beneficially owned in excess of such limit are deemed to be excess shares. These shares are automatically deemed transferred to a trust for the benefit of a charitable institution or other qualifying organization selected by our Board of Directors. The trust is entitled to all dividends with respect to the shares and the trustee may exercise all voting power over the shares.
We have the right to buy the excess shares for a purchase price equal to the lesser of the price per share in the transaction that created the excess shares or the market price on the date we buy the shares, and we may defer payment of the purchase price for the excess shares for up to five years. If we do not purchase the excess shares, the trustee of the trust is required to transfer the excess shares at the direction of the Board of Directors. The owner of the excess shares is entitled to receive the lesser of the proceeds from the sale or the original purchase price for such excess shares, and any additional amounts are payable to the beneficiary of the trust.
Our Board of Directors is empowered to grant waivers from the excess share provisions of our Charter.
Distribution Reinvestment and Stock Purchase Plan
Under our Distribution Reinvestment and Stock Purchase Plan (“DRIP”), existing stockholders may purchase shares of common stock by reinvesting all or a portion of the cash distribution on their shares of our common stock, subject to certain limits. Existing stockholders and new investors also may purchase shares of our common stock under the DRIP by making optional cash payments, subject to certain limits. We currently offer a 1% discount on the purchase price of our common stock

119

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


to shareholders who reinvest their dividends or make optional cash purchases through the DRIP. The amount and availability of this discount is at our discretion. The granting of a discount for one month or quarter, as applicable, will not insure the availability or amount of a discount in future periods, and each month or quarter, as applicable, we may lower or eliminate the discount without prior notice. We may also, without prior notice, change our determination as to whether common shares will be purchased by the plan administrator directly from us or in the open market.
Accumulated Other Comprehensive Income
The following is a summary of our accumulated other comprehensive income as of December 31, 2012 and 2011:
 
2012
 
2011
 
(In thousands)
Foreign currency translation
$
23,441

 
$
21,066

Unrealized gain on marketable debt securities
807

 
2,103

Other
(894
)
 
(1,107
)
Total accumulated other comprehensive income
$
23,354

 
$
22,062

Note 18—Related Party Transactions
In December 2011, we entered into a joint venture with Pacific Medical Buildings LLC to develop a new MOB to be located on the Sutter Medical Center—Castro Valley campus. This MOB development was completed in 2012. Our 82.8% interest in the building is subject to a ground lease from Sutter Health, and the MOB is 100% leased by Sutter Health pursuant to long-term triple-net leases. Pending completion of the development, we did not pay or receive any amounts under the lease agreements with Sutter Health in 2012. Robert D. Reed, Senior Vice President and Chief Financial Officer of Sutter Health, has served as a member of our Board of Directors since March 2008.
Upon consummation of the ASLG acquisition in May 2011, we entered into long-term management agreements with Atria to operate the acquired assets. During 2011 and 2012, we paid Atria $20.2 million and $33.9 million, respectively, in management fees under our agreements. Matthew J. Lustig, a member of our Board of Directors since May 2011, served as Chairman of Atria until our acquisition of the Funds on December 21, 2012 (see “Note 4—Acquisitions of Real Estate Property”) and is employed by affiliates of LFREI.
From time to time, we may engage Cushman & Wakefield, a global commercial real estate firm, to act as a leasing agent or broker with respect to certain of our properties. Cushman & Wakefield President and Chief Executive Officer Glenn J. Rufrano has served as a member of our Board of Directors since June 2010. We believe the fees we pay to Cushman & Wakefield in connection with the provision of these services are customary and represent market rates. We paid no fees to Cushman & Wakefield for leasing agent or brokerage services during the year ended December 31, 2012.
In connection with the closing of our Lillibridge acquisition, we entered into an Intellectual Property Rights Purchase and Sale Agreement with Todd W. Lillibridge, who became our Executive Vice President, Medical Property Operations. Under the agreement, we acquired Mr. Lillibridge’s rights in and to the use of the Lillibridge name and the “LILLIBRIDGE” trademark, as well as certain derivative trademarks, design marks and slogans for an aggregate purchase price of $3.0 million, which was included in the total purchase price for the acquisition. See “Note 4—Acquisitions of Real Estate Property.”


120

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Note 19—Quarterly Financial Information (Unaudited)
Summarized unaudited consolidated quarterly information for the years ended December 31, 2012 and 2011 is provided below.
 
For the Year Ended December 31, 2012
 
First
Quarter
 
Second
Quarter
 
Third
Quarter
 
Fourth
Quarter
 
(In thousands, except per share amounts)
Revenues(1)
$
568,566

 
$
614,502

 
$
641,520

 
$
660,711

Income from continuing operations attributable to common stockholders(1)
$
48,110

 
$
43,496

 
$
115,975

 
$
97,992

Discontinued operations(1)
42,516

 
30,529

 
(4,093
)
 
(11,725
)
Net income attributable to common stockholders
$
90,626

 
$
74,025

 
$
111,882

 
$
86,267

Earnings per share:
 
 
 
 
 
 
 
Basic:
 
 
 
 
 
 
 
Income from continuing operations attributable to common stockholders
$
0.16

 
$
0.15

 
$
0.39

 
$
0.33

Discontinued operations
0.15

 
0.11

 
(0.01
)
 
(0.04
)
Net income attributable to common stockholders
$
0.31

 
$
0.26

 
$
0.38

 
$
0.29

Diluted:
 
 
 
 
 
 
 
Income from continuing operations attributable to common stockholders
$
0.16

 
$
0.15

 
$
0.39

 
$
0.33

Discontinued operations
0.15

 
0.10

 
(0.01
)
 
(0.04
)
Net income attributable to common stockholders
$
0.31

 
$
0.25

 
$
0.38

 
$
0.29

Dividends declared per share
$
0.62

 
$
0.62

 
$
0.62

 
$
0.62

________________________
(1)
The amounts presented for the three months ended March 31, 2012, June 30, 2012 and September 30, 2012 differ from the amounts previously reported in our Quarterly Reports on Form 10-Q as a result of discontinued operations consisting of properties sold in 2012 or classified as held for sale as of December 31, 2012.
 
For the Three Months Ended
 
March 31,
2012

 
June 30,
2012

 
September 30,
2012

 
(In thousands, except per share amounts)
Revenues, previously reported in Form 10-Q
$
573,694

 
$
616,448

 
$
641,950

Revenues, previously reported in Form 10-Q, subsequently reclassified to discontinued operations
(5,128
)
 
(1,946
)
 
(430
)
Total revenues disclosed in Form 10-K
$
568,566

 
$
614,502

 
$
641,520

Income from continuing operations attributable to common stockholders, previously reported in Form 10-Q
$
48,297

 
$
42,543

 
$
115,329

Income from continuing operations attributable to common stockholders, previously reported in Form 10-Q, subsequently reclassified to discontinued operations
(187
)
 
953

 
646

Income from continuing operations attributable to common stockholders disclosed in Form 10-K
$
48,110

 
$
43,496

 
$
115,975

Discontinued operations, previously reported in Form 10-Q
$
42,329

 
$
31,482

 
$
(3,447
)
Discontinued operations from properties sold or held for sale subsequent to the respective reporting period
187

 
(953
)
 
(646
)
Discontinued operations disclosed in Form 10-K
$
42,516

 
$
30,529

 
$
(4,093
)


121

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


 
For the Year Ended December 31, 2011
 
First
Quarter
 
Second
Quarter
 
Third
Quarter
 
Fourth
Quarter
 
(In thousands, except per share amounts)
Revenues(1)
$
266,396

 
$
359,421

 
$
554,691

 
$
563,145

Income from continuing operations attributable to common stockholders(1)
$
47,939

 
$
18,450

 
$
103,191

 
$
193,553

Discontinued operations(1)
1,045

 
1,226

 
(306
)
 
(605
)
Net income attributable to common stockholders
$
48,984

 
$
19,676

 
$
102,885

 
$
192,948

Earnings per share:
 
 
 
 
 
 
 
Basic:
 
 
 
 
 
 
 
Income from continuing operations attributable to common stockholders
$
0.30

 
$
0.10

 
$
0.36

 
$
0.67

Discontinued operations
0.01

 
0.01

 

 

Net income attributable to common stockholders
$
0.31

 
$
0.11

 
$
0.36

 
$
0.67

Diluted:
 
 
 
 
 
 
 
Income from continuing operations attributable to common stockholders
$
0.29

 
$
0.10

 
$
0.35

 
$
0.66

Discontinued operations
0.01

 
0.01

 

 

Net income attributable to common stockholders
$
0.30

 
$
0.11

 
$
0.35

 
$
0.66

Dividends declared per share
$
0.575

 
$
0.7014

 
$
0.4486

 
$
0.575

________________________
(1)
The amounts presented for the three months ended March 31, 2011, June 30, 2011, September 30, 2011 and December 31, 2011 differ from the amounts previously reported in our Annual Report on Form 10-K for the year ended December 31, 2011 as a result of discontinued operations consisting of properties sold in 2012 or classified as held for sale as of December 31, 2012.
 
For the Three Months Ended
 
March 31,
2011

 
June 30,
2011

 
September 30,
2011

 
December 31,
2011

 
(In thousands, except per share amounts)
Revenues, previously reported in Form 10-K
$
268,432

 
$
362,630

 
$
562,528

 
$
571,401

Revenues, previously reported in Form 10-K, subsequently reclassified to discontinued operations
(2,036
)
 
(3,209
)
 
(7,837
)
 
(8,256
)
Total revenues disclosed in Form 10-K
$
266,396

 
$
359,421

 
$
554,691

 
$
563,145

Income from continuing operations attributable to common stockholders, previously reported in Form 10-K
$
48,218

 
$
18,906

 
$
102,470

 
$
193,216

Income from continuing operations attributable to common stockholders, previously reported in Form 10-K, subsequently reclassified to discontinued operations
(279
)
 
(456
)
 
721

 
337

Income from continuing operations attributable to common stockholders disclosed in Form 10-K
$
47,939

 
$
18,450

 
$
103,191

 
$
193,553

Discontinued operations, previously reported in Form 10-K
$
766

 
$
770

 
$
415

 
$
(268
)
Discontinued operations from properties sold or held for sale subsequent to the respective reporting period
279

 
456

 
(721
)
 
(337
)
Discontinued operations disclosed in Form 10-K
$
1,045

 
$
1,226

 
$
(306
)
 
$
(605
)



122

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Note 20—Segment Information
As of December 31, 2012, we operated through three reportable business segments: triple-net leased properties; senior living operations; and MOB operations. Under our triple-net leased properties segment, we acquire and own seniors housing and healthcare properties throughout the United States and lease those properties to healthcare operating companies under “triple-net” or “absolute-net” leases that obligate the tenants to pay all property-related expenses. Under our senior living operations segment, we invest in seniors housing communities throughout the United States and Canada and engage independent operators, such as Atria and Sunrise, to manage those communities. Under our MOB operations segment, we primarily acquire, own, develop, lease, and manage MOBs. Information provided for “all other” includes income from loans and investments and other miscellaneous income and various corporate-level expenses not directly attributable to our three reportable business segments. Assets included in “all other” consist primarily of corporate assets, including cash, restricted cash, deferred financing costs, loans receivable and miscellaneous accounts receivable.
With the addition of the Lillibridge businesses and properties in July 2010, we believed that the segregation of our MOB operations into its own reporting segment would be useful in assessing the performance of our MOB business in the same way that management evaluates our performance and makes operating decisions. Prior to the Lillibridge acquisition, we operated through two reportable business segments: triple-net leased properties; and senior living operations.
We evaluate performance of the combined properties in each reportable business segment based on segment profit, which we define as NOI adjusted for gain/loss from unconsolidated entities. We define NOI as total revenues, less interest and other income, property-level operating expenses and medical office building services costs. We believe that net income, as defined by GAAP, is the most appropriate earnings measurement. However, we believe that segment profit serves as a useful supplement to net income because it allows investors, analysts and our management to measure unlevered property-level operating results and to compare our operating results to the operating results of other real estate companies and between periods on a consistent basis. Segment profit should not be considered as an alternative to net income (determined in accordance with GAAP) as an indicator of our financial performance. In order to facilitate a clear understanding of our consolidated historical operating results, segment profit should be examined in conjunction with net income as presented in our Consolidated Financial Statements and other financial data included elsewhere in this Annual Report on Form 10-K.
Interest expense, depreciation and amortization, general, administrative and professional fees, income tax expense, discontinued operations and other non-property specific revenues and expenses are not allocated to individual reportable business segments for purposes of assessing segment performance. There are no intersegment sales or transfers.

123

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Summary information by reportable business segment is as follows:
For the year ended December 31, 2012:

 
Triple-Net
Leased
Properties
 
Senior
Living
Operations
 
MOB
Operations
 
All
Other
 
Total
 
(In thousands)
Revenues:
 
 
 
 
 
 
 
 
 
Rental income
$
831,221

 
$

 
$
362,839

 
$

 
$
1,194,060

Resident fees and services

 
1,229,479

 

 

 
1,229,479

Medical office building and other services revenue
4,438

 

 
16,303

 

 
20,741

Income from loans and investments

 

 

 
39,913

 
39,913

Interest and other income

 

 

 
1,106

 
1,106

Total revenues
$
835,659

 
$
1,229,479

 
$
379,142

 
$
41,019

 
$
2,485,299

Total revenues
$
835,659

 
$
1,229,479

 
$
379,142

 
$
41,019

 
$
2,485,299

Less:
 
 
 
 
 
 
 
 
 
Interest and other income

 

 

 
1,106

 
1,106

Property-level operating expenses

 
843,190

 
126,152

 

 
969,342

Medical office building services costs

 

 
9,883

 

 
9,883

Segment NOI
835,659

 
386,289

 
243,107

 
39,913

 
1,504,968

Income (loss) from unconsolidated entities
1,313

 
(48
)
 
16,889

 

 
18,154

Segment profit
$
836,972

 
$
386,241

 
$
259,996

 
$
39,913

 
1,523,122

Interest and other income
 

 
 

 
 

 


 
1,106

Interest expense
 

 
 

 
 

 
 

 
(293,401
)
Depreciation and amortization
 

 
 

 
 

 
 

 
(725,981
)
General, administrative and professional fees
 

 
 

 
 

 
 

 
(98,801
)
Loss on extinguishment of debt, net
 

 
 

 
 

 
 

 
(37,640
)
Merger-related expenses and deal costs
 

 
 

 
 

 
 

 
(63,183
)
Other
 

 
 

 
 

 
 

 
(6,956
)
Income tax benefit
 

 
 

 
 

 
 

 
6,282

Discontinued operations
 

 
 

 
 

 
 

 
57,227

Net income
 

 
 

 
 

 
 

 
$
361,775


124

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


For the year ended December 31, 2011:

 
Triple-Net
Leased
Properties
 
Senior
Living
Operations
 
MOB
Operations
 
All
Other
 
Total
 
(In thousands)
Revenues:
 
 
 
 
 
 
 
 
 
Rental income
$
637,294

 
$

 
$
166,161

 
$

 
$
803,455

Resident fees and services

 
868,095

 

 

 
868,095

Medical office building and other services revenue
2,217

 

 
34,254

 

 
36,471

Income from loans and investments

 

 

 
34,415

 
34,415

Interest and other income

 

 

 
1,217

 
1,217

Total revenues
$
639,511

 
$
868,095

 
$
200,415

 
$
35,632

 
$
1,743,653

Total revenues
$
639,511

 
$
868,095

 
$
200,415

 
$
35,632

 
$
1,743,653

Less:
 
 
 
 
 
 
 
 
 
Interest and other income

 

 

 
1,217

 
1,217

Property-level operating expenses

 
590,151

 
57,042

 

 
647,193

Medical office building services costs

 

 
27,082

 

 
27,082

Segment NOI
639,511

 
277,944

 
116,291

 
34,415

 
1,068,161

Income (loss) from unconsolidated entities
295

 

 
(347
)
 

 
(52
)
Segment profit
$
639,806

 
$
277,944

 
$
115,944

 
$
34,415

 
1,068,109

Interest and other income
 

 
 

 
 

 


 
1,217

Interest expense
 

 
 

 
 

 
 

 
(229,346
)
Depreciation and amortization
 

 
 

 
 

 
 

 
(447,664
)
General, administrative and professional fees
 

 
 

 
 

 
 

 
(74,537
)
Loss on extinguishment of debt, net
 

 
 

 
 

 
 

 
(27,604
)
Litigation proceeds, net
 
 
 
 
 
 
 
 
202,259

Merger-related expenses and deal costs
 

 
 

 
 

 
 

 
(153,923
)
Other
 

 
 

 
 

 
 

 
(7,270
)
Income tax benefit
 

 
 

 
 

 
 

 
30,660

Discontinued operations
 

 
 

 
 

 
 

 
1,360

Net income
 

 
 

 
 

 
 

 
$
363,261


125

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


For the year ended December 31, 2010:

 
Triple-Net
Leased
Properties
 
Senior
Living
Operations
 
MOB
Operations
 
All
Other
 
Total
 
(In thousands)
Revenues:
 
 
 
 
 
 
 
 
 
Rental income
$
453,592

 
$

 
$
69,747

 
$

 
$
523,339

Resident fees and services

 
446,301

 

 

 
446,301

Medical office building and other services revenue

 

 
14,098

 

 
14,098

Income from loans and investments

 

 

 
16,412

 
16,412

Interest and other income

 

 

 
484

 
484

Total revenues
$
453,592

 
$
446,301

 
$
83,845

 
$
16,896

 
$
1,000,634

Total revenues
$
453,592

 
$
446,301

 
$
83,845

 
$
16,896

 
$
1,000,634

Less:
 
 
 
 
 
 
 
 
 
Interest and other income

 

 

 
484

 
484

Property-level operating expenses

 
291,831

 
24,122

 

 
315,953

Medical office building services costs

 

 
9,518

 

 
9,518

Segment NOI
453,592

 
154,470

 
50,205

 
16,412

 
674,679

Loss from unconsolidated entities

 

 
(664
)
 

 
(664
)
Segment profit
$
453,592

 
$
154,470

 
$
49,541

 
$
16,412

 
674,015

Interest and other income
 

 
 

 
 

 


 
484

Interest expense
 

 
 

 
 

 
 

 
(172,474
)
Depreciation and amortization
 

 
 

 
 

 
 

 
(200,682
)
General, administrative and professional fees
 

 
 

 
 

 
 

 
(49,830
)
Loss on extinguishment of debt, net
 

 
 

 
 

 
 

 
(9,791
)
Merger-related expenses and deal costs
 

 
 

 
 

 
 

 
(19,243
)
Other
 

 
 

 
 

 
 

 
(272
)
Income tax expense
 

 
 

 
 

 
 

 
(5,201
)
Discontinued operations
 

 
 

 
 

 
 

 
32,723

Net income
 

 
 

 
 

 
 

 
$
249,729

Assets by reportable business segment are as follows:
 
As of December 31,
 
2012
 
2011
 
(Dollars in thousands)
Assets:
 
 
 
 
 
 
 
Triple-net leased properties
$
8,368,186

 
44.1
%
 
$
8,704,061

 
50.4
%
Senior living operations
6,274,207

 
33.1

 
5,758,497

 
33.3

MOB operations
3,703,453

 
19.5

 
2,433,160

 
14.1

All other assets
634,154

 
3.3

 
376,192

 
2.2

Total assets
$
18,980,000

 
100.0
%
 
$
17,271,910

 
100.0
%

126

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


Capital expenditures, including investments in real estate property and development project expenditures, by reportable business segment are as follows:
 
For the Year Ended December 31,
 
2012
 
2011
 
2010
 
(In thousands)
Capital expenditures:
 
 
 
 
 
Triple-net leased (1)
$
139,680

 
$
133,761

 
$
12,884

Senior living (2)
758,371

 
370,455

 
10,268

MOB (3)
1,003,865

 
125,453

 
271,144

Total capital expenditures
$
1,901,916

 
$
629,669

 
$
294,296

    
(1)
2012 includes $58.1 million from funds held in a Code Section 1031 exchange escrow account with a qualified intermediary.
(2)
2012 includes $64.7 million from funds held in a Code Section 1031 exchange escrow account with a qualified intermediary.
(3)
2012 includes $11.2 million from funds held in a Code Section 1031 exchange escrow account with a qualified intermediary.
Our portfolio of properties and mortgage loan and other investments are located in the United States and Canada. Revenues are attributed to an individual country based on the location of each property.
Geographic information regarding our operations is as follows:
 
For the Year Ended December 31,
 
2012
 
2011
 
2010
 
(In thousands)
Revenues:
 
 
 
 
 
United States
$
2,389,330

 
$
1,651,614

 
$
916,104

Canada
95,969

 
92,039

 
84,530

Total revenues
$
2,485,299

 
$
1,743,653

 
$
1,000,634


 
As of December 31,
 
2012
 
2011
 
(In thousands)
Net real estate property:
 
 
 
United States
$
16,711,508

 
$
15,510,824

Canada
400,024

 
402,908

Total net real estate property
$
17,111,532

 
$
15,913,732

Note 21—Condensed Consolidating Information
We have fully and unconditionally guaranteed the obligation to pay principal and interest with respect to the outstanding senior notes issued by the Ventas Issuers. Ventas Capital Corporation is a direct subsidiary of Ventas Realty that was formed in 2002 to facilitate offerings of senior notes and has no assets or operations. None of our other subsidiaries (excluding the Ventas Issuers, the “Ventas Subsidiaries”) is obligated with respect to the Ventas Issuers’ outstanding senior notes.
In connection with the NHP acquisition, our 100% owned subsidiary, NHP LLC, as successor to NHP, assumed the obligation to pay principal and interest with respect to the outstanding senior notes issued by NHP. We, the Ventas Issuers and the Ventas Subsidiaries (other than NHP LLC) are not obligated with respect to any of NHP LLC’s outstanding senior notes.
Contractual and legal restrictions, including those contained in the instruments governing our subsidiaries’ outstanding mortgage indebtedness, may under certain circumstances restrict our ability to obtain cash from our subsidiaries for the purpose

127

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


of meeting our debt service obligations, including our guarantee of the payment of principal and interest on the Ventas Issuers’ senior notes. Certain of our real estate assets are also subject to mortgages.
The following summarizes our condensed consolidating information as of December 31, 2012 and 2011 and for the years ended December 31, 2012, 2011, and 2010:
CONDENSED CONSOLIDATING BALANCE SHEET
As of December 31, 2012
 
Ventas, Inc.
 
Ventas
Issuers
 
Ventas Subsidiaries
 
Consolidated
Elimination
 
Consolidated
 
(In thousands)
Assets
 
 
 
 
 
 
 
 
 
Net real estate investments
$
7,615

 
$
412,362

 
$
17,421,966

 
$

 
$
17,841,943

Cash and cash equivalents
16,734

 

 
51,174

 

 
67,908

Escrow deposits and restricted cash
7,565

 
1,952

 
96,396

 

 
105,913

Deferred financing costs, net
757

 
34,047

 
7,747

 

 
42,551

Investment in and advances to affiliates
10,343,664

 
1,867,251

 

 
(12,210,915
)
 

Other assets
26,282

 
4,043

 
891,360

 

 
921,685

Total assets
$
10,402,617

 
$
2,319,655

 
$
18,468,643

 
$
(12,210,915
)
 
$
18,980,000

Liabilities and equity
 
 
 
 
 
 
 
 
 
Liabilities:
 
 
 
 
 
 
 
 
 
Senior notes payable and other debt
$

 
$
4,570,296

 
$
3,843,350

 
$

 
$
8,413,646

Intercompany loans
3,425,082

 
(4,126,391
)
 
701,309

 

 

Accrued interest

 
24,045

 
23,520

 

 
47,565

Accounts payable and other liabilities
99,631

 
7,775

 
887,750

 

 
995,156

Deferred income taxes
259,715

 

 

 

 
259,715

Total liabilities
3,784,428

 
475,725

 
5,455,929

 

 
9,716,082

Redeemable OP unitholder and noncontrolling interests

 

 
174,555

 

 
174,555

Total equity
6,618,189

 
1,843,930

 
12,838,159

 
(12,210,915
)
 
9,089,363

Total liabilities and equity
$
10,402,617

 
$
2,319,655

 
$
18,468,643

 
$
(12,210,915
)
 
$
18,980,000



128

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


CONDENSED CONSOLIDATING BALANCE SHEET
As of December 31, 2011
 
Ventas, Inc.
 
Ventas
Issuers
 
Ventas Subsidiaries
 
Consolidated
Elimination
 
Consolidated
 
(In thousands)
Assets
 
 
 
 
 
 
 
 
 
Net real estate investments
$
309

 
$
519,042

 
$
15,712,261

 
$

 
$
16,231,612

Cash and cash equivalents
2,335

 

 
43,472

 

 
45,807

Escrow deposits and restricted cash
1,971

 
7,513

 
67,106

 

 
76,590

Deferred financing costs, net
757

 
19,239

 
6,673

 

 
26,669

Investment in and advances to affiliates
8,612,893

 
1,728,635

 

 
(10,341,528
)
 

Other assets
54,415

 
47,063

 
789,754

 

 
891,232

Total assets
$
8,672,680

 
$
2,321,492

 
$
16,619,266

 
$
(10,341,528
)
 
$
17,271,910

Liabilities and equity
 
 
 
 
 
 
 
 
 
Liabilities:
 
 
 
 
 
 
 
 
 
Senior notes payable and other debt
$

 
$
2,593,176

 
$
3,835,940

 
$

 
$
6,429,116

Intercompany loans
1,204,987

 
(2,040,590
)
 
835,603

 

 

Accrued interest

 
12,561

 
25,133

 

 
37,694

Accounts payable and other liabilities
86,101

 
18,162

 
981,334

 

 
1,085,597

Deferred income taxes
260,722

 

 

 

 
260,722

Total liabilities
1,551,810

 
583,309

 
5,678,010

 

 
7,813,129

Redeemable OP unitholder and noncontrolling interests

 

 
102,837

 

 
102,837

Total equity
7,120,870

 
1,738,183

 
10,838,419

 
(10,341,528
)
 
9,355,944

Total liabilities and equity
$
8,672,680

 
$
2,321,492

 
$
16,619,266

 
$
(10,341,528
)
 
$
17,271,910











129

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Year Ended December 31, 2012
 
Ventas, Inc.
 
Ventas
Issuers
 
Ventas Subsidiaries
 
Consolidated
Elimination
 
Consolidated
 
(In thousands)
Revenues:
 
 
 
 
 
 
 
 
 
Rental income
$
2,538

 
$
278,367

 
$
913,155

 
$

 
$
1,194,060

Resident fees and services

 

 
1,229,479

 

 
1,229,479

Medical office building and other services revenues

 

 
20,741

 

 
20,741

Income from loans and investments
2,944

 
1,630

 
35,339

 

 
39,913

Equity earnings in affiliates
322,582

 

 
828

 
(323,410
)
 

Interest and other income
476

 
25

 
605

 

 
1,106

Total revenues
328,540

 
280,022

 
2,200,147

 
(323,410
)
 
2,485,299

Expenses:
 
 
 
 
 
 
 
 
 
Interest
(3,858
)
 
93,838

 
203,421

 

 
293,401

Depreciation and amortization
2,777

 
36,608

 
686,596

 

 
725,981

Property-level operating expenses

 
535

 
968,807

 

 
969,342

Medical office building services costs

 

 
9,883

 

 
9,883

General, administrative and professional fees
3,682

 
30,317

 
64,802

 

 
98,801

Loss (gain) on extinguishment of debt, net

 
39,737

 
(2,097
)
 

 
37,640

Merger-related expenses and deal costs
53,120

 

 
10,063

 

 
63,183

Other
79

 

 
6,877

 

 
6,956

Total expenses
55,800

 
201,035

 
1,948,352

 

 
2,205,187

Income from continuing operations before income from unconsolidated entities, income taxes, discontinued operations and noncontrolling interest
272,740

 
78,987

 
251,795

 
(323,410
)
 
280,112

Income from unconsolidated entities

 
1,557

 
16,597

 

 
18,154

Income tax benefit
6,282

 

 

 

 
6,282

Income from continuing operations
279,022

 
80,544

 
268,392

 
(323,410
)
 
304,548

Discontinued operations
83,778

 
2,296

 
(28,847
)
 

 
57,227

Net income
362,800

 
82,840

 
239,545

 
(323,410
)
 
361,775

Net loss attributable to noncontrolling interest

 

 
(1,025
)
 

 
(1,025
)
Net income attributable to common stockholders
$
362,800

 
$
82,840

 
$
240,570

 
$
(323,410
)
 
$
362,800



130

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Year Ended December 31, 2011
 
Ventas, Inc.
 
Ventas
Issuers
 
Ventas Subsidiaries
 
Consolidated
Elimination
 
Consolidated
 
(In thousands)
Revenues:
 
 
 
 
 
 
 
 
 
Rental income
$
2,471

 
$
270,745

 
$
530,239

 
$

 
$
803,455

Resident fees and services

 

 
868,095

 

 
868,095

Medical office building and other services revenues

 

 
36,471

 

 
36,471

Income from loans and investments
6,305

 
8,570

 
19,540

 

 
34,415

Equity earnings in affiliates
231,773

 

 
1,447

 
(233,220
)
 

Interest and other income
208

 
57

 
952

 

 
1,217

Total revenues
240,757

 
279,372

 
1,456,744

 
(233,220
)
 
1,743,653

Expenses:
 
 
 
 
 
 
 
 
 
Interest
(1,897
)
 
68,153

 
163,090

 

 
229,346

Depreciation and amortization
1,714

 
31,752

 
414,198

 

 
447,664

Property-level operating expenses

 
510

 
646,683

 

 
647,193

Medical office building services costs

 

 
27,082

 

 
27,082

General, administrative and professional fees
(5,328
)
 
29,336

 
50,529

 

 
74,537

Loss on extinguishment of debt, net
2,071

 
8,769

 
16,764

 

 
27,604

Litigation proceeds, net
(202,259
)
 

 

 

 
(202,259
)
Merger-related expenses and deal costs
111,845

 

 
42,078

 

 
153,923

Other
778

 

 
6,492

 

 
7,270

Total expenses
(93,076
)
 
138,520

 
1,366,916

 

 
1,412,360

Income from continuing operations before income from unconsolidated entities, income taxes, discontinued operations and noncontrolling interest
333,833

 
140,852

 
89,828

 
(233,220
)
 
331,293

Loss from unconsolidated entities

 
(52
)
 

 

 
(52
)
Income tax benefit
30,660

 

 

 

 
30,660

Income from continuing operations
364,493

 
140,800

 
89,828

 
(233,220
)
 
361,901

Discontinued operations

 
3,881

 
(2,521
)
 

 
1,360

Net income
364,493

 
144,681

 
87,307

 
(233,220
)
 
363,261

Net loss attributable to noncontrolling interest

 

 
(1,232
)
 

 
(1,232
)
Net income attributable to common stockholders
$
364,493

 
$
144,681

 
$
88,539

 
$
(233,220
)
 
$
364,493


131

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Year Ended December 31, 2010
 
Ventas, Inc.
 
Ventas
Issuers
 
Ventas Subsidiaries
 
Consolidated
Elimination
 
Consolidated
 
(In thousands)
Revenues:
 
 
 
 
 
 
 
 
 
Rental income
$
2,409

 
$
264,250

 
$
256,680

 
$

 
$
523,339

Resident fees and services

 

 
446,301

 

 
446,301

Medical office building and other services revenues

 

 
14,098

 

 
14,098

Income from loans and investments
5,666

 
7,789

 
2,957

 

 
16,412

Equity earnings in affiliates
258,441

 

 
1,914

 
(260,355
)
 

Interest and other income
332

 
83

 
69

 

 
484

Total revenues
266,848

 
272,122

 
722,019

 
(260,355
)
 
1,000,634

Expenses:
 
 
 
 
 
 
 
 
 
Interest
1,758

 
47,246

 
123,470

 

 
172,474

Depreciation and amortization
1,635

 
32,771

 
166,276

 

 
200,682

Property-level operating expenses

 
519

 
315,434

 

 
315,953

Medical office building services costs

 

 
9,518

 

 
9,518

General, administrative and professional fees
(2,549
)
 
21,618

 
30,761

 

 
49,830

Loss on extinguishment of debt, net

 
8,993

 
798

 

 
9,791

Merger-related expenses and deal costs
14,291

 

 
4,952

 

 
19,243

Other
219

 

 
53

 

 
272

Total expenses
15,354

 
111,147

 
651,262

 

 
777,763

Income from continuing operations before income from unconsolidated entities, income taxes, discontinued operations and noncontrolling interest
251,494

 
160,975

 
70,757

 
(260,355
)
 
222,871

Loss from unconsolidated entities

 
(664
)
 

 

 
(664
)
Income tax expense
(5,201
)
 

 

 

 
(5,201
)
Income from continuing operations
246,293

 
160,311

 
70,757

 
(260,355
)
 
217,006

Discontinued operations
(126
)
 
31,088

 
1,761

 

 
32,723

Net income
246,167

 
191,399

 
72,518

 
(260,355
)
 
249,729

Net income attributable to noncontrolling interest, net of tax

 

 
3,562

 

 
3,562

Net income attributable to common stockholders
$
246,167

 
$
191,399

 
$
68,956

 
$
(260,355
)
 
$
246,167


132

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


CONDENSED CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME
For the Year Ended December 31, 2012
 
Ventas, Inc.
 
Ventas
Issuers
 
Ventas Subsidiaries
 
Consolidated
Elimination
 
Consolidated
 
(In thousands)
Net income
$
362,800

 
$
82,840

 
$
239,545

 
$
(323,410
)
 
$
361,775

Other comprehensive income (loss):
 
 
 
 
 
 
 
 
 
Foreign currency translation

 

 
2,375

 

 
2,375

Change in unrealized gain on marketable debt securities
(1,296
)
 

 

 

 
(1,296
)
Other

 

 
213

 

 
213

Total other comprehensive (loss) income
(1,296
)
 

 
2,588

 

 
1,292

Comprehensive income
361,504

 
82,840

 
242,133

 
(323,410
)
 
363,067

Comprehensive loss attributable to noncontrolling interest

 

 
(1,025
)
 

 
(1,025
)
Comprehensive income attributable to common stockholders
$
361,504

 
$
82,840

 
$
243,158

 
$
(323,410
)
 
$
364,092


CONDENSED CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME
For the Year Ended December 31, 2011

 
Ventas, Inc.
 
Ventas
Issuers
 
Ventas Subsidiaries
 
Consolidated
Elimination
 
Consolidated
 
(In thousands)
Net income
$
364,493

 
$
144,681

 
$
87,307

 
$
(233,220
)
 
$
363,261

Other comprehensive loss:
 
 
 
 
 
 
 
 
 
Foreign currency translation

 

 
(1,944
)
 

 
(1,944
)
Change in unrealized gain on marketable debt securities
(2,691
)
 

 

 

 
(2,691
)
Other

 

 
(171
)
 

 
(171
)
Total other comprehensive loss
(2,691
)
 

 
(2,115
)
 

 
(4,806
)
Comprehensive income
361,802

 
144,681

 
85,192

 
(233,220
)
 
358,455

Comprehensive loss attributable to noncontrolling interest

 

 
(1,232
)
 

 
(1,232
)
Comprehensive income attributable to common stockholders
$
361,802

 
$
144,681

 
$
86,424

 
$
(233,220
)
 
$
359,687


133

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


CONDENSED CONSOLIDATING STATEMENT OF COMPREHENSIVE INCOME
For the Year Ended December 31, 2010

 
Ventas, Inc.
 
Ventas
Issuers
 
Ventas Subsidiaries
 
Consolidated
Elimination
 
Consolidated
 
(In thousands)
Net income
$
246,167

 
$
191,399

 
$
72,518

 
$
(260,355
)
 
$
249,729

Other comprehensive income (loss):
 
 
 
 
 
 
 
 
 
Foreign currency translation

 

 
6,951

 

 
6,951

Change in unrealized gain on marketable debt securities
354

 

 

 

 
354

Other

 

 
(106
)
 

 
(106
)
Total other comprehensive income
354

 

 
6,845

 

 
7,199

Comprehensive income
246,521

 
191,399

 
79,363

 
(260,355
)
 
256,928

Comprehensive income attributable to noncontrolling interest

 

 
3,562

 

 
3,562

Comprehensive income attributable to common stockholders
$
246,521

 
$
191,399

 
$
75,801

 
$
(260,355
)
 
$
253,366



134

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the Year Ended December 31, 2012
 
Ventas, Inc.
 
Ventas
Issuers
 
Ventas Subsidiaries
 
Consolidated
Elimination
 
Consolidated
 
(In thousands)
Net cash (used in) provided by operating activities
$
(761
)
 
$
193,544

 
$
800,033

 
$

 
$
992,816

Net cash used in investing activities
(1,364,125
)
 
(100
)
 
(805,464
)
 

 
(2,169,689
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
Net change in borrowings under revolving credit facility

 
92,000

 
(7,062
)
 

 
84,938

Proceeds from debt

 
2,364,360

 
346,045

 

 
2,710,405

Repayment of debt

 
(521,527
)
 
(671,496
)
 

 
(1,193,023
)
Net change in intercompany debt
2,151,815

 
(2,085,801
)
 
(66,014
)
 

 

Payment of deferred financing costs

 
(21,404
)
 
(2,366
)
 

 
(23,770
)
Issuance of common stock, net
342,469

 

 

 

 
342,469

Cash distribution (to) from affiliates
(398,071
)
 
(21,132
)
 
419,203

 

 

Cash distribution to common stockholders
(728,546
)
 

 

 

 
(728,546
)
Cash distribution to redeemable OP unitholders
(4,446
)
 

 

 

 
(4,446
)
Purchases of redeemable OP units
(4,601
)
 

 

 

 
(4,601
)
Distributions to noncontrolling interest

 

 
(5,215
)
 

 
(5,215
)
Other
20,665

 

 
38

 

 
20,703

Net cash provided by (used in) financing activities
1,379,285

 
(193,504
)
 
13,133

 

 
1,198,914

Net increase (decrease) in cash and cash equivalents
14,399

 
(60
)
 
7,702

 

 
22,041

Effect of foreign currency translation on cash and cash equivalents

 
60

 

 

 
60

Cash and cash equivalents at beginning of period
2,335

 

 
43,472

 

 
45,807

Cash and cash equivalents at end of period
$
16,734

 
$

 
$
51,174

 
$

 
$
67,908



135

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the Year Ended December 31, 2011
 
Ventas, Inc.
 
Ventas
Issuers
 
Ventas Subsidiaries
 
Consolidated
Elimination
 
Consolidated
 
(In thousands)
Net cash provided by operating activities
$
124,784

 
$
199,431

 
$
448,982

 
$

 
$
773,197

Net cash (used in) provided by investing activities
(618,663
)
 
(500,879
)
 
122,103

 

 
(997,439
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
Net change in borrowings under revolving credit facilities

 
405,000

 
132,452

 

 
537,452

Proceeds from debt
(230,000
)
 
1,069,374

 
504,266

 

 
1,343,640

Repayment of debt

 
(206,500
)
 
(1,182,462
)
 

 
(1,388,962
)
Net change in intercompany debt
1,363,963

 
(1,559,518
)
 
195,555

 

 

Payment of deferred financing costs

 
(19,661
)
 
(379
)
 

 
(20,040
)
Issuance of common stock, net
299,847

 

 

 

 
299,847

Cash distribution (to) from affiliates
(417,763
)
 
612,798

 
(195,035
)
 

 

Cash distribution to common stockholders
(521,046
)
 

 

 

 
(521,046
)
Cash distribution to redeemable OP unitholders
(2,359
)
 

 

 

 
(2,359
)
Purchases of redeemable OP units

 

 
(185
)
 

 
(185
)
Distributions to noncontrolling interest

 

 
(2,556
)
 

 
(2,556
)
Other
2,489

 

 
2

 

 
2,491

Net cash provided by (used in) financing activities
495,131

 
301,493

 
(548,342
)
 

 
248,282

Net increase in cash and cash equivalents
1,252

 
45

 
22,743

 

 
24,040

Effect of foreign currency translation on cash and cash equivalents

 
(45
)
 

 

 
(45
)
Cash and cash equivalents at beginning of period
1,083

 

 
20,729

 

 
21,812

Cash and cash equivalents at end of period
$
2,335

 
$

 
$
43,472

 
$

 
$
45,807



136

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)


CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the Year Ended December 31, 2010
 
Ventas, Inc.
 
Ventas
Issuers
 
Ventas Subsidiaries
 
Consolidated
Elimination
 
Consolidated
 
(In thousands)
Net cash provided by operating activities
$
14,092

 
$
213,295

 
$
220,235

 
$

 
$
447,622

Net cash used in investing activities

 
(266,609
)
 
(35,311
)
 

 
(301,920
)
Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
Net change in borrowings under revolving credit facilities

 
40,000

 
(11,436
)
 

 
28,564

Proceeds from debt

 
595,712

 
1,670

 

 
597,382

Repayment of debt

 
(244,710
)
 
(280,050
)
 

 
(524,760
)
Net change in intercompany debt
(95,762
)
 
(26,250
)
 
122,012

 

 

Payment of deferred financing costs

 
(2,647
)
 
(47
)
 

 
(2,694
)
Cash distribution from (to) affiliates
405,433

 
(391,842
)
 
(13,591
)
 

 

Cash distribution to common stockholders
(336,085
)
 

 

 

 
(336,085
)
Distributions to noncontrolling interest

 

 
(8,082
)
 

 
(8,082
)
Other
13,405

 

 
818

 

 
14,223

Net cash used in financing activities
(13,009
)
 
(29,737
)
 
(188,706
)
 

 
(231,452
)
Net increase (decrease) in cash and cash equivalents
1,083

 
(83,051
)
 
(3,782
)
 

 
(85,750
)
Effect of foreign currency translation on cash and cash equivalents

 
165

 

 

 
165

Cash and cash equivalents at beginning of period

 
82,886

 
24,511

 

 
107,397

Cash and cash equivalents at end of period
$
1,083

 
$

 
$
20,729

 
$

 
$
21,812



137


VENTAS, INC.
SCHEDULE III
REAL ESTATE AND ACCUMULATED DEPRECIATION
December 31, 2012
(Dollars in Thousands)


 
For the Years Ended December 31,
 
2012
 
2011
 
2010
 
(In thousands)
Reconciliation of real estate:
 
 
 
 
 
Carrying cost:
 
 
 
 
 
Balance at beginning of period
$
17,029,404

 
$
6,600,886

 
$
6,292,621

Additions during period:
 
 
 
 
 
Acquisitions
1,889,592

 
10,491,275

 
315,538

Capital expenditures
184,675

 
102,918

 
21,038

Dispositions:
 
 
 
 
 
Sales and/or transfers to assets held for sale
(349,456
)
 
(157,764
)
 
(46,083
)
Foreign currency translation
9,688

 
(7,911
)
 
17,772

Balance at end of period
$
18,763,903

 
$
17,029,404

 
$
6,600,886

Accumulated depreciation:
 
 
 
 
 
Balance at beginning of period
$
1,729,976

 
$
1,368,219

 
$
1,177,911

Additions during period:
 
 
 
 
 
Depreciation expense
620,076

 
380,734

 
197,256

Dispositions:
 
 
 
 
 
Sales and/or transfers to assets held for sale
(61,583
)
 
(16,536
)
 
(8,259
)
Foreign currency translation
1,314

 
(2,441
)
 
1,311

Balance at end of period
$
2,289,783

 
$
1,729,976

 
$
1,368,219


138


VENTAS, INC.
SCHEDULE III
REAL ESTATE AND ACCUMULATED DEPRECIATION
December 31, 2012
(Dollars in Thousands)

 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
 
 
KINDRED SKILLED NURSING FACILITIES
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
0791
 
Whitesburg Gardens Health Care Center
 
Huntsville
 
AL
 
$

 
$
534

 
$
4,216

 
$

 
$
534

 
$
4,216

 
$
4,750

 
$
3,659

 
$
1,091

 
1968
 
1991
 
25 years
0824
 
Specialty Healthcare & Rehabilitation Center of Mobile
 
Mobile
 
AL
 

 
5

 
2,981

 

 
5

 
2,981

 
2,986

 
2,140

 
846

 
1967
 
1992
 
29 years
0853
 
Kachina Point Health Care and Rehabilitation Center
 
Sedona
 
AZ
 

 
364

 
4,179

 

 
364

 
4,179

 
4,543

 
2,944

 
1,599

 
1983
 
1984
 
45 years
0743
 
Desert Life Rehabilitation and Care Center
 
Tucson
 
AZ
 

 
611

 
5,117

 

 
611

 
5,117

 
5,728

 
4,268

 
1,460

 
1979
 
1982
 
37 years
0851
 
Villa Campana Health Care Center
 
Tucson
 
AZ
 

 
533

 
2,201

 

 
533

 
2,201

 
2,734

 
1,316

 
1,418

 
1983
 
1993
 
35 years
0738
 
Bay View Nursing and Rehabilitation Center
 
Alameda
 
CA
 

 
1,462

 
5,981

 

 
1,462

 
5,981

 
7,443

 
4,340

 
3,103

 
1967
 
1993
 
45 years
0167
 
Canyonwood Nursing and Rehab Center
 
Redding
 
CA
 

 
401

 
3,784

 

 
401

 
3,784

 
4,185

 
2,034

 
2,151

 
1989
 
1989
 
45 years
0150
 
The Tunnell Center for Rehabilitation & Heathcare
 
San Francisco
 
CA
 

 
1,902

 
7,531

 

 
1,902

 
7,531

 
9,433

 
5,346

 
4,087

 
1967
 
1993
 
28 years
0335
 
Lawton Healthcare Center
 
San Francisco
 
CA
 

 
943

 
514

 

 
943

 
514

 
1,457

 
463

 
994

 
1962
 
1996
 
20 years
0148
 
Village Square Nursing and Rehabilitation Center
 
San Marcos
 
CA
 

 
766

 
3,507

 

 
766

 
3,507

 
4,273

 
1,670

 
2,603

 
1989
 
1993
 
42 years
0350
 
Valley Gardens Health Care & Rehabilitation Center
 
Stockton
 
CA
 

 
516

 
3,405

 

 
516

 
3,405

 
3,921

 
1,911

 
2,010

 
1988
 
1988
 
29 years
0745
 
Aurora Care Center
 
Aurora
 
CO
 

 
197

 
2,328

 

 
197

 
2,328

 
2,525

 
1,605

 
920

 
1962
 
1995
 
30 years
0873
 
Brighton Care Center
 
Brighton
 
CO
 

 
282

 
3,377

 

 
282

 
3,377

 
3,659

 
2,394

 
1,265

 
1969
 
1992
 
30 years
0744
 
Cherry Hills Health Care Center
 
Englewood
 
CO
 

 
241

 
2,180

 

 
241

 
2,180

 
2,421

 
1,577

 
844

 
1960
 
1995
 
30 years
0859
 
Malley Healthcare and Rehabilitation Center
 
Northglenn
 
CO
 

 
501

 
8,294

 

 
501

 
8,294

 
8,795

 
5,566

 
3,229

 
1971
 
1993
 
29 years
0568
 
Parkway Pavilion Healthcare
 
Enfield
 
CT
 

 
337

 
3,607

 

 
337

 
3,607

 
3,944

 
2,802

 
1,142

 
1968
 
1994
 
28 years

139


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
0562
 
Andrew House Healthcare
 
New Britain
 
CT
 

 
247

 
1,963

 

 
247

 
1,963

 
2,210

 
1,314

 
896

 
1967
 
1992
 
29 years
0563
 
The Crossings West Campus
 
New London
 
CT
 

 
202

 
2,363

 

 
202

 
2,363

 
2,565

 
1,702

 
863

 
1969
 
1994
 
28 years
0567
 
The Crossings East Campus
 
New London
 
CT
 

 
401

 
2,776

 

 
401

 
2,776

 
3,177

 
2,160

 
1,017

 
1968
 
1992
 
29 years
0566
 
Windsor Rehabilitation and Healthcare Center
 
Windsor
 
CT
 

 
368

 
2,520

 

 
368

 
2,520

 
2,888

 
1,949

 
939

 
1965
 
1994
 
30 years
1228
 
Lafayette Nursing and Rehab Center
 
Fayetteville
 
GA
 

 
598

 
6,623

 

 
598

 
6,623

 
7,221

 
5,673

 
1,548

 
1989
 
1995
 
20 years
0645
 
Specialty Care of Marietta
 
Marietta
 
GA
 

 
241

 
2,782

 

 
241

 
2,782

 
3,023

 
2,014

 
1,009

 
1968
 
1993
 
28.5 years
0155
 
Savannah Rehabilitation & Nursing Center
 
Savannah
 
GA
 

 
213

 
2,772

 

 
213

 
2,772

 
2,985

 
1,935

 
1,050

 
1968
 
1993
 
28.5 years
0660
 
Savannah Specialty Care Center
 
Savannah
 
GA
 

 
157

 
2,219

 

 
157

 
2,219

 
2,376

 
1,822

 
554

 
1972
 
1991
 
26 years
0216
 
Boise Health and Rehabilitation Center
 
Boise
 
ID
 

 
256

 
3,593

 

 
256

 
3,593

 
3,849

 
1,431

 
2,418

 
1977
 
1998
 
45 years
0218
 
Canyon West Health and Rehabilitation Center
 
Caldwell
 
ID
 

 
312

 
2,050

 

 
312

 
2,050

 
2,362

 
901

 
1,461

 
1974
 
1998
 
45 years
0409
 
Mountain Valley Care & Rehabilitation Center
 
Kellogg
 
ID
 

 
68

 
1,280

 

 
68

 
1,280

 
1,348

 
1,288

 
60

 
1971
 
1984
 
25 years
0221
 
Lewiston Rehabilitation & Care Center
 
Lewiston
 
ID
 

 
133

 
3,982

 

 
133

 
3,982

 
4,115

 
3,285

 
830

 
1964
 
1984
 
29 years
0225
 
Aspen Park Healthcare
 
Moscow
 
ID
 

 
261

 
2,571

 

