Ventas (VTR) 8-K Other Events

Exhibit 99.1

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, (1)
	2009			2008			2007			2006			2005
	(Dollars in thousands, except per share data)
Operating Data
Rental income	$	496,568		$	476,815		$	454,496		$	378,763		$	287,449
Resident fees and services		421,058			429,257			282,226			—			—
Interest expense		176,990			202,624			194,752			125,737			90,831
Property-level operating expenses		302,813			306,944			198,125			3,171			2,576
General, administrative and professional fees		38,830			40,651			36,425			26,136			25,075
Income from continuing operations attributable to common stockholders		193,120			174,054			130,242			118,001			112,865
Discontinued operations		73,375			48,549			143,439			13,153			17,718
Net income attributable to common stockholders		266,495			222,603			273,681			131,154			130,583
Per Share Data
Income from continuing operations attributable to common stockholders, basic	$	1.27		$	1.24		$	1.06		$	1.13		$	1.19
Net income attributable to common stockholders, basic	$	1.75		$	1.59		$	2.23		$	1.26		$	1.37
Income from continuing operations attributable to common stockholders, diluted	$	1.26		$	1.24		$	1.06		$	1.13		$	1.18
Net income attributable to common stockholders, diluted	$	1.74		$	1.59		$	2.22		$	1.25		$	1.36
Dividends declared per common share	$	2.05		$	2.05		$	1.90		$	1.58		$	1.44
Other Data
Net cash provided by operating activities	$	422,101		$	379,907		$	404,600		$	238,867		$	223,764
Net cash used in investing activities		(1,746	)		(136,256	)		(1,175,192	)		(481,974	)		(615,041	)
Net cash (used in) provided by financing activities		(490,180	)		(95,979	)		802,675			242,712			389,553
FFO (2)		393,409			412,357			374,218			249,392			213,203
Normalized FFO (2)		409,045			379,469			327,136			254,878			200,091
Normalized FAD (2)		389,099			356,689			303,453			234,547			185,779
Balance Sheet Data
Real estate investments, at cost	$	6,292,621		$	6,160,630		$	6,292,181		$	3,707,837		$	3,027,896
Cash and cash equivalents		107,397			176,812			28,334			1,246			1,641
Total assets		5,616,245			5,771,418			5,718,475			3,256,021			2,639,118
Senior notes payable and other debt		2,670,101			3,136,998			3,346,531			2,312,021			1,802,564

(1) Effective January 1, 2009, we adopted Financial Accounting Standards Board guidance relating to convertible debt instruments that may be settled in cash upon conversion. See “Note 2—Accounting Policies” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K for detail regarding the impact of the adoption on our Consolidated Financial Statements. This guidance had no impact on our Consolidated Financial Statements for the year ended December 31, 2005.

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(2) We consider Funds From Operations (“FFO”) and normalized FFO and Funds Available for Distribution (“FAD”) appropriate measures of performance of an equity REIT, and 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, plus real estate depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. We define normalized FFO as FFO excluding (a) gains and losses on the sales of assets, including marketable securities, (b) merger-related costs and expenses and deal costs and expenses, including expenses relating to our lawsuit against HCP, Inc. and the issuance of preferred stock or bridge loan fees, (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 or premiums incurred as a result of early debt retirement or payment of our debt, including hedging transactions, (d) the non-cash effect of income tax benefits, (e) the reversal of contingent liabilities, (f) gains and losses for foreign currency hedge agreements, (g) one-time expenses in connection with the Kindred rent reset process, (h) net proceeds received by us in relation to litigation, and (i) contributions made to the Ventas Charitable Foundation. Normalized FAD represents normalized FFO excluding straight-line rental adjustments and routine capital expenditures. FFO and normalized FFO and FAD presented herein are not necessarily comparable to FFO and normalized FFO and FAD presented by other real estate companies due to the fact that not all real estate companies use the same definitions. FFO and normalized FFO and FAD should not be considered alternatives to net income (determined in accordance with GAAP) as indicators of our financial performance or alternatives to cash flow from operating activities (determined in accordance with GAAP) as measures of our liquidity, nor are FFO and normalized FFO and FAD 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” included in Item 7 of this Annual Report on Form 10-K for a reconciliation of these measures 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 which 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:

• Our corporate and operating environment;

• 2009 highlights and other recent developments;

• Our critical accounting policies and estimates;

• Our results of operations for the last three years;

• Asset and liability management;

• Our liquidity and capital resources;

• Our cash flows; and

• Contractual obligations.

Corporate and Operating Environment

We are a real estate investment trust (“REIT”) with a geographically diverse portfolio of seniors housing and healthcare properties in the United States and Canada. As of December 31, 2009, this portfolio consisted of 505 assets: 244 seniors housing communities, 187 skilled nursing facilities, 40 hospitals and 34 medical office buildings (“MOBs”) and other properties in 43 states and two Canadian provinces. With the exception of our seniors housing communities that are managed by Sunrise Senior Living, Inc. (together with its subsidiaries, “Sunrise”) pursuant to long-term management agreements and the majority of our MOBs, we lease our properties to healthcare operating companies under “triple-net” or “absolute net” leases, which require the tenants to pay all property-related expenses. We also had real estate loan investments relating to seniors housing and healthcare companies or properties as of December 31, 2009.

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Our primary business consists of acquiring, financing and owning seniors housing and healthcare properties and leasing those properties to third parties or operating those properties through independent third-party managers.

Beginning in the third quarter of 2010, we operate through three reportable business segments: triple-net leased properties, senior living operations and MOB operations. See “Note 18—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, 2009, we had a 100% ownership interest in 439 of our properties. We had 75% to 85% interests in 60 seniors housing communities owned in joint ventures with Sunrise, and we had controlling interests in six MOBs owned through joint ventures with partners who provide management and leasing services for the properties.

Our business strategy is comprised of three principal objectives: (1) portfolio diversification; (2) stable earnings and growth; and (3) maintaining a strong balance sheet and liquidity.

Access to external capital is an important component of the success of our strategy as it impacts our ability to repay existing indebtedness as it matures and to make future investments. Our cost of and ability to access capital depend on various factors, including general market conditions, interest rates, credit ratings on our securities, perception of our potential future earnings and cash distributions and the market price of our common stock. Generally, we attempt to match the long-term duration of most of our investments with long-term fixed rate financing. At December 31, 2009, only 8.3% of our consolidated debt was variable rate debt.

As of December 31, 2009, our senior unsecured debt securities were rated BBB- (stable) by Standard & Poor’s Ratings Services (“S&P”), BBB (stable) by Fitch Ratings and Ba1 (stable) by Moody’s Investors Service (“Moody’s”). On February 4, 2010, Moody’s upgraded the rating on our unsecured debt securities to Baa3 (stable), giving us a third investment grade rating. To the extent it is reasonable to do so, and we believe it to be in the best interests of our stakeholders, we intend to maintain investment grade ratings on our senior debt securities and to manage various capital ratios and amounts within appropriate parameters.

2009 Highlights and Other Recent Developments

Liquidity and Balance Sheet

• Following the upgrade by Moody’s on February 4, 2010, our unsecured debt securities now have investment grade ratings from all three nationally recognized ratings agencies.

• We extended and amended the terms of our unsecured revolving credit facilities from 2010 to 2012. Additionally, we increased our aggregate borrowing capacity under the unsecured revolving credit facilities to $1.0 billion, of which $800.0 million matures on April 26, 2012 and $200.0 million matures on April 26, 2010.

• We issued and sold 13,062,500 shares of our common stock in an underwritten public offering for aggregate proceeds of $312.2 million.

• We issued and sold $200.0 million aggregate principal amount of our 6 ¹/2% senior notes due 2016, at a 15 ³/4% discount to par value, for total proceeds of $168.5 million, before the underwriting discount and expenses.

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• We purchased in open market transactions and/or through cash tender offers $361.6 million aggregate principal amount of our outstanding senior notes due 2010, 2012, 2014 and 2015. We recognized a net loss on extinguishment of debt of $6.1 million related to these transactions.

• We repaid in full, at par, $49.8 million principal amount of our outstanding senior notes due 2009, and our mortgage debt obligations decreased by $148.7 million during 2009, including normal periodic principal amortization of $25.8 million and debt transfers of $38.8 million related to asset dispositions.

• We obtained first mortgage loans aggregating $172.6 million principal amount, secured by eighteen of our seniors housing communities with a weighted average fixed interest rate of 6.3% per annum.

Investments

• We purchased four MOBs for an aggregate purchase price of $77.7 million, increasing our MOB investments to over 1.7 million square feet. We own one of these MOBs through a joint venture with a partner that provides management and leasing services for the property.

• We purchased one skilled nursing facility for $10.0 million and leased it to Brookdale Senior Living Inc. (together with its subsidiaries, “Brookdale Senior Living”).

• We completed the development of two MOBs pursuant to an arrangement we entered into with a nationally recognized private developer of MOBs and healthcare facilities in 2008. That arrangement gave us the exclusive right, as part of a joint venture, to develop up to ten identified MOBs on hospital campuses in eight states. As of December 31, 2009, we had invested approximately $35.6 million in two MOBs under the arrangement.

Dispositions

• We sold five seniors housing communities, one hospital, one MOB and one other property to the existing tenants for an aggregate sales price (before expenses) of $96.2 million and transferred related debt of $38.8 million. We recognized a net gain from the sales of these assets of $27.5 million.

• We sold six skilled nursing facilities to Kindred Healthcare, Inc. (together with its subsidiaries, “Kindred”) for total consideration of $58.0 million and recognized a gain from the sale of these assets of $39.3 million.

Other

• We were included in the S&P 500 Index, widely regarded as the best single gauge of the large cap U.S. equities market. It includes 500 leading companies in leading industries of the U.S. economy.

• Kindred extended, from the renewal date of April 30, 2010 through April 30, 2015, the lease term for 109 assets (one of which we subsequently sold) that it leases from us. At December 31, 2009, annual cash rent on the remaining 108 assets was approximately $126 million.

• We received a favorable jury verdict of $101.6 million in our litigation against HCP, Inc. ( “HCP”) due to HCP’s interference with our acquisition of Sunrise Senior Living Real Estate Investment Trust (“Sunrise REIT”) in 2007.

Critical Accounting Policies and Estimates

On July 1, 2009, the Financial Accounting Standards Board (“FASB”) launched the Accounting Standards Codification (“ASC”), which changes U.S. generally accepted accounting principles (“GAAP”) from a standards-based model to a topical-based model. The topics are organized by ASC number and are updated with an Accounting Standards Update. The ASC is the single source of nongovernmental authoritative GAAP for interim and annual periods ending after September 15, 2009.

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Our Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K have been prepared in accordance with GAAP set forth in the ASC, as published by the FASB. GAAP requires us to make estimates and assumptions about 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 on various other assumptions believed 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, it is possible that different accounting treatment would have been applied, resulting in a different presentation of our financial statements. From time to time, we re-evaluate our estimates and assumptions, and in the event estimates or assumptions 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 net earnings are reduced by the portion of net earnings attributable to noncontrolling interests. We apply FASB guidance for arrangements with variable interest entities (“VIEs”), which requires the identification of entities for which control is achieved through means other than voting rights and the determination of which a business enterprise is the primary beneficiary of the VIE. We consolidate investments in VIEs when we are determined to be the primary beneficiary of the VIE.

We must make judgments regarding our level of influence or control of an entity and whether we are (or are not) the primary beneficiary of a VIE. In making those judgments, we consider various factors, including the form of our ownership interest, our representation on the entity’s governing body, the size and seniority of our investment, various cash flow scenarios related to the VIE, our ability to participate in policy making decisions and the rights of the other investors to participate in the decision making process and to replace us as manager and/or liquidate the venture, if applicable. Our ability to correctly assess our influence or control over an entity and determine the primary beneficiary of a VIE affects the presentation of these entities in our Consolidated Financial Statements. In the future, our assumptions may change, which could result in the identification of a different primary beneficiary.

Long-Lived Assets and Intangibles

Investments in real estate assets are recorded at cost. We account for acquisitions using the purchase method and allocate the cost of the properties acquired among tangible and recognized intangible assets and liabilities based upon their estimated fair values as of the acquisition date. Recognized intangibles include the value of acquired lease contracts, management agreements and related customer relationships.

Our method for allocating the purchase price paid to acquire investments in real estate requires us to make subjective assessments for determining fair value of the assets and liabilities acquired or assumed. This includes determining the value of the buildings and improvements, land and improvements, ground leases, tenant improvements, in-place tenant leases, above and/or below market leases, other intangibles embedded in contracts and any debt assumed. Each of these estimates requires significant judgment, and some of the estimates involve complex calculations. These allocation assessments have a direct impact on our results of operations, as amounts allocated to some assets and liabilities have different depreciation or amortization lives. Additionally, the amortization of value assigned to above and/or below market leases is recorded as a component of revenue, as compared to the amortization of in-place leases and other intangibles, which is included in depreciation and amortization in our Consolidated Statements of Income.

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We estimate the fair value of buildings on an as-if-vacant basis and depreciate the building value over the estimated remaining life of the building. We determine the allocated value of other fixed assets based upon the replacement cost and depreciate such value over their estimated remaining useful lives. We determine the value of land either based on real estate tax assessed values in relation to the total value of the asset or on internal analyses of recently acquired and existing comparable properties within our portfolio. The fair value of in-place leases, if any, reflects (i) the estimated value of any above and/or below market leases, determined by discounting the difference between the estimated current market rent and the in-place rentals, the resulting intangible asset or liability of which is amortized to revenue over the remaining life of the associated lease plus any fixed rate renewal periods, if applicable, (ii) the estimated value of the cost to obtain tenants, including tenant allowances, tenant improvements and leasing commissions, which is amortized over the remaining life of the associated lease, and (iii) an estimated value of the absorption period to reflect the value of the rents and recovery costs foregone during a reasonable lease-up period, as if the acquired space was vacant, which is also amortized over the remaining life of the associated lease. We estimate the value of tenant or other customer relationships acquired by considering the nature and extent of existing business relationships with the tenant, growth prospects for developing new business with the tenant, 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 amortize that value over the expected term of the associated arrangements or leases, which includes the remaining lives of the related leases and any expected renewal periods. 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 is approximated based on the rate we estimate we would incur to replace each instrument on the date of acquisition. Any fair value adjustments related to long-term debt are recognized as effective yield adjustments over the remaining term of the instrument.

Impairment of Long-Lived 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, and 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. An impairment loss is recognized at the time we make any such determination. Future events could occur that would cause us to conclude that impairment indicators exist and an impairment loss is warranted.

Business Combinations

For our acquisitions, we measure the assets acquired, liabilities assumed (including contingencies) and any noncontrolling interests at their fair values on the acquisition date. Our acquisition-related transaction costs are included in merger-related expenses and deal costs on our Consolidated Statement of Income for the year ended December 31, 2009. Prior to January 1, 2009, these costs were capitalized as part of the asset value at the time of the acquisition, as required by FASB guidance at that time.

Loans Receivable

Loans receivable are stated at the unpaid principal balance net of any deferred origination fees, purchase discounts or premiums and/or valuation allowances. Net deferred origination fees, which are comprised of loan fees collected from the borrower net of certain direct costs, and purchase discounts or premiums are amortized to income over the contractual life of the loan using the effective interest method. We evaluate the collectibility of loans and other amounts receivable from third parties based on a number of factors, including (i) corporate and facility-level financial and operational reports, (ii) compliance with the financial covenants set forth in the applicable loan or lease agreement, (iii) the financial stability of the borrower or tenant and any guarantor, (iv) the payment history of the borrower or tenant, and (v) current economic conditions. Our level of reserves, if any, for loans and other amounts receivable from third parties fluctuates depending upon all of these factors.

Fair Value

We follow FASB guidance that defines fair value and provides direction for measuring fair value and providing the necessary disclosures. The guidance 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).

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Level one inputs utilize unadjusted quoted prices in active markets for identical assets or liabilities that the reporting entity has the ability to access. Level two inputs are inputs other than quoted prices included in level one that are observable for the asset or liability, either directly or indirectly. Level two inputs may include quoted prices for similar assets and liabilities in active markets, as well as inputs that are observable for the asset or liability, other than quoted prices, 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 the reporting entity’s own assumptions, as there is little, if any, related market activity. In instances where the determination of the fair value measurement is based on inputs from different levels of the fair value hierarchy, the level within which the entire fair value measurement falls is based on the lowest level input that is significant to the fair value measurement in its entirety. Additionally, if an entity determines there has been a significant decrease in the volume and level of activity for an asset or liability in relation 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 the transaction for the asset or liability is not orderly, the entity shall place little, if any, weight 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.

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. These securities are recorded at fair market value, with unrealized gains and losses recorded in stockholders’ equity as a component of accumulated other comprehensive income on our Consolidated Balance Sheets. 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, are reported in income from loans and investments on our Consolidated Statements of Income.

We determined the valuation of our current investments in marketable securities using level one inputs. Additionally, we determined the valuation allowance for loan losses based on level three inputs. See “Note 6—Loans Receivable” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

We also follow FASB guidance relating to the recognition and presentation of other-than-temporary impairments, which requires entities to separate an other-than-temporary impairment of a fixed maturity security into two components when (i) there are credit losses associated with the security that management asserts that it does not have an intent to sell and (ii) it is more likely than not that the entity will not be required to sell the security before recovery of its cost basis. The amount of the other-than-temporary impairment related to a credit loss is recognized in earnings, and the amount of the other-than-temporary impairment related to other factors is recorded in other comprehensive loss. We have not recognized any other-than-temporary impairment.

Revenue Recognition

Certain of our leases, including the majority of our leases with Brookdale Senior Living, provide for periodic and determinable increases in base rent. Base rental revenues under these leases are recognized on a straight-line basis over the term of the applicable lease. Income on our straight-line revenue is recognized when collectibility is reasonably assured, and in the event we determine that collectibility of straight-line revenue is not reasonably assured, we establish an allowance for estimated losses. Recognizing rental income on a straight-line basis results in recognized revenue exceeding cash amounts contractually due from our tenants during the first half of the term for leases that have straight-line treatment.

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Our master lease agreements with Kindred (the “Kindred Master Leases”) and certain of our other leases provide for an annual increase in rental payments only if certain revenue parameters or other substantive contingencies are met. We recognize the increased rental revenue under these leases only if the revenue parameters or other substantive contingencies are met, rather than on a straight-line basis over the term of the applicable lease. We recognize income from rent, lease termination fees and all other income once all of the following criteria are met in accordance with Securities and Exchange Commission (the “Commission”) Staff Accounting Bulletin 104: (i) the 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.

We recognize resident fees and services, other than move in fees, monthly as services are provided. Move in fees, which are a component of resident fees and services, are recognized on a straight-line basis over the term of the applicable lease agreement. Lease agreements with residents generally have a term of one year and are cancelable by the resident with 30 days’ notice.

Federal Income Tax

Since we have elected to be treated as a REIT under the applicable provisions of the Internal Revenue Code of 1986, as amended (the “Code”), prior to our acquisition of the assets of Sunrise REIT in April 2007 we made no provision for federal income tax purposes. As a result of the Sunrise REIT acquisition, however, we now record income tax expense or benefit with respect to certain of our entities which are taxed as “taxable REIT subsidiaries” under provisions similar to those applicable to regular corporations and not under the REIT provisions.

We account for deferred income taxes using the asset and liability method. Deferred tax assets and liabilities are recognized 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. An increase or decrease in the deferred tax liability that results from a change in circumstances, and which causes a change in our judgment about expected future tax consequences of events, would be included in the tax provision when the changes in circumstances and our judgment occurs. 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. An increase or decrease in the valuation allowance that results from a change in circumstances, and which causes a change in our judgment about the realizability of the related deferred tax asset, would be included in the tax provision when the changes in circumstances and our judgment occurs.

Recently Adopted Accounting Standards

On January 1, 2010, we adopted FASB guidance related to variable interest accounting. The guidance requires an enterprise to analyze whether its variable interest gives it a controlling financial interest in a VIE. This analysis identifies the primary beneficiary of a VIE as the enterprise that has both of the following characteristics: (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 receive benefits of the VIE that could potentially be significant to the entity. The guidance requires an enterprise to perform this analysis on an ongoing basis and requires additional disclosures about an enterprise’s involvement in VIEs. We do not believe the adoption of this guidance will impact our Consolidated Financial Statements.

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Results of Operations

The tables below show our results of operations for each year and the absolute dollar and percentage changes in those results from year to year.

Years Ended December 31, 2009 and 2008

	Year Ended December 31,						Change
	2009			2008			$			%
	(Dollars in thousands)
Revenues:
Rental income	$	496,568		$	476,815		$	19,753			4.1	%
Resident fees and services		421,058	��		429,257			(8,199	)		(1.9	)
Income from loans and investments		13,107			8,847			4,260			48.2
Interest and other income		842			4,226			(3,384	)		(80.1	)
Total revenues		931,575			919,145			12,430			1.4
Expenses:
Interest		176,990			202,624			(25,634	)		(12.7	)
Depreciation and amortization		199,531			229,501			(29,970	)		(13.1	)
Property-level operating expenses		302,813			306,944			(4,131	)		(1.3	)
General, administrative and professional fees (including non-cash stock-based compensation expense of $11,882 and $9,976 for the years ended 2009 and 2008, respectively)		38,830			40,651			(1,821	)		(4.5	)
Foreign currency loss (gain)		50			(162	)		212			>100
Loss (gain) on extinguishment of debt		6,080			(2,398	)		8,478			>100
Merger-related expenses and deal costs		13,015			4,460			8,555			>100
Total expenses		737,309			781,620			(44,311	)		(5.7	)
Income before reversal of contingent liability, income taxes, discontinued operations and noncontrolling interest		194,266			137,525			56,741			41.3
Reversal of contingent liability		—			23,328			(23,328	)		nm
Income tax benefit		1,719			15,885			(14,166	)		(89.2	)
Income from continuing operations		195,985			176,738			19,247			10.9
Discontinued operations		73,375			48,549			24,826			51.1
Net income		269,360			225,287			44,073			19.6
Net income attributable to noncontrolling interest, net of tax		2,865			2,684			181			6.7
Net income attributable to common stockholders	$	266,495		$	222,603		$	43,892			19.7	%

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Revenues

The increase in our 2009 rental income can be attributed primarily to $6.4 million of additional rent resulting from the annual escalators in the rent paid under the Kindred Master Leases effective May 1, 2008 and 2009, $8.6 million in additional rent relating to triple-net leased properties and MOBs acquired during 2008 and 2009, a rent reset increase of $1.8 million on four seniors housing communities and three skilled nursing facilities and various other escalations in the rent paid on our other existing properties. See “Note 4—Acquisitions” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K. Rental income included in discontinued operations was $8.1 million and $24.6 million for the years ended December 31, 2009 and 2008, respectively.

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Revenues related to our triple-net leased properties segment consist of fixed rental amounts (subject to annual escalations) received directly from our tenants based on the terms of the applicable leases and generally do not depend on the operating performance of our properties. Therefore, while occupancy information is relevant to the operations of our tenants, our revenues and financial results are not directly impacted by the overall occupancy levels or profits at the triple-net leased properties.

Resident fees and services consist of all amounts earned from residents at our seniors housing communities that are managed by Sunrise, including rental fees related to resident leases, extended health care fees and other ancillary service income. The decrease in resident fees and services during 2009 is attributed primarily to an increase in the average Canadian dollar exchange rate, which had an unfavorable impact of $5.0 million in 2009, and lower average occupancy in our communities. Average occupancy rates related to these properties in 2009 and 2008 were as follows:

					Average Resident Occupancy
	Number of Communities				For the Year Ended December 31,
	2009		2008		2009			2008
Stabilized Communities		78		73		88.3	%		91.4	%
Lease-Up Communities		1		6		70.4	%		67.2	%
Total		79		79		87.7	%		89.1	%
Same-Store Stabilized Communities		73		73		88.6	%		91.4	%

Income from loans and investments increased during 2009 primarily due to interest earned on the investments we made during 2008 and 2009. See “Note 6—Loans Receivable” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

The decrease in our interest and other income during 2009 is primarily attributable to the resolution in 2008 of a legal dispute and higher interest rates earned on cash balances in 2008.

Expenses

Interest expense included in discontinued operations was $2.7 million and $10.5 million for the years ended December 31, 2009 and 2008, respectively. Total interest expense, including interest allocated to discontinued operations, decreased $33.4 million in 2009 over 2008, primarily due to a $8.6 million reduction in interest from lower effective interest rates and a $25.6 million reduction in interest from lower loan balances. Interest expense includes $7.4 million and $6.4 million of amortized deferred financing fees for the years ended December 31, 2009 and 2008, respectively. Our effective interest rate decreased to 6.3% for the year ended December 31, 2009, from 6.6% for the year ended December 31, 2008. An increase in the average Canadian dollar exchange rate had a favorable impact on interest expense of $0.4 million for the year ended December 31, 2009, compared to the same period in 2008.

Approximately $28.9 million of the decrease in 2009 depreciation and amortization expense is due to in-place lease intangibles related to the Sunrise REIT acquisition, which were fully amortized during the second quarter of 2008. See “Note 4—Acquisitions” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

10

Property-level operating expenses include expenses incurred for the operations of our seniors housing communities managed by Sunrise, such as labor, food, utilities, marketing, management and other property operating costs, operating expenses of our MOBs and loan receivable valuation allowances. Property-level operating expenses decreased in 2009 primarily due to a $6.0 million loan receivable valuation allowance recorded in 2008, not related to our MOBs or Sunrise-managed communities, and an increase in the average Canadian dollar exchange rate, which had a favorable impact of $3.6 million in 2009. The decrease was partially offset by approximately $4 million of property-level expense credits and reconciliations related to our Sunrise-managed communities in 2008 that did not recur in 2009 and MOB growth in 2009.

The decrease in general, administrative and professional fees during 2009 is a result of lower professional fees and dead deal costs recorded in 2008, partially offset by an increase in non-cash stock-based compensation.

The loss on extinguishment of debt in 2009 primarily relates to the purchase, in open market transactions and/or through cash tender offers, of $361.6 million aggregate principal amount of our outstanding senior notes. The gain on extinguishment of debt in 2008 primarily represents the purchase of $176.4 million aggregate principal amount of our outstanding senior notes in open market transactions for a discount.

Merger-related expenses and deal costs primarily consisted of expenses relating to our litigation with HCP arising out of the Sunrise REIT acquisition and, during 2009, deal costs now required by GAAP to be expensed rather than capitalized into the asset value.

Other

We had a $23.3 million deferred tax liability for any built-in gains tax related to the disposition of certain assets owned or deemed to be owned by us prior to our REIT election in 1999. The ten-year period in which these assets were subject to built-in gains tax ended on December 31, 2008. Because we had no pending or planned dispositions of these assets through December 31, 2008 and did not expect to pay any amounts related to this contingent liability, the $23.3 million deferred tax liability was reversed into income during 2008.

Income tax benefit represents a deferred benefit which is due solely to our taxable REIT subsidiaries as a direct result of the Sunrise REIT acquisition. See “Note 11—Income Taxes” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

Discontinued operations for 2009 include a $67.3 million net gain on the sale of fourteen assets sold during 2009. Discontinued operations for 2008 include a $39.0 million gain on the sale of twelve assets sold during 2008. See “Note 5—Dispositions” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

Net income attributable to noncontrolling interest, net of tax primarily represents Sunrise’s share of net income from its ownership percentage in 60 and 61 of our seniors housing communities during 2009 and 2008, respectively.

11

Years Ended December 31, 2008 and 2007

	Year Ended December 31,						Change
	2008			2007			$			%
	(Dollars in thousands)
Revenues:
Rental income	$	476,815		$	454,496		$	22,319			4.9	%
Resident fees and services		429,257			282,226			147,031			52.1
Income from loans and investments		8,847			2,586			6,261			> 100
Interest and other income		4,226			2,839			1,387			48.9
Total revenues		919,145			742,147			176,998			23.8
Expenses:
Interest		202,624			194,752			7,872			4.0
Depreciation and amortization		229,501			225,137			4,364			1.9
Property-level operating expenses		306,944			198,125			108,819			54.9
General, administrative and professional fees (including non-cash stock-based compensation expense of $9,976 and $7,493 for the years ended 2008 and 2007, respectively)		40,651			36,425			4,226			11.6
Foreign currency gain		(162	)		(24,280	)		24,118			(99.3	)
Gain on extinguishment of debt		(2,398	)		(88	)		(2,310	)		> 100
Merger-related expenses and deal costs		4,460			2,979			1,481			49.7
Total expenses		781,620			633,050			148,570			23.5
Income before reversal of contingent liability, income taxes, discontinued operations and noncontrolling interest		137,525			109,097			28,428			26.1
Reversal of contingent liability		23,328			—			23,328			nm
Income tax benefit		15,885			28,042			(12,157	)		(43.4	)
Income from continuing operations		176,738			137,139			39,599			28.9
Discontinued operations		48,549			143,439			(94,890	)		(66.2	)
Net income		225,287			280,578			(55,291	)		(19.7	)
Net income attributable to noncontrolling interest, net of tax		2,684			1,698			986
Preferred stock dividends and issuance costs		—			5,199			(5,199	)		nm
Net income attributable to common stockholders	$	222,603		$	273,681		$	(51,078	)		(18.7	)%

nm - not meaningful

Revenues

The increase in our 2008 rental income can be attributed primarily to $6.7 million of additional rent resulting from the annual escalators in the rent paid under the Kindred Master Leases effective May 1, 2007 and 2008 and $15.0 million in additional rent relating to triple-net leased properties and MOBs acquired during 2007 and 2008. See “Note 4—Acquisitions” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K. Rental income included in discontinued operations was $24.6 million and $35.2 million for the years ended December 31, 2008 and 2007, respectively.

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The increase in resident fees and services during 2008 is attributed to the fact that we did not acquire the Sunrise REIT properties until late April 2007 and, therefore, our results for 2007 reflect only eight months of Sunrise-related revenues. See “Note 4—Acquisitions” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K. Average occupancy rates related to our seniors housing communities managed by Sunrise in 2008 and 2007 were as follows:

					Average Resident Occupancy
	Number of Communities				For the Year Ended December 31,
	2008		2007		2008			2007
Stabilized Communities		73		72		91.4	%		93.0	%
Lease-Up Communities		6		7		67.2	%		58.8	%
Total		79		79		89.1	%		90.4	%
Same-Store Stabilized Communities		72		72		91.4	%		93.0	%

Income from loans and investments increased during 2008 primarily due to interest earned on a $50.0 million marketable debt security we purchased in early April 2008 and a first mortgage debt investment of $98.8 million we made in late 2008, partially offset by a gain on the sale of marketable equity securities of $0.9 million recognized in the second quarter of 2007.

The increase in our interest and other income during 2008 is primarily attributable to the resolution in 2008 of a legal dispute.

Expenses

Interest expense included in discontinued operations was $10.5 million and $15.0 million for the years ended December 31, 2008 and 2007, respectively. Total interest expense, including interest allocated to discontinued operations, increased $3.4 million in 2008 over 2007, primarily due to $14.3 million of additional interest from higher loan balances as a result of our 2008 acquisition and loan activity, partially offset by a $11.8 million reduction in interest from lower effective interest rates and a $2.6 million loss due to early repayment of bridge financing in 2007 related to the Sunrise REIT acquisition. Interest expense includes $6.4 million and $4.8 million of amortized deferred financing fees for the years ended December 31, 2008 and 2007, respectively. Our effective interest rate decreased to 6.6% for the year ended December 31, 2008, from 6.9% for the year ended December 31, 2007.

Depreciation and amortization expense increased primarily as result of the properties acquired during 2008 and 2007, partially offset by a $26.9 million decrease in amortization expense due to in-place lease intangibles primarily related to the Sunrise REIT acquisition. These in-place lease intangibles were fully amortized during the second quarter of 2008. See “Note 4—Acquisitions” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

Property-level operating expenses increased primarily due to the Sunrise REIT acquisition, the $6.0 million loan receivable valuation allowance recorded in the third quarter of 2008, and a $4.0 million increase related to the growth of our MOB business. Our results for 2007 reflect only eight months of expenses related to our Sunrise-managed communities due to the late April 2007 acquisition of the Sunrise REIT properties.

The increase in general, administrative and professional fees in 2008 is a result of our enterprise growth, an increase in non-cash stock-based compensation and dead deal costs.

The foreign currency gain in 2007 primarily relates to the Canadian call option contracts we entered into in conjunction with the Sunrise REIT acquisition. See “Note 2—Accounting Policies” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K. No similar contracts were in place during 2008.

