SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ------------------------- FORM 10-K Annual Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the fiscal year ended December 31, 1995 Commission File Number 1-8895 HEALTH CARE PROPERTY INVESTORS, INC. (Exact name of registrant as specified in its charter) Maryland 33-0091377 (State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification No.) 10990 Wilshire Boulevard, Suite 1200 Los Angeles, California 90024 (Address of principal executive offices) Registrant's telephone number: (310) 473-1990 ------------------------------ Securities registered pursuant to Section 12(b) of the Act: Name of each exchange Title of each class on which registered - ------------------- --------------------- Common Stock* New York Stock Exchange *The Common Stock has stock purchase rights attached which are registered pursuant to Section 12(b) of the Act and listed on the New York Stock Exchange. Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registration was required to file such reports)and (2) has been subject to such filing requirements for the past 90 days. Yes \x\ No \ \ Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. \ \ As of February 1, 1996 there were 28,607,694 shares of Common Stock outstanding. The aggregate market value of the shares of Common Stock held by non-affiliates of the registrant, based on the closing price of these shares on February 1, 1996 on the New York Stock Exchange, was approximately $993,000,000. Portions of the definitive Proxy Statement for the registrant's 1996 Annual Meeting of Stockholders have been incorporated by reference into Part III of this Report. PART I Item 1. BUSINESS Health Care Property Investors, Inc. (the "Company"), a Maryland corporation, was organized in March 1985 to qualify as a real estate investment trust ("REIT"). The Company was organized to invest in health care related real estate located throughout the United States, including long term care facilities, acute care and rehabilitation hospitals, assisted living and congregate care facilities, medical office buildings, physician group practice clinics and psychiatric facilities. Having commenced business more than 10 years ago, the Company today is the second oldest REIT specializing in health care real estate. Presently, the Company is one of the 10 largest REITs in terms of market value of common stock. At December 31, 1995, the Company owned an interest in 177 properties located in 35 states, which are leased or subleased pursuant to long term leases (the "Leases") to 44 health care providers (the "Lessees"), including affiliates of Beverly Enterprises, Inc. ("Beverly"), Columbia/HCA Healthcare Corp. ("Columbia"), Emeritus Corporation, Healthsouth Corporation ("Healthsouth"), Horizon/CMS Healthcare Corporation ("Horizon"),Tenet Healthcare Corporation ("Tenet"), PhyCor, Inc. ("PhyCor") and Vencor, Inc. ("Vencor"). Of the Lessees, only Vencor and Beverly account for more than 10% of the Company's revenues as of December 31, 1995. The Company also holds mortgage loans on 25 properties that are owned and operated by 11 health care providers including Beverly, Columbia and OrNda Healthcorp ("OrNda"). At December 31, 1995, the gross acquisition price of the Company's 202 leased or mortgaged properties (the "Properties"), including partnership acquisitions and mortgage loan acquisitions, was approximately $824.8 million. The average age of the Properties is 14 years. 70% of the Company's revenue is derived from Properties operated by publicly traded health care providers. Since receiving its initial senior debt rating of Baa1/BBB by Moody's Investors Service, Inc. ("Moody's") and Standard & Poor's Ratings Group ("Standard & Poor's") in 1986, the Company has historically maintained or improved its ratings. Currently, its senior debt is rated Baa1/BBB+/A- by Moody's, Standard & Poor's and Duff & Phelps Credit Rating Co. ("Duff & Phelps"), respectively. The Company believes that it has had an excellent track record in attracting and retaining key employees. The Company's five executive officers have worked with the Company on average for 10 years. The average tenure overall of its employee base is seven years. The Properties Of the 202 health care facilities in which the Company has an investment as of December 31, 1995, the Company directly owns 133 facilities including 95 long term care facilities, two rehabilitation hospitals, 24 congregate care and assisted living centers, one acute care hospital, nine medical office buildings and two physician group practice clinics. The Company has provided mortgage loans on 25 properties, including 17 long term care facilities, two congregate care and assisted living centers, three acute care hospitals and three medical office buildings. At December 31, 1995, the Company also had varying percentage interests in several partnerships that together own 44 facilities, as further discussed below: 1. A 77% interest in a joint venture which owns two acute care hospitals, one psychiatric facility and 21 long term care facilities. 