 
261

 
2,571

 
2,832

 
2,300

 
532

 
1955
 
1990
 
25 years
0222
 
Nampa Care Center
 
Nampa
 
ID
 

 
252

 
2,810

 

 
252

 
2,810

 
3,062

 
2,676

 
386

 
1950
 
1983
 
25 years
0223
 
Weiser Rehabilitation & Care Center
 
Weiser
 
ID
 

 
157

 
1,760

 

 
157

 
1,760

 
1,917

 
1,824

 
93

 
1963
 
1983
 
25 years
0269
 
Meadowvale Health and Rehabilitation Center
 
Bluffton
 
IN
 

 
7

 
787

 

 
7

 
787

 
794

 
592

 
202

 
1962
 
1995
 
22 years
0290
 
Bremen Health Care Center
 
Bremen
 
IN
 

 
109

 
3,354

 

 
109

 
3,354

 
3,463

 
2,033

 
1,430

 
1982
 
1996
 
45 years
0694
 
Wedgewood Healthcare Center
 
Clarksville
 
IN
 

 
119

 
5,115

 

 
119

 
5,115

 
5,234

 
3,111

 
2,123

 
1985
 
1995
 
35 years
0780
 
Columbus Health and Rehabilitation Center
 
Columbus
 
IN
 

 
345

 
6,817

 

 
345

 
6,817

 
7,162

 
5,851

 
1,311

 
1966
 
1991
 
25 years
0131
 
Harrison Health and Rehabilitation Centre
 
Corydon
 
IN
 

 
125

 
6,068

 

 
125

 
6,068

 
6,193

 
2,026

 
4,167

 
1998
 
1998
 
45 years
0209
 
Valley View Health Care Center
 
Elkhart
 
IN
 

 
87

 
2,665

 

 
87

 
2,665

 
2,752

 
2,101

 
651

 
1985
 
1993
 
25 years
0213
 
Wildwood Health Care Center
 
Indianapolis
 
IN
 

 
134

 
4,983

 

 
134

 
4,983

 
5,117

 
3,886

 
1,231

 
1988
 
1993
 
25 years

140


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
0294
 
Windsor Estates Health & Rehab Center
 
Kokomo
 
IN
 

 
256

 
6,625

 

 
256

 
6,625

 
6,881

 
3,945

 
2,936

 
1962
 
1995
 
35 years
0407
 
Parkwood Health Care Center
 
Lebanon
 
IN
 

 
121

 
4,512

 

 
121

 
4,512

 
4,633

 
3,509

 
1,124

 
1977
 
1993
 
25 years
0406
 
Muncie Health & Rehabilitation Center
 
Muncie
 
IN
 

 
108

 
4,202

 

 
108

 
4,202

 
4,310

 
3,250

 
1,060

 
1980
 
1993
 
25 years
0111
 
Rolling Hills Health Care Center
 
New Albany
 
IN
 

 
81

 
1,894

 

 
81

 
1,894

 
1,975

 
1,500

 
475

 
1984
 
1993
 
25 years
0112
 
Royal Oaks Health Care and Rehabilitation Center
 
Terre Haute
 
IN
 

 
418

 
5,779

 

 
418

 
5,779

 
6,197

 
2,404

 
3,793

 
1995
 
1995
 
45 years
0113
 
Southwood Health & Rehabilitation Center
 
Terre Haute
 
IN
 

 
90

 
2,868

 

 
90

 
2,868

 
2,958

 
2,249

 
709

 
1988
 
1993
 
25 years
0277
 
Rosewood Health Care Center
 
Bowling Green
 
KY
 

 
248

 
5,371

 

 
248

 
5,371

 
5,619

 
4,017

 
1,602

 
1970
 
1990
 
30 years
0281
 
Riverside Manor Healthcare Center
 
Calhoun
 
KY
 

 
103

 
2,119

 

 
103

 
2,119

 
2,222

 
1,604

 
618

 
1963
 
1990
 
30 years
0278
 
Oakview Nursing and Rehabilitation Center
 
Calvert City
 
KY
 

 
124

 
2,882

 

 
124

 
2,882

 
3,006

 
2,157

 
849

 
1967
 
1990
 
30 years
0782
 
Danville Centre for Health and Rehabilitation
 
Danville
 
KY
 

 
322

 
3,538

 

 
322

 
3,538

 
3,860

 
2,286

 
1,574

 
1962
 
1995
 
30 years
0787
 
Woodland Terrace Health Care Facility
 
Elizabethtown
 
KY
 

 
216

 
1,795

 

 
216

 
1,795

 
2,011

 
1,894

 
117

 
1969
 
1982
 
26 years
0282
 
Maple Manor Health Care Center
 
Greenville
 
KY
 

 
59

 
3,187

 

 
59

 
3,187

 
3,246

 
2,407

 
839

 
1968
 
1990
 
30 years
0864
 
Harrodsburg Health Care Center
 
Harrodsburg
 
KY
 

 
137

 
1,830

 

 
137

 
1,830

 
1,967

 
1,527

 
440

 
1974
 
1985
 
35 years
0784
 
Northfield Centre for Health and Rehabilitation
 
Louisville
 
KY
 

 
285

 
1,555

 

 
285

 
1,555

 
1,840

 
1,262

 
578

 
1969
 
1985
 
30 years
0785
 
Hillcrest Health Care Center
 
Owensboro
 
KY
 

 
544

 
2,619

 

 
544

 
2,619

 
3,163

 
2,697

 
466

 
1963
 
1982
 
22 years
0280
 
Fountain Circle Health and Rehabilitation
 
Winchester
 
KY
 

 
137

 
6,120

 

 
137

 
6,120

 
6,257

 
4,534

 
1,723

 
1967
 
1990
 
30 years
0582
 
Colony House Nursing and Rehabilitation Center
 
Abington
 
MA
 

 
132

 
999

 

 
132

 
999

 
1,131

 
1,079

 
52

 
1965
 
1969
 
40 years
0581
 
Blueberry Hill Skilled Nursing & Rehabilitation Center
 
Beverly
 
MA
 

 
129

 
4,290

 

 
129

 
4,290

 
4,419

 
3,234

 
1,185

 
1965
 
1968
 
40 years
0506
 
Presentation Nursing & Rehabilitation Center
 
Brighton
 
MA
 

 
184

 
1,220

 

 
184

 
1,220

 
1,404

 
1,244

 
160

 
1968
 
1982
 
28 years
0588
 
Walden Rehabilitation and Nursing Center
 
Concord
 
MA
 

 
181

 
1,347

 

 
181

 
1,347

 
1,528

 
1,377

 
151

 
1969
 
1968
 
40 years

141


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
0514
 
Sachem Skilled Nursing & Rehabilitation Center
 
East Bridgewater
 
MA
 

 
529

 
1,238

 

 
529

 
1,238

 
1,767

 
1,538

 
229

 
1968
 
1982
 
27 years
0508
 
Crawford Skilled Nursing and Rehabilitation Center
 
Fall River
 
MA
 

 
127

 
1,109

 

 
127

 
1,109

 
1,236

 
1,111

 
125

 
1968
 
1982
 
29 years
0532
 
Hillcrest Nursing and Rehabilitation Center
 
Fitchburg
 
MA
 

 
175

 
1,461

 

 
175

 
1,461

 
1,636

 
1,472

 
164

 
1957
 
1984
 
25 years
0584
 
Franklin Skilled Nursing and Rehabilitation Center
 
Franklin
 
MA
 

 
156

 
757

 

 
156

 
757

 
913

 
796

 
117

 
1967
 
1969
 
40 years
0518
 
Timberlyn Heights Nursing and Rehabilitation Center
 
Great Barrington
 
MA
 

 
120

 
1,305

 

 
120

 
1,305

 
1,425

 
1,261

 
164

 
1968
 
1982
 
29 years
0585
 
Great Barrington Rehabilitation and Nursing Center
 
Great Barrington
 
MA
 

 
60

 
1,142

 

 
60

 
1,142

 
1,202

 
1,140

 
62

 
1967
 
1969
 
40 years
0327
 
Laurel Ridge Rehabilitation and Nursing Center
 
Jamaica Plain
 
MA
 

 
194

 
1,617

 

 
194

 
1,617

 
1,811

 
1,324

 
487

 
1968
 
1989
 
30 years
0587
 
River Terrace Healthcare
 
Lancaster
 
MA
 

 
268

 
957

 

 
268

 
957

 
1,225

 
1,116

 
109

 
1969
 
1969
 
40 years
0529
 
Bolton Manor Nursing and Rehabilitation Center
 
Marlborough
 
MA
 

 
222

 
2,431

 

 
222

 
2,431

 
2,653

 
2,051

 
602

 
1973
 
1984
 
34.5 years
0526
 
The Eliot Healthcare Center
 
Natick
 
MA
 

 
249

 
1,328

 

 
249

 
1,328

 
1,577

 
1,337

 
240

 
1996
 
1982
 
31 years
0513
 
Hallmark Nursing and Rehabilitation Center
 
New Bedford
 
MA
 

 
202

 
2,694

 

 
202

 
2,694

 
2,896

 
2,412

 
484

 
1968
 
1982
 
26 years
0503
 
Brigham Manor Nursing and Rehabilitation Center
 
Newburyport
 
MA
 

 
126

 
1,708

 

 
126

 
1,708

 
1,834

 
1,563

 
271

 
1806
 
1982
 
27 years
0507
 
Country Rehabilitation and Nursing Center
 
Newburyport
 
MA
 

 
199

 
3,004

 

 
199

 
3,004

 
3,203

 
2,696

 
507

 
1968
 
1982
 
27 years
0537
 
Quincy Rehabilitation and Nursing Center
 
Quincy
 
MA
 

 
216

 
2,911

 

 
216

 
2,911

 
3,127

 
2,725

 
402

 
1965
 
1984
 
24 years
0542
 
Den-Mar Rehabilitation and Nursing Center
 
Rockport
 
MA
 

 
23

 
1,560

 

 
23

 
1,560

 
1,583

 
1,452

 
131

 
1963
 
1985
 
30 years
0516
 
Hammersmith House Nursing Care Center
 
Saugus
 
MA
 

 
112

 
1,919

 

 
112

 
1,919

 
2,031

 
1,703

 
328

 
1965
 
1982
 
28 years
0573
 
Eagle Pond Rehabilitation and Living Center
 
South Dennis
 
MA
 

 
296

 
6,896

 

 
296

 
6,896

 
7,192

 
3,709

 
3,483

 
1985
 
1987
 
50 years
0501
 
Blue Hills Alzheimer’s Care Center
 
Stoughton
 
MA
 

 
511

 
1,026

 

 
511

 
1,026

 
1,537

 
1,378

 
159

 
1965
 
1982
 
28 years
0534
 
Country Gardens Skilled Nursing & Rehabilitation Center
 
Swansea
 
MA
 

 
415

 
2,675

 

 
415

 
2,675

 
3,090

 
2,441

 
649

 
1969
 
1984
 
27 years
0198
 
Harrington House Nursing and Rehabilitation Center
 
Walpole
 
MA
 

 
4

 
4,444

 

 
4

 
4,444

 
4,448

 
2,185

 
2,263

 
1991
 
1991
 
45 years

142


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
0517
 
Oakwood Rehabilitation and Nursing Center
 
Webster
 
MA
 

 
102

 
1,154

 

 
102

 
1,154

 
1,256

 
1,152

 
104

 
1967
 
1982
 
31 years
0539
 
Newton and Wellesley Alzheimer Center
 
Wellesley
 
MA
 

 
297

 
3,250

 

 
297

 
3,250

 
3,547

 
2,750

 
797

 
1971
 
1984
 
30 years
0544
 
Augusta Rehabilitation Center
 
Augusta
 
ME
 

 
152

 
1,074

 

 
152

 
1,074

 
1,226

 
1,009

 
217

 
1968
 
1985
 
30 years
0545
 
Eastside Rehabilitation and Living Center
 
Bangor
 
ME
 

 
316

 
1,349

 

 
316

 
1,349

 
1,665

 
1,214

 
451

 
1967
 
1985
 
30 years
0554
 
Westgate Manor
 
Bangor
 
ME
 

 
287

 
2,718

 

 
287

 
2,718

 
3,005

 
2,388

 
617

 
1969
 
1985
 
31 years
0546
 
Winship Green Nursing Center
 
Bath
 
ME
 

 
110

 
1,455

 

 
110

 
1,455

 
1,565

 
1,200

 
365

 
1974
 
1985
 
35 years
0547
 
Brewer Rehabilitation and Living Center
 
Brewer
 
ME
 

 
228

 
2,737

 

 
228

 
2,737

 
2,965

 
2,143

 
822

 
1974
 
1985
 
33 years
0549
 
Kennebunk Nursing and Rehabilitation Center
 
Kennebunk
 
ME
 

 
99

 
1,898

 

 
99

 
1,898

 
1,997

 
1,443

 
554

 
1977
 
1985
 
35 years
0550
 
Norway Rehabilitation & Living Center
 
Norway
 
ME
 

 
133

 
1,658

 

 
133

 
1,658

 
1,791

 
1,255

 
536

 
1972
 
1985
 
39 years
0555
 
Brentwood Rehabilitation and Nursing Center
 
Yarmouth
 
ME
 

 
181

 
2,789

 

 
181

 
2,789

 
2,970

 
2,179

 
791

 
1945
 
1985
 
45 years
0433
 
Parkview Acres Care and Rehabilitation Center
 
Dillon
 
MT
 

 
207

 
2,578

 

 
207

 
2,578

 
2,785

 
1,820

 
965

 
1965
 
1993
 
29 years
0416
 
Park Place Health Care Center
 
Great Falls
 
MT
 

 
600

 
6,311

 

 
600

 
6,311

 
6,911

 
4,419

 
2,492

 
1963
 
1993
 
28 years
0806
 
Chapel Hill Rehabilitation and Healthcare Center
 
Chapel Hill
 
NC
 

 
347

 
3,029

 

 
347

 
3,029

 
3,376

 
2,200

 
1,176

 
1984
 
1993
 
28 years
0116
 
Pettigrew Rehabilitation and Healthcare Center
 
Durham
 
NC
 

 
101

 
2,889

 

 
101

 
2,889

 
2,990

 
2,128

 
862

 
1969
 
1993
 
28 years
0146
 
Rose Manor Healthcare Center
 
Durham
 
NC
 

 
200

 
3,527

 

 
200

 
3,527

 
3,727

 
2,902

 
825

 
1972
 
1991
 
26 years
0726
 
Guardian Care of Elizabeth City
 
Elizabeth City
 
NC
 

 
71

 
561

 

 
71

 
561

 
632

 
632

 

 
1977
 
1982
 
20 years
0724
 
Rehabilitation and Health Center of Gastonia
 
Gastonia
 
NC
 

 
158

 
2,359

 

 
158

 
2,359

 
2,517

 
1,727

 
790

 
1968
 
1992
 
29 years
0706
 
Guardian Care of Henderson
 
Henderson
 
NC
 

 
206

 
1,997

 

 
206

 
1,997

 
2,203

 
1,409

 
794

 
1957
 
1993
 
29 years
0711
 
Kinston Rehabilitation and Healthcare Center
 
Kinston
 
NC
 

 
186

 
3,038

 

 
186

 
3,038

 
3,224

 
2,056

 
1,168

 
1961
 
1993
 
29 years
0307
 
Lincoln Nursing Center
 
Lincolnton
 
NC
 

 
39

 
3,309

 

 
39

 
3,309

 
3,348

 
2,533

 
815

 
1976
 
1986
 
35 years
0707
 
Rehabilitation and Nursing Center of Monroe
 
Monroe
 
NC
 

 
185

 
2,654

 

 
185

 
2,654

 
2,839

 
1,975

 
864

 
1963
 
1993
 
28 years
0137
 
Sunnybrook Healthcare and Rehabilitation Specialists
 
Raleigh
 
NC
 

 
187

 
3,409

 

 
187

 
3,409

 
3,596

 
2,933

 
663

 
1971
 
1991
 
25 years

143


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
0143
 
Raleigh Rehabilitation & Healthcare Center
 
Raleigh
 
NC
 

 
316

 
5,470

 

 
316

 
5,470

 
5,786

 
4,667

 
1,119

 
1969
 
1991
 
25 years
0704
 
Guardian Care of Roanoke Rapids
 
Roanoke Rapids
 
NC
 

 
339

 
4,132

 

 
339

 
4,132

 
4,471

 
3,456

 
1,015

 
1967
 
1991
 
25 years
0723
 
Guardian Care of Rocky Mount
 
Rocky Mount
 
NC
 

 
240

 
1,732

 

 
240

 
1,732

 
1,972

 
1,440

 
532

 
1975
 
1997
 
25 years
0188
 
Cypress Pointe Rehabilitation and Health Care Centre
 
Wilmington
 
NC
 

 
233

 
3,710

 

 
233

 
3,710

 
3,943

 
2,764

 
1,179

 
1966
 
1993
 
28.5 years
0191
 
Silas Creek Manor
 
Winston-Salem
 
NC
 

 
211

 
1,893

 

 
211

 
1,893

 
2,104

 
1,349

 
755

 
1966
 
1993
 
28.5 years
0713
 
Guardian Care of Zebulon
 
Zebulon
 
NC
 

 
179

 
1,933

 

 
179

 
1,933

 
2,112

 
1,368

 
744

 
1973
 
1993
 
29 years
0591
 
Dover Rehabilitation and Living Center
 
Dover
 
NH
 

 
355

 
3,797

 

 
355

 
3,797

 
4,152

 
3,533

 
619

 
1969
 
1990
 
25 years
0593
 
Hanover Terrace Healthcare
 
Hanover
 
NH
 

 
326

 
1,825

 

 
326

 
1,825

 
2,151

 
1,274

 
877

 
1969
 
1993
 
29 years
0592
 
Greenbriar Terrace Healthcare
 
Nashua
 
NH
 

 
776

 
6,011

 

 
776

 
6,011

 
6,787

 
5,135

 
1,652

 
1963
 
1990
 
25 years
0640
 
Las Vegas Healthcare and Rehabilitation Center
 
Las Vegas
 
NV
 

 
454

 
1,018

 

 
454

 
1,018

 
1,472

 
607

 
865

 
1940
 
1992
 
30 years
0641
 
Torrey Pines Care Center
 
Las Vegas
 
NV
 

 
256

 
1,324

 

 
256

 
1,324

 
1,580

 
1,007

 
573

 
1971
 
1992
 
29 years
0634
 
Cambridge Health & Rehabilitation Center
 
Cambridge
 
OH
 

 
108

 
2,642

 

 
108

 
2,642

 
2,750

 
2,094

 
656

 
1975
 
1993
 
25 years
0572
 
Winchester Place Nursing and Rehabilitation Center
 
Canal Winchester
 
OH
 

 
454

 
7,149

 

 
454

 
7,149

 
7,603

 
5,563

 
2,040

 
1974
 
1993
 
28 years
0569
 
Chillicothe Nursing & Rehabilitation Center
 
Chillicothe
 
OH
 

 
128

 
3,481

 

 
128

 
3,481

 
3,609

 
2,837

 
772

 
1976
 
1985
 
34 years
0560
 
Franklin Woods Nursing and Rehabilitation Center
 
Columbus
 
OH
 

 
190

 
4,712

 

 
190

 
4,712

 
4,902

 
2,619

 
2,283

 
1986
 
1992
 
38 years
0577
 
Minerva Park Nursing and Rehabilitation Center
 
Columbus
 
OH
 

 
210

 
3,684

 

 
210

 
3,684

 
3,894

 
1,514

 
2,380

 
1973
 
1997
 
45 years
0635
 
Coshocton Health & Rehabilitation Center
 
Coshocton
 
OH
 

 
203

 
1,979

 

 
203

 
1,979

 
2,182

 
1,554

 
628

 
1974
 
1993
 
25 years
0868
 
Lebanon Country Manor
 
Lebanon
 
OH
 

 
105

 
3,617

 

 
105

 
3,617

 
3,722

 
2,358

 
1,364

 
1984
 
1986
 
43 years
0571
 
Logan Health Care Center
 
Logan
 
OH
 

 
169

 
3,750

 

 
169

 
3,750

 
3,919

 
2,706

 
1,213

 
1979
 
1991
 
30 years
0570
 
Pickerington Nursing & Rehabilitation Center
 
Pickerington
 
OH
 

 
312

 
4,382

 

 
312

 
4,382

 
4,694

 
2,471

 
2,223

 
1984
 
1992
 
37 years
0453
 
Medford Rehabilitation and Healthcare Center
 
Medford
 
OR
 

 
362

 
4,610

 

 
362

 
4,610

 
4,972

 
3,310

 
1,662

 
1961
 
1991
 
34 years
0452
 
Sunnyside Care Center
 
Salem
 
OR
 

 
1,512

 
2,249

 

 
1,512

 
2,249

 
3,761

 
1,449

 
2,312

 
1981
 
1991
 
30 years

144


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
1237
 
Wyomissing Nursing and Rehabilitation Center
 
Reading
 
PA
 

 
61

 
5,095

 

 
61

 
5,095

 
5,156

 
2,140

 
3,016

 
1966
 
1993
 
45 years
1231
 
Oak Hill Nursing and Rehabilitation Center
 
Pawtucket
 
RI
 

 
91

 
6,724

 

 
91

 
6,724

 
6,815

 
2,862

 
3,953

 
1966
 
1990
 
45 years
0884
 
Masters Health Care Center
 
Algood
 
TN
 

 
524

 
4,370

 

 
524

 
4,370

 
4,894

 
3,124

 
1,770

 
1981
 
1987
 
38 years
0132
 
Madison Healthcare and Rehabilitation Center
 
Madison
 
TN
 

 
168

 
1,445

 

 
168

 
1,445

 
1,613

 
1,058

 
555

 
1968
 
1992
 
29 years
0822
 
Primacy Healthcare and Rehabilitation Center
 
Memphis
 
TN
 

 
1,222

 
8,344

 

 
1,222

 
8,344

 
9,566

 
5,262

 
4,304

 
1980
 
1990
 
37 years
0140
 
Wasatch Care Center
 
Ogden
 
UT
 

 
373

 
597

 

 
373

 
597

 
970

 
596

 
374

 
1964
 
1990
 
25 years
0247
 
St. George Care and Rehabilitation Center
 
Saint George
 
UT
 

 
419

 
4,465

 

 
419

 
4,465

 
4,884

 
2,893

 
1,991

 
1976
 
1993
 
29 years
0655
 
Federal Heights Rehabilitation and Nursing Center
 
Salt Lake City
 
UT
 

 
201

 
2,322

 

 
201

 
2,322

 
2,523

 
1,696

 
827

 
1962
 
1992
 
29 years
0230
 
Crosslands Rehabilitation & Healthcare Center
 
Sandy
 
UT
 

 
334

 
4,300

 

 
334

 
4,300

 
4,634

 
2,328

 
2,306

 
1987
 
1992
 
40 years
0826
 
Harbour Pointe Medical and Rehabilitation Center
 
Norfolk
 
VA
 

 
427

 
4,441

 

 
427

 
4,441

 
4,868

 
3,188

 
1,680

 
1969
 
1993
 
28 years
0825
 
Nansemond Pointe Rehabilitation and Healthcare Center
 
Suffolk
 
VA
 

 
534

 
6,990

 

 
534

 
6,990

 
7,524

 
4,702

 
2,822

 
1963
 
1991
 
32 years
0829
 
River Pointe Rehabilitation and Healthcare Center
 
Virginia Beach
 
VA
 

 
770

 
4,440

 

 
770

 
4,440

 
5,210

 
3,878

 
1,332

 
1953
 
1991
 
25 years
0842
 
Bay Pointe Medical and Rehabilitation Center
 
Virginia Beach
 
VA
 

 
805

 
2,886

 
(380
)
 
425

 
2,886

 
3,311

 
1,989

 
1,322

 
1971
 
1993
 
29 years
0559
 
Birchwood Terrace Healthcare
 
Burlington
 
VT
 

 
15

 
4,656

 

 
15

 
4,656

 
4,671

 
4,127

 
544

 
1965
 
1990
 
27 years
0158
 
Bellingham Health Care and Rehabilitation Services
 
Bellingham
 
WA
 

 
441

 
3,824

 

 
441

 
3,824

 
4,265

 
2,711

 
1,554

 
1972
 
1993
 
28.5 years
0168
 
Lakewood Healthcare Center
 
Lakewood
 
WA
 

 
504

 
3,511

 

 
504

 
3,511

 
4,015

 
2,062

 
1,953

 
1989
 
1989
 
45 years
0127
 
Northwest Continuum Care Center
 
Longview
 
WA
 

 
145

 
2,563

 

 
145

 
2,563

 
2,708

 
1,847

 
861

 
1955
 
1992
 
29 years
0165
 
Rainier Vista Care Center
 
Puyallup
 
WA
 

 
520

 
4,780

 

 
520

 
4,780

 
5,300

 
2,547

 
2,753

 
1986
 
1991
 
40 years
0114
 
Arden Rehabilitation and Healthcare Center
 
Seattle
 
WA
 

 
1,111

 
4,013

 

 
1,111

 
4,013

 
5,124

 
2,827

 
2,297

 
1950
 
1993
 
28.5 years
0462
 
Queen Anne Healthcare
 
Seattle
 
WA
 

 
570

 
2,750

 

 
570

 
2,750

 
3,320

 
2,016

 
1,304

 
1970
 
1993
 
29 years
0180
 
Vancouver Health & Rehabilitation Center
 
Vancouver
 
WA
 

 
449

 
2,964

 

 
449

 
2,964

 
3,413

 
2,145

 
1,268

 
1970
 
1993
 
28 years
0765
 
Eastview Medical and Rehabilitation Center
 
Antigo
 
WI
 

 
200

 
4,047

 

 
200

 
4,047

 
4,247

 
3,384

 
863

 
1962
 
1991
 
28 years

145


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
0767
 
Colony Oaks Care Center
 
Appleton
 
WI
 

 
353

 
3,571

 

 
353

 
3,571

 
3,924

 
2,749

 
1,175

 
1967
 
1993
 
29 years
0773
 
Mount Carmel Medical and Rehabilitation Center
 
Burlington
 
WI
 

 
274

 
7,205

 

 
274

 
7,205

 
7,479

 
4,649

 
2,830

 
1971
 
1991
 
30 years
0289
 
San Luis Medical and Rehabilitation Center
 
Green Bay
 
WI
 

 
259

 
5,299

 

 
259

 
5,299

 
5,558

 
4,287

 
1,271

 
1968
 
1996
 
25 years
0775
 
Sheridan Medical Complex
 
Kenosha
 
WI
 

 
282

 
4,910

 

 
282

 
4,910

 
5,192

 
4,145

 
1,047

 
1964
 
1991
 
25 years
0776
 
Woodstock Health and Rehabilitation Center
 
Kenosha
 
WI
 

 
562

 
7,424

 

 
562

 
7,424

 
7,986

 
6,476

 
1,510

 
1970
 
1991
 
25 years
0769
 
North Ridge Medical and Rehabilitation Center
 
Manitowoc
 
WI
 

 
206

 
3,785

 

 
206

 
3,785

 
3,991

 
2,799

 
1,192

 
1964
 
1992
 
29 years
0774
 
Mt. Carmel Health & Rehabilitation Center
 
Milwaukee
 
WI
 

 
2,678

 
25,867

 

 
2,678

 
25,867

 
28,545

 
20,276

 
8,269

 
1958
 
1991
 
30 years
0770
 
Vallhaven Care Center
 
Neenah
 
WI
 

 
337

 
5,125

 

 
337

 
5,125

 
5,462

 
3,793

 
1,669

 
1966
 
1993
 
28 years
0771
 
Kennedy Park Medical & Rehabilitation Center
 
Schofield
 
WI
 

 
301

 
3,596

 

 
301

 
3,596

 
3,897

 
3,618

 
279

 
1966
 
1982
 
29 years
0766
 
Colonial Manor Medical and Rehabilitation Center
 
Wausau
 
WI
 

 
169

 
3,370

 

 
169

 
3,370

 
3,539

 
2,213

 
1,326

 
1964
 
1995
 
30 years
0441
 
Mountain Towers Healthcare and Rehabilitation Center
 
Cheyenne
 
WY
 

 
342

 
3,468

 

 
342

 
3,468

 
3,810

 
2,376

 
1,434

 
1964
 
1992
 
29 years
0481
 
South Central Wyoming Healthcare and Rehabilitation
 
Rawlins
 
WY
 

 
151

 
1,738

 

 
151

 
1,738

 
1,889

 
1,214

 
675

 
1955
 
1993
 
29 years
0482
 
Wind River Healthcare and Rehabilitation Center
 
Riverton
 
WY
 

 
179

 
1,559

 

 
179

 
1,559

 
1,738

 
1,073

 
665

 
1967
 
1992
 
29 years
0483
 
Sage View Care Center
 
Rock Springs
 
WY
 

 
287

 
2,392

 

 
287

 
2,392

 
2,679

 
1,692

 
987

 
1964
 
1993
 
30 years
 
 
TOTAL KINDRED SKILLED NURSING FACILITIES
 
 
 
 
 

 
50,560

 
541,668

 
(380
)
 
50,180

 
541,668

 
591,848

 
398,779

 
193,069

 
 
 
 
 
 

146


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
 
 
NON-KINDRED SKILLED NURSING FACILITIES
 
 
 
 
 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 
 
 
 
 
7562
 
Saline Nursing Center
 
Benton
 
AR
 

 
650

 
13,540

 
18

 
650

 
13,558

 
14,208

 
676

 
13,532

 
1992
 
2011
 
35 years
7565
 
Regional Nursing Center
 
Bryant
 
AR
 

 
480

 
12,455

 

 
480

 
12,455

 
12,935

 
626

 
12,309

 
1989
 
2011
 
35 years
3786
 
Beverly Health Care Golflinks
 
Hot Springs
 
AR
 

 
500

 
11,311

 

 
500

 
11,311

 
11,811

 
594

 
11,217

 
1978
 
2011
 
35 years
7566
 
Lakewood Rehab Center
 
Lake Village
 
AR
 

 
560

 
8,594

 
23

 
560

 
8,617

 
9,177

 
457

 
8,720

 
1998
 
2011
 
35 years
7560
 
Countrywood Estates
 
Monticello
 
AR
 

 
260

 
9,542

 

 
260

 
9,542

 
9,802

 
476

 
9,326

 
1995
 
2011
 
35 years
7561
 
Riverview Manor
 
Morrilton
 
AR
 

 
240

 
9,476

 

 
240

 
9,476

 
9,716

 
476

 
9,240

 
1988
 
2011
 
35 years
7564
 
Brookridge Life Care & Rehab
 
Morrilton
 
AR
 

 
410

 
11,069

 
4

 
410

 
11,073

 
11,483

 
567

 
10,916

 
1996
 
2011
 
35 years
7563
 
Wynwood Nursing Center
 
Wynne
 
AR
 

 
290

 
10,763

 
1

 
290

 
10,764

 
11,054

 
536

 
10,518

 
1990
 
2011
 
35 years
3765
 
Chowchilla Convalescent Center
 
Chowchilla
 
CA
 

 
1,780

 
5,097

 

 
1,780

 
5,097

 
6,877

 
272

 
6,605

 
1965
 
2011
 
35 years
7140
 
Driftwood Gilroy
 
Gilroy
 
CA
 

 
3,330

 
13,665

 

 
3,330

 
13,665

 
16,995

 
702

 
16,293

 
1968
 
2011
 
35 years
7390
 
Orange Hills Convalescent Hospital
 
Orange
 
CA
 

 
960

 
20,968

 

 
960

 
20,968

 
21,928

 
1,015

 
20,913

 
1987
 
2011
 
35 years
7541
 
Park Place Health Center
 
Hartford
 
CT
 

 
1,370

 
2,908

 

 
1,370

 
2,908

 
4,278

 
264

 
4,014

 
1969
 
2011
 
35 years
7542
 
Spectrum Healthcare Torrington
 
Torrington
 
CT
 

 
1,770

 
2,716

 
420

 
1,770

 
3,136

 
4,906

 
323

 
4,583

 
1969
 
2011
 
35 years
3779
 
Beverly Health—Ft. Pierce
 
Ft. Pierce
 
FL
 

 
840

 
16,318

 

 
840

 
16,318

 
17,158

 
831

 
16,327

 
1960
 
2011
 
35 years
7551
 
Willowwood Health & Rehab Center
 
Flowery Branch
 
GA
 

 
1,130

 
9,219

 

 
1,130

 
9,219

 
10,349

 
471

 
9,878

 
1970
 
2011
 
35 years
2437
 
Westbury
 
Lisle
 
IL
 

 
730

 
9,270

 

 
730

 
9,270

 
10,000

 
1,475

 
8,525

 
1990
 
2009
 
35 years
1568
 
Rolling Hills
 
Anderson
 
IN
 

 
1,600

 
6,710

 

 
1,600

 
6,710

 
8,310

 
370

 
7,940

 
1967
 
2011
 
35 years
1554
 
Chalet Village
 
Berne
 
IN
 

 
590

 
1,654

 

 
590

 
1,654

 
2,244

 
137

 
2,107

 
1986
 
2011
 
35 years
1565
 
Vermillion Convalescent Center
 
Clinton
 
IN
 

 
700

 
11,057

 

 
700

 
11,057

 
11,757

 
569

 
11,188

 
1971
 
2011
 
35 years
1560
 
Willow Crossing
 
Columbus
 
IN
 

 
880

 
4,963

 

 
880

 
4,963

 
5,843

 
288

 
5,555

 
1988
 
2011
 
35 years
1555
 
Willowbend Nursing Center
 
East Muncie
 
IN
 

 
1,080

 
4,026

 

 
1,080

 
4,026

 
5,106

 
225

 
4,881

 
1976
 
2011
 
35 years
1567
 
Greenhill Manor
 
Fowler
 
IN
 

 
380

 
7,659

 

 
380

 
7,659

 
8,039

 
384

 
7,655

 
1973
 
2011
 
35 years
1556
 
Twin City Healthcare
 
Gas City
 
IN
 

 
350

 
3,012

 

 
350

 
3,012

 
3,362

 
185

 
3,177

 
1974
 
2011
 
35 years
1566
 
Hanover
 
Hanover
 
IN
 

 
1,070

 
3,903

 

 
1,070

 
3,903

 
4,973

 
275

 
4,698

 
1975
 
2011
 
35 years
1561
 
AmeriCare of Hartford City
 
Hartford City
 
IN
 

 
470

 
1,855

 

 
470

 
1,855

 
2,325

 
144

 
2,181

 
1988
 
2011
 
35 years

147


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
1562
 
Oakbrook Village
 
Huntington
 
IN
 

 
600

 
1,950

 

 
600

 
1,950

 
2,550

 
130

 
2,420

 
1987
 
2011
 
35 years
1552
 
Lakeview Manor
 
Indianapolis
 
IN
 

 
2,780

 
7,927

 

 
2,780

 
7,927

 
10,707

 
484

 
10,223

 
1968
 
2011
 
35 years
1569
 
Wintersong
 
Knox
 
IN
 

 
420

 
2,019

 

 
420

 
2,019

 
2,439

 
125

 
2,314

 
1984
 
2011
 
35 years
1571
 
Magnolia Woodland
 
Lawrenceburg
 
IN
 

 
340

 
3,757

 

 
340

 
3,757

 
4,097

 
245

 
3,852

 
1966
 
2011
 
35 years
1570
 
Monticello
 
Monticello
 
IN
 

 
460

 
8,461

 

 
460

 
8,461

 
8,921

 
429

 
8,492

 
1988
 
2011
 
35 years
1557
 
Liberty Village
 
Muncie
 
IN
 

 
1,520

 
7,542

 

 
1,520

 
7,542

 
9,062

 
399

 
8,663

 
2001
 
2011
 
35 years
3767
 
Petersburg Health Care Center
 
Petersburg
 
IN
 

 
310

 
8,443

 

 
310

 
8,443

 
8,753

 
439

 
8,314

 
1970
 
2011
 
35 years
1563
 
AmeriCare of Portland
 
Portland
 
IN
 

 
400

 
9,597

 

 
400

 
9,597

 
9,997

 
498

 
9,499

 
1964
 
2011
 
35 years
3766
 
Oakridge Convalescent Center
 
Richmond
 
IN
 

 
640

 
11,128

 

 
640

 
11,128

 
11,768

 
581

 
11,187

 
1975
 
2011
 
35 years
1553
 
Westridge Healthcare Center
 
Terre Haute
 
IN
 

 
690

 
5,384

 

 
690

 
5,384

 
6,074

 
289

 
5,785

 
1965
 
2011
 
35 years
1572
 
Magnolia Washington
 
Washington
 
IN
 

 
220

 
10,054

 

 
220

 
10,054

 
10,274

 
531

 
9,743

 
1968
 
2011
 
35 years
1558
 
Americare of Winchester
 
Winchester
 
IN
 

 
730

 
6,039

 

 
730

 
6,039

 
6,769

 
309

 
6,460

 
1986
 
2011
 
35 years
7343
 
Belleville Health Care Center
 
Belleville
 
KS
 

 
590

 
4,170

 

 
590

 
4,170

 
4,760

 
239

 
4,521

 
1977
 
2011
 
35 years
7347
 
Oak Ridge Acres
 
Hiawatha
 
KS
 

 
350

 
590

 

 
350

 
590

 
940

 
62

 
878

 
1974
 
2011
 
35 years
7350
 
Smokey Hill Rehab Center
 
Salina
 
KS
 

 
360

 
3,705

 

 
360

 
3,705

 
4,065

 
246

 
3,819

 
1981
 
2011
 
35 years
7348
 
Westwood Manor
 
Topeka
 
KS
 

 
250

 
3,735

 

 
250

 
3,735

 
3,985

 
208

 
3,777

 
1973
 
2011
 
35 years
7152
 
Infinia at Wichita
 
Wichita
 
KS
 

 
350

 
13,065

 

 
350

 
13,065

 
13,415

 
633

 
12,782

 
1965
 
2011
 
35 years
3835
 
Jackson Manor
 
Annville
 
KY
 

 
131

 
4,442

 

 
131

 
4,442

 
4,573

 
783

 
3,790

 
1989
 
2006
 
35 years
3830
 
Colonial Health & Rehabilitation Center
 
Bardstown
 
KY
 

 
38

 
2,829

 

 
38

 
2,829

 
2,867

 
498

 
2,369

 
1968
 
2006
 
35 years
3832
 
Green Valley Health & Rehabilitation Center
 
Carrollton
 
KY
 

 
29

 
2,325

 

 
29

 
2,325

 
2,354

 
410

 
1,944

 
1978
 
2006
 
35 years
3845
 
Summit Manor Health & Rehabilitation Center
 
Columbia
 
KY
 

 
38

 
12,510

 

 
38

 
12,510

 
12,548

 
2,204

 
10,344

 
1965
 
2006
 
35 years
3831
 
Glasgow Health & Rehabilitation Center
 
Glasgow
 
KY
 

 
21

 
2,997

 

 
21

 
2,997

 
3,018

 
528

 
2,490

 
1968
 
2006
 
35 years
3841
 
Professional Care Health & Rehabilitation Center
 
Hartford
 
KY
 

 
22

 
7,905

 

 
22

 
7,905

 
7,927

 
1,393

 
6,534

 
1967
 
2006
 
35 years
3833
 
Hart County Health Center
 
Horse Cave
 
KY
 

 
68

 
6,059

 

 
68

 
6,059

 
6,127

 
1,068

 
5,059

 
1993
 
2006
 
35 years

148


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
3834
 
Heritage Hall Health & Rehabilitation Center
 
Lawrenceburg
 
KY
 

 
38

 
3,920

 

 
38

 
3,920

 
3,958

 
691

 
3,267

 
1973
 
2006
 
35 years
3844
 
Tanbark Health & Rehabilitation Center
 
Lexington
 
KY
 

 
868

 
6,061

 

 
868

 
6,061

 
6,929

 
1,068

 
5,861

 
1989
 
2006
 
35 years
3836
 
Jefferson Manor
 
Louisville
 
KY
 

 
2,169

 
4,075

 

 
2,169

 
4,075

 
6,244

 
718

 
5,526

 
1982
 
2006
 
35 years
3837
 
Jefferson Place
 
Louisville
 
KY
 

 
1,307

 
9,175

 

 
1,307

 
9,175

 
10,482

 
1,617

 
8,865

 
1991
 
2006
 
35 years
3838
 
Meadowview Health & Rehabilitation Center
 
Louisville
 
KY
 

 
317

 
4,666

 

 
317

 
4,666

 
4,983

 
822

 
4,161

 
1973
 
2006
 
35 years
3842
 
Rockford Health & Rehabilitation Center
 
Louisville
 
KY
 

 
364

 
9,568

 

 
364

 
9,568

 
9,932

 
1,686

 
8,246

 
1975
 
2006
 
35 years
3843
 
Summerfield Health & Rehabilitation Center
 
Louisville
 
KY
 

 
1,089

 
10,756

 

 
1,089

 
10,756

 
11,845

 
1,895

 
9,950

 
1979
 
2006
 
35 years
3829
 
McCreary Health & Rehabilitation Center
 
Pine Knot
 
KY
 

 
73

 
2,443

 

 
73

 
2,443

 
2,516

 
430

 
2,086

 
1990
 
2006
 
35 years
3840
 
North Hardin Health & Rehabilitation Center
 
Radcliff
 
KY
 

 
218

 
11,944

 

 
218

 
11,944

 
12,162

 
2,104

 
10,058

 
1986
 
2006
 
35 years
3839
 
Monroe Health & Rehabilitation Center
 
Tompkinsville
 
KY
 

 
32

 
8,756

 

 
32

 
8,756

 
8,788

 
1,543

 
7,245

 
1969
 
2006
 
35 years
1730
 
Wingate at Andover
 
Andover
 
MA
 

 
1,450

 
14,798

 

 
1,450

 
14,798

 
16,248

 
773

 
15,475

 
1992
 
2011
 
35 years
1731
 
Wingate at Brighton
 
Brighton
 
MA
 

 
1,070

 
7,383

 

 
1,070

 
7,383

 
8,453

 
440

 
8,013

 
1995
 
2011
 
35 years
1745
 
Chestnut Hill Rehab & Nursing
 
East Longmeadow
 
MA
 

 
3,050

 
5,392

 

 
3,050

 
5,392

 
8,442

 
345

 
8,097

 
1985
 
2011
 
35 years
1747
 
Wingate at Haverhill
 
Haverville
 
MA
 

 
810

 
9,288

 

 
810

 
9,288

 
10,098

 
531

 
9,567

 
1973
 
2011
 
35 years
1737
 
Skilled Care Center at Silver Lake
 
Kingston
 
MA
 

 
3,230

 
19,870

 

 
3,230

 
19,870

 
23,100

 
1,118

 
21,982

 
1992
 
2011
 
35 years
1739
 
Wentworth Skilled Care Center
 
Lowell
 
MA
 

 
820

 
11,220

 

 
820

 
11,220

 
12,040

 
579

 
11,461

 
1966
 
2011
 
35 years
1732
 
Wingate at Needham
 
Needham
 
MA
 

 
920

 
9,236

 

 
920

 
9,236

 
10,156

 
528

 
9,628

 
1996
 
2011
 
35 years
1733
 
Wingate at Reading
 
Reading
 
MA
 

 
920

 
7,499

 

 
920

 
7,499

 
8,419

 
436

 
7,983

 
1988
 
2011
 
35 years
1736
 
Wingate at South Hadley
 
South Hadley
 
MA
 

 
1,870

 
15,572

 

 
1,870

 
15,572

 
17,442

 
799

 
16,643

 
1988
 
2011
 
35 years
1746
 
Ring East
 
Springfield
 
MA
 

 
1,250

 
13,561

 

 
1,250

 
13,561

 
14,811

 
727

 
14,084

 
1987
 
2011
 
35 years
1734
 
Wingate at Sudbury
 
Sudbury
 
MA
 

 
1,540

 
8,100

 

 
1,540

 
8,100

 
9,640

 
495

 
9,145

 
1997
 
2011
 
35 years
1744
 
Riverdale Gardens Rehab & Nursing
 
West Springfield
 
MA
 

 
2,140

 
6,997

 
107

 
2,140

 
7,104

 
9,244

 
477

 
8,767

 
1960
 
2011
 
35 years
1735
 
Wingate at Wilbraham
 
Wilbraham
 
MA
 

 
4,070

 
10,777

 

 
4,070

 
10,777

 
14,847

 
605

 
14,242

 
1988
 
2011
 
35 years

149


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
1740
 
Worcester Skilled Care Center
 
Worcester
 
MA
 

 
620

 
10,958

 

 
620

 
10,958

 
11,578

 
619

 
10,959

 
1970
 
2011
 
35 years
3774
 
Cumberland Villa Nursing Center
 
Cumberland
 
MD
 

 
660

 
23,970

 

 
660

 
23,970

 
24,630

 
1,143

 
23,487

 
1968
 
2011
 
35 years
3773
 
Colton Villa
 
Hagerstown
 
MD
 

 
1,550

 
16,973

 

 
1,550

 
16,973

 
18,523

 
862

 
17,661

 
1971
 
2011
 
35 years
3775
 
Westminster Nursing & Convalescent Center
 
Westminster
 
MD
 

 
2,160

 
15,931

 

 
2,160

 
15,931

 
18,091

 
808

 
17,283

 
1973
 
2011
 
35 years
7586
 
Autumn Woods Residential Health Care Facility
 
Warren
 
MI
 

 
1,495

 
26,015

 

 
1,495

 
26,015

 
27,510

 
255

 
27,255

 
2012
 
2012
 
35 years
7160
 
Waters of Park Point
 
Duluth
 
MN
 

 
2,920

 
8,271

 
(2,333
)
 
2,920

 
5,938

 
8,858

 
423

 
8,435

 
1971
 
2011
 
35 years
3784
 
Hopkins Healthcare
 
Hopkins
 
MN
 

 
4,470

 
21,409

 

 
4,470

 
21,409

 
25,879

 
1,047

 
24,832

 
1961
 
2011
 
35 years
7005
 
Andrew Care Home
 
Minneapolis
 
MN
 

 
3,280

 
5,083

 

 
3,280

 
5,083

 
8,363

 
447

 
7,916

 
1941
 
2011
 
35 years
3764
 
Golden Living Center—Rochester East
 
Rochester
 
MN
 

 
639

 
3,497

 

 
639

 
3,497

 
4,136

 
3,554

 
582

 
1967
 
1982
 
28 years
7250
 
Ashland Healthcare
 
Ashland
 
MO
 

 
770

 
4,400

 

 
770

 
4,400

 
5,170

 
238

 
4,932

 
1993
 
2011
 
35 years
7257
 
South Hampton Place
 
Columbia
 
MO
 

 
710

 
11,279

 

 
710

 
11,279

 
11,989

 
566

 
11,423

 
1994
 
2011
 
35 years
7253
 
Dixon Nursing & Rehab
 
Dixon
 
MO
 

 
570

 
3,342

 

 
570

 
3,342

 
3,912

 
192

 
3,720

 
1989
 
2011
 
35 years
7252
 
Current River Nursing
 
Doniphan
 
MO
 

 
450

 
7,703

 

 
450

 
7,703

 
8,153

 
425

 
7,728

 
1991
 
2011
 
35 years
7254
 
Forsyth Care Center
 
Forsyth
 
MO
 

 
710

 
6,731

 

 
710

 
6,731

 
7,441

 
387

 
7,054

 
1993
 
2011
 
35 years
3785
 
Maryville Health Care Center
 
Maryville
 
MO
 

 
630

 
5,825

 

 
630

 
5,825

 
6,455

 
339

 
6,116

 
1972
 
2011
 
35 years
7255
 
Glenwood Healthcare
 
Seymour
 
MO
 

 
670

 
3,737

 

 
670

 
3,737

 
4,407

 
209

 
4,198

 
1990
 
2011
 
35 years
7256
 
Silex Community Care
 
Silex
 
MO
 

 
730

 
2,689

 

 
730

 
2,689

 
3,419

 
166

 
3,253

 
1991
 
2011
 
35 years
7251
 
Bellefontaine Gardens
 
St. Louis
 
MO
 

 
1,610

 
4,314

 

 
1,610

 
4,314

 
5,924

 
271

 
5,653

 
1988
 
2011
 
35 years
2227
 
Gravios Nursing Center
 
St. Louis
 
MO
 

 
1,560

 
10,582

 

 
1,560

 
10,582

 
12,142

 
598

 
11,544

 
1954
 
2011
 
35 years
7258
 
Strafford Care Center
 
Strafford
 
MO
 

 
1,670

 
8,251

 

 
1,670

 
8,251

 
9,921

 
420

 
9,501

 
1995
 
2011
 
35 years
7259
 
Windsor Healthcare
 
Windsor
 
MO
 

 
510

 
3,345

 

 
510

 
3,345

 
3,855

 
192

 
3,663

 
1996
 
2011
 
35 years
3770
 
Lakewood Manor
 
Hendersonville
 
NC
 

 
1,610

 
7,759

 

 
1,610

 
7,759

 
9,369

 
445

 
8,924

 
1979
 
2011
 
35 years
2505
 
Lopatcong Center
 
Phillipsburg
 
NJ
 

 
1,490

 
12,336

 

 
1,490

 
12,336

 
13,826

 
4,071

 
9,755

 
1982
 
2004
 
30 years
2226
 
Hearthstone of Northern Nevada
 
Sparks
 
NV
 

 
1,400

 
9,365

 

 
1,400

 
9,365

 
10,765

 
518

 
10,247

 
1988
 
2011
 
35 years
1742
 
Wingate at St. Francis
 
Beacon
 
NY
 

 
1,900

 
18,115

 