13

The gain on extinguishment of debt in 2008 primarily represents the purchase of $176.4 million principal amount of our outstanding senior notes in open market transactions for a discount. The gain on extinguishment of debt in 2007 represents the purchase of $5.0 million principal amount of our outstanding senior notes in an open market transaction for a discount.

Merger-related expenses and deal costs primarily consisted of expenses relating to our litigation with HCP arising out of the Sunrise REIT acquisition and, for 2007, also include incremental costs directly related to the Sunrise REIT acquisition.

Other

We had a $23.3 million deferred tax liability to be utilized for any built-in gains tax related to the disposition of certain assets owned or deemed to be owned by us prior to our REIT election in 1999. The ten-year period in which these assets were subject to built-in gains tax ended on December 31, 2008. Because we had no pending or planned dispositions of these assets through December 31, 2008 and did not expect to pay any amounts related to this contingent liability, the $23.3 million deferred tax liability was reversed into income during 2008.

The decrease in discontinued operations is primarily the result of a $129.5 million gain recognized in 2007 from the sale of 22 assets, compared to a $39.0 million gain recognized in 2008 from the sale of twelve assets. See “Note 5—Dispositions” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

Preferred stock dividends and issuance costs in 2007 relate to the issuance and sale of 700,000 shares of our Series A Senior Preferred Stock to fund a portion of the Sunrise REIT acquisition, all of which we redeemed in May 2007 using the proceeds from the sale of our common stock. See “Note 4—Acquisitions” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

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Funds From Operations

Our Funds From Operations (“FFO”) for the five years ended December 31, 2009 are summarized in the following table:

	For the Year Ended December 31,
	2009			2008			2007			2006			2005
	(In thousands)
Net income attributable to common stockholders	$	266,495		$	222,603		$	273,681		$	131,154		$	130,583
Adjustments:
Real estate depreciation and amortization		198,841			228,778			224,028			107,253			77,217
Real estate depreciation related to noncontrolling interest		(6,349	)		(6,251	)		(3,749	)		—			—
Loss on real estate disposals		—			—			—			—			175
Discontinued operations:
Gain on sale of real estate assets		(67,305	)		(39,026	)		(129,478	)		—			(5,114	)
Depreciation on real estate assets		1,727			6,253			9,736			10,985			10,342
FFO		393,409			412,357			374,218			249,392			213,203
Adjustments:
Reversal of contingent liability		—			(23,328	)		—			(1,769	)		—
Provision for loan losses		—			5,994			—			—			—
Income tax benefit		(3,459	)		(17,616	)		(29,095	)		—			—
Loss (gain) on extinguishment of debt		6,080			(2,398	)		(88	)		1,273			1,376
Merger-related expenses and deal costs		13,015			4,460			2,979			—			—
Net gain on sale of marketable equity securities		—			—			(864	)		(1,379	)		—
Gain on foreign currency hedge		—			—			(24,314	)		—			—
Preferred stock issuance costs		—			—			1,750			—			—
Bridge loan fee		—			—			2,550			—			402
Rent reset costs		—			—			—			7,361			—
Contribution to charitable foundation		—			—			—			—			2,000
Net proceeds from litigation settlement		—			—			—			—			(15,909	)
Net gain on swap breakage		—			—			—			—			(981	)
Normalized FFO		409,045			379,469			327,136			254,878			200,091
Straight-lining of rental income		(11,879	)		(14,652	)		(17,311	)		(19,963	)		(14,287	)
Routine capital expenditures		(8,067	)		(8,128	)		(6,372	)		(368	)		(25	)
Normalized FAD	$	389,099		$	356,689		$	303,453		$	234,547		$	185,779

Historical cost accounting for real estate assets implicitly assumes that the value of real estate assets diminishes predictably over time. Since real estate values, instead, have historically risen or fallen with market conditions, many industry investors have considered presentations of operating results for real estate companies that use historical cost accounting to be insufficient by themselves. To overcome this problem, we consider FFO and normalized FFO and Funds Available for Distribution (“FAD”) appropriate measures of performance of an equity REIT, and 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, plus real estate depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. We define normalized FFO as FFO excluding (a) gains and losses on the sales of assets, including marketable securities, (b) merger-related costs and expenses and deal costs and expenses, including expenses relating to our lawsuit against HCP and the issuance of preferred stock or bridge loan fees, (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 or premiums incurred as a result of early debt retirement or payment of our debt, including hedging transactions, (d) the non-cash effect of income tax benefits, (e) the reversal of contingent liabilities, (f) gains and losses for foreign currency hedge agreements, (g) one-time expenses in connection with the Kindred rent reset process, (h) net proceeds received by us in relation to litigation, and (i) contributions made to the Ventas Charitable Foundation. Normalized FAD represents normalized FFO excluding straight-line rental adjustments and routine capital expenditures.

15

FFO and normalized FFO and FAD presented herein are not necessarily comparable to FFO and normalized FFO and FAD presented by other real estate companies due to the fact that not all real estate companies use the same definitions. FFO and normalized FFO and FAD 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 FFO and normalized FFO and FAD 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, FFO and normalized FFO and FAD should be examined in conjunction with net income as presented in our Consolidated Financial Statements and data included elsewhere in this Annual Report on Form 10-K.

Asset/Liability Management

Asset/liability management is a key element of our overall risk management program. The objective of asset/liability management is to support the achievement of our business strategies while maintaining appropriate risk levels. The asset/liability management process focuses on a variety of risks, including market risk (primarily interest rate risk and foreign currency exchange risk) and credit risk. 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. We do not use derivative financial instruments for speculative purposes.

Market Risk

We are exposed to market risk for changes in interest rates on borrowings under our unsecured revolving credit facilities, certain of our mortgage loans that are floating rate obligations and mortgage loans receivable. These market risks result primarily from changes in U.S. or Canadian LIBOR rates, the Canadian Bankers’ Acceptance rate or the U.S. or Canadian Prime rates. We continuously monitor our level of floating rate debt with respect to total debt and other factors, including our assessment of the current and future economic environment.

Interest rate fluctuations generally do not affect our fixed rate debt obligations until such instruments mature. However, changes in interest rates will affect the fair value of our fixed rate instruments. If interest rates have risen at the time our fixed rate debt matures or at the time we refinance such debt, our future earnings and cash flows could be adversely affected by the additional cost of borrowings. Conversely, lower interest rates at the time our debt matures or at the time of 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, 2009 and 2008:

	As of December 31,
	2009		2008
	(In thousands)
Gross book value	$	2,477,225	$	2,592,730
Fair value(1)		2,572,472		2,436,620
Fair value reflecting change in interest rates:(1)
-100 BPS		2,681,982		2,538,334
+100 BPS		2,469,655		2,340,746

(1) The change in fair value of fixed rate debt was due primarily to debt repayments and overall changes in interest rates, partially offset by additional borrowings.

16

The table below sets forth certain information with respect to our debt, excluding premiums and discounts:

	As of December 31,
	2009			2008
	(Dollars in thousands)
Balance:
Fixed rate	$	2,477,225		$	2,592,730
Variable rate		224,436			546,410
Total	$	2,701,661		$	3,139,140
Percent of total debt:
Fixed rate		91.7	%		82.6	%
Variable rate		8.3	%		17.4	%
Total		100.0	%		100.0	%
Weighted average interest rate at end of period:
Fixed rate		6.3	%		6.5	%
Variable rate		2.1	%		2.3	%
Total weighted average rate		6.0	%		5.8	%

The decrease in our outstanding variable rate debt from December 31, 2008 is primarily attributable to payments on our unsecured revolving credit facilities and certain repayments on our variable rate mortgage debt. Pursuant to the terms of certain leases with one of our tenants, if interest rates increase on certain debt that we have totaling $80.0 million as of December 31, 2009, 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 one percentage point increase in the interest rate related to the variable rate debt, and assuming no change in the outstanding balance as of December 31, 2009, interest expense for 2010 would increase and our net income would decrease by approximately $1.7 million, or $0.01 per common share on a diluted basis. The fair value of our fixed and variable rate debt is based on current interest rates at which we could obtain similar borrowings.

We have investments in marketable debt securities on which we earn interest on a fixed or floating rate basis. We record these investments as available-for-sale at fair market value, with unrealized gains and losses recorded as a component of stockholders’ equity. Interest rate fluctuations and market conditions will cause the fair market value of these investments to change. As of December 31, 2009, the fair market value of our marketable debt securities, which had an original cost of $58.7 million, was $65.0 million.

As of December 31, 2009, the fair value of our loans receivable was $129.5 million and was based on our estimates of currently prevailing rates for comparable loans. See “Note 6—Loans Receivable” and “Note 9—Fair Value of Financial Instruments” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

We are also subject to fluctuations in U.S. and Canadian exchange rates which may, from time to time, have an impact on our financial condition and results of operations. Increases or decreases in the value of the Canadian dollar will impact the amount of net income we earn from our Canadian operations. Based on 2009 results, if the Canadian dollar exchange rate were to increase or decrease by $0.10, our net income would decrease or increase, as applicable, by approximately $0.4 million per year. If we increase our international presence through investments in, and/or acquisitions or development of, seniors housing and/or healthcare assets outside the United States, we may also decide to transact additional business 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 and liquidity, on our ability to service our indebtedness and on our ability to make distributions to our stockholders, as required for us to continue to qualify as a REIT (a “Material Adverse Effect”).

17

Credit Risk

We derive a significant portion of our revenue by leasing 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, with caps, floors or collars. We also earn revenue from residents at our seniors housing communities managed by Sunrise and tenants in our MOBs. For the year ended December 31, 2009, 21.6% of our EBITDA (earnings before interest, taxes, depreciation and amortization) was derived from our senior living operations and MOBs, where rental rates may fluctuate upon lease rollovers and renewals due to economic or market conditions.

For the years ended December 31, 2009 and 2008, Kindred accounted for $246.9 million, or 26.2%, of our total revenues and 38.5% of our total NOI (net operating income) (including amounts in discontinued operations), and $241.2 million, or 25.5%, of our total revenues and 38.0% of our total NOI (including amounts in discontinued operations), respectively. For the years ended December 31, 2009 and 2008, Brookdale Senior Living accounted for $121.4 million, or 12.9%, of our total revenues and 19.1% of our total NOI (including amounts in discontinued operations), and $121.5 million, or 12.8%, of our total revenues and 19.2% of our total NOI (including amounts in discontinued operations), respectively. This concentration of rental revenues and NOI creates credit risk. As a result, Kindred’s and Brookdale Senior Living’s financial condition and ability to meet their rental payments and other obligations to us has a significant impact on our results of operations and our ability to make distributions to our stockholders. Any failure by Kindred or Brookdale Senior Living to effectively conduct its operations could have a material adverse effect on its business reputation or on its ability to enlist and maintain patients in its facilities, which could also affect its ability to pay rent to 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 of 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 3—Concentration 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 credit risk under our lease agreements with our tenants by, among other things, (i) reviewing and analyzing information regarding the healthcare industry generally, publicly available information regarding tenants, and information provided by the tenants and borrowers under our lease and other agreements, and (ii) having periodic discussions with tenants, borrowers and their representatives.

For the years ended December 31, 2009 and 2008, senior living operations managed by Sunrise accounted for $421.1 million, or 44.7%, of our total revenues and 18.5% of our total EBITDA (including amounts in discontinued operations), and $429.6 million, or 45.4%, of our total revenues and 20.0% of our total EBITDA (including amounts in discontinued operations), respectively.

We are party to management agreements with Sunrise pursuant to which Sunrise currently provides comprehensive property management and accounting services with respect to 79 of our seniors housing communities. Each management agreement has a term of 30 years from its effective date, the earliest of which began in 2004. Pursuant to the management agreements, we pay Sunrise a base management fee of 6% of resident fees and similar revenues, subject to reduction based on below target performance relating to NOI for a pool of properties. The minimum management fee assessable under these agreements is 5% of resident fees and similar revenues of the properties. We also pay incentive fees if a pool of properties exceeds aggregate performance targets relating to NOI; provided, however, that total management fees, including incentive fees, shall not exceed 8% of resident fees and similar revenues. In 2009, we paid a 5.0% management fee for 76 properties and management fees of between 6.0% and 6.5% for three properties. The management agreements also specify that we (or the joint venture to which we are party, as applicable) will reimburse Sunrise for direct or indirect costs necessary to manage our seniors housing communities.

18

We may terminate our 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 licenses or certificates necessary for operation), subject in each case to Sunrise’s rights to cure deficiencies. Each management agreement may also be terminated upon the occurrence of certain insolvency events relating to Sunrise. In addition, if a minimum number of properties fail to achieve a targeted NOI level for a given period, then we may terminate the management agreement on each property in such underperforming pool. This targeted NOI level for each property is based upon an expected operating income projection set at the commencement of the management agreement for the applicable property, with such projection escalating annually. However, various legal and contractual considerations may limit or delay our exercise of any or all of these termination rights.

As of December 31, 2009, we had 75% to 85% interests in 60 seniors housing communities owned in joint ventures with Sunrise, who only has protective rights related to major business decisions. Each of these joint ventures is managed by a board of managers or a general partner, each of which we control. As the controlling member or partner, as the case may be, we have sole authority to make all decisions for our Sunrise joint ventures, except for a limited set of major decisions, which generally include:

• the merger or disposition of substantially all the assets of the joint venture;

• the sale of additional interests in the joint venture;

• the dissolution of the joint venture;

• the disposition of a property owned by the joint venture; and

• the acquisition of any real property.

We can generally transfer our interest in a Sunrise joint venture, without consent, to anyone other than large seniors housing operators or their majority investors. However, Sunrise must obtain our prior consent for any direct or indirect transfer of its noncontrolling interest. With limited exceptions, profits and losses of the joint ventures are allocated on a pro rata basis in accordance with the ownership interests. If either member fails to make a required capital contribution to a joint venture after notice and a cure period, the non-defaulting member may (i) revoke the capital contribution funding notice, (ii) advance to the joint venture the amount of the required capital contribution on behalf of the defaulting member in the form of a loan to the defaulting member, with all of the defaulting member’s subsequent distributions being applied to the loan until repayment in full, or (iii) advance the capital on behalf of the defaulting member with a recalculation of each member’s proportionate interest in the joint venture pursuant to the applicable formula in the agreements. Many of our Sunrise joint venture agreements provide for a punitive reduction in the defaulting member’s proportionate interest in the event of an advance of capital by a non-defaulting member pursuant to option (iii). The joint ventures are generally limited to incurring new or refinanced mortgage indebtedness in excess of 75% of the market value of its properties.

See “Risk Factors—Risks Arising from Our Business—The properties managed by Sunrise account for a significant portion of our revenues and operating income; Adverse developments in Sunrise’s business and affairs or financial condition could have a Material Adverse Effect on us” included in Part I, Item 1A of this Annual Report on Form 10-K.

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Lease Expirations

As our triple-net leases expire, we are exposed to the risks that our tenants may elect not to renew their leases and, in such event, that we may be unable to reposition the applicable properties on as favorable terms or at all. The following table summarizes our triple-net lease expirations scheduled to occur over the next ten years. (This table has not been updated to reflect discontinued operations treatment for all properties sold or reflected as held for sale during the first nine months of 2010.)

	Number of Tenants		2009 Annual Rental Income		% of 2009 Total Triple-Net Rental Income (1)
	(Dollars in thousands)
2010		8	$	981		0.2	%
2011		—		—		—
2012		4		3,759		0.8
2013		90		116,413		25.0
2014		3		3,261		0.7
2015		132		150,752		32.4
2016		1		1,054		0.2
2017		—		—		—
2018		1		399		0.1
2019		89		126,161		27.1

(1) Total 2009 triple-net rental income excludes income included in discontinued operations.

The failure of our tenants to renew our leases could have a Material Adverse Effect on us. See “Risk Factors—Risks Arising from Our Business—We may be unable to reposition our properties on as favorable terms, or at all, if we have to replace any of our tenants or operators, and we may be subject to delays, limitations and expenses in repositioning our assets” included in Part I, Item IA of this Annual Report on Form 10-K.

Liquidity and Capital Resources

During 2009, our principal sources of liquidity were proceeds from issuances of debt and equity securities, debt financings, sales of assets and cash flows from operations. During the next twelve months, our principal liquidity needs are to: (i) fund normal operating expenses; (ii) meet our debt service requirements; (iii) repay $173.8 million of mortgage debt; (iv) fund capital expenditures for our senior living operations and our MOBs; (v) fund acquisitions, investments and/or commitments; and (vi) make distributions to our stockholders to maintain our REIT qualification under the Code. We believe that these needs will be satisfied by cash flows from operations, cash on hand, debt financings, proceeds from sales of assets and borrowings under our unsecured revolving credit facilities. However, if these sources of capital are not available and/or if we make significant acquisitions and investments, we may be required to obtain funding from additional borrowings, assume debt from the seller, dispose of assets (in whole or in part through joint venture arrangements with third parties) and/or issue secured or unsecured long-term debt or other securities. 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 meet our debt payments, make distributions to our stockholders or make future investments necessary to implement our business plan” included in Part I, Item 1A of this Annual Report on Form 10-K.

As of December 31, 2009, we had a total of $107.4 million of unrestricted cash and cash equivalents, consisting primarily of investments in U.S. treasury money market funds and cash related to our senior living operations 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 and certain capital expenditures. A portion of the cash maintained in these property-level accounts is distributed to us monthly. At December 31, 2009, we also had escrow deposits and restricted cash of $39.8 million, and unused credit availability of $988.4 million under our unsecured revolving credit facilities.

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Unsecured Revolving Credit Facilities

Our aggregate borrowing capacity under the unsecured revolving credit facilities is $1.0 billion, of which $800.0 million matures on April 26, 2012 and $200.0 million matures on April 26, 2010. Borrowings under our unsecured revolving credit facilities bear interest at a fluctuating rate per annum (based on U.S. or Canadian LIBOR, Canadian Bankers’ Acceptance rate, or the U.S. or Canadian Prime rate) plus an applicable percentage based on our consolidated leverage. At December 31, 2009, the applicable percentage was 0.75% for 2010 maturities and 2.80% for 2012 maturities. Our unsecured revolving credit facilities have a 20 basis point facility fee.

The agreements governing our unsecured revolving credit facilities subject us to a number of restrictive covenants. See “Note 8—Borrowing Arrangements” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

As of February 15, 2010, we had approximately $9 million outstanding under our unsecured revolving credit facilities and approximately $155 million of unrestricted cash and cash equivalents, for cash available of approximately $146 million.

Convertible Senior Notes

As of December 31, 2009, we had $230.0 million aggregate principal amount of our 3 ⁷/8% Convertible Senior Notes due 2011 outstanding. The convertible notes are convertible at the option of the holder (i) prior to September 15, 2011, upon the occurrence of specified events and (ii) on or after September 15, 2011, at any time prior to the close of business on the second business day prior to the stated maturity (December 1, 2011), in each case into cash up to the principal amount of the convertible notes and cash or shares of our common stock, at our election, in respect of any conversion value in excess of the principal amount at the current conversion rate of 22.9457 shares per $1,000 principal amount of notes (which equates to a current conversion price of approximately $43.58 per share). The conversion rate is subject to adjustment in certain circumstances, including the payment of a quarterly dividend in excess of $0.395 per share. To the extent the market price of our common stock exceeds the conversion price our earnings per share will be diluted.

The indenture governing the convertible notes subjects us to a number of restrictive covenants. See “Note 8—Borrowing Arrangements” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K. Certain of our subsidiaries have fully and unconditionally guaranteed the convertible notes.

Senior Notes

As of December 31, 2009, the following series of senior notes issued by our subsidiaries, Ventas Realty, Limited Partnership and Ventas Capital Corporation, were outstanding:

• $1.4 million principal amount of 6 ³/4% Senior Notes due 2010;

• $82.4 million principal amount of 9% Senior Notes due 2012;

• $71.7 million principal amount of 6 ⁵/8% Senior Notes due 2014;

• $142.7 million principal amount of 7 ¹/8% Senior Notes due 2015;

• $400.0 million principal amount of 6 ¹/2% Senior Notes due 2016; and

• $225.0 million principal amount of the 6 ³/4% Senior Notes due 2017.

21

During 2009, we issued and sold $200.0 million aggregate principal amount of senior notes due 2016 at a 15 ³/4% discount to par value for total proceeds of $168.5 million, before the underwriting discount and expenses. We also repaid in full, at par, $49.8 million principal amount of our outstanding 8 ³/4% senior notes due 2009 at maturity on May 1, 2009, and purchased in open market transactions and/or through cash tender offers $361.6 million of our senior notes composed of: $121.6 million principal amount of our outstanding senior notes due 2010; $109.4 million principal amount of our outstanding senior notes due 2012; $103.3 million principal amount of our outstanding senior notes due 2014; and $27.3 million principal amount of our outstanding senior notes due 2015. We recognized a net loss on extinguishment of debt of $6.1 million related to these purchases.

During 2008, we purchased $124.4 million principal amount of our outstanding senior notes due 2009 and $52.0 million principal amount of our outstanding senior notes due 2010 in open market transactions. As a result of these purchases, we recorded a $2.5 million gain on the extinguishment of debt in 2008.

We may, from time to time, seek to retire or purchase additional amounts of the outstanding senior notes for cash and/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 the senior notes subject us to a number of restrictive covenants. However, at any time we maintain investment grade ratings by both Moody’s and S&P, the indentures provide that certain of these restrictive covenants will either be suspended or fall away. See “Note 8—Borrowing Arrangements” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K. We and certain of our subsidiaries have fully and unconditionally guaranteed the senior notes.

Mortgage Loan Obligations

During 2008, we assumed $34.6 million of facility-level mortgage debt in connection with certain property acquisitions. See “Note 4—Acquisitions” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K. Total facility-level mortgage debt outstanding was approximately $1.5 billion as of December 31, 2009 and 2008.

During 2009, we closed a pool of seventeen first mortgage loans through a government-sponsored entity aggregating $132.1 million principal amount. These loans, which are secured by seventeen of our seniors housing communities, mature in July 2019 and bear interest at a weighted average fixed rate of 6.68% per annum. We also closed a first mortgage loan through a government-sponsored entity in the original principal amount of $40.5 million. This loan is secured by one seniors housing community, matures in November 2014 and bears interest at a fixed rate of 5.14% per annum.

Dividends

In order to continue to qualify as a REIT, we must make annual distributions to our stockholders of at least 90% of REIT taxable income (excluding net capital gain). Our quarterly dividends in 2009 aggregated $2.05 per share, which is greater than 100% of our 2009 estimated taxable income. We also intend to pay dividends greater than 100% of taxable income for 2010. On February 17, 2010, our Board of Directors declared a quarterly dividend of $0.535 per share, payable in cash on March 31, 2010 to holders of record on March 12, 2010.

We expect that REIT taxable income will be less than cash flow due to the allowance of depreciation and other non-cash deductions in computing REIT taxable income. Although we anticipate that we generally will have sufficient cash or liquid assets to enable us to satisfy the 90% distribution requirement, it is possible that, from time to time, we may not have sufficient cash or other liquid assets to meet the 90% distribution 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 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.

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Capital Expenditures

Our tenants generally bear the responsibility to maintain and improve our triple-net leased properties. Accordingly, we do not expect to incur any major capital expenditures in connection with these properties. After the terms of the triple-net leases expire, or in the event that the tenants are unable or unwilling to meet their obligations under those leases, we anticipate funding any capital expenditures for which we may become responsible by cash flows from operations or through additional borrowings. With respect to our MOBs and our senior living communities managed by Sunrise, 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 funds may be restricted in certain circumstances by the terms of our unsecured revolving credit facilities and the indentures governing our outstanding Senior Notes. Our ability to borrow may also be limited by our lenders’ ability and willingness to fund, in whole or in part, borrowing requests under our unsecured revolving credit facilities.

Equity Offerings

In April 2009, we filed an automatic shelf registration statement on Form S-3 with the Commission 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. The registration statement replaced our previous automatic shelf registration statement, which expired pursuant to the Commission’s rules.

In April 2009, we completed the sale of 13,062,500 shares of our common stock in an underwritten public offering pursuant to the shelf registration statement. We received $312.2 million in aggregate proceeds from the sale, which we used, together with our net proceeds from the sale of the senior notes due 2016, to fund our cash tender offers with respect to the outstanding senior notes, to repay debt and for general corporate purposes.

In 2008, we sold 9,236,083 shares of our common stock in two underwritten public offerings pursuant to our previous shelf registration statement. We received aggregate proceeds of $409.0 million from the sales, which we used to repay indebtedness outstanding under our unsecured revolving credit facilities and for working capital and other general corporate purposes.

Other

We received proceeds of $2.2 million and $6.2 million for the years ended December 31, 2009 and 2008, respectively, from the exercises of outstanding stock options. Future proceeds from the exercises of stock options will be primarily affected by the future performance of our stock price and the number of options outstanding. Options outstanding have increased to 1.6 million as of December 31, 2009, from 1.4 million as of December 31, 2008. The average weighted exercise price was $35.85 as of December 31, 2009.

We issued approximately 20,800 and 18,400 shares of common stock under our Distribution Reinvestment and Stock Purchase Plan, for net proceeds of $0.6 million and $0.7 million for the years ended December 31, 2009 and 2008, respectively. We currently offer a 1% discount on the purchase price of our stock to shareholders who reinvest their dividends and/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.

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Cash Flows

Cash Flows from Operating Activities

Net cash provided by operating activities was $422.1 million and $379.9 million for the years ended December 31, 2009 and 2008, respectively. Cash flows from operating activities increased in 2009 primarily due to higher rental income, lower interest expense and changes in working capital, partially offset by lower NOI from our senior living operations and increased merger-related expenses and deal costs.

Cash Flows from Investing Activities

Net cash used in investing activities was $1.7 million and $136.3 million for the years ended December 31, 2009 and 2008, respectively. These activities consisted primarily of investments in real estate ($45.7 million and $53.8 million in 2009 and 2008, respectively), capital expenditures ($13.8 million and $16.4 million in 2009 and 2008, respectively), investments in loans receivable and marketable debt securities ($13.8 million and $172.5 million in 2009 and 2008, respectively), proceeds from mortgage loans ($8.0 million and $0.1 million in 2009 and 2008, respectively), proceeds from the sale of investments ($5.0 million in 2009) and proceeds from real estate disposals ($58.5 million and $104.2 million in 2009 and 2008, respectively).

Cash Flows from Financing Activities

Net cash used in financing activities totaled $490.2 million for the year ended December 31, 2009. Proceeds primarily consisted of $365.7 million related to the issuance of debt and $299.2 million from the issuance of common stock. The uses primarily included $292.9 million of net payments made on our unsecured revolving credit facilities, $16.7 million of payments for deferred financing costs, $314.4 million of cash dividend payments to common stockholders, $411.5 million of senior note purchases and repayments, $113.7 million of aggregate principal payments on mortgage obligations and $9.9 million of distributions to noncontrolling interest.

Net cash used in financing activities totaled $96.0 million for the year ended December 31, 2008 and included $288.8 million of cash dividend payments to common stockholders, $416.9 million of aggregate principal payments on mortgage obligations and $15.7 million of distributions to noncontrolling interest. The uses were partially offset by proceeds of $408.5 million from the issuance of common stock, $140.3 million from the issuance of debt and $73.4 million of net borrowings on our unsecured revolving credit facilities.

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, 2009.

	Total		Less than 1 year (3)		1-3 years (4)		3-5 years (5)		More than 5 years (6)
	(In thousands)
Long-term debt obligations (1)(2)	$	3,525,291	$	360,747	$	1,016,532	$	454,041	$	1,693,971
Operating and ground lease obligations		114,375		2,072		3,500		3,078		105,725
Total	$	3,639,666	$	362,819	$	1,020,032	$	457,119	$	1,799,696

(1) Amounts represent contractual amounts due, including interest.

(2) Interest on variable rate debt was based on forward rates obtained as of December 31, 2009.

(3) Includes $1.4 million outstanding principal amount of our senior notes due 2010.

(4) Includes $230.0 million outstanding principal amount of our convertible notes, $82.4 million outstanding principal amount of our senior notes due 2012, and $8.5 million under our unsecured revolving credit facilities that matures in 2012.

(5) Includes $71.7 million outstanding principal amount of our senior notes due 2014.

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(6) Includes outstanding principal amounts of $142.7 million of our senior notes due 2015, $400.0 million of our senior notes due 2016 and $225.0 million of our senior notes due 2017.

As of December 31, 2009, we had $15.0 million of unrecognized tax benefits that have been 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.

ITEM 8. Financial Statements and Supplementary Data

Ventas, Inc.

Index to Consolidated Financial Statements and Financial Statement Schedules

Management Report on Internal Control over Financial Reporting	26
Report of Independent Registered Public Accounting Firm	27
Report of Independent Registered Public Accounting Firm on Internal Control over Financial Reporting	28
Consolidated Balance Sheets as of December 31, 2009 and 2008	29
Consolidated Statements of Income for the Years Ended December 31, 2009, 2008 and 2007	30
Consolidated Statements of Equity for the Years Ended December 31, 2009, 2008 and 2007	31
Consolidated Statements of Cash Flows for the Years Ended December 31, 2009, 2008 and 2007	32
Notes to Consolidated Financial Statements	34
Consolidated Financial Statement Schedule
Schedule III — Real Estate and Accumulated Depreciation	77

25

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 inInternal 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, 2009 was effective.

The effectiveness of the Company’s internal control over financial reporting as of December 31, 2009 has been audited by Ernst & Young LLP, an independent registered public accounting firm, as stated in their report included herein.

26

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. as of December 31, 2009 and 2008, and the related consolidated statements of income, equity and cash flows for each of the three years in the period ended December 31, 2009. Our audits also included the financial statement schedule listed in the accompanying index to the financial statements and schedule. These financial statements and schedule are the responsibility of 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, 2009 and 2008, and the consolidated results of its operations and its cash flows for each of the three years in the period ended December 31, 2009, 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.

As discussed in Note 2 to the consolidated financial statements, the Company changed its method of accounting for convertible debt instruments and noncontrolling interests with the adoption of the guidance originally issued in FASB Staff Position APB 14-1, Accounting for Convertible Debt Instruments That May Be Settled in Cash upon Conversion (Including Partial Cash Settlement) (codified primarily in FASB ASC Topic 470, Debt) and FASB Statement No. 160, Noncontrolling Interests in Consolidated Financial Statements, an amendment of ARB No. 51 (codified primarily in FASB ASC Topic 810, Consolidation), respectively, effective January 1, 2009 and applied retroactively.

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, 2009, 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 19, 2010, expressed an unqualified opinion thereon.

/s/ Ernst & Young LLP

Chicago, Illinois

19 February 2010, except for Notes 2, 5, 13, 18,

and 19 as to which the date is 8 November 2010

27

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 internal control over financial reporting as of December 31, 2009, 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.

In our opinion, Ventas, Inc. maintained, in all material respects, effective internal control over financial reporting as of December 31, 2009, based on the COSO criteria.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the 2009 consolidated financial statements and financial statement schedule of Ventas, Inc. and our report dated February 19, 2010 (except for Notes 2, 5, 13, 18 and 19, as to which the date is November 8, 2010) expressed an unqualified opinion thereon.

/s/ Ernst & Young LLP

Chicago, Illinois

19 February 2010

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VENTAS, INC.

CONSOLIDATED BALANCE SHEETS

As of December 31, 2009 and 2008

(In thousands, except per share amounts)

	2009			2008
Assets
Real estate investments:
Land	$	557,276		$	555,015
Buildings and improvements		5,722,837			5,593,024
Construction in progress		12,508			12,591
		6,292,621			6,160,630
Accumulated depreciation		(1,177,911	)		(987,691	)
Net real estate property		5,114,710			5,172,939
Loans receivable, net		131,887			123,289
Net real estate investments		5,246,597			5,296,228
Cash and cash equivalents		107,397			176,812
Escrow deposits and restricted cash		39,832			55,866
Deferred financing costs, net		29,252			22,032
Other		193,167			220,480
Total assets	$	5,616,245		$	5,771,418
Liabilities and equity
Liabilities:
Senior notes payable and other debt	$	2,670,101		$	3,136,998
Deferred revenue		4,315			7,057
Accrued interest		17,974			21,931
Accounts payable and other accrued liabilities		186,130			168,198
Deferred income taxes		253,665			257,499
Total liabilities		3,132,185			3,591,683
Commitments and contingencies
Equity:
Ventas stockholders’ equity:
Preferred stock, $1.00 par value; 10,000 shares authorized, unissued		—			—
Common stock, $0.25 par value; 300,000 shares authorized; 156,627 and 143,302 shares issued at December 31, 2009 and 2008, respectively		39,160			35,825
Capital in excess of par value		2,573,039			2,264,125
Accumulated other comprehensive income (loss)		19,669			(21,089	)
Retained earnings (deficit)		(165,710	)		(117,806	)
Treasury stock, 15 shares at December 31, 2009 and 2008		(647	)		(457	)
Total Ventas stockholders’ equity		2,465,511			2,160,598
Noncontrolling interest		18,549			19,137
Total equity		2,484,060			2,179,735
Total liabilities and equity	$	5,616,245		$	5,771,418

See accompanying notes.