2. A 50% interest in a partnership which owns 11 long term care facilities. On January 19, 1996, nine of these facilities were sold to the existing operators. 3. Interests of between 90% and 97% in four joint ventures, each of which was formed to own a comprehensive rehabilitation hospital. 4. A 50% interest in five partnerships, each of which owns a congregate care facility. LONG TERM CARE FACILITIES. The Company and the partnerships in which it participates own or hold mortgage loan interests in 144 long term care facilities. These facilities are leased to various health care providers. Such long term care facilities offer restorative, rehabilitative and custodial nursing care for people not requiring the more extensive and sophisticated treatment available at acute care hospitals. Many long term care facilities have experienced significant growth in ancillary revenues and subacute care services over the past several years. Ancillary revenues and subactue care services are derived from providing services to residents beyond room and board care and include occupational, physical, speech, respiratory and IV therapy, wound care, oncology treatment, brain injury care and orthopedic therapy as well as sales of pharmaceutical products and other services. Such revenues currently relate primarily to Medicare and private pay residents. These facilities are designed to supplement hospital care and many have transfer agreements with one or more acute care hospitals. These facilities depend to some degree upon referrals from practicing physicians and hospitals. Such services are paid for either from private sources of the patient or the patient's family, or through the federal Medicare and state Medicaid programs. Patients in long term care facilities are generally provided with accommodations, all meals, medical and nursing care, and rehabilitation services including speech, physical and occupational therapy. As a part of the Omnibus Budget Reconciliation Act ("OBRA") of 1981, Congress established a waiver program under Medicaid to offer an alternative to institutional long term care services. The provisions of the Act and subsequent OBRA Acts of 1987 and 1991 allowed states, with federal approval, greater flexibility in program design as a means of developing cost-effective alternatives to delivering services traditionally provided in the long term care setting. Recently this has led to an increase in the number of assisted living facilities. This may adversely impact some long term care facilities for a period as individuals are shifted to the lower cost delivery system provided in the assisted living setting. The fact that assisted living services may be included as a Medicaid reimbursed service does not necessarily mean that more Government spending will be available for the delivery of health care services to the frail elderly. ACUTE CARE HOSPITALS. The Company has an interest in six acute care hospitals, of which two each are operated by Tenet and Columbia and one each by OrNda and Dynamic Health Care, Inc. Acute care hospitals generally offer a wide range of services such as general and specialty surgery, intensive care units, clinical laboratories, physical and respiratory therapy, nuclear medicine, magnetic resonance imaging, neonatal and pediatric care units, outpatient units and emergency departments, among others. Such services are paid for either from private sources of the patient or the patient's family, or through the federal Medicare and state Medicaid programs. REHABILITATION HOSPITALS. The Company has an investment in six rehabilitation hospitals of which three each are leased to Horizon and HealthSouth. These hospitals provide inpatient and outpatient care for patients who have sustained traumatic injuries or illnesses, such as spinal cord injuries, strokes, head injuries, orthopedic problems, work related disabilities and neurological diseases, as well as treatment for amputees and patients with severe arthritis. Rehabilitation programs encompass physical, occupational, speech and inhalation therapies, rehabilitative nursing and other specialties. Such services are paid for either from private sources of the patient or the patient's family, or through the federal Medicare