 
1,900

 
18,115

 
20,015

 
932

 
19,083

 
2002
 
2011
 
35 years
7583
 
Garden Gate
 
Cheektowaga
 
NY
 

 
760

 
15,643

 
30

 
760

 
15,673

 
16,433

 
826

 
15,607

 
1979
 
2011
 
35 years
7581
 
Brookhaven
 
East Patchogue
 
NY
 

 
1,100

 
25,840

 
30

 
1,100

 
25,870

 
26,970

 
1,239

 
25,731

 
1988
 
2011
 
35 years

150


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
1741
 
Wingate at Dutchess
 
Fishkill
 
NY
 

 
1,300

 
19,685

 

 
1,300

 
19,685

 
20,985

 
1,002

 
19,983

 
1996
 
2011
 
35 years
7580
 
Autumn View
 
Hamburg
 
NY
 

 
1,190

 
24,687

 
34

 
1,190

 
24,721

 
25,911

 
1,241

 
24,670

 
1983
 
2011
 
35 years
1743
 
Wingate at Ulster
 
Highland
 
NY
 

 
1,500

 
18,223

 

 
1,500

 
18,223

 
19,723

 
893

 
18,830

 
1998
 
2011
 
35 years
7584
 
North Gate
 
North Tonawanda
 
NY
 

 
1,010

 
14,801

 
40

 
1,010

 
14,841

 
15,851

 
799

 
15,052

 
1982
 
2011
 
35 years
7585
 
Seneca
 
West Seneca
 
NY
 

 
1,400

 
13,491

 
5

 
1,400

 
13,496

 
14,896

 
708

 
14,188

 
1974
 
2011
 
35 years
7582
 
Harris Hill
 
Williamsville
 
NY
 

 
1,240

 
33,574

 
33

 
1,240

 
33,607

 
34,847

 
1,603

 
33,244

 
1992
 
2011
 
35 years
2702
 
Burlington House
 
Cincinnati
 
OH
 

 
918

 
5,087

 

 
918

 
5,087

 
6,005

 
1,478

 
4,527

 
1989
 
2004
 
35 years
2701
 
Regency Manor
 
Columbus
 
OH
 

 
606

 
16,424

 

 
606

 
16,424

 
17,030

 
10,391

 
6,639

 
1883
 
2004
 
35 years
7451
 
Rosewood Manor (OH)
 
Galion
 
OH
 

 
540

 
6,324

 
(1,872
)
 
540

 
4,452

 
4,992

 
262

 
4,730

 
1967
 
2011
 
35 years
3920
 
Marietta Convalescent Center
 
Marietta
 
OH
 

 
158

 
3,266

 
75

 
158

 
3,341

 
3,499

 
2,637

 
862

 
1972
 
1993
 
25 years
7453
 
Horizon Village (Gillette’s)
 
Warren
 
OH
 

 
1,100

 
8,196

 
(3,790
)
 
1,100

 
4,406

 
5,506

 
3,174

 
2,332

 
1967
 
2011
 
35 years
7452
 
Whispering Pines Healthcare Center
 
Washington Ct House
 
OH
 

 
490

 
13,460

 
(1,700
)
 
490

 
11,760

 
12,250

 
583

 
11,667

 
1984
 
2011
 
35 years
7450
 
Boardman Comm CC Little Forest
 
Youngstown
 
OH
 

 
380

 
5,960

 
(3,698
)
 
380

 
2,262

 
2,642

 
271

 
2,371

 
1962
 
2011
 
35 years
7443
 
Willow Park Health Care Center
 
Lawton
 
OK
 

 
300

 
12,164

 

 
300

 
12,164

 
12,464

 
626

 
11,838

 
1985
 
2011
 
35 years
7440
 
Temple Manor Nursing Home
 
Temple
 
OK
 

 
300

 
1,779

 

 
300

 
1,779

 
2,079

 
115

 
1,964

 
1971
 
2011
 
35 years
7441
 
Tuttle Care Center
 
Tuttle
 
OK
 

 
150

 
1,377

 

 
150

 
1,377

 
1,527

 
100

 
1,427

 
1960
 
2011
 
35 years
1510
 
Avamere Rehab of Coos Bay
 
Coos Bay
 
OR
 

 
1,920

 
3,394

 

 
1,920

 
3,394

 
5,314

 
199

 
5,115

 
1968
 
2011
 
35 years
1502
 
Avamere Riverpark of Eugene
 
Eugene
 
OR
 

 
1,960

 
17,622

 

 
1,960

 
17,622

 
19,582

 
862

 
18,720

 
1988
 
2011
 
35 years
1509
 
Avamere Rehab of Eugene
 
Eugene
 
OR
 

 
1,080

 
7,257

 

 
1,080

 
7,257

 
8,337

 
388

 
7,949

 
1966
 
2011
 
35 years
1513
 
Avamere Rehab of Clackamas
 
Gladstone
 
OR
 

 
820

 
3,844

 

 
820

 
3,844

 
4,664

 
217

 
4,447

 
1961
 
2011
 
35 years
1507
 
Avamere Rehab of Hillsboro
 
Hillsboro
 
OR
 

 
1,390

 
8,628

 

 
1,390

 
8,628

 
10,018

 
453

 
9,565

 
1973
 
2011
 
35 years
1508
 
Avamere Rehab of Junction City
 
Junction City
 
OR
 

 
590

 
5,583

 

 
590

 
5,583

 
6,173

 
288

 
5,885

 
1966
 
2011
 
35 years
1506
 
Avamere Rehab of King City
 
King City
 
OR
 

 
1,290

 
10,646

 

 
1,290

 
10,646

 
11,936

 
535

 
11,401

 
1975
 
2011
 
35 years
1504
 
Avamere Rehab of Lebanon
 
Lebanon
 
OR
 

 
980

 
12,954

 

 
980

 
12,954

 
13,934

 
630

 
13,304

 
1974
 
2011
 
35 years
1528
 
Newport Rehabilitation & Specialty Care Center
 
Newport
 
OR
 

 
380

 
3,420

 
364

 
380

 
3,784

 
4,164

 
165

 
3,999

 
1997
 
2011
 
35 years
1529
 
Mountain View
 
Oregon City
 
OR
 

 
1,056

 
6,831

 

 
1,056

 
6,831

 
7,887

 
112

 
7,775

 
1977
 
2012
 
35 years
1505
 
Avamere Crestview of Portland
 
Portland
 
OR
 

 
1,610

 
13,942

 

 
1,610

 
13,942

 
15,552

 
691

 
14,861

 
1964
 
2011
 
35 years

151


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
1511
 
Avamere Twin Oaks of Sweet Home
 
Sweet Home
 
OR
 

 
290

 
4,536

 

 
290

 
4,536

 
4,826

 
232

 
4,594

 
1972
 
2011
 
35 years
3852
 
Balanced Care at Bloomsburg
 
Bloomsburg
 
PA
 

 
621

 
1,371

 

 
621

 
1,371

 
1,992

 
242

 
1,750

 
1997
 
2006
 
35 years
2507
 
The Belvedere
 
Chester
 
PA
 

 
822

 
7,203

 

 
822

 
7,203

 
8,025

 
2,364

 
5,661

 
1899
 
2004
 
30 years
2228
 
Mountain View Nursing Home
 
Greensburg
 
PA
 

 
580

 
12,817

 

 
580

 
12,817

 
13,397

 
670

 
12,727

 
1971
 
2011
 
35 years
2509
 
Pennsburg Manor
 
Pennsburg
 
PA
 

 
1,091

 
7,871

 

 
1,091

 
7,871

 
8,962

 
2,651

 
6,311

 
1982
 
2004
 
30 years
2508
 
Chapel Manor
 
Philadelphia
 
PA
 

 
1,595

 
13,982

 
1,358

 
1,595

 
15,340

 
16,935

 
4,729

 
12,206

 
1948
 
2004
 
30 years
2506
 
Wayne Center
 
Wayne
 
PA
 

 
662

 
6,872

 
850

 
662

 
7,722

 
8,384

 
2,514

 
5,870

 
1875
 
2004
 
30 years
7176
 
Epic- Bayview
 
Beaufort
 
SC
 

 
890

 
14,311

 

 
890

 
14,311

 
15,201

 
760

 
14,441

 
1970
 
2011
 
35 years
7170
 
Dundee Nursing Home
 
Bennettsville
 
SC
 

 
320

 
8,693

 

 
320

 
8,693

 
9,013

 
461

 
8,552

 
1958
 
2011
 
35 years
7175
 
Epic-Conway
 
Conway
 
SC
 

 
1,090

 
16,880

 

 
1,090

 
16,880

 
17,970

 
875

 
17,095

 
1975
 
2011
 
35 years
7171
 
Mt. Pleasant Nursing Center
 
Mt. Pleasant
 
SC
 

 
1,810

 
9,079

 

 
1,810

 
9,079

 
10,889

 
496

 
10,393

 
1977
 
2011
 
35 years
7380
 
Firesteel
 
Mitchell
 
SD
 

 
690

 
15,360

 

 
690

 
15,360

 
16,050

 
782

 
15,268

 
1966
 
2011
 
35 years
7381
 
Fountain Springs Healthcare Center
 
Rapid City
 
SD
 

 
940

 
28,647

 

 
940

 
28,647

 
29,587

 
1,319

 
28,268

 
1989
 
2011
 
35 years
7550
 
Brookewood Health Care Center
 
Decatur
 
TN
 

 
470

 
4,617

 

 
470

 
4,617

 
5,087

 
268

 
4,819

 
1981
 
2011
 
35 years
7172
 
Tri-State Comp Care Center
 
Harrogate
 
TN
 

 
1,520

 
11,515

 

 
1,520

 
11,515

 
13,035

 
585

 
12,450

 
1990
 
2011
 
35 years
1661
 
Green Acres—Baytown
 
Baytown
 
TX
 

 
490

 
9,104

 

 
490

 
9,104

 
9,594

 
459

 
9,135

 
1970
 
2011
 
35 years
1662
 
Allenbrook Healthcare
 
Baytown
 
TX
 

 
470

 
11,304

 

 
470

 
11,304

 
11,774

 
577

 
11,197

 
1975
 
2011
 
35 years
7603
 
Summer Place Nursing and Rehab
 
Beaumont
 
TX
 

 
1,160

 
15,934

 

 
1,160

 
15,934

 
17,094

 
802

 
16,292

 
2009
 
2011
 
35 years
1664
 
Green Acres—Center
 
Center
 
TX
 

 
200

 
5,446

 

 
200

 
5,446

 
5,646

 
306

 
5,340

 
1972
 
2011
 
35 years
1676
 
Regency Nursing Home
 
Clarksville
 
TX
 

 
380

 
8,711

 

 
380

 
8,711

 
9,091

 
468

 
8,623

 
1989
 
2011
 
35 years
7270
 
Park Manor—Conroe
 
Conroe
 
TX
 

 
1,310

 
22,318

 

 
1,310

 
22,318

 
23,628

 
1,056

 
22,572

 
2001
 
2011
 
35 years
7601
 
Trisun Care Center Westwood
 
Corpus Christi
 
TX
 

 
440

 
8,624

 

 
440

 
8,624

 
9,064

 
445

 
8,619

 
1973
 
2011
 
35 years
7602
 
Trisun Care Center River Ridge
 
Corpus Christi
 
TX
 

 
890

 
7,695

 

 
890

 
7,695

 
8,585

 
423

 
8,162

 
1994
 
2011
 
35 years
7606
 
Heritage Oaks West
 
Corsicana
 
TX
 

 
510

 
15,806

 

 
510

 
15,806

 
16,316

 
792

 
15,524

 
1995
 
2011
 
35 years
7531
 
Park Manor
 
DeSoto
 
TX
 

 
1,080

 
14,484

 

 
1,080

 
14,484

 
15,564

 
744

 
14,820

 
1987
 
2011
 
35 years

152


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
7510
 
Hill Country Care
 
Dripping Springs
 
TX
 

 
740

 
3,973

 

 
740

 
3,973

 
4,713

 
222

 
4,491

 
1986
 
2011
 
35 years
7609
 
Sandstone Ranch
 
El Paso
 
TX
 

 
1,580

 
8,396

 

 
1,580

 
8,396

 
9,976

 
639

 
9,337

 
2010
 
2011
 
35 years
7511
 
Pecan Tree Rehab & Healthcare
 
Gainesville
 
TX
 

 
430

 
11,499

 

 
430

 
11,499

 
11,929

 
591

 
11,338

 
1990
 
2011
 
35 years
1679
 
Pleasant Valley Health & Rehab
 
Garland
 
TX
 

 
1,040

 
9,383

 

 
1,040

 
9,383

 
10,423

 
513

 
9,910

 
2008
 
2011
 
35 years
1674
 
Upshur Manor
 
Gilmer
 
TX
 

 
770

 
8,126

 

 
770

 
8,126

 
8,896

 
437

 
8,459

 
1990
 
2011
 
35 years
1667
 
Beechnut Manor
 
Houston
 
TX
 

 
1,080

 
12,030

 

 
1,080

 
12,030

 
13,110

 
632

 
12,478

 
1982
 
2011
 
35 years
7271
 
Park Manor—Cypress Station
 
Houston
 
TX
 

 
1,450

 
19,542

 

 
1,450

 
19,542

 
20,992

 
941

 
20,051

 
2003
 
2011
 
35 years
7274
 
Park Manor of Westchase
 
Houston
 
TX
 

 
2,760

 
16,715

 

 
2,760

 
16,715

 
19,475

 
822

 
18,653

 
2005
 
2011
 
35 years
7275
 
Park Manor—Cyfair
 
Houston
 
TX
 

 
1,720

 
14,717

 

 
1,720

 
14,717

 
16,437

 
727

 
15,710

 
1999
 
2011
 
35 years
1666
 
Green Acres—Humble
 
Humble
 
TX
 

 
2,060

 
6,738

 

 
2,060

 
6,738

 
8,798

 
386

 
8,412

 
1972
 
2011
 
35 years
7272
 
Park Manor—Humble
 
Humble
 
TX
 

 
1,650

 
17,257

 

 
1,650

 
17,257

 
18,907

 
843

 
18,064

 
2003
 
2011
 
35 years
1663
 
Green Acres—Huntsville
 
Huntsville
 
TX
 

 
290

 
2,568

 

 
290

 
2,568

 
2,858

 
178

 
2,680

 
1968
 
2011
 
35 years
7512
 
Legend Oaks Healthcare
 
Jacksonville
 
TX
 

 
760

 
9,639

 

 
760

 
9,639

 
10,399

 
507

 
9,892

 
2006
 
2011
 
35 years
7534
 
Avalon Kirbyville
 
Kirbyville
 
TX
 

 
260

 
7,713

 

 
260

 
7,713

 
7,973

 
420

 
7,553

 
1987
 
2011
 
35 years
1678
 
Millbrook Healthcare
 
Lancaster
 
TX
 

 
750

 
7,480

 

 
750

 
7,480

 
8,230

 
433

 
7,797

 
2008
 
2011
 
35 years
1668
 
Nexion Health at Linden
 
Linden
 
TX
 

 
680

 
3,495

 

 
680

 
3,495

 
4,175

 
241

 
3,934

 
1968
 
2011
 
35 years
7535
 
SWLTC Marshall Conroe
 
Marshall
 
TX
 

 
810

 
10,093

 

 
810

 
10,093

 
10,903

 
545

 
10,358

 
2008
 
2011
 
35 years
1677
 
McKinney Healthcare & Rehab
 
McKinney
 
TX
 

 
1,450

 
10,345

 

 
1,450

 
10,345

 
11,795

 
556

 
11,239

 
2006
 
2011
 
35 years
7650
 
Homestead of McKinney
 
McKinney
 
TX
 

 
1,540

 
11,049

 
(2,592
)
 
1,540

 
8,457

 
9,997

 
475

 
9,522

 
1993
 
2011
 
35 years
7514
 
Midland Nursing Center
 
Midland
 
TX
 

 
530

 
13,311

 

 
530

 
13,311

 
13,841

 
659

 
13,182

 
2008
 
2011
 
35 years
7273
 
Park Manor of Quail Valley
 
Missouri
 
TX
 

 
1,920

 
16,841

 

 
1,920

 
16,841

 
18,761

 
825

 
17,936

 
2005
 
2011
 
35 years
1672
 
Nexion Health at Mt. Pleasant
 
Mount Pleasant
 
TX
 

 
520

 
5,050

 

 
520

 
5,050

 
5,570

 
315

 
5,255

 
1970
 
2011
 
35 years
1669
 
Nexion Health at New Boston
 
New Boston
 
TX
 

 
360

 
4,718

 

 
360

 
4,718

 
5,078

 
293

 
4,785

 
1966
 
2011
 
35 years
1671
 
Nexion Health at Omaha
 
Omaha
 
TX
 

 
450

 
2,455

 

 
450

 
2,455

 
2,905

 
178

 
2,727

 
1970
 
2011
 
35 years
7604
 
The Meadows Nursing and Rehab
 
Orange
 
TX
 

 
380

 
10,777

 

 
380

 
10,777

 
11,157

 
566

 
10,591

 
2006
 
2011
 
35 years
7607
 
Cypress Glen Nursing and Rehab
 
Port Arthur
 
TX
 

 
1,340

 
14,142

 

 
1,340

 
14,142

 
15,482

 
749

 
14,733

 
2000
 
2011
 
35 years
7608
 
Cypress Glen East
 
Port Arthur
 
TX
 

 
490

 
10,663

 

 
490

 
10,663

 
11,153

 
554

 
10,599

 
1986
 
2011
 
35 years

153


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
7600
 
Trisun Care Center Coastal Palms
 
Portland
 
TX
 

 
390

 
8,548

 

 
390

 
8,548

 
8,938

 
445

 
8,493

 
1998
 
2011
 
35 years
7513
 
Legend Oaks Healthcare San Angelo
 
San Angelo
 
TX
 

 
870

 
12,282

 

 
870

 
12,282

 
13,152

 
629

 
12,523

 
2006
 
2011
 
35 years
2472
 
Parklane West
 
San Antonio
 
TX
 

 
770

 
10,242

 

 
770

 
10,242

 
11,012

 
550

 
10,462

 
1988
 
2011
 
35 years
7530
 
San Pedro Manor
 
San Antonio
 
TX
 

 
740

 
11,498

 
(2,768
)
 
740

 
8,730

 
9,470

 
485

 
8,985

 
1986
 
2011
 
35 years
1670
 
Nexion Health at Sherman
 
Sherman
 
TX
 

 
250

 
6,636

 

 
250

 
6,636

 
6,886

 
375

 
6,511

 
1971
 
2011
 
35 years
7532
 
Avalon Trinity
 
Trinity
 
TX
 

 
330

 
9,413

 

 
330

 
9,413

 
9,743

 
496

 
9,247

 
1985
 
2011
 
35 years
1673
 
Renfro Nursing Home
 
Waxahachie
 
TX
 

 
510

 
7,602

 

 
510

 
7,602

 
8,112

 
443

 
7,669

 
1976
 
2011
 
35 years
7533
 
Avalon Wharton
 
wharton
 
TX
 

 
270

 
5,107

 

 
270

 
5,107

 
5,377

 
313

 
5,064

 
1988
 
2011
 
35 years
7153
 
Infinia at Granite Hills
 
Salt Lake City
 
UT
 

 
740

 
1,247

 
549

 
740

 
1,796

 
2,536

 
108

 
2,428

 
1972
 
2011
 
35 years
3769
 
Sleepy Hollow Manor
 
Annandale
 
VA
 

 
7,210

 
13,562

 

 
7,210

 
13,562

 
20,772

 
772

 
20,000

 
1963
 
2011
 
35 years
3768
 
The Cedars Nursing Home
 
Charlottesville
 
VA
 

 
2,810

 
10,763

 

 
2,810

 
10,763

 
13,573

 
584

 
12,989

 
1964
 
2011
 
35 years
7173
 
Avis Adams
 
Emporia
 
VA
 

 
620

 
7,492

 
16

 
620

 
7,508

 
8,128

 
419

 
7,709

 
1971
 
2011
 
35 years
3771
 
Walnut Hill Convalescent Center
 
Petersburg
 
VA
 

 
930

 
11,597

 

 
930

 
11,597

 
12,527

 
591

 
11,936

 
1972
 
2011
 
35 years
3772
 
Battlefield Park Convalescent Center
 
Petersburg
 
VA
 

 
1,010

 
12,489

 

 
1,010

 
12,489

 
13,499

 
629

 
12,870

 
1976
 
2011
 
35 years
1501
 
St. Francis of Bellingham
 
Bellingham
 
WA
 

 
1,740

 
23,581

 

 
1,740

 
23,581

 
25,321

 
1,113

 
24,208

 
1984
 
2011
 
35 years
7201
 
Evergreen North Cascades
 
Bellingham
 
WA
 

 
1,220

 
7,554

 

 
1,220

 
7,554

 
8,774

 
441

 
8,333

 
1999
 
2011
 
35 years
3924
 
Everett Rehabilitation & Care
 
Everett
 
WA
 

 
2,750

 
27,337

 

 
2,750

 
27,337

 
30,087

 
1,276

 
28,811

 
1995
 
2011
 
35 years
1514
 
Avamere Georgian Lakewood
 
Lakewood
 
WA
 

 
620

 
3,896

 

 
620

 
3,896

 
4,516

 
227

 
4,289

 
1958
 
2011
 
35 years
3921
 
SunRise Care & Rehab Moses Lake
 
Moses Lake
 
WA
 

 
660

 
17,439

 

 
660

 
17,439

 
18,099

 
842

 
17,257

 
1972
 
2011
 
35 years
3922
 
SunRise Care & Rehab Lake Ridge
 
Moses Lake
 
WA
 

 
660

 
8,866

 

 
660

 
8,866

 
9,526

 
448

 
9,078

 
1988
 
2011
 
35 years
1500
 
Richmond Beach Rehab
 
Seattle
 
WA
 

 
2,930

 
16,199

 

 
2,930

 
16,199

 
19,129

 
823

 
18,306

 
1993
 
2011
 
35 years
1503
 
Avamere Olympic Rehab of Sequim
 
Sequim
 
WA
 

 
590

 
16,896

 

 
590

 
16,896

 
17,486

 
829

 
16,657

 
1974
 
2011
 
35 years
7200
 
Shelton Nursing Home
 
Shelton
 
WA
 

 
510

 
8,570

 

 
510

 
8,570

 
9,080

 
434

 
8,646

 
1998
 
2011
 
35 years

154


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
1512
 
Avamere Heritage Rehab of Tacoma
 
Tacoma
 
WA
 

 
1,760

 
4,616

 

 
1,760

 
4,616

 
6,376

 
272

 
6,104

 
1968
 
2011
 
35 years
1515
 
Avamere Skilled Nursing Tacoma
 
Tacoma
 
WA
 

 
1,320

 
1,544

 

 
1,320

 
1,544

 
2,864

 
159

 
2,705

 
1972
 
2011
 
35 years
7360
 
Cascade Park Care Center
 
Vancouver
 
WA
 

 
1,860

 
14,854

 

 
1,860

 
14,854

 
16,714

 
716

 
15,998

 
1991
 
2011
 
35 years
7470
 
Chilton Health and Rehab
 
Chilton
 
WI
 

 
440

 
6,114

 

 
440

 
6,114

 
6,554

 
344

 
6,210

 
1963
 
2011
 
35 years
3781
 
Florence Villa
 
Florence
 
WI
 

 
340

 
5,631

 

 
340

 
5,631

 
5,971

 
308

 
5,663

 
1970
 
2011
 
35 years
3780
 
Western Village
 
Green Bay
 
WI
 

 
1,310

 
4,882

 

 
1,310

 
4,882

 
6,192

 
307

 
5,885

 
1965
 
2011
 
35 years
3783
 
Greendale Health & Rehab
 
Sheboygan
 
WI
 

 
880

 
1,941

 

 
880

 
1,941

 
2,821

 
139

 
2,682

 
1967
 
2011
 
35 years
3782
 
South Shore Manor
 
St. Francis
 
WI
 

 
630

 
2,300

 

 
630

 
2,300

 
2,930

 
132

 
2,798

 
1960
 
2011
 
35 years
7240
 
Waukesha Springs (Westmoreland)
 
Waukesha
 
WI
 

 
1,380

 
16,205

 

 
1,380

 
16,205

 
17,585

 
888

 
16,697

 
1973
 
2011
 
35 years
3776
 
Wisconsin Dells Health & Rehab
 
Wisconsin Dells
 
WI
 

 
730

 
18,994

 

 
730

 
18,994

 
19,724

 
894

 
18,830

 
1972
 
2011
 
35 years
2513
 
Logan Center
 
Logan
 
WV
 

 
300

 
12,959

 

 
300

 
12,959

 
13,259

 
611

 
12,648

 
1987
 
2011
 
35 years
2514
 
Ravenswood Healthcare Center
 
Ravenswood
 
WV
 

 
320

 
12,710

 

 
320

 
12,710

 
13,030

 
601

 
12,429

 
1987
 
2011
 
35 years
2512
 
Valley Center
 
South Charleston
 
WV
 

 
750

 
24,115

 

 
750

 
24,115

 
24,865

 
1,153

 
23,712

 
1987
 
2011
 
35 years
2515
 
White Sulphur
 
White Sulphur
 
WV
 

 
250

 
13,055

 

 
250

 
13,055

 
13,305

 
621

 
12,684

 
1987
 
2011
 
35 years
 
 
TOTAL NON-KINDRED SKILLED NURSING FACILITIES
 
 
 
 
 

 
215,225

 
2,106,053

 
(14,796
)
 
215,225

 
2,091,257

 
2,306,482

 
156,795

 
2,149,687

 
 
 
 
 
 
 
 
TOTAL FOR SKILLED NURSING FACILITIES
 
 
 
 
 

 
265,785

 
2,647,721

 
(15,176
)
 
265,405

 
2,632,925

 
2,898,330

 
555,574

 
2,342,756

 
 
 
 
 
 

155


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
 
 
KINDRED HOSPITALS
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
4656
 
Kindred Hospital—Arizona—Phoenix
 
Phoenix
 
AZ
 

 
226

 
3,359

 

 
226

 
3,359

 
3,585

 
2,419

 
1,166

 
1980
 
1992
 
30 years
4826
 
Kindred Hospital—Scottsdale
 
Scottsdale
 
AZ
 

 
2,310

 
6,322

 
(6,592
)
 
2,040

 

 
2,040

 

 
2,040

 
1986
 
2011
 
35 years
4658
 
Kindred Hospital—Tucson
 
Tucson
 
AZ
 

 
130

 
3,091

 

 
130

 
3,091

 
3,221

 
2,653

 
568

 
1969
 
1994
 
25 years
4644
 
Kindred Hospital—Brea
 
Brea
 
CA
 

 
3,144

 
2,611

 

 
3,144

 
2,611

 
5,755

 
1,118

 
4,637

 
1990
 
1995
 
40 years
4807
 
Kindred Hospital—Ontario
 
Ontario
 
CA
 

 
523

 
2,988

 

 
523

 
2,988

 
3,511

 
2,543

 
968

 
1950
 
1994
 
25 years
4848
 
Kindred Hospital—San Diego
 
San Diego
 
CA
 

 
670

 
11,764

 

 
670

 
11,764

 
12,434

 
10,306

 
2,128

 
1965
 
1994
 
25 years
4822
 
Kindred Hospital—San Francisco Bay Area
 
San Leandro
 
CA
 

 
2,735

 
5,870

 

 
2,735

 
5,870

 
8,605

 
5,827

 
2,778

 
1962
 
1993
 
25 years
4842
 
Kindred Hospital—Westminster
 
Westminster
 
CA
 

 
727

 
7,384

 

 
727

 
7,384

 
8,111

 
7,382

 
729

 
1973
 
1993
 
20 years
4665
 
Kindred Hospital—Denver
 
Denver
 
CO
 

 
896

 
6,367

 

 
896

 
6,367

 
7,263

 
6,326

 
937

 
1963
 
1994
 
20 years
4602
 
Kindred Hospital—South Florida—Coral Gables
 
Coral Gables
 
FL
 

 
1,071

 
5,348

 

 
1,071

 
5,348

 
6,419

 
4,532

 
1,887

 
1956
 
1992
 
30 years
4645
 
Kindred Hospital—South Florida Ft. Lauderdale
 
Ft. Lauderdale
 
FL
 

 
1,758

 
14,080

 

 
1,758

 
14,080

 
15,838

 
12,412

 
3,426

 
N/A
 
1989
 
30 years
4652
 
Kindred Hospital—North Florida
 
Green Cove Springs
 
FL
 

 
145

 
4,613

 

 
145

 
4,613

 
4,758

 
3,920

 
838

 
1956
 
1994
 
20 years
4876
 
Kindred Hospital—South Florida—Hollywood
 
Hollywood
 
FL
 

 
605

 
5,229

 

 
605

 
5,229

 
5,834

 
4,961

 
873

 
1937
 
1995
 
20 years
4674
 
Kindred Hospital—Central Tampa
 
Tampa
 
FL
 

 
2,732

 
7,676

 

 
2,732

 
7,676

 
10,408

 
4,314

 
6,094

 
1970
 
1993
 
40 years
4611
 
Kindred Hospital—Bay Area St. Petersburg
 
St. Petersburg
 
FL
 

 
1,401

 
16,706

 

 
1,401

 
16,706

 
18,107

 
12,653

 
5,454

 
1968
 
1997
 
40 years
4637
 
Kindred Hospital—Chicago (North Campus)
 
Chicago
 
IL
 

 
1,583

 
19,980

 

 
1,583

 
19,980

 
21,563

 
17,316

 
4,247

 
1949
 
1995
 
25 years
4871
 
Kindred—Chicago—Lakeshore
 
Chicago
 
IL
 

 
1,513

 
9,525

 

 
1,513

 
9,525

 
11,038

 
9,296

 
1,742

 
1995
 
1976
 
20 years
4690
 
Kindred Hospital—Chicago (Northlake Campus)
 
Northlake
 
IL
 

 
850

 
6,498

 

 
850

 
6,498

 
7,348

 
5,186

 
2,162

 
1960
 
1991
 
30 years
4615
 
Kindred Hospital—Sycamore
 
Sycamore
 
IL
 

 
77

 
8,549

 

 
77

 
8,549

 
8,626

 
6,999

 
1,627

 
1949
 
1993
 
20 years
4638
 
Kindred Hospital—Indianapolis
 
Indianapolis
 
IN
 

 
985

 
3,801

 

 
985

 
3,801

 
4,786

 
3,015

 
1,771

 
1955
 
1993
 
30 years
4633
 
Kindred Hospital—Louisville
 
Louisville
 
KY
 

 
3,041

 
12,279

 

 
3,041

 
12,279

 
15,320

 
11,063

 
4,257

 
1964
 
1995
 
20 years
4666
 
Kindred Hospital—New Orleans
 
New Orleans
 
LA
 

 
648

 
4,971

 

 
648

 
4,971

 
5,619

 
4,038

 
1,581

 
1968
 
1978
 
20 years
4688
 
Kindred Hospital—Boston
 
Boston
 
MA
 

 
1,551

 
9,796

 

 
1,551

 
9,796

 
11,347

 
8,648

 
2,699

 
1930
 
1994
 
25 years

156


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
4673
 
Kindred Hospital—Boston North Shore
 
Peabody
 
MA
 

 
543

 
7,568

 

 
543

 
7,568

 
8,111

 
4,985

 
3,126

 
1974
 
1993
 
40 years
4612
 
Kindred Hospital—Kansas City
 
Kansas City
 
MO
 

 
277

 
2,914

 

 
277

 
2,914

 
3,191

 
2,403

 
788

 
N/A
 
1992
 
30 years
4680
 
Kindred Hospital—St. Louis
 
St Louis
 
MO
 

 
1,126

 
2,087

 

 
1,126

 
2,087

 
3,213

 
1,723

 
1,490

 
1984
 
1991
 
40 years
4662
 
Kindred Hospital—Greensboro
 
Greensboro
 
NC
 

 
1,010

 
7,586

 

 
1,010

 
7,586

 
8,596

 
7,012

 
1,584

 
1964
 
1994
 
20 years
4664
 
Kindred Hospital—Albuquerque
 
Albuquerque
 
NM
 

 
11

 
4,253

 

 
11

 
4,253

 
4,264

 
2,469

 
1,795

 
1985
 
1993
 
40 years
4647
 
Kindred Hospital—Las Vegas (Sahara)
 
Las Vegas
 
NV
 

 
1,110

 
2,177

 

 
1,110

 
2,177

 
3,287

 
1,173

 
2,114

 
1980
 
1994
 
40 years
4618
 
Kindred Hospital—Oklahoma City
 
Oklahoma City
 
OK
 

 
293

 
5,607

 

 
293

 
5,607

 
5,900

 
4,006

 
1,894

 
1958
 
1993
 
30 years
4619
 
Kindred Hospital—Pittsburgh
 
Oakdale
 
PA
 

 
662

 
12,854

 

 
662

 
12,854

 
13,516

 
8,484

 
5,032

 
1972
 
1996
 
40 years
4614
 
Kindred Hospital—Philadelphia
 
Philadelphia
 
PA
 

 
135

 
5,223

 

 
135

 
5,223

 
5,358

 
2,774

 
2,584

 
N/A
 
1995
 
35 years
4628
 
Kindred Hospital—Chattanooga
 
Chattanooga
 
TN
 

 
756

 
4,415

 

 
756

 
4,415

 
5,171

 
3,656

 
1,515

 
1975
 
1993
 
22 years
4653
 
Kindred Hospital—Tarrant County (Fort Worth Southwest)
 
Ft. Worth
 
TX
 

 
2,342

 
7,458

 

 
2,342

 
7,458

 
9,800

 
7,070

 
2,730

 
1987
 
1986
 
20 years
4668
 
Kindred Hospital—Fort Worth
 
Ft. Worth
 
TX
 

 
648

 
10,608

 

 
648

 
10,608

 
11,256

 
7,924

 
3,332

 
1960
 
1994
 
34 years
4654
 
Kindred Hospital (Houston Northwest)
 
Houston
 
TX
 

 
1,699

 
6,788

 

 
1,699

 
6,788

 
8,487

 
4,702

 
3,785

 
1986
 
1985
 
40 years
4685
 
Kindred Hospital—Houston
 
Houston
 
TX
 

 
33

 
7,062

 

 
33

 
7,062

 
7,095

 
6,076

 
1,019

 
N/A
 
1994
 
20 years
4660
 
Kindred Hospital—Mansfield
 
Mansfield
 
TX
 

 
267

 
2,462

 

 
267

 
2,462

 
2,729

 
1,715

 
1,014

 
1983
 
1990
 
40 years
4635
 
Kindred Hospital—San Antonio
 
San Antonio
 
TX
 

 
249

 
11,413

 

 
249

 
11,413

 
11,662

 
7,702

 
3,960

 
1981
 
1993
 
30 years
 
 
TOTAL FOR KINDRED HOSPITALS
 
 
 
 
 

 
40,482

 
279,282

 
(6,592
)
 
40,212

 
272,960

 
313,172

 
220,801

 
92,371

 
 
 
 
 
 

157


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
 
 
NON-KINDRED HOSPITALS
 
 
 
 
 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 
 
 
 
 
7280
 
Southern Arizone Rehab
 
Tucson
 
AZ
 

 
770

 
25,589

 

 
770

 
25,589

 
26,359

 
1,146

 
25,213

 
1992
 
2011
 
35 years
7403
 
HealthBridge Children’s Hospital
 
Orange
 
CA
 

 
1,330

 
9,317

 

 
1,330

 
9,317

 
10,647

 
429

 
10,218

 
2000
 
2011
 
35 years
7281
 
HealthSouth Rehabilitation Hospital
 
Tustin
 
CA
 

 
2,810

 
25,248

 

 
2,810

 
25,248

 
28,058

 
1,152

 
26,906

 
1991
 
2011
 
35 years
3828
 
Gateway Rehabilitation Hospital at Florence
 
Florence
 
KY
 

 
3,600

 
4,924

 

 
3,600

 
4,924

 
8,524

 
868

 
7,656

 
2001
 
2006
 
35 years
7400
 
The Ranch/Touchstone
 
Conroe
 
TX
 

 
2,710

 
28,428

 

 
2,710

 
28,428

 
31,138

 
1,276

 
29,862

 
1992
 
2011
 
35 years
3864
 
Highlands Regional Rehabilitation Hospital
 
El Paso
 
TX
 

 
1,900

 
23,616

 

 
1,900

 
23,616

 
25,516

 
4,161

 
21,355

 
1999
 
2006
 
35 years
7401
 
Houston Children’s Hospital
 
Houston
 
TX
 

 
1,800

 
15,770

 

 
1,800

 
15,770

 
17,570

 
718

 
16,852

 
1999
 
2011
 
35 years
7402
 
Beacon Specialty Hospital
 
The Woodlands
 
TX
 

 
960

 
6,498

 

 
960

 
6,498

 
7,458

 
303

 
7,155

 
1995
 
2011
 
35 years
 
 
TOTAL FOR NON-KINDRED HOSPITALS
 
 
 
 
 

 
15,880

 
139,390

 

 
15,880

 
139,390

 
155,270

 
10,053

 
145,217

 
 
 
 
 
 
 
 
TOTAL FOR HOSPITALS
 
 
 
 
 

 
56,362

 
418,672

 
(6,592
)
 
56,092

 
412,350

 
468,442

 
230,854

 
237,588

 
 
 
 
 
 



158


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
 
 
BROOKDALE SENIORS HOUSING COMMUNITIES
 
 
 
 
 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 
 
 
 
 
2445
 
Cedar Springs (aka Decatur)
 
Decatur
 
AL
 

 
1,960

 
7,916

 

 
1,960

 
7,916

 
9,876

 
798

 
9,078

 
1987
 
2011
 
35 years
2444
 
Hanceville
 
Hanceville
 
AL
 

 
530

 
3,822

 

 
530

 
3,822

 
4,352

 
367

 
3,985

 
1996
 
2011
 
35 years
2477
 
Wellington Place at Muscle Shoals
 
Muscle Shoals
 
AL
 

 
340

 
4,017

 

 
340

 
4,017

 
4,357

 
219

 
4,138

 
1999
 
2011
 
35 years
2466
 
Sterling House of Chandler
 
Chandler
 
AZ
 

 
2,000

 
6,538

 

 
2,000

 
6,538

 
8,538

 
336

 
8,202

 
1998
 
2011
 
35 years
2471
 
Park Regency Premier Club
 
Chandler
 
AZ
 

 
2,260

 
19,338

 

 
2,260

 
19,338

 
21,598

 
1,085

 
20,513

 
1992
 
2011
 
35 years
2424
 
The Springs of East Mesa
 
Mesa
 
AZ
 

 
2,747

 
24,918

 

 
2,747

 
24,918

 
27,665

 
7,642

 
20,023

 
1986
 
2005
 
35 years
3219
 
Sterling House of Mesa
 
Mesa
 
AZ
 

 
655

 
6,998

 

 
655

 
6,998

 
7,653

 
2,120

 
5,533

 
1998
 
2005
 
35 years
3225
 
Clare Bridge of Oro Valley
 
Oro Valley
 
AZ
 

 
666

 
6,169

 

 
666

 
6,169

 
6,835

 
1,868

 
4,967

 
1998
 
2005
 
35 years
3227
 
Sterling House of Peoria
 
Peoria
 
AZ
 

 
598

 
4,872

 

 
598

 
4,872

 
5,470

 
1,476

 
3,994

 
1998
 
2005
 
35 years
3236
 
Clare Bridge of Tempe
 
Tempe
 
AZ
 

 
611

 
4,066

 

 
611

 
4,066

 
4,677

 
1,231

 
3,446

 
1997
 
2005
 
35 years
3238
 
Sterling House on East Speedway
 
Tucson
 
AZ
 

 
506

 
4,745

 

 
506

 
4,745

 
5,251

 
1,437

 
3,814

 
1998
 
2005
 
35 years
2426
 
Woodside Terrace
 
Redwood City
 
CA
 

 
7,669

 
66,691

 

 
7,669

 
66,691

 
74,360

 
20,712

 
53,648

 
1988
 
2005
 
35 years
2428
 
The Atrium
 
San Jose
 
CA
 
23,317

 
6,240

 
66,329

 

 
6,240

 
66,329

 
72,569

 
19,467

 
53,102

 
1987
 
2005
 
35 years
2429
 
Brookdale Place
 
San Marcos
 
CA
 

 
4,288

 
36,204

 

 
4,288

 
36,204

 
40,492

 
11,346

 
29,146

 
1987
 
2005
 
35 years
2438
 
Ridge Point Assisted Living Inn
 
Boulder
 
CO
 

 
1,290

 
20,683

 

 
1,290

 
20,683

 
21,973

 
986

 
20,987

 
1985
 
2011
 
35 years
3206
 
Wynwood of Colorado Springs
 
Colorado Springs
 
CO
 

 
715

 
9,279

 

 
715

 
9,279

 
9,994

 
2,810

 
7,184

 
1997
 
2005
 
35 years
3220
 
Wynwood of Pueblo
 
Pueblo
 
CO
 
5,147

 
840

 
9,403

 

 
840

 
9,403

 
10,243

 
2,848

 
7,395

 
1997
 
2005
 
35 years
2420
 
The Gables at Farmington
 
Farmington
 
CT
 
9,799

 
3,995

 
36,310

 

 
3,995

 
36,310

 
40,305

 
11,130

 
29,175

 
1984
 
2005
 
35 years
2435
 
Chatfield
 
West Hartford
 
CT
 

 
2,493

 
22,833

 

 
2,493

 
22,833

 
25,326

 
6,983

 
18,343

 
1989
 
2005
 
35 years
3258
 
Clare Bridge of Ft. Myers
 
Ft. Myers
 
FL
 

 
1,510

 
7,862

 

 
1,510

 
7,862

 
9,372

 
373

 
8,999

 
1996
 
2011
 
35 years
2478
 
Wellington Place at Ft Walton
 
Ft. Walton
 
FL
 

 
2,610

 
11,041

 

 
2,610

 
11,041

 
13,651

 
523

 
13,128

 
2000
 
2011
 
35 years
2458
 
Sterling House of Merrimac
 
Jacksonville
 
FL
 

 
860

 
16,745

 

 
860

 
16,745

 
17,605

 
761

 
16,844

 
1997
 
2011
 
35 years
3260
 
Clare Bridge of Jacksonville
 
Jacksonville
 
FL
 

 
1,300

 
9,659

 

 
1,300

 
9,659

 
10,959

 
452

 
10,507

 
1997
 
2011
 
35 years
3259
 
Sterling House of Ormond Beach
 
Ormond Beach
 
FL
 

 
1,660

 
9,738

 

 
1,660

 
9,738

 
11,398

 
459

 
10,939

 
1997
 
2011
 
35 years

159


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
2460
 
Sterling House of Palm Coast
 
Palm Coast
 
FL
 

 
470

 
9,187

 

 
470

 
9,187

 
9,657

 
437

 
9,220

 
1997
 
2011
 
35 years
3226
 
Sterling House of Pensacola
 
Pensacola
 
FL
 

 
633

 
6,087

 

 
633

 
6,087

 
6,720

 
1,843

 
4,877

 
1998
 
2005
 
35 years
2461
 
Sterling House of Englewood (FL)
 
Rotunda West
 
FL
 

 
1,740

 
4,331

 

 
1,740

 
4,331

 
6,071

 
248

 
5,823

 
1997
 
2011
 
35 years
3235
 
Clare Bridge of Tallahassee
 
Tallahassee
 
FL
 
4,570

 
667

 
6,168

 

 
667

 
6,168

 
6,835

 
1,868

 
4,967

 
1998
 
2005
 
35 years
2452
 
Sterling House of Tavares
 
Tavares
 
FL
 

 
280

 
15,980

 

 
280

 
15,980

 
16,260

 
730

 
15,530

 
1997
 
2011
 
35 years
2469
 
Renaissance of Titusville
 
Titusville
 
FL
 

 
2,330

 
9,435

 

 
2,330

 
9,435

 
11,765

 
919

 
10,846

 
1987
 
2011
 
35 years
3241
 
Clare Bridge of West Melbourne
 
West Melbourne
 
FL
 
6,514

 
586

 
5,481

 

 
586

 
5,481

 
6,067

 
1,660

 
4,407

 
2000
 
2005
 
35 years
2436
 
The Classic at West Palm Beach
 
West Palm Beach
 
FL
 
26,100

 
3,758

 
33,072

 

 
3,758

 
33,072

 
36,830

 
10,235

 
26,595

 
1990
 
2005
 
35 years
3245
 
Clare Bridge Cottage of Winter Haven
 
Winter Haven
 
FL
 

 
232

 
3,006

 

 
232

 
3,006

 
3,238

 
910

 
2,328

 
1997
 
2005
 
35 years
3246
 
Sterling House of Winter Haven
 
Winter Haven
 
FL
 

 
438

 
5,549

 

 
438

 
5,549

 
5,987

 
1,681

 
4,306

 
1997
 
2005
 
35 years
3239
 
Wynwood of Twin Falls
 
Twin Falls
 
ID
 

 
703

 
6,153

 

 
703

 
6,153

 
6,856

 
1,864

 
4,992

 
1997
 
2005
 
35 years
2416
 
The Hallmark
 
Chicago
 
IL
 

 
11,057

 
107,517

 

 
11,057

 
107,517

 
118,574

 
32,325

 
86,249

 
1990
 
2005
 
35 years
2417
 
The Kenwood of Lake View
 
Chicago
 
IL
 
11,056

 
3,072

 
26,668

 

 
3,072

 
26,668

 
29,740

 
8,287

 
21,453

 
1950
 
2005
 
35 years
2418
 
The Heritage
 
Des Plaines
 
IL
 
32,000

 
6,871

 
60,165

 

 
6,871

 
60,165

 
67,036

 
18,647

 
48,389

 
1993
 
2005
 
35 years
2421
 
Devonshire of Hoffman Estates
 
Hoffman Estates
 
IL
 

 
3,886

 
44,130

 

 
3,886

 
44,130

 
48,016

 
12,735

 
35,281

 
1987
 
2005
 
35 years
2423
 
The Devonshire
 
Lisle
 
IL
 
33,000

 
7,953

 
70,400

 

 
7,953

 
70,400

 
78,353

 
21,748

 
56,605

 
1990
 
2005
 
35 years
2415
 
Seasons at Glenview
 
Northbrook
 
IL
 

 
1,988

 
39,762

 

 
1,988

 
39,762

 
41,750

 
10,444

 
31,306

 
1999
 
2004
 
35 years
2432
 
Hawthorn Lakes
 
Vernon Hills
 
IL
 

 
4,439

 
35,044

 

 
4,439

 
35,044

 
39,483

 
11,218

 
28,265

 
1987
 
2005
 
35 years
2433
 
The Willows
 
Vernon Hills
 
IL
 

 
1,147

 
10,041

 

 
1,147

 
10,041

 
11,188

 
3,112

 
8,076

 
1999
 
2005
 
35 years
3209
 
Sterling House of Evansville
 
Evansville
 
IN
 
3,667

 
357

 
3,765

 

 
357

 
3,765

 
4,122

 
1,140

 
2,982

 
1998
 
2005
 
35 years
2422
 
Berkshire of Castleton
 
Indianapolis
 
IN
 

 
1,280

 
11,515

 

 
1,280

 
11,515

 
12,795

 
3,540

 
9,255

 
1986
 
2005
 
35 years
3218
 
Sterling House of Marion
 
Marion
 
IN
 

 
207

 
3,570

 

 
207

 
3,570

 
3,777

 
1,081

 
2,696

 
1998
 
2005
 
35 years
3230
 
Sterling House of Portage
 
Portage
 
IN
 

 
128

 
3,649

 

 
128

 
3,649

 
3,777

 
1,105

 
2,672

 
1999
 
2005
 
35 years

160


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
3232
 
Sterling House of Richmond
 
Richmond
 
IN
 

 
495

 
4,124

 

 
495

 
4,124

 
4,619

 
1,249

 
3,370

 
1998
 
2005
 
35 years
3273
 
Sterling House of Derby
 
Derby
 
KS
 

 
440

 
4,422

 

 
440

 
4,422

 
4,862

 
215

 
4,647

 
1994
 
2011
 
35 years
3216
 
Clare Bridge of Leawood
 
Leawood
 
KS
 
3,734

 
117

 
5,127

 

 
117

 
5,127

 
5,244

 
1,553

 
3,691

 
2000
 
2005
 
35 years
2451
 
Sterling House of Salina II
 
Salina
 
KS
 

 
300

 
5,657

 

 
300

 
5,657

 
5,957

 
277

 
5,680

 
1996
 
2011
 
35 years
3237
 
Clare Bridge Cottage of Topeka
 
Topeka
 
KS
 
5,001

 
370

 
6,825

 

 
370

 
6,825

 
7,195

 
2,067

 
5,128

 
2000
 
2005
 
35 years
3274
 
Sterling House of Wellington
 
Wellington
 
KS
 

 
310

 
2,434

 

 
310

 
2,434

 
2,744

 
130

 
2,614

 
1994
 
2011
 
35 years
2425
 
River Bay Club
 
Quincy
 
MA
 

 
6,101

 
57,862

 

 
6,101

 
57,862

 
63,963

 
17,519

 
46,444

 
1986
 
2005
 
35 years
3252
 
Woven Hearts of Davison
 
Davidson
 
MI
 

 
160

 
3,189

 

 
160

 
3,189

 
3,349

 
160

 
3,189

 
1997
 
2011
 
35 years
3253
 
Clare Bridge of Delta Charter
 
Delta
 
MI
 

 
730

 
11,471

 

 
730

 
11,471

 
12,201

 
534

 
11,667

 
1998
 
2011
 
35 years
3257
 
Woven Hearts of Delta Charter
 
Delta
 
MI
 

 
820

 
3,313

 

 
820

 
3,313

 
4,133

 
216

 
3,917

 
1998
 
2011
 
35 years
3247
 
Clare Bridge of Farmington Hills I
 
Farmington Hills
 
MI
 

 
580

 
10,497

 