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VENTAS, INC.

CONSOLIDATED STATEMENTS OF INCOME

For the Years Ended December 31, 2009, 2008 and 2007

(In thousands, except per share amounts)

	2009		2008			2007
Revenues:
Rental income	$	496,568	$	476,815		$	454,496
Resident fees and services		421,058		429,257			282,226
Income from loans and investments		13,107		8,847			2,586
Interest and other income		842		4,226			2,839
Total revenues		931,575		919,145			742,147
Expenses:
Interest		176,990		202,624			194,752
Depreciation and amortization		199,531		229,501			225,137
Property-level operating expenses		302,813		306,944			198,125
General, administrative and professional fees (including non-cash stock-based compensation expense of $11,882, $9,976 and $7,493 for the years ended December 31, 2009, 2008 and 2007, respectively)		38,830		40,651			36,425
Foreign currency loss (gain)		50		(162	)		(24,280	)
Loss (gain) on extinguishment of debt		6,080		(2,398	)		(88	)
Merger-related expenses and deal costs		13,015		4,460			2,979
Total expenses		737,309		781,620			633,050
Income before reversal of contingent liability, income taxes, discontinued operations and noncontrolling interest		194,266		137,525			109,097
Reversal of contingent liability		—		23,328			—
Income tax benefit		1,719		15,885			28,042
Income from continuing operations		195,985		176,738			137,139
Discontinued operations		73,375		48,549			143,439
Net income		269,360		225,287			280,578
Net income attributable to noncontrolling interest, net of tax		2,865		2,684			1,698
Preferred stock dividends and issuance costs		—		—			5,199
Net income attributable to common stockholders	$	266,495	$	222,603		$	273,681
Earnings per common share:
Basic:
Income from continuing operations attributable to common stockholders	$	1.27	$	1.24		$	1.06
Discontinued operations		0.48		0.35			1.17
Net income attributable to common stockholders	$	1.75	$	1.59		$	2.23
Diluted:
Income from continuing operations attributable to common stockholders	$	1.26	$	1.24		$	1.06
Discontinued operations		0.48		0.35			1.16
Net income attributable to common stockholders	$	1.74	$	1.59		$	2.22
Weighted average shares used in computing earnings per common share:
Basic		152,566		139,572			122,597
Diluted		152,758		139,912			123,012

See accompanying notes.

30

VENTAS, INC.

CONSOLIDATED STATEMENTS OF EQUITY

For the Years Ended December 31, 2009, 2008 and 2007

(In thousands, except per share amounts)

	Common Stock Par Value		Capital in Excess of Par Value			Accumulated Other Comprehensive Income (Loss)			Retained Earnings (Deficit)			Treasury Stock			Total Ventas Stockholders’ Equity			Noncontrolling Interest			Total Equity
Balance at January 1, 2007	$	26,545	$	785,999		$	1,037		$	(84,452	)	$	—		$	729,129		$	—		$	729,129
Comprehensive Income:
Net income, net of preferred distributions		—		—			—			273,681			—			273,681			1,698			275,379
Foreign currency translation		—		—			18,651			—			—			18,651			—			18,651
Unrealized loss on interest rate swap		—		—			(995	)		—			—			(995	)		—			(995	)
Reclassification adjustment for realized gain on interest rate swap included in net income during the year		—		—			(548	)		—			—			(548	)		—			(548	)
Realized gain on marketable securities		—		—			(729	)		—			—			(729	)		—			(729	)
Comprehensive income		—		—			—			—			—			290,060			1,698			291,758
Net change in noncontrolling interest		—		—			—			—			—			—			29,756			29,756
Dividends to common stockholders - $1.90 per share		—		—			—			(240,789	)		—			(240,789	)		—			(240,789	)
Issuance of common stock		6,727		1,038,986			—			—			—			1,045,713			—			1,045,713
Issuance of common stock for stock plans		106		15,395			—			—			434			15,935			—			15,935
Grant of restricted stock, net of forfeitures		38		443			—			—			(1,060	)		(579	)		—			(579	)
Balance at December 31, 2007		33,416		1,840,823			17,416			(51,560	)		(626	)		1,839,469			31,454			1,870,923
Comprehensive Income:
Net income		—		—			—			222,603			—			222,603			2,684			225,287
Foreign currency translation		—		—			(26,142	)		—			—			(26,142	)		—			(26,142	)
Unrealized loss on interest rate swaps		—		—			(637	)		—			—			(637	)		—			(637	)
Reclassification adjustment for realized loss on interest rate swap included in net income during the year		—		—			1,103			—			—			1,103			—			1,103
Unrealized loss on marketable debt securities		—		—			(12,887	)		—			—			(12,887	)		—			(12,887	)
Other		—		—			58			—			—			58			—			58
Comprehensive income		—		—			—			—			—			184,098			2,684			186,782
Net change in noncontrolling interest		—		—			—			—			—			—			(15,001	)		(15,001	)
Dividends to common stockholders - $2.05 per share		—		—			—			(288,849	)		—			(288,849	)		—			(288,849	)
Issuance of common stock		2,309		406,231			—			—			—			408,540			—			408,540
Issuance of common stock for stock plans		64		15,901			—			—			1,047			17,012			—			17,012
Grant of restricted stock, net of forfeitures		36		1,170			—			—			(878	)		328			—			328
Balance at December 31, 2008		35,825		2,264,125			(21,089	)		(117,806	)		(457	)		2,160,598			19,137			2,179,735
Comprehensive Income:
Net income		—		—			—			266,495			—			266,495			2,865			269,360
Foreign currency translation		—		—			23,552			—			—			23,552			—			23,552
Unrealized gain on marketable debt securities		—		—			17,327			—			—			17,327			—			17,327
Other		—		—			(121	)		—			—	��		(121	)		—			(121	)
Comprehensive income		—		—			—			—			—			307,253			2,865			310,118
Net change in noncontrolling interest		—		334			—			—			—			334			(3,453	)		(3,119	)
Dividends to common stockholders - $2.05 per share		—		—			—			(314,399	)		—			(314,399	)		—			(314,399	)
Issuance of common stock		3,266		295,935			—			—			—			299,201			—			299,201
Issuance of common stock for stock plans		30		12,819			—			—			175			13,024			—			13,024
Grant of restricted stock, net of forfeitures		39		(174	)		—			—			(365	)		(500	)		—			(500	)
Balance at December 31, 2009	$	39,160	$	2,573,039		$	19,669		$	(165,710	)	$	(647	)	$	2,465,511		$	18,549		$	2,484,060

See accompanying notes.

31

VENTAS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

For the Years Ended December 31, 2009, 2008 and 2007

(In thousands)

	2009			2008			2007
Cash flows from operating activities:
Net income	$	269,360		$	225,287		$	280,578
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization (including amounts in discontinued operations)		201,258			235,754			235,045
Amortization of deferred revenue and lease intangibles, net		(6,669	)		(9,344	)		(9,819	)
Other amortization expenses		6,353			3,994			5,894
Stock-based compensation		11,882			9,976			7,493
Straight-lining of rental income		(11,879	)		(14,652	)		(17,311	)
Reversal of contingent liability		—			(23,328	)		—
Loss (gain) on extinguishment of debt		6,080			(168	)		—
Gain on sale of assets (including amounts in discontinued operations)		(67,305	)		(39,026	)		(129,478	)
Net gain on sale of marketable equity securities		—			—			(864	)
Loss on bridge financing		—			—			2,550
Income tax benefit		(1,719	)		(15,885	)		(28,042	)
Provision for loan losses		—			5,994			—
Other		(95	)		614			(1,476	)
Changes in operating assets and liabilities:
(Increase) decrease in other assets		(1,514	)		(3,541	)		47,528
(Decrease) increase in accrued interest		(3,957	)		1,100			(4,906	)
Increase in accounts payable and other liabilities		20,306			3,132			17,408
Net cash provided by operating activities		422,101			379,907			404,600
Cash flows from investing activities:
Net investment in real estate property		(45,715	)		(53,801	)		(1,348,354	)
Proceeds from real estate disposals		58,542			104,183			157,400
Investment in loans receivable		(13,803	)		(108,826	)		—
Purchase of marketable debt securities		—			(63,680	)		—
Proceeds from sale of securities		—			—			7,773
Proceeds from loans receivable		8,028			135			15,803
Proceeds from sale of investments		5,000			—			—
Capital expenditures		(13,798	)		(16,359	)		(8,188	)
Other		—			2,092			374
Net cash used in investing activities		(1,746	)		(136,256	)		(1,175,192	)
Cash flows from financing activities:
Net change in borrowings under revolving credit facilities		(292,873	)		73,366			176,586
Issuance of bridge financing		—			—			1,230,000
Repayment of bridge financing		—			—			(1,230,000	)
Proceeds from debt		365,682			140,262			53,832
Repayment of debt		(525,173	)		(416,896	)		(184,613	)
Debt and preferred stock issuance costs		—			—			(4,300	)
Payment of deferred financing costs		(16,655	)		(3,857	)		(7,856	)
Issuance of common stock, net		299,201			408,540			1,045,713
Cash distribution to preferred stockholders		—			—			(3,449	)
Cash distribution to common stockholders		(314,399	)		(288,849	)		(282,739	)
Contributions from noncontrolling interest		1,211			—			—
Distributions to noncontrolling interest		(9,869	)		(15,732	)		(2,974	)
Other		2,695			7,187			12,475
Net cash (used in) provided by financing activities		(490,180	)		(95,979	)		802,675
Net (decrease) increase in cash and cash equivalents		(69,825	)		147,672			32,083
Effect of foreign currency translation on cash and cash equivalents		410			806			(4,995	)
Cash and cash equivalents at beginning of year		176,812			28,334			1,246
Cash and cash equivalents at end of year	$	107,397		$	176,812		$	28,334

32

VENTAS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS (Continued)

For the Years Ended December 31, 2009, 2008 and 2007

(In thousands)

	2009			2008		2007
Supplemental disclosure of cash flow information:
Interest paid including swap payments and receipts	$	175,298		$	202,360	$	207,478
Supplemental schedule of non-cash activities:
Assets and liabilities assumed from acquisitions:
Real estate investments	$	67,781		$	33,967	$	1,199,787
Utilization of escrow funds held for an Internal Revenue Code Section 1031 exchange		(64,995	)		—		(5,165	)
Other assets acquired		—			1,684		163,030
Debt assumed		—			34,629		970,301
Deferred taxes		—			—		306,225
Noncontrolling interest		2,724			685		32,730
Other liabilities		62			337		48,396
Debt transferred on the sale of assets		38,759			6,917		—

See accompanying notes.

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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 geographically diverse portfolio of seniors housing and healthcare properties in the United States and Canada. As of December 31, 2009, this portfolio consisted of 505 assets: 244 seniors housing communities, 187 skilled nursing facilities, 40 hospitals and 34 medical office buildings (“MOBs”) and other properties in 43 states and two Canadian provinces. With the exception of our seniors housing communities that are managed by Sunrise Senior Living, Inc. (together with its subsidiaries, “Sunrise”) pursuant to long-term management agreements and the majority of our MOBs, we lease our properties to healthcare operating companies under “triple-net” or “absolute net” leases, which require the tenants to pay all property-related expenses. Kindred Healthcare, Inc. (together with its subsidiaries, “Kindred”) leased 197 of our properties and Brookdale Senior Living Inc. (together with its subsidiaries, which include Brookdale Living Communities, Inc. (“Brookdale”) and Alterra Healthcare Corporation (“Alterra”), “Brookdale Senior Living”) leased 84 of our properties as of December 31, 2009. We also had real estate loan investments relating to seniors housing and healthcare companies or properties as of December 31, 2009.

We conduct substantially all of our business through our wholly owned subsidiaries, Ventas Realty, Limited Partnership (“Ventas Realty”), PSLT OP, L.P. and Ventas SSL, Inc. Our primary business consists of acquiring, financing and owning seniors housing and healthcare properties and leasing those properties to third parties or operating those properties through independent third party managers.

Note 2—Accounting Policies

On July 1, 2009, the Financial Accounting Standards Board (“FASB”) launched the Accounting Standards Codification (“ASC”), which changes U.S. generally accepted accounting principles (“GAAP”) from a standards-based model to a topical-based model. The topics are organized by ASC number and are updated with an Accounting Standards Update. The ASC is the single source of nongovernmental authoritative GAAP for interim and annual periods ending after September 15, 2009. The ASC did not have any impact on our Consolidated Financial Statements as it does not change the accounting of or disclosure for transactions, only how GAAP guidance is catalogued and referenced.

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 net earnings are reduced by the portion of net earnings attributable to noncontrolling interests.

We apply FASB guidance for arrangements with variable interest entities (“VIEs”), which requires the identification of entities for which control is achieved through means other than voting rights and the determination of which a business enterprise is the primary beneficiary of the VIE. A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is not sufficient to permit the entity to finance its 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 an 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. Changes to our original assessment of a VIE can occur from events such as the modification of contractual arrangements that affects 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 consider qualitative and quantitative factors when determining whether we are (or are not) the primary beneficiary of a VIE. These factors include, but are not limited to, the form of our ownership interest, our representation on the entity’s governing body, the size and seniority of our investment, various cash flow scenarios related to the VIE, our ability to participate in policy making decisions and the rights of the other investors to participate in the decision making process and to replace us as manager and/or liquidate the venture, if applicable. At December 31, 2009, we did not have any VIEs that we are not consolidating.

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Further, we apply FASB guidance related to investments in joint ventures based on the type of rights held by the limited partner(s) that preclude consolidation in circumstances in which the sole general partner would otherwise consolidate the limited partnership in accordance with GAAP. The assessment of limited partners’ rights and their impact on the presumption of control of the limited partnership by the sole general partner should be made when an investor becomes the sole general partner and should be reassessed 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. This guidance is also applied to managing member interests in limited liability companies.

On January 1, 2009, we adopted FASB guidance which now requires minority interests to be characterized as noncontrolling interests and classified as a component of consolidated equity. The calculation of income and earnings per share continues to be based on income amounts attributable to the parent and is characterized as net income attributable to common stockholders. As the ownership of a controlled subsidiary increases or decreases, any difference between the consideration paid and the adjustment to the noncontrolling interest balance must be recorded as a component of equity in additional paid-in capital, so long as we maintain a controlling ownership interest. As required, all prior year amounts have been reclassified to reflect our adoption of this guidance.

Accounting Estimates

The preparation of financial statements in accordance with GAAP requires us to make estimates and assumptions about 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.

Long-Lived Assets and Intangibles

Investments in real estate assets are recorded at cost. We account for acquisitions using the purchase method and allocate the cost of the properties acquired among tangible and recognized intangible assets and liabilities based upon their estimated fair values as of the acquisition date. Recognized intangibles include the value of acquired lease contracts, management agreements and related customer relationships.

Our method for determining fair value varies with the categorization of the asset or liability acquired. We estimate the fair value of buildings on an as-if-vacant basis and depreciate the building value over the estimated remaining life of the building. We determine the allocated value of other fixed assets based upon the replacement cost and depreciate such value over their estimated remaining useful lives. We determine the value of land either based on real estate tax assessed values in relation to the total value of the asset or on internal analyses of recently acquired and existing comparable properties within our portfolio. The fair value of in-place leases, if any, reflects (i) the estimated value of any above and/or below market leases, determined by discounting the difference between the estimated current market rent and the in-place rentals, the resulting intangible asset or liability of which is amortized to revenue over the remaining life of the associated lease plus any fixed rate renewal periods, if applicable, (ii) the estimated value of the cost to obtain tenants, including tenant allowances, tenant improvements and leasing commissions, which is amortized over the remaining life of the associated lease, and (iii) an estimated value of the absorption period to reflect the value of the rents and recovery costs foregone during a reasonable lease-up period, as if the acquired space was vacant, which is also amortized over the remaining life of the associated lease. We estimate the value of tenant or other customer relationships acquired by considering the nature and extent of existing business relationships with the tenant, growth prospects for developing new business with the tenant, 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 amortize that value over the expected term of the associated arrangements or leases, which includes the remaining lives of the related leases and any expected renewal periods. 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 is approximated based on the rate we estimate we would incur to replace each instrument on the date of acquisition. Any fair value adjustments related to long-term debt are recognized as effective yield adjustments over the remaining term of the instrument.

35

Fixtures and equipment, with a net book value of $68.6 million and $73.3 million at December 31, 2009 and 2008, respectively, is included in net real estate property on our Consolidated Balance Sheets. Depreciation is recorded on the straight-line basis, using estimated useful lives ranging from 20 to 50 years for buildings and improvements and three to ten years for fixtures and equipment. Depreciation is discontinued when a property is identified as held for sale.

Impairment of Long-Lived 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, and 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. An impairment loss is recognized at the time we make any such determination. Future events could occur that would cause us to conclude that impairment indicators exist and an impairment loss is warranted. We did not record any impairment charges for the years ended December 31, 2009, 2008 and 2007.

Assets Held for Sale and Discontinued Operations

Certain long-lived assets are classified as held-for-sale. Long-lived assets to be disposed of are reported at the lower of their carrying amount or their fair value less 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 gain or loss on assets sold or held-for-sale are reflected in our Consolidated Statements of Income as discontinued operations for all periods presented. Interest expense allocated to discontinued operations has been estimated based on a proportional allocation of rental income and identified mortgage interest, or some combination thereof.

Loans Receivable

Loans receivable are stated at the unpaid principal balance net of any deferred origination fees, purchase discounts or premiums and/or valuation allowances. Net deferred origination fees, which are comprised of loan fees collected from the borrower net of certain direct costs, and purchase discounts or premiums are amortized to income over the contractual life of the loan using the effective interest method. We evaluate the collectibility of loans and other amounts receivable from third parties based on a number of factors, including (i) corporate and facility-level financial and operational reports, (ii) compliance with the financial covenants set forth in the applicable loan or lease agreement, (iii) the financial stability of the applicable borrower or tenant and any guarantor, (iv) the payment history of the borrower or tenant, and (v) current economic conditions. Our level of reserves, if any, for loans and other amounts receivable from third parties fluctuates depending upon all of these factors. The valuation allowance for loan losses was $3.7 million and $5.5 million at December 31, 2009 and 2008, respectively. See “Note 6–Loans Receivable.”

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 lenders to provide for future real estate tax and insurance expenditures and tenant improvements related to our operations and properties. Restricted cash represents amounts paid to us for security deposits and other purposes.

36

Deferred Financing Costs

Deferred financing costs are amortized as a component of interest expense over the terms of the related borrowings using a method that approximates a level yield, and are net of accumulated amortization of approximately $29.3 million and $19.8 million at December 31, 2009 and 2008, respectively. Amortized costs of approximately $14.6 million, $7.6 million and $5.9 million were included in interest expense for the years ended December 31, 2009, 2008 and 2007, respectively.

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. These securities are recorded at fair market value, with unrealized gains and losses recorded in stockholders’ equity as a component of accumulated other comprehensive income on our Consolidated Balance Sheets. 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, are reported in income from loans and investments on our Consolidated Statements of Income. During the years ended December 31, 2009, 2008 and 2007, we realized gains related to the sale of various marketable debt and equity securities of $0.2 million, $0 million and $0.9 million, respectively.

Derivative Instruments

From time to time, we may use derivative instruments to protect our future cash flows against the risk of interest rate movements under our variable rate debt agreements and the risk of foreign currency exchange rate movements. Derivative instruments are reported at fair value on our Consolidated Balance Sheets. Changes in the fair value of derivatives are recognized as adjustments to net income if the derivative does not qualify for hedge accounting. If the derivative is deemed to be eligible for hedge accounting, such changes are reported in accumulated other comprehensive income, exclusive of ineffectiveness amounts, which are recognized as adjustments to net income.

In January 2007, we entered into two Canadian call options in conjunction with our agreement to acquire the assets of Sunrise Senior Living Real Estate Investment Trust (“Sunrise REIT”). See “Note 4—Acquisitions.” We paid an aggregate purchase price of $8.5 million for these contracts, which had an aggregate notional call amount of Cdn $750.0 million at a Cdn $1.18 strike price. These contracts were settled on April 26, 2007, the acquisition date, and we received $33.2 million in cash upon settlement. For the year ended December 31, 2007, we recognized gains related to these call option contracts of $24.7 million, which is included in our Consolidated Statements of Income as a foreign currency gain.

Fair Values of Financial Instruments

On January 1, 2008, we adopted FASB guidance which defines fair value and provides direction for measuring fair value and providing the necessary disclosures. This guidance does not require any new fair value measurements, but rather applies to all other accounting pronouncements that require or permit fair value measurements. The adoption did not have a material impact on our Consolidated Financial Statements.

The guidance 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).

37

Level one inputs utilize unadjusted quoted prices in active markets for identical assets or liabilities that the reporting entity has the ability to access. Level two inputs are inputs other than quoted prices included in level one that are observable for the asset or liability, either directly or indirectly. Level two inputs may include quoted prices for similar assets and liabilities in active markets, as well as inputs that are observable for the asset or liability, other than quoted prices, 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 the reporting entity’s own assumptions, as there is little, if any, related market activity. In instances where the determination of the fair value measurement is based on inputs from different levels of the fair value hierarchy, the level within which the entire fair value measurement falls is based on the lowest level input that is significant to the fair value measurement in its entirety. 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.

We determined the valuation of our current investments in marketable securities using level one inputs. Additionally, we determined the valuation allowance for loan losses based on level three inputs. See “Note 6—Loans Receivable.”

On January 1, 2009, we adopted additional FASB guidance related to fair value, which delayed the requirements related to the valuation of nonfinancial assets and liabilities. The adoption did not have a material impact on our Consolidated Financial Statements.

We use the following methods and assumptions in estimating fair value disclosures for financial instruments.

• Cash and cash equivalents: The carrying amount of unrestricted cash and cash equivalents reported in our Consolidated Balance Sheets approximates fair value because of the short maturity of these instruments.

• Loans receivable: The fair value of loans receivable is estimated by discounting the future cash flows using current interest rates at which similar loans would be made to borrowers with similar credit ratings and for the same remaining maturities. See “—Loans Receivable” above regarding valuation allowances for loan losses.

• Marketable debt securities: The fair value of marketable debt securities is estimated using quoted prices in active markets for identical assets or liabilities that we have the ability to access.

• Senior notes payable and other debt: The fair values of borrowings are estimated by discounting the future cash flows using current interest rates at which similar borrowings could be made by us.

In April 2009, the FASB issued guidance relating to the recognition and presentation of other-than-temporary impairments, which requires entities to separate an other-than-temporary impairment of a fixed maturity security into two components when (i) there are credit losses associated with the security that management asserts that it does not have an intent to sell and (ii) it is more likely than not that the entity will not be required to sell the security before recovery of its cost basis. The amount of the other-than-temporary impairment related to a credit loss is recognized in earnings, and the amount of the other-than-temporary impairment related to other factors is recorded in other comprehensive loss. The guidance is effective for periods ending after June 15, 2009, with early adoption permitted for periods ending after March 15, 2009. We elected to adopt this guidance during the second quarter of 2009. The adoption did not have a material impact on our Consolidated Financial Statements.

In April 2009, the FASB issued additional guidance relating to fair value determinations. The guidance provides that if an entity determines there has been a significant decrease in the volume and level of activity for an asset or liability in relation 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 the transaction for the asset or liability is not orderly, the entity shall place little, if any, weight on that transaction price as an indicator of fair value. The guidance is effective for periods ending after June 15, 2009, with early adoption permitted for periods ending after March 15, 2009. We elected to adopt this guidance effective January 1, 2009. The adoption did not have a material impact on our Consolidated Financial Statements.

In April 2009, the FASB issued guidance relating to the disclosure of fair value information in interim and annual financial statements. This guidance is effective for periods ending after June 15, 2009, with early adoption permitted for periods ending after March 15, 2009. We adopted this guidance during the second quarter of 2009. The adoption did not have any effect on our Consolidated Financial Statements.

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Revenue Recognition

Certain of our leases, including the majority of our leases with Brookdale Senior Living, provide for periodic and determinable increases in base rent. Base rental revenues under these leases are recognized on a straight-line basis over the terms of the applicable lease. Income on our straight-line revenue is recognized when collectibility is reasonably assured, and in the event we determine that collectibility of straight-line revenue is not reasonably assured, we establish an allowance for estimated losses. Recognizing rental income on a straight-line basis results in recognized revenue exceeding cash amounts contractually due from our tenants during the first half of the term for leases that have straight-line treatment. The cumulative excess is included in other assets, net of allowances, on our Consolidated Balance Sheets and totaled $78.4 million and $68.2 million at December 31, 2009 and 2008, respectively.

Our master lease agreements with Kindred (the “Kindred Master Leases”) and certain of our other leases provide for an annual increase in rental payments only if certain revenue parameters or other substantive contingencies are met. We recognize the increased rental revenue under these leases only if the revenue parameters or other substantive contingencies are met, rather than on a straight-line basis over the term of the applicable lease. We recognize income from rent, lease termination fees and all other income when all of the following criteria are met in accordance with the Securities and Exchange Commission (the “Commission”) Staff Accounting Bulletin 104: (i) the 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.

We recognize resident fees and services, other than move-in fees, monthly as services are provided. Move-in fees, a component of resident fees and services, are recognized on a straight-line basis over the term of the applicable lease agreement. Lease agreements with residents generally have a term of one year and are cancelable by the resident with 30 days’ notice.

Stock-Based Compensation

We account for stock-based compensation in accordance with FASB guidance requiring all share-based payments to employees, including grants of employee stock options, to be recognized in our Consolidated Statements of Income on a straight-line basis as the requisite service periods are rendered based on their grant date fair values.

Gain on Sale of Assets

We recognize sales of assets only upon the closing of the transaction with the purchaser. Payments received from purchasers prior to closing are recorded as deposits and classified as other assets on our Consolidated Balance Sheets. We recognize gains on assets sold using the full accrual method upon closing when 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 buyer, and other profit recognition criteria have been satisfied. Gains may be deferred in whole or in part until the sales satisfy the following requirements of gain recognition: (i) the profit is determinable, meaning that the collectability 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

Since we have elected to be treated as a REIT under the applicable provisions of the Internal Revenue Code of 1986, as amended (the “Code”), we make no provision for REIT income and expense, other than for certain unrecognized tax benefit items. However, we record income tax expense or benefit with respect to certain of our entities which are taxed as “taxable REIT subsidiaries” under provisions similar to those applicable to regular corporations.

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Deferred income taxes are accounted for using the asset and liability method. Deferred tax assets and liabilities are recognized 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. An increase or decrease in the deferred tax liability that results from a change in circumstances, and which causes a change in our judgment about expected future tax consequences of events, would be included in the tax provision when the changes in circumstances and our judgment occurs. 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. An increase or decrease in the valuation allowance that results from a change in circumstances, and which causes a change in our judgment about the realizability of the related deferred tax asset, would be included in the tax provision when the changes in circumstances and our judgment occurs.

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, whereas balance sheet accounts are translated using exchange rates in effect at the end of the period. Resulting currency translation adjustments are recorded in accumulated other comprehensive income, a component of stockholders’ equity, in our Consolidated Balance Sheets. Transaction gains and losses are recorded in our Consolidated Statements of Income.

Segment Reporting

Beginning in the third quarter of 2010, we operate through three reportable business segments: triple-net leased properties, senior living operations and MOB operations. Our triple-net leased properties segment consists of acquiring, financing and owning seniors housing and healthcare properties in the United States and leasing those properties to healthcare operating companies under “triple-net” or “absolute-net” leases, which require the tenants to pay all property-related expenses. Our senior living operations segment consists of investments in seniors housing communities located in the United States and Canada for which we engage independent third parties, such as Sunrise, to manage the operations. Our MOB operations segment primarily consists of acquiring, owning, developing, leasing and managing MOBs.

As of December 31, 2009, we operated through two reportable business segments: triple-net leased properties and senior living operations. We acquired the senior living operations segment on April 26, 2007, pursuant to the purchase of the Sunrise REIT properties. With the addition of these properties, we believed segment differentiation would be appropriate based on the different economic and legal structures used to acquire and own those assets. Prior to the acquisition, we operated through one reportable segment – investment in real estate – which included the triple-net leased properties and our MOBs. Due to our limited operation of and allocation of capital to the MOBs, we separated them from the triple-net leased properties segment during 2007 and included them in “All Other”.

On July 1, 2010, we completed the acquisition of businesses owned and operated by Lillibridge Healthcare Services, Inc. (“Lillibridge”) and its related entities and their real estate interests in 96 MOBs and ambulatory facilities. With the addition of these properties, we believed the segregation of our MOB operations into its own reporting segment would be useful in assessing the performance of this portion of our business in the same way that management intends to review our performance and make operating decisions. See “Note 18—Segment Information.”

Business Combinations

On January 1, 2009, we adopted FASB guidance related to business combinations, which requires the acquiring entity in a business combination to measure the assets acquired, liabilities assumed (including contingencies) and any noncontrolling interests at their fair values on the acquisition date. The guidance also requires that acquisition-related transaction costs be expensed as incurred, acquired research and development value be capitalized and acquisition-related restructuring costs be capitalized only if they meet certain criteria. This guidance did not have a material impact on our Consolidated Financial Statements at the time of adoption. Beginning January 1, 2009, we began expensing acquisition-related transaction costs as incurred. These costs are included in merger-related expenses and deal costs on our Consolidated Statement of Income for the year ended December 31, 2009.

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Convertible Debt Instruments

On January 1, 2009, we adopted FASB guidance relating to convertible debt instruments that may be settled in cash upon conversion. The guidance specifies that issuers of convertible debt instruments that may be settled in cash upon conversion (including partial cash settlement) should separately account for the liability and equity components in a manner that will reflect the entity’s nonconvertible debt borrowing rate when interest cost is recognized in subsequent periods. Our nonconvertible debt borrowing rate at the time our convertible senior notes were issued was 6 ¹/8%. As required, all prior year amounts have been restated to reflect our adoption of this guidance. As a result of the adoption, interest expense increased and net income decreased by $3.9 million ($0.03 per diluted share), $3.7 million ($0.03 per diluted share) and $3.4 million ($0.03 per diluted share) for the years ended December 31, 2009, 2008 and 2007, respectively, and total equity increased by $12.1 million at December 31, 2008, which includes the calculated equity component of $19.5 million. As of December 31, 2009, the remaining unamortized liability component was $220.9 million.

Subsequent Events

In May 2009, the FASB issued guidance relating to subsequent events, which establishes general standards of accounting for and disclosure of events or transactions that occur after the balance sheet date but before financial statements are issued or are available to be issued. The guidance sets forth the period after the balance sheet date during which management should evaluate events or transactions that may occur for potential recognition or disclosure in the financial statements and the circumstances under which an entity should recognize events or transactions occurring after the balance sheet date in its financial statements. We are required to disclose the date through which we have evaluated subsequent events and transactions and the basis for that date. We adopted this guidance during the second quarter of 2009. The adoption did not have any effect on our Consolidated Financial Statements. We have evaluated disclosure of subsequent events and transactions through the time of filing on February 19, 2010 for this Annual Report on Form 10-K.

Recently Adopted Accounting Standards

On January 1, 2010, we adopted FASB guidance related to variable interest accounting. The guidance requires an enterprise to analyze whether its variable interest gives it a controlling financial interest in a variable interest entity. This analysis identifies the primary beneficiary of a variable interest entity as the enterprise that has both of the following characteristics: (i) the power to direct the activities of the variable interest entity that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or receive benefits of the variable interest entity that could potentially be significant to the entity. The guidance requires an enterprise to perform this analysis on an ongoing basis and requires additional disclosures about an enterprise’s involvement in variable interest entities. We do not believe the adoption of this guidance will impact our Consolidated Financial Statements.

Reclassifications

Certain prior year amounts have been reclassified to conform to the current year presentation.