program. CONGREGATE CARE AND ASSISTED LIVING CENTERS. The Company and its partnerships have investments in 31 congregate care and assisted living centers. Congregate care centers typically contain studio and one and two bedroom apartments which are rented on a month-to-month basis by individuals, primarily those over 75 years of age. Residents, who must be ambulatory, are provided meals and eat in a central dining area; they may also be assisted with some daily living activities. These centers offer programs and services that allow residents certain conveniences and make it possible for them to live independently; staff is also available when residents need assistance and for group activities. Assisted living centers serve elderly persons who require more assistance with daily living activities than congregate care residents, but who do not require the constant supervision nursing homes provide. Services include personal supervision and assistance with eating, bathing, grooming and administering medication. Assisted living centers typically contain larger common areas for dining, group activities and relaxation to encourage social interaction. Residents typically rent studio and one bedroom units on a month-to-month basis. Charges for room and board and other services in both congregate care and assisted living centers are paid from private sources. MEDICAL OFFICE BUILDINGS. The Company has investments in 12 medical office buildings. These buildings are generally located adjacent to, or a short distance from, acute care hospitals. Medical office buildings contain physicians' offices and examination rooms, and may also include pharmacies, hospital ancillary service space and day-surgery operating rooms. Medical office buildings require more extensive plumbing, electrical, heating and cooling capabilities than commercial office buildings for sinks, brighter lights and special equipment physicians typically use. The Company's owned medical office buildings are master leased to a Lessee which then subleases office space to physicians or other medical practitioners. PHYSICIAN GROUP PRACTICE CLINICS. The Company has investments in two physician group practice clinics. Physician group practice clinics generally provide a broad range of medical services through organized physician groups representing various medical specialties. The Knoxville Orthopedic Clinic is an approximately 37,900 square foot facility located in Knoxville, Tennessee and is leased to Knoxville Orthopedic Clinic P.A. The Holt-Krock Clinic includes approximately 294,000 square feet comprised of four main clinic buildings, several satellite offices and 33 acres of land located primarily in Fort Smith, Arkansas. Approximately 153 physicians practice primary care and 30 specialties, including oncology, cardiology, radiology, orthopedics and plastic surgery, at the clinic. Additionally, the clinic sold certain of its non-real estate assets to PhyCor and entered into a services agreement whereby PhyCor will provide management and administrative services to the physician group. PSYCHIATRIC FACILITY. The Company has an investment in one psychiatric facility which offers comprehensive, multidisciplinary adult and adolescent care. A substance abuse program is offered in a separate unit of the hospital. COMPETITION. The Company competes for property acquisitions with health care providers, other health care related real estate investment trusts, real estate partnerships and other investors. The Company's Properties are subject to competition from the properties of other health care providers. Certain of these other operators have capital resources substantially in excess of some of the operators of the Company's facilities. In addition, the extent to which the Properties are utilized depends upon several factors, including the number of physicians using the health care facilities or referring patients there, competitive systems of health care delivery and the area population, size and composition. Private, federal and state payment programs and the effect of other laws and regulations may also have a significant effect on the utilization of the Properties. Virtually all of the Properties operate in a competitive environment and patients and referral sources, including physicians, may change their preferences for a health care facility from time to time. The following table shows, with respect to each Property, the location by state, the number of beds/units, recent occupancy levels, patient revenue mix, annual rents and interest, and information regarding lease terms by property type. Average Number Private Number Of Beds/ Patient Annual Average