 
580

 
10,497

 
11,077

 
550

 
10,527

 
1994
 
2011
 
35 years
3248
 
Clare Bridge of Farmington Hills II
 
Farmington Hills
 
MI
 

 
700

 
10,246

 

 
700

 
10,246

 
10,946

 
557

 
10,389

 
1994
 
2011
 
35 years
3254
 
Clare Bridge of Grand Blanc I
 
Grand Blanc
 
MI
 

 
450

 
12,373

 

 
450

 
12,373

 
12,823

 
579

 
12,244

 
1998
 
2011
 
35 years
3255
 
Wynwood of Grand Blanc II
 
Grand Blanc
 
MI
 

 
620

 
14,627

 

 
620

 
14,627

 
15,247

 
693

 
14,554

 
1998
 
2011
 
35 years
3250
 
Wynwood of Meridian Lansing II
 
Haslett
 
MI
 

 
1,340

 
6,134

 

 
1,340

 
6,134

 
7,474

 
324

 
7,150

 
1998
 
2011
 
35 years
3224
 
Wynwood of Northville
 
Northville
 
MI
 
7,354

 
407

 
6,068

 

 
407

 
6,068

 
6,475

 
1,838

 
4,637

 
1996
 
2005
 
35 years
3251
 
Clare Bridge of Troy I
 
Troy
 
MI
 

 
630

 
17,178

 

 
630

 
17,178

 
17,808

 
792

 
17,016

 
1998
 
2011
 
35 years
3256
 
Wynwood of Troy II
 
Troy
 
MI
 

 
950

 
12,503

 

 
950

 
12,503

 
13,453

 
622

 
12,831

 
1998
 
2011
 
35 years
3240
 
Wynwood of Utica
 
Utica
 
MI
 

 
1,142

 
11,808

 

 
1,142

 
11,808

 
12,950

 
3,576

 
9,374

 
1996
 
2005
 
35 years
3249
 
Clare Bridge of Utica
 
Utica
 
MI
 

 
700

 
8,657

 

 
700

 
8,657

 
9,357

 
430

 
8,927

 
1995
 
2011
 
35 years
3203
 
Sterling House of Blaine
 
Blaine
 
MN
 

 
150

 
1,675

 

 
150

 
1,675

 
1,825

 
507

 
1,318

 
1997
 
2005
 
35 years
3208
 
Clare Bridge of Eden Prairie
 
Eden Prairie
 
MN
 

 
301

 
6,228

 

 
301

 
6,228

 
6,529

 
1,886

 
4,643

 
1998
 
2005
 
35 years
2419
 
Edina Park Plaza
 
Edina
 
MN
 
15,888

 
3,621

 
33,141

 

 
3,621

 
33,141

 
36,762

 
10,138

 
26,624

 
1998
 
2005
 
35 years
3270
 
Woven Hearts of Faribault
 
Faribault
 
MN
 

 
530

 
1,085

 

 
530

 
1,085

 
1,615

 
67

 
1,548

 
1997
 
2011
 
35 years
3211
 
Sterling House of Inver Grove Heights
 
Inver Grove Heights
 
MN
 
2,887

 
253

 
2,655

 

 
253

 
2,655

 
2,908

 
804

 
2,104

 
1997
 
2005
 
35 years
3265
 
Woven Hearts of Mankato
 
Mankato
 
MN
 

 
490

 
410

 

 
490

 
410

 
900

 
48

 
852

 
1996
 
2011
 
35 years
3223
 
Clare Bridge of North Oaks
 
North Oaks
 
MN
 

 
1,057

 
8,296

 

 
1,057

 
8,296

 
9,353

 
2,512

 
6,841

 
1998
 
2005
 
35 years

161


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
3229
 
Clare Bridge of Plymouth
 
Plymouth
 
MN
 

 
679

 
8,675

 

 
679

 
8,675

 
9,354

 
2,627

 
6,727

 
1998
 
2005
 
35 years
3272
 
Woven Hearts of Sauk Rapids
 
Sauk Rapids
 
MN
 

 
480

 
3,178

 

 
480

 
3,178

 
3,658

 
158

 
3,500

 
1997
 
2011
 
35 years
3269
 
Woven Hearts of Wilmar
 
Wilmar
 
MN
 

 
470

 
4,833

 

 
470

 
4,833

 
5,303

 
227

 
5,076

 
1997
 
2011
 
35 years
3267
 
Woven Hearts of Winona
 
Winona
 
MN
 

 
800

 
1,390

 

 
800

 
1,390

 
2,190

 
134

 
2,056

 
1997
 
2011
 
35 years
2476
 
Wellington Place of Greenville
 
Greenville
 
MS
 

 
600

 
1,522

 

 
600

 
1,522

 
2,122

 
111

 
2,011

 
1999
 
2011
 
35 years
3204
 
Clare Bridge of Cary
 
Cary
 
NC
 

 
724

 
6,466

 

 
724

 
6,466

 
7,190

 
1,958

 
5,232

 
1997
 
2005
 
35 years
2465
 
Sterling House of Hickory
 
Hickory
 
NC
 

 
330

 
10,981

 

 
330

 
10,981

 
11,311

 
512

 
10,799

 
1997
 
2011
 
35 years
3244
 
Clare Bridge of Winston-Salem
 
Winston-Salem
 
NC
 

 
368

 
3,497

 

 
368

 
3,497

 
3,865

 
1,059

 
2,806

 
1997
 
2005
 
35 years
2468
 
Sterling House of Deptford
 
Deptford
 
NJ
 

 
1,190

 
5,482

 

 
1,190

 
5,482

 
6,672

 
285

 
6,387

 
1998
 
2011
 
35 years
2434
 
Brendenwood
 
Voorhees
 
NJ
 
18,180

 
3,158

 
29,909

 

 
3,158

 
29,909

 
33,067

 
9,059

 
24,008

 
1987
 
2005
 
35 years
3242
 
Clare Bridge of Westampton
 
Westampton
 
NJ
 

 
881

 
4,741

 

 
881

 
4,741

 
5,622

 
1,436

 
4,186

 
1997
 
2005
 
35 years
2430
 
Ponce de Leon
 
Santa Fe
 
NM
 

 

 
28,178

 

 

 
28,178

 
28,178

 
8,243

 
19,935

 
1986
 
2005
 
35 years
2462
 
Westwood Assisted Living
 
Sparks
 
NV
 

 
1,040

 
7,376

 

 
1,040

 
7,376

 
8,416

 
411

 
8,005

 
1991
 
2011
 
35 years
2463
 
Westwood Active Retirement
 
Sparks
 
NV
 

 
1,520

 
9,280

 

 
1,520

 
9,280

 
10,800

 
544

 
10,256

 
1993
 
2011
 
35 years
3205
 
Villas of Sherman Brook
 
Clinton
 
NY
 

 
947

 
7,528

 

 
947

 
7,528

 
8,475

 
2,280

 
6,195

 
1991
 
2005
 
35 years
3212
 
Wynwood of Kenmore
 
Kenmore
 
NY
 
13,711

 
1,487

 
15,170

 

 
1,487

 
15,170

 
16,657

 
4,594

 
12,063

 
1995
 
2005
 
35 years
3261
 
Wynwood of Liberty (Manlius)
 
Manlius
 
NY
 

 
890

 
28,237

 

 
890

 
28,237

 
29,127

 
1,290

 
27,837

 
1994
 
2011
 
35 years
3221
 
Clare Bridge of Niskayuna
 
Niskayuna
 
NY
 

 
1,021

 
8,333

 

 
1,021

 
8,333

 
9,354

 
2,524

 
6,830

 
1997
 
2005
 
35 years
3222
 
Wynwood of Niskayuna
 
Niskayuna
 
NY
 
17,252

 
1,884

 
16,103

 

 
1,884

 
16,103

 
17,987

 
4,877

 
13,110

 
1996
 
2005
 
35 years
3228
 
Clare Bridge of Perinton
 
Pittsford
 
NY
 

 
611

 
4,066

 

 
611

 
4,066

 
4,677

 
1,231

 
3,446

 
1997
 
2005
 
35 years
2427
 
The Gables at Brighton
 
Rochester
 
NY
 

 
1,131

 
9,498

 

 
1,131

 
9,498

 
10,629

 
2,982

 
7,647

 
1988
 
2005
 
35 years
3234
 
Villas of Summerfield
 
Syracuse
 
NY
 

 
1,132

 
11,434

 

 
1,132

 
11,434

 
12,566

 
3,463

 
9,103

 
1991
 
2005
 
35 years
3243
 
Clare Bridge of Williamsville
 
Williamsville
 
NY
 
7,089

 
839

 
3,841

 

 
839

 
3,841

 
4,680

 
1,163

 
3,517

 
1997
 
2005
 
35 years
3200
 
Sterling House of Alliance
 
Alliance
 
OH
 
2,338

 
392

 
6,283

 

 
392

 
6,283

 
6,675

 
1,903

 
4,772

 
1998
 
2005
 
35 years
3201
 
Clare Bridge Cottage of Austintown
 
Austintown
 
OH
 

 
151

 
3,087

 

 
151

 
3,087

 
3,238

 
935

 
2,303

 
1999
 
2005
 
35 years
3275
 
Sterling House of Barberton
 
Barberton
 
OH
 

 
440

 
10,884

 

 
440

 
10,884

 
11,324

 
508

 
10,816

 
1997
 
2011
 
35 years
3202
 
Sterling House of Beaver Creek
 
Beavercreek
 
OH
 

 
587

 
5,381

 

 
587

 
5,381

 
5,968

 
1,630

 
4,338

 
1998
 
2005
 
35 years
3207
 
Sterling House of Westerville
 
Columbus
 
OH
 
1,907

 
267

 
3,600

 

 
267

 
3,600

 
3,867

 
1,090

 
2,777

 
1999
 
2005
 
35 years

162


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
3276
 
Sterling House of Englewood (OH)
 
Englewood
 
OH
 

 
630

 
6,477

 

 
630

 
6,477

 
7,107

 
319

 
6,788

 
1997
 
2011
 
35 years
2455
 
Sterling House of Greenville
 
Greenville
 
OH
 

 
490

 
4,144

 

 
490

 
4,144

 
4,634

 
241

 
4,393

 
1997
 
2011
 
35 years
2467
 
Sterling House of Lancaster
 
Lancaster
 
OH
 

 
460

 
4,662

 

 
460

 
4,662

 
5,122

 
242

 
4,880

 
1998
 
2011
 
35 years
3277
 
Sterling House of Marion
 
Marion
 
OH
 

 
620

 
3,306

 

 
620

 
3,306

 
3,926

 
185

 
3,741

 
1998
 
2011
 
35 years
3233
 
Sterling House of Salem
 
Salem
 
OH
 

 
634

 
4,659

 

 
634

 
4,659

 
5,293

 
1,411

 
3,882

 
1998
 
2005
 
35 years
2459
 
Sterling House of Springdale
 
Springdale
 
OH
 

 
1,140

 
9,134

 

 
1,140

 
9,134

 
10,274

 
433

 
9,841

 
1997
 
2011
 
35 years
3278
 
Sterling House of Bartlesville
 
Bartlesville
 
OK
 

 
250

 
10,529

 

 
250

 
10,529

 
10,779

 
484

 
10,295

 
1997
 
2011
 
35 years
3279
 
Sterling House of Bethany
 
Bethany
 
OK
 

 
390

 
1,499

 

 
390

 
1,499

 
1,889

 
91

 
1,798

 
1994
 
2011
 
35 years
2450
 
Sterling House of Broken Arrow
 
Broken Arrow
 
OK
 

 
940

 
6,312

 

 
940

 
6,312

 
7,252

 
304

 
6,948

 
1996
 
2011
 
35 years
2439
 
Forest Grove Residential Community
 
Forest Grove
 
OR
 

 
2,320

 
9,633

 

 
2,320

 
9,633

 
11,953

 
504

 
11,449

 
1994
 
2011
 
35 years
2440
 
The Heritage at Mt. Hood
 
Gresham
 
OR
 

 
2,410

 
9,093

 

 
2,410

 
9,093

 
11,503

 
476

 
11,027

 
1988
 
2011
 
35 years
2441
 
McMinnville Residential Estates
 
McMinnville
 
OR
 
2,158

 
1,230

 
7,561

 

 
1,230

 
7,561

 
8,791

 
439

 
8,352

 
1989
 
2011
 
35 years
2475
 
Homewood Residence at Deane Hill
 
Knoxville
 
TN
 

 
1,150

 
15,705

 

 
1,150

 
15,705

 
16,855

 
790

 
16,065

 
2001
 
2011
 
35 years
2479
 
Wellington Place at Newport
 
Newport
 
TN
 

 
820

 
4,046

 

 
820

 
4,046

 
4,866

 
222

 
4,644

 
2000
 
2011
 
35 years
2449
 
Trinity Towers
 
Corpus Christi
 
TX
 

 
1,920

 
71,661

 

 
1,920

 
71,661

 
73,581

 
3,347

 
70,234

 
1985
 
2011
 
35 years
2446
 
Sterling House of Denton
 
Denton
 
TX
 

 
1,750

 
6,712

 

 
1,750

 
6,712

 
8,462

 
323

 
8,139

 
1996
 
2011
 
35 years
2448
 
Sterling House of Ennis
 
Ennis
 
TX
 

 
460

 
3,284

 

 
460

 
3,284

 
3,744

 
173

 
3,571

 
1996
 
2011
 
35 years
2474
 
Broadway Plaza at Westover Hill
 
Ft. Worth
 
TX
 

 
1,660

 
25,703

 

 
1,660

 
25,703

 
27,363

 
1,198

 
26,165

 
2001
 
2011
 
35 years
2453
 
Hampton at Pearland
 
Houston
 
TX
 

 
1,250

 
12,869

 

 
1,250

 
12,869

 
14,119

 
643

 
13,476

 
1998
 
2011
 
35 years
2454
 
Hampton at Pinegate
 
Houston
 
TX
 

 
3,440

 
15,913

 

 
3,440

 
15,913

 
19,353

 
784

 
18,569

 
1998
 
2011
 
35 years
2456
 
Hampton at Shadowlake
 
Houston
 
TX
 

 
2,520

 
13,770

 

 
2,520

 
13,770

 
16,290

 
692

 
15,598

 
1999
 
2011
 
35 years
2457
 
Hampton at Spring Shadow
 
Houston
 
TX
 

 
1,250

 
15,760

 

 
1,250

 
15,760

 
17,010

 
752

 
16,258

 
1999
 
2011
 
35 years
3280
 
Sterling House of Kerrville
 
Kerrville
 
TX
 

 
460

 
8,548

 

 
460

 
8,548

 
9,008

 
400

 
8,608

 
1997
 
2011
 
35 years
3281
 
Sterling House of Lancaster
 
Lancaster
 
TX
 

 
410

 
1,478

 

 
410

 
1,478

 
1,888

 
98

 
1,790

 
1997
 
2011
 
35 years
2447
 
Sterling House of Paris
 
Paris
 
TX
 

 
360

 
2,411

 

 
360

 
2,411

 
2,771

 
138

 
2,633

 
1996
 
2011
 
35 years
3282
 
Sterling House of San Antonio
 
San Antonio
 
TX
 

 
1,400

 
10,051

 

 
1,400

 
10,051

 
11,451

 
478

 
10,973

 
1997
 
2011
 
35 years
3283
 
Sterling House of Temple
 
Temple
 
TX
 

 
330

 
5,081

 

 
330

 
5,081

 
5,411

 
257

 
5,154

 
1997
 
2011
 
35 years

163


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
3217
 
Clare Bridge of Lynwood
 
Lynwood
 
WA
 

 
1,219

 
9,573

 

 
1,219

 
9,573

 
10,792

 
2,899

 
7,893

 
1999
 
2005
 
35 years
3231
 
Clare Bridge of Puyallup
 
Puyallup
 
WA
 
9,993

 
1,055

 
8,298

 

 
1,055

 
8,298

 
9,353

 
2,513

 
6,840

 
1998
 
2005
 
35 years
2442
 
Columbia Edgewater
 
Richland
 
WA
 

 
960

 
23,270

 

 
960

 
23,270

 
24,230

 
1,120

 
23,110

 
1990
 
2011
 
35 years
2431
 
Park Place
 
Spokane
 
WA
 

 
1,622

 
12,895

 

 
1,622

 
12,895

 
14,517

 
4,118

 
10,399

 
1915
 
2005
 
35 years
2443
 
Crossings at Allenmore
 
Tacoma
 
WA
 

 
620

 
16,186

 

 
620

 
16,186

 
16,806

 
752

 
16,054

 
1997
 
2011
 
35 years
2473
 
Union Park at Allenmore
 
Tacoma
 
WA
 

 
1,710

 
3,326

 

 
1,710

 
3,326

 
5,036

 
251

 
4,785

 
1988
 
2011
 
35 years
2464
 
Crossings at Yakima
 
Yakima
 
WA
 

 
860

 
15,276

 

 
860

 
15,276

 
16,136

 
732

 
15,404

 
1998
 
2011
 
35 years
3210
 
Sterling House of Fond du Lac
 
Fond du Lac
 
WI
 

 
196

 
1,603

 

 
196

 
1,603

 
1,799

 
485

 
1,314

 
2000
 
2005
 
35 years
3213
 
Clare Bridge of Kenosha
 
Kenosha
 
WI
 

 
551

 
5,431

 
2,772

 
551

 
8,203

 
8,754

 
1,991

 
6,763

 
2000
 
2005
 
35 years
3271
 
Woven Hearts of Kenosha
 
Kenosha
 
WI
 

 
630

 
1,694

 

 
630

 
1,694

 
2,324

 
94

 
2,230

 
1997
 
2011
 
35 years
3214
 
Clare Bridge Cottage of La Crosse
 
LaCrosse
 
WI
 

 
621

 
4,056

 
1,126

 
621

 
5,182

 
5,803

 
1,370

 
4,433

 
2004
 
2005
 
35 years
3215
 
Sterling House of La Crosse
 
LaCrosse
 
WI
 

 
644

 
5,831

 
2,637

 
644

 
8,468

 
9,112

 
2,097

 
7,015

 
1998
 
2005
 
35 years
3268
 
Sterling House of Middleton
 
Middleton
 
WI
 

 
360

 
5,041

 

 
360

 
5,041

 
5,401

 
238

 
5,163

 
1997
 
2011
 
35 years
3263
 
Woven Hearts of Neenah
 
Neenah
 
WI
 

 
340

 
1,030

 

 
340

 
1,030

 
1,370

 
65

 
1,305

 
1996
 
2011
 
35 years
3262
 
Woven Hearts of Onalaska
 
Onalaska
 
WI
 

 
250

 
4,949

 

 
250

 
4,949

 
5,199

 
232

 
4,967

 
1995
 
2011
 
35 years
3266
 
Woven Hearts of Oshkosh
 
Oshkosh
 
WI
 

 
160

 
1,904

 

 
160

 
1,904

 
2,064

 
103

 
1,961

 
1996
 
2011
 
35 years
3264
 
Woven Hearts of Sun Prairie
 
Sun Prairie
 
WI
 

 
350

 
1,131

 

 
350

 
1,131

 
1,481

 
69

 
1,412

 
1994
 
2011
 
35 years
 
 
TOTAL FOR BROOKDALE SENIORS HOUSING COMMUNITIES
 
 
 
 
 
262,662

 
193,190

 
1,875,304

 
6,535

 
193,190

 
1,881,839

 
2,075,029

 
386,836

 
1,688,193

 
 
 
 
 
 
 
 
SUNRISE SENIORS HOUSING COMMUNITIES
 
 
 
 
 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 
 
 
 
 
4081
 
Sunrise of Chandler
 
Chandler
 
AZ
 

 
4,344

 
14,455

 

 
4,344

 
14,455

 
18,799

 
345

 
18,454

 
2007
 
2012
 
35 years
4064
 
Sunrise of Scottsdale
 
Scottsdale
 
AZ
 

 
2,229

 
27,575

 
249

 
2,253

 
27,800

 
30,053

 
4,853

 
25,200

 
2007
 
2007
 
35 years
4092
 
Sunrise of River Road
 
Tucson
 
AZ
 

 
2,971

 
12,399

 

 
2,971

 
12,399

 
15,370

 
275

 
15,095

 
2008
 
2012
 
35 years
4073
 
Sunrise of Lynn Valley
 
Vancouver
 
BC
 
14,656

 
11,759

 
37,424

 
575

 
11,770

 
37,988

 
49,758

 
6,525

 
43,233

 
2002
 
2007
 
35 years
4077
 
Sunrise of Vancouver
 
Vancouver
 
BC
 

 
6,649

 
31,937

 
340

 
6,661

 
32,265

 
38,926

 
6,095

 
32,831

 
2005
 
2007
 
35 years
4069
 
Sunrise of Victoria
 
Victoria
 
BC
 
13,930

 
8,332

 
29,970

 
553

 
8,353

 
30,502

 
38,855

 
5,430

 
33,425

 
2001
 
2007
 
35 years
4023
 
Sunrise at La Costa
 
Carlsbad
 
CA
 

 
4,890

 
20,590

 
643

 
4,920

 
21,203

 
26,123

 
4,327

 
21,796

 
1999
 
2007
 
35 years
4086
 
Sunrise of Carmichael
 
Carmichael
 
CA
 

 
1,269

 
14,598

 

 
1,269

 
14,598

 
15,867

 
340

 
15,527

 
2009
 
2012
 
35 years
4055
 
Sunrise of Fair Oaks
 
Fair Oaks
 
CA
 
11,126

 
1,456

 
23,679

 
1,130

 
2,190

 
24,075

 
26,265

 
4,589

 
21,676

 
2001
 
2007
 
35 years
4045
 
Sunrise of Mission Viejo
 
Mission Viejo
 
CA
 
10,896

 
3,802

 
24,560

 
690

 
3,821

 
25,231

 
29,052

 
4,783

 
24,269

 
1998
 
2007
 
35 years

164


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
4047
 
Sunrise of Pacific Palisades
 
Pacific Palisades
 
CA
 
7,822

 
4,458

 
17,064

 
631

 
4,461

 
17,692

 
22,153

 
3,543

 
18,610

 
2001
 
2007
 
35 years
4043
 
Sunrise at Canyon Crest
 
Riverside
 
CA
 
11,755

 
5,486

 
19,658

 
706

 
5,515

 
20,335

 
25,850

 
3,935

 
21,915

 
2006
 
2007
 
35 years
4066
 
Sunrise of Rocklin
 
Rocklin
 
CA
 

 
1,378

 
23,565

 
434

 
1,409

 
23,968

 
25,377

 
4,239

 
21,138

 
2007
 
2007
 
35 years
4035
 
Sunrise of San Mateo
 
San Mateo
 
CA
 

 
2,682

 
35,335

 
1,067

 
2,686

 
36,398

 
39,084

 
6,267

 
32,817

 
1999
 
2007
 
35 years
4012
 
Sunrise of Sunnyvale
 
Sunnyvale
 
CA
 

 
2,933

 
34,361

 
465

 
2,946

 
34,813

 
37,759

 
6,149

 
31,610

 
2000
 
2007
 
35 years
4050
 
Sunrise at Sterling Canyon
 
Valencia
 
CA
 
17,559

 
3,868

 
29,293

 
3,317

 
3,919

 
32,559

 
36,478

 
6,025

 
30,453

 
1998
 
2007
 
35 years
4016
 
Sunrise of Westlake Village
 
Westlake Village
 
CA
 

 
4,935

 
30,722

 
479

 
4,947

 
31,189

 
36,136

 
5,461

 
30,675

 
2004
 
2007
 
35 years
4018
 
Sunrise at Yorba Linda
 
Yorba Linda
 
CA
 

 
1,689

 
25,240

 
587

 
1,711

 
25,805

 
27,516

 
4,523

 
22,993

 
2002
 
2007
 
35 years
4009
 
Sunrise at Cherry Creek
 
Denver
 
CO
 

 
1,621

 
28,370

 
731

 
1,688

 
29,034

 
30,722

 
5,200

 
25,522

 
2000
 
2007
 
35 years
4030
 
Sunrise at Pinehurst
 
Denver
 
CO
 

 
1,417

 
30,885

 
1,064

 
1,431

 
31,935

 
33,366

 
6,064

 
27,302

 
1998
 
2007
 
35 years
4059
 
Sunrise at Orchard
 
Littleton
 
CO
 
11,052

 
1,813

 
22,183

 
720

 
1,818

 
22,898

 
24,716

 
4,375

 
20,341

 
1997
 
2007
 
35 years
4061
 
Sunrise of Westminster
 
Westminster
 
CO
 
7,912

 
2,649

 
16,243

 
555

 
2,679

 
16,768

 
19,447

 
3,338

 
16,109

 
2000
 
2007
 
35 years
4028
 
Sunrise of Stamford
 
Stamford
 
CT
 

 
4,612

 
28,533

 
1,016

 
4,617

 
29,544

 
34,161

 
5,581

 
28,580

 
1999
 
2007
 
35 years
4094
 
Sunrise of Jacksonville
 
Jacksonville
 
FL
 

 
2,390

 
17,671

 

 
2,390

 
17,671

 
20,061

 
416

 
19,645

 
2009
 
2012
 
35 years
4058
 
Sunrise of Ivey Ridge
 
Alpharetta
 
GA
 
5,391

 
1,507

 
18,516

 
612

 
1,513

 
19,122

 
20,635

 
3,757

 
16,878

 
1998
 
2007
 
35 years
4056
 
Sunrise of Huntcliff I
 
Atlanta
 
GA
 
32,145

 
4,232

 
66,161

 
6,144

 
4,226

 
72,311

 
76,537

 
11,730

 
64,807

 
1987
 
2007
 
35 years
4057
 
Sunrise of Huntcliff II
 
Atlanta
 
GA
 
5,178

 
2,154

 
17,137

 
780

 
2,154

 
17,917

 
20,071

 
3,332

 
16,739

 
1998
 
2007
 
35 years
4053
 
Sunrise at East Cobb
 
Marietta
 
GA
 
9,932

 
1,797

 
23,420

 
822

 
1,798

 
24,241

 
26,039

 
4,470

 
21,569

 
1997
 
2007
 
35 years
4079
 
Sunrise of Barrington
 
Barrington
 
IL
 

 
859

 
15,085

 

 
859

 
15,085

 
15,944

 
350

 
15,594

 
2007
 
2012
 
35 years
4040
 
Sunrise of Bloomingdale
 
Bloomingdale
 
IL
 
18,151

 
1,287

 
38,625

 
717

 
1,311

 
39,318

 
40,629

 
7,078

 
33,551

 
2000
 
2007
 
35 years
4042
 
Sunrise of Buffalo Grove
 
Buffalo Grove
 
IL
 
14,387

 
2,154

 
28,021

 
621

 
2,204

 
28,592

 
30,796

 
5,310

 
25,486

 
1999
 
2007
 
35 years
4015
 
Sunrise of Lincoln Park
 
Chicago
 
IL
 

 
3,485

 
26,687

 
338

 
3,485

 
27,025

 
30,510

 
4,649

 
25,861

 
2003
 
2007
 
35 years
4021
 
Sunrise of Glen Ellyn
 
Glen Ellyn
 
IL
 

 
2,455

 
34,064

 
579

 
2,475

 
34,623

 
37,098

 
6,536

 
30,562

 
2000
 
2007
 
35 years
4024
 
Sunrise of Naperville
 
Naperville
 
IL
 

 
1,946

 
28,538

 
793

 
1,974

 
29,303

 
31,277

 
5,586

 
25,691

 
1999
 
2007
 
35 years
4060
 
Sunrise of Palos Park
 
Palos Park
 
IL
 
19,854

 
2,363

 
42,205

 
629

 
2,369

 
42,828

 
45,197

 
7,800

 
37,397

 
2001
 
2007
 
35 years
4014
 
Sunrise of Park Ridge
 
Park Ridge
 
IL
 

 
5,533

 
39,557

 
771

 
5,612

 
40,249

 
45,861

 
7,106

 
38,755

 
1998
 
2007
 
35 years
4036
 
Sunrise of Willowbrook
 
Willowbrook
 
IL
 
19,565

 
1,454

 
60,738

 
1,585

 
1,980

 
61,797

 
63,777

 
9,285

 
54,492

 
2000
 
2007
 
35 years

165


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
4088
 
Sunrise of Old Meridian
 
Carmel
 
IN
 

 
8,550

 
31,746

 

 
8,550

 
31,746

 
40,296

 
744

 
39,552

 
2009
 
2012
 
35 years
4089
 
Sunrise of Leawood
 
Leawood
 
KS
 

 
651

 
16,401

 

 
651

 
16,401

 
17,052

 
347

 
16,705

 
2006
 
2012
 
35 years
4090
 
Sunrise of Overland Park
 
Overland Park
 
KS
 

 
650

 
11,015

 

 
650

 
11,015

 
11,665

 
255

 
11,410

 
2007
 
2012
 
35 years
4052
 
Sunrise of Baton Rouge
 
Baton Rouge
 
LA
 
8,487

 
1,212

 
23,547

 
680

 
1,230

 
24,209

 
25,439

 
4,412

 
21,027

 
2000
 
2007
 
35 years
4051
 
Sunrise of Arlington
 
Arlington
 
MA
 
18,179

 
86

 
34,393

 
596

 
107

 
34,968

 
35,075

 
6,494

 
28,581

 
2001
 
2007
 
35 years
4032
 
Sunrise of Norwood
 
Norwood
 
MA
 

 
2,230

 
30,968

 
1,033

 
2,258

 
31,973

 
34,231

 
5,587

 
28,644

 
1997
 
2007
 
35 years
4033
 
Sunrise of Columbia
 
Columbia
 
MD
 

 
1,780

 
23,083

 
1,373

 
1,855

 
24,381

 
26,236

 
4,309

 
21,927

 
1996
 
2007
 
35 years
4034
 
Sunrise of Rockville
 
Rockville
 
MD
 

 
1,039

 
39,216

 
724

 
1,066

 
39,913

 
40,979

 
6,761

 
34,218

 
1997
 
2007
 
35 years
4008
 
Sunrise of North Ann Arbor
 
Ann Arbor
 
MI
 

 
1,703

 
15,857

 
538

 
1,673

 
16,425

 
18,098

 
3,137

 
14,961

 
2000
 
2007
 
35 years
4038
 
Sunrise of Bloomfield
 
Bloomfield Hills
 
MI
 

 
3,736

 
27,657

 
1,274

 
3,738

 
28,929

 
32,667

 
5,162

 
27,505

 
2006
 
2007
 
35 years
4091
 
Sunrise of Cascade
 
Grand Rapids
 
MI
 

 
1,273

 
21,782

 

 
1,273

 
21,782

 
23,055

 
489

 
22,566

 
2007
 
2012
 
35 years
4046
 
Sunrise of Northville
 
Plymouth
 
MI
 
14,536

 
1,445

 
26,090

 
661

 
1,466

 
26,730

 
28,196

 
4,989

 
23,207

 
1999
 
2007
 
35 years
4048
 
Sunrise of Rochester
 
Rochester
 
MI
 
18,137

 
2,774

 
38,666

 
534

 
2,778

 
39,196

 
41,974

 
7,120

 
34,854

 
1998
 
2007
 
35 years
4031
 
Sunrise of Troy
 
Troy
 
MI
 

 
1,758

 
23,727

 
365

 
1,765

 
24,085

 
25,850

 
4,551

 
21,299

 
2001
 
2007
 
35 years
4054
 
Sunrise of Edina
 
Edina
 
MN
 
9,378

 
3,181

 
24,224

 
1,718

 
3,211

 
25,912

 
29,123

 
4,807

 
24,316

 
1999
 
2007
 
35 years
4019
 
Sunrise on Providence
 
Charlotte
 
NC
 

 
1,976

 
19,472

 
695

 
1,988

 
20,155

 
22,143

 
3,801

 
18,342

 
1999
 
2007
 
35 years
4017
 
Sunrise at North Hills
 
Raleigh
 
NC
 

 
749

 
37,091

 
905

 
751

 
37,994

 
38,745

 
6,711

 
32,034

 
2000
 
2007
 
35 years
4025
 
Sunrise of East Brunswick
 
East Brunswick
 
NJ
 

 
2,784

 
26,173

 
948

 
2,788

 
27,117

 
29,905

 
5,234

 
24,671

 
1999
 
2007
 
35 years
4085
 
Sunrise of Jackson
 
Jackson
 
NJ
 

 
4,009

 
15,029

 

 
4,009

 
15,029

 
19,038

 
365

 
18,673

 
2008
 
2012
 
35 years
4001
 
Sunrise of Morris Plains
 
Morris Plains
 
NJ
 
19,033

 
1,492

 
32,052

 
749

 
1,496

 
32,797

 
34,293

 
5,829

 
28,464

 
1997
 
2007
 
35 years
4002
 
Sunrise of Old Tappan
 
Old Tappan
 
NJ
 
17,676

 
2,985

 
36,795

 
736

 
2,986

 
37,530

 
40,516

 
6,628

 
33,888

 
1997
 
2007
 
35 years
4062
 
Sunrise of Wall
 
Wall
 
NJ
 
10,053

 
1,053

 
19,101

 
521

 
1,060

 
19,615

 
20,675

 
3,741

 
16,934

 
1999
 
2007
 
35 years
4005
 
Sunrise of Wayne
 
Wayne
 
NJ
 
14,041

 
1,288

 
24,990

 
971

 
1,297

 
25,952

 
27,249

 
4,678

 
22,571

 
1996
 
2007
 
35 years
4006
 
Sunrise of Westfield
 
Westfield
 
NJ
 
18,606

 
5,057

 
23,803

 
894

 
5,068

 
24,686

 
29,754

 
4,509

 
25,245

 
1996
 
2007
 
35 years
4029
 
Sunrise of Woodcliff Lake
 
Woodcliff Lake
 
NJ
 

 
3,493

 
30,801

 
497

 
3,502

 
31,289

 
34,791

 
6,043

 
28,748

 
2000
 
2007
 
35 years
4027
 
Sunrise of North Lynbrook
 
Lynbrook
 
NY
 

 
4,622

 
38,087

 
895

 
4,682

 
38,922

 
43,604

 
7,484

 
36,120

 
1999
 
2007
 
35 years
4044
 
Sunrise at Fleetwood
 
Mount Vernon
 
NY
 
13,045

 
4,381

 
28,434

 
684

 
4,394

 
29,105

 
33,499

 
5,556

 
27,943

 
1999
 
2007
 
35 years

166


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
4011
 
Sunrise of New City
 
New City
 
NY
 

 
1,906

 
27,323

 
824

 
1,906

 
28,147

 
30,053

 
5,150

 
24,903

 
1999
 
2007
 
35 years
4049
 
Sunrise of Smithtown
 
Smithtown
 
NY
 
13,548

 
2,853

 
25,621

 
1,184

 
3,038

 
26,620

 
29,658

 
5,443

 
24,215

 
1999
 
2007
 
35 years
4063
 
Sunrise of Staten Island
 
Staten Island
 
NY
 

 
7,237

 
23,910

 
(197
)
 
7,284

 
23,666

 
30,950

 
5,478

 
25,472

 
2006
 
2007
 
35 years
4013
 
Sunrise at Parma
 
Cleveland
 
OH
 

 
695

 
16,641

 
543

 
710

 
17,169

 
17,879

 
3,116

 
14,763

 
2000
 
2007
 
35 years
4010
 
Sunrise of Cuyahoga Falls
 
Cuyahoga Falls
 
OH
 

 
626

 
10,239

 
457

 
631

 
10,691

 
11,322

 
2,082

 
9,240

 
2000
 
2007
 
35 years
4075
 
Sunrise of Aurora
 
Aurora
 
ON
 

 
1,570

 
36,113

 
416

 
1,579

 
36,520

 
38,099

 
6,478

 
31,621

 
2002
 
2007
 
35 years
4070
 
Sunrise of Burlington
 
Burlington
 
ON
 

 
1,173

 
24,448

 
301

 
1,183

 
24,739

 
25,922

 
4,319

 
21,603

 
2001
 
2007
 
35 years
4067
 
Sunrise of Unionville
 
Markham
 
ON
 
14,858

 
2,322

 
41,140

 
864

 
2,368

 
41,958

 
44,326

 
7,192

 
37,134

 
2000
 
2007
 
35 years
4068
 
Sunrise of Mississauga
 
Mississauga
 
ON
 
13,002

 
3,554

 
33,631

 
613

 
3,601

 
34,197

 
37,798

 
5,955

 
31,843

 
2000
 
2007
 
35 years
4076
 
Sunrise of Erin Mills
 
Mississauga
 
ON
 

 
1,957

 
27,020

 
490

 
1,962

 
27,505

 
29,467

 
5,193

 
24,274

 
2007
 
2007
 
35 years
4071
 
Sunrise of Oakville
 
Oakville
 
ON
 

 
2,753

 
37,489

 
490

 
2,756

 
37,976

 
40,732

 
6,576

 
34,156

 
2002
 
2007
 
35 years
4072
 
Sunrise of Richmond Hill
 
Richmond Hill
 
ON
 
12,247

 
2,155

 
41,254

 
467

 
2,165

 
41,711

 
43,876

 
7,111

 
36,765

 
2002
 
2007
 
35 years
4078
 
Thorne Mill of Steeles
 
Vaughan
 
ON
 

 
2,563

 
57,513

 
3,403

 
1,447

 
62,032

 
63,479

 
9,621

 
53,858

 
2003
 
2007
 
35 years
4074
 
Sunrise of Windsor
 
Windsor
 
ON
 

 
1,813

 
20,882

 
404

 
1,833

 
21,266

 
23,099

 
3,778

 
19,321

 
2001
 
2007
 
35 years
4004
 
Sunrise of Abington
 
Abington
 
PA
 
23,911

 
1,838

 
53,660

 
1,140

 
1,874

 
54,764

 
56,638

 
9,750

 
46,888

 
1997
 
2007
 
35 years
4041
 
Sunrise of Blue Bell
 
Blue Bell
 
PA
 
8,751

 
1,765

 
23,920

 
1,179

 
1,814

 
25,050

 
26,864

 
4,746

 
22,118

 
2006
 
2007
 
35 years
4022
 
Sunrise of Exton
 
Exton
 
PA
 

 
1,123

 
17,765

 
616

 
1,151

 
18,353

 
19,504

 
3,587

 
15,917

 
2000
 
2007
 
35 years
4007
 
Sunrise of Haverford
 
Haverford
 
PA
 
7,502

 
941

 
25,872

 
959

 
957

 
26,815

 
27,772

 
4,765

 
23,007

 
1997
 
2007
 
35 years
4003
 
Sunrise at Granite Run
 
Media
 
PA
 
11,546

 
1,272

 
31,781

 
1,099

 
1,281

 
32,871

 
34,152

 
5,691

 
28,461

 
1997
 
2007
 
35 years
4020
 
Sunrise of Westtown
 
West Chester
 
PA
 

 
1,547

 
22,996

 
604

 
1,566

 
23,581

 
25,147

 
4,843

 
20,304

 
1999
 
2007
 
35 years
4087
 
Sunrise of Lower Makefield
 
Yardley
 
PA
 

 
3,165

 
21,337

 

 
3,165

 
21,337

 
24,502

 
500

 
24,002

 
2008
 
2012
 
35 years
4037
 
Sunrise of Hillcrest
 
Dallas
 
TX
 

 
2,616

 
27,680

 
288

 
2,624

 
27,960

 
30,584

 
5,019

 
25,565

 
2006
 
2007
 
35 years
4083
 
Sunrise of Fort Worth
 
Fort Worth
 
TX
 

 
2,024

 
18,587

 

 
2,024

 
18,587

 
20,611

 
427

 
20,184

 
2007
 
2012
 
35 years
4093
 
Sunrise of Frisco
 
Frisco
 
TX
 

 
2,523

 
14,547

 

 
2,523

 
14,547

 
17,070

 
304

 
16,766

 
2009
 
2012
 
35 years
4082
 
Sunrise of Cinco Ranch
 
Katy
 
TX
 

 
2,512

 
21,600

 

 
2,512

 
21,600

 
24,112

 
490

 
23,622

 
2007
 
2012
 
35 years
4084
 
Sunrise of Holladay
 
Holladay
 
UT
 

 
2,542

 
44,771

 

 
2,542

 
44,771

 
47,313

 
1,012

 
46,301

 
2008
 
2012
 
35 years
4065
 
Sunrise of Sandy
 
Sandy
 
UT
 

 
2,576

 
22,987

 
(181
)
 
2,608

 
22,774

 
25,382

 
4,191

 
21,191

 
2007
 
2007
 
35 years
4039
 
Sunrise of Alexandria
 
Alexandria
 
VA
 
5,519

 
88

 
14,811

 
766

 
123

 
15,542

 
15,665

 
3,356

 
12,309

 
1998
 
2007
 
35 years

167


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
4026
 
Sunrise of Richmond
 
Richmond
 
VA
 

 
1,120

 
17,446

 
816

 
1,138

 
18,244

 
19,382

 
3,540

 
15,842

 
1999
 
2007
 
35 years
4080
 
Sunrise of Bon Air
 
Richmond
 
VA
 

 
2,047

 
22,079

 

 
2,047

 
22,079

 
24,126

 
521

 
23,605

 
2008
 
2012
 
35 years
4000
 
Sunrise of Springfield
 
Springfield
 
VA
 
8,590

 
4,440

 
18,834

 
954

 
4,454

 
19,774

 
24,228

 
3,685

 
20,543

 
1997
 
2007
 
35 years
 
 
TOTAL FOR SUNRISE SENIORS HOUSING COMMUNITIES
 
 
 
 
 
511,956

 
254,131

 
2,599,161

 
66,833

 
255,887

 
2,664,238

 
2,920,125

 
433,329

 
2,486,796

 
 
 
 
 
 
 
 
ATRIA SENIORS HOUSING COMMUNITIES
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
8248
 
Atria Regency
 
Mobile
 
AL
 

 
950

 
11,897

 
508

 
950

 
12,405

 
13,355

 
880

 
12,475

 
1996
 
2011
 
35 years
8270
 
Atria Campana Del Rio
 
Tucson
 
AZ
 

 
5,861

 
37,284

 
271

 
5,861

 
37,555

 
43,416

 
2,628

 
40,788

 
1964
 
2011
 
35 years
8272
 
Atria Valley Manor
 
Tucson
 
AZ
 

 
1,709

 
60

 
120

 
1,709

 
180

 
1,889

 
43

 
1,846

 
1963
 
2011
 
35 years
8342
 
Atria Bell Court Gardens
 
Tucson
 
AZ
 
19,162

 
3,010

 
30,969

 
166

 
3,010

 
31,135

 
34,145

 
1,916

 
32,229

 
1964
 
2011
 
35 years
8584
 
Atria Chandler Villas
 
Chandler
 
AZ
 
8,057

 
3,650

 
8,450

 
280

 
3,655

 
8,725

 
12,380

 
903

 
11,477

 
1988
 
2011
 
35 years
8502
 
Atria Covina
 
Covina
 
CA
 

 
170

 
4,131

 
132

 
170

 
4,263

 
4,433

 
361

 
4,072

 
1977
 
2011
 
35 years
8510
 
Atria Chateau Gardens
 
San Jose
 
CA
 

 
39

 
487

 
202

 
39

 
689

 
728

 
199

 
529

 
1977
 
2011
 
35 years
8517
 
Atria Collwood
 
San Diego
 
CA
 

 
290

 
10,650

 
203

 
290

 
10,853

 
11,143

 
780

 
10,363

 
1976
 
2011
 
35 years
8523
 
Atria Palm Desert
 
Palm Desert
 
CA
 

 
2,887

 
9,843

 
607

 
3,057

 
10,280

 
13,337

 
1,068

 
12,269

 
1988
 
2011
 
35 years
8529
 
Atria Covell Gardens
 
Davis
 
CA
 
19,915

 
2,163

 
39,657

 
3,015

 
2,236

 
42,599

 
44,835

 
2,450

 
42,385

 
1987
 
2011
 
35 years
8532
 
Atria Golden Creek
 
Irvine
 
CA
 

 
6,900

 
23,544

 
363

 
6,905

 
23,902

 
30,807

 
1,639

 
29,168

 
1985
 
2011
 
35 years
8533
 
Atria Hillcrest
 
Thousand Oaks
 
CA
 
20,985

 
6,020

 
25,635

 
4,963

 
6,020

 
30,598

 
36,618

 
1,610

 
35,008

 
1987
 
2011
 
35 years
8538
 
Atria Bayside Landing
 
Stockton
 
CA
 

 

 
467

 
139

 

 
606

 
606

 
192

 
414

 
1998
 
2011
 
35 years
8541
 
Atria Chateau San Juan
 
San Juan Capistrano
 
CA
 

 
5,110

 
29,436

 
7,793

 
5,295

 
37,044

 
42,339

 
2,125

 
40,214

 
1985
 
2011
 
35 years
8544
 
Atria El Camino Gardens
 
Carmichael
 
CA
 

 
6,930

 
32,318

 
458

 
6,971

 
32,735

 
39,706

 
2,038

 
37,668

 
1984
 
2011
 
35 years
8545
 
Atria Hacienda
 
Palm Desert
 
CA
 

 
6,680

 
85,900

 
1,046

 
6,692

 
86,934

 
93,626

 
4,573

 
89,053

 
1989
 
2011
 
35 years
8546
 
Atria Hillsdale
 
San Mateo
 
CA
 

 
5,240

 
15,956

 
233

 
5,240

 
16,189

 
21,429

 
1,047

 
20,382

 
1986
 
2011
 
35 years
8553
 
Atria Rancho Park
 
San Dimas
 
CA
 

 
4,066

 
14,306

 
269

 
4,070

 
14,571

 
18,641

 
1,105

 
17,536

 
1975
 
2011
 
35 years
8554
 
Atria Tamalpais Creek
 
Novato
 
CA
 

 
5,812

 
24,703

 
189

 
5,817

 
24,887

 
30,704

 
1,454

 
29,250

 
1978
 
2011
 
35 years

168


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
8559
 
Atria Del Rey
 
Rancho Cucamonga
 
CA
 

 
3,290

 
17,427

 
4,059

 
3,441

 
21,335

 
24,776

 
1,405

 
23,371

 
1987
 
2011
 
35 years
8560
 
Atria Del Sol
 
Mission Viejo
 
CA
 
5,742

 
3,500

 
12,458

 
304

 
3,500

 
12,762

 
16,262

 
763

 
15,499

 
1985
 
2011
 
35 years
8561
 
Atria Encinitas
 
Encinitas
 
CA
 

 
5,880

 
9,212

 
276

 
5,880

 
9,488

 
15,368

 
677

 
14,691

 
1984
 
2011
 
35 years
8563
 
Atria Willow Glen
 
San Jose
 
CA
 

 
8,521

 
43,168

 
1,208

 
8,526

 
44,371

 
52,897

 
1,558

 
51,339

 
1976
 
2011
 
35 years
8575
 
Atria Burlingame
 
Burlingame
 
CA
 
7,546

 
2,494

 
12,373

 
299

 
2,494

 
12,672

 
15,166

 
809

 
14,357

 
1977
 
2011
 
35 years
8578
 
Atria Sunnyvale
 
Sunnyvale
 
CA
 
8,674

 
6,120

 
30,068

 
866

 
6,211

 
30,843

 
37,054

 
1,814

 
35,240

 
1977
 
2011
 
35 years
8579
 
Atria Montego Heights
 
Walnut Creek
 
CA
 

 
6,910

 
15,797

 
177

 
6,910

 
15,974

 
22,884

 
1,300

 
21,584

 
1978
 
2011
 
35 years
8580
 
Atria Daly City
 
Daly City
 
CA
 
7,668

 
3,090

 
13,448

 
39

 
3,090

 
13,487

 
16,577

 
863

 
15,714

 
1975
 
2011
 
35 years
8582
 
Atria Valley View
 
Walnut Creek
 
CA
 
18,698

 
7,139

 
53,914

 
425

 
7,141

 
54,337

 
61,478

 
4,554

 
56,924

 
1977
 
2011
 
35 years
8585
 
Atria Las Posas
 
Camarillo
 
CA
 

 
4,500

 
28,436

 
166

 
4,500

 
28,602

 
33,102

 
1,710

 
31,392

 
1997
 
2011
 
35 years
8601
 
Atria Woodbridge
 
Irvine
 
CA
 

 

 
5

 

 

 
5

 
5

 

 
5

 
1997
 
2012
 
35 years
8603
 
Atria Inn at Lakewood
 
Lakewood
 
CO
 
22,838

 
6,281

 
50,095

 
212

 
6,281

 
50,307

 
56,588

 
2,779

 
53,809

 
1999
 
2011
 
35 years
8261
 
Atria Vistas in Longmont
 
Longmont
 
CO
 

 
2,807

 
24,877

 

 
2,807

 
24,877

 
27,684

 
677

 
27,007

 
2009
 
2012
 
35 years
8311
 
Atria Stratford
 
Stratford
 
CT
 
15,939

 
3,210

 
27,865

 
498

 
3,210

 
28,363

 
31,573

 
1,784

 
29,789

 
1999
 
2011
 
35 years
8434
 
Atria Darien
 
Darien
 
CT
 
20,879

 
653

 
37,587

 
873

 
653

 
38,460

 
39,113

 
2,207

 
36,906

 
1997
 
2011
 
35 years
8435
 
Atria Stamford
 
Stamford
 
CT
 
38,849

 
1,200

 
62,432

 
2,592

 
1,233

 
64,991

 
66,224

 
3,603

 
62,621

 
1975
 
2011
 
35 years
8725
 
Atria Crossroads Place
 
Waterford
 
CT
 
25,044

 
2,401

 
36,495

 
280

 
2,401

 
36,775

 
39,176

 
2,105

 
37,071

 
2000
 
2011
 
35 years
8726
 
Atria Greenridge Place
 
Rocky Hill
 
CT
 
17,294

 
2,170

 
32,553

 
351

 
2,172

 
32,902

 
35,074

 
1,884

 
33,190

 
1998
 
2011
 
35 years
8727
 
Atria Hamilton Heights
 
West Hartford
 
CT
 
14,074

 
3,120

 
14,674

 
798

 
3,151

 
15,441

 
18,592

 
1,227

 
17,365

 
1904
 
2011
 
35 years
8728
 
Atria Larson Place
 
Hamden
 
CT
 
11,519

 
1,850

 
16,098

 
209

 
1,865

 
16,292

 
18,157

 
1,155

 
17,002

 
1999
 
2011
 
35 years
8229
 
Atria San Pablo
 
Jacksonville
 
FL
 
5,865

 
1,620

 
14,920

 
102

 
1,629

 
15,013

 
16,642

 
897

 
15,745

 
1999
 
2011
 
35 years
8343
 
Atria Meridian
 
Lake Worth
 
FL
 

 