Note 3—Concentration of Credit Risk

As of December 31, 2009, approximately 38.9%, 21.8% and 14.1% of our properties, based on the gross book value of real estate investments (including assets held for sale), were managed or operated by Sunrise, Brookdale Senior Living and Kindred, respectively. Seniors housing communities and skilled nursing facilities constituted approximately 74.1% and 12.6%, respectively, of our portfolio, based on the gross book value of real estate investments (including assets held for sale), as of December 31, 2009, with the remaining properties consisting of hospitals, MOBs and other healthcare assets. These properties were located in 43 states, with properties in only two states accounting for more than 10% of our total revenues (including amounts in discontinued operations related to properties held for sale at December 31, 2009) during the year ended December 31, 2009, and two Canadian provinces. Properties in two states accounted for more than 10% of our total revenues (including amounts in discontinued operations) for the years ended December 31, 2008 and 2007, respectively.

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Approximately 26.2%, 25.5% and 30.8% of our total revenues and 38.5%, 38.0% and 41.5% of our total NOI (net operating income) (including amounts in discontinued operations) for the years ended December 31, 2009, 2008 and 2007, respectively, were derived from our four Kindred Master Leases. Approximately 12.9%, 12.8% and 15.7% of our total revenues and 19.1%, 19.2% and 21.2% of our total NOI (including amounts in discontinued operations) for the years ended December 31, 2009, 2008 and 2007, respectively, 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 pursuant to which the tenant is required to pay all insurance, taxes, utilities and maintenance and repairs related to the properties. In addition, the tenants are required to comply with the terms of the mortgage financing documents, if any, affecting the properties.

The following table sets forth the future contracted minimum rentals, excluding contingent rent escalations, but with straight-line rents where applicable, for all of our triple-net leases. (This table has not been updated to reflect discontinued operations treatment for all properties sold or reflected as held for sale during the first nine months of 2010.)

	Kindred		Brookdale Senior Living		Other		Total
	(In thousands)
2010	$	246,393	$	121,547	$	104,467	$	472,407
2011		252,773		121,554		106,446		480,773
2012		259,320		121,562		108,462		489,344
2013		179,915		121,569		108,366		409,850
2014		141,519		121,577		109,148		372,244
Thereafter		47,574		505,229		583,009		1,135,812
Total	$	1,127,494	$	1,113,038	$	1,119,898	$	3,360,430

In view of the fact that Kindred and Brookdale Senior Living lease a substantial portion of our triple-net leased properties and are each a significant source of our revenues and operating income, their financial condition and ability and willingness to satisfy their obligations under their respective leases and other agreements with us, as well as their willingness to renew those leases upon expiration of the terms thereof, have a considerable impact on our results of operations and our ability to service our indebtedness and to make distributions to our stockholders. We cannot assure you that Kindred or Brookdale Senior Living will have sufficient assets, income and access to financing to enable it to satisfy its obligations under its respective leases and other agreements with us, and any inability or unwillingness on its part to do so would have a material adverse effect on our business, financial condition, results of operations and liquidity, on our ability to service our indebtedness and on 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 Kindred or Brookdale Senior Living will elect to renew its respective leases with us upon expiration of the initial base terms or any renewal terms thereof.

For the years ended December 31, 2009 and 2008, senior living operations managed by Sunrise accounted for approximately 44.7% and 45.4% of our total revenues and 18.5% and 20.0% of our total EBITDA (earnings before interest, taxes, depreciation and amortization) (including amounts in discontinued operations), respectively. Approximately 36.2% of our total revenues and 13.8% of our total EBITDA (including amounts in discontinued operations) for the year ended December 31, 2007 were attributable to senior living operations managed by Sunrise for the period from April 26, 2007 (the date of the Sunrise REIT acquisition) through December 31, 2007.

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Unlike Kindred and Brookdale Senior Living, Sunrise does not lease properties from us, but rather acts as a property manager for all of our senior living operations. Therefore, while we are not directly exposed to credit risk with Sunrise, Sunrise’s inability to efficiently and effectively manage our properties and to provide timely and accurate accounting information with respect thereto could have a Material Adverse Effect on us. Although we have various rights as owner under the Sunrise management agreements, we rely on Sunrise’s personnel, good faith, expertise, historical performance, technical resources and information systems, proprietary information and judgment to manage our seniors housing communities efficiently and effectively. We also rely on Sunrise to set resident fees and otherwise operate those properties pursuant to our management agreements. Any adverse developments in Sunrise’s business and affairs or financial condition, including without limitation, the acceleration of its indebtedness, the inability to renew or extend its revolving credit facility, the enforcement of default remedies by its counterparties, or the commencement of insolvency proceedings under the U.S. Bankruptcy Code by or against Sunrise could have a Material Adverse Effect on us.

Each of Kindred, Brookdale Senior Living and Sunrise is subject to the reporting requirements of the Commission and is required to file with the Commission annual reports containing audited financial information and quarterly reports containing unaudited financial information. The information related to Kindred, Brookdale Senior Living and Sunrise contained or referred to in this Annual Report on Form 10-K is derived from filings made by Kindred, Brookdale Senior Living or Sunrise, as the case may be, with the Commission or other publicly available information, or has been provided to us by Kindred, Brookdale Senior Living or Sunrise. We have not verified this information either through an independent investigation or by reviewing Kindred’s, Brookdale Senior Living’s or Sunrise’s public filings. We have no reason to believe that this information is inaccurate in any material respect, but we cannot assure you that all of this information is accurate. Kindred’s, Brookdale Senior Living’s and Sunrise’s filings with the Commission can be found at the Commission’s website at www.sec.gov. We are providing this data for informational purposes only, and you are encouraged to obtain Kindred’s, Brookdale Senior Living’s and Sunrise’s publicly available filings from the Commission.

Note 4—Acquisitions of Real Estate Property

The following summarizes our acquisitions in 2009, 2008 and 2007. We completed these acquisitions primarily to invest in additional seniors housing and healthcare properties and achieve an expected yield on investment, as well as to diversify our portfolio and revenue base and reduce our dependence on any single operator, geography or asset type for our revenue.

2009 Acquisitions

We purchased four MOBs for an aggregate purchase price of $77.7 million, including $1.7 million of noncontrolling interest, increasing our MOB investments to over 1.7 million square feet. We own one of these MOBs through a joint venture, which we consolidate, with a partner that provides management and leasing services for the property. The purchase price was allocated between building and improvements, tenant improvements and lease intangibles of $60.9 million, $11.1 million and $5.7 million, respectively. Additionally, in 2009, we purchased one skilled nursing facility for $10.0 million and leased it to Brookdale Senior Living. The purchase price was allocated between land of $0.7 million and building and improvements of $9.3 million.

We also completed the development of two MOBs pursuant to an arrangement we entered into with a nationally recognized private developer of MOBs and healthcare facilities in 2008. That arrangement gave us the exclusive right, as part of a joint venture, to develop up to ten identified MOBs on hospital campuses in eight states. As of December 31, 2009, we had invested approximately $35.6 million, including $1.4 million of noncontrolling interest, in two MOBs under the arrangement, both of which we consolidate. The investment was allocated between land, building and improvements and tenant improvements of $1.4 million, $25.5 million and $8.7 million, respectively.

2008 Acquisitions

We acquired a 47-unit seniors housing community located in Texas for $5.1 million, which is currently being leased to an affiliate of Capital Senior Living Corporation. The purchase price was allocated to building and improvements based upon estimated fair value.

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We acquired three MOBs for an aggregate purchase price of $66.8 million, inclusive of assumed debt of $34.6 million at the time of the acquisitions. The purchase price was allocated between land, building and improvements, tenant improvements and lease intangibles of $4.6 million, $59.1 million, $3.0 million and $0.1 million, respectively, based upon their estimated fair values. One of these MOBs is owned through a joint venture, which we consolidate, with a partner that provides management and leasing services for the property.

As of December 31, 2008, we had invested approximately $8.7 million in the two MOBs that were both under development pursuant to our exclusive joint venture arrangement described above.

Sunrise REIT Acquisition

In 2007, we acquired from Sunrise REIT a portfolio of 77 communities managed by Sunrise for approximately $2.0 billion, including assumed debt. We acquired a 100% ownership interest in eighteen seniors housing communities and a 75% to 85% ownership interest in 59 additional seniors housing communities, with the noncontrolling interest in those 59 communities being owned by affiliates of Sunrise. Of these 77 communities, 66 are located in metropolitan areas of nineteen U.S. states and eleven are located in the Canadian provinces of Ontario and British Columbia.

We funded the Sunrise REIT acquisition through $530.0 million of borrowings under a senior interim loan, an equity-backed facility providing for the issuance of 700,000 shares of our Series A Senior Preferred Stock, with a liquidation preference of $1,000 per share, and the assumption of $861.1 million of existing mortgage debt. In May 2007, we completed the sale of 26,910,000 shares of our common stock in an underwritten public offering and used the net proceeds from the sale ($1.05 billion), along with the proceeds of the disposition of certain of our Kindred assets (see “Note 5—Dispositions”) and borrowings under our unsecured revolving credit facility, to redeem all of our Series A Senior Preferred Stock and to repay our indebtedness under the senior interim loan. For the year ended December 31, 2007, we expensed $5.2 million of preferred stock dividends and issuance costs related to the Series A Senior Preferred Stock and $5.0 million of fees and interest associated with the senior interim loan (the latter of which is included in interest expense in our Consolidated Statements of Income for the year ended December 31, 2007).

Later in 2007, we acquired 80% ownership interests in two additional seniors housing communities, one located in Staten Island, New York for approximately $25.5 million, inclusive of our share of assumed debt of $15.3 million, and one in Vaughan, Ontario for approximately Cdn $43.6 million, inclusive of our share of assumed construction debt of Cdn $23.3 million. The joint venture for the Vaughan, Ontario property has the ability to borrow an additional Cdn $5.8 million under the existing construction loan for capital improvements.

We incurred certain merger-related expenses in connection with the Sunrise REIT acquisition during the years ended December 31, 2009, 2008 and 2007, respectively. Merger-related expenses include incremental costs directly related to the acquisition and expenses relating to our litigation with HCP, Inc. (“HCP”) (see “Note 14—Litigation”).

Other 2007 Acquisitions

We acquired two seniors housing communities for an aggregate purchase price of $18.5 million, inclusive of assumed debt of $9.0 million at the time of the acquisition. The purchase price was allocated between land and buildings and improvements of $0.7 million and $17.8 million, respectively, based upon their estimated fair values. These properties are being leased to affiliates of Senior Care, Inc. (“Senior Care”).

We acquired eight MOBs, in seven separate transactions, for an aggregate purchase price of $150.5 million, inclusive of assumed debt of $21.5 million at the time of the acquisitions. The purchase price was allocated between land and buildings and improvements of $7.6 million and $142.9 million, respectively, based upon their estimated fair values. Two of these MOBs are currently owned through joint ventures, which we consolidate, with two different partners that provide management and leasing services for the properties.

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Note 5—Dispositions

We present separately, as discontinued operations, in all periods presented the results of operations for all assets held for sale or disposed of during the three-year period ended December 31, 2009.

2010 Dispositions and Assets Held for Sale

During the third quarter of 2010, we classified the operations of one seniors housing community as held for sale. We expect to record a gain from the sale of this asset during the fourth quarter of 2010 of approximately $12.3 million. The operations for this asset have been reported as discontinued operations for all periods presented.

In September 2010, we sold one seniors housing community for approximately $2.6 million. We recognized a gain from the sale of this asset of less than $0.1 million during the third quarter of 2010. The operations for this asset have been reported as discontinued operations for all periods presented.

In June 2010, we sold four seniors housing communities for approximately $22.5 million, including a lease termination fee of $0.2 million. We recognized a gain from the sale of these assets of $4.9 million during the second quarter of 2010. The operations for these assets have been reported as discontinued operations for all periods presented.

In February 2010, we sold one seniors housing community for approximately $2.5 million. The net book value of this asset, $2.4 million, was reflected as held for sale as of December 31, 2009. We recognized a gain from the sale of this asset of $0.1 million in the first quarter of 2010. The operations for this asset have been reported as discontinued operations for all periods presented.

2009 Dispositions

In June 2009, we sold six skilled nursing facilities to Kindred for total consideration of $58.0 million, consisting of a $55.7 million aggregate sale price and a $2.3 million lease termination fee. The proceeds from the sale were held in a Code Section 1031 exchange escrow account with a qualified intermediary and used for our acquisition of three MOBs in December 2009. Cash rent for these assets for the May 1, 2008 to April 30, 2009 lease year was approximately $5.6 million. We recognized a gain from the sale of these assets of $39.3 million in the second quarter of 2009.

During 2009, we also sold five seniors housing communities, one hospital, one MOB and one other property to the existing tenants for an aggregate sale price of $96.2 million and transferred related debt of $38.8 million. We recognized a net gain from the sales of these assets of $27.5 million in 2009.

2008 Dispositions

In December 2008, we sold five seniors housing communities to the existing tenant for an aggregate sale price of $62.5 million. We realized a gain from the sale of these assets of $21.5 million in the fourth quarter of 2008, $8.3 million of which was deferred due to a $10.0 million loan we made to the buyer in conjunction with the sale and will be recognized over a period of three years from the date of the sale. We recognized $0.5 million of the gain during the year ended December 31, 2009. See “Note 6–Loans Receivable.”

In April 2008, we sold seven properties for an aggregate sale price of $69.1 million. We recognized a gain from the sale of these assets of $25.9 million in the second quarter of 2008. In addition, we received a lease termination fee from the tenant of $1.6 million.

2007 Dispositions

In June 2007, we completed the sale of 22 properties to Kindred for $171.5 million in net cash proceeds. Of these net proceeds, $14.1 million was held in a Code Section 1031 exchange escrow account with a qualified intermediary and subsequently used in the second half of 2007 for other acquisitions. See “Note 4—Acquisitions.” In addition, Kindred paid us a lease termination fee of $3.5 million. We recognized a gain on the sale of assets of $129.5 million during the year ended December 31, 2007.

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Set forth below is a summary of the results of operations of properties sold or held for sale during the three months ended March 31, 2010 and the years ended December 31, 2009, 2008 and 2007, all of which were included in our triple-net leased properties segment, with the exception of one MOB sold during the first quarter of 2009 (previously included in all other for segment reporting purposes):

	2009		2008		2007
	(In thousands)
Revenues:
Rental income	$	8,120	$	24,584	$	35,232
Interest and other income		2,423		1,700		3,655
		10,543		26,284		38,887
Expenses:
Interest		2,746		10,508		15,019
Depreciation and amortization		1,727		6,253		9,907
		4,473		16,761		24,926
Income before gain on sale of real estate assets		6,070		9,523		13,961
Gain on sale of real estate assets		67,305		39,026		129,478
Discontinued operations	$	73,375	$	48,549	$	143,439

Note 6—Loans Receivable

As of December 31, 2009, we had $131.9 million of net loans receivable relating to seniors housing and healthcare companies or properties.

In June 2008, we purchased $112.5 million principal amount of first mortgage debt issued by a national provider of healthcare services, primarily skilled nursing care. We purchased this debt at a discount for $98.8 million, resulting in an effective interest rate to maturity of LIBOR plus 533 basis points. Interest on the loan is payable monthly at an annual rate of LIBOR plus 125 basis points, and the loan matures in January 2012, but may be extended for one year, at the borrower’s option, subject to certain conditions.

In 2008, we received a $10.0 million three-year note issued to us as partial consideration for five assets we sold in December 2008.

In 2005, we made three first mortgage loans (the “Sunwest Loans”) in the aggregate principal amount of $20 million to affiliates of Sunwest Management, Inc. (“Sunwest”). The Sunwest Loans originally accrued interest at a non-default annual rate of 9% and were secured by four seniors housing communities and guaranteed by Sunwest and two of its principals. During 2008, the borrowers defaulted on their obligations under the Sunwest Loans, and we initiated foreclosure actions on the four secured assets. Due to the unfavorable capital markets and economic environment at that time, we recorded a provision for loan losses on the Sunwest Loans of $6.0 million. In September 2009, we completed the non-judicial foreclosure of a seniors housing asset related to one of the Sunwest Loans and immediately sold the property to an affiliate of one of our existing tenants for approximately $6.3 million. In connection with the sale, we provided $5.0 million of first mortgage financing to the purchaser, secured by, among other things, the property, and received cash consideration of $1.2 million after expenses. We recorded no gain or loss from this transaction. The loan matures in September 2012, bears interest at a variable rate of 30-day LIBOR plus 6.5% per annum and is guaranteed by our tenant. In December 2009, we obtained ownership through judicial foreclosure of another seniors housing asset related to another Sunwest Loan, which had a carrying amount of $1.1 million. Operations from this property will be consolidated into our consolidated financial statements beginning in 2010. The net carrying value of the remaining Sunwest Loan, secured by two seniors housing assets, as of December 31, 2009 was $7.9 million.

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As of December 31, 2009, the remainder of our loans receivable consisted of a $6.5 million first mortgage loan receivable originated under our sourcing and services agreement with a third party to acquire or originate a diversified pool of mortgage loans secured by stable, cash flowing seniors housing and MOB assets. Subsequent to December 31, 2009, we acquired another $15.8 million in first mortgage investments identified by such third party under the sourcing and services agreement.

Note 7—Intangibles

At December 31, 2009, intangible lease assets, comprised of above market resident leases, in-place resident leases and other intangibles, were $10.5 million, $96.3 million and $2.5 million, respectively. At December 31, 2008, these intangible lease assets were $7.4 million, $88.6 million and $2.2 million, respectively. At December 31, 2009 and 2008, the accumulated amortization of the intangible assets was $92.6 and $89.2 million, respectively. The weighted average amortization period of our lease-related intangible assets at December 31, 2009 was approximately 8.0 years.

At December 31, 2009 and 2008, intangible lease liabilities, comprised of below market resident leases, were $15.1 million and $12.2 million, respectively. At December 31, 2009 and 2008, the accumulated amortization of the intangible liabilities was $10.8 million and $10.0 million, respectively. The weighted average amortization period of intangible liabilities at December 31, 2009 was approximately 8.3 years.

Note 8—Borrowing Arrangements

The following is a summary of our long-term debt and certain interest rate and maturity information as of December 31, 2009 and 2008:

	2009			2008
	(In thousands)
Unsecured revolving credit facilities	$	8,466		$	300,207
8 3/4% Senior Notes due 2009		—			49,807
6 3/4% Senior Notes due 2010		1,375			122,980
3 7/8% Convertible Senior Notes due 2011		230,000			230,000
9% Senior Notes due 2012		82,433			191,821
6 5/8% Senior Notes due 2014		71,654			175,000
7 1/8% Senior Notes due 2015		142,669			170,000
6 1/2% Senior Notes due 2016		400,000			200,000
6 3/4% Senior Notes due 2017		225,000			225,000
Mortgage loans and other		1,540,064			1,474,325
Total		2,701,661			3,139,140
Unamortized fair value adjustment		11,642			14,256
Unamortized commission fees and discounts		(43,202	)		(16,398	)
Senior notes payable and other debt	$	2,670,101		$	3,136,998

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Unsecured Revolving Credit Facilities

Our aggregate borrowing capacity under the unsecured revolving credit facilities is $1.0 billion, of which $800.0 million matures on April 26, 2012 and $200.0 million matures on April 26, 2010. Borrowings under our unsecured revolving credit facilities bear interest at a fluctuating rate per annum (based on U.S. or Canadian LIBOR, Canadian Bankers’ Acceptance rate, or the U.S. or Canadian Prime rate) plus an applicable percentage based on our consolidated leverage. At December 31, 2009, the applicable percentage was 0.75% for 2010 maturities and 2.80% for 2012 maturities. Our unsecured revolving credit facilities have a 20 basis point facility fee. At December 31, 2009, we had $8.5 million outstanding under our unsecured revolving credit facilities and approximately $988.4 million of availability.

Convertible Senior Notes

As of December 31, 2009, we had $230.0 million aggregate principal amount of our 3 ⁷/8% convertible notes due 2011 outstanding. The convertible notes are convertible at the option of the holder (i) prior to September 15, 2011, upon the occurrence of specified events and (ii) on or after September 11, 2011, at any time prior to the close of business on the second business day prior to the stated maturity (December 1, 2011), in each case into cash up to the principal amount of the convertible notes and cash or shares of our common stock, at our election, in respect of any conversion value in excess of the principal amount at the current conversion rate of 22.9457 shares per $1,000 principal amount of notes (which equates to a conversion price of approximately $43.58 per share). The conversion rate is subject to adjustment in certain circumstances, including the payment of a quarterly dividend in excess of $0.395 per share. To the extent the market price of our common stock exceeds the conversion price, our earnings per share will be diluted. The convertible notes had a minimal dilutive impact per share for the year ended December 31, 2009. See “Note 13–Earnings Per Share.”

The convertible notes are unconditionally guaranteed, jointly and severally, on a senior unsecured basis by Ventas Realty and by certain of our other direct and indirect subsidiaries. The convertible notes are part of our and the guarantors’ general unsecured obligations, ranking equal in right of payment with all of our and the guarantors’ existing and future senior obligations and ranking senior to all of our and the guarantors’ existing and future subordinated indebtedness. However, the convertible notes are effectively subordinated to our and the guarantors’ secured indebtedness, if any, to the extent of the value of the assets securing that indebtedness. The convertible notes are also structurally subordinated to preferred equity and indebtedness, whether secured or unsecured, of our subsidiaries that do not guarantee the convertible notes.

We may not redeem the convertible notes prior to maturity except to the extent necessary to preserve our status as a REIT.

If we experience certain kinds of changes of control, holders may require us to repurchase all or a portion of their convertible notes for cash at a purchase price equal to 100% of the principal amount of the convertible notes to be repurchased, plus any accrued and unpaid interest to the date of purchase.

Senior Notes

As of December 31, 2009, we had $1.2 billion aggregate principal amount of senior notes issued by our subsidiaries, Ventas Realty and Ventas Capital Corporation (collectively, the “Issuers”) outstanding. We issued $200.0 million principal amount of each of our senior notes due 2016 and senior notes due 2017 at initial discounts to par value of ¹/2% and ⁵/8%, respectively. We issued $50.0 million principal amount of our senior notes due 2014 at a 1% discount to par value.

During 2009, we issued and sold another $200.0 million aggregate principal amount of senior notes due 2016 at a 15 ³/4% discount to par value, for total proceeds of $168.5 million, before the underwriting discount and expenses. We also repaid in full, at par, $49.8 million principal amount of our senior notes due 2009 at maturity on May 1, 2009, and purchased in open market transactions and/or through cash tender offers $361.6 million of our senior notes composed of: $121.6 million principal amount of our outstanding senior notes due 2010; $109.4 million principal amount of our outstanding senior notes due 2012; $103.3 million principal amount of our outstanding senior notes due 2014; and $27.3 million principal amount of our outstanding senior notes due 2015. We recognized a net loss on extinguishment of debt of $6.1 million related to these purchases.

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During 2008, we purchased $124.4 million principal amount of senior notes due 2009 and $52.0 million principal amount of senior notes due 2010 in open market transactions and reported a net gain on extinguishment of debt of $2.5 million.

The senior notes are unconditionally guaranteed, jointly and severally, on a senior unsecured basis by us and by certain of our direct and indirect subsidiaries. The senior notes are part of our and the guarantors’ general unsecured obligations, ranking equal in right of payment with all of our and the guarantors’ existing and future senior obligations and ranking senior to all of our and the guarantors’ existing and future subordinated indebtedness. However, the senior notes are effectively subordinated to our and the guarantors’ secured indebtedness, if any, to the extent of the value of the assets securing that indebtedness. The senior notes are also structurally subordinated to the preferred equity and indebtedness, whether secured or unsecured, of our subsidiaries that do not guarantee the senior notes.

The Issuers may redeem each series of senior notes, in whole at any time or in part from time to time, prior to maturity at varying redemption prices set forth in the applicable indenture, plus, in each case, accrued and unpaid interest thereon to the redemption date. In addition, at certain times, the Issuers may redeem up to 35% of the aggregate principal amount of each series of senior notes with the net cash proceeds from certain equity offerings at the redemption price set forth in the applicable indenture, plus accrued and unpaid interest thereon to the redemption date.

If we experience certain kinds of changes of control, the Issuers must make an offer to repurchase the senior notes, in whole or in part, at a purchase price in cash equal to 101% of the principal amount of the senior notes, plus any accrued and unpaid interest to the date of purchase; provided, however, that in the event Moody’s Investors Service (“Moody’s”) and Standard & Poor’s Ratings Services (“S&P”) have confirmed their ratings at Ba3 or higher and BB- or higher on the senior notes and certain other conditions are met, this repurchase obligation will not apply.

Mortgages

At December 31, 2009, we had outstanding 121 mortgage loans totaling $1.5 billion that are collateralized by the underlying properties. The loans generally bear interest at fixed rates ranging from 5.1% to 8.5% per annum, except for twelve loans having aggregate outstanding principal balances totaling $216.0 million which bear interest at the lender’s variable rates ranging from 1.0% to 4.5% per annum as of December 31, 2009. At December 31, 2009, the weighted average annual rate on our fixed rate mortgage loans was 6.3%, and the weighted average annual rate on our variable rate mortgage loans was 2.1%. Our mortgage loans had a weighted average maturity of 5.3 years as of December 31, 2009.

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Scheduled Maturities of Borrowing Arrangements and Other Provisions

As of December 31, 2009, our indebtedness had the following maturities:

	Principal Amount Due at Maturity		Unsecured Revolving Credit Facilities (1)		Scheduled Periodic Amortization		Total Maturities
	(In thousands)
2010	$	175,134	$	—	$	27,848	$	202,982
2011		301,127		—		26,379		327,506
2012		388,937		8,466		22,824		420,227
2013		150,962		—		17,294		168,256
2014		109,137		—		15,084		124,221
Thereafter		1,399,020		—		59,449		1,458,469
Total maturities	$	2,524,317	$	8,466	$	168,878	$	2,701,661

(1) On December 31, 2009, we had $107.4 million of unrestricted cash and cash equivalents, for cash available of $98.9 million, net of amounts outstanding on our unsecured revolving credit facilities.

As of December 31, 2009, our joint venture partners’ share of total debt was $159.0 million.

The instruments governing our senior notes and certain other 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; (iv) merge, consolidate or transfer certain assets; and (v) sell assets. At any time we maintain investment grade ratings by both Moody’s and S&P, the indentures governing our senior notes provide that certain of these restrictive covenants will either be suspended or fall away. We and certain of our subsidiaries are also required to maintain total unencumbered assets of at least 150% of this group’s unsecured debt. Our unsecured revolving credit facilities 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, 2009, we were in compliance with all of these covenants.

Derivatives and Hedging

In the normal course of business, we are exposed to the effect of interest rate movements on future cash flows under our variable rate debt obligations and the effect of foreign currency exchange rate movements on our senior living operations. We attempt to minimize these risks by following established risk management policies and procedures, including the use of derivative instruments.

For interest rate exposures, we use derivatives primarily to fix the rate on debt based on floating rate indexes and to manage the cost of borrowing obligations. We prohibit the use of derivative instruments for trading or speculative purposes. Further, we have a policy of only entering into contracts with major financial institutions based upon their credit ratings and other factors. When viewed in conjunction with the underlying and offsetting exposure that the derivative is designed to hedge, we do not anticipate any material adverse effect on our net income or financial position in the future from the use of derivatives.

The interest rate swap agreement that we entered into in 2001 expired on June 30, 2008, and we do not currently have any interest rate swap agreements in effect.

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In January 2007, we entered into two Canadian call options in conjunction with our agreement to acquire the assets of Sunrise REIT. See “Note 4—Acquisitions.” We paid an aggregate purchase price of $8.5 million for these contracts, which had an aggregate notional call amount of Cdn $750.0 million at a Cdn $1.18 strike price. These contracts were settled on April 26, 2007, the acquisition date, and we received $33.2 million in cash upon settlement. For the year ended December 31, 2007, we recognized gains related to call option contracts of $24.3 million, which is included as a foreign currency gain on our Consolidated Statement of Income for the year ended December 31, 2007.

Unamortized Fair Value Adjustment

As of December 31, 2009, the unamortized fair value adjustment related to the long-term debt we assumed in connection with the Sunrise REIT acquisition and various MOB acquisitions was $11.6 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 (reduction of interest expense) for each of the next five years follows: 2010 – $2.9 million; 2011 – $2.9 million; 2012 – $2.4 million; 2013 – $1.4 million; and 2014 – $1.0 million.

Note 9—Fair Values of Financial Instruments

As of December 31, 2009 and 2008, the carrying amounts and fair values of our financial instruments were as follows:

	2009						2008
	Carrying Amount			Fair Value			Carrying Amount			Fair Value
	(In thousands)
Cash and cash equivalents	$	107,397		$	107,397		$	176,812		$	176,812
Loans receivable, net		131,887			129,512			123,289			111,942
Marketable debt securities		65,038			65,038			51,550			51,550
Senior notes payable and other debt, gross		(2,701,661	)		(2,780,405	)		(3,139,140	)		(2,949,268	)

Fair value estimates are subjective in nature and depend on a number of 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.

At December 31, 2009, we held marketable debt securities, classified as available-for-sale, with an aggregate amortized cost basis and fair value of $60.6 million and $65.0 million, respectively. At December 31, 2008, these securities had an aggregate amortized cost basis and fair value of $64.4 million and $51.6 million, respectively. The contractual maturities of our marketable debt securities range from October 1, 2012 to April 15, 2016. We do not intend to sell these securities and it is more likely than not that we will not be required to sell these securities prior to maturity.

Note 10—Stock-Based Compensation

Compensation Plans

We have four plans under which outstanding options to purchase common stock and/or shares or units of restricted stock have been, or may be, granted to officers, employees and non-employee directors, one plan under which executive officers may receive common stock in lieu of compensation and two plans under which certain directors have received or may receive common stock in lieu of director fees (the following are collectively referred to as the “Plans”): (1) the 2000 Incentive Compensation Plan (Employee Plan); (2) the 2004 Stock Plan for Directors; (3) the Common Stock Purchase Plan for Directors (the “Directors Stock Purchase Plan”); (4) the Executive Deferred Stock Compensation Plan; (5) the Nonemployee Directors’ Deferred Stock Compensation Plan; (6) the 2006 Incentive Plan; and (7) the 2006 Stock Plan for Directors.

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During the year ended December 31, 2009, option and restricted stock grants and stock issuances could only be made 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 2000 Incentive Compensation Plan (Employee Plan) and the 2004 Stock Plan for Directors expired on December 31, 2006, and no additional grants were permitted under those Plans after that date. In addition, the Directors Stock Purchase Plan terminated in accordance with its terms during 2007.

The number of shares reserved and the number of shares available for future grants or issuance under these Plans as of December 31, 2009 are as follows:

• Executive Deferred Stock Compensation Plan—500,000 shares are reserved for issuance to our executive officers in lieu of the payment of all or a portion of their salary, at their option, and, as of December 31, 2009, 500,000 shares were available for future issuance.

• Nonemployee Directors’ Deferred Stock Compensation Plan—500,000 shares are reserved 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, as of December 31, 2009, 459,004 shares were available for future issuance.

• 2006 Incentive Plan—5,000,000 shares are reserved for grants or issuance to employees and 3,271,378 were available for future grants or issuance as of December 31, 2009. This plan replaced the 2000 Incentive Compensation Plan (Employee Plan).

• 2006 Stock Plan for Directors—400,000 shares are reserved for grants or issuance to non-employee directors and 279,272 were available for future grants or issuance as of December 31, 2009. This plan replaced the 2004 Stock Plan for Directors.

Under the Plans (other than the Executive Deferred Stock Compensation Plan, the Directors Stock Purchase Plan and the Nonemployee Director Deferred Stock Compensation Plan), options are exercisable at the market price on the date of grant, expire ten years from the date of grant, and vest over varying periods ranging from one to five years. Vesting of certain options may accelerate upon a change of control of Ventas, as defined in the applicable Plan, and other events.

Compensation cost for all share-based awards are based on the grant date fair value and are recognized on a straight-line basis as the requisite service periods are rendered. Compensation costs related to stock options for the years ended December 31, 2009, 2008 and 2007 were $2.9 million, $2.3 million and $1.9 million.