Of Units Average Revenue Rents/ Remaining Facility Location Facilities (1) Occupancy (2) Interest Term - -------------------------------------------------------------------------------------------------------------------------------- (Thousands) (Years) Long Term Care Facilities Alabama 1 174 98% 28% $ 766 2 Arizona 1 128 85 56 412 3 Arkansas 9 866 82 45 2,199 9 California 22 2,016 91 46 6,284 4 Colorado 3 420 90 64 1,784 4 Connecticut 1 121 98 40 593 4 Florida 11 1,267 95 55 6,647 7 Illinois 2 201 91 54 464 1 Indiana 13 1,709 83 47 6,831 12 Iowa 1 201 85 30 568 3 Kansas 3 325 84 50 1,765 3 Kentucky 1 100 99 59 391 6 Louisiana 1 120 97 37 541 9 Maryland 3 438 87 36 3,083 2 Massachusetts 5 615 97 43 2,777 6 Michigan 3 286 92 52 885 6 Mississippi 1 120 100 7 344 6 Missouri <F3> 11 1,492 69 48 4,364 2 Montana 1 80 75 44 287 3 New Mexico 1 102 97 16 304 2 North Carolina <F4> 8 924 80 41 2,888 11 Ohio 9 1,226 93 52 5,214 5 Oklahoma 2 207 88 65 1,773 3 Oregon 1 110 82 53 341 2 Tennessee 10 1,754 97 39 4,967 6 Texas 11 1,242 67 35 3,003 5 Washington 1 84 84 66 293 3 Wisconsin 8 1,143 92 52 4,029 7 - ------------------------------------------------------------------------------------------------------------------------------- Sub-Total 144 17,471 87 46 63,797 6 - ------------------------------------------------------------------------------------------------------------------------------- Acute Care Hospitals California 1 182 46 92 3,716 3 Florida 1 285 39 95 1,156 7 Louisiana 2 325 49 80 5,125 7 Texas 2 210 54 98 3,073 5 - --------------------------------------------------------------------------------------------------------------------------------- Sub-Total 6 1,002 47 90 13,070 6 - --------------------------------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------------------------------- Page Totals 150 18,473 84% 47% $76,867 6 - --------------------------------------------------------------------------------------------------------------------------------- Average Number Private Number Of Beds/ Patient Annual Average Of Units Average Revenue Rents/ Remaining Facility Location Facilities (1) Occupancy (2) Interest Term - --------------------------------------------------------------------------------------------------------------------------------- (Thousands) (Years) (Totals From Previous Page) 150 18,473 84% 47% $ 76,867 6 - --------------------------------------------------------------------------------------------------------------------------------- Rehabilitation Facilities Arizona 1 60 57 100 1,571 3 Arkansas 1 60 79 100 1,921 5 Colorado 1 60 73 100 1,587 5 Kansas 1 80 72 100 2,701 3 Texas 2 234 29 100 5,089 5 - --------------------------------------------------------------------------------------------------------------------------------- Sub-Total 6 494 51 100 12,869 5 - --------------------------------------------------------------------------------------------------------------------------------- Physician Group Practice Clinics <F5> Arkansas 1 --- --- 100 2,463 14 Tennessee 1 --- --- 99 506 13 - --------------------------------------------------------------------------------------------------------------------------------- Sub-Total 2 --- --- 100 2,969 14 - --------------------------------------------------------------------------------------------------------------------------------- Psychiatric Facility - Georgia 1 108 34 100 561 2 - --------------------------------------------------------------------------------------------------------------------------------- Congregate Care and Assisted Living Centers Arkansas 1 17 95 100 27 14 Arizona 1 98 88 100 466 12 California 3 346 73 100 2,007 14 Colorado 1 98 87 100 602 3 Delaware 1 75 100 100 375 12 Florida 2 162 93 98 651 11 Kansas 1 110 81 100 573 3 Louisiana 2 209 99 100 1,655 4 Maryland <F4> 1 86 --- --- --- --- Missouri 1 73 80 100 411 6 New Jersey 1 116 97 100 602 10 New Mexico 1 135 94 100 795 13 New York 1 75 94 100 410 12 Oregon 1 58 97 97 364 13 Pennsylvania 2 159 97 100 1,354 12 Rhode Island 1 172 98 100 1,526 5 Texas <F4> 7 569 28 100 2,183 13 Virginia 1 65 79 100 615 14 Washington 2 139 84 100 640 12 - --------------------------------------------------------------------------------------------------------------------------------- Sub-Total 31 2,762 74 100 15,256 10 - --------------------------------------------------------------------------------------------------------------------------------- Medical Office Buildings <F5> California 1 --- --- 100 684 13 Texas 10 --- --- 100 4,778 11 Utah 1 --- --- 100 445 13 - --------------------------------------------------------------------------------------------------------------------------------- Sub-Total 