 
10

 

 

 
10

 
10

 

 
10

 
1986
 
2012
 
35 years
8233
 
The Heritage at Lake Forest
 
Sanford
 
FL
 

 
3,589

 
32,586

 
999

 
3,589

 
33,585

 
37,174

 
1,470

 
35,704

 
2002
 
2011
 
35 years
8274
 
Atria Evergreen Woods
 
Spring Hill
 
FL
 
10,689

 
2,370

 
28,371

 
742

 
2,379

 
29,104

 
31,483

 
2,036

 
29,447

 
1981
 
2011
 
35 years
8276
 
Atria Windsor Woods
 
Hudson
 
FL
 

 
1,610

 
32,432

 
370

 
1,612

 
32,800

 
34,412

 
2,224

 
32,188

 
1988
 
2011
 
35 years
8537
 
Atria Baypoint Village
 
Hudson
 
FL
 
16,783

 
2,083

 
28,841

 
446

 
2,088

 
29,282

 
31,370

 
2,156

 
29,214

 
1986
 
2011
 
35 years

169


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
8210
 
Atria Johnson Ferry
 
Marietta
 
GA
 
3,781

 
990

 
6,453

 
71

 
990

 
6,524

 
7,514

 
469

 
7,045

 
1995
 
2011
 
35 years
8268
 
Atria Buckhead
 
Atlanta
 
GA
 

 
3,660

 
5,274

 
156

 
3,660

 
5,430

 
9,090

 
499

 
8,591

 
1996
 
2011
 
35 years
8240
 
Atria Newburgh
 
Newburgh
 
IN
 

 
1,150

 
22,880

 
162

 
1,150

 
23,042

 
24,192

 
1,349

 
22,843

 
1998
 
2011
 
35 years
8249
 
Atria Hearthstone East
 
Topeka
 
KS
 

 
1,150

 
20,544

 
207

 
1,167

 
20,734

 
21,901

 
1,299

 
20,602

 
1998
 
2011
 
35 years
8277
 
Atria Hearthstone West
 
Topeka
 
KS
 
9,226

 
1,230

 
28,379

 
497

 
1,230

 
28,876

 
30,106

 
1,936

 
28,170

 
1987
 
2011
 
35 years
8209
 
Atria St. Matthews
 
Louisville
 
KY
 
7,706

 
939

 
9,274

 
367

 
939

 
9,641

 
10,580

 
844

 
9,736

 
1998
 
2011
 
35 years
8228
 
Atria Elizabethtown
 
Elizabethtown
 
KY
 
5,484

 
850

 
12,510

 
113

 
856

 
12,617

 
13,473

 
775

 
12,698

 
1996
 
2011
 
35 years
8235
 
Atria Highland Crossing
 
Fort Wright
 
KY
 
11,522

 
1,677

 
14,393

 
339

 
1,680

 
14,729

 
16,409

 
1,162

 
15,247

 
1988
 
2011
 
35 years
8245
 
Atria Summit Hills
 
Crestview Hills
 
KY
 
6,334

 
1,780

 
15,769

 
376

 
1,784

 
16,141

 
17,925

 
1,050

 
16,875

 
1998
 
2011
 
35 years
8246
 
Atria Stony Brook
 
Louisville
 
KY
 

 
1,860

 
17,561

 
136

 
1,867

 
17,690

 
19,557

 
1,159

 
18,398

 
1999
 
2011
 
35 years
8258
 
Atria Springdale
 
Louisville
 
KY
 

 
1,410

 
16,702

 
167

 
1,410

 
16,869

 
18,279

 
1,108

 
17,171

 
1999
 
2011
 
35 years
8162
 
Atria Falmouth
 
Falmouth
 
MA
 
30,000

 
4,630

 

 
14,897

 
4,630

 
14,897

 
19,527

 

 
19,527

 
CIP
 
2011
 
CIP
8230
 
Atria Woodbriar
 
Falmouth
 
MA
 
14,254

 
1,970

 
43,693

 
148

 
1,974

 
43,837

 
45,811

 
2,365

 
43,446

 
1975
 
2011
 
35 years
8730
 
Atria Fairhaven (Alden)
 
Fairhaven
 
MA
 
11,834

 
1,100

 
16,093

 
128

 
1,100

 
16,221

 
17,321

 
947

 
16,374

 
1999
 
2011
 
35 years
8731
 
Atria Draper Place
 
Hopedale
 
MA
 
13,791

 
1,140

 
17,794

 
185

 
1,154

 
17,965

 
19,119

 
1,091

 
18,028

 
1998
 
2011
 
35 years
8733
 
Atria Longmeadow Place
 
Burlington
 
MA
 
23,552

 
5,310

 
58,021

 
298

 
5,310

 
58,319

 
63,629

 
3,177

 
60,452

 
1998
 
2011
 
35 years
8735
 
Atria Marina Place
 
North Quincy
 
MA
 
29,339

 
2,590

 
33,899

 
169

 
2,605

 
34,053

 
36,658

 
2,055

 
34,603

 
1999
 
2011
 
35 years
8736
 
Atria Marland Place
 
Andover
 
MA
 

 
1,831

 
34,592

 
435

 
1,834

 
35,024

 
36,858

 
2,065

 
34,793

 
1996
 
2011
 
35 years
8737
 
Atria Merrimack Place
 
Newburyport
 
MA
 
19,533

 
2,774

 
40,645

 
205

 
2,774

 
40,850

 
43,624

 
2,213

 
41,411

 
2000
 
2011
 
35 years
8332
 
Atria Manresa
 
Annapolis
 
MD
 
6,419

 
4,193

 
19,000

 
190

 
4,193

 
19,190

 
23,383

 
1,153

 
22,230

 
1920
 
2011
 
35 years
8333
 
Atria Salisbury
 
Salisbury
 
MD
 
6,157

 
1,940

 
24,500

 
148

 
1,940

 
24,648

 
26,588

 
1,373

 
25,215

 
1995
 
2011
 
35 years
8241
 
Atria Kennebunk
 
Kennebunk
 
ME
 

 
1,090

 
23,496

 
106

 
1,090

 
23,602

 
24,692

 
1,429

 
23,263

 
1998
 
2011
 
35 years
8548
 
Atria Kinghaven
 
Riverview
 
MI
 
14,211

 
1,440

 
26,260

 
182

 
1,471

 
26,411

 
27,882

 
1,803

 
26,079

 
1987
 
2011
 
35 years
8522
 
Atria Shorehaven
 
Sterling Heights
 
MI
 

 

 
8

 

 

 
8

 
8

 

 
8

 
1989
 
2012
 
35 years
8305
 
Atria Merrywood
 
Charlotte
 
NC
 

 
1,678

 
36,892

 
373

 
1,678

 
37,265

 
38,943

 
2,427

 
36,516

 
1991
 
2011
 
35 years
8319
 
Atria Cranford
 
Cranford
 
NJ
 
27,330

 
8,260

 
61,411

 
409

 
8,295

 
61,785

 
70,080

 
3,560

 
66,520

 
1993
 
2011
 
35 years
8335
 
Atria Tinton Falls
 
Tinton Falls
 
NJ
 

 
6,580

 
13,258

 
372

 
6,584

 
13,626

 
20,210

 
1,064

 
19,146

 
1999
 
2011
 
35 years
8562
 
Atria Vista de Rio
 
Albuquerque
 
NM
 

 

 
36

 

 

 
36

 
36

 

 
36

 
1997
 
2012
 
35 years

170


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
8524
 
Atria Summit Ridge
 
Reno
 
NV
 

 
4

 
407

 
75

 
4

 
482

 
486

 
183

 
303

 
1997
 
2011
 
35 years
8525
 
Atria Sunlake
 
Las Vegas
 
NV
 

 
7

 
732

 
178

 
7

 
910

 
917

 
327

 
590

 
1998
 
2011
 
35 years
8526
 
Atria Sutton
 
Las Vegas
 
NV
 

 

 
863

 
252

 
12

 
1,103

 
1,115

 
376

 
739

 
1998
 
2011
 
35 years
8587
 
Atria Seville
 
Las Vegas
 
NV
 

 

 
796

 
155

 

 
951

 
951

 
330

 
621

 
1999
 
2011
 
35 years
8269
 
Atria Hertlin House
 
Lake Ronkonkoma
 
NY
 

 
7,886

 
16,391

 

 
7,886

 
16,391

 
24,277

 

 
24,277

 
2002
 
2012
 
35 years
8309
 
Atria 86th Street
 
New York
 
NY
 

 
80

 
73,685

 
1,749

 
80

 
75,434

 
75,514

 
4,391

 
71,123

 
1998
 
2011
 
35 years
8310
 
Atria Great Neck
 
Great Neck
 
NY
 
14,871

 
3,390

 
54,051

 
256

 
3,390

 
54,307

 
57,697

 
2,964

 
54,733

 
1998
 
2011
 
35 years
8312
 
Atria Kew Gardens
 
Jamaica
 
NY
 
29,013

 
3,051

 
66,013

 
1,143

 
3,051

 
67,156

 
70,207

 
3,594

 
66,613

 
1999
 
2011
 
35 years
8313
 
Atria Briarcliff Manor
 
Briarcliff Manor
 
NY
 
14,832

 
6,560

 
33,885

 
248

 
6,585

 
34,108

 
40,693

 
2,050

 
38,643

 
1997
 
2011
 
35 years
8314
 
Atria Riverdale
 
Bronx
 
NY
 
22,511

 
1,020

 
24,149

 
486

 
1,035

 
24,620

 
25,655

 
1,660

 
23,995

 
1999
 
2011
 
35 years
8321
 
Atria Shaker
 
Albany
 
NY
 
12,780

 
1,520

 
29,667

 
286

 
1,520

 
29,953

 
31,473

 
1,772

 
29,701

 
1997
 
2011
 
35 years
8323
 
Atria South Setauket
 
South Setauket
 
NY
 

 
8,450

 
14,534

 
330

 
8,770

 
14,544

 
23,314

 
1,346

 
21,968

 
1967
 
2011
 
35 years
8325
 
Atria Huntington
 
Huntington Station
 
NY
 
6,686

 
8,190

 
1,169

 
216

 
8,207

 
1,368

 
9,575

 
443

 
9,132

 
1987
 
2011
 
35 years
8327
 
Atria Penfield
 
Penfield
 
NY
 

 
620

 
22,036

 
82

 
620

 
22,118

 
22,738

 
1,334

 
21,404

 
1972
 
2011
 
35 years
8328
 
Atria Greece
 
Rochester
 
NY
 

 
410

 
14,967

 
347

 
412

 
15,312

 
15,724

 
930

 
14,794

 
1970
 
2011
 
35 years
8329
 
Atria Lynbrook
 
Lynbrook
 
NY
 
6,873

 
3,145

 
5,489

 
198

 
3,147

 
5,685

 
8,832

 
586

 
8,246

 
1996
 
2011
 
35 years
8330
 
Atria Crossgate
 
Albany
 
NY
 
4,435

 
1,080

 
20,599

 
82

 
1,080

 
20,681

 
21,761

 
1,306

 
20,455

 
1980
 
2011
 
35 years
8331
 
Atria East Northport
 
East Northport
 
NY
 

 
9,960

 
34,467

 
761

 
9,960

 
35,228

 
45,188

 
2,171

 
43,017

 
1996
 
2011
 
35 years
8436
 
Atria Rye Brook
 
Rye Brook
 
NY
 
45,038

 
9,660

 
74,936

 
377

 
9,665

 
75,308

 
84,973

 
4,218

 
80,755

 
2004
 
2011
 
35 years
8437
 
Atria on Roslyn Harbor
 
Roslyn
 
NY
 
65,325

 
12,909

 
72,720

 
457

 
12,909

 
73,177

 
86,086

 
3,982

 
82,104

 
2006
 
2011
 
35 years
8438
 
Atria Cutter Mill
 
Great Neck
 
NY
 
36,090

 
2,750

 
47,919

 
294

 
2,753

 
48,210

 
50,963

 
2,765

 
48,198

 
1999
 
2011
 
35 years
8439
 
Atria Glen Cove
 
Glen Cove
 
NY
 
11,420

 
2,035

 
25,190

 
602

 
2,049

 
25,778

 
27,827

 
2,657

 
25,170

 
1997
 
2011
 
35 years
8455
 
Atria Bay Shore
 
Bay Shore
 
NY
 
15,275

 
4,440

 
31,983

 
330

 
4,440

 
32,313

 
36,753

 
1,876

 
34,877

 
1900
 
2011
 
35 years
8458
 
Atria Forest Hills
 
Forest Hills
 
NY
 

 
2,050

 
16,680

 
221

 
2,050

 
16,901

 
18,951

 
1,050

 
17,901

 
2001
 
2011
 
35 years
8461
 
Atria Plainview
 
Plainview
 
NY
 
14,030

 
2,480

 
16,060

 
129

 
2,490

 
16,179

 
18,669

 
1,037

 
17,632

 
2000
 
2011
 
35 years
8464
 
Atria Tanglewood
 
Lynbrook
 
NY
 
26,700

 
4,120

 
37,348

 
173

 
4,138

 
37,503

 
41,641

 
2,104

 
39,537

 
2005
 
2011
 
35 years
8467
 
Atria Woodlands
 
Ardsley
 
NY
 
47,637

 
7,660

 
65,581

 
380

 
7,682

 
65,939

 
73,621

 
3,769

 
69,852

 
2005
 
2011
 
35 years

171


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
8738
 
Atria Guilderland
 
Slingerlands
 
NY
 

 
1,170

 
22,414

 
90

 
1,171

 
22,503

 
23,674

 
1,327

 
22,347

 
1950
 
2011
 
35 years
8739
 
Atria on the Hudson
 
Ossining
 
NY
 

 
8,123

 
63,089

 
1,773

 
8,137

 
64,848

 
72,985

 
3,869

 
69,116

 
1972
 
2011
 
35 years
8521
 
Atria Northgate Park
 
Cincinnati
 
OH
 

 

 

 

 

 

 

 

 

 
1985
 
2012
 
35 years
8338
 
Atria Bethlehem
 
Bethlehem
 
PA
 

 
2,479

 
22,870

 
174

 
2,479

 
23,044

 
25,523

 
1,514

 
24,009

 
1998
 
2011
 
35 years
8339
 
Atria South Hills
 
Pittsburgh
 
PA
 
4,976

 
880

 
10,884

 
208

 
895

 
11,077

 
11,972

 
833

 
11,139

 
1998
 
2011
 
35 years
8433
 
Atria Center City
 
Philadelphia
 
PA
 
24,272

 
3,460

 
18,291

 
586

 
3,460

 
18,877

 
22,337

 
1,346

 
20,991

 
1964
 
2011
 
35 years
8742
 
Atria Woodbridge Place
 
Phoenixville
 
PA
 
12,105

 
1,510

 
19,130

 
147

 
1,510

 
19,277

 
20,787

 
1,219

 
19,568

 
1996
 
2011
 
35 years
8602
 
Atria Bay Spring Village
 
Barrington
 
RI
 
13,786

 
2,000

 
33,400

 
1,405

 
2,066

 
34,739

 
36,805

 
2,230

 
34,575

 
2000
 
2011
 
35 years
8743
 
Atria Aquidneck Place
 
Portsmouth
 
RI
 

 
2,810

 
31,623

 
167

 
2,810

 
31,790

 
34,600

 
1,674

 
32,926

 
1999
 
2011
 
35 years
8744
 
Atria Harborhill Place
 
East Greenwich
 
RI
 

 
2,089

 
21,702

 
128

 
2,110

 
21,809

 
23,919

 
1,260

 
22,659

 
1835
 
2011
 
35 years
8745
 
Atria Lincoln Place
 
Lincoln
 
RI
 

 
1,440

 
12,686

 
133

 
1,451

 
12,808

 
14,259

 
902

 
13,357

 
2000
 
2011
 
35 years
8263
 
Atria Forest Lake
 
Columbia
 
SC
 
5,390

 
670

 
13,946

 
130

 
680

 
14,066

 
14,746

 
858

 
13,888

 
1999
 
2011
 
35 years
8205
 
Atria Weston Place
 
Knoxville
 
TN
 
10,015

 
793

 
7,961

 
159

 
800

 
8,113

 
8,913

 
652

 
8,261

 
1993
 
2011
 
35 years
8542
 
Atria Collier Park
 
Beaumont
 
TX
 

 

 

 

 

 

 

 

 

 
1996
 
2012
 
35 years
8215
 
Atria Cypresswood
 
Spring
 
TX
 
9,556

 
880

 
9,192

 
78

 
880

 
9,270

 
10,150

 
628

 
9,522

 
1996
 
2011
 
35 years
8218
 
Atria Kingwood
 
Kingwood
 
TX
 

 
1,170

 
4,518

 
57

 
1,170

 
4,575

 
5,745

 
417

 
5,328

 
1998
 
2011
 
35 years
8234
 
Atria Copeland
 
Tyler
 
TX
 
10,358

 
1,879

 
17,901

 
133

 
1,879

 
18,034

 
19,913

 
1,165

 
18,748

 
1997
 
2011
 
35 years
8243
 
Atria Carrollton
 
Carrollton
 
TX
 
7,708

 
360

 
20,465

 
227

 
360

 
20,692

 
21,052

 
1,269

 
19,783

 
1998
 
2011
 
35 years
8247
 
Atria Grapevine
 
Grapevine
 
TX
 

 
2,070

 
23,104

 
87

 
2,070

 
23,191

 
25,261

 
1,412

 
23,849

 
1999
 
2011
 
35 years
8252
 
Atria Sugar Land
 
Sugar Land
 
TX
 

 
970

 
17,542

 
425

 
970

 
17,967

 
18,937

 
1,044

 
17,893

 
1999
 
2011
 
35 years
8254
 
Atria Westchase
 
Houston
 
TX
 
6,842

 
2,318

 
22,278

 
96

 
2,318

 
22,374

 
24,692

 
1,395

 
23,297

 
1999
 
2011
 
35 years
8257
 
Atria Richardson
 
Richardson
 
TX
 

 
1,590

 
23,662

 
220

 
1,590

 
23,882

 
25,472

 
1,428

 
24,044

 
1998
 
2011
 
35 years
8266
 
Atria Willow Park
 
Tyler
 
TX
 

 
920

 
31,271

 
243

 
920

 
31,514

 
32,434

 
2,052

 
30,382

 
1985
 
2011
 
35 years
8284
 
AtrIA Village at Arboretum
 
Austin
 
TX
 

 
8,280

 
61,764

 

 
8,280

 
61,764

 
70,044

 

 
70,044

 
2009
 
2012
 
35 years
8278
 
Atria Sandy
 
Sandy
 
UT
 
13,502

 
3,356

 
18,805

 
421

 
3,447

 
19,135

 
22,582

 
1,481

 
21,101

 
1986
 
2011
 
35 years
8239
 
Atria Virginia Beach (Hilltop)
 
Virginia Beach
 
VA
 

 
1,749

 
33,004

 
169

 
1,749

 
33,173

 
34,922

 
2,023

 
32,899

 
1998
 
2011
 
35 years

172


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
 
 
TOTAL FOR ATRIA SENIORS HOUSING COMMUNITIES
 
 
 
 
 
1,048,719

 
373,560

 
3,064,991

 
75,147

 
375,259

 
3,138,439

 
3,513,698

 
188,259

 
3,325,439

 
 
 
 
 
 



 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
 
 
OTHER SENIORS HOUSING COMMUNITIES
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
3880
 
Elmcroft of Grayson Valley
 
Birmingham
 
AL
 

 
1,040

 
19,145

 
56

 
1,040

 
19,201

 
20,241

 
917

 
19,324

 
2000
 
2011
 
35 years
3873
 
Elmcroft of Byrd Springs
 
Hunstville
 
AL
 

 
1,720

 
11,270

 
240

 
1,720

 
11,510

 
13,230

 
584

 
12,646

 
1999
 
2011
 
35 years
3881
 
Elmcroft of Heritage Woods
 
Mobile
 
AL
 

 
1,020

 
10,241

 
122

 
1,020

 
10,363

 
11,383

 
540

 
10,843

 
2000
 
2011
 
35 years
3800
 
Elmcroft of Halcyon
 
Montgomery
 
AL
 

 
220

 
5,476

 

 
220

 
5,476

 
5,696

 
965

 
4,731

 
1999
 
2006
 
35 years
7635
 
Rosewood Manor (AL)
 
Scottsboro
 
AL
 

 
680

 
4,038

 

 
680

 
4,038

 
4,718

 
201

 
4,517

 
1998
 
2011
 
35 years
7567
 
The Arches
 
Benton
 
AR
 

 
330

 
1,462

 

 
330

 
1,462

 
1,792

 
97

 
1,695

 
1990
 
2011
 
35 years
3821
 
Elmcroft of Blytheville
 
Blytheville
 
AR
 

 
294

 
2,946

 

 
294

 
2,946

 
3,240

 
519

 
2,721

 
1997
 
2006
 
35 years
3605
 
West Shores
 
Hot Springs
 
AR
 

 
1,326

 
10,904

 

 
1,326

 
10,904

 
12,230

 
2,395

 
9,835

 
1988
 
2005
 
35 years
3822
 
Elmcroft of Maumelle
 
Maumelle
 
AR
 

 
1,252

 
7,601

 

 
1,252

 
7,601

 
8,853

 
1,339

 
7,514

 
1997
 
2006
 
35 years
3823
 
Elmcroft of Mountain Home
 
Mountain Home
 
AR
 

 
204

 
8,971

 

 
204

 
8,971

 
9,175

 
1,581

 
7,594

 
1997
 
2006
 
35 years
3825
 
Elmcroft of Sherwood
 
Sherwood
 
AR
 

 
1,320

 
5,693

 

 
1,320

 
5,693

 
7,013

 
1,003

 
6,010

 
1997
 
2006
 
35 years
7301
 
Chandler Memory Care Community
 
Chandler
 
AZ
 

 
2,910

 

 
9,066

 
3,094

 
8,882

 
11,976

 
325

 
11,651

 
2011
 
2011
 
35 years
3601
 
Cottonwood Village
 
Cottonwood
 
AZ
 

 
1,200

 
15,124

 

 
1,200

 
15,124

 
16,324

 
3,292

 
13,032

 
1986
 
2005
 
35 years
7308
 
Silver Creek Inn Memory Care Community
 
Gilbert
 
AZ
 

 
890

 
5,918

 

 
890

 
5,918

 
6,808

 
106

 
6,702

 
2012
 
2012
 
35 years

173


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
7010
 
Arbor Rose
 
Mesa
 
AZ
 

 
1,100

 
11,880

 
2,434

 
1,100

 
14,314

 
15,414

 
827

 
14,587

 
1999
 
2011
 
35 years
3894
 
Elmcroft of Tempe
 
Tempe
 
AZ
 

 
1,090

 
12,942

 
209

 
1,090

 
13,151

 
14,241

 
656

 
13,585

 
1999
 
2011
 
35 years
3891
 
Elmcroft of River Centre
 
Tucson
 
AZ
 

 
1,940

 
5,195

 
82

 
1,940

 
5,277

 
7,217

 
321

 
6,896

 
1999
 
2011
 
35 years
2803
 
Emeritus at Fairwood Manor
 
Anaheim
 
CA
 

 
2,464

 
7,908

 

 
2,464

 
7,908

 
10,372

 
2,070

 
8,302

 
1977
 
2005
 
35 years
7072
 
Careage Banning
 
Banning
 
CA
 

 
2,970

 
16,037

 

 
2,970

 
16,037

 
19,007

 
850

 
18,157

 
2004
 
2011
 
35 years
3811
 
Las Villas Del Carlsbad
 
Carlsbad
 
CA
 

 
1,760

 
30,469

 

 
1,760

 
30,469

 
32,229

 
5,368

 
26,861

 
1987
 
2006
 
35 years
2245
 
Villa Bonita
 
Chula Vista
 
CA
 

 
1,610

 
9,169

 

 
1,610

 
9,169

 
10,779

 
512

 
10,267

 
1989
 
2011
 
35 years
2813
 
Emeritus at Barrington Court
 
Danville
 
CA
 

 
360

 
4,640

 

 
360

 
4,640

 
5,000

 
945

 
4,055

 
1999
 
2006
 
35 years
3805
 
Las Villas Del Norte
 
Escondido
 
CA
 

 
2,791

 
32,632

 

 
2,791

 
32,632

 
35,423

 
5,749

 
29,674

 
1986
 
2006
 
35 years
7480
 
Alder Bay Assisted Living
 
Eureka
 
CA
 

 
1,170

 
5,228

 
(70
)
 
1,170

 
5,158

 
6,328

 
287

 
6,041

 
1997
 
2011
 
35 years
3808
 
Elmcroft of La Mesa
 
La Mesa
 
CA
 

 
2,431

 
6,101

 

 
2,431

 
6,101

 
8,532

 
1,075

 
7,457

 
1997
 
2006
 
35 years
3810
 
Grossmont Gardens
 
La Mesa
 
CA
 

 
9,104

 
59,349

 

 
9,104

 
59,349

 
68,453

 
10,457

 
57,996

 
1964
 
2006
 
35 years
3809
 
Mountview Retirement Residence
 
Montrose
 
CA
 

 
1,089

 
15,449

 

 
1,089

 
15,449

 
16,538

 
2,722

 
13,816

 
1974
 
2006
 
35 years
1701
 
Villa de Palma
 
Placentia
 
CA
 

 
1,260

 
10,174

 

 
1,260

 
10,174

 
11,434

 
553

 
10,881

 
1982
 
2011
 
35 years
2244
 
Wellington Place
 
Rancho Mirage
 
CA
 

 
6,800

 
3,637

 

 
6,800

 
3,637

 
10,437

 
319

 
10,118

 
1999
 
2011
 
35 years
7481
 
The Vistas
 
Redding
 
CA
 

 
1,290

 
22,033

 

 
1,290

 
22,033

 
23,323

 
1,066

 
22,257

 
2007
 
2011
 
35 years
2815
 
Emeritus at Roseville Gardens
 
Roseville
 
CA
 

 
220

 
2,380

 

 
220

 
2,380

 
2,600

 
488

 
2,112

 
1996
 
2006
 
35 years
3807
 
Elmcroft of Point Loma
 
San Diego
 
CA
 

 
2,117

 
6,865

 

 
2,117

 
6,865

 
8,982

 
1,210

 
7,772

 
1999
 
2006
 
35 years
2243
 
Land of Cortese Assisted Living
 
San Jose
 
CA
 

 
2,700

 
7,994

 

 
2,700

 
7,994

 
10,694

 
518

 
10,176

 
1998
 
2011
 
35 years
1700
 
Villa del Obispo
 
San Juan Capistrano
 
CA
 

 
2,660

 
9,560

 

 
2,660

 
9,560

 
12,220

 
510

 
11,710

 
1985
 
2011
 
35 years
3604
 
Villa Santa Barbara
 
Santa Barbara
 
CA
 

 
1,219

 
12,426

 

 
1,219

 
12,426

 
13,645

 
2,719

 
10,926

 
1977
 
2005
 
35 years
1702
 
Maria del Sol
 
Santa Maria
 
CA
 

 
1,950

 
1,726

 

 
1,950

 
1,726

 
3,676

 
210

 
3,466

 
1967
 
2011
 
35 years
7013
 
Eagle Lake Village
 
Susanville
 
CA
 

 
1,165

 
6,719

 

 
1,165

 
6,719

 
7,884

 
110

 
7,774

 
2006
 
2012
 
35 years
2804
 
Emeritus at Heritage Place
 
Tracy
 
CA
 

 
1,110

 
13,296

 

 
1,110

 
13,296

 
14,406

 
3,103

 
11,303

 
1986
 
2005
 
35 years
2242
 
Buena Vista Knolls
 
Vista
 
CA
 

 
1,630

 
5,640

 
52

 
1,630

 
5,692

 
7,322

 
344

 
6,978

 
1980
 
2011
 
35 years
3806
 
Rancho Vista
 
Vista
 
CA
 

 
6,730

 
21,828

 

 
6,730

 
21,828

 
28,558

 
3,846

 
24,712

 
1982
 
2006
 
35 years
1712
 
Westminster Terrace
 
Westminster
 
CA
 

 
1,700

 
11,514

 

 
1,700

 
11,514

 
13,214

 
566

 
12,648

 
2001
 
2011
 
35 years

174


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
7011
 
Caley Ridge
 
Englewood
 
CO
 

 
1,157

 
13,133

 

 
1,157

 
13,133

 
14,290

 
215

 
14,075

 
1999
 
2012
 
35 years
7485
 
Garden Square at Westlake
 
Greeley
 
CO
 

 
630

 
8,211

 

 
630

 
8,211

 
8,841

 
419

 
8,422

 
1998
 
2011
 
35 years
7486
 
Garden Square of Greeley
 
Greeley
 
CO
 

 
330

 
2,735

 

 
330

 
2,735

 
3,065

 
145

 
2,920

 
1995
 
2011
 
35 years
7110
 
Devonshire Acres
 
Sterling
 
CO
 

 
950

 
13,569

 
(3,501
)
 
950

 
10,068

 
11,018

 
527

 
10,491

 
1979
 
2011
 
35 years
7292
 
Gardenside Terrace
 
Brandford
 
CT
 

 
7,000

 
31,518

 

 
7,000

 
31,518

 
38,518

 
1,526

 
36,992

 
1999
 
2011
 
35 years
7291
 
Hearth at Tuxis Pond
 
Madison
 
CT
 

 
1,610

 
44,322

 

 
1,610

 
44,322

 
45,932

 
2,041

 
43,891

 
2002
 
2011
 
35 years
2802
 
Emeritus at South Windsor
 
South Windsor
 
CT
 

 
2,187

 
12,682

 

 
2,187

 
12,682

 
14,869

 
3,226

 
11,643

 
1999
 
2004
 
35 years
7636
 
Forsyth House
 
Milton
 
FL
 

 
610

 
6,503

 

 
610

 
6,503

 
7,113

 
318

 
6,795

 
1999
 
2011
 
35 years
7120
 
Hampton Manor Belleview
 
Belleview
 
FL
 

 
390

 
8,337

 

 
390

 
8,337

 
8,727

 
424

 
8,303

 
1988
 
2011
 
35 years
2807
 
Emeritus at Bonita Springs
 
Bonita Springs
 
FL
 
9,272

 
1,540

 
10,783

 

 
1,540

 
10,783

 
12,323

 
3,207

 
9,116

 
1989
 
2005
 
35 years
2808
 
Emeritus at Boynton Beach
 
Boynton Beach
 
FL
 
14,210

 
2,317

 
16,218

 

 
2,317

 
16,218

 
18,535

 
4,631

 
13,904

 
1999
 
2005
 
35 years
7638
 
Sabal House
 
Cantonment
 
FL
 

 
430

 
5,902

 

 
430

 
5,902

 
6,332

 
292

 
6,040

 
1999
 
2011
 
35 years
7231
 
Bristol Park of Coral Springs
 
Coral Springs
 
FL
 

 
3,280

 
11,877

 

 
3,280

 
11,877

 
15,157

 
624

 
14,533

 
1999
 
2011
 
35 years
2809
 
Emeritus at Deer Creek
 
Deerfield
 
FL
 

 
1,399

 
9,791

 

 
1,399

 
9,791

 
11,190

 
3,169

 
8,021

 
1999
 
2005
 
35 years
7639
 
Stanley House
 
Defuniak Springs
 
FL
 

 
410

 
5,659

 

 
410

 
5,659

 
6,069

 
280

 
5,789

 
1999
 
2011
 
35 years
7520
 
The Peninsula
 
Hollywood
 
FL
 

 
3,660

 
9,122

 

 
3,660

 
9,122

 
12,782

 
554

 
12,228

 
1972
 
2011
 
35 years
3801
 
Elmcroft of Timberlin Parc
 
Jacksonville
 
FL
 

 
455

 
5,905

 

 
455

 
5,905

 
6,360

 
1,040

 
5,320

 
1998
 
2006
 
35 years
2810
 
Emeritus at Jensen Beach
 
Jensen Beach
 
FL
 
12,751

 
1,831

 
12,820

 

 
1,831

 
12,820

 
14,651

 
3,796

 
10,855

 
1999
 
2005
 
35 years
3970
 
The Carlisle Naples
 
Naples
 
FL
 
37,079

 
8,406

 
78,091

 

 
8,406

 
78,091

 
86,497

 
3,228

 
83,269

 
N/A
 
2011
 
35 years
7121
 
Hampton Manor at 24th Road
 
Ocala
 
FL
 

 
690

 
8,767

 

 
690

 
8,767

 
9,457

 
429

 
9,028

 
1996
 
2011
 
35 years
7122
 
Hampton Manor at Deerwood
 
Ocala
 
FL
 

 
790

 
5,605

 

 
790

 
5,605

 
6,395

 
307

 
6,088

 
2005
 
2011
 
35 years
1707
 
Outlook Pointe at Pensacola
 
Pensacola
 
FL
 

 
2,230

 
2,362

 

 
2,230

 
2,362

 
4,592

 
193

 
4,399

 
1999
 
2011
 
35 years
7637
 
Magnolia House
 
Quincy
 
FL
 

 
400

 
5,190

 

 
400

 
5,190

 
5,590

 
262

 
5,328

 
1999
 
2011
 
35 years
1708
 
Outlook Pointe at Tallahassee
 
Tallahassee
 
FL
 

 
2,430

 
17,745

 

 
2,430

 
17,745

 
20,175

 
914

 
19,261

 
1999
 
2011
 
35 years
1714
 
Magnolia Place
 
Tallahassee
 
FL
 

 
640

 
8,013

 

 
640

 
8,013

 
8,653

 
384

 
8,269

 
1999
 
2011
 
35 years
7230
 
Bristol Park of Tamarac
 
Tamarac
 
FL
 

 
3,920

 
14,130

 

 
3,920

 
14,130

 
18,050

 
718

 
17,332

 
2000
 
2011
 
35 years

175


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
3874
 
Elmcroft of Carrolwood
 
Tampa
 
FL
 

 
5,410

 
20,944

 
388

 
5,410

 
21,332

 
26,742

 
1,018

 
25,724

 
2001
 
2011
 
35 years
7410
 
Augusta Gardens
 
Augusta
 
GA
 

 
530

 
10,262

 

 
530

 
10,262

 
10,792

 
515

 
10,277

 
1997
 
2011
 
35 years
3888
 
Elmcroft of Mt. Zion
 
Jonesboro
 
GA
 

 
1,140

 
15,447

 
175

 
1,140

 
15,622

 
16,762

 
777

 
15,985

 
2000
 
2011
 
35 years
3887
 
Elmcroft of Milford Chase
 
Marietta
 
GA
 

 
3,350

 
7,431

 
365

 
3,350

 
7,796

 
11,146

 
440

 
10,706

 
2000
 
2011
 
35 years
3826
 
Elmcroft of Martinez
 
Martinez
 
GA
 

 
408

 
6,764

 

 
408

 
6,764

 
7,172

 
1,063

 
6,109

 
1997
 
2007
 
35 years
7000
 
Windsor Court of Carmel
 
Carmel
 
IN
 

 
1,110

 
1,933

 

 
1,110

 
1,933

 
3,043

 
139

 
2,904

 
1998
 
2011
 
35 years
1573
 
Azalea Hills
 
Floyds Knobs
 
IN
 

 
2,370

 
8,708

 

 
2,370

 
8,708

 
11,078

 
443

 
10,635

 
2008
 
2011
 
35 years
3606
 
Georgetowne Place
 
Fort Wayne
 
IN
 

 
1,315

 
18,185

 

 
1,315

 
18,185

 
19,500

 
3,817

 
15,683

 
1987
 
2005
 
35 years
1559
 
Greensburg Assisted Living
 
Greensburg
 
IN
 

 
420

 
1,764

 

 
420

 
1,764

 
2,184

 
113

 
2,071

 
1999
 
2011
 
35 years
1551
 
Summit West
 
Indianapolis
 
IN
 

 
1,240

 
7,922

 

 
1,240

 
7,922

 
9,162

 
425

 
8,737

 
1998
 
2011
 
35 years
3603
 
The Harrison
 
Indianapolis
 
IN
 

 
1,200

 
5,740

 

 
1,200

 
5,740

 
6,940

 
1,348

 
5,592

 
1985
 
2005
 
35 years
1564
 
Lakeview Commons of Monticello
 
Monticello
 
IN
 

 
250

 
5,263

 

 
250

 
5,263

 
5,513

 
252

 
5,261

 
1999
 
2011
 
35 years
3827
 
Elmcroft of Muncie
 
Muncie
 
IN
 

 
244

 
11,218

 

 
244

 
11,218

 
11,462

 
1,763

 
9,699

 
1998
 
2007
 
35 years
7482
 
Wood Ridge
 
South Bend
 
IN
 

 
590

 
4,850

 
(35
)
 
590

 
4,815

 
5,405

 
256

 
5,149

 
1990
 
2011
 
35 years
7344
 
Drury Place at Alvamar
 
Lawrence
 
KS
 

 
1,700

 
9,156

 

 
1,700

 
9,156

 
10,856

 
477

 
10,379

 
1995
 
2011
 
35 years
7345
 
Drury Place at Salina
 
Salina
 
KS
 

 
1,300

 
1,738

 

 
1,300

 
1,738

 
3,038

 
149

 
2,889

 
1989
 
2011
 
35 years
7346
 
Drury Place Retirement Apartments
 
Topeka
 
KS
 

 
390

 
6,217

 

 
390

 
6,217

 
6,607

 
319

 
6,288

 
1986
 
2011
 
35 years
2510
 
Heritage Woods
 
Agawam
 
MA
 

 
1,249

 
4,625

 

 
1,249

 
4,625

 
5,874

 
1,714

 
4,160

 
1997
 
2004
 
30 years
2805
 
Summerville at Farm Pond
 
Framingham
 
MA
 
38,700

 
5,819

 
33,361

 

 
5,819

 
33,361

 
39,180

 
7,965

 
31,215

 
1999
 
2004
 
35 years
2806
 
Whitehall Estate
 
Hyannis
 
MA
 
6,584

 
1,277

 
9,063

 

 
1,277

 
9,063

 
10,340

 
2,082

 
8,258

 
1999
 
2005
 
35 years
1738
 
Wingate at Silver Lake
 
Kingston
 
MA
 

 
3,330

 
20,624

 

 
3,330

 
20,624

 
23,954

 
1,124

 
22,830

 
1996
 
2011
 
35 years
1709
 
Outlook Pointe at Hagerstown
 
Hagerstown
 
MD
 

 
2,010

 
1,293

 

 
2,010

 
1,293

 
3,303

 
136

 
3,167

 
1999
 
2011
 
35 years
7130
 
Clover Healthcare
 
Auburn
 
ME
 

 
1,400

 
26,895

 

 
1,400

 
26,895

 
28,295

 
1,388

 
26,907

 
1982
 
2011
 
35 years
7132
 
Gorham House
 
Gorham
 
ME
 

 
1,360

 
33,147

 

 
1,360

 
33,147

 
34,507

 
1,539

 
32,968

 
1990
 
2011
 
35 years
7131
 
Sentry Hill
 
York
 
ME
 

 
3,490

 
19,869

 

 
3,490

 
19,869

 
23,359

 
957

 
22,402

 
2000
 
2011
 
35 years
3878
 
Elmcroft of Downriver
 
Brownstown
 
MI
 
2,363

 
320

 
32,652

 
121

 
320

 
32,773

 
33,093

 
1,507

 
31,586

 
2000
 
2011
 
35 years

176


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
3611
 
Independence Village of East Lansing
 
East Lansing
 
MI
 
7,538

 
1,956

 
18,122

 

 
1,956

 
18,122

 
20,078

 
279

 
19,799

 
1989
 
2012
 
35 years
3883
 
Elmcroft of Kentwood
 
Kentwood
 
MI
 

 
510

 
13,976

 
254

 
510

 
14,230

 
14,740

 
725

 
14,015

 
2001
 
2011
 
35 years
7421
 
Primrose Austin
 
Austin
 
MN
 

 
2,540

 
11,707

 

 
2,540

 
11,707

 
14,247

 
550

 
13,697

 
2002
 
2011
 
35 years
7423
 
Primrose Duluth
 
Duluth
 
MN
 

 
6,190

 
8,296

 

 
6,190

 
8,296

 
14,486

 
448

 
14,038

 
2003
 
2011
 
35 years
7424
 
Primrose Mankato
 
Mankato
 
MN
 

 
1,860

 
8,920

 

 
1,860

 
8,920

 
10,780

 
459

 
10,321

 
1999
 
2011
 
35 years
3608
 
Rose Arbor
 
Maple Grove
 
MN
 

 
1,140

 
12,421

 

 
1,140

 
12,421

 
13,561

 
3,977

 
9,584

 
2000
 
2006
 
35 years
3609
 
Wildflower Lodge
 
Maple Grove
 
MN
 

 
504

 
5,035

 

 
504

 
5,035

 
5,539

 
1,617

 
3,922

 
1981
 
2006
 
35 years
7300
 
Canyon Creek Inn Memory Care
 
Billings
 
MT
 

 
420

 
11,217

 
7

 
420

 
11,224

 
11,644

 
451

 
11,193

 
2011
 
2011
 
35 years
2240
 
Rainbow Retirement Community
 
Great Falls
 
MT
 

 
386

 
5,254

 
843

 
386

 
6,097

 
6,483

 
4,983

 
1,500

 
1998
 
2010
 
35 years
2651
 
Springs at Missoula
 
Missoula
 
MT
 
16,881

 
1,975

 
34,390

 

 
1,975

 
34,390

 
36,365

 
194

 
36,171

 
2004
 
2012
 
35 years
7090
 
Carillon ALF of Asheboro
 
Asheboro
 
NC
 

 
680

 
15,370

 

 
680

 
15,370

 
16,050

 
734

 
15,316

 
1998
 
2011
 
35 years
3802
 
Elmcroft of Little Avenue
 
Charlotte
 
NC
 

 
250

 
5,077

 

 
250

 
5,077

 
5,327

 
894

 
4,433

 
1997
 
2006
 
35 years
7093
 
Carillon ALF of Cramer Mountain
 
Cramerton
 
NC
 

 
530

 
18,225

 

 
530

 
18,225

 
18,755

 
878

 
17,877

 
1999
 
2011
 
35 years
7092
 
Carillon ALF of Harrisburg
 
Harrisburg
 
NC
 

 
1,660

 
15,130

 

 
1,660

 
15,130

 
16,790

 
725

 
16,065

 
1997
 
2011
 
35 years
7097
 
Carillon ALF of Hendersonville
 
Hendersonville
 
NC
 

 
2,210

 
7,372

 

 
2,210

 
7,372

 
9,582

 
402

 
9,180

 
2005
 
2011
 
35 years
7098
 
Carillon ALF of Hillsborough
 
Hillsborough
 
NC
 

 
1,450

 
19,754

 

 
1,450

 
19,754

 
21,204

 
931

 
20,273

 
2005
 
2011
 
35 years
7095
 
Carillon ALF of Newton
 
Newton
 
NC
 

 
540

 
14,935

 

 
540

 
14,935

 
15,475

 
714

 
14,761

 
2000
 
2011
 
35 years
3612
 
Independence Village of Olde Raleigh
 
Raleigh
 
NC
 
10,470

 
1,989

 
18,648

 

 
1,989

 
18,648

 
20,637

 
293

 
20,344

 
1991
 
2012
 
35 years
3846
 
Elmcroft of Northridge
 
Raleigh
 
NC
 

 
184

 
3,592

 

 
184

 
3,592

 
3,776

 
633

 
3,143

 
1984
 
2006
 
35 years
7091
 
Carillon ALF of Salisbury
 
Salisbury
 
NC
 

 
1,580

 
25,026

 

 
1,580

 
25,026

 
26,606

 
1,170

 
25,436

 
1999
 
2011
 
35 years
7094
 
Carillon ALF of Shelby
 
Shelby
 
NC
 

 
660

 
15,471

 

 
660

 
15,471

 
16,131

 
741

 
15,390

 
2000
 
2011
 
35 years
3866
 
Elmcroft of Southern Pines
 
Southern Pines
 
NC
 

 
1,196

 
10,766

 

 
1,196

 
10,766

 
11,962

 
846

 
11,116

 
1998
 
2010
 
35 years
7096
 
Carillon ALF of Southport
 
Southport
 
NC
 

 
1,330

 
10,356

 

 
1,330

 
10,356

 
11,686

 
530

 
11,156

 
2005
 
2011
 
35 years
7422
 
Primrose Bismarck
 
Bismarck
 
ND
 

 
1,210

 
9,768

 

 
1,210

 
9,768

 
10,978

 
475

 
10,503

 
1994
 
2011
 
35 years
3602
 
Crown Pointe
 
Omaha
 
NE
 

 
1,316

 
11,950

 

 
1,316

 
11,950

 
13,266

 
2,640

 
10,626

 
1985
 
2005
 
35 years
7020
 
Brandywine at Brick
 
Brick
 
NJ
 

 
1,490

 
16,747

 

 
1,490

 
16,747

 
18,237

 
1,888

 
16,349

 
1999
 
2011
 
35 years

177


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
3890
 
Elmcroft of Quintessence
 
Albuquerque
 
NM
 

 
1,150

 
26,527

 
76

 
1,150

 
26,603

 
27,753

 
1,236

 
26,517

 
1998
 
2011
 
35 years
2233
 
Cottonbloom Assisted Living
 
Las Cruces
 
NM
 

 
153

 
897

 
269

 
153

 
1,166

 
1,319

 
134

 
1,185

 
1996
 
2009
 
35 years
2239
 
Peachtree Village Retirement Community
 
Roswell
 
NM
 

 
161

 
2,161

 
544

 
161

 
2,705

 
2,866

 
243

 
2,623

 
1999
 
2010
 
35 years
3600
 
The Amberleigh
 
Amherst
 
NY
 

 
3,498

 
19,097

 

 
3,498

 
19,097

 
22,595

 
4,412

 
18,183

 
1988
 
2005
 
35 years
7290
 
Castle Gardens
 
Vestal
 
NY
 

 
1,830

 
20,312

 
2,230

 
1,830

 
22,542

 
24,372

 
1,000

 
23,372

 
1994
 
2011
 
35 years
2819
 
Inn at Lakeview
 
Grovepoint
 
OH
 

 
770

 
11,220

 

 
770

 
11,220

 
11,990

 
561

 
11,429

 
1998
 
2011
 
35 years
3847
 
Elmcroft of Lima
 
Lima
 
OH
 

 
490

 
3,368

 

 
490

 
3,368

 
3,858

 
593

 
3,265

 
1998
 
2006
 
35 years
3885
 
Elmcroft of Lorain
 
Lorain
 
OH
 

 
500

 
15,461

 
247

 
500

 
15,708

 
16,208

 
774

 
15,434

 
2000
 
2011
 
35 years
3812
 
Elmcroft of Ontario
 
Mansfield
 
OH
 

 
523

 
7,968

 

 
523

 
7,968

 
8,491

 
1,404

 
7,087

 
1998
 
2006
 
35 years
2817
 
Summerville at Camelot Place
 
Medina
 
OH
 

 
340

 
21,566

 

 
340

 
21,566

 
21,906

 
1,019

 
20,887

 
1995
 
2011
 
35 years
2821
 
Inn at Medina
 
Medina
 
OH
 

 
1,110

 
24,700

 

 
1,110

 
24,700

 
25,810

 
1,151

 
24,659

 
2000
 
2011
 
35 years
3813
 
Elmcroft of Medina
 
Medina
 
OH
 

 
661

 
9,788

 

 
661

 
9,788

 
10,449

 
1,725

 
8,724

 
1999
 
2006
 
35 years
3814
 
Elmcroft of Washington Township
 
Miamisburg
 
OH
 

 
1,235

 
12,611

 

 
1,235

 
12,611

 
13,846

 
2,222

 
11,624

 
1998
 
2006
 
35 years
2818
 
Hillenvale
 
Mt. Vernon
 
OH
 

 
1,100

 
12,493

 

 
1,100

 
12,493

 
13,593

 
619

 
12,974

 
2001
 
2011
 
35 years
3816
 
Elmcroft of Sagamore Hills
 
Sagamore Hills
 
OH
 

 
980

 
12,604

 

 
980

 
12,604

 
13,584

 
2,221

 
11,363

 
2000
 
2006
 
35 years
3848
 
Elmcroft of Xenia
 
Xenia
 
OH
 

 
653

 
2,801

 

 
653

 
2,801

 
3,454

 
494

 
2,960

 
1999
 
2006
 
35 years
2822
 
Inn at North Hills
 
Zanesville
 
OH
 

 
1,560

 
11,067

 

 
1,560

 
11,067

 
12,627

 
567

 
12,060

 
1996
 
2011
 
35 years
1803
 
Arbor House of Midwest City
 
Midwest City
 
OK
 

 
544

 
9,133

 

 
544

 
9,133

 
9,677

 

 
9,677

 
2004
 
2012
 
35 years
1804
 
Arbor House of Mustang
 
Mustang
 
OK
 

 
372

 
3,587

 

 
372

 
3,587

 
3,959

 

 
3,959

 
1999
 
2012
 
35 years
1805
 
Arbor House of Norman
 
Norman
 
OK
 

 
444

 
7,525

 

 
444

 
7,525

 
7,969

 