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:

	2009			2008			2007
Risk-free interest rate		1.37 - 2.32	%		2.48	%		4.65	%
Dividend yield		5.75	%		5.75	%		4.83	%
Volatility factors of the expected market price for our common stock		36.1 - 42.7	%		21.0	%		21.0	%
Weighted average expected life of options		3.5 - 6.0 years			3.5 years			6.0 years

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The following is a summary of stock option activity in 2009:

Activity	Shares			Range of Exercise Prices		Weighted Average Exercise Price		Weighted Average Remaining Contractual Life (years)		Intrinsic Value ($000’s)
Outstanding as of December 31, 2008		1,355,884			$3.31 - $45.25	$	36.90
Options granted		397,485			21.57 - 33.57		28.25
Options exercised		(99,891	)		3.31 - 28.96		21.63
Options canceled		(13,502	)		4.00 - 41.76		22.68
Outstanding as of December 31, 2009		1,639,976			11.34 - 45.25		35.85		7.6	$	12,974
Exercisable as of December 31, 2009		1,155,633		$	11.34 - $45.25	$	36.36		7.1	$	8,567

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A summary of the status of our nonvested stock options as of December 31, 2009 and changes during the year then ended follows:

Activity	Shares			Weighted Average Grant Date Fair Value
Nonvested at beginning of year		543,943		$	4.12
Granted		397,485			5.86
Vested		(449,333	)		4.83
Forfeited		(7,752	)		4.22
Nonvested at end of year		484,343		$	4.89

As of December 31, 2009, there was $704,000 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 one year. Proceeds received from options exercised under the Plans for the years ended December 31, 2009, 2008 and 2007 were $2.2 million, $6.2 million and $9.5 million, respectively.

Restricted Stock and Restricted Stock Units

The market value of shares of restricted stock and restricted stock units on the date of the award is recognized as stock-based compensation expense over the service period, with charges to general and administrative expenses of approximately $9.0 million in 2009, $7.7 million in 2008 and $5.6 million in 2007. Restricted stock and restricted stock units generally vest over two- to five-year periods. 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 events.

A summary of the status of our nonvested restricted stock units and restricted stock as of December 31, 2009, and changes during the year ended December 31, 2009 follows:

	Restricted Stock Units			Weighted Average Grant  Date Fair Value		Restricted Stock			Weighted Average Grant  Date Fair Value
Nonvested at December 31, 2008		6,450		$	44.14		343,655		$	42.31
Granted		4,118			33.57		200,327			27.70
Vested		(4,446	)		43.64		(178,669	)		36.63
Forfeited		—			—		(4,140	)		25.54
Nonvested at December 31, 2009		6,122		$	37.39		361,173		$	37.16

As of December 31, 2009, there was $7.5 million unrecognized compensation cost related to nonvested restricted stock and restricted stock units under the Plans. We expect to recognize that cost over a weighted average of 1.5 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 have reserved 2,500,000 shares for issuance under the ESPP. As of December 31, 2009, 31,700 shares had been purchased under the ESPP and 2,468,300 shares were available for future issuance.

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Employee Benefit Plan

We maintain a 401(K) plan that allows for eligible employees to defer compensation subject to certain limitations imposed by the Code. We make a contribution for each qualifying employee of up to 3% of his or her salary, subject to limitations, regardless of the employee’s individual contribution. During 2009, 2008 and 2007, our contributions were approximately $189,000, $164,000 and $106,000, respectively.

Note 11—Income Taxes

We have elected to be taxed as a REIT under the Code commencing with the year ended December 31, 1999. We have 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. The TRS entities were created or acquired in connection with the Sunrise REIT acquisition. All entities other than the TRS entities are collectively referred to as “the REIT” within this Note 11.

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 the various qualification tests. During the years ended December 31, 2009, 2008 and 2007, our tax treatment of distributions per common share was as follows:

	2009		2008		2007
Tax treatment of distributions:
Ordinary income	$	1.8356	$	1.9025	$	1.2872
Long-term capital gain		0.1510		0.0712		0.9621
Unrecaptured Section 1250 gain		0.0634		0.0763		0.0457
Distribution reported for 1099-DIV purposes		2.0500		2.0500		2.2950
Less: Dividend declared in prior year and taxable in current year		—		—		(0.3950	)
Distributions declared per common share outstanding	$	2.0500	$	2.0500	$	1.9000

We believe we have met the annual REIT distribution requirement by payment of at least 90% of our estimated taxable income for 2009, 2008 and 2007. As a result of the TRS entities created and acquired in 2007, the consolidated provision (benefit) for income taxes for the years ended December 31, 2009, 2008 and 2007 is as follows:

	2009			2008			2007
	(In thousands)
Current	$	2,166		$	3,010		$	908
Deferred		(3,885	)		(18,895	)		(28,950	)
Total	$	(1,719	)	$	(15,885	)	$	(28,042	)

The deferred tax benefit for the years ended December 31, 2009, 2008 and 2007 was reduced by income tax expense of $1.7 million, $1.7 million and $1.1 million, respectively, related to the noncontrolling interest share of net income. For the tax years ended December 31, 2009, 2008 and 2007, the Canadian income tax benefit included in the consolidated benefit for income taxes was $2.0 million, $3.3 million and $7.1 million, respectively.

Although the TRS entities did not pay any federal income taxes for the year ended December 31, 2009, federal income tax payments for these TRS entities may increase in future years as we exhaust net operating loss carryforwards and as our senior living operations segment grows. Such increases could be significant.

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Income tax expense computed by applying the federal corporate tax rate for the years ended December 31, 2009, 2008 and 2007 is reconciled to the income tax benefit as follows:

	2009			2008			2007
	(In thousands)
Tax at statutory rate on earnings from continuing operations before noncontrolling interest and income taxes	$	68,562		$	48,605		$	38,626
State income taxes, net of federal benefit		(126	)		(445	)		(2,787	)
Increase in valuation allowance		7,713			1,170			—
Increase in ASC 740 income tax liability		2,166			3,010			—
Tax at statutory rate on earnings not subject to federal income taxes		(79,689	)		(69,009	)		(65,225	)
Other differences		(345	)		784			1,344
Income tax benefit	$	(1,719	)	$	(15,885	)	$	(28,042	)

The REIT made no income tax payments for the year ended December 31, 2009 and 2008. Tax payments of $2.1 million related to built-in gains tax were made for the year ended December 31, 2007.

In connection with the Sunrise REIT acquisition, we established a beginning net deferred tax liability of $306.3 million related to temporary differences between the financial reporting and tax bases of assets and liabilities acquired (primarily property and related assets, net of net operating loss carryforwards).

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, 2009, 2008 and 2007 are summarized as follows:

	2009			2008			2007
	(In thousands)
Property, primarily differences in depreciation and amortization, the tax basis of land assets and the treatment of interests and certain costs	$	(293,800	)	$	(291,481	)	$	(315,835	)
Operating loss and interest deduction carryforwards		86,014			70,302			57,483
Expense accruals and other		(58	)		275			87
Valuation allowance		(45,821	)		(36,595	)		(39,325	)
Net deferred tax liabilities	$	(253,665	)	$	(257,499	)	$	(297,590	)

Due to the uncertainty of the realization of certain deferred tax assets, we established valuation allowances. The majority of these valuation allowances related to the net operating loss (“NOL”) carryforward related to the REIT where there was uncertainty regarding its realization.

The net difference between tax bases and the reported amount of REIT assets and liabilities for federal income tax purposes was approximately $384.7 million and $497.1 million less than the book bases of those assets and liabilities for financial reporting purposes for the years ended December 31, 2009 and 2008, respectively.

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 this special corporate level tax is generally equal to the lesser of (i) the excess of the fair value of the asset over its adjusted tax basis as of the date it became a REIT asset or (ii) the actual amount of gain.

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Some, but not all, future gains could be offset by available NOLs. We had a $23.3 million deferred tax liability as of December 31, 2007 to be utilized for any built-in gains tax related to the disposition of assets owned prior to our REIT election in 1999. The ten-year period in which these assets were subject to built-in gains tax ended on December 31, 2008. Because we did not have any dispositions of these assets through December 31, 2008, we do not expect to pay any amounts related to this contingent liability. Therefore, this contingent liability was no longer required, and $23.3 million was reversed into income during 2008.

Generally, we are subject to audit under the statute of limitations by the Internal Revenue Service (“IRS”) for the year ended December 31, 2006 and subsequent years and are subject to audit by state taxing authorities for the year ended December 31, 2005 and subsequent years. The potential impact on income tax expense of years open under the statute of limitations for Canadian entities acquired as part of the Sunrise REIT acquisition is not expected to be material.

We have a combined NOL carryforward of $132.5 million at December 31, 2009 related to the TRS entities and an NOL carryforward related to the REIT of $90.4 million. These amounts can be used to offset future taxable income (and/or taxable income for prior years if audits of any prior year’s return determine that amounts are 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. The NOL carryforwards begin to expire in 2024 with respect to the TRS entities and in 2020 for the REIT.

As a result of the uncertainties relating to the ultimate utilization of existing REIT NOLs, no net deferred tax benefit has been ascribed to REIT NOL carryforwards as of December 31, 2009 and 2008. 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 give any assurances as to the outcome of these matters.

The following table summarizes the activity related to our unrecognized tax benefits:

	2009			2008
	(In thousands)
Balance as of January 1	$	12,870		$	9,384
Additions to tax positions related to the current year		2,562			3,486
Additions to tax positions related to prior years		577			—
Subtractions to tax positions related to prior years		(565	)		—
Balance as of December 31	$	15,444		$	12,870

Included in the unrecognized tax benefits of $15.0 million at December 31, 2009 was $15.0 million of tax benefits that, if recognized, would reduce our annual effective tax rate. We accrued no penalties. Interest of $0.4 million related to the unrecognized tax benefits was accrued during 2009. We expect our unrecognized tax benefits to increase by $2.0 million during 2010.

Note 12—Commitments and Contingencies

Assumption of Certain Operating Liabilities and Litigation

As a result of the structure used to acquire the Sunrise REIT properties, we may be subject to various liabilities arising out of the ownership or operation of those properties prior to the acquisition. If the liabilities we have assumed are greater than expected, or if there are obligations relating to the Sunrise REIT properties of which we were not aware at the time of completion of the acquisition, such liabilities and/or obligations could have a Material Adverse Effect on us.

Similarly, we have assumed various liabilities in connection with other past acquisitions, including liabilities arising out of the ownership or operation of properties acquired in a merger. If the liabilities we have assumed are greater than expected, or if there are obligations relating to the acquired properties of which we were not aware at the time we completed those acquisitions, such liabilities and/or obligations could have a Material Adverse Effect on us.

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Brookdale Leases

Subject to certain limitations and restrictions, and provided Brookdale has not waived its rights, if during the first six years of the initial term of our Brookdale leases (affecting 21 properties) assumed in connection with the Provident acquisition (i.e., through December 2010) we, either voluntarily or at Brookdale’s request, obtain new mortgage debt or refinance existing mortgage debt on property covered by a Brookdale lease, then we may be required to pay Brookdale the net proceeds from any such mortgage debt financing or refinancing. Also, subject to certain limitations and conditions, and provided Brookdale has not waived its rights, Brookdale may request that we obtain new mortgage debt or refinance existing mortgage debt on the property covered by the Brookdale leases, and we have agreed to use commercially reasonable efforts to pursue any such financing or refinancing from the holder of the then existing mortgage debt on the applicable Brookdale property. In connection with any such financing or refinancing, the rent for the applicable Brookdale property will be increased using a recomputed lease basis increased by an amount equal to the net financed proceeds paid to Brookdale plus (with limited exceptions) any fees, penalties, premiums or other costs related to such financing or refinancing. If the monthly debt service on any financed or refinanced proceeds paid to Brookdale exceeds the rent increase attributable to those financed or refinanced proceeds, then Brookdale is required to pay the excess. Under certain circumstances, Brookdale will also be required to pay additional amounts relating to increases in debt service and other costs relating to any such financing or refinancing.

Other

We have 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 85 years, excluding extension options. Future minimum lease obligations under non-cancelable operating and ground leases as of December 31, 2009 were $2.1 million in 2010, $1.7 million in 2011, $1.8 million in 2012, $1.8 million in 2013, $1.3 million in 2014 and $105.7 million thereafter.

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Note 13—Earnings Per Share

The following table shows the amounts used in computing basic and diluted earnings per common share:

	For the Year Ended December 31,
	2009		2008		2007
	(In thousands, except per share amounts)
Numerator for basic and diluted earnings per share:
Income from continuing operations attributable to common stockholders	$	193,120	$	174,054	$	130,242
Discontinued operations		73,375		48,549		143,439
Net income attributable to common stockholders	$	266,495	$	222,603	$	273,681
Denominator:
Denominator for basic earnings per share - weighted average shares		152,566		139,572		122,597
Effect of dilutive securities:
Stock options		126		223		383
Restricted stock awards		64		17		14
Convertible notes		2		100		18
Dilutive potential common stock		192		340		415
Denominator for diluted earnings per share - adjusted weighted average shares		152,758		139,912		123,012
Basic earnings per share:
Income from continuing operations attributable to common stockholders	$	1.27	$	1.24	$	1.06
Discontinued operations		0.48		0.35		1.17
Net income attributable to common stockholders	$	1.75	$	1.59	$	2.23
Diluted earnings per share:
Income from continuing operations attributable to common stockholders	$	1.26	$	1.24	$	1.06
Discontinued operations		0.48		0.35		1.16
Net income attributable to common stockholders	$	1.74	$	1.59	$	2.22

There were 975,500, 940,500 and 222,200 anti-dilutive options outstanding for the years ended December 31, 2009, 2008 and 2007, respectively.

Note 14—Litigation

Legal Proceedings Defended and Indemnified by Third Parties

Kindred, Brookdale Senior Living, Sunrise and our other tenants, operators and managers are parties to certain legal actions and regulatory investigations arising in the normal course of their business. In certain cases, the tenant, operator or manager, as applicable, has agreed to indemnify, defend and hold us harmless against these actions and investigations. However, the resolution of any litigation or investigations, either individually or in the aggregate, could have a material adverse effect on Kindred’s, Brookdale Senior Living’s, Sunrise’s or such other tenants’, operators’ and managers’ liquidity, financial condition or results of operations, which, in turn, could have a Material Adverse Effect on us.

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Litigation Related to the Sunrise REIT Acquisition

On May 3, 2007, we filed a lawsuit against HCP, Inc. (“HCP”) in the United States District Court for the Western District of Kentucky, entitled Ventas, Inc. v. HCP, Inc., Case No. 07-cv-238-JGH. We asserted claims of tortious interference with contract and tortious interference with prospective business advantage. Our complaint alleged that HCP interfered with our purchase agreement to acquire the assets and liabilities of Sunrise REIT and with the process for unitholder consideration of the purchase agreement. The complaint alleged, among other things, that HCP made certain improper and misleading public statements and/or offers to acquire Sunrise REIT and that HCP’s actions caused us to suffer substantial damages, including, among other things, the payment of materially greater consideration to acquire Sunrise REIT resulting from the substantial increase in the purchase price above the original contract price necessary to obtain unitholder approval and increased costs associated with the delay in closing the acquisition, including increased costs to finance the transaction as a result of the delay.

HCP brought counterclaims against us alleging misrepresentation and negligent misrepresentation by Sunrise REIT related to its sale process, claiming that we were responsible for those actions as successor. HCP sought compensatory and punitive damages. On March 25, 2009, the District Court granted us judgment on the pleadings against all counterclaims brought by HCP and dismissed HCP’s counterclaims with prejudice. Thereafter, the District Court confirmed the dismissal of HCP’s counterclaims.

On July 16, 2009, the District Court denied HCP’s summary judgment motion as to our claim for tortious interference with business expectation, permitting us to present that claim against HCP at trial. The District Court granted HCP’s motion for summary judgment as to our claim for tortious interference with contract and dismissed that claim. The District Court also ruled that we could not seek to recover a portion of our alleged damages.

On September 4, 2009, the jury unanimously held that HCP tortiously interfered with our business expectation to acquire Sunrise REIT at the agreed price by employing significantly wrongful means such as fraudulent misrepresentation, deceit and coercion. The jury awarded us $101.6 million in compensatory damages, which is the full amount of damages the District Court permitted us to seek at trial. The District Court entered judgment on the jury’s verdict on September 8, 2009.

On November 16, 2009, the District Court affirmed the jury’s verdict and denied all of HCP’s post-trial motions, including a motion requesting that the District Court overturn the jury’s verdict and enter judgment for HCP or, in the alternative, award HCP a new trial. The District Court also denied our motion for approximately $20 million in pre-judgment interest and/or to modify the jury award to increase it by approximately $4 million to reflect the currency rates in effect on September 8, 2009, the date of entry of the judgment.

On November 17, 2009, HCP appealed the District Court’s judgment to the United States Court of Appeals for the Sixth Circuit (the “Sixth Circuit”). Based on filings by HCP with the Sixth Circuit, in the appeal, HCP is expected to argue that the judgment against it should be vacated and the case remanded for a new trial and/or that judgment should be entered in its favor as a matter of law. We intend to vigorously contest HCP’s appeal and seek the confirmation by the Sixth Circuit of both the jury’s verdict and the various rulings in our favor in the District Court. However, there can be no assurance as to the outcome of HCP’s appeal.

On November 24, 2009, we filed a cross-appeal to the Sixth Circuit. The cross-appeal will be heard and decided in conjunction with HCP’s appeal. In addition to maintaining the full benefit of our favorable jury verdict, in our cross-appeal, we intend to assert that we are entitled to substantial monetary relief in addition to the jury verdict, including punitive damages, additional compensatory damages and pre-judgment interest. We intend to vigorously pursue our cross-appeal and to seek additional proceedings in the District Court in which a jury may supplement the current judgment. However, there can be no assurance as to the outcome of our cross-appeal.

On December 11, 2009, HCP posted a $102.8 million letter of credit in our favor to serve as security to stay execution of the jury verdict pending the appellate proceedings.

The briefing process for HCP’s appeal and our cross-appeal is expected to commence in March 2010 and conclude in June 2010 and a final decision could be issued by June 2011. However, there can be no assurance about the timing of a decision by the Sixth Circuit.

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Other Litigation

We are party to various other lawsuits, investigations and claims (some of which may not be insured) arising in the normal course of our business, including without limitation, in connection with the operations of our seniors housing communities managed by Sunrise. It is the opinion of management that, except as set forth in this Note 14, the disposition of these actions, investigations and claims will not, individually or in the aggregate, have a Material Adverse Effect on us. However, we are unable to predict the ultimate outcome of pending litigation, investigations and claims, and if management’s assessment of our liability with respect to these actions, investigations and claims is incorrect, such actions, investigations and claims could have a Material Adverse Effect on us.

Note 15—Capital Stock

At December 31, 2009 and 2008, our authorized capital stock consisted of 300,000,000 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 April 2009, we filed an automatic shelf registration statement on Form S-3 with the Commission 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. The registration statement replaced our previous automatic shelf registration statement, which expired pursuant to the Commission’s rules.

In April 2009, we issued and sold 13,062,500 shares of our common stock in an underwritten public offering pursuant to the shelf registration statement. We received $312.2 million in aggregate proceeds from the sale, which we used, together with our net proceeds from the sale of our senior notes due 2016, to fund our cash tender offers with respect to the outstanding senior notes, to repay debt and for general corporate purposes.

In 2008, we issued and sold 9,236,083 shares of our common stock in two underwritten public offerings pursuant to our previous shelf registration statement. We received $409.0 million in aggregate proceeds from the sales, which we used to repay indebtedness outstanding under our unsecured revolving credit facilities and for working capital and other general corporate purposes.

Excess Share Provision

In order to preserve our ability to maintain REIT status, our Certificate of Incorporation 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 (i) the price per share in the transaction that created the excess shares, or (ii) 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 of the excess shares or the original purchase price for such excess shares; 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 Certificate of Incorporation.

Distribution Reinvestment and Stock Purchase Plan

We have in effect a 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. In addition, existing stockholders, as well as new investors, may purchase shares of 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 to shareholders who reinvest their dividends and/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.

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Accumulated Other Comprehensive Income

	As of December 31,
	2009			2008
	(In thousands)
Foreign currency translation	$	16,059		$	(7,493	)
Unrealized gain (loss) on marketable debt securities		4,440			(12,887	)
Other		(830	)		(709	)
Total accumulated other comprehensive income (loss)	$	19,669		$	(21,089	)

Note 16—Related Party Transactions

We currently lease eight personal care facilities to Tangram Rehabilitation Network, Inc. (“Tangram”), a wholly owned subsidiary of Res-Care, Inc. (“Res-Care”). The properties are leased pursuant to a master lease agreement which is guaranteed by Res-Care, of which a member of our Board of Directors serves as Chairman of the Board. For the years ended December 31, 2009, 2008 and 2007, Tangram has paid us approximately $980,900, $949,800 and $917,000, respectively, in base rent payments.

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Note 17—Quarterly Financial Information (Unaudited)

Summarized unaudited consolidated quarterly information for the years ended December 31, 2009 and 2008 is provided below.

	For the Year Ended December 31, 2009
	First Quarter		Second Quarter		Third Quarter		Fourth Quarter
	(In thousands, except per share amounts)
Revenues (1)	$	228,247	$	230,795	$	234,637	$	237,896
Income from continuing operations attributable to common stockholders (1)	$	44,817	$	45,736	$	49,226	$	53,341
Discontinued operations (1)		29,411		42,645		579		740
Net income attributable to common stockholders	$	74,228	$	88,381	$	49,805	$	54,081
Earnings per share:
Basic:
Income from continuing operations attributable to common stockholders	$	0.32	$	0.29	$	0.32	$	0.35
Discontinued operations		0.21		0.28		0.00		0.00
Net income attributable to common stockholders	$	0.52	$	0.57	$	0.32	$	0.35
Diluted:
Income from continuing operations applicable to common shares	$	0.31	$	0.29	$	0.32	$	0.35
Discontinued operations		0.21		0.28		0.00		0.00
Net income applicable to common shares	$	0.52	$	0.57	$	0.32	$	0.35
Dividends declared per share	$	0.5125	$	0.5125	$	0.5125	$	0.5125

(1) The amounts presented above do not equal the same amounts previously reported in our Annual Report on Form 10-K for the year ended December 31, 2009, filed with the SEC on February 19, 2010, as a result of discontinued operations consisting of properties sold during the first nine months of 2010 or reflected as held for sale at September 30, 2010. The following is a reconciliation of the amounts previously reported in the Form 10-K:

	For the Year Ended December 31, 2009
	First Quarter			Second Quarter			Third Quarter			Fourth Quarter
	(In thousands, except per share amounts)
Revenues, previously reported in 2009 Form 10-K	$	229,377		$	231,924		$	235,767		$	239,026
Revenues, previously reported in 2009 Form 10-K, subsequently reclassified to discontinued operations		(1,130	)		(1,129	)		(1,130	)		(1,130	)
Total revenues disclosed in Form 8-K	$	228,247		$	230,795		$	234,637		$	237,896
Income from continuing operations attributable to common stockholders, previously reported in 2009 Form 10-K	$	45,189		$	46,134		$	49,656		$	53,767
Income from continuing operations attributable to common stockholders, previously reported in 2009 Form 10-K, subsequently reclassified to discontinued operations		(372	)		(398	)		(430	)		(426	)
Income from continuing operations attributable to common stockholders disclosed in Form 8-K	$	44,817		$	45,736		$	49,226		$	53,341
Discontinued operations, previously reported in 2009 Form 10-K	$	29,039		$	42,247		$	149		$	314
Discontinued operations from properties held for sale subsequent to the respective reporting period		372			398			430			426
Discontinued operations disclosed in Form 8-K	$	29,411		$	42,645		$	579		$	740

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	For the Year Ended December 31, 2008
	First Quarter		Second Quarter		Third Quarter		Fourth Quarter
	(In thousands, except per share amounts)
Revenues (1)	$	226,077	$	227,813	$	233,930	$	231,325
Income from continuing operations attributable to common stockholders (1)	$	28,679	$	40,955	$	61,853	$	42,567
Discontinued operations (1)		2,475		29,198		1,913		14,963
Net income attributable to common stockholders	$	31,154	$	70,153	$	63,766	$	57,530
Earnings per share:
Basic:
Income from continuing operations attributable to common stockholders	$	0.21	$	0.30	$	0.44	$	0.30
Discontinued operations		0.02		0.21		0.01		0.10
Net income attributable to common stockholders	$	0.23	$	0.51	$	0.45	$	0.40
Diluted:
Income from continuing operations applicable to common shares	$	0.21	$	0.30	$	0.44	$	0.30
Discontinued operations		0.02		0.21		0.01		0.10
Net income applicable to common shares	$	0.23	$	0.51	$	0.45	$	0.40
Dividends declared per share	$	0.5125	$	0.5125	$	0.5125	$	0.5125

(1) The amounts presented above do not equal the same amounts previously reported in our Annual Report on Form 10-K for the year ended December 31, 2009, filed with the SEC on February 19, 2010, as a result of discontinued operations consisting of properties sold during the first nine months of 2010 or reflected as held for sale at September 30, 2010. The following is a reconciliation of the amounts previously reported in the Form 10-K:

	For the Three Months Ended
	March 31, 2008			June 30, 2008			September 30, 2008			December 31, 2008
	(In thousands, except per share amounts)
Revenues, previously reported in 2009 Form 10-K	$	227,223		$	228,963		$	235,059		$	232,453
Revenues, previously reported in 2009 Form 10-K, subsequently reclassified to discontinued operations		(1,146	)		(1,150	)		(1,129	)		(1,128	)
Total revenues disclosed in Form 8-K	$	226,077		$	227,813		$	233,930		$	231,325
Income from continuing operations attributable to common stockholders, previously reported in 2009 Form 10-K	$	29,015		$	41,294		$	62,193		$	42,899
Income from continuing operations attributable to common stockholders, previously reported in 2009 Form 10-K, subsequently reclassified to discontinued operations		(336	)		(339	)		(340	)		(332	)
Income from continuing operations attributable to common stockholders disclosed in Form 8-K	$	28,679		$	40,955		$	61,853		$	42,567
Discontinued operations, previously reported in 2009 Form 10-K	$	2,139		$	28,859		$	1,573		$	14,631
Discontinued operations from properties held for sale subsequent to the respective reporting period		336			339			340			332
Discontinued operations disclosed in Form 8-K	$	2,475		$	29,198		$	1,913		$	14,963

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Note 18—Segment Information

Beginning in the third quarter of 2010, we operate through three reportable business segments: triple-net leased properties, senior living operations and MOB operations. Our triple-net leased properties segment consists of acquiring, financing and owning seniors housing and healthcare properties in the United States and leasing those properties to healthcare operating companies under “triple-net” or “absolute-net” leases, which require the tenants to pay all property-related expenses. Our senior living operations segment consists of investments in seniors housing communities located in the United States and Canada for which we engage independent third parties, such as Sunrise, to manage the operations. Our MOB operations segment primarily consists of acquiring, owning, developing, leasing and managing MOBs.

As of December 31, 2009, we operated through two reportable business segments: triple-net leased properties and senior living operations. We acquired the senior living operations segment on April 26, 2007, pursuant to the purchase of the Sunrise REIT properties. With the addition of these properties, we believed segment differentiation would be appropriate based on the different economic and legal structures used to acquire and own those assets. Prior to the acquisition, we operated through one reportable segment – investment in real estate – which included the triple-net leased properties and our MOBs. Due to our limited operation of and allocation of capital to the MOBs, we separated them from the triple-net leased properties segment during 2007 and included them in “All Other”.

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 properties, we believed the segregation of our MOB operations into its own reporting segment would be useful in assessing the performance of this portion of our business in the same way that management intends to review our performance and make operating decisions. Prior periods have been restated to reflect the segregation of our MOB operations into a reportable business segment.

We evaluate performance of the combined properties in each segment based on net operating income before interest (excluding income from loans and investments), income taxes, depreciation and amortization, rent reset costs, reversal of contingent liability, foreign currency gains/losses, general, administrative and professional fees, merger-related expenses and noncontrolling interest. There are no intersegment sales or transfers.

All other revenues consist primarily of income from loans and investments and other miscellaneous income. All other assets consist primarily of corporate assets including cash, restricted cash, deferred financing costs, notes receivable, and miscellaneous accounts receivable.

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Summary information by business segment is as follows:

For the year ended December 31, 2009:

	Triple-Net Leased Properties			Senior Living Operations			MOB Operations			All Other			Total
				(In thousands)
Revenues:
Rental income	$	460,646		$	—		$	35,922		$	—		$	496,568
Resident fees and services		—			421,058			—			—			421,058
Income from loans and investments		—			—			—			13,107			13,107
Interest and other income		494			24			24			300			842
Total revenues	$	461,140		$	421,082		$	35,946		$	13,407		$	931,575
Segment net operating income	$	460,646		$	131,013		$	23,154		$	13,107		$	627,920
Interest and other income		494	��		24			24			300			842
Interest expense		(84,624	)		(88,537	)		(3,829	)		—			(176,990	)
Depreciation and amortization		(118,541	)		(68,624	)		(11,676	)		(690	)		(199,531	)
General, administrative and professional fees		—			—			—			(38,830	)		(38,830	)
Foreign currency loss		—			(50	)		—			—			(50	)
Loss on extinguishment of debt		(6,012	)		—			(68	)		—			(6,080	)
Merger-related expenses and deal costs		(187	)		(11,548	)		(1,092	)		(188	)		(13,015	)
Net income (loss) before income taxes, discontinued operations and noncontrolling interest	$	251,776		$	(37,722	)	$	6,513		$	(26,301	)	$	194,266

For the year ended December 31, 2008:

	Triple-Net Leased Properties			Senior Living Operations			MOB Operations			All Other			Total
				(In thousands)
Revenues:
Rental income	$	449,099		$	—		$	27,716		$	—		$	476,815
Resident fees and services		—			429,257			—			—			429,257
Income from loans and investments		—			—			—			8,847			8,847
Interest and other income		2,133			338			67			1,688			4,226
Total revenues	$	451,232		$	429,595		$	27,783		$	10,535		$	919,145
Segment net operating income	$	449,099		$	138,813		$	17,210		$	2,853		$	607,975
Interest and other income		2,133			338			67			1,688			4,226
Interest expense		(103,246	)		(95,595	)		(3,783	)		—			(202,624	)
Depreciation and amortization		(119,817	)		(98,511	)		(10,450	)		(723	)		(229,501	)
General, administrative and professional fees		—			—			—			(40,651	)		(40,651	)
Foreign currency gain		—			162			—			—			162
Gain on extinguishment of debt		1,868			530			—			—			2,398
Merger-related expenses and deal costs		—			(4,460	)		—			—			(4,460	)
Net income (loss) before reversal of contingent liability, income taxes, discontinued operations and noncontrolling interest	$	230,037		$	(58,723	)	$	3,044		$	(36,833	)	$	137,525

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For the year ended December 31, 2007:

	Triple-Net Leased Properties			Senior Living Operations			MOB Operations			All Other			Total
				(In thousands)
Revenues:
Rental income	$	440,261		$	—		$	14,235		$	—		$	454,496
Resident fees and services		—			282,226			—			—			282,226
Income from loans and investments		—			—			—			2,586			2,586
Interest and other income		1,970			832			37			—			2,839
Total revenues	$	442,231		$	283,058		$	14,272		$	2,586		$	742,147
Segment net operating income	$	440,261		$	90,137		$	8,199		$	2,586		$	541,183
Interest and other income		1,970			832			—			37			2,839
Interest expense		(128,305	)		(64,547	)		(1,900	)		—			(194,752	)
Depreciation and amortization		(119,802	)		(101,223	)		(3,437	)		(675	)		(225,137	)
General, administrative and professional fees		—			—			—			(36,425	)		(36,425	)
Foreign currency gain		—			24,280			—			—			24,280
Gain on extinguishment of debt		88			—			—			—			88
Merger-related expenses and deal costs		—			(2,979	)		—			—			(2,979	)
Net income (loss) before income taxes, discontinued operations and noncontrolling interest	$	194,212		$	(53,500	)	$	2,862		$	(34,477	)	$	109,097

	As of December 31,
	2009		2008
	(In thousands)
Assets:
Triple-net leased properties	$	2,902,126	$	3,128,995
Senior living operations		2,341,834		2,362,282
MOB operations		369,984		277,792
All other assets		2,301		2,349
Total assets	$	5,616,245	$	5,771,418

	For the Year Ended December 31,
	2009		2008		2007
	(In thousands)
Capital expenditures:
Triple-net leased properties (1)	$	10,867	$	11,487	$	10,107
Senior living operations		11,081		7,301		1,231,083
MOB operations (2)		105,880		51,372		127,636
Total capital expenditures	$	127,828	$	70,160	$	1,368,826

(1) 2009 includes $9.3 million from funds held in an Internal Revenue Code Section 1031 exchange escrow account with a qualified intermediary.

(2) 2009 includes $55.7 million from funds held in an Internal Revenue Code Section 1031 exchange escrow account with a qualified intermediary.