12 --- --- 100 5,907 11 - --------------------------------------------------------------------------------------------------------------------------------- TOTAL FACILITIES 202 21,837 84% 54% $114,429 7 ================================================================================================================================= <F1> Congregate Care and Assisted Living centers are measured in units. Physician Group Practice Clinics and Medical Office Buildings are measured in square feet and encompass approximately 331,900 and 530,600 square feet, respectively. All other facilities are measured by bed count. <F2> All revenues including Medicare revenues but excluding Medicaid revenues are included in "Private Patient" revenues. <F3> On January 19, 1996, the Company sold nine facilities to the existing operators. <F4> Includes facilities under construction. <F5> Physician group practice clinics and medical office buildings lessees have use of the leased facilities for their own use or for the use of sub-lessees. The following summary of the Company's Properties shows certain pertinent information grouped by type of facility and equity interest as of December 31, 1995: Equity Number Number Total Interest of of Beds/ Investments Annual Rents/ Facility Type Percentage Facilities Units(1) (2) Interest - -------------------------------------------------------------------------------------------------------------------------- (Dollar amounts in thousands) Long Term Care Facilities 100 112 13,731 $354,381 $ 51,010 Long Term Care Facilities 77 21 2,438 56,673 9,803 Long Term Care Facilities <F5> 50 11 1,302 23,109 2,984 Acute Care Hospitals 100 4 646 46,063 5,460 Acute Care Hospitals 77 2 356 42,806 7,610 Rehabilitation Hospitals 100 2 186 27,171 4,649 Rehabilitation Hospitals 97 3 200 32,380 6,210 Rehabilitation Hospital 90 1 108 15,113 2,010 Congregate Care & Assisted Living Centers 100 26 2,153 107,331 10,334 Congregate Care & Assisted Living Centers 50 5 609 33,105 4,922 Medical Office Buildings <F3> 100 12 --- 54,646 5,907 Physician Group Practice Clinics <F4> 100 2 --- 28,143 2,969 Psychiatric Facility 77 1 108 3,919 561 --- ------ -------- -------- 202 21,837 $824,840 $114,429 === ====== ======== ======== <F1> Congregate care and assisted living centers are stated in units; all other facilities are stated in beds, except (3) and (4). <F2> Includes partnership investments, and incorporates all partners' assets and construction commitments. <F3> The Medical Office Buildings encompass approximately 530,600 square feet. <F4> The Physician Group Practice Clinics encompass approximately 331,900 square feet. <F5> On January 19, 1996, the Company sold nine facilities to the existing operators. The remaining two facilities were acquired by the Company from the limited partners. RELATIONSHIP WITH MAJOR OPERATORS At December 31, 1995, the Company owned an interest in 202 properties located in 36 states, which are operated by 51 operators. Listed below are the Company's major operators and the percentage of total current revenue from these operators. Percentage of Total Operators Facilities Revenue Revenue - --------- ---------- ------- ----------- Vencor 63 $23,085,000 22% Beverly 26 $11,157,000 11% Horizon 8 $ 9,987,000 9% Tenet 3 $ 8,171,000 8% Columbia 14 $ 7,883,000 7% HealthSouth 3 $ 6,659,000 6% On September 27, 1995 shareholders of both Vencor and The Hillhaven Corporation ("Hillhaven") approved the merger of the corporations, with Vencor as the surviving entity. This combination created one of the nation's largest providers of healthcare services. After the merger, Lessees of 63 of the Company's 202 properties are subsidiaries of Vencor (formally subsidiaries of Hillhaven). Based upon public reports, Vencor's net operating revenue and net loss for the nine months ended September 30, 1995 were approximately $1.7 billion and $38 million, respectively; and Vencor's total assets and stockholders' equity as of September 30, 1995 were approximately $1.8 billion and $591 million, respectively. Included in the net loss for the nine months ended September 30, 1995 were pretax charges aggregating $128.4 million primarily in connection with the Hillhaven merger which included investment advisory and professional fees, employee benefit plan and severance costs, losses on planned disposition of certain nursing center properties and losses on certain prior year nursing center third-party reimbursement issues. Prior to the merger, Hillhaven announced net operating revenue and net income for the year ended May 31, 1995 of approximately $1.6 billion and $51 million, respectively. All Properties