 
7,969

 
2000
 
2012
 
35 years
1806
 
Arbor House Reminisce Center
 
Norman
 
OK
 

 
438

 
3,028

 

 
438

 
3,028

 
3,466

 

 
3,466

 
2004
 
2012
 
35 years
3889
 
Elmcroft of Quail Springs
 
Oklahoma
 
OK
 

 
500

 
16,632

 
86

 
500

 
16,718

 
17,218

 
823

 
16,395

 
1999
 
2011
 
35 years
7014
 
Mansion at Waterford
 
Oklahoma City
 
OK
 

 
2,077

 
14,184

 

 
2,077

 
14,184

 
16,261

 
233

 
16,028

 
1999
 
2012
 
35 years
7349
 
Southern Hills Nursing Center
 
Tulsa
 
OK
 

 
750

 
10,739

 

 
750

 
10,739

 
11,489

 
647

 
10,842

 
1981
 
2011
 
35 years
1518
 
Avamere at Hillsboro
 
Hillsboro
 
OR
 

 
4,400

 
8,353

 

 
4,400

 
8,353

 
12,753

 
474

 
12,279

 
2000
 
2011
 
35 years
1526
 
Avamere court at Keizer
 
Keizer
 
OR
 

 
1,260

 
30,183

 

 
1,260

 
30,183

 
31,443

 
1,494

 
29,949

 
1970
 
2011
 
35 years
1523
 
The Stafford
 
Lake Oswego
 
OR
 

 
1,800

 
16,122

 

 
1,800

 
16,122

 
17,922

 
825

 
17,097

 
2008
 
2011
 
35 years
1527
 
The Pearl at Kruse Way
 
Lake Oswego
 
OR
 

 
2,000

 
12,880

 

 
2,000

 
12,880

 
14,880

 
643

 
14,237

 
2005
 
2011
 
35 years

178


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
1525
 
Avamere at Three Fountains
 
Medford
 
OR
 

 
2,340

 
33,187

 

 
2,340

 
33,187

 
35,527

 
1,623

 
33,904

 
1974
 
2011
 
35 years
2649
 
The Springs at Clackamas Woods (ILF)
 
Milwaukie
 
OR
 
11,052

 
1,264

 
22,429

 

 
1,264

 
22,429

 
23,693

 
127

 
23,566

 
1999
 
2012
 
35 years
2650
 
Clackamas Woods Assisted Living
 
Milwaukie
 
OR
 
5,913

 
681

 
12,077

 

 
681

 
12,077

 
12,758

 
68

 
12,690

 
1999
 
2012
 
35 years
1521
 
Avamere at Newberg
 
Newberg
 
OR
 

 
1,320

 
4,664

 

 
1,320

 
4,664

 
5,984

 
280

 
5,704

 
1999
 
2011
 
35 years
1524
 
Avamere Living at Berry Park
 
Oregon City
 
OR
 

 
1,910

 
4,249

 

 
1,910

 
4,249

 
6,159

 
289

 
5,870

 
1972
 
2011
 
35 years
1516
 
Avamere at Bethany
 
Portland
 
OR
 

 
3,150

 
16,740

 

 
3,150

 
16,740

 
19,890

 
846

 
19,044

 
2002
 
2011
 
35 years
1520
 
Avamere at Sandy
 
Sandy
 
OR
 

 
1,000

 
7,309

 

 
1,000

 
7,309

 
8,309

 
399

 
7,910

 
1999
 
2011
 
35 years
1522
 
Suzanne Elise ALF
 
Seaside
 
OR
 

 
1,940

 
4,027

 

 
1,940

 
4,027

 
5,967

 
280

 
5,687

 
1998
 
2011
 
35 years
1519
 
Avamere at Sherwood
 
Sherwood
 
OR
 

 
1,010

 
7,051

 

 
1,010

 
7,051

 
8,061

 
388

 
7,673

 
2000
 
2011
 
35 years
7483
 
Chateau Gardens
 
Springfield
 
OR
 

 
1,550

 
4,197

 

 
1,550

 
4,197

 
5,747

 
207

 
5,540

 
1991
 
2011
 
35 years
1517
 
Avamere at St Helens
 
St. Helens
 
OR
 

 
1,410

 
10,496

 

 
1,410

 
10,496

 
11,906

 
538

 
11,368

 
2000
 
2011
 
35 years
3849
 
Elmcroft of Allison Park
 
Allison Park
 
PA
 

 
1,171

 
5,686

 

 
1,171

 
5,686

 
6,857

 
1,002

 
5,855

 
1986
 
2006
 
35 years
3853
 
Elmcroft of Chippewa
 
Beaver Falls
 
PA
 

 
1,394

 
8,586

 

 
1,394

 
8,586

 
9,980

 
1,513

 
8,467

 
1998
 
2006
 
35 years
3851
 
Elmcroft of Berwick
 
Berwick
 
PA
 

 
111

 
6,741

 

 
111

 
6,741

 
6,852

 
1,188

 
5,664

 
1998
 
2006
 
35 years
1703
 
Outlook Pointe at Lakemont
 
Bridgeville
 
PA
 

 
1,660

 
12,624

 

 
1,660

 
12,624

 
14,284

 
665

 
13,619

 
1999
 
2011
 
35 years
3817
 
Elmcroft of Dillsburg
 
Dillsburg
 
PA
 

 
432

 
7,797

 

 
432

 
7,797

 
8,229

 
1,374

 
6,855

 
1998
 
2006
 
35 years
3850
 
Elmcroft of Altoona
 
Duncansville
 
PA
 

 
331

 
4,729

 

 
331

 
4,729

 
5,060

 
833

 
4,227

 
1997
 
2006
 
35 years
3818
 
Elmcroft of Lebanon
 
Lebanon
 
PA
 

 
240

 
7,336

 

 
240

 
7,336

 
7,576

 
1,293

 
6,283

 
1999
 
2006
 
35 years
3854
 
Elmcroft of Lewisburg
 
Lewisburg
 
PA
 

 
232

 
5,666

 

 
232

 
5,666

 
5,898

 
998

 
4,900

 
1999
 
2006
 
35 years
3855
 
Elmcroft of Reedsville
 
Lewistown
 
PA
 

 
189

 
5,170

 

 
189

 
5,170

 
5,359

 
911

 
4,448

 
1998
 
2006
 
35 years
2502
 
Lehigh Commons
 
Macungie
 
PA
 

 
420

 
4,406

 
450

 
420

 
4,856

 
5,276

 
1,525

 
3,751

 
1997
 
2004
 
30 years
3856
 
Elmcroft of Loyalsock
 
Montoursville
 
PA
 

 
413

 
3,412

 

 
413

 
3,412

 
3,825

 
601

 
3,224

 
1999
 
2006
 
35 years
2504
 
Highgate at Paoli Pointe
 
Paoli
 
PA
 

 
1,151

 
9,079

 

 
1,151

 
9,079

 
10,230

 
2,872

 
7,358

 
1997
 
2004
 
30 years
2503
 
Sanatoga Court
 
Pottstown
 
PA
 

 
360

 
3,233

 

 
360

 
3,233

 
3,593

 
1,098

 
2,495

 
1997
 
2004
 
30 years
2501
 
Berkshire Commons
 
Reading
 
PA
 

 
470

 
4,301

 

 
470

 
4,301

 
4,771

 
1,457

 
3,314

 
1997
 
2004
 
30 years
3857
 
Elmcroft of Reading
 
Reading
 
PA
 

 
638

 
4,942

 

 
638

 
4,942

 
5,580

 
871

 
4,709

 
1998
 
2006
 
35 years
3858
 
Elmcroft of Saxonburg
 
Saxonburg
 
PA
 

 
770

 
5,949

 

 
770

 
5,949

 
6,719

 
1,048

 
5,671

 
1994
 
2006
 
35 years

179


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
2511
 
Mifflin Court
 
Shillington
 
PA
 

 
689

 
4,265

 
351

 
689

 
4,616

 
5,305

 
1,248

 
4,057

 
1997
 
2004
 
35 years
3815
 
Elmcroft of Shippensburg
 
Shippensburg
 
PA
 

 
203

 
7,634

 

 
203

 
7,634

 
7,837

 
1,345

 
6,492

 
1999
 
2006
 
35 years
3860
 
Elmcroft of State College
 
State College
 
PA
 

 
320

 
7,407

 

 
320

 
7,407

 
7,727

 
1,305

 
6,422

 
1997
 
2006
 
35 years
1704
 
Outlook Pointe at York
 
York
 
PA
 

 
1,260

 
6,923

 

 
1,260

 
6,923

 
8,183

 
364

 
7,819

 
1999
 
2011
 
35 years
3108
 
Langston House
 
Clinton
 
SC
 

 
108

 
7,620

 

 
108

 
7,620

 
7,728

 
1,343

 
6,385

 
1998
 
2006
 
35 years
7420
 
Primrose Aberdeen
 
Aberdeen
 
SD
 

 
850

 
659

 

 
850

 
659

 
1,509

 
77

 
1,432

 
1991
 
2011
 
35 years
7425
 
Primrose Place
 
Aberdeen
 
SD
 

 
310

 
3,242

 

 
310

 
3,242

 
3,552

 
165

 
3,387

 
2000
 
2011
 
35 years
7426
 
Primrose Rapid City
 
Rapid City
 
SD
 

 
860

 
8,722

 

 
860

 
8,722

 
9,582

 
441

 
9,141

 
1997
 
2011
 
35 years
7427
 
Primrose Sioux Falls
 
Sioux Falls
 
SD
 

 
2,180

 
12,936

 

 
2,180

 
12,936

 
15,116

 
662

 
14,454

 
2002
 
2011
 
35 years
3868
 
Elmcroft of Bartlett
 
Bartlett
 
TN
 

 
570

 
25,552

 
74

 
570

 
25,626

 
26,196

 
1,194

 
25,002

 
1999
 
2011
 
35 years
1706
 
Outlook Pointe of Bristol
 
Bristol
 
TN
 

 
470

 
16,006

 

 
470

 
16,006

 
16,476

 
758

 
15,718

 
1999
 
2011
 
35 years
3804
 
Elmcroft of Hamilton Place
 
Chattanooga
 
TN
 

 
87

 
4,248

 

 
87

 
4,248

 
4,335

 
748

 
3,587

 
1998
 
2006
 
35 years
3875
 
Elmcroft of Shallowford
 
Chattanooga
 
TN
 

 
580

 
7,568

 
280

 
580

 
7,848

 
8,428

 
425

 
8,003

 
1999
 
2011
 
35 years
7634
 
Regency House
 
Hixson
 
TN
 

 
140

 
6,611

 

 
140

 
6,611

 
6,751

 
327

 
6,424

 
2000
 
2011
 
35 years
1710
 
Outlook Pointe at Johnson City
 
Johnson City
 
TN
 

 
590

 
10,043

 

 
590

 
10,043

 
10,633

 
491

 
10,142

 
1999
 
2011
 
35 years
3819
 
Elmcroft of Kingsport
 
Kingsport
 
TN
 

 
22

 
7,815

 

 
22

 
7,815

 
7,837

 
1,377

 
6,460

 
2000
 
2006
 
35 years
3862
 
Elmcroft of West Knoxville
 
Knoxville
 
TN
 

 
439

 
10,697

 

 
439

 
10,697

 
11,136

 
1,885

 
9,251

 
2000
 
2006
 
35 years
3863
 
Elmcroft of Lebanon
 
Lebanon
 
TN
 

 
180

 
7,086

 

 
180

 
7,086

 
7,266

 
1,248

 
6,018

 
2000
 
2006
 
35 years
3892
 
Elmcroft of Twin Hills
 
Madison
 
TN
 

 
860

 
8,208

 
144

 
860

 
8,352

 
9,212

 
457

 
8,755

 
1999
 
2011
 
35 years
7630
 
Kennington Place
 
Memphis
 
TN
 

 
1,820

 
4,748

 

 
1,820

 
4,748

 
6,568

 
379

 
6,189

 
1989
 
2011
 
35 years
7631
 
Heritage Place
 
Memphis
 
TN
 

 
2,250

 
3,333

 

 
2,250

 
3,333

 
5,583

 
324

 
5,259

 
1985
 
2011
 
35 years
7633
 
Glenmary Senior Manor
 
Memphis
 
TN
 

 
510

 
5,860

 
44

 
510

 
5,904

 
6,414

 
401

 
6,013

 
1964
 
2011
 
35 years
1705
 
Outlook Pointe at Murfreesboro
 
Murfreesboro
 
TN
 

 
940

 
8,030

 

 
940

 
8,030

 
8,970

 
411

 
8,559

 
1999
 
2011
 
35 years
3871
 
Elmcroft of Brentwood
 
Nashville
 
TN
 

 
960

 
22,020

 
420

 
960

 
22,440

 
23,400

 
1,060

 
22,340

 
1998
 
2011
 
35 years
3923
 
Trenton Health Care Center
 
Trenton
 
TN
 

 
460

 
6,058

 

 
460

 
6,058

 
6,518

 
342

 
6,176

 
1974
 
2011
 
35 years
3899
 
Elmcroft of Arlington
 
Arlington
 
TX
 

 
2,650

 
14,060

 
230

 
2,650

 
14,290

 
16,940

 
713

 
16,227

 
1998
 
2011
 
35 years
7309
 
Meadowbrook Memory Care Community
 
Arlington
 
TX
 

 
755

 
4,677

 

 
755

 
4,677

 
5,432

 
13

 
5,419

 
2012
 
2012
 
35 years
3867
 
Elmcroft of Austin
 
Austin
 
TX
 

 
2,770

 
25,820

 
279

 
2,770

 
26,099

 
28,869

 
1,223

 
27,646

 
2000
 
2011
 
35 years

180


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
3869
 
Elmcroft of Bedford
 
Bedford
 
TX
 
7,493

 
770

 
19,691

 
203

 
770

 
19,894

 
20,664

 
945

 
19,719

 
1999
 
2011
 
35 years
3893
 
Elmcroft of Rivershire
 
Conroe
 
TX
 

 
860

 
32,671

 
188

 
860

 
32,859

 
33,719

 
1,523

 
32,196

 
1997
 
2011
 
35 years
7605
 
Heritage Oaks Retirement Village
 
Corsicana
 
TX
 

 
790

 
30,636

 

 
790

 
30,636

 
31,426

 
1,468

 
29,958

 
1996
 
2011
 
35 years
7484
 
Flower Mound
 
Flower Mound
 
TX
 

 
900

 
5,512

 

 
900

 
5,512

 
6,412

 
277

 
6,135

 
1995
 
2011
 
35 years
3879
 
Elmcroft of Garland
 
Garland
 
TX
 

 
850

 
12,482

 
128

 
850

 
12,610

 
13,460

 
640

 
12,820

 
1999
 
2011
 
35 years
1802
 
Arbor House Granbury
 
Granbury
 
TX
 

 
390

 
8,186

 

 
390

 
8,186

 
8,576

 

 
8,576

 
2007
 
2012
 
35 years
3870
 
Elmcroft of Braeswood
 
Houston
 
TX
 

 
3,970

 
15,919

 
372

 
3,970

 
16,291

 
20,261

 
789

 
19,472

 
1999
 
2011
 
35 years
3877
 
Elmcroft of Cy-Fair
 
Houston
 
TX
 

 
1,580

 
21,801

 
120

 
1,580

 
21,921

 
23,501

 
1,037

 
22,464

 
1998
 
2011
 
35 years
3882
 
Elmcroft of Irving
 
Irving
 
TX
 

 
1,620

 
18,755

 
198

 
1,620

 
18,953

 
20,573

 
903

 
19,670

 
1999
 
2011
 
35 years
3610
 
Whitley Place
 
Keller
 
TX
 

 

 
5,100

 

 

 
5,100

 
5,100

 
716

 
4,384

 
1998
 
2008
 
35 years
3884
 
Elmcroft of Lake Jackson
 
Lake Jackson
 
TX
 

 
710

 
14,765

 
108

 
710

 
14,873

 
15,583

 
726

 
14,857

 
1998
 
2011
 
35 years
1801
 
Arbor House Lewisville
 
Lewisville
 
TX
 

 
824

 
10,308

#

#
824

 
10,308

 
11,132

 

 
11,132

 
2007
 
2012
 
35 years
3896
 
Elmcroft of Vista Ridge
 
Lewisville
 
TX
 

 
6,280

 
10,548

 
285

 
6,280

 
10,833

 
17,113

 
559

 
16,554

 
1998
 
2011
 
35 years
7311
 
Arbor Hills Memory Care Community
 
Plano
 
TX
 

 

 

 
3,019

 

 
3,019

 
3,019

 

 
3,019

 
CIP
 
2011
 
CIP
1807
 
Arbor House of Rockwall
 
Rockwall
 
TX
 

 
1,537

 
12,883

 

 
1,537

 
12,883

 
14,420

 

 
14,420

 
2009
 
2012
 
35 years
3897
 
Elmcroft of Windcrest
 
San Antonio
 
TX
 

 
920

 
13,011

 
454

 
920

 
13,465

 
14,385

 
655

 
13,730

 
1999
 
2011
 
35 years
1800
 
Arbor House of Temple
 
Temple
 
TX
 

 
473

 
6,750

 

 
473

 
6,750

 
7,223

 

 
7,223

 
2008
 
2012
 
35 years
3876
 
Elmcroft of Cottonwood
 
Temple
 
TX
 

 
630

 
17,515

 
123

 
630

 
17,638

 
18,268

 
843

 
17,425

 
1997
 
2011
 
35 years
3886
 
Elmcroft of Mainland
 
Texas City
 
TX
 

 
520

 
14,849

 
158

 
520

 
15,007

 
15,527

 
730

 
14,797

 
1996
 
2011
 
35 years
3895
 
Elmcroft of Victoria
 
Victoria
 
TX
 

 
440

 
13,040

 
111

 
440

 
13,151

 
13,591

 
644

 
12,947

 
1997
 
2011
 
35 years
1808
 
Arbor House of Weatherford
 
Weatherford
 
TX
 

 
233

 
3,347

 

 
233

 
3,347

 
3,580

 

 
3,580

 
1994
 
2012
 
35 years
3872
 
Elmcroft of Wharton
 
Wharton
 
TX
 

 
320

 
13,799

 
175

 
320

 
13,974

 
14,294

 
680

 
13,614

 
1996
 
2011
 
35 years
3865
 
Elmcroft of Chesterfield
 
Richmond
 
VA
 

 
829

 
6,534

 

 
829

 
6,534

 
7,363

 
1,151

 
6,212

 
1999
 
2006
 
35 years
7012
 
Pheasant Ridge
 
Roanoke
 
VA
 

 
1,813

 
9,027

 

 
1,813

 
9,027

 
10,840

 
148

 
10,692

 
1999
 
2012
 
35 years
2820
 
Summerville at Ridgewood
 
Salem
 
VA
 

 
1,900

 
16,219

 

 
1,900

 
16,219

 
18,119

 
757

 
17,362

 
1998
 
2011
 
35 years
1717
 
Cooks Hill Manor
 
Cetralia
 
WA
 

 
520

 
6,144

 

 
520

 
6,144

 
6,664

 
332

 
6,332

 
1993
 
2011
 
35 years
1716
 
The Sequoia
 
Olympia
 
WA
 

 
1,490

 
13,724

 

 
1,490

 
13,724

 
15,214

 
692

 
14,522

 
1995
 
2011
 
35 years
1713
 
Birchview
 
Sedro Wolley
 
WA
 

 
210

 
14,145

 

 
210

 
14,145

 
14,355

 
652

 
13,703

 
1996
 
2011
 
35 years

181


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
1718
 
Discovery Memory care
 
Sequim
 
WA
 

 
320

 
10,544

 

 
320

 
10,544

 
10,864

 
511

 
10,353

 
1961
 
2011
 
35 years
7370
 
The Academy Retirement Comm
 
Spokane
 
WA
 

 
650

 
3,741

 

 
650

 
3,741

 
4,391

 
245

 
4,146

 
1959
 
2011
 
35 years
1715
 
The Village Retirement & Assisted Living
 
Tacoma
 
WA
 

 
2,200

 
5,938

 

 
2,200

 
5,938

 
8,138

 
398

 
7,740

 
1976
 
2011
 
35 years
1611
 
Jansen House
 
Appleton
 
WI
 

 
130

 
1,834

 
(54
)
 
130

 
1,780

 
1,910

 
95

 
1,815

 
1996
 
2011
 
35 years
1612
 
Margaret house
 
Appleton
 
WI
 

 
140

 
2,016

 
(53
)
 
140

 
1,963

 
2,103

 
105

 
1,998

 
1997
 
2011
 
35 years
7590
 
Hunters Ridge
 
Beaver Dam
 
WI
 

 
260

 
2,380

 

 
260

 
2,380

 
2,640

 
124

 
2,516

 
1998
 
2011
 
35 years
7033
 
Harbor House Beloit
 
Beloit
 
WI
 

 
150

 
4,356

 

 
150

 
4,356

 
4,506

 
207

 
4,299

 
1990
 
2011
 
35 years
7032
 
Harbor House Clinton
 
Clinton
 
WI
 

 
290

 
4,390

 

 
290

 
4,390

 
4,680

 
209

 
4,471

 
1991
 
2011
 
35 years
7591
 
Creekside
 
Cudahy
 
WI
 

 
760

 
1,693

 

 
760

 
1,693

 
2,453

 
96

 
2,357

 
2001
 
2011
 
35 years
1631
 
Harmony of Denmark
 
Denmark
 
WI
 
1,160

 
220

 
2,228

 

 
220

 
2,228

 
2,448

 
117

 
2,331

 
1995
 
2011
 
35 years
7035
 
Harbor House Eau Claire
 
Eau Claire
 
WI
 

 
210

 
6,259

 

 
210

 
6,259

 
6,469

 
290

 
6,179

 
1996
 
2011
 
35 years
7592
 
Chapel Valley
 
Fitchburg
 
WI
 

 
450

 
2,372

 

 
450

 
2,372

 
2,822

 
125

 
2,697

 
1998
 
2011
 
35 years
1642
 
Harmony of Brenwood Park
 
Franklin
 
WI
 
6,061

 
1,870

 
13,804

 

 
1,870

 
13,804

 
15,674

 
642

 
15,032

 
2003
 
2011
 
35 years
1601
 
Windsor House of Glendale East
 
Glendale
 
WI
 

 
1,810

 
943

 
23

 
1,820

 
956

 
2,776

 
62

 
2,714

 
1999
 
2011
 
35 years
1602
 
Windsor House of Glendale West
 
Glendale
 
WI
 

 
1,800

 
935

 
84

 
1,800

 
1,019

 
2,819

 
62

 
2,757

 
1999
 
2011
 
35 years
7321
 
Laurel Oaks
 
Glendale
 
WI
 

 
2,390

 
43,587

 

 
2,390

 
43,587

 
45,977

 
2,066

 
43,911

 
1988
 
2011
 
35 years
1630
 
Harmony of Green Bay
 
Green Bay
 
WI
 
3,021

 
640

 
5,008

 

 
640

 
5,008

 
5,648

 
252

 
5,396

 
1990
 
2011
 
35 years
7326
 
Layton Terrace
 
Greenfield
 
WI
 
7,844

 
3,490

 
39,201

 

 
3,490

 
39,201

 
42,691

 
1,897

 
40,794

 
1999
 
2011
 
35 years
1600
 
Cambridge House
 
Hartland
 
WI
 

 
640

 
1,663

 
(37
)
 
652

 
1,614

 
2,266

 
98

 
2,168

 
1985
 
2011
 
35 years
1606
 
Winchester Place
 
Horicon
 
WI
 

 
340

 
3,327

 
(95
)
 
345

 
3,227

 
3,572

 
176

 
3,396

 
2002
 
2011
 
35 years
7593
 
Jefferson
 
Jefferson
 
WI
 

 
330

 
2,384

 

 
330

 
2,384

 
2,714

 
124

 
2,590

 
1997
 
2011
 
35 years
1645
 
Harmony of Kenosha
 
Kenosha
 
WI
 
3,932

 
1,180

 
8,717

 

 
1,180

 
8,717

 
9,897

 
413

 
9,484

 
1999
 
2011
 
35 years
7030
 
Harbor House Kenosha
 
Kenosha
 
WI
 

 
710

 
3,254

 

 
710

 
3,254

 
3,964

 
161

 
3,803

 
1996
 
2011
 
35 years
1637
 
Harmony Commons of Stevens Point
 
Madison
 
WI
 

 
760

 
2,242

 

 
760

 
2,242

 
3,002

 
143

 
2,859

 
2005
 
2011
 
35 years
1638
 
Harmony of Madison
 
Madison
 
WI
 
4,070

 
650

 
4,279

 

 
650

 
4,279

 
4,929

 
230

 
4,699

 
1998
 
2011
 
35 years
1633
 
Harmony of Manitowoc
 
Manitowoc
 
WI
 
4,777

 
450

 
10,101

 

 
450

 
10,101

 
10,551

 
478

 
10,073

 
1997
 
2011
 
35 years
7039
 
Harbor House Manitowoc
 
Manitowoc
 
WI
 

 
140

 
1,520

 

 
140

 
1,520

 
1,660

 
76

 
1,584

 
1997
 
2011
 
35 years

182


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
1647
 
Harmony of McFarland
 
McFarland
 
WI
 
3,649

 
640

 
4,647

 

 
640

 
4,647

 
5,287

 
240

 
5,047

 
1998
 
2011
 
35 years
1614
 
Acorn Ridge
 
Menasha
 
WI
 

 
110

 
537

 
17

 
110

 
554

 
664

 
34

 
630

 
1994
 
2011
 
35 years
1615
 
Emeral Ridge
 
Menasha
 
WI
 

 
110

 
537

 
2

 
110

 
539

 
649

 
34

 
615

 
1994
 
2011
 
35 years
1616
 
Silver Ridge
 
Menasha
 
WI
 

 
90

 
557

 
2

 
90

 
559

 
649

 
37

 
612

 
1993
 
2011
 
35 years
1617
 
West Ridge
 
Menasha
 
WI
 

 
90

 
557

 
2

 
90

 
559

 
649

 
35

 
614

 
1993
 
2011
 
35 years
1639
 
Riverview Village
 
Menomonee Falls
 
WI
 
5,784

 
2,170

 
11,758

 

 
2,170

 
11,758

 
13,928

 
553

 
13,375

 
2003
 
2011
 
35 years
7322
 
The Arboretum
 
Menomonee Falls
 
WI
 
5,440

 
5,640

 
49,083

 

 
5,640

 
49,083

 
54,723

 
2,439

 
52,284

 
1989
 
2011
 
35 years
7034
 
Harbor House Monroe
 
Monroe
 
WI
 

 
490

 
4,964

 

 
490

 
4,964

 
5,454

 
240

 
5,214

 
1990
 
2011
 
35 years
1608
 
Phyllis Elaine
 
Neenah
 
WI
 

 
710

 
1,157

 
61

 
710

 
1,218

 
1,928

 
73

 
1,855

 
2006
 
2011
 
35 years
1609
 
Judy Harris
 
Neenah
 
WI
 

 
720

 
2,339

 
(102
)
 
720

 
2,237

 
2,957

 
122

 
2,835

 
2007
 
2011
 
35 years
1613
 
Irish Road
 
Neenah
 
WI
 

 
320

 
1,036

 
78

 
320

 
1,114

 
1,434

 
66

 
1,368

 
2001
 
2011
 
35 years
1603
 
Windsor House Oak Creek
 
Oak Creek
 
WI
 

 
800

 
2,167

 
(36
)
 
812

 
2,119

 
2,931

 
112

 
2,819

 
1997
 
2011
 
35 years
7325
 
Wilkinson Woods of Oconomowoc
 
Oconomowoc
 
WI
 

 
1,100

 
12,436

 

 
1,100

 
12,436

 
13,536

 
598

 
12,938

 
1992
 
2011
 
35 years
7036
 
Harbor House Oshkosh
 
Oshkosh
 
WI
 

 
190

 
949

 

 
190

 
949

 
1,139

 
63

 
1,076

 
1993
 
2011
 
35 years
1607
 
Wyndham House
 
Pewaukee
 
WI
 

 
1,180

 
4,124

 
51

 
1,197

 
4,158

 
5,355

 
224

 
5,131

 
2001
 
2011
 
35 years
1643
 
Harmony of Racine
 
Racine
 
WI
 
9,569

 
590

 
11,726

 

 
590

 
11,726

 
12,316

 
545

 
11,771

 
1998
 
2011
 
35 years
1644
 
Harmony of Commons of Racine
 
Racine
 
WI
 

 
630

 
11,245

 

 
630

 
11,245

 
11,875

 
528

 
11,347

 
2003
 
2011
 
35 years
7037
 
Harbor House Rib Mountain
 
Rib Mountain
 
WI
 

 
350

 
3,413

 

 
350

 
3,413

 
3,763

 
167

 
3,596

 
1997
 
2011
 
35 years
1634
 
Harmony of Sheboygan
 
Sheboygan
 
WI
 
8,855

 
810

 
17,908

 

 
810

 
17,908

 
18,718

 
837

 
17,881

 
1996
 
2011
 
35 years
7038
 
Harbor House Sheboygan
 
Sheboygan
 
WI
 

 
1,060

 
6,208

 

 
1,060

 
6,208

 
7,268

 
293

 
6,975

 
1995
 
2011
 
35 years
1604
 
Windsor House of St. Francis I
 
St. Francis
 
WI
 

 
1,370

 
1,428

 
(128
)
 
1,389

 
1,281

 
2,670

 
75

 
2,595

 
2000
 
2011
 
35 years
1605
 
Windsor House of St. Francis II
 
St. Francis
 
WI
 

 
1,370

 
1,666

 
(40
)
 
1,377

 
1,619

 
2,996

 
90

 
2,906

 
2000
 
2011
 
35 years
7324
 
Howard Village of St. Francis
 
St. Francis
 
WI
 
5,520

 
2,320

 
17,232

 

 
2,320

 
17,232

 
19,552

 
859

 
18,693

 
2001
 
2011
 
35 years
1636
 
Harmony of Stevens Point
 
Stevens Point
 
WI
 
8,081

 
790

 
10,081

 

 
790

 
10,081

 
10,871

 
485

 
10,386

 
2002
 
2011
 
35 years
1646
 
Harmony of Stoughton
 
Stoughton
 
WI
 
1,606

 
490

 
9,298

 

 
490

 
9,298

 
9,788

 
441

 
9,347

 
1997
 
2011
 
35 years

183


 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
7031
 
Harbor House Stoughton
 
Stoughton
 
WI
 

 
450

 
3,191

 

 
450

 
3,191

 
3,641

 
167

 
3,474

 
1992
 
2011
 
35 years
1632
 
Harmony of Two Rivers
 
Two Rivers
 
WI
 
2,578

 
330

 
3,538

 

 
330

 
3,538

 
3,868

 
181

 
3,687

 
1998
 
2011
 
35 years
7320
 
Oak Hill Terrace
 
Waukesha
 
WI
 
5,230

 
2,040

 
40,298

 

 
2,040

 
40,298

 
42,338

 
1,955

 
40,383

 
1985
 
2011
 
35 years
1640
 
Harmony of Terrace Court
 
Wausau
 
WI
 
7,191

 
430

 
5,037

 

 
430

 
5,037

 
5,467

 
250

 
5,217

 
1996
 
2011
 
35 years
1641
 
Harmony of Terrace Commons
 
Wausau
 
WI
 

 
740

 
6,556

 

 
740

 
6,556

 
7,296

 
328

 
6,968

 
2000
 
2011
 
35 years
7327
 
Hart Park Square
 
Wauwatosa
 
WI
 
6,600

 
1,900

 
21,628

 

 
1,900

 
21,628

 
23,528

 
1,053

 
22,475

 
2005
 
2011
 
35 years
7323
 
Library Square
 
West Allis
 
WI
 
5,150

 
1,160

 
23,714

 

 
1,160

 
23,714

 
24,874

 
1,152

 
23,722

 
1996
 
2011
 
35 years
1635
 
Harmony of Wisconsin Rapids
 
Wisconsin Rapids
 
WI
 
1,075

 
520

 
4,349

 

 
520

 
4,349

 
4,869

 
229

 
4,640

 
2000
 
2011
 
35 years
1610
 
Wrightstown
 
Wrightstown
 
WI
 

 
140

 
376

 
8

 
140

 
384

 
524

 
35

 
489

 
1999
 
2011
 
35 years
1711
 
Outlook Pointe at Teays Valley
 
Hurricane
 
WV
 

 
1,950

 
14,489

 

 
1,950

 
14,489

 
16,439

 
683

 
15,756

 
1999
 
2011
 
35 years
3820
 
Elmcroft of Martinsburg
 
Martinsburg
 
WV
 

 
248

 
8,320

 

 
248

 
8,320

 
8,568

 
1,466

 
7,102

 
1999
 
2006
 
35 years
7487
 
Garden Square Assisted Living of Casper
 
Casper
 
WY
 

 
355

 
3,197

 

 
355

 
3,197

 
3,552

 
107

 
3,445

 
1996
 
2011
 
35 years
 
 
TOTAL FOR OTHER SENIORS HOUSING COMMUNITIES
 
 
 
 
 
287,499

 
376,957

 
3,211,927

 
21,957

 
377,223

 
3,233,618

 
3,610,841

 
267,636

 
3,343,205

 
 
 
 
 
 
 
 
TOTAL FOR SENIORS HOUSING COMMUNITIES
 
 
 
 
 
2,110,836

 
1,197,838

 
10,751,383

 
170,472

 
1,201,559

 
10,918,134

 
12,119,693

 
1,276,060

 
10,843,633

 
 
 
 
 
 

 
 
 
 
Location
 
 
 
Initial Cost to Company
 
 
 
Gross Amount Carried at Close of Period
 
 
 

 
 
 
 
 
 
 
 
Property #
 
Property Name
 
City
 
State /
Province
 
Encumbrances
 
Land and
Improvements
 
Buildings and
Improvements
 
Costs
Capitalized
Subsequent
to Acquisition
 
Land and
Improvements
 
Buildings and
Improvements
 
Total
 
Accumulated
Depreciation
 
NBV
 
Year of
Construction
 
Year
Acquired
 
Life on
Which
Depreciation
in Income
Statement
is Computed
 
 
PERSONAL CARE FACILITIES
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
3721
 
ResCare Tangram—Ranch
 
Kingsbury
 
TX
 

 
147

 
806

 

 
147

 
806

 
953

 
575

 
378

 
N/A
 
1998
 
20 years
3722
 
ResCare Tangram—Mesquite
 
Kingsbury
 
TX
 

 
15

 
1,078

 

 
15

 
1,078

 
1,093

 
768

 
325

 
N/A
 
1998
 
20 years

184

Table of Contents

3723
 
ResCare Tangram—Hacienda
 
Kingsbury
 
TX
 

 
31

 
841

 

 
31

 
841

 
872

 
599

 
273

 
N/A
 
1998
 
20 years
3726
 
ResCare Tangram—Loma Linda
 
Kingsbury
 
TX
 

 
40

 
220

 

 
40

 
220

 
260

 
157

 
103

 
N/A
 
1998
 
20 years
3724
 
ResCare Tangram—Texas Hill Country School
 
Maxwell
 
TX
 

 
54

 
934

 

 
54

 
934

 
988

 
665

 
323

 
N/A
 
1998
 
20 years
3725
 
ResCare Tangram—Chaparral
 
Maxwell
 
TX
 

 
82

 
552

 

 
82

 
552

 
634

 
393

 
241

 
N/A
 
1998
 
20 years
3727
 
ResCare Tangram—Sierra Verde & Roca Vista
 
Maxwell
 
TX
 

 
20

 
910

 

 
20

 
910

 
930

 
648

 
282

 
N/A
 
1998
 
20 years
3719
 
ResCare Tangram—618 W. Hutchinson
 
San Marcos
 
TX
 

 
226

 
1,175

 

 
226

 
1,175

 
1,401

 
838

 
563

 
N/A
 
1998
 
20 years
 
 
TOTAL FOR PERSONAL CARE FACILITIES
 
 
 
 
 

 
615

 
6,516

 

 
615

 
6,516

 
7,131

 
4,643

 
2,488

 
 
 
 
 
 
 
 
MEDICAL OFFICE BUILDINGS
 
 
 
 
 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 

 
 
 
 
 
 
6370
 
St. Vincent’s Medical Center East #46
 
Birmingham
 
AL
 

 

 
25,298

 
952

 

 
26,250

 
26,250

 
2,646

 
23,604

 
2005
 
2010
 
35 years
6371
 
St. Vincent’s Medical Center East #48
 
Birmingham
 
AL
 

 

 
12,698

 
58

 

 
12,756

 
12,756

 
1,452

 
11,304

 
1989
 
2010
 
35 years
6372
 
St. Vincent’s Medical Center East #52
 
Birmingham
 
AL
 

 

 
7,608

 
597

 

 
8,205

 
8,205

 
1,072

 
7,133

 
1985
 
2010
 
35 years
3065
 
Crestwood Medical Pavilion
 
Huntsville
 
AL
 
5,327

 
625

 
16,178

 
76

 
625

 
16,254

 
16,879

 
867

 
16,012

 
1994
 
2011
 
35 years
6705
 
Canyon Springs Medical Plaza
 
Gilbert
 
AZ
 
16,260

 

 
27,497

 

 

 
27,497

 
27,497

 
953

 
26,544

 
2007
 
2012
 
35 years
6822
 
Mercy Gilbert Medical Plaza
 
Gilbert
 
AZ
 
7,805

 
720

 
11,277

 
12

 
720

 
11,289

 
12,009

 
722

 
11,287

 
2007
 
2011
 
35 years
6707
 
Thunderbird Paseo Medical Plaza
 
Glendale
 
AZ
 
10,229

 

 
12,904

 
214

 

 
13,118

 
13,118

 
513

 
12,605

 
1997
 
2011
 
35 years
6708
 
Thunderbird Paseo Medical Plaza II
 
Glendale
 
AZ
 
6,706

 

 
8,100

 
38

 

 
8,138

 
8,138

 
346

 
7,792

 
2001
 
2011
 
35 years
6711
 
Cobre Valley Medical Plaza
 
Globe
 
AZ
 
2,439

 

 
3,785

 
20

 

 
3,805

 
3,805

 
159

 
3,646

 
1998
 
2011
 
35 years
6700
 
Desert Samaritan Medical Building I
 
Mesa
 
AZ
 
7,766

 

 
11,923

 
59

 

 
11,982

 
11,982

 
439

 
11,543

 
1977
 
2011
 
35 years
6701
 
Desert Samaritan Medical Building II
 
Mesa
 
AZ
 
5,782

 

 
7,395

 
3

 

 
7,398

 
7,398

 
296

 
7,102

 
1980
 
2011
 
35 years
6702
 
Desert Samaritan Medical Building III
 
Mesa
 
AZ
 
9,928

 

 
13,665

 
(6
)
 

 
13,659

 
13,659

 
564

 
13,095

 
1986
 
2011
 
35 years
6703
 
Deer Valley Medical Office Building II
 
Phoenix
 
AZ
 
13,889

 

 
22,663

 
18

 

 
22,681

 
22,681

 
939

 
21,742

 
2002
 
2011
 
35 years
6704
 
Deer Valley Medical Office Building III
 
Phoenix
 
AZ
 
11,449

 

 
19,521

 
3

 

 
19,524

 
19,524

 
745

 
18,779

 
2009
 
2011
 
35 years
6706
 
Edwards Medical Plaza
 
Phoenix
 
AZ
 
12,364

 

 
18,999

 
281

 

 
19,280

 
19,280

 
1,015

 
18,265

 
1984
 
2011
 
35 years
6710
 
Papago Medical Park
 
Phoenix
 
AZ
 
7,443

 

 
12,172

 
89

 

 
12,261

 
12,261

 
605

 
11,656

 
1989
 
2011
 
35 years
6809
 
Burbank Medical Plaza
 
Burbank
 
CA
 
13,177

 
1,241

 
23,322

 
67

 
1,241

 
23,389

 
24,630

 
1,451

 
23,179

 
2004
 
2011
 
35 years
6827
 
Burbank Medical Plaza II
 
Burbank
 
CA
 
29,878

 
491

 
45,641

 
487

 
491

 
46,128

 
46,619

 
2,317

 
44,302

 
2008
 
2011
 
35 years
6808
 
Eden Medical Plaza
 
Castro Valley
 
CA
 

 
258

 
2,455

 
96

 
258

 
2,551

 
2,809

 
254

 
2,555

 
1998
 
2011
 
25 years

185

Table of Contents

6828
 
Sutter Medical Center
 
Castro Valley
 
CA
 
15,564

 

 
25,088

 

 

 
25,088

 
25,088

 
59

 
25,029

 
2012
 
2012
 
35 years
6818
 
PMB Chula Vista
 
Chula Vista
 
CA
 
15,810

 
2,964

 
19,393

 
169

 
2,964

 
19,562

 
22,526

 
1,195

 
21,331

 
2001
 
2011
 
35 years
2959
 
NorthBay Corporate Headquarters
 
Fairfield
 
CA
 

 

 
19,187

 

 

 
19,187

 
19,187

 

 
19,187

 
2008
 
2012
 
35 years
2960
 
Gateway Medical Plaza
 
Fairfield
 
CA
 

 

 
12,872

 

 

 
12,872

 
12,872

 

 
12,872

 
1986
 
2012
 
35 years
2961
 
Solano NorthBay Health Plaza
 
Fairfield
 
CA
 

 

 
8,880

 

 

 
8,880

 
8,880

 

 
8,880

 
1990
 
2012
 
35 years
6620
 
Verdugo Hills Professional Bldg I
 
Glendale
 
CA
 

 
6,683

 
9,589

 

 
6,683

 
9,589

 
16,272

 
496

 
15,776

 
1972
 
2012
 
23 years
6621
 
Verdugo Hills Professional Bldg II
 
Glendale
 
CA
 

 
4,464

 
3,731

 

 
4,464

 
3,731

 
8,195

 
275

 
7,920

 
1987
 
2012
 
19 years
6810
 
St. Francis Lynwood Medical
 
Lynwood
 
CA
 

 
688

 
8,385

 
350

 
688

 
8,735

 
9,423

 
735

 
8,688

 
1993
 
2011
 
32 years
6824
 
PMB Mission Hills
 
Mission Hills
 
CA
 
30,687

 
15,468

 
30,116

 

 
15,468

 
30,116

 
45,584

 
337

 
45,247

 
2012
 
2012
 
35 years
6816
 
PDP Mission Viejo
 
Mission Viejo
 
CA
 
45,947

 
1,916

 
77,022

 
4

 
1,916

 
77,026

 
78,942

 
3,907

 
75,035

 
2007
 
2011
 
35 years
6817
 
PDP Orange
 
Orange
 
CA
 
48,342

 
1,752

 
61,647

 
32

 
1,752

 
61,679

 
63,431

 
3,254

 
60,177

 
2008
 
2011
 
35 years
6823
 
NHP/PMB Pasadena
 
Pasadena
 
CA
 
60,000

 
3,138

 
83,412

 
6,380

 
3,138

 
89,792

 
92,930

 
4,534

 
88,396

 
2009
 
2011
 
35 years
6826
 
Western University of Health Sciences Medical Pavilion
 
Pomona
 
CA
 

 
91

 
31,523

 

 
91

 
31,523

 
31,614

 
1,511

 
30,103

 
2009
 
2011
 
35 years
6815
 
Pomerado Outpatient Pavilion
 
Poway
 
CA
 

 
3,233

 
71,435

 

 
3,233

 
71,435

 
74,668

 
3,894

 
70,774

 
2007
 
2011
 
35 years
6820
 
NHP SB 399-401 East Highland
 
San Bernardino
 
CA
 

 
789

 
11,133

 
244

 
789

 
11,377

 
12,166

 
1,020

 
11,146

 
1971
 
2011
 
27 years
6821
 
NHP SB 399-401 East Highland
 
San Bernardino
 
CA
 

 
416

 
5,625

 
185

 
416

 
5,810

 
6,226

 
557

 
5,669

 
1988
 
2011
 
26 years
6811
 
San Gabriel Valley Medical
 
San Gabriel
 
CA
 
9,289

 
914

 
5,510

 
113

 
914

 
5,623

 
6,537

 
492

 
6,045

 
2004
 
2011
 
35 years
6812
 
Santa Clarita Valley Medical
 
Santa Clarita
 
CA
 
22,654

 
9,708

 
20,020

 
61

 
9,708

 
20,081

 
29,789

 
1,166

 
28,623

 
2005
 
2011
 
35 years
6825
 
Kenneth E Watts Medical Plaza
 
Torrance
 
CA
 

 
262

 
6,945

 
262

 
262

 
7,207

 
7,469

 
639

 
6,830

 
1989
 
2011
 
23 years
2962
 
Vaca Valley Health Plaza
 
Vacaville
 
CA
 

 

 
9,634

 

 

 
9,634

 
9,634

 

 
9,634

 
1988
 
2012
 
35 years
2951
 
Potomac Medical Plaza
 
Aurora
 
CO
 

 
2,401

 
9,118

 
1,625

 
2,464

 
10,680

 
13,144

 
3,371

 
9,773

 
1986
 
2007
 
35 years
2952
 
Briargate Medical Campus
 
Colorado Springs
 
CO
 

 
1,238

 
12,301

 
259

 
1,244

 
12,554

 
13,798

 
2,692

 
11,106

 
2002
 
2007
 
35 years
2953
 
Printers Park Medical Plaza
 
Colorado Springs
 
CO
 

 
2,641

 
47,507

 
678

 
2,641

 
48,185

 
50,826

 
9,961

 
40,865

 
1999
 
2007
 
35 years
2963
 
Green Valley Ranch MOB
 
Denver
 
CO
 
6,197

 

 
12,139

 

 

 
12,139

 
12,139

 

 
12,139

 
2007
 
2012
 
35 years
6310
 
Community Physicians Pavilion
 
Lafayette
 
CO
 

 

 
10,436

 
1,112

 

 
11,548

 
11,548

 
1,089

 
10,459

 
2004
 
2010
 
35 years
2956
 
Avista Two Medical Plaza
 
Louisville
 
CO
 

 

 
17,330

 
1,320

 

 
18,650

 
18,650

 
2,523

 
16,127

 
2003
 
2009
 
35 years
3071
 
The Sierra Medical Building
 
Parker
 
CO
 
491

 
1,444

 
14,059

 
2,529

 
1,444

 
16,588

 
18,032

 
2,440

 
15,592

 
2009
 
2009
 
35 years

186

Table of Contents

6320
 
Lutheran Medical Office Building II
 
Wheat Ridge
 
CO
 

 

 
2,655

 
742

 

 
3,397

 
3,397

 
423

 
2,974

 
1976
 
2010
 
35 years
6321
 
Lutheran Medical Office Building IV
 
Wheat Ridge
 
CO
 

 

 
7,266

 
604

 

 
7,870

 
7,870

 
759

 
7,111

 
1991
 
2010
 
35 years
6322
 
Lutheran Medical Office Building III
 
Wheat Ridge
 
CO
 

 

 
11,947

 
7

 

 
11,954

 
11,954

 
1,272

 
10,682

 
2004
 
2010
 
35 years
6390
 
DePaul Professional Office Building
 
Washington
 
DC
 

 

 
6,424

 
922

 

 
7,346

 
7,346

 
1,323

 
6,023

 
1987
 
2010
 
35 years
6391
 
Providence Medical Office Building
 
Washington
 
DC
 

 

 
2,473

 
475

 

 
2,948

 
2,948

 
557

 
2,391

 
1975
 
2010
 
35 years
2930
 
RTS Arcadia
 
Arcadia
 
FL
 

 
345

 
2,884

 

 
345

 
2,884

 
3,229

 
178

 
3,051

 
1993
 
2011
 
30 years
2907
 
Aventura Heart & Health
 
Aventura
 
FL
 
16,519

 

 
25,361

 
2,940

 

 
28,301

 
28,301

 
6,267

 
22,034

 
2006
 
2007
 
35 years
2932
 
RTS Cape Coral
 
Cape Coral
 
FL
 

 
368

 
5,448

 

 
368

 
5,448

 
5,816

 
284

 
5,532

 
1984
 
2011
 
34 years
2933
 
RTS Englewood
 
Englewood
 
FL
 

 
1,071

 
3,516

 

 
1,071

 
3,516

 
4,587

 
196

 
4,391

 
1992
 
2011
 
35 years
2934
 
RTS Ft. Myers
 
Ft. Myers
 
FL
 

 
1,153

 
4,127

 

 
1,153

 
4,127

 
5,280

 
258

 
5,022

 
1989
 
2011
 
31 years
2935
 
RTS Key West
 
Key West
 
FL
 

 
486

 
4,380

 

 
486

 
4,380

 
4,866

 
203

 
4,663

 
1987
 
2011
 
35 years
2902
 
JFK Medical Plaza
 
Lake Worth
 
FL
 

 
453

 
1,711

 
139

 
453

 
1,850

 
2,303

 
491

 
1,812

 
1999
 
2004
 
35 years
2903
 
Palms West Building 6
 
Loxahatchee
 
FL
 

 
965

 
2,678

 
38

 
965

 
2,716

 
3,681

 
660

 
3,021

 
2000
 
2004
 
35 years
2904
 
Regency Medical Office Park Phase II
 
Melbourne
 
FL
 

 
770

 
3,809

 
248

 
781

 
4,046

 
4,827

 
946

 
3,881

 
1998
 
2004
 
35 years
2905
 
Regency Medical Office Park Phase I
 
Melbourne
 
FL
 

 
590

 
3,156

 
155

 
603

 
3,298

 
3,901

 
777

 
3,124

 
1995
 
2004
 
35 years
2938
 
RTS Naples
 
Naples
 
FL
 

 
1,152

 
3,726

 

 
1,152

 
3,726

 
4,878

 
196

 
4,682

 
1999
 
2011
 
35 years
6633
 
Woodlands Center for Specialized Med
 
Pensacola
 
FL
 
16,002

 
2,518

 
24,006

 