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Our portfolio of properties and real estate 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 business segments is as follows:

	For the Year Ended December 31,
	2009		2008		2007
	(In thousands)
Revenue:
United States	$	857,847	$	843,767	$	695,236
Canada		73,728		75,378		46,911
Total revenues	$	931,575	$	919,145	$	742,147

	As of December 31,
	2009		2008
	(In thousands)
Long-lived assets:
United States	$	4,696,674	$	4,786,734
Canada		418,036		386,205
Total long-lived assets	$	5,114,710	$	5,172,939

68

Note 19—Condensed Consolidating Information

We and certain of our direct and indirect wholly owned subsidiaries (the “Wholly Owned Subsidiary Guarantors”) have fully and unconditionally guaranteed, on a joint and several basis, the obligation to pay principal and interest with respect to the senior notes of the Issuers. Ventas Capital Corporation is a wholly owned direct subsidiary of Ventas Realty that was formed to facilitate the offering of the senior notes and has no assets or operations. In addition, Ventas Realty and the Wholly Owned Subsidiary Guarantors have fully and unconditionally guaranteed, on a joint and several basis, the obligation to pay principal and interest with respect to our convertible notes. In April 2009, ElderTrust Operating Limited Partnership (“ETOP”), of which we owned substantially all of the partnership units, was liquidated and dissolved. Accordingly, the financial results of ETOP and its wholly owned subsidiaries are no longer separately reported but are now included among the Subsidiary Guarantors. We have other subsidiaries (“Non-Guarantor Subsidiaries”) that are not included among the Guarantors, and such subsidiaries are not obligated with respect to the senior notes or the convertible notes. Contractual and legal restrictions, including those contained in the instruments governing certain Non-Guarantor Subsidiaries’ outstanding indebtedness, may under certain circumstances restrict our ability to obtain cash from our Non-Guarantor Subsidiaries for the purpose of meeting our debt service obligations, including our guarantee of payment of principal and interest on the senior notes and our primary obligation to pay principal and interest on the convertible notes. Certain of our real estate assets are also subject to mortgages. The following summarizes our condensed consolidating information as of December 31, 2009 and 2008 and for the years ended December 31, 2009, 2008, and 2007:

CONDENSED CONSOLIDATING BALANCE SHEET

As of December 31, 2009

	Ventas, Inc.			Wholly Owned Subsidiary Guarantors		Issuers			Non- Guarantor Subsidiaries		Consolidated Elimination			Consolidated
	(In thousands)
Assets
Net real estate investments	$	9,496		$	2,185,897	$	769,857		$	2,281,347	$	—		$	5,246,597
Cash and cash equivalents		—			4,332		82,886			20,179		—			107,397
Escrow deposits and restricted cash		215			9,093		12,766			17,758		—			39,832
Deferred financing costs, net		1,192			1,407		15,577			11,076		—			29,252
Investment in and advances to affiliates		1,169,609			—		1,308,403			—		(2,478,012	)		—
Other		3			76,154		82,346			34,664		—			193,167
Total assets	$	1,180,515		$	2,276,883	$	2,271,835		$	2,365,024	$	(2,478,012	)	$	5,616,245
Liabilities and stockholders’ equity
Liabilities:
Senior notes payable and other debt	$	220,942		$	370,299	$	876,987		$	1,201,873	$	—		$	2,670,101
Intercompany		(45,563	)		453,763		(408,200	)		—		—			—
Deferred revenue		3			544		1,969			1,799		—			4,315
Accrued interest		(3,552	)		5,117		10,732			5,677		—			17,974
Accounts payable and other accrued liabilities		15,693			66,318		40,611			63,508		—			186,130
Deferred income taxes		253,665			—		—			—		—			253,665
Total liabilities		441,188			896,041		522,099			1,272,857		—			3,132,185
Total equity		739,327			1,380,842		1,749,736			1,092,167		(2,478,012	)		2,484,060
Total liabilities and stockholders’ equity	$	1,180,515		$	2,276,883	$	2,271,835		$	2,365,024	$	(2,478,012	)	$	5,616,245

69

CONDENSED CONSOLIDATING BALANCE SHEET

As of December 31, 2008

	Ventas, Inc.			Wholly Owned Subsidiary Guarantors		Issuers			Non- Guarantor Subsidiaries		Consolidated Elimination			Consolidated
	(In thousands)
Assets
Net real estate investments	$	10,144		$	2,176,719	$	812,954		$	2,296,411	$	—		$	5,296,228
Cash and cash equivalents		—			10,325		144,918			21,569		—			176,812
Escrow deposits and restricted cash		216			9,792		19,555			26,303		—			55,866
Deferred financing costs, net		1,752			687		11,243			8,350		—			22,032
Investment in and advances to affiliates		1,170,475			9,039		1,119,378			—		(2,298,892	)		—
Other		11			58,625		84,612			77,232		—			220,480
Total assets	$	1,182,598		$	2,265,187	$	2,192,660		$	2,429,865	$	(2,298,892	)	$	5,771,418
Liabilities and stockholders’ equity
Liabilities:
Senior notes payable and other debt	$	216,518		$	496,174	$	1,351,526		$	1,072,780	$	—		$	3,136,998
Intercompany		(940	)		497,261		(513,602	)		17,281		—			—
Deferred revenue		11			554		3,617			2,875		—			7,057
Accrued interest		—			1,928		15,721			4,282		—			21,931
Accounts payable and other accrued liabilities		12,578			65,403		26,019			64,198		—			168,198
Deferred income taxes		257,499			—		—			—		—			257,499
Total liabilities		485,666			1,061,320		883,281			1,161,416		—			3,591,683
Total equity		696,932			1,203,867		1,309,379			1,268,449		(2,298,892	)		2,179,735
Total liabilities and stockholders’ equity	$	1,182,598		$	2,265,187	$	2,192,660		$	2,429,865	$	(2,298,892	)	$	5,771,418

70

CONDENSED CONSOLIDATING STATEMENT OF INCOME

For the Year Ended December 31, 2009

	Ventas, Inc.			Wholly Owned Subsidiary Guarantors			Issuers			Non- Guarantor Subsidiaries		Consolidated Elimination			Consolidated
	(In thousands)
Revenues:
Rental income	$	2,351		$	149,081		$	276,008		$	69,128	$	—		$	496,568
Resident fees and services		—			109,320			—			311,738		—			421,058
Income from loans and investments		—			3			13,104			—		—			13,107
Equity earnings in affiliates		264,163			2,309			—			—		(266,472	)		—
Interest and other income		1			(3	)		800			44		—			842
Total revenues		266,515			260,710			289,912			380,910		(266,472	)		931,575
Expenses:
Interest		4,318			20,523			88,988			63,161		—			176,990
Depreciation and amortization		651			80,857			40,398			77,625		—			199,531
Property-level operating expenses		—			80,644			456			221,713		—			302,813
General, administrative and professional fees		109			14,727			18,934			5,060		—			38,830
Foreign currency (gain) loss		(45	)		63			23			9		—			50
Loss on extinguishment of debt		—			—			6,012			68		—			6,080
Merger-related expenses and deal costs		—			11,682			1,333			—		—			13,015
Intercompany interest		(3,294	)		38,422			(35,130	)		2		—			—
Total expenses		1,739			246,918			121,014			367,638		—			737,309
Income before income taxes, discontinued operations and noncontrolling interest		264,776			13,792			168,898			13,272		(266,472	)		194,266
Income tax benefit		1,719			—			—			—		—			1,719
Income from continuing operations		266,495			13,792			168,898			13,272		(266,472	)		195,985
Discontinued operations		—			33			61,981			11,361		—			73,375
Net income		266,495			13,825			230,879			24,633		(266,472	)		269,360
Net (loss) income attributable to noncontrolling interest, net of tax		—			(1,724	)		—			4,589		—			2,865
Net income attributable to common stockholders	$	266,495		$	15,549		$	230,879		$	20,044	$	(266,472	)	$	266,495

71

CONDENSED CONSOLIDATING STATEMENT OF INCOME

For the Year Ended December 31, 2008

	Ventas, Inc.			Wholly Owned Subsidiary Guarantors			Issuers			Non- Guarantor Subsidiaries			Consolidated Elimination			Consolidated
	(In thousands)
Revenues:
Rental income	$	2,296		$	143,006		$	263,801		$	67,712		$	—		$	476,815
Resident fees and services		—			112,851			—			316,406			—			429,257
Income from loans and investments		—			—			8,847			—			—			8,847
Equity earnings in affiliates		191,524			5,596			—			—			(197,120	)		—
Interest and other income		73			185			3,539			429			—			4,226
Total revenues		193,893			261,638			276,187			384,547			(197,120	)		919,145
Expenses:
Interest		3,845			32,067			104,873			61,839			—			202,624
Depreciation and amortization		648			90,400			40,115			98,338			—			229,501
Property-level operating expenses		—			78,910			6,515			221,519			—			306,944
General, administrative and professional fees		6,045			13,501			16,320			4,785			—			40,651
Foreign currency loss (gain)		126			(227	)		—			(61	)		—			(162	)
Loss (gain) on extinguishment of debt		—			30			(1,869	)		(559	)		—			(2,398	)
Merger-related expenses and deal costs		—			3,922			815			(277	)		—			4,460
Intercompany interest		(161	)		47,933			(48,708	)		936			—			—
Total expenses		10,503			266,536			118,061			386,520			—			781,620
Income (loss) before reversal of contingent liability, income taxes, discontinued operations and noncontrolling interest		183,390			(4,898	)		158,126			(1,973	)		(197,120	)		137,525
Reversal of contingent liability		23,328			—			—			—			—			23,328
Income tax benefit		15,885			—			—			—			—			15,885
Income (loss) from continuing operations		222,603			(4,898	)		158,126			(1,973	)		(197,120	)		176,738
Discontinued operations		—			1,461			39,538			7,550			—			48,549
Net income (loss)		222,603			(3,437	)		197,664			5,577			(197,120	)		225,287
Net (loss) income attributable to noncontrolling interest, net of tax		—			(1,860	)		—			4,544			—			2,684
Net income (loss) attributable to common stockholders	$	222,603		$	(1,577	)	$	197,664		$	1,033		$	(197,120	)	$	222,603

72

CONDENSED CONSOLIDATING STATEMENT OF INCOME

For the Year Ended December 31, 2007

	Ventas, Inc.			Wholly Owned Subsidiary Guarantors			Issuers			Non- Guarantor Subsidiaries			Consolidated Elimination			Consolidated
	(In thousands)
Revenues:
Rental income	$	2,248		$	135,775		$	261,659		$	54,814		$	—		$	454,496
Resident fees and services		—			75,198			—			207,028			—			282,226
Income from loans and investments		—			—			2,586			—			—			2,586
Equity earnings in affiliates		250,530			5,927			—			—			(256,457	)		—
Interest and other income		82			392			1,460			905			—			2,839
Total revenues		252,860			217,292			265,705			262,747			(256,457	)		742,147
Expenses:
Interest		4,313			29,465			115,301			45,673			—			194,752
Depreciation and amortization		648			88,525			42,093			93,871			—			225,137
Property-level operating expenses		—			54,466			—			143,659			—			198,125
General, administrative and professional fees		1,337			12,563			19,198			3,327			—			36,425
Foreign currency loss (gain)		120			12			(24,317	)		(95	)		—			(24,280	)
Gain on extinguishment of debt		—			—			(88	)		—			—			(88	)
Merger-related expenses and deal costs		—			2,198			739			42			—			2,979
Intercompany interest		(4,396	)		30,353			(26,791	)		834			—			—
Total expenses		2,022			217,582			126,135			287,311			—			633,050
Income (loss) before income taxes, discontinued operations and noncontrolling interest		250,838			(290	)		139,570			(24,564	)		(256,457	)		109,097
Income tax benefit		28,042			—			—			—			—			28,042
Income (loss) from continuing operations		278,880			(290	)		139,570			(24,564	)		(256,457	)		137,139
Discontinued operations		—			2,067			141,165			207			—			143,439
Net income (loss)		278,880			1,777			280,735			(24,357	)		(256,457	)		280,578
Net (loss) income attributable to noncontrolling interest, net of tax		—			(1,333	)		—			3,031			—			1,698
Preferred stock dividends and issuance costs		5,199			—			—			—			—			5,199
Net income (loss) attributable to common stockholders	$	273,681		$	3,110		$	280,735		$	(27,388	)	$	(256,457	)	$	273,681

73

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

For the Year Ended December 31, 2009

	Ventas, Inc.			Wholly Owned Subsidiary Guarantors			Issuers			Non- Guarantor Subsidiaries			Consolidated Elimination		Consolidated
	(In thousands)
Net cash provided by operating activities	$	1,385		$	108,578		$	220,936		$	91,202		$	—	$	422,101
Net cash provided by (used in) investing activities		—			10,536			11,447			(23,729	)		—		(1,746	)
Cash flows from financing activities:
Net change in borrowings under revolving credit facilities		—			(42,633	)		(250,240	)		—			—		(292,873	)
Proceeds from debt		—			—			166,000			199,682			—		365,682
Repayment of debt		—			(28,918	)		(433,528	)		(62,727	)		—		(525,173	)
Net change in intercompany debt		(44,623	)		(22,143	)		105,402			(38,636	)		—		—
Payment of deferred financing costs		—			(1,172	)		(11,034	)		(4,449	)		—		(16,655	)
Issuance of common stock, net		299,201			—			—			—			—		299,201
Cash distribution from (to) affiliates		55,741			(29,862	)		128,575			(154,454	)		—		—
Cash distribution to common stockholders		(314,399	)		—			—			—			—		(314,399	)
Contributions from noncontrolling interest		—			—			—			1,211			—		1,211
Distributions to noncontrolling interest		—			(379	)		—			(9,490	)		—		(9,869	)
Other		2,695			—			—			—			—		2,695
Net cash used in financing activities		(1,385	)		(125,107	)		(294,825	)		(68,863	)		—		(490,180	)
Net decrease in cash and cash equivalents		—			(5,993	)		(62,442	)		(1,390	)		—		(69,825	)
Effect of foreign currency translation on cash and cash equivalents		—			—			410			—			—		410
Cash and cash equivalents at beginning of year		—			10,325			144,918			21,569			— ��		176,812
Cash and cash equivalents at end of year	$	—		$	4,332		$	82,886		$	20,179		$	—	$	107,397

74

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

For the Year Ended December 31, 2008

	Ventas, Inc.			Wholly Owned Subsidiary Guarantors			Issuers			Non- Guarantor Subsidiaries			Consolidated Elimination		Consolidated
	(In thousands)
Net cash provided by operating activities	$	548		$	74,297		$	172,479		$	132,583		$	—	$	379,907
Net cash provided by (used in) investing activities		1,717			(34,999	)		(73,663	)		(29,311	)		—		(136,256	)
Cash flows from financing activities:
Net change in borrowings under revolving credit facilities		—			(27,574	)		100,940			—			—		73,366
Proceeds from debt		—			—			—			140,262			—		140,262
Repayment of debt		—			(115,978	)		(206,835	)		(94,083	)		—		(416,896	)
Net change in intercompany debt		43,407			(78,082	)		43,399			(8,724	)		—		—
Payment of deferred financing costs		—			(811	)		(1,099	)		(1,947	)		—		(3,857	)
Issuance of common stock, net		408,540			—			—			—			—		408,540
Cash distribution (to) from affiliates		(172,582	)		188,116			108,397			(123,931	)		—		—
Cash distribution to common stockholders		(288,817	)		(32	)		—			—			—		(288,849	)
Distributions to noncontrolling interest		—			—			—			(15,732	)		—		(15,732	)
Other		7,187			—			—			—			—		7,187
Net cash (used in) provided by financing activities		(2,265	)		(34,361	)		44,802			(104,155	)		—		(95,979	)
Net increase (decrease) in cash and cash equivalents		—			4,937			143,618			(883	)		—		147,672
Effect of foreign currency translation on cash and cash equivalents		—			—			806			—			—		806
Cash and cash equivalents at beginning of year		—			5,388			494			22,452			—		28,334
Cash and cash equivalents at end of year	$	—		$	10,325		$	144,918		$	21,569		$	—	$	176,812

75

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

For the Year Ended December 31, 2007

	Ventas, Inc.			Wholly Owned Subsidiary Guarantors			Issuers			Non- Guarantor Subsidiaries			Consolidated Elimination		Consolidated
	(In thousands)
Net cash provided by operating activities	$	22,852		$	67,167		$	207,855		$	106,726		$	—	$	404,600
Net cash (used in) provided by investing activities		(1	)		(580,675	)		180,755			(775,271	)		—		(1,175,192	)
Cash flows from financing activities:
Net change in borrowings under revolving credit facilities		—			84,286			92,300			—			—		176,586
Issuance of bridge financing		—			—			1,230,000			—			—		1,230,000
Repayment of bridge financing		—			—			(1,230,000	)		—			—		(1,230,000	)
Proceeds from debt		—			13,217			—			40,615			—		53,832
Repayment of debt		—			(126,671	)		(5,001	)		(52,941	)		—		(184,613	)
Net change in intercompany debt		(44,347	)		453,502			(409,155	)		—			—		—
Debt and preferred stock issuance costs		(4,300	)		—			—			—			—		(4,300	)
Payment of deferred financing costs		—			(497	)		(275	)		(7,084	)		—		(7,856	)
Issuance of common stock, net		1,045,713			—			—			—			—		1,045,713
Cash distribution to preferred stockholders		(3,449	)		—			—			—			—		(3,449	)
Cash distribution (to) from affiliates		(746,388	)		70,712			(61,704	)		737,380			—		—
Cash distribution to common stockholders		(282,620	)		(119	)		—			—			—		(282,739	)
Distributions to noncontrolling interest		—			—			—			(2,974	)		—		(2,974	)
Other		12,540			24,466			(65	)		(24,466	)		—		12,475
Net cash (used in) provided by financing activities		(22,851	)		518,896			(383,900	)		690,530			—		802,675
Net increase in cash and cash equivalents		—			5,388			4,710			21,985			—		32,083
Effect of foreign currency translation on cash and cash equivalents		—			—			(4,995	)		—			—		(4,995	)
Cash and cash equivalents at beginning of year		—			—			779			467			—		1,246
Cash and cash equivalents at end of year	$	—		$	5,388		$	494		$	22,452		$	—	$	28,334

76

VENTAS, INC.

SCHEDULE III

REAL ESTATE AND ACCUMULATED DEPRECIATION

December 31, 2009

(Dollars in Thousands)

	For the Years Ended December 31,
	2009			2008			2007
	(In thousands)
Reconciliation of real estate:
Carrying cost:
Balance at beginning of period	$	6,160,630		$	6,292,181		$	3,707,837
Additions during period:
Acquisitions		108,376			93,901			2,619,050
Capital expenditures		13,798			16,359			8,188
Dispositions:
Sale of assets		(34,525	)		(173,399	)		(82,274	)
Foreign currency translation		44,342			(68,412	)		39,380
Balance at end of period	$	6,292,621		$	6,160,630		$	6,292,181
Accumulated depreciation:
Balance at beginning of period	$	987,691		$	816,352		$	659,584
Additions during period:
Depreciation expense		198,789			200,132			175,494
Acquisitions - noncontrolling interest share		—			—			20,482
Dispositions:
Sale of assets		(11,469	)		(30,355	)		(40,212	)
Foreign currency translation		2,900			1,562			1,004
Balance at end of period	$	1,177,911		$	987,691		$	816,352

77

VENTAS, INC.

SCHEDULE III

REAL ESTATE AND ACCUMULATED DEPRECIATION

December 31, 2009

(Dollars in Thousands)

		Location		Initial Cost to Company				Costs Capitalized Subsequent to Acquisition			Gross Amount Carried at  Close of Period														Life on Which Depreciation in Income Statement is Computed
Property #	Property Name	City	State / Province	Land		Buildings  and Improvements					Land		Buildings  and Improvements		Total		Accumulated Depreciation		NBV		Year of Construction		Year Acquired
BROOKDALE SENIORS HOUSING COMMUNITIES
3225	Clare Bridge of Oro Valley	Oro Valley	AZ	$	666	$	6,169	$	—		$	666	$	6,169	$	6,835	$	1,341	$	5,494		1998		2005	35 years
3236	Clare Bridge of Tempe	Tempe	AZ		611		4,066		—			611		4,066		4,677		884		3,793		1997		2005	35 years
3219	Sterling House of Mesa	Mesa	AZ		655		6,998		—			655		6,998		7,653		1,521		6,132		1998		2005	35 years
3227	Sterling House of Peoria	Peoria	AZ		598		4,872		—			598		4,872		5,470		1,059		4,411		1998		2005	35 years
3238	Sterling House on East Speedway	Tucson	AZ		506		4,745		—			506		4,745		5,251		1,032		4,219		1998		2005	35 years
2424	The Springs of East Mesa	Mesa	AZ		2,747		24,918		—			2,747		24,918		27,665		5,513		22,152		1986		2005	35 years
2429	Brookdale Place	San Marcos	CA		4,288		36,204		—			4,288		36,204		40,492		8,253		32,239		1987		2005	35 years
2428	The Atrium	San Jose	CA		6,240		66,329		—			6,240		66,329		72,569		13,797		58,772		1987		2005	35 years
2426	Woodside Terrace	Redwood City	CA		7,669		66,691		—			7,669		66,691		74,360		15,015		59,345		1988		2005	35 years
3206	Wynwood of Colorado Springs	Colorado Springs	CO		715		9,279		—			715		9,279		9,994		2,017		7,977		1997		2005	35 years
3220	Wynwood of Pueblo	Pueblo	CO		840		9,403		—			840		9,403		10,243		2,044		8,199		1997		2005	35 years
2435	Chatfield	West Hartford	CT		2,493		22,833		—			2,493		22,833		25,326		5,032		20,294		1989		2005	35 years
2420	The Gables at Farmington	Farmington	CT		3,995		36,310		—			3,995		36,310		40,305		8,027		32,278		1984		2005	35 years
3245	Clare Bridge Cottage of Winter Haven	Winter Haven	FL		232		3,006		—			232		3,006		3,238		653		2,585		1997		2005	35 years
3235	Clare Bridge of Tallahassee	Tallahassee	FL		667		6,168		—			667		6,168		6,835		1,341		5,494		1998		2005	35 years
3241	Clare Bridge of West Melbourne	West Melbourne	FL		586		5,481		—			586		5,481		6,067		1,192		4,875		2000		2005	35 years
3226	Sterling House of Pensacola	Pensacola	FL		633		6,087		—			633		6,087		6,720		1,323		5,397		1998		2005	35 years
3246	Sterling House of Winter Haven	Winter Haven	FL		438		5,549		—			438		5,549		5,987		1,206		4,781		1997		2005	35 years
2436	The Classic at West Palm Beach	West Palm Beach	FL		3,758		33,072		—			3,758		33,072		36,830		7,410		29,420		1990		2005	35 years
2403	The Grand Court Fort Myers (Waterford Place)	Fort Myers	FL		1,065		9,586		—			1,065		9,586		10,651		1,847		8,804		1988		2004	35 years
2414	The Grand Court Tavares	Tavares	FL		431		3,881		—			431		3,881		4,312		858		3,454		1985		2004	35 years
3239	Wynwood of Twin Falls	Twin Falls	ID		703		6,153		—			703		6,153		6,856		1,338		5,518		1997		2005	35 years
2421	Devonshire of Hoffman Estates	Hoffman Estates	IL		3,886		44,130		—			3,886		44,130		48,016		8,962		39,054		1987		2005	35 years
2432	Hawthorn Lakes	Vernon Hills	IL		4,439		35,044		—			4,439		35,044		39,483		8,225		31,258		1987		2005	35 years
2415	Seasons at Glenview	Northbrook	IL		1,988		39,762		—			1,988		39,762		41,750		6,909		34,841		1999		2004	35 years
2423	The Devonshire	Lisle	IL		7,953		70,400		—			7,953		70,400		78,353		15,733		62,620		1990		2005	35 years
2408	The Grand Court Belleville	Belleville	IL		370		3,333		—			370		3,333		3,703		647		3,056		1984		2004	35 years
2416	The Hallmark	Chicago	IL		11,057		107,517		—			11,057		107,517		118,574		23,137		95,437		1990		2005	35 years
2418	The Heritage	Des Plaines	IL		6,871		60,165		—			6,871		60,165		67,036		13,507		53,529		1993		2005	35 years
2417	The Kenwood of Lake View	Chicago	IL		3,072		26,668		—			3,072		26,668		29,740		6,009		23,731		1950		2005	35 years
2433	The Willows	Vernon Hills	IL		1,147		10,041		—			1,147		10,041		11,188		2,254		8,934		1999		2005	35 years
2437	Westbury	Lisle	IL		730		9,270		—			730		9,270		10,000		321		9,679		1990		2009	35 years
2422	Berkshire of Castleton	Indianapolis	IN		1,280		11,515		—			1,280		11,515		12,795		2,556		10,239		1986		2005	35 years
3209	Sterling House of Evansville	Evansville	IN		357		3,765		—			357		3,765		4,122		818		3,304		1998		2005	35 years
3218	Sterling House of Marion	Marion	IN		207		3,570		—			207		3,570		3,777		776		3,001		1998		2005	35 years
3230	Sterling House of Portage	Portage	IN		128		3,649		—			128		3,649		3,777		793		2,984		1999		2005	35 years
3232	Sterling House of Richmond	Richmond	IN		495		4,124		—			495		4,124		4,619		897		3,722		1998		2005	35 years
3237	Clare Bridge Cottage of Topeka	Topeka	KS		370		6,825		—			370		6,825		7,195		1,484		5,711		2000		2005	35 years
3216	Clare Bridge of Leawood	Leawood	KS		117		5,127		—			117		5,127		5,244		1,115		4,129		2000		2005	35 years
2412	The Grand Court Overland Park	Overland Park	KS		2,297		20,676		—			2,297		20,676		22,973		3,726		19,247		1988		2004	35 years
2425	River Bay Club	Quincy	MA		6,101		57,862		—			6,101		57,862		63,963		12,575		51,388		1986		2005	35 years
2401	The Grand Court Adrian	Adrian	MI		601		5,411		—			601		5,411		6,012		1,136		4,876		1988		2004	35 years
2407	The Grand Court Farmington Hills	Farmington Hills	MI		847		7,620		—			847		7,620		8,467		1,447		7,020		1989		2004	35 years
3224	Wynwood of Northville	Northville	MI		407		6,068		—			407		6,068		6,475		1,319		5,156		1996		2005	35 years
3240	Wynwood of Utica	Utica	MI		1,142		11,808		—			1,142		11,808		12,950		2,567		10,383		1996		2005	35 years
3208	Clare Bridge of Eden Prairie	Eden Prairie	MN		301		6,228		—			301		6,228		6,529		1,354		5,175		1998		2005	35 years
3223	Clare Bridge of North Oaks	North Oaks	MN		1,057		8,296		—			1,057		8,296		9,353		1,804		7,549		1998		2005	35 years
3229	Clare Bridge of Plymouth	Plymouth	MN		679		8,675		—			679		8,675		9,354		1,886		7,468		1998		2005	35 years
2419	Edina Park Plaza	Edina	MN		3,621		33,141		—			3,621		33,141		36,762		7,306		29,456		1998		2005	35 years
3203	Sterling House of Blaine	Blaine	MN		150		1,675		—			150		1,675		1,825		364		1,461		1997		2005	35 years
3211	Sterling House of Inver Grove Heights	Inver Grove Heights	MN		253		2,655		—			253		2,655		2,908		577		2,331		1997		2005	35 years
2405	The Grand Court Kansas City I	Kansas City	MO		1,250		11,249		—			1,250		11,249		12,499		2,084		10,415		1989		2004	35 years
3204	Clare Bridge of Cary	Cary	NC		724		6,466		—			724		6,466		7,190		1,406		5,784		1997		2005	35 years
3244	Clare Bridge of Winston-Salem	Winston- Salem	NC		368		3,497		—			368		3,497		3,865		760		3,105		1997		2005	35 years
2434	Brendenwood	Voorhees	NJ		3,158		29,909		—			3,158		29,909		33,067		6,503		26,564		1987		2005	35 years
3242	Clare Bridge of Westampton	Westampton	NJ		881		4,741		—			881		4,741		5,622		1,031		4,591		1997		2005	35 years
2430	Ponce de Leon	Santa Fe	NM		—		28,178		—			—		28,178		28,178		5,834		22,344		1986		2005	35 years
2404	The Grand Court Albuquerque	Albuquerque	NM		1,382		12,440		—			1,382		12,440		13,822		2,532		11,290		1991		2004	35 years
2406	The Grand Court Las Vegas	Las Vegas	NV		679		6,107		—			679		6,107		6,786		1,320		5,466		1987		2004	35 years
3221	Clare Bridge of Niskayuna	Niskayuna	NY		1,021		8,333		—			1,021		8,333		9,354		1,812		7,542		1997		2005	35 years
3228	Clare Bridge of Perinton	Pittsford	NY		611		4,066		—			611		4,066		4,677		884		3,793		1997		2005	35 years
3243	Clare Bridge of Williamsville	Williamsville	NY		839		3,841		—			839		3,841		4,680		835		3,845		1997		2005	35 years
2427	The Gables at Brighton	Rochester	NY		1,131		9,498		—			1,131		9,498		10,629		2,171		8,458		1988		2005	35 years
3205	Villas of Sherman Brook	Clinton	NY		947		7,528		—			947		7,528		8,475		1,637		6,838		1991		2005	35 years
3234	Villas of Summerfield	Syracuse	NY		1,132		11,434		—			1,132		11,434		12,566		2,486		10,080		1991		2005	35 years
3212	Wynwood of Kenmore	Kenmore	NY		1,487		15,170		—			1,487		15,170		16,657		3,298		13,359		1995		2005	35 years
3222	Wynwood of Niskayuna	Niskayuna	NY		1,884		16,103		—			1,884		16,103		17,987		3,501		14,486		1996		2005	35 years
3201	Clare Bridge Cottage of Austintown	Austintown	OH		151		3,087		—			151		3,087		3,238		671		2,567		1999		2005	35 years
3200	Sterling House of Alliance	Alliance	OH		392		6,283		—			392		6,283		6,675		1,366		5,309		1998		2005	35 years
3202	Sterling House of Beaver Creek	Beavercreek	OH		587		5,381		—			587		5,381		5,968		1,170		4,798		1998		2005	35 years
3233	Sterling House of Salem	Salem	OH		634		4,659		—			634		4,659		5,293		1,013		4,280		1998		2005	35 years
3207	Sterling House of Westerville	Columbus	OH		267		3,600		—			267		3,600		3,867		783		3,084		1999		2005	35 years
2402	The Grand Court Dayton	Dayton	OH		636		5,721		—			636		5,721		6,357		1,364		4,993		1987		2004	35 years
2410	The Grand Court Findlay	Findlay	OH		385		3,464		—			385		3,464		3,849		732		3,117		1984		2004	35 years
2413	The Grand Court Springfield	Springfield	OH		250		2,250		—			250		2,250		2,500		538		1,962		1986		2004	35 years
2411	The Grand Court Lubbock	Lubbock	TX		720		6,479		—			720		6,479		7,199		1,229		5,970		1984		2004	35 years
2409	The Grand Court Bristol	Bristol	VA		648		5,835		—			648		5,835		6,483		1,197		5,286		1985		2004	35 years
3217	Clare Bridge of Lynwood	Lynwood	WA		1,219		9,573		—			1,219		9,573		10,792		2,081		8,711		1999		2005	35 years
3231	Clare Bridge of Puyallup	Puyallup	WA		1,055		8,298		—			1,055		8,298		9,353		1,804		7,549		1998		2005	35 years
2431	Park Place	Spokane	WA		1,622		12,895		—			1,622		12,895		14,517		3,017		11,500		1915		2005	35 years
3214	Clare Bridge Cottage of La Crosse	LaCrosse	WI		621		4,056		1,126			621		5,182		5,803		926		4,877		2004		2005	35 years
3213	Clare Bridge of Kenosha	Kenosha	WI		551		5,431		2,772			551		8,203		8,754		1,289		7,465		2000		2005	35 years
3210	Sterling House of Fond du Lac	Fond du Lac	WI		196		1,603		—			196		1,603		1,799		348		1,451		2000		2005	35 years
3215	Sterling House of La Crosse	LaCrosse	WI		644		5,831		2,637			644		8,468		9,112		1,373		7,739		1998		2005	35 years
	TOTAL FOR BROOKDALE SENIORS HOUSING COMMUNITIES				130,531		1,265,826		6,535			130,531		1,272,361		1,402,892		271,902		1,130,990
SUNRISE SENIORS HOUSING COMMUNITIES
4064	Sunrise of Scottsdale	Scottsdale	AZ		2,229		27,575		84			2,238		27,650		29,888		2,267		27,621		2007		2007	35 years
4073	Sunrise of Lynn Valley	Vancouver	BC		11,759		37,424		(2,619	)		11,115		35,449		46,564		2,880		43,684		2002		2007	35 years
4077	Sunrise of Vancouver	Vancouver	BC		6,649		31,937		57			6,649		31,994		38,643		2,772		35,871		2005		2007	35 years
4069	Sunrise of Victoria	Victoria	BC		8,332		29,970		(1,930	)		7,876		28,496		36,372		2,369		34,003		2001		2007	35 years
4043	Sunrise of Canyon Crest	Riverside	CA		5,486		19,658		354			5,489		20,009		25,498		1,984		23,514		2006		2007	35 years
4055	Sunrise of Fair Oaks	Fair Oaks	CA		1,456		23,679		1,464			2,685		23,914		26,599		2,324		24,275		2001		2007	35 years
4023	Sunrise of La Costa	Carlsbad	CA		4,890		20,590		276			4,898		20,858		25,756		2,313		23,443		1999		2007	35 years
4045	Sunrise of Mission Viejo	Mission Viejo	CA		3,802		24,560		129			3,802		24,689		28,491		2,436		26,055		1998		2007	35 years
4047	Sunrise of Pacific Palisades	Pacific Palisades	CA		4,458		17,064		121			4,462		17,181		21,643		1,883		19,760		2001		2007	35 years
4066	Sunrise of Rocklin	Rocklin	CA		1,378		23,565		245			1,374		23,814		25,188		1,985		23,203		2007		2007	35 years
4035	Sunrise of San Mateo	San Mateo	CA		2,682		35,335		399			2,682		35,734		38,416		2,829		35,587		1999		2007	35 years
4050	Sunrise of Sterling Canyon	Valencia	CA		3,868		29,293		1,531			3,887		30,805		34,692		2,746		31,946		1998		2007	35 years
4012	Sunrise of Sunnyvale	Sunnyvale	CA		2,933		34,361		89			2,933		34,450		37,383		2,960		34,423		2000		2007	35 years
4016	Sunrise of Westlake Village	Westlake Village	CA		4,935		30,722		107			4,935		30,829		35,764		2,535		33,229		2004		2007	35 years
4018	Sunrise of Yorba Linda	Yorba Linda	CA		1,689		25,240		50			1,689		25,290		26,979		2,081		24,898		2002		2007	35 years
4009	Sunrise of Cherry Creek	Denver	CO		1,621		28,370		102			1,621		28,472		30,093		2,482		27,611		2000		2007	35 years
4059	Sunrise of Orchard	Littleton	CO		1,813		22,183		296			1,813		22,479		24,292		2,195		22,097		1997		2007	35 years
4030	Sunrise of Pinehurst	Denver	CO		1,417		30,885		174			1,417		31,059		32,476		3,118		29,358		1998		2007	35 years
4061	Sunrise of Westminster	Westminster	CO		2,649		16,243		186			2,671		16,407		19,078		1,677		17,401		2000		2007	35 years
4028	Sunrise of Stamford	Stamford	CT		4,612		28,533		254			4,612		28,787		33,399		2,843		30,556		1999		2007	35 years
4053	Sunrise of East Cobb	Marietta	GA		1,797		23,420		218			1,798		23,637		25,435		2,195		23,240		1997		2007	35 years
4056	Sunrise of Huntcliff I	Atlanta	GA		4,232		66,161		2,052			4,240		68,205		72,445		6,314		66,131		1987		2007	35 years
4057	Sunrise of Huntcliff II	Atlanta	GA		2,154		17,137		164			2,154		17,301		19,455		1,601		17,854		1998		2007	35 years
4058	Sunrise of Ivey Ridge	Alpharetta	GA		1,507		18,516		124			1,507		18,640		20,147		1,873		18,274		1998		2007	35 years
4040	Sunrise of Bloomingdale	Bloomingdale	IL		1,287		38,625		153			1,289		38,776		40,065		3,497		36,568		2000		2007	35 years
4042	Sunrise of Buffalo Grove	Buffalo Grove	IL		2,154		28,021		159			2,154		28,180		30,334		2,651		27,683		1999		2007	35 years
4021	Sunrise of Glen Ellyn	Glen Ellyn	IL		2,455		34,064		75			2,455		34,139		36,594		3,353		33,241		2000		2007	35 years
4015	Sunrise of Lincoln Park	Chicago	IL		3,485		26,687		41			3,485		26,728		30,213		2,145		28,068		2003		2007	35 years
4024	Sunrise of Naperville	Naperville	IL		1,946		28,538		213			1,952		28,745		30,697		2,887		27,810		1999		2007	35 years
4060	Sunrise of Palos Park	Palos Park	IL		2,363		42,205		212			2,363		42,417		44,780		3,848		40,932		2001		2007	35 years
4014	Sunrise of Park Ridge	Park Ridge	IL		5,533		39,557		93			5,539		39,644		45,183		3,409		41,774		1998		2007	35 years