leased by the Company to Vencor are unconditionally guaranteed through the primary lease term by Tenet, formerly the parent of Hillhaven. Five Properties (two acute care hospitals, two rehabilitation hospitals and one psychiatric facility) were initially leased to subsidiaries of Tenet. In January 1994, subsidiaries of Tenet assigned the leases for the two rehabilitation hospitals to HealthSouth. In March 1995, the lease on the psychiatric facility was assigned to a new lessee. Tenet remains financially responsible to the Company under its unconditional guarantee through the primary lease term on the five Properties. Tenet is one of the nation's largest health care services companies, providing a broad range of services through the ownership and management of health care facilities. Based upon public reports for the six months ended November 30, 1995, Tenet reported net operating revenue and net income of approximately $2.7 billion and $301 million, respectively. At November 30, 1995, Tenet's net assets and stockholders' equity were approximately $8.1 billion and $2.4 billion, respectively. Based on public reports, for the year ended May 31, 1995, Tenet reported net operating revenue and net income of approximately $3.3 billion and $165 million, respectively, and total assets and stockholders' equity of approximately $7.9 billion and $2.0 billion, respectively. On March 1, 1995, National Medical Enterprises, Inc. (as Tenet was formerly known) acquired American Medical Holdings, Inc., changed its name to Tenet Healthcare Corporation and became the second largest investor-owned hospital management company in the United States. In September 1988, the Company leased 25 long term care facilities and one congregate care living center to Beverly, which is the largest provider of long term care in the United States. In April 1995, the Company sold 10 leased facilities to Beverly for $43,450,000, resulting in a gain of $23,550,000. Under the terms of the sale, the Company received net cash proceeds of $8,387,000 and is providing a 15 year mortgage to Beverly in the amount of $34,760,000. This transaction has changed the character of the revenue from these 10 facilities from rental income to interest income. Based upon public reports, Beverly's net operating revenue and net loss for the year ended December 31, 1995 were approximately $3.2 billion and $8.1 million, respectively. Included in the year end loss are pretax charges aggregating $112.7 million relating primarily to a charge for impaired assets (related to adoption of Statement of Financial Accounting Standards No. 121) and the write-off of software and business development costs, as well as a charge related to an overhead and staff reduction program. Beverly's total assets and shareholders' equity as of September 30, 1995 were approximately $2.5 billion and $1.0 billion, respectively. For the year ended December 31, 1994, Beverly reported net operating revenue and net income of approximately $3.0 billion and $75.0 million, respectively, and total assets and shareholders' equity of $2.3 billion and $827.2 million, respectively. The Company leases eight properties to Horizon. In July 1995, Horizon Healthcare Corporation ("Horizon Healthcare") and Continental Medical Systems, Inc. merged to form Horizon. The merger (the "CMS Merger") created one of the largest specialty health care providers in the United States. Based on public reports, for the six months ended November 30, 1995, Horizon reported net operating revenues and net loss of approximately $872.2 million and $31.5 million, respectively, and total assets and stockholders' equity of approximately $1.5 billion and $627.7 million, respectively. Included in the net loss for the six months ended November 30, 1995 was a special charge of approximately $63.5 million (pretax) from the write-off of costs which had been incurred in completing the CMS Merger and restructuring measures to combine previously separate companies and an extraordinary loss, net of tax, of $22.1 million, for retirement of CMS debt. For the year ended May 31, 1995, Horizon Healthcare reported net operating revenues and net income of $639.1 million and $31.2 million, respectively, and total assets and stockholders' equity of approximately $723.8 million and $420.1 million, respectively. On April 25, 1995, the completion of the acquisition of HealthTrust, Inc.