 
2,518

 
24,006

 
26,524

 
693

 
25,831

 
2009
 
2012
 
35 years
2939
 
RTS Pt. Charlotte
 
Pt. Charlotte
 
FL
 

 
966

 
4,581

 

 
966

 
4,581

 
5,547

 
253

 
5,294

 
1985
 
2011
 
34 years
2940
 
RTS Sarasota
 
Sarasota
 
FL
 

 
1,914

 
3,889

 

 
1,914

 
3,889

 
5,803

 
227

 
5,576

 
1996
 
2011
 
35 years
2906
 
University Medical Office Building
 
Tamarac
 
FL
 

 

 
6,690

 
132

 

 
6,822

 
6,822

 
1,428

 
5,394

 
2006
 
2007
 
35 years
3087
 
UMC Tamarac
 
Tamarac
 
FL
 

 
2,039

 
2,936

 
(3,357
)
 
1,385

 
233

 
1,618

 
99

 
1,519

 
1980
 
2011
 
22 years
2941
 
RTS Venice
 
Venice
 
FL
 

 
1,536

 
4,104

 

 
1,536

 
4,104

 
5,640

 
230

 
5,410

 
1997
 
2011
 
35 years
3081
 
Augusta Medical Plaza
 
Augusta
 
GA
 

 
594

 
4,847

 
65

 
594

 
4,912

 
5,506

 
499

 
5,007

 
1972
 
2011
 
25 years
3082
 
Augusta Professional Building
 
Augusta
 
GA
 

 
687

 
6,057

 
172

 
687

 
6,229

 
6,916

 
624

 
6,292

 
1983
 
2011
 
27 years
6560
 
Augusta POB I
 
Augusta
 
GA
 

 
233

 
7,894

 

 
233

 
7,894

 
8,127

 
613

 
7,514

 
1978
 
2012
 
14 years
6561
 
Augusta POB II
 
Augusta
 
GA
 

 
735

 
13,717

 

 
735

 
13,717

 
14,452

 
771

 
13,681

 
1987
 
2012
 
23 years
6562
 
Augusta POB III
 
Augusta
 
GA
 

 
535

 
3,857

 

 
535

 
3,857

 
4,392

 
267

 
4,125

 
1994
 
2012
 
22 years
6563
 
Augusta POB IV
 
Augusta
 
GA
 

 
675

 
2,182

 

 
675

 
2,182

 
2,857

 
144

 
2,713

 
1995
 
2012
 
23 years
3008
 
Cobb Physicians Center
 
Austell
 
GA
 
8,772

 
1,145

 
16,805

 
119

 
1,145

 
16,924

 
18,069

 
1,328

 
16,741

 
1992
 
2011
 
35 years
6565
 
Summit Professional Plaza I
 
Brunswick
 
GA
 
5,096

 
1,821

 
2,974

 

 
1,821

 
2,974

 
4,795

 
188

 
4,607

 
2004
 
2012
 
31 years

187

Table of Contents

6566
 
Summit Professional Plaza II
 
Brunswick
 
GA
 
10,829

 
981

 
13,818

 

 
981

 
13,818

 
14,799

 
415

 
14,384

 
1998
 
2012
 
35 years
3083
 
Columbia Medical Plaza
 
Evans
 
GA
 

 
268

 
1,497

 
121

 
268

 
1,618

 
1,886

 
204

 
1,682

 
1940
 
2011
 
23 years
3009
 
Parkway Physicians Center
 
Ringgold
 
GA
 
6,169

 
476

 
10,017

 
101

 
476

 
10,118

 
10,594

 
673

 
9,921

 
2004
 
2011
 
35 years
3006
 
Eastside Physicians Center
 
Snellville
 
GA
 

 
1,289

 
25,019

 
995

 
1,289

 
26,014

 
27,303

 
4,245

 
23,058

 
1994
 
2008
 
35 years
3007
 
Eastside Physicians Plaza
 
Snellville
 
GA
 
6,852

 
294

 
12,948

 
(72
)
 
294

 
12,876

 
13,170

 
1,927

 
11,243

 
2003
 
2008
 
35 years
2977
 
Buffalo Grove Acute Care
 
Buffalor Grove
 
IL
 

 
1,826

 
930

 
(766
)
 
1,441

 
549

 
1,990

 
130

 
1,860

 
1992
 
2011
 
26 years
6400
 
Physicians Plaza East
 
Decatur
 
IL
 
973

 

 
791

 
614

 

 
1,405

 
1,405

 
283

 
1,122

 
1976
 
2010
 
35 years
6401
 
Physicians Plaza West
 
Decatur
 
IL
 
1,612

 

 
1,943

 
39

 

 
1,982

 
1,982

 
442

 
1,540

 
1987
 
2010
 
35 years
6402
 
Physicians and Dental Building
 
Decatur
 
IL
 
389

 

 
676

 
1

 

 
677

 
677

 
176

 
501

 
1972
 
2010
 
35 years
6403
 
Monroe Medical Center
 
Decatur
 
IL
 
83

 

 
93

 
16

 

 
109

 
109

 
26

 
83

 
1971
 
2010
 
35 years
6404
 
Kenwood Medical Center
 
Decatur
 
IL
 
2,445

 

 
3,900

 
30

 

 
3,930

 
3,930

 
787

 
3,143

 
1996
 
2010
 
35 years
6405
 
304 W Hay Building
 
Decatur
 
IL
 
5,224

 

 
8,702

 
22

 

 
8,724

 
8,724

 
1,055

 
7,669

 
2002
 
2010
 
35 years
6406
 
302 W Hay Building
 
Decatur
 
IL
 
2,251

 

 
3,467

 
45

 

 
3,512

 
3,512

 
617

 
2,895

 
1993
 
2010
 
35 years
6407
 
ENTA
 
Decatur
 
IL
 
611

 

 
1,150

 

 

 
1,150

 
1,150

 
138

 
1,012

 
1996
 
2010
 
35 years
6408
 
301 W Hay Building
 
Decatur
 
IL
 
222

 

 
640

 

 

 
640

 
640

 
106

 
534

 
1980
 
2010
 
35 years
6409
 
South Shore Medical Building
 
Decatur
 
IL
 
389

 
902

 
129

 

 
902

 
129

 
1,031

 
66

 
965

 
1991
 
2010
 
35 years
6410
 
SIU Family Practice
 
Decatur
 
IL
 
861

 

 
1,689

 
19

 

 
1,708

 
1,708

 
308

 
1,400

 
1997
 
2010
 
35 years
6411
 
Corporate Health Services
 
Decatur
 
IL
 
1,278

 
934

 
1,386

 

 
934

 
1,386

 
2,320

 
205

 
2,115

 
1996
 
2010
 
35 years
6412
 
Rock Springs Medical
 
Decatur
 
IL
 
556

 
399

 
495

 

 
399

 
495

 
894

 
78

 
816

 
1990
 
2010
 
35 years
6420
 
575 W Hay Building
 
Decatur
 
IL
 

 
111

 
739

 

 
111

 
739

 
850

 
98

 
752

 
1984
 
2010
 
35 years
2954
 
Eberle Medical Office Building (“Eberle MOB”)
 
Elk Grove Village
 
IL
 

 

 
16,315

 
49

 

 
16,364

 
16,364

 
3,073

 
13,291

 
2005
 
2009
 
35 years
2978
 
Grayslake MOB
 
Grayslake
 
IL
 

 
2,740

 
2,002

 
63

 
2,740

 
2,065

 
4,805

 
320

 
4,485

 
1996
 
2011
 
25 years
2971
 
1425 Hunt Club Road MOB
 
Gurnee
 
IL
 

 
249

 
1,452

 
52

 
249

 
1,504

 
1,753

 
148

 
1,605

 
2005
 
2011
 
34 years
2972
 
1445 Hunt Club Drive
 
Gurnee
 
IL
 

 
216

 
1,405

 
175

 
216

 
1,580

 
1,796

 
170

 
1,626

 
2002
 
2011
 
31 years
2973
 
Gurnee Imaging Center
 
Gurnee
 
IL
 

 
82

 
2,731

 

 
82

 
2,731

 
2,813

 
151

 
2,662

 
2002
 
2011
 
35 years
2974
 
Gurnee Center Club
 
Gurnee
 
IL
 

 
627

 
17,851

 

 
627

 
17,851

 
18,478

 
1,038

 
17,440

 
2001
 
2011
 
35 years
2981
 
Gurnee Acute Care
 
Gurnee
 
IL
 

 
166

 
1,115

 
(1,025
)
 
88

 
168

 
256

 
69

 
187

 
1996
 
2011
 
30 years
2955
 
Doctors Office Building III (“DOB III”)
 
Hoffman Estates
 
IL
 

 

 
24,550

 
52

 

 
24,602

 
24,602

 
4,110

 
20,492

 
2005
 
2009
 
35 years
2970
 
755 Milwaukee MOB
 
Libertyville
 
IL
 

 
421

 
3,716

 
723

 
421

 
4,439

 
4,860

 
546

 
4,314

 
1990
 
2011
 
18 years
2979
 
890 Professional MOB
 
Libertyville
 
IL
 

 
214

 
2,630

 
57

 
214

 
2,687

 
2,901

 
248

 
2,653

 
1980
 
2011
 
26 years
2980
 
Libertyville Center Club
 
Libertyville
 
IL
 

 
1,020

 
17,176

 

 
1,020

 
17,176

 
18,196

 
1,026

 
17,170

 
1988
 
2011
 
25 years
2975
 
Round Lake ACC
 
Round Lake
 
IL
 

 
758

 
370

 
24

 
758

 
394

 
1,152

 
125

 
1,027

 
1984
 
2011
 
13 years

188

Table of Contents

2976
 
Vernon Hills Acute Care Center
 
Vernon Hills
 
IL
 

 
3,376

 
694

 
99

 
3,376

 
793

 
4,169

 
147

 
4,022

 
1986
 
2011
 
15 years
6300
 
Wilbur S. Roby Building
 
Anderson
 
IN
 

 

 
2,653

 
194

 

 
2,847

 
2,847

 
451

 
2,396

 
1992
 
2010
 
35 years
6301
 
Ambulatory Services Building
 
Anderson
 
IN
 

 

 
4,266

 
745

 

 
5,011

 
5,011

 
799

 
4,212

 
1995
 
2010
 
35 years
6302
 
St. John’s Medical Arts Building
 
Anderson
 
IN
 

 

 
2,281

 
254

 

 
2,535

 
2,535

 
440

 
2,095

 
1973
 
2010
 
35 years
6000
 
Carmel I
 
Carmel
 
IN
 

 
466

 
5,954

 

 
466

 
5,954

 
6,420

 
147

 
6,273

 
1985
 
2012
 
30 years
6001
 
Carmel II
 
Carmel
 
IN
 

 
455

 
5,976

 

 
455

 
5,976

 
6,431

 
119

 
6,312

 
1989
 
2012
 
33 years
6002
 
Carmel III
 
Carmel
 
IN
 

 
422

 
6,194

 

 
422

 
6,194

 
6,616

 
138

 
6,478

 
2001
 
2012
 
35 years
3090
 
Elkhart
 
Elkhart
 
IN
 
1,257

 
1,256

 
1,973

 

 
1,256

 
1,973

 
3,229

 
256

 
2,973

 
1994
 
2011
 
32 years
6004
 
Harcourt Professional Office Building
 
Indianapolis
 
IN
 

 
519

 
28,951

 

 
519

 
28,951

 
29,470

 
626

 
28,844

 
1973
 
2012
 
28 years
6005
 
Cardiac Professional Office Building
 
Indianapolis
 
IN
 

 
498

 
27,430

 

 
498

 
27,430

 
27,928

 
502

 
27,426

 
1995
 
2012
 
35 years
6006
 
Oncology Medical Office Building
 
Indianapolis
 
IN
 

 
470

 
5,703

 

 
470

 
5,703

 
6,173

 
130

 
6,043

 
2003
 
2012
 
35 years
6600
 
Methodist Professional Center I
 
Indianapolis
 
IN
 

 
61

 
37,411

 

 
61

 
37,411

 
37,472

 
1,445

 
36,027

 
1985
 
2012
 
25 years
3091
 
LaPorte
 
LaPorte
 
IN
 
781

 
553

 
1,309

 

 
553

 
1,309

 
1,862

 
110

 
1,752

 
1997
 
2011
 
34 years
3092
 
Mishawaka
 
Mishawaka
 
IN
 
3,599

 
3,787

 
5,543

 

 
3,787

 
5,543

 
9,330

 
748

 
8,582

 
1993
 
2011
 
35 years
3093
 
South Bend
 
South Bend
 
IN
 
1,481

 
792

 
2,530

 

 
792

 
2,530

 
3,322

 
177

 
3,145

 
1996
 
2011
 
34 years
6590
 
OLBH Same Day Surgery Center MOB
 
Ashland
 
KY
 

 
101

 
19,066

 

 
101

 
19,066

 
19,167

 
656

 
18,511

 
1997
 
2012
 
26 years
6634
 
St. Elizabeth Covington
 
Covington
 
KY
 

 
345

 
12,790

 

 
345

 
12,790

 
13,135

 
345

 
12,790

 
2009
 
2012
 
35 years
6635
 
St. Elizabeth Florence MOB
 
Florence
 
KY
 

 
402

 
8,279

 

 
402

 
8,279

 
8,681

 
317

 
8,364

 
2005
 
2012
 
35 years
6802
 
Lakeview MOB
 
Covington
 
LA
 

 
1,838

 
5,508

 
(2,641
)
 
1,276

 
3,429

 
4,705

 
961

 
3,744

 
1994
 
2011
 
28 years
6804
 
Medical Arts Courtyard
 
Lafayette
 
LA
 

 
388

 
1,893

 
180

 
388

 
2,073

 
2,461

 
282

 
2,179

 
1984
 
2011
 
18 years
6805
 
SW Louisiana POB
 
Lafayette
 
LA
 

 
867

 
5,010

 
(597
)
 
884

 
4,396

 
5,280

 
590

 
4,690

 
1984
 
2011
 
18 years
6803
 
Lakeview Surgery Center
 
Mandeville
 
LA
 

 
753

 
956

 
(1,134
)
 
570

 
5

 
575

 
1

 
574

 
1987
 
2011
 
16 years
6585
 
East Jefferson Medical Plaza
 
Metairie
 
LA
 

 
168

 
17,264

 

 
168

 
17,264

 
17,432

 
780

 
16,652

 
1996
 
2012
 
32 years
6586
 
East Jefferson MOB
 
Metairie
 
LA
 
8,223

 
107

 
15,137

 

 
107

 
15,137

 
15,244

 
728

 
14,516

 
1985
 
2012
 
28 years
6800
 
Lakeside POB I
 
Metairie
 
LA
 

 
3,334

 
4,974

 
607

 
3,334

 
5,581

 
8,915

 
649

 
8,266

 
1986
 
2011
 
22 years
6801
 
Lakeside POB II
 
Metairie
 
LA
 

 
1,046

 
802

 
133

 
1,046

 
935

 
1,981

 
209

 
1,772

 
1980
 
2011
 
7 years
2931
 
RTS Berlin
 
Berlin
 
MD
 

 

 
2,216

 

 

 
2,216

 
2,216

 
126

 
2,090

 
1994
 
2011
 
29 years
3015
 
Charles O. Fisher Medical Building
 
Westminster
 
MD
 
11,681

 

 
13,795

 
727

 

 
14,522

 
14,522

 
2,302

 
12,220

 
2009
 
2009
 
35 years
6330
 
Medical Specialties Building
 
Kalamazoo
 
MI
 

 

 
19,242

 
124

 

 
19,366

 
19,366

 
2,092

 
17,274

 
1989
 
2010
 
35 years
6331
 
North Professional Building
 
Kalamazoo
 
MI
 

 

 
7,228

 
390

 

 
7,618

 
7,618

 
793

 
6,825

 
1983
 
2010
 
35 years

189

Table of Contents

6332
 
Medical Commons Building
 
Kalamazoo
 
MI
 

 

 
661

 
6

 

 
667

 
667

 
77

 
590

 
1979
 
2010
 
35 years
6333
 
Borgess Navigation Center
 
Kalamazoo
 
MI
 

 

 
2,391

 

 

 
2,391

 
2,391

 
285

 
2,106

 
1976
 
2010
 
35 years
6334
 
Borgess Visiting Nurses
 
Kalamazoo
 
MI
 

 
90

 
2,328

 
29

 
90

 
2,357

 
2,447

 
275

 
2,172

 
1900
 
2010
 
35 years
6337
 
Borgess Health & Fitness Center
 
Kalamazoo
 
MI
 

 

 
11,959

 
137

 

 
12,096

 
12,096

 
1,411

 
10,685

 
1984
 
2010
 
35 years
6360
 
Heart Center Building
 
Kalamazoo
 
MI
 

 

 
8,420

 
174

 

 
8,594

 
8,594

 
968

 
7,626

 
1980
 
2010
 
35 years
2936
 
RTS Madison Heights
 
Madison Heights
 
MI
 

 
401

 
2,946

 

 
401

 
2,946

 
3,347

 
161

 
3,186

 
2002
 
2011
 
35 years
2937
 
RTS Monroe
 
Monroe
 
MI
 

 
281

 
3,450

 

 
281

 
3,450

 
3,731

 
212

 
3,519

 
1997
 
2011
 
31 years
6336
 
Pro Med Center Plainwell
 
Plainwell
 
MI
 

 

 
697

 

 

 
697

 
697

 
93

 
604

 
1991
 
2010
 
35 years
6335
 
Pro Med Center Richland
 
Richland
 
MI
 

 
233

 
2,267

 
30

 
233

 
2,297

 
2,530

 
315

 
2,215

 
1996
 
2010
 
35 years
6625
 
Cogdell Duluth MOB
 
Duluth
 
MN
 

 

 
33,406

 

 

 
33,406

 
33,406

 
393

 
33,013

 
2012
 
2012
 
35 years
6615
 
HealthPartners Medical & Dental Clinics
 
Sartell
 
MN
 

 
2,492

 
15,694

 

 
2,492

 
15,694

 
18,186

 
512

 
17,674

 
2010
 
2012
 
35 years
2986
 
Arnold Urgent Care
 
Armold
 
MO
 

 
1,058

 
556

 
30

 
1,058

 
586

 
1,644

 
118

 
1,526

 
1999
 
2011
 
35 years
6040
 
DePaul Health Center North
 
Bridgeton
 
MO
 
6,540

 
996

 
10,045

 

 
996

 
10,045

 
11,041

 
311

 
10,730

 
1976
 
2012
 
21 years
6041
 
DePaul Health Center South
 
Bridgeton
 
MO
 
6,751

 
910

 
12,169

 

 
910

 
12,169

 
13,079

 
288

 
12,791

 
1992
 
2012
 
30 years
2987
 
Fenton Urgent Care Center
 
Fenton
 
MO
 

 
183

 
2,714

 
(4
)
 
183

 
2,710

 
2,893

 
239

 
2,654

 
2003
 
2011
 
35 years
2950
 
Broadway Medical Office Building
 
Kansas City
 
MO
 
6,223

 
1,300

 
12,602

 
1,772

 
1,336

 
14,338

 
15,674

 
4,390

 
11,284

 
1976
 
2007
 
35 years
6010
 
St. Joseph Medical Building
 
Kansas City
 
MO
 

 
305

 
7,445

 

 
305

 
7,445

 
7,750

 
105

 
7,645

 
1988
 
2012
 
32 years
6011
 
St. Joseph Medical Mall
 
Kansas City
 
MO
 

 
530

 
9,115

 

 
530

 
9,115

 
9,645

 
188

 
9,457

 
1995
 
2012
 
33 years
6012
 
Carondelet Medical Building
 
Kansas City
 
MO
 

 
745

 
12,437

 

 
745

 
12,437

 
13,182

 
274

 
12,908

 
1979
 
2012
 
29 years
6045
 
St. Joseph Hospital West Medical Office Building II
 
Lake St. Louis
 
MO
 
3,169

 
524

 
3,229

 

 
524

 
3,229

 
3,753

 
73

 
3,680

 
2005
 
2012
 
35 years
6048
 
St. Joseph O’Fallon Medical Office Building
 
O’Fallon
 
MO
 
770

 
940

 
5,556

 

 
940

 
5,556

 
6,496

 
99

 
6,397

 
1992
 
2012
 
35 years
6042
 
St. Mary’s Health Center MOB B
 
Richmond Heights
 
MO
 
2,913

 
119

 
4,161

 

 
119

 
4,161

 
4,280

 
101

 
4,179

 
1979
 
2012
 
23 years
6043
 
St. Mary’s Health Center MOB C
 
Richmond Heights
 
MO
 
3,387

 
136

 
6,018

 

 
136

 
6,018

 
6,154

 
154

 
6,000

 
1969
 
2012
 
20 years
6044
 
St. Mary’s Health Center MOB D
 
Richmond Heights
 
MO
 
2,529

 
103

 
2,780

 

 
103

 
2,780

 
2,883

 
78

 
2,805

 
1984
 
2012
 
22 years
2982
 
Physicians Office Center
 
St Louis
 
MO
 

 
1,445

 
13,825

 
66

 
1,445

 
13,891

 
15,336

 
1,227

 
14,109

 
2003
 
2011
 
35 years
6046
 
St. Joseph Health Center Medical Building 1
 
St. Charles
 
MO
 
3,539

 
503

 
4,336

 

 
503

 
4,336

 
4,839

 
133

 
4,706

 
1987
 
2012
 
20 years
6047
 
St. Joseph Health Center Medical Building 2
 
St. Charles
 
MO
 
2,562

 
369

 
2,963

 

 
369

 
2,963

 
3,332

 
70

 
3,262

 
1999
 
2012
 
32 years
2983
 
12700 Southford Road Medical Plaza
 
St. Louis
 
MO
 

 
595

 
12,584

 
676

 
595

 
13,260

 
13,855

 
1,087

 
12,768

 
1993
 
2011
 
32 years

190

Table of Contents

2984
 
St Anthony’s MOB A
 
St. Louis
 
MO
 

 
409

 
4,687

 
65

 
409

 
4,752

 
5,161

 
574

 
4,587

 
1975
 
2011
 
20 years
2985
 
St Anthony’s MOB B
 
St. Louis
 
MO
 

 
350

 
3,942

 
139

 
350

 
4,081

 
4,431

 
523

 
3,908

 
1980
 
2011
 
21 years
2988
 
Lemay Urgent Care Center
 
St. Louis
 
MO
 

 
2,317

 
3,120

 
174

 
2,317

 
3,294

 
5,611

 
404

 
5,207

 
1983
 
2011
 
22 years
6049
 
St. Joseph Endoscopy Center
 
St. Peters
 
MO
 
312

 
133

 

 

 
133

 

 
133

 

 
133

 
N/A
 
2012
 
N/A
6580
 
University Physicians - Grants Ferry
 
Flowood
 
MS
 
10,018

 
2,796

 
12,125

 

 
2,796

 
12,125

 
14,921

 
385

 
14,536

 
2010
 
2012
 
35 years
6475
 
Barclay Downs
 
Charlotte
 
NC
 

 
3,535

 
882

 

 
3,535

 
882

 
4,417

 
99

 
4,318

 
1987
 
2012
 
20 years
6484
 
Randolph
 
Charlotte
 
NC
 

 
6,370

 
2,929

 

 
6,370

 
2,929

 
9,299

 
537

 
8,762

 
1973
 
2012
 
4 years
6486
 
Mallard Crossing I
 
Charlotte
 
NC
 

 
3,229

 
2,072

 

 
3,229

 
2,072

 
5,301

 
246

 
5,055

 
1997
 
2012
 
25 years
6500
 
Medical Arts Building
 
Concord
 
NC
 

 
701

 
11,734

 

 
701

 
11,734

 
12,435

 
580

 
11,855

 
1997
 
2012
 
31 years
6501
 
Gateway Medical Office Building
 
Concord
 
NC
 

 
1,100

 
9,904

 

 
1,100

 
9,904

 
11,004

 
412

 
10,592

 
2005
 
2012
 
35 years
6505
 
Copperfield Medical Mall
 
Concord
 
NC
 

 
1,980

 
2,846

 

 
1,980

 
2,846

 
4,826

 
178

 
4,648

 
1989
 
2012
 
25 years
6506
 
Weddington Internal & Pediatric Medicine
 
Concord
 
NC
 

 
574

 
688

 

 
574

 
688

 
1,262

 
47

 
1,215

 
2000
 
2012
 
27 years
6490
 
Gaston Professional Center
 
Gastonia
 
NC
 

 
833

 
24,885

 

 
833

 
24,885

 
25,718

 
910

 
24,808

 
1997
 
2012
 
35 years
6502
 
Harrisburg Family Physicians
 
Harrisburg
 
NC
 

 
679

 
1,646

 

 
679

 
1,646

 
2,325

 
58

 
2,267

 
1996
 
2012
 
35 years
6503
 
Harrisburg Medical Mall
 
Harrisburg
 
NC
 

 
1,339

 
2,292

 

 
1,339

 
2,292

 
3,631

 
193

 
3,438

 
1997
 
2012
 
27 years
6488
 
Northcross
 
Huntersville
 
NC
 

 
623

 
278

 

 
623

 
278

 
901

 
42

 
859

 
1993
 
2012
 
22 years
2958
 
REX Knightdale MOB & Wellness Center
 
Knightdale
 
NC
 

 

 
22,823

 

 

 
22,823

 
22,823

 

 
22,823

 
2009
 
2012
 
35 years
6491
 
Mulberry Medical Park
 
Lenoir
 
NC
 

 
211

 
2,589

 

 
211

 
2,589

 
2,800

 
177

 
2,623

 
1982
 
2012
 
23 years
6489
 
Lincoln/Lakemont Family Practice
 
Lincolnton
 
NC
 

 
788

 
1,841

 

 
788

 
1,841

 
2,629

 
121

 
2,508

 
1998
 
2012
 
29 years
6631
 
Alamance Regional Mebane Outpatient Ctr.
 
Mebane
 
NC
 
12,172

 
1,963

 
14,291

 

 
1,963

 
14,291

 
16,254

 
599

 
15,655

 
2008
 
2012
 
35 years
6504
 
Midland Medical Park
 
Midland
 
NC
 

 
1,221

 
847

 

 
1,221

 
847

 
2,068

 
84

 
1,984

 
1998
 
2012
 
25 years
6512
 
East Rocky Mount Kidney Center
 
Rocky Mount
 
NC
 

 
803

 
998

 

 
803

 
998

 
1,801

 
60

 
1,741

 
2000
 
2012
 
33 years
6513
 
Rocky Mount Kidney Center
 
Rocky Mount
 
NC
 

 
479

 
1,297

 

 
479

 
1,297

 
1,776

 
76

 
1,700

 
1990
 
2012
 
25 years
6514
 
Rocky Mount Medical Park
 
Rocky Mount
 
NC
 

 
2,552

 
7,779

 

 
2,552

 
7,779

 
10,331

 
327

 
10,004

 
1991
 
2012
 
30 years
6630
 
English Road Medical Center
 
Rocky Mount
 
NC
 
4,905

 
1,321

 
3,747

 

 
1,321

 
3,747

 
5,068

 
207

 
4,861

 
2002
 
2012
 
35 years
6510
 
Rowan Outpatient Surgery Center
 
Salisbury
 
NC
 

 
1,039

 
5,184

 

 
1,039

 
5,184

 
6,223

 
173

 
6,050

 
2003
 
2012
 
35 years
6813
 
Del E Webb Medical Plaza
 
Henderson
 
NV
 

 
1,028

 
16,993

 
132

 
1,028

 
17,125

 
18,153

 
1,192

 
16,961

 
1999
 
2011
 
35 years
6819
 
The Terrace at South Meadows
 
Reno
 
NV
 
7,353

 
504

 
9,966

 
383

 
504

 
10,349

 
10,853

 
712

 
10,141

 
2004
 
2011
 
35 years
6610
 
Central NY Medical Center
 
Syracuse
 
NY
 
24,500

 
1,786

 
26,101

 

 
1,786

 
26,101

 
27,887

 
939

 
26,948

 
1997
 
2012
 
33 years
6627
 
Cogdell Cleveland Rehab LP
 
Beachwood
 
OH
 

 
1,800

 
12,579

 

 
1,800

 
12,579

 
14,379

 

 
14,379

 
CIP
 
2012
 
CIP

191

Table of Contents

2925
 
Anderson Medical Arts Building I
 
Cincinnati
 
OH
 

 

 
9,632

 
1,475

 

 
11,107

 
11,107

 
2,304

 
8,803

 
1984
 
2007
 
35 years
2926
 
Anderson Medical Arts Building II
 
Cincinnati
 
OH
 

 

 
15,123

 
2,159

 

 
17,282

 
17,282

 
3,284

 
13,998

 
2007
 
2007
 
35 years
3084
 
745 W State Street
 
Columbus
 
OH
 
7,800

 
545

 
10,686

 
(5,711
)
 
540

 
4,980

 
5,520

 
413

 
5,107

 
1999
 
2011
 
35 years
6200
 
Riverside North Medical Office Building
 
Columbus
 
OH
 
8,420

 
785

 
8,519

 

 
785

 
8,519

 
9,304

 
268

 
9,036

 
1962
 
2012
 
25 years
6201
 
Riverside South Medical Office Building
 
Columbus
 
OH
 
6,311

 
586

 
7,298

 

 
586

 
7,298

 
7,884

 
203

 
7,681

 
1985
 
2012
 
27 years
6202
 
340 East Town Medical Office Building
 
Columbus
 
OH
 
5,862

 
10

 
9,443

 

 
10

 
9,443

 
9,453

 
196

 
9,257

 
1984
 
2012
 
29 years
6203
 
393 East Town Medical Office Building
 
Columbus
 
OH
 
3,288

 
61

 
4,760

 

 
61

 
4,760

 
4,821

 
129

 
4,692

 
1970
 
2012
 
20 years
6204
 
141 South Sixth Medical Office Building
 
Columbus
 
OH
 
1,544

 
80

 
1,113

 

 
80

 
1,113

 
1,193

 
46

 
1,147

 
1971
 
2012
 
14 years
6205
 
Doctors West Medical Office Building
 
Columbus
 
OH
 
4,705

 
414

 
5,362

 

 
414

 
5,362

 
5,776

 
132

 
5,644

 
1998
 
2012
 
35 years
6208
 
Eastside Health Center
 
Columbus
 
OH
 
4,399

 
956

 
3,472

 

 
956

 
3,472

 
4,428

 
135

 
4,293

 
1977
 
2012
 
15 years
6220
 
Heart Center Medical Office Building
 
Columbus
 
OH
 
11,560

 
1,063

 
12,140

 

 
1,063

 
12,140

 
13,203

 
251

 
12,952

 
2004
 
2012
 
35 years
6221
 
Wilkins Medical Office Building
 
Columbus
 
OH
 

 
123

 
18,062

 

 
123

 
18,062

 
18,185

 
331

 
17,854

 
2002
 
2012
 
35 years
6207
 
Grady Medical Office Building
 
Delaware
 
OH
 
1,824

 
239

 
2,263

 

 
239

 
2,263

 
2,502

 
66

 
2,436

 
1991
 
2012
 
25 years
6206
 
Dublin Northwest Medical Office Building
 
Dublin
 
OH
 
3,118

 
342

 
3,278

 

 
342

 
3,278

 
3,620

 
73

 
3,547

 
2001
 
2012
 
34 years
6210
 
Preserve III Medical Office Building
 
Dublin
 
OH
 
9,684

 
2,449

 
7,025

 

 
2,449

 
7,025

 
9,474

 
159

 
9,315

 
2006
 
2012
 
35 years
6209
 
East Main Medical Office Building
 
Whitehall
 
OH
 
5,226

 
440

 
4,771

 

 
440

 
4,771

 
5,211

 
82

 
5,129

 
2006
 
2012
 
35 years
6950
 
Zanesville Surgery Center
 
Zanesville
 
OH
 

 
172

 
9,403

 

 
172

 
9,403

 
9,575

 
491

 
9,084

 
2000
 
2011
 
35 years
6951
 
Dialysis Center
 
Zanesville
 
OH
 

 
534

 
855

 

 
534

 
855

 
1,389

 
121

 
1,268

 
1960
 
2011
 
21 years
6952
 
Genesis Children’s Center
 
Zanesville
 
OH
 

 
538

 
3,781

 

 
538

 
3,781

 
4,319

 
273

 
4,046

 
2006
 
2011
 
30 years
6953
 
Medical Arts Building I
 
Zanesville
 
OH
 

 
429

 
2,405

 
83

 
429

 
2,488

 
2,917

 
256

 
2,661

 
1970
 
2011
 
20 years
6954
 
Medical Arts Building II
 
Zanesville
 
OH
 

 
485

 
6,013

 
193

 
485

 
6,206

 
6,691

 
636

 
6,055

 
1995
 
2011
 
25 years
6955
 
Medical Arts Building III
 
Zanesville
 
OH
 

 
94

 
1,248

 

 
94

 
1,248

 
1,342

 
124

 
1,218

 
1970
 
2011
 
25 years
6956
 
Primecare Building
 
Zanesville
 
OH
 

 
130

 
1,344

 

 
130

 
1,344

 
1,474

 
197

 
1,277

 
1978
 
2011
 
20 years
6957
 
Outpatient Rehabilitation Building
 
Zanesville
 
OH
 

 
82

 
1,541

 

 
82

 
1,541

 
1,623

 
120

 
1,503

 
1985
 
2011
 
28 years

192

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6958
 
Radiation Oncology Building
 
Zanesville
 
OH
 

 
105

 
1,201

 

 
105

 
1,201

 
1,306

 
110

 
1,196

 
1988
 
2011
 
25 years
6959
 
Healthplex
 
Zanesville
 
OH
 

 
2,488

 
15,849

 
74

 
2,488

 
15,923

 
18,411

 
1,179

 
17,232

 
1990
 
2011
 
32 years
6960
 
Physicians Pavilion
 
Zanesville
 
OH
 

 
422

 
6,297

 
217

 
422

 
6,514

 
6,936

 
600

 
6,336

 
1990
 
2011
 
25 years
6961
 
Zanesville Northside Pharmacy
 
Zanesville
 
OH
 

 
42

 
635

 

 
42

 
635

 
677

 
51

 
626

 
1985
 
2011
 
28 years
6962
 
Bethesda Campus MOB III
 
Zanesville
 
OH
 

 
188

 
1,137

 

 
188

 
1,137

 
1,325

 
103

 
1,222

 
1978
 
2011
 
25 years
6814
 
Tuality 7th Avenue Medical Plaza
 
Hillsboro
 
OR
 
19,899

 
1,516

 
24,638

 
311

 
1,516

 
24,949

 
26,465

 
1,503

 
24,962

 
2003
 
2011
 
35 years
3003
 
DCMH Medical Office Building
 
Drexel Hill
 
PA
 

 

 
10,424

 
1,155

 

 
11,579

 
11,579

 
3,888

 
7,691

 
1984
 
2004
 
30 years
6350
 
Penn State University Outpatient Center
 
Hershey
 
PA
 
57,415

 

 
55,439

 

 

 
55,439

 
55,439

 
4,871

 
50,568

 
2008
 
2010
 
35 years
6605
 
Lancaster Rehabilitation Hospital
 
Lancaster
 
PA
 
11,127

 
959

 
16,610

 

 
959

 
16,610

 
17,569

 
498

 
17,071

 
2007
 
2012
 
35 years
6632
 
Lancaster ASC MOB
 
Lancaster
 
PA
 
9,741

 
593

 
17,117

 

 
593

 
17,117

 
17,710

 
527

 
17,183

 
2007
 
2012
 
35 years
6340
 
St. Joseph Medical Office Building
 
Reading
 
PA
 

 

 
10,823

 
211

 

 
11,034

 
11,034

 
1,091

 
9,943

 
2006
 
2010
 
35 years
3002
 
Professional Office Building I
 
Upland
 
PA
 

 

 
6,283

 
995

 

 
7,278

 
7,278

 
2,364

 
4,914

 
1978
 
2004
 
30 years
6636
 
Doylestown Health & Wellness Center
 
Warrington
 
PA
 

 
4,452

 
17,383

 

 
4,452

 
17,383

 
21,835

 
647

 
21,188

 
2001
 
2012
 
34 years
6540
 
Beaufort Medical Plaza
 
Beaufort
 
SC
 

 
593

 
9,593

 

 
593

 
9,593

 
10,186

 
429

 
9,757

 
1999
 
2012
 
35 years
6541
 
Roper Medical Office Building
 
Charleston
 
SC
 
8,951

 
127

 
14,737

 

 
127

 
14,737

 
14,864

 
711

 
14,153

 
1990
 
2012
 
28 years
6543
 
St. Francis Medical Plaza (Charleston)
 
Charleston
 
SC
 

 
447

 
3,946

 

 
447

 
3,946

 
4,393

 
181

 
4,212

 
2003
 
2012
 
35 years
6526
 
Providence MOB I
 
Columbia
 
SC
 

 
225

 
4,274

 

 
225

 
4,274

 
4,499

 
310

 
4,189

 
1979
 
2012
 
18 years
6527
 
Providence MOB II
 
Columbia
 
SC
 

 
122

 
1,834

 

 
122

 
1,834

 
1,956

 
132

 
1,824

 
1985
 
2012
 
18 years
6528
 
Providence MOB III
 
Columbia
 
SC
 

 
766

 
4,406

 

 
766

 
4,406

 
5,172

 
233

 
4,939

 
1990
 
2012
 
23 years
6529
 
One Medical Park
 
Columbia
 
SC
 

 
210

 
7,939

 

 
210

 
7,939

 
8,149

 
477

 
7,672

 
1984
 
2012
 
19 years
6530
 
Three Medical Park
 
Columbia
 
SC
 
6,981

 
40

 
10,650

 

 
40

 
10,650

 
10,690

 
516

 
10,174

 
1988
 
2012
 
25 years
6531
 
Palmetto Health Parkridge
 
Columbia
 
SC
 
13,382

 
844

 
15,474

 

 
844

 
15,474

 
16,318

 
663

 
15,655

 
2003
 
2012
 
35 years
3070
 
St. Francis Millennium Medical Office Building
 
Greenville
 
SC
 
15,912

 

 
13,062

 
10,453

 

 
23,515

 
23,515

 
3,684

 
19,831

 
2009
 
2009
 
35 years
6550
 
200 Andrews
 
Greenville
 
SC
 

 
789

 
2,014

 

 
789

 
2,014

 
2,803

 
168

 
2,635

 
1994
 
2012
 
29 years
6552
 
St. Francis CMOB
 
Greenville
 
SC
 

 
501

 
7,661

 

 
501

 
7,661

 
8,162

 
265

 
7,897

 
2001
 
2012
 
35 years
6553
 
St. Francis Outpatient Surgery Center
 
Greenville
 
SC
 

 
1,007

 
16,538

 

 
1,007

 
16,538

 
17,545

 
569

 
16,976

 
2001
 
2012
 
35 years
6554
 
St. Francis Professional Medical Center
 
Greenville
 
SC
 

 
342

 
6,337

 

 
342

 
6,337

 
6,679

 
317

 
6,362

 
1984
 
2012
 
24 years
6555
 
St. Francis Women’s
 
Greenville
 
SC
 

 
322

 
4,877

 

 
322

 
4,877

 
5,199

 
321

 
4,878

 
1991
 
2012
 
24 years

193

Table of Contents

6556
 
St. Francis Medical Plaza (Greenville)
 
Greenville
 
SC
 

 
88

 
5,876

 

 
88

 
5,876

 
5,964

 
272

 
5,692

 
1998
 
2012
 
24 years
3072
 
Irmo Professional MOB
 
Irmo
 
SC
 
7,692

 
1,726

 
5,414

 
35

 
1,726

 
5,449

 
7,175

 
457

 
6,718

 
2004
 
2011
 
35 years
6536
 
River Hills Medical Plaza
 
Little River
 
SC
 

 
1,406

 
1,813

 

 
1,406

 
1,813

 
3,219

 
114

 
3,105

 
1999
 
2012
 
27 years
6542
 
Mount Pleasant Medical Office Longpoint
 
Mount Pleasant
 
SC
 

 
670

 
4,455

 

 
670

 
4,455

 
5,125

 
207

 
4,918

 
2001
 
2012
 
34 years
6535
 
Carolina Forest Medical Plaza
 
Myrtle Beach
 
SC
 

 
1,742

 
5,279

 

 
1,742

 
5,279

 
7,021

 
249

 
6,772

 
2007
 
2012
 
35 years
6525
 
Medical Arts Center of Orangeburg
 
Orangeburg
 
SC
 

 
823

 
3,299

 

 
823

 
3,299

 
4,122

 
235

 
3,887

 
1984
 
2012
 
28 years
6551
 
Mary Black Westside Medical Office Bldg
 
Spartanburg
 
SC
 

 
291

 
5,057

 

 
291

 
5,057

 
5,348

 
220

 
5,128

 
1991
 
2012
 
31 years
3085
 
Colleton Medical Arts
 
Walterboro
 
SC
 

 
983

 
2,780

 
(1,854
)
 
782

 
1,127

 
1,909

 
211

 
1,698

 
1998
 
2011
 
27 years
6570
 
Health Park Medical Office Building
 
Chattanooga
 
TN
 
6,679

 
2,305

 
8,949

 

 
2,305

 
8,949

 
11,254

 
293

 
10,961

 
2004
 
2012
 
35 years
6571
 
Peerless Crossing Medical Center
 
Cleveland
 
TN
 
7,032

 
1,217

 
6,464

 

 
1,217

 
6,464

 
7,681

 
205

 
7,476

 
2006
 
2012
 
35 years
6642
 
Medical Center Physicians Tower
 
Jackson
 
TN
 
14,176

 
549

 
27,074

 

 
549

 
27,074

 
27,623

 
879

 
26,744

 
2010
 
2012
 
35 years
3086
 
Grandview MOB
 
Jasper
 
TN
 

 
1,011

 
5,322

 
(4,778
)
 
901

 
654

 
1,555

 
236

 
1,319

 
1998
 
2011
 
29.5 years
2901
 
Abilene Medical Commons I
 
Abilene
 
TX
 

 
179

 
1,611

 
40

 
179

 
1,651

 
1,830

 
392

 
1,438

 
2000
 
2004
 
35 years
6020
 
Seton Medical Park Tower
 
Austin
 
TX
 

 
805

 
41,527

 

 
805

 
41,527

 
42,332

 
673

 
41,659

 
1968
 
2012
 
35 years
6021
 
Seton Northwest Health Plaza
 
Austin
 
TX
 

 
444

 
22,632

 

 
444

 
22,632

 
23,076

 
392

 
22,684

 
1988
 
2012
 
35 years
6030
 
Seton Southwest Health Plaza
 
Austin
 
TX
 

 
294

 
5,311

 

 
294

 
5,311

 
5,605

 
96

 
5,509

 
2004
 
2012
 
35 years
6031
 
Seton Southwest Health Plaza II
 
Austin
 
TX
 

 
447

 
10,154

 

 
447

 
10,154

 
10,601

 
163

 
10,438

 
2009
 
2012
 
35 years
3074
 
East Houston MOB, LLC
 
Houston
 
TX
 

 
356

 
2,877

 
(610
)
 
328

 
2,295

 
2,623

 
386

 
2,237

 
1982
 
2011
 
15 years
3075
 
East Houston Medical Plaza
 
Houston
 
TX
 

 
671

 
426

 
237

 
671

 
663

 
1,334

 
166

 
1,168

 
1982
 
2011
 
11 years
3077
 
Mansfield MOB
 
Mansfield
 
TX
 

 
411

 
1,133

 
14

 
411

 
1,147

 
1,558

 
180

 
1,378

 
1998
 
2011
 
27 years
3060
 
Bayshore Surgery Center MOB
 
Pasadena
 
TX
 

 
765

 
9,123

 
362

 
765

 
9,485

 
10,250

 
7,596

 
2,654

 
2001
 
2005
 
35 years
3061
 
Bayshore Rehabilitation Center MOB
 
Pasadena
 
TX
 

 
95

 
1,128

 

 
95

 
1,128

 
1,223

 
255

 
968

 
1988
 
2005
 
35 years
6380
 
Seton Williamson Medical Plaza
 
Round Rock
 
TX
 

 

 
15,074

 
419

 

 
15,493

 
15,493

 
1,840

 
13,653

 
2008
 
2010
 
35 years
6650
 
251 Medical Center
 
Webster
 
TX
 

 
1,158

 
12,078

 

 
1,158

 
12,078

 
13,236

 
526

 
12,710

 
2006
 
2011
 
35 years
6651
 
253 Medical Center
 
Webster
 
TX
 

 
1,181

 
11,862

 

 
1,181

 
11,862

 
13,043

 
492

 
12,551

 
2009
 
2011
 
35 years
3080
 
J. Hal Smith Building POB
 
Christianburg
 
VA
 

 
175

 
432

 
(283
)
 
140

 
184

 
324

 
36

 
288

 
1997
 
2011
 
26 years
6520
 
MRMC MOB I
 
Mechanicsville
 
VA
 
5,709

 
1,669

 
7,024

 

 
1,669

 
7,024

 
8,693

 
375

 
8,318

 
1993
 
2012
 
31 years
3079
 
Henrico MOB
 
Richmond
 
VA
 

 
968

 
6,189

 
5

 
968

 
6,194

 
7,162

 
580

 
6,582

 
1976
 
2011
 
25 years

194

Table of Contents

6521
 
St. Mary’s MOB North (Floors 6 & 7)
 
Richmond
 
VA
 

 
227

 
2,961

 

 
227

 
2,961

 
3,188

 
213

 
2,975

 
1968
 
2012
 
22 years
6640
 
Bonney Lake Medical Office Building
 
Bonney Lake
 
WA
 
11,363

 
5,176

 
14,375

 

 
5,176

 
14,375

 
19,551

 
475

 
19,076

 
2011
 
2012
 
35 years
6641
 
Good Samaritan Medical Office Building
 
Puyallup
 
WA
 
15,067

 
781

 
30,368

 

 
781

 
30,368

 
31,149

 
760

 
30,389

 
2011
 
2012
 
35 years
2957
 
Holy Family Hospital Central MOB
 
Spokane
 
WA
 

 

 
19,085

 

 

 
19,085

 
19,085

 

 
19,085

 
2007
 
2012
 
35 years
3040
 
Physician’s Pavilion
 
Vancouver
 
WA
 

 
1,411

 
32,939

 
78

 
1,411

 
33,017

 
34,428

 
2,101

 
32,327

 
2001
 
2011
 
35 years
3041
 
Administration Building
 
Vancouver
 
WA
 

 
296

 
7,856

 

 
296

 
7,856

 
8,152

 
467

 
7,685

 
1972
 
2011
 
35 years
3042
 
Medical Center Physician’s Building
 
Vancouver
 
WA
 

 
1,225

 
31,246

 
519

 
1,225

 
31,765

 
32,990

 
1,879

 
31,111

 
1980
 
2011
 
35 years
3043
 
Memorial MOB
 
Vancouver
 
WA
 

 
663

 
12,626

 
158

 
663

 
12,784

 
13,447

 
791

 
12,656

 
1999
 
2011
 
35 years
3044
 
Salmon Creek MOB
 
Vancouver
 
WA
 

 
1,325

 
9,238

 

 
1,325

 
9,238

 
10,563

 
543

 
10,020

 
1994
 
2011
 
35 years
3045
 
Fisher’s Landing MOB
 
Vancouver
 
WA
 

 
1,590

 
5,420

 

 
1,590

 
5,420

 
7,010

 
384

 
6,626

 
1995
 
2011
 
34 years
3046
 
Healthy Steps Clinic
 
Vancouver
 
WA
 

 
626

 
1,505

 
(1,088
)
 
553

 
490

 
1,043

 
68

 
975

 
1997
 
2011
 
35 years
3047
 
Columbia Medical Plaza
 
Vancouver
 
WA
 

 
281

 
5,266

 
139

 
281

 
5,405

 
5,686

 
348

 
5,338

 
1991
 
2011
 
35 years
6460
 
Appleton Heart Institute
 
Appleton
 
WI
 

 

 
7,775

 
1

 

 
7,776

 
7,776

 
872

 
6,904

 
2003
 
2010
 
39 years
6461
 
Appleton Medical Offices West
 
Appleton
 
WI
 

 

 
5,756

 
2

 

 
5,758

 
5,758

 
669

 
5,089

 
1989
 
2010
 
39 years
6462
 
Appleton Medical Offices South
 
Appleton
 
WI
 

 

 
9,058

 
167

 

 
9,225

 
9,225

 
994

 
8,231

 
1983
 
2010
 
39 years
3030
 
Brookfield Clinic
 
Brookfield
 
WI
 

 
2,638

 
4,093

 

 
2,638

 
4,093

 
6,731

 
299

 
6,432

 
1999
 
2011
 
35 years
3031
 
Hartland Clinic
 
Hartland
 
WI
 

 
321

 
5,050

 

 
321

 
5,050

 
5,371

 
314

 
5,057

 
1994
 
2011
 
35 years
6463
 
Theda Clark Medical Center Office Pavilion
 
Neenah
 
WI
 

 

 
7,080

 
15

 

 
7,095

 
7,095

 
725

 
6,370

 
1993
 
2010
 
39 years
6464
 
Aylward Medical Building Condo Floors 3 & 4
 
Neenah
 
WI
 

 

 
4,462

 

 

 
4,462

 
4,462

 
408

 
4,054

 
2006
 
2010
 
39 years
3032
 
New Berlin Clinic
 
New Berlin
 
WI
 

 
678

 
7,121

 

 
678

 
7,121

 
7,799

 
476

 
7,323

 
1999
 
2011
 
35 years
3036
 
WestWood Health & Fitness
 
Pewaukee
 
WI
 

 
823

 
11,649

 

 
823

 
11,649

 
12,472

 
785

 
11,687

 
1997
 
2011
 
35 years
3033
 
Watertown Clinic
 
Watertown
 
WI
 

 
166

 
3,234

 

 
166

 
3,234

 
3,400

 
194

 
3,206

 
2003
 
2011
 
35 years
3034
 
Southside Clinic
 
Waukesha
 
WI
 

 
218

 
5,273

 

 
218

 
5,273

 
5,491

 
321

 
5,170

 
1997
 
2011
 
35 years
3035
 
Rehabilitation Hospital
 
Waukesha
 
WI
 

 
372

 
15,636

 

 
372

 
15,636

 
16,008

 
833

 
15,175

 
2008
 
2011
 
35 years
3021
 
Casper WY MOB
 
Casper
 
WY
 

 
3,015

 
26,513

 
99

 
3,017

 
26,610

 
29,627

 
4,092

 
25,535

 
2008
 
2008
 
35 years
 
 
TOTAL FOR MEDICAL OFFICE BUILDINGS
 
 
 
 
 
912,088

 
250,912

 
2,988,090

 
31,305

 
248,746

 
3,021,561

 
3,270,307

 
222,652

 
3,047,655

 
 
 
 
 
 

195

Table of Contents

 
 
TOTAL FOR ALL PROPERTIES
 
 
 
 
 
$
3,022,924

 
$
1,771,512

 
$
16,812,382

 
$
180,009

 
$
1,772,417

 
$
16,991,486

 
$
18,763,903

 
$
2,289,783

 
$
16,474,120

 
 
 
 
 
 



196


ITEM 9.    Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Not applicable.
ITEM 9A.    Controls and Procedures
Evaluation of Disclosure Controls and Procedures
As required by Rules 13a-15(b) and 15d-15(b) of the Exchange Act, our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures as of December 31, 2012. Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) were effective as of December 31, 2012, at the reasonable assurance level.
Internal Control over Financial Reporting
The information set forth under “Management Report on Internal Control over Financial Reporting” and “Report of Independent Registered Public Accounting Firm on Internal Control over Financial Reporting” included in Part II, Item 8 of this Annual Report on Form 10-K is incorporated by reference into this Item 9A.
Internal Control Changes
During the fourth quarter of 2012, there were no changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
ITEM 9B.    Other Information
Not applicable.