4036	Sunrise of Willowbrook	Willowbrook		IL	1,454	60,738	414		1,454	61,152	62,606	3,840	58,766	2000	2007	35 years
4052	Sunrise of Baton Rouge	Baton Rouge		LA	1,212	23,547	269		1,212	23,816	25,028	2,171	22,857	2000	2007	35 years
4051	Sunrise of Arlington	Arlington		MA	86	34,393	126		86	34,519	34,605	3,266	31,339	2001	2007	35 years
4032	Sunrise of Norwood	Norwood		MA	2,230	30,968	554		2,240	31,512	33,752	2,522	31,230	1997	2007	35 years
4033	Sunrise of Columbia	Columbia		MD	1,780	23,083	577		1,780	23,660	25,440	1,885	23,555	1996	2007	35 years
4034	Sunrise of Rockville	Rockville		MD	1,039	39,216	404		1,039	39,620	40,659	3,091	37,568	1997	2007	35 years
4038	Sunrise of Bloomfield Hills	Bloomfield Hills		MI	3,736	27,657	1,095		3,737	28,751	32,488	2,457	30,031	2006	2007	35 years
4008	Sunrise of North Ann Arbor	Ann Arbor		MI	1,703	15,857	157		1,668	16,049	17,717	1,510	16,207	2000	2007	35 years
4046	Sunrise of Northville	Plymouth		MI	1,445	26,090	146		1,445	26,236	27,681	2,506	25,175	1999	2007	35 years
4048	Sunrise of Rochester	Rochester		MI	2,774	38,666	111		2,774	38,777	41,551	3,571	37,980	1998	2007	35 years
4031	Sunrise of Troy	Troy		MI	1,758	23,727	56		1,761	23,780	25,541	2,375	23,166	2001	2007	35 years
4054	Sunrise of Edina	Edina		MN	3,181	24,224	561		3,181	24,785	27,966	2,399	25,567	1999	2007	35 years
4017	Sunrise of North Hills	Raleigh		NC	749	37,091	382		751	37,471	38,222	3,082	35,140	2000	2007	35 years
4019	Sunrise of Providence	Charlotte		NC	1,976	19,472	306		1,976	19,778	21,754	1,839	19,915	1999	2007	35 years
4025	Sunrise of East Brunswick	East Brunswick		NJ	2,784	26,173	225		2,784	26,398	29,182	2,737	26,445	1999	2007	35 years
4001	Sunrise of Morris Plains	Morris Plains		NJ	1,492	32,052	181		1,492	32,233	33,725	2,835	30,890	1997	2007	35 years
4002	Sunrise of Old Tappan	Old Tappan		NJ	2,985	36,795	118		2,985	36,913	39,898	3,257	36,641	1997	2007	35 years
4062	Sunrise of Wall	Wall		NJ	1,053	19,101	96		1,055	19,195	20,250	1,854	18,396	1999	2007	35 years
4005	Sunrise of Wayne	Wayne		NJ	1,288	24,990	200		1,288	25,190	26,478	2,241	24,237	1996	2007	35 years
4006	Sunrise of Westfield	Westfield		NJ	5,057	23,803	278		5,057	24,081	29,138	2,191	26,947	1996	2007	35 years
4029	Sunrise of Woodcliff Lake	Woodcliff Lake		NJ	3,493	30,801	123		3,493	30,924	34,417	3,169	31,248	2000	2007	35 years
4044	Sunrise of Fleetwood	Mount Vernon		NY	4,381	28,434	186		4,381	28,620	33,001	2,835	30,166	1999	2007	35 years
4011	Sunrise of New City	New City		NY	1,906	27,323	158		1,906	27,481	29,387	2,464	26,923	1999	2007	35 years
4027	Sunrise of North Lynbrook	Lynbrook		NY	4,622	38,087	294		4,670	38,333	43,003	3,887	39,116	1999	2007	35 years
4049	Sunrise of Smithtown	Smithtown		NY	2,853	25,621	537		3,013	25,998	29,011	2,785	26,226	1999	2007	35 years
4063	Sunrise of Staten Island	Staten Island		NY	7,237	23,910	(338	)	7,283	23,526	30,809	2,595	28,214	2006	2007	35 years
4010	Sunrise of Cuyahoga Falls	Cuyahoga Falls		OH	626	10,239	110		626	10,349	10,975	1,001	9,974	2000	2007	35 years
4013	Sunrise of Parma	Cleveland		OH	695	16,641	54		695	16,695	17,390	1,488	15,902	2000	2007	35 years
4075	Sunrise of Aurora	Aurora		ON	1,570	36,113	(1,994	)	1,484	34,205	35,689	2,963	32,726	2002	2007	35 years
4070	Sunrise of Burlington	Burlington		ON	1,173	24,448	21		1,173	24,469	25,642	2,002	23,640	2001	2007	35 years
4076	Sunrise of Erin Mills	Mississauga		ON	1,957	27,020	(1,468	)	1,850	25,659	27,509	2,393	25,116	2007	2007	35 years
4068	Sunrise of Mississauga	Mississauga		ON	3,554	33,631	(1,911	)	3,359	31,915	35,274	2,593	32,681	2000	2007	35 years
4071	Sunrise of Oakville	Oakville		ON	2,753	37,489	25		2,753	37,514	40,267	3,035	37,232	2002	2007	35 years
4072	Sunrise of Richmond Hill	Richmond Hill		ON	2,155	41,254	(2,258	)	2,040	39,111	41,151	3,137	38,014	2002	2007	35 years
4078	Sunrise of Steeles	Vaughan		ON	2,563	57,513	(228	)	1,360	58,488	59,848	3,827	56,021	2003	2007	35 years
4067	Sunrise of Unionville	Markham		ON	2,322	41,140	(2,303	)	2,200	38,959	41,159	3,111	38,048	2000	2007	35 years
4074	Sunrise of Windsor	Windsor		ON	1,813	20,882	76		1,830	20,941	22,771	1,763	21,008	2001	2007	35 years
4004	Sunrise of Abington	Abington		PA	1,838	53,660	314		1,862	53,950	55,812	4,682	51,130	1997	2007	35 years
4041	Sunrise of Blue Bell	Blue Bell		PA	1,765	23,920	259		1,770	24,174	25,944	2,356	23,588	2006	2007	35 years
4022	Sunrise of Exton	Exton		PA	1,123	17,765	167		1,124	17,931	19,055	1,777	17,278	2000	2007	35 years
4003	Sunrise of Granite Run	Media		PA	1,272	31,781	192		1,272	31,973	33,245	2,683	30,562	1997	2007	35 years
4007	Sunrise of Haverford	Haverford		PA	941	25,872	254		947	26,120	27,067	2,288	24,779	1997	2007	35 years
4020	Sunrise of Westtown	West Chester		PA	1,547	22,996	159		1,557	23,145	24,702	2,625	22,077	1999	2007	35 years
4037	Sunrise of Hillcrest	Dallas		TX	2,616	27,680	(68	)	2,616	27,612	30,228	2,362	27,866	2006	2007	35 years
4065	Sunrise of Sandy	Sandy		UT	2,576	22,987	69		2,600	23,032	25,632	1,961	23,671	2007	2007	35 years
4039	Sunrise of Alexandria	Alexandria		VA	88	14,811	259		102	15,056	15,158	1,730	13,428	1998	2007	35 years
4026	Sunrise of Richmond	Richmond		VA	1,120	17,446	281		1,137	17,710	18,847	1,792	17,055	1999	2007	35 years
4000	Sunrise of Springfield	Springfield		VA	4,440	18,834	464		4,440	19,298	23,738	1,733	22,005	1997	2007	35 years
	TOTAL FOR SUNRISE SENIORS HOUSING COMMUNITIES				212,352	2,286,059	4,563		211,092	2,291,882	2,502,974	205,118	2,297,856
OTHER SENIORS HOUSING COMMUNITIES
3106	CaraVita Village	Montgomery		AL	779	8,507	752		779	9,259	10,038	1,375	8,663	1987	2005	35 years
3800	Elmcroft of Halcyon	Montgomery		AL	220	5,476	—		220	5,476	5,696	495	5,201	1999	2006	35 years
3821	Elmcroft of Blytheville	Blytheville		AR	294	2,946	—		294	2,946	3,240	267	2,973	1997	2006	35 years
3822	Elmcroft of Maumelle	Maumelle		AR	1,252	7,601	—		1,252	7,601	8,853	688	8,165	1997	2006	35 years
3823	Elmcroft of Mountain Home	Mountain Home		AR	204	8,971	—		204	8,971	9,175	812	8,363	1997	2006	35 years
3825	Elmcroft of Sherwood	Sherwood		AR	1,320	5,693	—		1,320	5,693	7,013	515	6,498	1997	2006	35 years
3605	West Shores	Hot Springs		AR	1,326	10,904	—		1,326	10,904	12,230	1,450	10,780	1988	2005	35 years
3601	Cottonwood Village	Cottonwood		AZ	1,200	15,124	—		1,200	15,124	16,324	1,982	14,342	1986	2005	35 years
3808	ActivCare at La Mesa	La Mesa		CA	2,431	6,101	—		2,431	6,101	8,532	552	7,980	1997	2006	35 years
3807	ActivCare at Point Loma	San Diego		CA	2,117	6,865	—		2,117	6,865	8,982	621	8,361	1999	2006	35 years
2813	Emeritus at Barrington Court	Danville		CA	360	4,640	—		360	4,640	5,000	537	4,463	1999	2006	35 years
2803	Emeritus at Fairwood Manor	Anaheim		CA	2,464	7,908	—		2,464	7,908	10,372	1,418	8,954	1977	2005	35 years
3810	Grossmont Gardens	La Mesa		CA	9,104	59,349	—		9,104	59,349	68,453	5,370	63,083	1964	2006	35 years
3811	Las Villas Del Carlsbad	Carlsbad		CA	1,760	30,469	—		1,760	30,469	32,229	2,757	29,472	1987	2006	35 years
3805	Las Villas Del Norte	Escondido		CA	2,791	32,632	—		2,791	32,632	35,423	2,952	32,471	1986	2006	35 years
3809	Mountview Retirement Residence	Montrose		CA	1,089	15,449	—		1,089	15,449	16,538	1,398	15,140	1974	2006	35 years
3806	Rancho Vista	Vista		CA	6,730	21,828	—		6,730	21,828	28,558	1,975	26,583	1982	2006	35 years
2815	Emeritus at Roseville Gardens	Roseville		CA	220	2,380	—		220	2,380	2,600	278	2,322	1996	2006	35 years
2804	Emeritus at Heritage Place	Tracy		CA	1,110	13,296	—		1,110	13,296	14,406	1,862	12,544	1986	2005	35 years
3604	Villa Santa Barbara	Santa Barbara		CA	1,219	12,426	—		1,219	12,426	13,645	1,642	12,003	1977	2005	35 years
2802	Emeritus at South Windsor	South Windsor		CT	2,187	12,682	—		2,187	12,682	14,869	2,095	12,774	1999	2004	35 years
3801	Elmcroft of Timberlin Parc	Jacksonville		FL	455	5,905	—		455	5,905	6,360	534	5,826	1998	2006	35 years
3102	Highland Terrace	Inverness		FL	269	4,108	—		269	4,108	4,377	633	3,744	1997	2005	35 years
2807	Emeritus at Bonita Springs	Bonita Springs		FL	1,540	10,783	—		1,540	10,783	12,323	2,246	10,077	1989	2005	35 years
2808	Emeritus at Boynton Beach	Boynton Beach		FL	2,317	16,218	—		2,317	16,218	18,535	3,194	15,341	1999	2005	35 years
2809	Emeritus at Deer Creek	Deerfield		FL	1,399	9,791	—		1,399	9,791	11,190	2,287	8,903	1999	2005	35 years
2810	Emeritus at Jensen Beach	Jensen Beach		FL	1,831	12,820	—		1,831	12,820	14,651	2,654	11,997	1999	2005	35 years
3826	Elmcroft of Martinez	Martinez		GA	408	6,764	—		408	6,764	7,172	483	6,689	1997	2007	35 years
3101	Greenwood Gardens	Marietta		GA	706	3,132	—		706	3,132	3,838	528	3,310	1997	2005	35 years
3103	Peachtree Estates	Dalton		GA	501	5,229	—		501	5,229	5,730	814	4,916	2000	2005	35 years
3104	Tara Plantation	Cumming		GA	1,381	7,707	—		1,381	7,707	9,088	1,164	7,924	1998	2005	35 years
3107	The Sanctuary at Northstar	Kennesaw		GA	906	5,614	—		906	5,614	6,520	833	5,687	2001	2005	35 years
3100	Winterville Retirement	Winterville		GA	243	7,418	—		243	7,418	7,661	1,092	6,569	1999	2005	35 years
3827	Elmcroft of Muncie	Muncie		IN	244	11,218	—		244	11,218	11,462	801	10,661	1998	2007	35 years
3606	Georgetowne Place	Fort Wayne		IN	1,315	18,185	—		1,315	18,185	19,500	2,255	17,245	1987	2005	35 years
3603	The Harrison	Indianapolis		IN	1,200	5,740	—		1,200	5,740	6,940	843	6,097	1985	2005	35 years
3607	Towne Centre	Merrillville		IN	1,291	27,709	—		1,291	27,709	29,000	5,747	23,253	1987	2006	35 years
2510	Heritage Woods	Agawam		MA	1,249	4,625	—		1,249	4,625	5,874	1,293	4,581	1997	2004	30 years
2805	Summerville at Farm Pond	Framingham		MA	5,819	33,361	—		5,819	33,361	39,180	5,019	34,161	1999	2004	35 years
2806	Whitehall Estate	Hyannis		MA	1,277	9,063	—		1,277	9,063	10,340	1,308	9,032	1999	2005	35 years
3608	Rose Arbor	Maple Grove		MN	1,140	12,421	—		1,140	12,421	13,561	2,513	11,048	2000	2006	35 years
3609	Wildflower Lodge	Maple Grove		MN	504	5,035	—		504	5,035	5,539	1,022	4,517	1981	2006	35 years
3802	Elmcroft of Little Avenue	Charlotte		NC	250	5,077	—		250	5,077	5,327	459	4,868	1997	2006	35 years
3846	Elmcroft of Northridge	Raleigh		NC	184	3,592	—		184	3,592	3,776	325	3,451	1984	2006	35 years
3602	Crown Pointe	Omaha	��	NE	1,316	11,950	—		1,316	11,950	13,266	1,602	11,664	1985	2005	35 years
2233	Cottonbloom Assisted Living	Las Cruces		NM	153	897	—		153	897	1,050	—	1,050	1996	2009	35 years
3600	The Amberleigh	Amherst		NY	3,498	19,097	—		3,498	19,097	22,595	2,738	19,857	1988	2005	35 years
3847	Elmcroft of Lima	Lima		OH	490	3,368	—		490	3,368	3,858	305	3,553	1998	2006	35 years
3813	Elmcroft of Medina	Medina		OH	661	9,788	—		661	9,788	10,449	886	9,563	1999	2006	35 years
3812	Elmcroft of Ontario	Mansfield		OH	523	7,968	—		523	7,968	8,491	721	7,770	1998	2006	35 years
3816	Elmcroft of Sagamore Hills	Sagamore Hills		OH	980	12,604	—		980	12,604	13,584	1,140	12,444	2000	2006	35 years
3814	Elmcroft of Washington Township	Miamisburg		OH	1,235	12,611	—		1,235	12,611	13,846	1,141	12,705	1998	2006	35 years
3848	Elmcroft of Xenia	Xenia		OH	653	2,801	—		653	2,801	3,454	253	3,201	1999	2006	35 years
2501	Berkshire Commons	Reading		PA	470	4,301	—		470	4,301	4,771	1,049	3,722	1997	2004	30 years
3849	Elmcroft of Allison Park	Allison Park		PA	1,171	5,686	—		1,171	5,686	6,857	514	6,343	1986	2006	35 years
3850	Elmcroft of Altoona	Duncansville		PA	331	4,729	—		331	4,729	5,060	428	4,632	1997	2006	35 years
3851	Elmcroft of Berwick	Berwick		PA	111	6,741	—		111	6,741	6,852	610	6,242	1998	2006	35 years
3853	Elmcroft of Chippewa	Beaver Falls		PA	1,394	8,586	—		1,394	8,586	9,980	777	9,203	1998	2006	35 years
3817	Elmcroft of Dillsburg	Dillsburg		PA	432	7,797	—		432	7,797	8,229	705	7,524	1998	2006	35 years
3818	Elmcroft of Lebanon	Lebanon		PA	240	7,336	—		240	7,336	7,576	664	6,912	1999	2006	35 years
3854	Elmcroft of Lewisburg	Lewisburg		PA	232	5,666	—		232	5,666	5,898	513	5,385	1999	2006	35 years
3856	Elmcroft of Loyalsock	Montoursville		PA	413	3,412	—		413	3,412	3,825	309	3,516	1999	2006	35 years
3857	Elmcroft of Reading	Reading		PA	638	4,942	—		638	4,942	5,580	447	5,133	1998	2006	35 years
3855	Elmcroft of Reedsville	Lewistown		PA	189	5,170	—		189	5,170	5,359	468	4,891	1998	2006	35 years
3858	Elmcroft of Saxonburg	Saxonburg		PA	770	5,949	—		770	5,949	6,719	538	6,181	1994	2006	35 years
3815	Elmcroft of Shippensburg	Shippensburg		PA	203	7,634	—		203	7,634	7,837	691	7,146	1999	2006	35 years
3860	Elmcroft of State College	State College		PA	320	7,407	—		320	7,407	7,727	670	7,057	1997	2006	35 years
2504	Highgate at Paoli Pointe	Paoli		PA	1,151	9,079	—		1,151	9,079	10,230	1,985	8,245	1997	2004	30 years
2502	Lehigh Commons	Macungie		PA	420	4,406	—		420	4,406	4,826	1,048	3,778	1997	2004	30 years
2511	Mifflin Court	Shillington		PA	689	4,265	—		689	4,265	4,954	835	4,119	1997	2004	35 years
2503	Sanatoga Court	Pottstown		PA	360	3,233	—		360	3,233	3,593	791	2,802	1997	2004	30 years
3803	Elmcroft of Florence	Florence		SC	108	7,620	—		108	7,620	7,728	689	7,039	1998	2006	35 years
3105	The Inn at Seneca	Seneca		SC	365	2,768	—		365	2,768	3,133	444	2,689	1999	2005	35 years
3804	Elmcroft of Hamilton Place	Chattanooga		TN	87	4,248	—		87	4,248	4,335	384	3,951	1998	2006	35 years
3861	Elmcroft of Hendersonville	Hendersonville		TN	174	2,586	—		174	2,586	2,760	234	2,526	1999	2006	35 years
3819	Elmcroft of Kingsport	Kingsport		TN	22	7,815	—		22	7,815	7,837	707	7,130	2000	2006	35 years
3863	Elmcroft of Lebanon	Lebanon		TN	180	7,086	—		180	7,086	7,266	641	6,625	2000	2006	35 years
3862	Elmcroft of West Knoxville	Knoxville		TN	439	10,697	—		439	10,697	11,136	968	10,168	2000	2006	35 years
3610	Whitley Place	Keller		TX	—	5,100	—		—	5,100	5,100	279	4,821	1998	2008	35 years
3865	Elmcroft of Chesterfield	Richmond		VA	829	6,534	—		829	6,534	7,363	591	6,772	1999	2006	35 years
3820	Elmcroft of Martinsburg	Martinsburg		WV	248	8,320	—		248	8,320	8,568	753	7,815	1999	2006	35 years
	TOTAL FOR OTHER SENIORS HOUSING COMMUNITIES				88,101	772,959	752		88,101	773,711	861,812	96,606	765,206