PART III
ITEM 10.    Directors, Executive Officers and Corporate Governance
The information required by this Item 10 is incorporated by reference to the material under the headings “Proposals Requiring Your Vote—Proposal 1: Election of Directors,” “Our Executive Officers,” “Securities Ownership—Section 16(a) Beneficial Ownership Reporting Compliance,” “Corporate Governance—Governance Policies” and “Audit and Compliance Committee” in our definitive Proxy Statement for the 2013 Annual Meeting of Stockholders, which we will file with the SEC not later than April 30, 2013.
ITEM 11.    Executive Compensation
The information required by this Item 11 is incorporated by reference to the material under the headings “Executive Compensation,” “Non-Employee Director Compensation” and “Executive Compensation Committee” in our definitive Proxy Statement for the 2013 Annual Meeting of Stockholders, which we will file with the SEC not later than April 30, 2013.
ITEM 12.    Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
The information required by this Item 12 is incorporated by reference to the material under the headings “Equity Compensation Plan Information” and “Securities Ownership” in our definitive Proxy Statement for the 2013 Annual Meeting of Stockholders, which we will file with the SEC not later than April 30, 2013.
ITEM 13.    Certain Relationships and Related Transactions, and Director Independence
The information required by this Item 13 is incorporated by reference to the material under the headings “Corporate Governance—Transactions with Related Persons,” “Our Board of Directors—Director Independence,” “Audit and Compliance Committee,” “Executive Compensation Committee” and “Nominating and Corporate Governance Committee” in our definitive Proxy Statement for the 2013 Annual Meeting of Stockholders, which we will file with the SEC not later than April 30, 2013.


197


ITEM 14.    Principal Accountant Fees and Services
The information required by this Item 14 is incorporated by reference to the material under the heading “Proposals Requiring Your Vote—Proposal 2: Ratification of the Selection of Ernst & Young as Our Independent Registered Public Accounting Firm for Fiscal Year 2013” in our definitive Proxy Statement for the 2013 Annual Meeting of Stockholders, which we will file with the SEC not later than April 30, 2013.


198


PART IV
ITEM 15.    Exhibits and Financial Statement Schedules
Financial Statements and Financial Statement Schedules
The following documents have been included in Part II, Item 8 of this Annual Report on Form 10-K:

 
Page
Consolidated Financial Statement Schedule
 
All other schedules have been omitted because they are inapplicable, not required or the information is included elsewhere in the Consolidated Financial Statements or notes thereto.

199


Exhibits

Exhibit
Number
 
Description of Document
 
Location of Document
3.1
 
Amended and Restated Certificate of Incorporation, as amended, of Ventas, Inc.
 
Incorporated by reference to Exhibit 3.1 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.
 
 
 
 
 
3.2
 
Fourth Amended and Restated Bylaws, as amended, of Ventas, Inc.
 
Incorporated by reference to Exhibit 3.2 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.
 
 
 
 
 
4.1
 
Specimen common stock certificate.
 
Filed herewith.
 
 
 
 
 
4.2
 
Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.
 
Incorporated by reference to the Prospectus included in our Registration Statement on Form S-3, filed on November 25, 2011, File No. 333-178185.
 
 
 
 
 
4.3
 
Indenture dated as of September 19, 2006 by and among Ventas, Inc., Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuer(s), the Guarantors named therein, as Guarantors, and U.S. Bank National Association, as Trustee.

 
Incorporated by reference to Exhibit 4.9 to our Registration Statement on Form S-3, filed on April 7, 2006, File No. 333-133115.
 
 
 
 
 
4.4
 
Third Supplemental Indenture dated as of November 16, 2010 by and among Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuers, Ventas, Inc., as Guarantor, and U.S. Bank National Association, as Trustee.
 
Incorporated by reference to Exhibit 4.2 to our Current Report on Form 8-K, filed on November 18, 2010.
 
 
 
 
 
4.5
 
Fourth Supplemental Indenture dated as of May 17, 2011 by and among Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuers, Ventas, Inc., as Guarantor, and U.S. Bank National Association, as Trustee.

 
Incorporated by reference to Exhibit 4.2 to our Current Report on Form 8-K, filed on May 20, 2011.
 
 
 
 
 
4.6
 
Fifth Supplemental Indenture dated as of February 10, 2012 by and among Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuers, Ventas, Inc., as Guarantor, and U.S. Bank National Association, as Trustee.

 
Incorporated by reference to Exhibit 4.2 to our Current Report on Form 8-K, filed on February 14, 2012.
 
 
 
 
 
4.7
 
Sixth Supplemental Indenture dated as of April 17, 2012 by and among Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuers, Ventas, Inc., as Guarantor, and U.S. Bank National Association, as Trustee.

 
Incorporated by reference to Exhibit 4.2 to our Current Report on Form 8-K, filed on April 18, 2012.
 
 
 
 
 
4.8
 
Seventh Supplemental Indenture dated as of August 3, 2012 by and among Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuers, Ventas, Inc., as Guarantor, and U.S. Bank National Association, as Trustee.

 
Incorporated by reference to Exhibit 4.1 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2012.
 
 
 
 
 
4.9
 
Eighth Supplemental Indenture dated as of December 13, 2012 by and among Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuers, Ventas, Inc., as Guarantor, and U.S. Bank National Association, as Trustee.

 
Incorporated by reference to Exhibit 4.3 to our Current Report on Form 8-K, filed on December 13, 2012.
 
 
 
 
 
4.10
 
Indenture dated as of August 19, 1997 by and between Nationwide Health Properties, Inc. and The Bank of New York, as Trustee.
 
Incorporated by reference to Exhibit 4.1 to the Nationwide Health Properties, Inc. Registration Statement on Form S-3, filed on July 25, 1997, File No. 333-32135.
 
 
 
 
 

200


Exhibit
Number
 
Description of Document
 
Location of Document
4.11
 
Indenture dated as of January 13, 1999 by and between Nationwide Health Properties, Inc. and Chase Manhattan Bank and Trust Company, National Association, as Trustee.
 
Incorporated by reference to Exhibit 4.1 to the Nationwide Health Properties, Inc. Registration Statement on Form S-3, filed on January 15, 1999, File No. 333-70707.

 
 
 
 
4.12
 
First Supplemental Indenture dated as of May 18, 2005 by and between Nationwide Health Properties, Inc. and J.P. Morgan Trust Company, National Association, as Trustee.
 
Incorporated by reference to Exhibit 4.1 to the Nationwide Health Properties, Inc. Current Report on Form 8-K, filed on May 11, 2005, File No. 001-09028.
 
 
 
 
 
4.13
 
Indenture dated as of October 19, 2007 by and between Nationwide Health Properties, Inc. and The Bank of New York Trust Company, N.A., as Trustee.

 
Incorporated by reference to Exhibit 4.1 to the Nationwide Health Properties, Inc. Current Report on Form 8-K, filed on October 19, 2007, File No. 001-09028.
 
 
 
 
 
10.1.1
 
Second Amended and Restated Master Lease Agreement No. 1 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on May 3, 2007.
 
 
 
 
 
10.1.2
 
Second Amended and Restated Master Lease Agreement No. 2 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.
 
Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on May 3, 2007.
 
 
 
 
 
10.1.3
 
Second Amended and Restated Master Lease Agreement No. 3 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.
 
Incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K, filed on May 3, 2007.
 
 
 
 
 
10.1.4
 
Second Amended and Restated Master Lease Agreement No. 4 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.
 
Incorporated by reference to Exhibit 10.4 to our Current Report on Form 8-K, filed on May 3, 2007.
 
 
 
 
 
10.2.1
 
Form of Property Lease Agreement with respect to the Brookdale properties.
 
Incorporated by reference to Exhibit 10.13 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
 
 
 
 
 
10.2.2
 
Form of Lease Guaranty with respect to the Brookdale properties.
 
Incorporated by reference to Exhibit 10.16 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
 
 
 
 
 
10.2.3
 
Schedule of Agreements Substantially Identical in All Material Respects to the agreements incorporated by reference as Exhibits 10.2.1 and 10.2.2 to this Annual Report on Form 10-K, pursuant to Instruction 2 to Item 601 of Regulation S-K.
 
Incorporated by reference to Exhibit 10.3 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2005.
 
 
 
 
 
10.2.4.1
 
Agreement Regarding Leases dated as of October 19, 2004 by and between Brookdale Provident Properties LLC and PSLT-BLC Properties Holdings, LLC.
 
Incorporated by reference to Exhibit 10.14 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
 
 
 
 
 
10.2.4.2
 
Letter Agreement dated March 28, 2005 by and among Brookdale Provident Properties LLC, PSLT-BLC Properties Holdings, LLC and Ventas Provident, LLC (successor to Provident Senior Living Trust).
 
Incorporated by reference to Exhibit 10.19 to Amendment No. 4 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on April 11, 2005, File No. 333-120206.
 
 
 
 
 
10.2.4.3
 
Letter Agreement dated April 4, 2008 by and between Brookdale Provident Properties LLC and PSLT-BLC Properties Holdings, LLC.
 
Incorporated by reference to Exhibit 10.2.4.3 to our Annual Report on Form 10-K for the year ended December 31, 2009.
 
 
 
 
 

201


Exhibit
Number
 
Description of Document
 
Location of Document
10.2.4.4
 
First Amendment to Agreement Regarding Leases dated as of February 11, 2009 by and between PSLT-BLC Properties Holdings, LLC, Brookdale Provident Properties LLC, Brookdale Provident Management LLC and Ventas Provident, LLC.
 
Incorporated by reference to Exhibit 10.2.4.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.2.4.5
 
Second Amendment to Agreement Regarding Leases dated as of March 2, 2009 by and between PSLT-BLC Properties Holdings, LLC and Brookdale Provident Properties LLC, et al.
 
Incorporated by reference to Exhibit 10.2.4.5 to our Annual Report on Form 10-K for the year ended December 31, 2009.
 
 
 
 
 
10.2.4.6
 
Third Amendment to Agreement Regarding Leases dated as of November 6, 2009 by and between PSLT-BLC Properties Holdings, LLC and Brookdale Provident Properties LLC, et al.
 
Incorporated by reference to Exhibit 10.2.4.6 to our Annual Report on Form 10-K for the year ended December 31, 2009.
 
 
 
 
 
10.2.4.7
 
Guaranty of Agreement Regarding Leases dated as of October 19, 2004 by Brookdale Living Communities, Inc. in favor of PSLT-BLC Properties Holdings, LLC.
 
Incorporated by reference to Exhibit 10.15 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
 
 
 
 
 
10.2.5
 
Guaranty dated as of February 11, 2009 by Brookdale Senior Living Inc., for the benefit of the landlords with respect to the Brookdale and Alterra properties, PSLT-BLC Properties Holdings, LLC and PSLT-ALS Properties Holdings, LLC.
 
Incorporated by reference to Exhibit 10.2.9 to our Annual Report on Form 10-K for the year ended December 31, 2009.
 
 
 
 
 
10.3
 
Letter Agreement dated as of January 14, 2007 between Ventas, Inc. and Sunrise Senior Living, Inc.
 
Incorporated by reference to Exhibit 10.4 to our Annual Report on Form 10-K for the year ended December 31, 2006.
 
 
 
 
 
10.4
 
Loan Agreement dated May 17, 2011 by and between Ventas Realty, Limited Partnership and Nationwide Health Properties, LLC (as successor to Nationwide Health Properties, Inc.).
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on May 20, 2011.
 
 
 
 
 
10.5.1
 
Term Loan Agreement dated as of June 3, 2011 among Nationwide Health Properties, LLC (as successor to Nationwide Health Properties, Inc.), the Lenders party thereto and JPMorgan Chase Bank, N.A., as Administrative Agent.
 
Incorporated by reference to Exhibit 10.1 to the Nationwide Health Properties, Inc. Current Report on Form 8-K, filed on June 6, 2011, File No. 001-09028.
 
 
 
 
 
10.5.2
 
Guaranty Agreement dated as of July 1, 2011 among Ventas, Inc., as Guarantor, and JPMorgan Chase Bank, N.A., as Administrative Agent.
 
Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on July 11, 2011.
 
 
 
 
 
10.6
 
Credit and Guaranty Agreement dated as of October 18, 2011 among Ventas Realty, Limited Partnership, Ventas SSL Ontario II, Inc. and Ventas SSL Ontario III, Inc., as Borrowers, Ventas, Inc., as Guarantor, the Lenders identified therein, and Bank of America, N.A., as Administrative Agent, Swing Line Lender, L/C Issuer and Alternative Currency Fronting Lender.
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on October 24, 2011.
 
 
 
 
 
10.7
 
Registration Rights Agreement dated as of May 12, 2011 by and among Ventas, Inc., Prometheus Senior Quarters LLC, Lazard Senior Housing Partners LP and LSHP Coinvestment Partnership I LP.
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on May 18, 2011.
 
 
 
 
 
10.8
 
Lockup Agreement dated as of May 12, 2011 by and among Ventas, Inc., Prometheus Senior Quarters LLC, Lazard Senior Housing Partners LP and LSHP Coinvestment Partnership I LP.
 
Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on May 18, 2011.
 
 
 
 
 
10.9
 
Ownership Limit Waiver Agreement dated as of May 12, 2011 by and among Ventas, Inc., Prometheus Senior Quarters LLC, Lazard Senior Housing Partners LP and LSHP Coinvestment Partnership I LP.
 
Incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K, filed on May 18, 2011.
 
 
 
 
 

202


Exhibit
Number
 
Description of Document
 
Location of Document
10.10
 
Director Appointment Letter dated as of May 12, 2011 by Ventas, Inc.
 
Incorporated by reference to Exhibit 10.4 to our Current Report on Form 8-K, filed on May 18, 2011.
 
 
 
 
 
10.11*
 
Ventas, Inc. 2000 Incentive Compensation Plan, as amended.
 
Incorporated by reference to Exhibit 10.14.1 to our Annual Report on Form 10-K for the year ended December 31, 2004.
 
 
 
 
 
10.12*
 
Ventas, Inc. 2004 Stock Plan for Directors, as amended.
 
Incorporated by reference to Exhibit 10.16.1 to our Annual Report on Form 10-K for the year ended December 31, 2004.
 
 
 
 
 
10.13.1*
 
Ventas, Inc. 2006 Incentive Plan, as amended.
 
Incorporated by reference to Exhibit 10.10.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.13.2*
 
Form of Stock Option Agreement—2006 Incentive Plan.
 
Incorporated by reference to Exhibit 10.15.2 to our Annual Report on Form 10-K for the year ended December 31, 2006.
 
 
 
 
 
10.13.3*
 
Form of Restricted Stock Agreement—2006 Incentive Plan.
 
Incorporated by reference to Exhibit 10.15.3 to our Annual Report on Form 10-K for the year ended December 31, 2006.
 
 
 
 
 
10.14.1*
 
Ventas, Inc. 2006 Stock Plan for Directors, as amended.
 
Incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2012.
 
 
 
 
 
10.14.2*
 
Form of Stock Option Agreement—2006 Stock Plan for Directors.
 
Incorporated by reference to Exhibit 10.11.2 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.14.3*
 
Form of Amendment to Stock Option Agreement—2006 Stock Plan for Directors.
 
Incorporated by reference to Exhibit 10.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2012.
 
 
 
 
 
10.14.4*
 
Form of Restricted Stock Unit Agreement—2006 Stock Plan for Directors.
 
Incorporated by reference to Exhibit 10.11.4 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.15.1*
 
Ventas, Inc. 2012 Incentive Plan.
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on May 23, 2012.
 
 
 
 
 
10.15.2*
 
Form of Stock Option Agreement (Employees) under the Ventas, Inc. 2012 Incentive Plan.
 
Incorporated by reference to Exhibit 10.2 to our Registration Form on S-8, filed on August 7, 2012, File No. 333-183121.
 
 
 
 
 
10.15.3*
 
Form of Restricted Stock Agreement (Employees) under the Ventas, Inc. 2012 Incentive Plan.
 
Incorporated by reference to Exhibit 10.3 to our Registration Form on S-8, filed on August 7, 2012, File No. 333-183121.
 
 
 
 
 
10.15.4*
 
Form of Stock Option Agreement (Directors) under the Ventas, Inc. 2012 Incentive Plan.
 
Incorporated by reference to Exhibit 10.4 to our Registration Form on S-8, filed on August 7, 2012, File No. 333-183121.
 
 
 
 
 
10.15.5*
 
Form of Restricted Stock Agreement (Directors) under the Ventas, Inc. 2012 Incentive Plan.
 
Incorporated by reference to Exhibit 10.5 to our Registration Form on S-8, filed on August 7, 2012, File No. 333-183121.
 
 
 
 
 
10.15.6*
 
Form of Restricted Stock Unit Agreement (Directors) under the Ventas, Inc. 2012 Incentive Plan.
 
Incorporated by reference to Exhibit 10.6 to our Registration Form on S-8, filed on August 7, 2012, File No. 333-183121.
 
 
 
 
 
10.16.1*
 
Ventas Executive Deferred Stock Compensation Plan, as amended.
 
Incorporated by reference to Exhibit 10.12.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.16.2*
 
Deferral Election Form under the Ventas Executive Deferred Stock Compensation Plan.
 
Incorporated by reference to Exhibit 10.12.2 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 

203


Exhibit
Number
 
Description of Document
 
Location of Document
10.17.1*
 
Ventas Nonemployee Directors’ Deferred Stock Compensation Plan, as amended.
 
Incorporated by reference to Exhibit 10.13.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.17.2*
 
Deferral Election Form under the Ventas Nonemployee Directors’ Deferred Stock Compensation Plan.
 
Incorporated by reference to Exhibit 10.13.2 to our Annual Report on Form 10-K fir the year ended December 31, 2008.
 
 
 
 
 
10.18.1*
 
Nationwide Health Properties, Inc. 2005 Performance Incentive Plan.
 
Incorporated by reference to Appendix B to the Nationwide Health Properties, Inc. definitive Proxy Statement for the 2005 Annual Meeting, filed on March 24, 2005, File No. 001-09028.
 
 
 
 
 
10.18.2*
 
First Amendment to the Nationwide Health Properties, Inc. 2005 Performance Incentive Plan, dated October 28, 2008.
 
Incorporated by reference to Exhibit 10.1 to the Nationwide Health Properties, Inc. Current Report on Form 8-K, filed on November 3, 2008, File No. 001-09028.
 
 
 
 
 
10.19.1*
 
Nationwide Health Properties, Inc. Retirement Plan for Directors, as amended and restated on April 20, 2006.
 
Incorporated by reference to Exhibit 10.1 to the Nationwide Health Properties, Inc. Quarterly Report on Form 10-Q for the quarter ended March 31, 2006, File No. 001-09028.
 
 
 
 
 
10.19.2*
 
Amendment to the Nationwide Health Properties, Inc. Retirement Plan for Directors, as amended and restated on April 20, 2006.
 
Incorporated by reference to Exhibit 10.9 to the Nationwide Health Properties, Inc. Current Report on Form 8-K, filed on November 3, 2008, File No. 001-09028.
 
 
 
 
 
10.20*
 
Amended and Restated Deferred Compensation Plan of Nationwide Health Properties, Inc. dated October 28, 2008.
 
Incorporated by reference to Exhibit 10.6 to the Nationwide Health Properties, Inc. Current Report on Form 8-K, filed on November 3, 2008, File No. 001-09028.
 
 
 
 
 
10.21*
 
Second Amended and Restated Employment Agreement dated as of March 22, 2011 between Ventas, Inc. and Debra A. Cafaro.
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on March 24, 2011.

 
 
 
 
10.22.1*
 
Employment Agreement dated as of July 31, 1998 between Ventas, Inc. and T. Richard Riney.
 
Incorporated by reference to Exhibit 10.15.2.1 to our Annual Report on Form 10-K for the year ended December 31, 2002.
 
 
 
 
 
10.22.2*
 
Amendment dated as of September 30, 1999 to Employment Agreement between Ventas, Inc. and T. Richard Riney.
 
Incorporated by reference to Exhibit 10.15.2.2 to our Annual Report on Form 10-K for the year ended December 31, 2002.
 
 
 
 
 
10.22.3*
 
Amendment dated as of March 19, 2007 to Employment Agreement between Ventas, Inc. and T. Richard Riney.
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on March 23, 2007.
 
 
 
 
 
10.22.4*
 
Amendment dated as of December 31, 2008 to Employment Agreement between Ventas, Inc. and T. Richard Riney.
 
Incorporated by reference to Exhibit 10.15.4 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.22.5*
 
Amended and Restated Change-in-Control Severance Agreement dated as of March 22, 2011 between Ventas, Inc. and T. Richard Riney.
 
Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on March 24, 2011.
 
 
 
 
 
10.23.1*
 
Amended and Restated Employment Agreement dated as of December 31, 2004 between Ventas, Inc. and Richard A. Schweinhart.
 
Incorporated by reference to Exhibit 10.4 to our Current Report on Form 8-K filed on January 6, 2005.
 
 
 
 
 
10.23.2*
 
Amendment dated as of March 19, 2007 to Amended and Restated Employment Agreement between Ventas, Inc. and Richard A. Schweinhart.
 
Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on March 23, 2007.
 
 
 
 
 
10.23.3*
 
Amendment dated as of December 31, 2008 to Amended and Restated Employment Agreement between Ventas, Inc. and Richard A. Schweinhart.
 
Incorporated by reference to Exhibit 10.16.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.24.1*
 
Employment Agreement dated as of September 18, 2002 between Ventas, Inc. and Raymond J. Lewis.
 
Incorporated by reference to Exhibit 10.3 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2002.

204


Exhibit
Number
 
Description of Document
 
Location of Document
 
 
 
 
 
10.24.2*
 
Amendment dated as of March 19, 2007 to Employment Agreement between Ventas, Inc. and Raymond J. Lewis.
 
Incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K, filed on March 23, 2007.
 
 
 
 
 
10.24.3*
 
Amendment dated as of December 31, 2008 to Employment Agreement between Ventas, Inc. and Raymond J. Lewis.
 
Incorporated by reference to Exhibit 10.17.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.25*
 
Employment Agreement dated as of June 22, 2010 between Ventas, Inc. and Todd W. Lillibridge.
 
Incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2010.
 
 
 
 
 
10.26*
 
Letter Agreement dated as of June 30, 2011 between Ventas, Inc. and Douglas M. Pasquale.
 
Incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K, filed on July 11, 2011.
 
 
 
 
 
10.27*
 
Ventas Employee and Director Stock Purchase Plan, as amended.
 
Incorporated by reference to Exhibit 10.18 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.28
 
First Amended and Restated Agreement of Limited Partnership of Ventas Realty, Limited Partnership.
 
Incorporated by reference to Exhibit 3.5 to our Registration Statement on Form S-4, as amended, File No. 333-89312.
 
 
 
 
 
12
 
Statement Regarding Computation of Ratios of Earnings to Fixed Charges.
 
Filed herewith.
 
 
 
 
 
21
 
Subsidiaries of Ventas, Inc.
 
Filed herewith.
 
 
 
 
 
23
 
Consent of Ernst & Young LLP.
 
Filed herewith.
 
 
 
 
 
31.1
 
Certification of Debra A. Cafaro, Chairman and Chief Executive Officer, pursuant to Rule 13a-14(a) under the Exchange Act.
 
Filed herewith.
 
 
 
 
 
31.2
 
Certification of Richard A. Schweinhart, Executive Vice President and Chief Financial Officer, pursuant to Rule 13a-14(a) under the Exchange Act.
 
Filed herewith.
 
 
 
 
 
32.1
 
Certification of Debra A. Cafaro, Chairman and Chief Executive Officer, pursuant to Rule 13a-14(b) under the Exchange Act and 18 U.S.C. 1350.
 
Filed herewith.
 
 
 
 
 
32.2
 
Certification of Richard A. Schweinhart, Executive Vice President and Chief Financial Officer, pursuant to Rule 13a-14(b) under the Exchange Act and 18 U.S.C. 1350.
 
Filed herewith.
 
 
 
 
 
101
 
Interactive Data File.
 
Filed herewith.
________________________
* Management contract or compensatory plan or arrangement required to be filed as an exhibit pursuant to Item 15(b) of Form 10-K.

205


SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized.
Date: February 18, 2013

 
 
VENTAS, INC.
 
 
 
 
 
 
By:
/s/ DEBRA A. CAFARO
 
 
 
Debra A. Cafaro
Chairman and Chief Executive Officer

Pursuant to the requirements of the Securities Exchange Act of 1934, this Report has been signed below by the following persons on behalf of the Registrant and in the capacities and on the dates indicated.

Signature
Title
Date
 
 
 
/s/ DEBRA A. CAFARO
Chairman and Chief Executive Officer (Principal Executive Officer)
February 18, 2013
Debra A. Cafaro
 
 
 
 
 
/s/ RICHARD A. SCHWEINHART
Executive Vice President and Chief Financial Officer (Principal Financial Officer)
February 18, 2013
Richard A. Schweinhart
 
 
 
 
 
/s/ ROBERT J. BREHL
Chief Accounting Officer and Controller (Principal Accounting Officer)
February 18, 2013
Robert J. Brehl
 
 
 
 
 
/s/ DOUGLAS CROCKER II
Director
February 18, 2013
Douglas Crocker II
 
 
 
 
 
/s/ RONALD G. GEARY
Director
February 18, 2013
Ronald G. Geary
 
 
 
 
 
/s/ JAY M. GELLERT
Director
February 18, 2013
Jay M. Gellert
 
 
 
 
 
/s/ RICHARD I. GILCHRIST
Director
February 18, 2013
Richard I. Gilchrist
 
 
 
 
 
/s/ MATTHEW J. LUSTIG
Director
February 18, 2013
Matthew J. Lustig
 
 
 
 
 
/s/ DOUGLAS M. PASQUALE
Director
February 18, 2013
Douglas M. Pasquale
 
 
 
 
 
/s/ ROBERT D. REED
Director
February 18, 2013
Robert D. Reed
 
 

206


Signature
Title
Date
 
 
 
/s/ SHELI Z. ROSENBERG
Director
February 18, 2013
Sheli Z. Rosenberg
 
 
 
 
 
/s/ GLENN J. RUFRANO
Director
February 18, 2013
Glenn J. Rufrano
 
 
 
 
 
/s/ JAMES D. SHELTON
Director
February 18, 2013
James D. Shelton
 
 
 
 
 
 
 
 





207


EXHIBIT INDEX
Exhibit
Number
 
Description of Document
 
Location of Document
3.1
 
Amended and Restated Certificate of Incorporation, as amended, of Ventas, Inc.
 
Incorporated by reference to Exhibit 3.1 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.
 
 
 
 
 
3.2
 
Fourth Amended and Restated Bylaws, as amended, of Ventas, Inc.
 
Incorporated by reference to Exhibit 3.2 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2011.
 
 
 
 
 
4.1
 
Specimen common stock certificate.
 
Filed herewith.
 
 
 
 
 
4.2
 
Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.
 
Incorporated by reference to the Prospectus included in our Registration Statement on Form S-3, filed on November 25, 2011, File No. 333-178185.
 
 
 
 
 
4.3
 
Indenture dated as of September 19, 2006 by and among Ventas, Inc., Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuer(s), the Guarantors named therein, as Guarantors, and U.S. Bank National Association, as Trustee.

 
Incorporated by reference to Exhibit 4.9 to our Registration Statement on Form S-3, filed on April 7, 2006, File No. 333-133115.
 
 
 
 
 
4.4
 
Third Supplemental Indenture dated as of November 16, 2010 by and among Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuers, Ventas, Inc., as Guarantor, and U.S. Bank National Association, as Trustee.
 
Incorporated by reference to Exhibit 4.2 to our Current Report on Form 8-K, filed on November 18, 2010.
 
 
 
 
 
4.5
 
Fourth Supplemental Indenture dated as of May 17, 2011 by and among Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuers, Ventas, Inc., as Guarantor, and U.S. Bank National Association, as Trustee.

 
Incorporated by reference to Exhibit 4.2 to our Current Report on Form 8-K, filed on May 20, 2011.
 
 
 
 
 
4.6
 
Fifth Supplemental Indenture dated as of February 10, 2012 by and among Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuers, Ventas, Inc., as Guarantor, and U.S. Bank National Association, as Trustee.

 
Incorporated by reference to Exhibit 4.2 to our Current Report on Form 8-K, filed on February 14, 2012.
 
 
 
 
 
4.7
 
Sixth Supplemental Indenture dated as of April 17, 2012 by and among Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuers, Ventas, Inc., as Guarantor, and U.S. Bank National Association, as Trustee.

 
Incorporated by reference to Exhibit 4.2 to our Current Report on Form 8-K, filed on April 18, 2012.
 
 
 
 
 
4.8
 
Seventh Supplemental Indenture dated as of August 3, 2012 by and among Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuers, Ventas, Inc., as Guarantor, and U.S. Bank National Association, as Trustee.

 
Incorporated by reference to Exhibit 4.1 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2012.
 
 
 
 
 
4.9
 
Eighth Supplemental Indenture dated as of December 13, 2012 by and among Ventas Realty, Limited Partnership and Ventas Capital Corporation, as Issuers, Ventas, Inc., as Guarantor, and U.S. Bank National Association, as Trustee.

 
Incorporated by reference to Exhibit 4.3 to our Current Report on Form 8-K, filed on December 13, 2012.
 
 
 
 
 
4.10
 
Indenture dated as of August 19, 1997 by and between Nationwide Health Properties, Inc. and The Bank of New York, as Trustee.
 
Incorporated by reference to Exhibit 4.1 to the Nationwide Health Properties, Inc. Registration Statement on Form S-3, filed on July 25, 1997, File No. 333-32135.
 
 
 
 
 

208


Exhibit
Number
 
Description of Document
 
Location of Document
4.11
 
Indenture dated as of January 13, 1999 by and between Nationwide Health Properties, Inc. and Chase Manhattan Bank and Trust Company, National Association, as Trustee.
 
Incorporated by reference to Exhibit 4.1 to the Nationwide Health Properties, Inc. Registration Statement on Form S-3, filed on January 15, 1999, File No. 333-70707.
 
 
 
 
 
4.12
 
First Supplemental Indenture dated as of May 18, 2005 by and between Nationwide Health Properties, Inc. and J.P. Morgan Trust Company, National Association, as Trustee.
 
Incorporated by reference to Exhibit 4.1 to the Nationwide Health Properties, Inc. Current Report on Form 8-K, filed on May 11, 2005, File No. 001-09028.
 
 
 
 
 
4.13
 
Indenture dated as of October 19, 2007 by and between Nationwide Health Properties, Inc. and The Bank of New York Trust Company, N.A., as Trustee.

 
Incorporated by reference to Exhibit 4.1 to the Nationwide Health Properties, Inc. Current Report on Form 8-K, filed on October 19, 2007, File No. 001-09028.
 
 
 
 
 
10.1.1
 
Second Amended and Restated Master Lease Agreement No. 1 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on May 3, 2007.
 
 
 
 
 
10.1.2
 
Second Amended and Restated Master Lease Agreement No. 2 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.
 
Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on May 3, 2007.
 
 
 
 
 
10.1.3
 
Second Amended and Restated Master Lease Agreement No. 3 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.
 
Incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K, filed on May 3, 2007.

 
 
 
 
10.1.4
 
Second Amended and Restated Master Lease Agreement No. 4 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.
 
Incorporated by reference to Exhibit 10.4 to our Current Report on Form 8-K, filed on May 3, 2007.
 
 
 
 
 
10.2.1
 
Form of Property Lease Agreement with respect to the Brookdale properties.
 
Incorporated by reference to Exhibit 10.13 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
 
 
 
 
 
10.2.2
 
Form of Lease Guaranty with respect to the Brookdale properties.
 
Incorporated by reference to Exhibit 10.16 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
 
 
 
 
 
10.2.3
 
Schedule of Agreements Substantially Identical in All Material Respects to the agreements incorporated by reference as Exhibits 10.2.1 and 10.2.2 to this Annual Report on Form 10-K, pursuant to Instruction 2 to Item 601 of Regulation S-K.
 
Incorporated by reference to Exhibit 10.3 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2005.
 
 
 
 
 
10.2.4.1
 
Agreement Regarding Leases dated as of October 19, 2004 by and between Brookdale Provident Properties LLC and PSLT-BLC Properties Holdings, LLC.
 
Incorporated by reference to Exhibit 10.14 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
 
 
 
 
 
10.2.4.2
 
Letter Agreement dated March 28, 2005 by and among Brookdale Provident Properties LLC, PSLT-BLC Properties Holdings, LLC and Ventas Provident, LLC (successor to Provident Senior Living Trust).
 
Incorporated by reference to Exhibit 10.19 to Amendment No. 4 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on April 11, 2005, File No. 333-120206.
 
 
 
 
 
10.2.4.3
 
Letter Agreement dated April 4, 2008 by and between Brookdale Provident Properties LLC and PSLT-BLC Properties Holdings, LLC.
 
Incorporated by reference to Exhibit 10.2.4.3 to our Annual Report on Form 10-K for the year ended December 31, 2009.
 
 
 
 
 

209


Exhibit
Number
 
Description of Document
 
Location of Document
10.2.4.4
 
First Amendment to Agreement Regarding Leases dated as of February 11, 2009 by and between PSLT-BLC Properties Holdings, LLC, Brookdale Provident Properties LLC, Brookdale Provident Management LLC and Ventas Provident, LLC.
 
Incorporated by reference to Exhibit 10.2.4.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.2.4.5
 
Second Amendment to Agreement Regarding Leases dated as of March 2, 2009 by and between PSLT-BLC Properties Holdings, LLC and Brookdale Provident Properties LLC, et al.
 
Incorporated by reference to Exhibit 10.2.4.5 to our Annual Report on Form 10-K for the year ended December 31, 2009.
 
 
 
 
 
10.2.4.6
 
Third Amendment to Agreement Regarding Leases dated as of November 6, 2009 by and between PSLT-BLC Properties Holdings, LLC and Brookdale Provident Properties LLC, et al.
 
Incorporated by reference to Exhibit 10.2.4.6 to our Annual Report on Form 10-K for the year ended December 31, 2009.
 
 
 
 
 
10.2.4.7
 
Guaranty of Agreement Regarding Leases dated as of October 19, 2004 by Brookdale Living Communities, Inc. in favor of PSLT-BLC Properties Holdings, LLC.
 
Incorporated by reference to Exhibit 10.15 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
 
 
 
 
 
10.2.5
 
Guaranty dated as of February 11, 2009 by Brookdale Senior Living Inc., for the benefit of the landlords with respect to the Brookdale and Alterra properties, PSLT-BLC Properties Holdings, LLC and PSLT-ALS Properties Holdings, LLC.
 
Incorporated by reference to Exhibit 10.2.9 to our Annual Report on Form 10-K for the year ended December 31, 2009.
 
 
 
 
 
10.3
 
Letter Agreement dated as of January 14, 2007 between Ventas, Inc. and Sunrise Senior Living, Inc.
 
Incorporated by reference to Exhibit 10.4 to our Annual Report on Form 10-K for the year ended December 31, 2006.
 
 
 
 
 
10.4
 
Loan Agreement dated May 17, 2011 by and between Ventas Realty, Limited Partnership and Nationwide Health Properties, LLC (as successor to Nationwide Health Properties, Inc.).
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on May 20, 2011.
 
 
 
 
 
10.5.1
 
Term Loan Agreement dated as of June 3, 2011 among Nationwide Health Properties, LLC (as successor to Nationwide Health Properties, Inc.), the Lenders party thereto and JPMorgan Chase Bank, N.A., as Administrative Agent.
 
Incorporated by reference to Exhibit 10.1 to the Nationwide Health Properties, Inc. Current Report on Form 8-K, filed on June 6, 2011, File No. 001-09028.
 
 
 
 
 
10.5.2
 
Guaranty Agreement dated as of July 1, 2011 among Ventas, Inc., as Guarantor, and JPMorgan Chase Bank, N.A., as Administrative Agent.
 
Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on July 11, 2011.
 
 
 
 
 
10.6
 
Credit and Guaranty Agreement dated as of October 18, 2011 among Ventas Realty, Limited Partnership, Ventas SSL Ontario II, Inc. and Ventas SSL Ontario III, Inc., as Borrowers, Ventas, Inc., as Guarantor, the Lenders identified therein, and Bank of America, N.A., as Administrative Agent, Swing Line Lender, L/C Issuer and Alternative Currency Fronting Lender.
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on October 24, 2011.
 
 
 
 
 
10.7
 
Registration Rights Agreement dated as of May 12, 2011 by and among Ventas, Inc., Prometheus Senior Quarters LLC, Lazard Senior Housing Partners LP and LSHP Coinvestment Partnership I LP.
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on May 18, 2011.
 
 
 
 
 
10.8
 
Lockup Agreement dated as of May 12, 2011 by and among Ventas, Inc., Prometheus Senior Quarters LLC, Lazard Senior Housing Partners LP and LSHP Coinvestment Partnership I LP.
 
Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on May 18, 2011.
 
 
 
 
 
10.9
 
Ownership Limit Waiver Agreement dated as of May 12, 2011 by and among Ventas, Inc., Prometheus Senior Quarters LLC, Lazard Senior Housing Partners LP and LSHP Coinvestment Partnership I LP.
 
Incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K, filed on May 18, 2011.
 
 
 
 
 

210


Exhibit
Number
 
Description of Document
 
Location of Document
10.10
 
Director Appointment Letter dated as of May 12, 2011 by Ventas, Inc.
 
Incorporated by reference to Exhibit 10.4 to our Current Report on Form 8-K, filed on May 18, 2011.
 
 
 
 
 
10.11*
 
Ventas, Inc. 2000 Incentive Compensation Plan, as amended.
 
Incorporated by reference to Exhibit 10.14.1 to our Annual Report on Form 10-K for the year ended December 31, 2004.
 
 
 
 
 
10.12*
 
Ventas, Inc. 2004 Stock Plan for Directors, as amended.
 
Incorporated by reference to Exhibit 10.16.1 to our Annual Report on Form 10-K for the year ended December 31, 2004.
 
 
 
 
 
10.13.1*
 
Ventas, Inc. 2006 Incentive Plan, as amended.
 
Incorporated by reference to Exhibit 10.10.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.13.2*
 
Form of Stock Option Agreement—2006 Incentive Plan.
 
Incorporated by reference to Exhibit 10.15.2 to our Annual Report on Form 10-K for the year ended December 31, 2006.
 
 
 
 
 
10.13.3*
 
Form of Restricted Stock Agreement—2006 Incentive Plan.
 
Incorporated by reference to Exhibit 10.15.3 to our Annual Report on Form 10-K for the year ended December 31, 2006.
 
 
 
 
 
10.14.1*
 
Ventas, Inc. 2006 Stock Plan for Directors, as amended.
 
Incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2012.
 
 
 
 
 
10.14.2*
 
Form of Stock Option Agreement—2006 Stock Plan for Directors.
 
Incorporated by reference to Exhibit 10.11.2 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.14.3*
 
Form of Amendment to Stock Option Agreement—2006 Stock Plan for Directors.
 
Incorporated by reference to Exhibit 10.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2012.
 
 
 
 
 
10.14.4*
 
Form of Restricted Stock Unit Agreement—2006 Stock Plan for Directors.
 
Incorporated by reference to Exhibit 10.11.4 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.15.1*
 
Ventas, Inc. 2012 Incentive Plan.
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on May 23, 2012.
 
 
 
 
 
10.15.2*
 
Form of Stock Option Agreement (Employees) under the Ventas, Inc. 2012 Incentive Plan.
 
Incorporated by reference to Exhibit 10.2 to our Registration Form on S-8, filed on August 7, 2012, File No. 333-183121.
 
 
 
 
 
10.15.3*
 
Form of Restricted Stock Agreement (Employees) under the Ventas, Inc. 2012 Incentive Plan.
 
Incorporated by reference to Exhibit 10.3 to our Registration Form on S-8, filed on August 7, 2012, File No. 333-183121.
 
 
 
 
 
10.15.4*
 
Form of Stock Option Agreement (Directors) under the Ventas, Inc. 2012 Incentive Plan.
 
Incorporated by reference to Exhibit 10.4 to our Registration Form on S-8, filed on August 7, 2012, File No. 333-183121.
 
 
 
 
 
10.15.5*
 
Form of Restricted Stock Agreement (Directors) under the Ventas, Inc. 2012 Incentive Plan.
 
Incorporated by reference to Exhibit 10.5 to our Registration Form on S-8, filed on August 7, 2012, File No. 333-183121.
 
 
 
 
 
10.15.6*
 
Form of Restricted Stock Unit Agreement (Directors) under the Ventas, Inc. 2012 Incentive Plan.
 
Incorporated by reference to Exhibit 10.6 to our Registration Form on S-8, filed on August 7, 2012, File No. 333-183121.
 
 
 
 
 
10.16.1*
 
Ventas Executive Deferred Stock Compensation Plan, as amended.
 
Incorporated by reference to Exhibit 10.12.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.16.2*
 
Deferral Election Form under the Ventas Executive Deferred Stock Compensation Plan.
 
Incorporated by reference to Exhibit 10.12.2 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 

211


Exhibit
Number
 
Description of Document
 
Location of Document
10.17.1*
 
Ventas Nonemployee Directors’ Deferred Stock Compensation Plan, as amended.
 
Incorporated by reference to Exhibit 10.13.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.17.2*
 
Deferral Election Form under the Ventas Nonemployee Directors’ Deferred Stock Compensation Plan.
 
Incorporated by reference to Exhibit 10.13.2 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.18.1*
 
Nationwide Health Properties, Inc. 2005 Performance Incentive Plan.
 
Incorporated by reference to Appendix B to the Nationwide Health Properties, Inc. definitive Proxy Statement for the 2005 Annual Meeting, filed on March 24, 2005, File No. 001-09028.
 
 
 
 
 
10.18.2*
 
First Amendment to the Nationwide Health Properties, Inc. 2005 Performance Incentive Plan, dated October 28, 2008.
 
Incorporated by reference to Exhibit 10.1 to the Nationwide Health Properties, Inc. Current Report on Form 8-K, filed on November 3, 2008, File No. 001-09028.
 
 
 
 
 
10.19.1*
 
Nationwide Health Properties, Inc. Retirement Plan for Directors, as amended and restated on April 20, 2006.
 
Incorporated by reference to Exhibit 10.1 to the Nationwide Health Properties, Inc. Quarterly Report on Form 10-Q for the quarter ended March 31, 2006, File No. 001-09028.
 
 
 
 
 
10.19.2*
 
Amendment to the Nationwide Health Properties, Inc. Retirement Plan for Directors, as amended and restated on April 20, 2006.
 
Incorporated by reference to Exhibit 10.9 to the Nationwide Health Properties, Inc. Current Report on Form 8-K, filed on November 3, 2008, File No. 001-09028.
 
 
 
 
 
10.20*
 
Amended and Restated Deferred Compensation Plan of Nationwide Health Properties, Inc. dated October 28, 2008.
 
Incorporated by reference to Exhibit 10.6 to the Nationwide Health Properties, Inc. Current Report on Form 8-K, filed on November 3, 2008, File No. 001-09028.
 
 
 
 
 
10.21*
 
Second Amended and Restated Employment Agreement dated as of March 22, 2011 between Ventas, Inc. and Debra A. Cafaro.
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on March 24, 2011.
 
 
 
 
 
10.22.1*
 
Employment Agreement dated as of July 31, 1998 between Ventas, Inc. and T. Richard Riney.
 
Incorporated by reference to Exhibit 10.15.2.1 to our Annual Report on Form 10-K for the year ended December 31, 2002.
 
 
 
 
 
10.22.2*
 
Amendment dated as of September 30, 1999 to Employment Agreement between Ventas, Inc. and T. Richard Riney.
 
Incorporated by reference to Exhibit 10.15.2.2 to our Annual Report on Form 10-K for the year ended December 31, 2002.
 
 
 
 
 
10.22.3*
 
Amendment dated as of March 19, 2007 to Employment Agreement between Ventas, Inc. and T. Richard Riney.
 
Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on March 23, 2007.
 
 
 
 
 
10.22.4*
 
Amendment dated as of December 31, 2008 to Employment Agreement between Ventas, Inc. and T. Richard Riney.
 
Incorporated by reference to Exhibit 10.15.4 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.22.5*
 
Amended and Restated Change-in-Control Severance Agreement dated as of March 22, 2011 between Ventas, Inc. and T. Richard Riney.
 
Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on March 24, 2011.
 
 
 
 
 
10.23.1*
 
Amended and Restated Employment Agreement dated as of December 31, 2004 between Ventas, Inc. and Richard A. Schweinhart.
 
Incorporated by reference to Exhibit 10.4 to our Current Report on Form 8-K filed on January 6, 2005.

 
 
 
 
10.23.2*
 
Amendment dated as of March 19, 2007 to Amended and Restated Employment Agreement between Ventas, Inc. and Richard A. Schweinhart.
 
Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on March 23, 2007.
 
 
 
 
 
10.23.3*
 
Amendment dated as of December 31, 2008 to Amended and Restated Employment Agreement between Ventas, Inc. and Richard A. Schweinhart.
 
Incorporated by reference to Exhibit 10.16.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.24.1*
 
Employment Agreement dated as of September 18, 2002 between Ventas, Inc. and Raymond J. Lewis.
 
Incorporated by reference to Exhibit 10.3 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2002.
 
 
 
 
 

212


Exhibit
Number
 
Description of Document
 
Location of Document
10.24.2*
 
Amendment dated as of March 19, 2007 to Employment Agreement between Ventas, Inc. and Raymond J. Lewis.
 
Incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K, filed on March 23, 2007.
 
 
 
 
 
10.24.3*
 
Amendment dated as of December 31, 2008 to Employment Agreement between Ventas, Inc. and Raymond J. Lewis.
 
Incorporated by reference to Exhibit 10.17.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.25*
 
Employment Agreement dated as of June 22, 2010 between Ventas, Inc. and Todd W. Lillibridge.
 
Incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2010.
 
 
 
 
 
10.26*
 
Letter Agreement dated as of June 30, 2011 between Ventas, Inc. and Douglas M. Pasquale.
 
Incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K, filed on July 11, 2011.
 
 
 
 
 
10.27*
 
Ventas Employee and Director Stock Purchase Plan, as amended.
 
Incorporated by reference to Exhibit 10.18 to our Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
10.28
 
First Amended and Restated Agreement of Limited Partnership of Ventas Realty, Limited Partnership.
 
Incorporated by reference to Exhibit 3.5 to our Registration Statement on Form S-4, as amended, File No. 333-89312.
 
 
 
 
 
12
 
Statement Regarding Computation of Ratios of Earnings to Fixed Charges.
 
Filed herewith.
 
 
 
 
 
21
 
Subsidiaries of Ventas, Inc.
 
Filed herewith.
 
 
 
 
 
23
 
Consent of Ernst & Young LLP.
 
Filed herewith.
 
 
 
 
 
31.1
 
Certification of Debra A. Cafaro, Chairman and Chief Executive Officer, pursuant to Rule 13a-14(a) under the Exchange Act.
 
Filed herewith.
 
 
 
 
 
31.2
 
Certification of Richard A. Schweinhart, Executive Vice President and Chief Financial Officer, pursuant to Rule 13a-14(a) under the Exchange Act.
 
Filed herewith.
 
 
 
 
 
32.1
 
Certification of Debra A. Cafaro, Chairman and Chief Executive Officer, pursuant to Rule 13a-14(b) under the Exchange Act and 18 U.S.C. 1350.
 
Filed herewith.
 
 
 
 
 
32.2
 
Certification of Richard A. Schweinhart, Executive Vice President and Chief Financial Officer, pursuant to Rule 13a-14(b) under the Exchange Act and 18 U.S.C. 1350.
 
Filed herewith.
 
 
 
 
 
101
 
Interactive Data File.
 
Filed herewith.
________________________
* Management contract or compensatory plan or arrangement required to be filed as an exhibit pursuant to Item 15(b) of Form 10-K.


213