	TOTAL FOR SENIORS HOUSING COMMUNITIES			430,984	4,324,844	11,850		429,724	4,337,954	4,767,678	573,626	4,194,052
KINDRED SKILLED NURSING FACILITIES
0824	Specialty Healthcare & Rehabilitation Center of Mobile	Mobile	AL	5	2,981	—		5	2,981	2,986	1,846	1,140	1967	1992	29 years
0791	Whitesburg Gardens Health Care Center	Huntsville	AL	534	4,216	—		534	4,216	4,750	3,149	1,601	1968	1991	25 years
0743	Desert Life Rehabilitation and Care Center	Tucson	AZ	611	5,117	—		611	5,117	5,728	3,813	1,915	1979	1982	37 years
0853	Kachina Point Health Care and Rehabilitation Center	Sedona	AZ	364	4,179	—		364	4,179	4,543	2,628	1,915	1983	1984	45 years
0851	Villa Campana Health Care Center	Tucson	AZ	533	2,201	—		533	2,201	2,734	1,136	1,598	1983	1993	35 years
0738	Bay View Nursing and Rehabilitation Center	Alameda	CA	1,462	5,981	—		1,462	5,981	7,443	3,725	3,718	1967	1993	45 years
0167	Canyonwood Nursing and Rehab Center	Redding	CA	401	3,784	—		401	3,784	4,185	1,773	2,412	1989	1989	45 years
0335	Lawton Healthcare Center	San Francisco	CA	943	514	—		943	514	1,457	414	1,043	1962	1996	20 years
0150	The Tunnell Center for Rehabilitation & Heathcare	San Francisco	CA	1,902	7,531	—		1,902	7,531	9,433	4,607	4,826	1967	1993	28 years
0350	Valley Gardens Health Care & Rehabilitation Center	Stockton	CA	516	3,405	—		516	3,405	3,921	1,690	2,231	1988	1988	29 years
0148	Village Square Nursing and Rehabilitation Center	San Marcos	CA	766	3,507	—		766	3,507	4,273	1,417	2,856	1989	1993	42 years
0745	Aurora Care Center	Aurora	CO	197	2,328	—		197	2,328	2,525	1,380	1,145	1962	1995	30 years
0873	Brighton Care Center	Brighton	CO	282	3,377	—		282	3,377	3,659	2,041	1,618	1969	1992	30 years
0859	Malley Healthcare and Rehabilitation Center	Northglenn	CO	501	8,294	—		501	8,294	8,795	4,770	4,025	1971	1993	29 years
0744	Cherry Hills Health Care Center	Englewood	CO	241	2,180	—		241	2,180	2,421	1,390	1,031	1960	1995	30 years
0562	Andrew House Healthcare	New Britain	CT	247	1,963	—		247	1,963	2,210	1,128	1,082	1967	1992	29 years
0563	The Crossings West Campus	New London	CT	202	2,363	—		202	2,363	2,565	1,433	1,132	1969	1994	28 years
0567	The Crossings East Campus	New London	CT	401	2,776	—		401	2,776	3,177	1,847	1,330	1968	1992	29 years
0568	Parkway Pavilion Healthcare	Enfield	CT	337	3,607	—		337	3,607	3,944	2,384	1,560	1968	1994	28 years
0566	Windsor Rehabilitation and Healthcare Center	Windsor	CT	368	2,520	—		368	2,520	2,888	1,662	1,226	1965	1994	30 years
1228	Lafayette Nursing and Rehab Center	Fayetteville	GA	598	6,623	—		598	6,623	7,221	4,568	2,653	1989	1995	20 years
0155	Savannah Rehabilitation & Nursing Center	Savannah	GA	213	2,772	—		213	2,772	2,985	1,666	1,319	1968	1993	28.5 years
0660	Savannah Specialty Care Center	Savannah	GA	157	2,219	—		157	2,219	2,376	1,562	814	1972	1991	26 years
0645	Specialty Care of Marietta	Marietta	GA	241	2,782	—		241	2,782	3,023	1,761	1,262	1968	1993	28.5 years
0225	Aspen Park Healthcare	Moscow	ID	261	2,571	—		261	2,571	2,832	1,994	838	1955	1990	25 years
0218	Canyon West Health and Rehabilitation Center	Caldwell	ID	312	2,050	—		312	2,050	2,362	773	1,589	1974	1998	45 years
0216	Boise Health and Rehabilitation Center	Boise	ID	256	3,593	—		256	3,593	3,849	1,216	2,633	1977	1998	45 years
0221	Lewiston Rehabilitation & Care Center	Lewiston	ID	133	3,982	—		133	3,982	4,115	2,810	1,305	1964	1984	29 years
0409	Mountain Valley Care & Rehabilitation Center	Kellogg	ID	68	1,280	—		68	1,280	1,348	1,262	86	1971	1984	25 years
0222	Nampa Care Center	Nampa	ID	252	2,810	—		252	2,810	3,062	2,633	429	1950	1983	25 years
0223	Weiser Rehabilitation & Care Center	Weiser	ID	157	1,760	—		157	1,760	1,917	1,813	104	1963	1983	25 years
0290	Bremen Health Care Center	Bremen	IN	109	3,354	—		109	3,354	3,463	1,728	1,735	1982	1996	45 years
0780	Columbus Health and Rehabilitation Center	Columbus	IN	345	6,817	—		345	6,817	7,162	5,011	2,151	1966	1991	25 years
0131	Harrison Health and Rehabilitation Centre	Corydon	IN	125	6,068	—		125	6,068	6,193	1,605	4,588	1998	1998	45 years
0269	Meadowvale Health and Rehabilitation Center	Bluffton	IN	7	787	—		7	787	794	474	320	1962	1995	22 years
0406	Muncie Health & Rehabilitation Center	Muncie	IN	108	4,202	—		108	4,202	4,310	2,703	1,607	1980	1993	25 years
0407	Parkwood Health Care Center	Lebanon	IN	121	4,512	—		121	4,512	4,633	2,925	1,708	1977	1993	25 years
0111	Rolling Hills Health Care Center	New Albany	IN	81	1,894	—		81	1,894	1,975	1,269	706	1984	1993	25 years
0112	Royal Oaks Health Care and Rehabilitation Center	Terre Haute	IN	418	5,779	—		418	5,779	6,197	1,989	4,208	1995	1995	45 years
0113	Southwood Health & Rehabilitation Center	Terre Haute	IN	90	2,868	—		90	2,868	2,958	1,884	1,074	1988	1993	25 years
0209	Valley View Health Care Center	Elkhart	IN	87	2,665	—		87	2,665	2,752	1,772	980	1985	1993	25 years
0694	Wedgewood Healthcare Center	Clarksville	IN	119	5,115	—		119	5,115	5,234	2,560	2,674	1985	1995	35 years
0213	Wildwood Health Care Center	Indianapolis	IN	134	4,983	—		134	4,983	5,117	3,257	1,860	1988	1993	25 years
0294	Windsor Estates Health & Rehab Center	Kokomo	IN	256	6,625	—		256	6,625	6,881	3,293	3,588	1962	1995	35 years
0782	Danville Centre for Health and Rehabilitation	Danville	KY	322	3,538	—		322	3,538	3,860	1,947	1,913	1962	1995	30 years
0864	Harrodsburg Health Care Center	Harrodsburg	KY	137	1,830	—		137	1,830	1,967	1,374	593	1974	1985	35 years
0785	Hillcrest Health Care Center	Owensboro	KY	544	2,619	—		544	2,619	3,163	2,628	535	1963	1982	22 years
0282	Maple Manor Health Care Center	Greenville	KY	59	3,187	—		59	3,187	3,246	2,077	1,169	1968	1990	30 years
0784	Northfield Centre for Health and Rehabilitation	Louisville	KY	285	1,555	—		285	1,555	1,840	1,108	732	1969	1985	30 years
0278	Oakview Nursing and Rehabilitation Center	Calvert City	KY	124	2,882	—		124	2,882	3,006	1,862	1,144	1967	1990	30 years
0281	Riverside Manor Healthcare Center	Calhoun	KY	103	2,119	—		103	2,119	2,222	1,386	836	1963	1990	30 years
0277	Rosewood Health Care Center	Bowling Green	KY	248	5,371	—		248	5,371	5,619	3,472	2,147	1970	1990	30 years
0280	Fountain Circle Health and Rehabilitation	Winchester	KY	137	6,120	—		137	6,120	6,257	3,914	2,343	1967	1990	30 years
0787	Woodland Terrace Health Care Facility	Elizabethtown	KY	216	1,795	—		216	1,795	2,011	1,878	133	1969	1982	26 years
0501	Blue Hills Alzheimer’s Care Center	Stoughton	MA	511	1,026	—		511	1,026	1,537	1,291	246	1965	1982	28 years
0581	Blueberry Hill Skilled Nursing & Rehabilitation Center	Beverly	MA	129	4,290	—		129	4,290	4,419	2,961	1,458	1965	1968	40 years
0529	Bolton Manor Nursing and Rehabilitation Center	Marlborough	MA	222	2,431	—		222	2,431	2,653	1,862	791	1973	1984	34.5 years
0503	Brigham Manor Nursing and Rehabilitation Center	Newburyport	MA	126	1,708	—		126	1,708	1,834	1,427	407	1806	1982	27 years
0582	Colony House Nursing and Rehabilitation Center	Abington	MA	132	999	—		132	999	1,131	1,050	81	1965	1969	40 years
0534	Country Gardens Skilled Nursing & Rehabilitation Center	Swansea	MA	415	2,675	—		415	2,675	3,090	2,198	892	1969	1984	27 years
0507	Country Rehabilitation and Nursing Center	Newburyport	MA	199	3,004	—		199	3,004	3,203	2,456	747	1968	1982	27 years
0508	Crawford Skilled Nursing and Rehabilitation Center	Fall River	MA	127	1,109	—		127	1,109	1,236	1,043	193	1968	1982	29 years
0542	Den-Mar Rehabilitation and Nursing Center	Rockport	MA	23	1,560	—		23	1,560	1,583	1,304	279	1963	1985	30 years
0573	Eagle Pond Rehabilitation and Living Center	South Dennis	MA	296	6,896	—		296	6,896	7,192	3,278	3,914	1985	1987	50 years
0584	Franklin Skilled Nursing and Rehabilitation Center	Franklin	MA	156	757	—		156	757	913	791	122	1967	1969	40 years
0585	Great Barrington Rehabilitation and Nursing Center	Great Barrington	MA	60	1,142	—		60	1,142	1,202	1,125	77	1967	1969	40 years
0513	Hallmark Nursing and Rehabilitation Center	New Bedford	MA	202	2,694	—		202	2,694	2,896	2,219	677	1968	1982	26 years
0516	Hammersmith House Nursing Care Center	Saugus	MA	112	1,919	—		112	1,919	2,031	1,531	500	1965	1982	28 years
0198	Harrington House Nursing and Rehabilitation Center	Walpole	MA	4	4,444	—		4	4,444	4,448	1,884	2,564	1991	1991	45 years
0532	Hillcrest Nursing and Rehabilitation Center	Fitchburg	MA	175	1,461	—		175	1,461	1,636	1,457	179	1957	1984	25 years
0327	Laurel Ridge Rehabilitation and Nursing Center	Jamaica Plain	MA	194	1,617	—		194	1,617	1,811	1,155	656	1968	1989	30 years
0539	Newton and Wellesley Alzheimer Center	Wellesley	MA	297	3,250	—		297	3,250	3,547	2,421	1,126	1971	1984	30 years
0517	Oakwood Rehabilitation and Nursing Center	Webster	MA	102	1,154	—		102	1,154	1,256	1,056	200	1967	1982	31 years
0506	Presentation Nursing & Rehabilitation Center	Brighton	MA	184	1,220	—		184	1,220	1,404	1,211	193	1968	1982	28 years
0537	Quincy Rehabilitation and Nursing Center	Quincy	MA	216	2,911	—		216	2,911	3,127	2,584	543	1965	1984	24 years
0587	River Terrace Healthcare	Lancaster	MA	268	957	—		268	957	1,225	1,073	152	1969	1969	40 years
0514	Sachem Skilled Nursing & Rehabilitation Center	East Bridgewater	MA	529	1,238	—		529	1,238	1,767	1,465	302	1968	1982	27 years
0526	The Eliot Healthcare Center	Natick	MA	249	1,328	—		249	1,328	1,577	1,197	380	1996	1982	31 years
0518	Timberlyn Heights Nursing and Rehabilitation Center	Great Barrington	MA	120	1,305	—		120	1,305	1,425	1,178	247	1968	1982	29 years
0588	Walden Rehabilitation and Nursing Center	Concord	MA	181	1,347	—		181	1,347	1,528	1,355	173	1969	1968	40 years
0544	Augusta Rehabilitation Center	Augusta	ME	152	1,074	—		152	1,074	1,226	902	324	1968	1985	30 years
0555	Brentwood Rehabilitation and Nursing Center	Yarmouth	ME	181	2,789	—		181	2,789	2,970	1,978	992	1945	1985	45 years
0547	Brewer Rehabilitation and Living Center	Brewer	ME	228	2,737	—		228	2,737	2,965	1,878	1,087	1974	1985	33 years
0545	Eastside Rehabilitation and Living Center	Bangor	ME	316	1,349	—		316	1,349	1,665	1,061	604	1967	1985	30 years
0549	Kennebunk Nursing and Rehabilitation Center	Kennebunk	ME	99	1,898	—		99	1,898	1,997	1,274	723	1977	1985	35 years
0550	Norway Rehabilitation & Living Center	Norway	ME	133	1,658	—		133	1,658	1,791	1,120	671	1972	1985	39 years
0554	Westgate Manor	Bangor	ME	287	2,718	—		287	2,718	3,005	2,068	937	1969	1985	31 years
0546	Winship Green Nursing Center	Bath	ME	110	1,455	—		110	1,455	1,565	1,065	500	1974	1985	35 years
0416	Park Place Health Care Center	Great Falls	MT	600	6,311	—		600	6,311	6,911	3,800	3,111	1963	1993	28 years
0433	Parkview Acres Care and Rehabilitation Center	Dillon	MT	207	2,578	—		207	2,578	2,785	1,564	1,221	1965	1993	29 years
0806	Chapel Hill Rehabilitation and Healthcare Center	Chapel Hill	NC	347	3,029	—	��	347	3,029	3,376	1,913	1,463	1984	1993	28 years
0188	Cypress Pointe Rehabilitation and Health Care Centre	Wilmington	NC	233	3,710	—		233	3,710	3,943	2,401	1,542	1966	1993	28.5 years
0726	Guardian Care of Elizabeth City	Elizabeth City	NC	71	561	—		71	561	632	632	—	1977	1982	20 years
0706	Guardian Care of Henderson	Henderson	NC	206	1,997	—		206	1,997	2,203	1,214	989	1957	1993	29 years
0704	Guardian Care of Roanoke Rapids	Roanoke Rapids	NC	339	4,132	—		339	4,132	4,471	2,963	1,508	1967	1991	25 years
0723	Guardian Care of Rocky Mount	Rocky Mount	NC	240	1,732	—		240	1,732	1,972	1,302	670	1975	1997	25 years
0713	Guardian Care of Zebulon	Zebulon	NC	179	1,933	—		179	1,933	2,112	1,177	935	1973	1993	29 years
0711	Kinston Rehabilitation and Healthcare Center	Kinston	NC	186	3,038	—		186	3,038	3,224	1,777	1,447	1961	1993	29 years
0307	Lincoln Nursing Center	Lincolnton	NC	39	3,309	—		39	3,309	3,348	2,250	1,098	1976	1986	35 years
0116	Pettigrew Rehabilitation and Healthcare Center	Durham	NC	101	2,889	—		101	2,889	2,990	1,831	1,159	1969	1993	28 years
0143	Raleigh Rehabilitation & Healthcare Center	Raleigh	NC	316	5,470	—		316	5,470	5,786	4,008	1,778	1969	1991	25 years
0724	Rehabilitation and Health Center of Gastonia	Gastonia	NC	158	2,359	—		158	2,359	2,517	1,500	1,017	1968	1992	29 years
0707	Rehabilitation and Nursing Center of Monroe	Monroe	NC	185	2,654	—		185	2,654	2,839	1,728	1,111	1963	1993	28 years
0146	Rose Manor Healthcare Center	Durham	NC	200	3,527	—		200	3,527	3,727	2,489	1,238	1972	1991	26 years
0191	Silas Creek Manor	Winston- Salem	NC	211	1,893	—		211	1,893	2,104	1,161	943	1966	1993	28.5 years
0137	Sunnybrook Healthcare and Rehabilitation Specialists	Raleigh	NC	187	3,409	—		187	3,409	3,596	2,517	1,079	1971	1991	25 years
0591	Dover Rehabilitation and Living Center	Dover	NH	355	3,797	—		355	3,797	4,152	3,047	1,105	1969	1990	25 years
0592	Greenbriar Terrace Healthcare	Nashua	NH	776	6,011	—		776	6,011	6,787	4,431	2,356	1963	1990	25 years
0593	Hanover Terrace Healthcare	Hanover	NH	326	1,825	—		326	1,825	2,151	1,094	1,057	1969	1993	29 years
0640	Las Vegas Healthcare and Rehabilitation Center	Las Vegas	NV	454	1,018	—		454	1,018	1,472	511	961	1940	1992	30 years
0641	Torrey Pines Care Center	Las Vegas	NV	256	1,324	—		256	1,324	1,580	863	717	1971	1992	29 years
0634	Cambridge Health & Rehabilitation Center	Cambridge	OH	108	2,642	—		108	2,642	2,750	1,770	980	1975	1993	25 years
0569	Chillicothe Nursing & Rehabilitation Center	Chillicothe	OH	128	3,481	—		128	3,481	3,609	2,506	1,103	1976	1985	34 years
0635	Coshocton Health & Rehabilitation Center	Coshocton	OH	203	1,979	—		203	1,979	2,182	1,316	866	1974	1993	25 years
0560	Franklin Woods Nursing and Rehabilitation Center	Columbus	OH	190	4,712	—		190	4,712	4,902	2,251	2,651	1986	1992	38 years
0868	Lebanon Country Manor	Lebanon	OH	105	3,617	—		105	3,617	3,722	2,072	1,650	1984	1986	43 years
0571	Logan Health Care Center	Logan	OH	169	3,750	—		169	3,750	3,919	2,317	1,602	1979	1991	30 years
0577	Minerva Park Nursing and Rehabilitation Center	Columbus	OH	210	3,684	—		210	3,684	3,894	1,273	2,621	1973	1997	45 years
0570	Pickerington Nursing & Rehabilitation Center	Pickerington	OH	312	4,382	—		312	4,382	4,694	2,113	2,581	1984	1992	37 years
0572	Winchester Place Nursing and Rehabilitation Center	Canal Winchester	OH	454	7,149	—		454	7,149	7,603	4,937	2,666	1974	1993	28 years
0453	Medford Rehabilitation and Healthcare Center	Medford	OR	362	4,610	—		362	4,610	4,972	2,833	2,139	1961	1991	34 years
0452	Sunnyside Care Center	Salem	OR	1,512	2,249	—		1,512	2,249	3,761	1,259	2,502	1981	1991	30 years
1237	Wyomissing Nursing and Rehabilitation Center	Reading	PA	61	5,095	—		61	5,095	5,156	1,732	3,424	1966	1993	45 years
1224	Chestnut Terrace Nursing and Rehabilitation Center	E. Providence	RI	174	2,643	—		174	2,643	2,817	919	1,898	1962	1990	45 years
1231	Oak Hill Nursing and Rehabilitation Center	Pawtucket	RI	91	6,724	—		91	6,724	6,815	2,316	4,499	1966	1990	45 years
0132	Madison Healthcare and Rehabilitation Center	Madison	TN	168	1,445	—		168	1,445	1,613	915	698	1968	1992	29 years
0884	Masters Health Care Center	Algood	TN	524	4,370	—		524	4,370	4,894	2,734	2,160	1981	1987	38 years
0822	Primacy Healthcare and Rehabilitation Center	Memphis	TN	1,222	8,344	—		1,222	8,344	9,566	4,489	5,077	1980	1990	37 years

0230	Crosslands Rehabilitation & Healthcare Center	Sandy	UT	334	4,300	—		334	4,300		4,634	1,976	2,658	1987	1992	40 years
0655	Federal Heights Rehabilitation and Nursing Center	Salt Lake City	UT	201	2,322	—		201	2,322		2,523	1,456	1,067	1962	1992	29 years
0247	St. George Care and Rehabilitation Center	Saint George	UT	419	4,465	—		419	4,465		4,884	2,546	2,338	1976	1993	29 years
0140	Wasatch Care Center	Ogden	UT	373	597	—		373	597		970	579	391	1964	1990	25 years
0842	Bay Pointe Medical and Rehabilitation Center	Virginia Beach	VA	805	2,886	(380	)	425	2,886		3,311	1,708	1,603	1971	1993	29 years
0826	Harbour Pointe Medical and Rehabilitation Center	Norfolk	VA	427	4,441	—		427	4,441		4,868	2,741	2,127	1969	1993	28 years
0825	Nansemond Pointe Rehabilitation and Healthcare Center	Suffolk	VA	534	6,990	—		534	6,990		7,524	4,033	3,491	1963	1991	32 years
0829	River Pointe Rehabilitation and Healthcare Center	Virginia Beach	VA	770	4,440	—		770	4,440		5,210	3,348	1,862	1953	1991	25 years
0559	Birchwood Terrace Healthcare	Burlington	VT	15	4,656	—		15	4,656		4,671	3,552	1,119	1965	1990	27 years
0114	Arden Rehabilitation and Healthcare Center	Seattle	WA	1,111	4,013	—		1,111	4,013		5,124	2,425	2,699	1950	1993	28.5 years
0158	Bellingham Health Care and Rehabilitation Services	Bellingham	WA	441	3,824	—		441	3,824		4,265	2,326	1,939	1972	1993	28.5 years
0168	Lakewood Healthcare Center	Lakewood	WA	504	3,511	—		504	3,511		4,015	1,752	2,263	1989	1989	45 years
0127	Northwest Continuum Care Center	Longview	WA	145	2,563	—		145	2,563		2,708	1,590	1,118	1955	1992	29 years
0462	Queen Anne Healthcare	Seattle	WA	570	2,750	—		570	2,750		3,320	1,742	1,578	1970	1993	29 years
0165	Rainier Vista Care Center	Puyallup	WA	520	4,780	—		520	4,780		5,300	2,192	3,108	1986	1991	40 years
0180	Vancouver Health & Rehabilitation Center	Vancouver	WA	449	2,964	—		449	2,964		3,413	1,861	1,552	1970	1993	28 years
0766	Colonial Manor Medical and Rehabilitation Center	Wausau	WI	169	3,370	—		169	3,370		3,539	1,935	1,604	1964	1995	30 years
0767	Colony Oaks Care Center	Appleton	WI	353	3,571	—		353	3,571		3,924	2,376	1,548	1967	1993	29 years
0765	Eastview Medical and Rehabilitation Center	Antigo	WI	200	4,047	—		200	4,047		4,247	2,901	1,346	1962	1991	28 years
0771	Kennedy Park Medical & Rehabilitation Center	Schofield	WI	301	3,596	—		301	3,596		3,897	3,405	492	1966	1982	29 years
0774	Mt. Carmel Health & Rehabilitation Center	Milwaukee	WI	2,678	25,867	—		2,678	25,867		28,545	17,457	11,088	1958	1991	30 years
0773	Mount Carmel Medical and Rehabilitation Center	Burlington	WI	274	7,205	—		274	7,205		7,479	3,991	3,488	1971	1991	30 years
0769	North Ridge Medical and Rehabilitation Center	Manitowoc	WI	206	3,785	—		206	3,785		3,991	2,394	1,597	1964	1992	29 years
0289	San Luis Medical and Rehabilitation Center	Green Bay	WI	259	5,299	—		259	5,299		5,558	3,697	1,861	1968	1996	25 years
0775	Sheridan Medical Complex	Kenosha	WI	282	4,910	—		282	4,910		5,192	3,563	1,629	1964	1991	25 years
0770	Vallhaven Care Center	Neenah	WI	337	5,125	—		337	5,125		5,462	3,264	2,198	1966	1993	28 years
0776	Woodstock Health and Rehabilitation Center	Kenosha	WI	562	7,424	—		562	7,424		7,986	5,581	2,405	1970	1991	25 years
0441	Mountain Towers Healthcare and Rehabilitation Center	Cheyenne	WY	342	3,468	—		342	3,468		3,810	2,026	1,784	1964	1992	29 years
0483	Sage View Care Center	Rock Springs	WY	287	2,392	—		287	2,392		2,679	1,455	1,224	1964	1993	30 years
0481	South Central Wyoming Healthcare and Rehabilitation	Rawlins	WY	151	1,738	—		151	1,738		1,889	1,043	846	1955	1993	29 years
0482	Wind River Healthcare and Rehabilitation Center	Riverton	WY	179	1,559	—		179	1,559	��	1,738	924	814	1967	1992	29 years
	TOTAL KINDRED SKILLED NURSING FACILITIES			50,734	544,311	(380	)	50,354	544,311		594,665	348,089	246,576
NON-KINDRED SKILLED NURSING FACILITIES
3829	McCreary Health & Rehabilitation Center	Pine Knot	KY	73	2,443	—		73	2,443		2,516	221	2,295	1990	2006	35 years
3830	New Colonial Health & Rehabilitation Center	Bardstown	KY	38	2,829	—		38	2,829		2,867	256	2,611	1968	2006	35 years
3831	New Glasgow Health & Rehabilitation Center	Glasgow	KY	21	2,997	—		21	2,997		3,018	271	2,747	1968	2006	35 years
3832	New Green Valley Health & Rehabilitation Center	Carrollton	KY	29	2,325	—		29	2,325		2,354	210	2,144	1978	2006	35 years
3833	New Hart County Health Center	Horse Cave	KY	68	6,059	—		68	6,059		6,127	548	5,579	1993	2006	35 years
3834	New Heritage Hall Health & Rehabilitation Center	Lawrenceburg	KY	38	3,920	—		38	3,920		3,958	355	3,603	1973	2006	35 years
3835	New Jackson Manor	Annville	KY	131	4,442	—		131	4,442		4,573	402	4,171	1989	2006	35 years
3836	New Jefferson Manor	Louisville	KY	2,169	4,075	—		2,169	4,075		6,244	369	5,875	1982	2006	35 years
3837	New Jefferson Place	Louisville	KY	1,307	9,175	—		1,307	9,175		10,482	830	9,652	1991	2006	35 years
3838	New Meadowview Health & Rehabilitation Center	Louisville	KY	317	4,666	—		317	4,666		4,983	422	4,561	1973	2006	35 years
3839	New Monroe Health & Rehabilitation Center	Tompkinsville	KY	32	8,756	—		32	8,756		8,788	792	7,996	1969	2006	35 years
3840	New North Hardin Health & Rehabilitation Center	Radcliff	KY	218	11,944	—		218	11,944		12,162	1,081	11,081	1986	2006	35 years
3841	New Professional Care Health & Rehabilitation Center	Hartford	KY	22	7,905	—		22	7,905		7,927	715	7,212	1967	2006	35 years
3842	New Rockford Manor Health & Rehabilitation Center	Louisville	KY	364	9,568	—		364	9,568		9,932	866	9,066	1975	2006	35 years
3843	New Summerfield Health & Rehabilitation Center	Louisville	KY	1,089	10,756	—		1,089	10,756		11,845	973	10,872	1979	2006	35 years
3844	New Tanbark Health & Rehabilitation Center	Lexington	KY	868	6,061	—		868	6,061		6,929	548	6,381	1989	2006	35 years
3845	Summit Manor Health & Rehabilitation Center	Columbia	KY	38	12,510	—		38	12,510		12,548	1,132	11,416	1965	2006	35 years
3764	Golden Living Center - Rochester East	Rochester	MN	639	3,497	—		639	3,497		4,136	3,459	677	1967	1982	28 years
2505	Lopatcong Center	Phillipsburg	NJ	1,490	12,336	—		1,490	12,336		13,826	2,887	10,939	1982	2004	30 years
2702	Burlington House	Cincinnati	OH	918	5,087	—		918	5,087		6,005	1,001	5,004	1989	2004	35 years
3920	Marietta Convalescent Center	Marietta	OH	158	3,266	75		158	3,341		3,499	2,210	1,289	1972	1993	25 years
2701	Regency Manor	Columbus	OH	606	16,424	—		606	16,424		17,030	3,234	13,796	1883	2004	35 years
3852	Balanced Care at Bloomsburg	Bloomsburg	PA	621	1,371	—		621	1,371		1,992	124	1,868	1997	2006	35 years
2507	The Belvedere	Chester	PA	822	7,203	—		822	7,203		8,025	1,671	6,354	1899	2004	30 years
2508	Chapel Manor	Philadelphia	PA	1,595	13,982	—		1,595	13,982		15,577	3,243	12,334	1948	2004	30 years
2509	Pennsburg Manor	Pennsburg	PA	1,091	7,871	—		1,091	7,871		8,962	1,902	7,060	1982	2004	30 years
2506	Wayne Center	Wayne	PA	662	6,872	617		662	7,489		8,151	1,557	6,594	1875	2004	30 years
	TOTAL NON-KINDRED SKILLED NURSING FACILITIES			15,424	188,340	692		15,424	189,032		204,456	31,279	173,177
	TOTAL FOR SKILLED NURSING FACILITIES			66,158	732,651	312		65,778	733,343		799,121	379,368	419,753
KINDRED HOSPITALS
4656	Kindred Hospital - Arizona - Phoenix	Phoenix	AZ	226	3,359	—		226	3,359		3,585	2,121	1,464	1980	1992	30 years
4658	Kindred Hospital - Tucson	Tucson	AZ	130	3,091	—		130	3,091		3,221	2,389	832	1969	1994	25 years
4644	Kindred Hospital - Brea	Brea	CA	3,144	2,611	—		3,144	2,611		5,755	909	4,846	1990	1995	40 years
4807	Kindred Hospital - Ontario	Ontario	CA	523	2,988	—		523	2,988		3,511	2,210	1,301	1950	1994	25 years
4848	Kindred Hospital - San Diego	San Diego	CA	670	11,764	—		670	11,764		12,434	8,837	3,597	1965	1994	25 years
4822	Kindred Hospital - San Francisco Bay Area	San Leandro	CA	2,735	5,870	—		2,735	5,870		8,605	5,479	3,126	1962	1993	25 years
4842	Kindred Hospital - Westminster	Westminster	CA	727	7,384	—		727	7,384		8,111	6,333	1,778	1973	1993	20 years
4665	Kindred Hospital - Denver	Denver	CO	896	6,367	—		896	6,367		7,263	5,470	1,793	1963	1994	20 years
4674	Kindred Hospital - Central Tampa	Tampa	FL	2,732	7,676	—		2,732	7,676		10,408	3,612	6,796	1970	1993	40 years
4652	Kindred Hospital - North Florida	Green Cove Springs	FL	145	4,613	—		145	4,613		4,758	3,363	1,395	1956	1994	20 years
4602	Kindred Hospital - South Florida - Coral Gables	Coral Gables	FL	1,071	5,348	—		1,071	5,348		6,419	4,091	2,328	1956	1992	30 years
4645	Kindred Hospital - South Florida Ft. Lauderdale	Ft. Lauderdale	FL	1,758	14,080	—		1,758	14,080		15,838	10,852	4,986	N/A	1989	30 years
4876	Kindred Hospital - South Florida - Hollywood	Hollywood	FL	605	5,229	—		605	5,229		5,834	3,995	1,839	1937	1995	20 years
4611	Kindred Hospital - Bay Area St. Petersburg	St. Petersburg	FL	1,401	16,706	—		1,401	16,706		18,107	10,892	7,215	1968	1997	40 years
4871	Kindred - Chicago - Lakeshore	Chicago	IL	1,513	9,525	—		1,513	9,525		11,038	9,150	1,888	1995	1976	20 years
4637	Kindred Hospital - Chicago (North Campus)	Chicago	IL	1,583	19,980	—		1,583	19,980		21,563	14,699	6,864	1949	1995	25 years
4690	Kindred Hospital - Chicago (Northlake Campus)	Northlake	IL	850	6,498	—		850	6,498		7,348	4,537	2,811	1960	1991	30 years
4615	Kindred Hospital - Sycamore	Sycamore	IL	77	8,549	—		77	8,549		8,626	5,897	2,729	1949	1993	20 years
4638	Kindred Hospital - Indianapolis	Indianapolis	IN	985	3,801	—		985	3,801		4,786	2,670	2,116	1955	1993	30 years
4633	Kindred Hospital - Louisville	Louisville	KY	3,041	12,279	—		3,041	12,279		15,320	9,583	5,737	1964	1995	20 years
4666	Kindred Hospital - New Orleans	New Orleans	LA	648	4,971	—		648	4,971		5,619	3,597	2,022	1968	1978	20 years
4688	Kindred Hospital - Boston	Boston	MA	1,551	9,796	—		1,551	9,796		11,347	7,884	3,463	1930	1994	25 years
4673	Kindred Hospital - Boston North Shore	Peabody	MA	543	7,568	—		543	7,568		8,111	4,006	4,105	1974	1993	40 years
4612	Kindred Hospital - Kansas City	Kansas City	MO	277	2,914	—		277	2,914		3,191	2,157	1,034	N/A	1992	30 years
4680	Kindred Hospital - St. Louis	St. Louis	MO	1,126	2,087	—		1,126	2,087		3,213	1,557	1,656	1984	1991	40 years
4662	Kindred Hospital - Greensboro	Greensboro	NC	1,010	7,586	—		1,010	7,586		8,596	6,045	2,551	1964	1994	20 years
4664	Kindred Hospital - Albuquerque	Albuquerque	NM	11	4,253	—		11	4,253		4,264	1,980	2,284	1985	1993	40 years
4647	Kindred Hospital - Las Vegas (Sahara)	Las Vegas	NV	1,110	2,177	—		1,110	2,177		3,287	952	2,335	1980	1994	40 years
4618	Kindred Hospital - Oklahoma City	Oklahoma City	OK	293	5,607	—		293	5,607		5,900	3,448	2,452	1958	1993	30 years
4614	Kindred Hospital - Philadelphia	Philadelphia	PA	135	5,223	—		135	5,223		5,358	2,327	3,031	N/A	1995	35 years
4619	Kindred Hospital - Pittsburgh	Oakdale	PA	662	12,854	—		662	12,854		13,516	7,050	6,466	1972	1996	40 years
4628	Kindred Hospital - Chattanooga	Chattanooga	TN	756	4,415	—		756	4,415		5,171	3,245	1,926	1975	1993	22 years
4668	Kindred Hospital - Fort Worth	Ft. Worth	TX	648	10,608	—		648	10,608		11,256	6,904	4,352	1960	1994	34 years
4685	Kindred Hospital - Houston	Houston	TX	33	7,062	—		33	7,062		7,095	5,152	1,943	N/A	1994	20 years
4654	Kindred Hospital (Houston Northwest)	Houston	TX	1,699	6,788	—		1,699	6,788		8,487	3,834	4,653	1986	1985	40 years
4660	Kindred Hospital - Mansfield	Mansfield	TX	267	2,462	—		267	2,462		2,729	1,523	1,206	1983	1990	40 years
4635	Kindred Hospital - San Antonio	San Antonio	TX	249	11,413	—		249	11,413		11,662	6,582	5,080	1981	1993	30 years
4653	Kindred Hospital - Tarrant County (Fort Worth Southwest)	Ft. Worth	TX	2,342	7,458	—		2,342	7,458		9,800	6,647	3,153	1987	1986	20 years
	TOTAL FOR KINDRED HOSPITALS			38,172	272,960	—		38,172	272,960		311,132	191,979	119,153
NON-KINDRED HOSPITALS
3828	Gateway Rehabilitation Hospital at Florence	Florence	KY	3,600	4,924	—		3,600	4,924		8,524	446	8,078	2001	2006	35 years
3864	Highlands Regional Rehabilitation Hospital	El Paso	TX	1,900	23,616	—		1,900	23,616		25,516	2,137	23,379	1999	2006	35 years
	TOTAL FOR NON-KINDRED HOSPITALS			5,500	28,540	—		5,500	28,540		34,040	2,583	31,457
	TOTAL FOR HOSPITALS			43,672	301,500	—		43,672	301,500		345,172	194,562	150,610
MEDICAL OFFICE BUILDINGS
2956	Avista Two Medical Plaza	Louisville	CO	—	17,330	—		—	17,330		17,330	64	17,266	2003	2009	35 years
2952	Briargate Medical Campus	Colorado Springs	CO	1,238	12,301	130		1,238	12,431		13,669	1,150	12,519	2002	2007	35 years
3071	The Sierra Medical Building	Parker	CO	1,444	14,059	460		1,444	14,519		15,963	217	15,746	2009	2009	35 years
2951	Potomac Medical Plaza	Aurora	CO	2,401	9,118	927		2,442	10,004		12,446	1,765	10,681	1986	2007	35 years
2953	Printers Park Medical Plaza	Colorado Springs	CO	2,641	47,507	101		2,645	47,604		50,249	4,365	45,884	1999	2007	35 years
2907	Aventura Medical Arts Building	Aventura	FL	—	25,361	1,685		—	27,046		27,046	2,448	24,598	2006	2007	35 years
2902	JFK Medical Plaza	Lake Worth	FL	453	1,711	139		453	1,850		2,303	280	2,023	1999	2004	35 years
2903	Palms West Building 6	Loxahatchee	FL	965	2,678	27		965	2,705		3,670	417	3,253	2000	2004	35 years
2905	Regency Medical Office Park Phase I	Melbourne	FL	590	3,156	18		590	3,174		3,764	480	3,284	1995	2004	35 years
2904	Regency Medical Office Park Phase II	Melbourne	FL	770	3,809	19		770	3,828		4,598	579	4,019	1998	2004	35 years
2906	University Medical Office Building	Tamarac	FL	—	6,690	—		—	6,690		6,690	602	6,088	2006	2007	35 years
3006	Eastside Physicians Center	Snellville	GA	1,289	25,019	24		1,289	25,043		26,332	1,579	24,753	1994	2008	35 years
3007	Eastside Physicians Plaza	Snellville	GA	294	12,948	21		294	12,969		13,263	673	12,590	2003	2008	35 years
2955	Doctors Office Building III	Hoffman Estates	IL	—	24,550	—		—	24,550		24,550	135	24,415	2005	2009	35 years
2954	Eberle Medical Office Building	Elk Grove Village	IL	—	16,315	—		—	16,315		16,315	87	16,228	2005	2009	35 years
3015	Charles O. Fisher Medical Building	Westminster	MD	—	13,795	—		—	13,795		13,795	—	13,795	2009	2009	35 years
2950	Broadway Medical Office Building	Kansas City	MO	1,300	12,602	1,024		1,300	13,626		14,926	2,386	12,540	1976	2007	35 years

2925	Anderson Medical Arts Building I	Cincinnati	OH		—		9,632		671		—		10,303		10,303		902		9,401	1984	2007	35 years
2926	Anderson Medical Arts Building II	Cincinnati	OH		—		15,123		544		—		15,667		15,667		1,262		14,405	2007	2007	35 years
3003	DCMH Medical Office Building	Drexel Hill	PA		—		10,424		724		—		11,148		11,148		2,511		8,637	1984	2004	30 years
3002	Professional Office Building I	Upland	PA		—		6,283		696		—		6,979		6,979		1,499		5,480	1978	2004	30 years
3070	St. Francis Millennium Medical Office Building	Greenville	SC		—		13,062		6,598		—		19,660		19,660		213		19,447	2009	2009	35 years
2901	Abilene Medical Commons I	Abilene	TX		179		1,611		—		179		1,611		1,790		249		1,541	2000	2004	35 years
3061	Bayshore Rehabilitation Center MOB	Pasadena	TX		95		1,128		—		95		1,128		1,223		158		1,065	1988	2005	35 years
3060	Bayshore Surgery Center MOB	Pasadena	TX		765		9,123		323		765		9,446		10,211		1,357		8,854	2001	2005	35 years
3021	Casper WY MOB	Casper	WY		3,015		26,513		99		3,017		26,610		29,627		1,311		28,316	2008	2008	35 years
	TOTAL FOR MEDICAL OFFICE BUILDINGS				17,439		341,848		14,230		17,486		356,031		373,517		26,689		346,828
PERSONAL CARE FACILITIES
3718,19,21-28	ResCare - Tangram - 8 sites	San Marcos	TX		616		6,517		—		616		6,517		7,133		3,666		3,467	N/A	1998	20 years
	TOTAL FOR PERSONAL CARE FACILITIES				616		6,517		—		616		6,517		7,133		3,666		3,467
	TOTAL FOR ALL PROPERTIES			$	558,869	$	5,707,360	$	26,392	$	557,276	$	5,735,345	$	6,292,621	$	1,177,911	$	5,114,710