-The Hospital Company ("HealthTrust") by Columbia was announced. At December 31, 1995, the Company has provided or has committed to provide approximately $42.9 million in acquisition or construction funds for seven medical office buildings which are leased by HealthTrust. All of these medical office buildings have been completed with the exception of tenant build out agreements. The Company holds Loans secured by two hospitals and two medical office buildings initially totaling $34.5 million to First Texas Medical, Inc. and LMH Investment Company. Both hospitals are managed by and leased to HCA Health Services of Texas, Inc., a wholly-owned subsidiary of Columbia. Based upon public reports, Columbia's net operating revenue and net income for the nine months ended September 30, 1995 were approximately $13.1 billion and $607 million, respectively; and Columbia's total assets and stockholders' equity as of September 30, 1995 were approximately $18.2 billion and $6.8 billion, respectively. For the year ended December 31, 1994, Columbia reported net operating revenue and net income of approximately $11.1 billion and $630 million, respectively, and total assets and stockholders' equity of approximately $12.3 billion and $5.0 billion, respectively. Vencor, Horizon, Tenet, Healthsouth, Beverly and Columbia are subject to the informational filing requirements of the Securities Exchange Act of 1934, as amended, and accordingly file financial statements on Form 10-K and Form 10-Q with the Securities and Exchange Commission and the New York Stock Exchange. For additional financial data with respect to Tenet see Appendix I attached hereto. All of the financial and other information presented herein with respect to such companies was obtained from such public reports. THE LEASES AND LOANS The initial base rental rates of the Leases entered into by the Company during the two years ended December 31, 1995 have generally ranged from 9% to 12% per annum of the acquisition price of the related property. Rental rates vary by lease, taking into consideration many factors, including, but not limited to, credit of the Lessee, operating performance of the facility, interest rates at the commencement of the lease and location, as well as type and physical condition of the facility. Most of the Leases provide for additional rents which are based upon a percentage of increased revenue over specific base period revenue of the leased Properties. Certain Leases have annual fixed rent increases or rent increases based on inflation indices. Initial interest rates on mortgage loans ("Loans") held by the Company and entered into during the two years ended December 31, 1995 have generally ranged from 10% to 12% per annum. Loans originated by the Company provide for annual increases in the interest rate. Additional rents and interest (see Note 2 to the Consolidated Financial Statements in this Annual Report on Form 10-K) received for the years ended December 31, 1995, 1994 and 1993 were $18.1 million, $16.7 million and $14.7 million, respectively. The primary or fixed terms of the Leases generally range from 10 to 15 years, and generally have one or more five-year (or longer) renewal options. The average remaining base lease term on the Company's portfolio of properties is approximately seven years; the average remaining term on the Loans is approximately 10 years. Most Leases contain security provisions through guarantees, as well as grouped lease renewals, grouped purchase options, and cross default and cross collateralization features that may be employed when multiple facilities are leased to individual operators. Obligations under the Leases, in most cases, have corporate parent or shareholder guarantees; 89 Leases and Loans covering 13 facilities are backed by irrevocable letters of credit from various financial institutions which cover from three to twelve months of Lease or Loan payments. The Lessees and mortgagors are required to renew such letters of credit during the Lease or Loan term in amounts which may change based upon the passage of time, improved operating cash flow or improved credit ratings. Currently, the Company has approximately $30 million in irrevocable standby letters of credit from financial institutions. The letters of credit relating to an individual Lease or Loan may be drawn upon, to the extent of damages incurred by the Company, in the event of a Lessee's or Mortgagor's default under terms of a Lease or Loan. Amounts available under letters of credit change from time to time; such changes may be material. The Company believes that the security features discussed above provide it with significant protection for its investment portfolio. The Company is currently receiving rents and interest in a timely manner from all Lessees and Mortgagors as provided under the terms of the Leases or Loans. Based upon information provided to the Company by Lessees or Mortgagors, certain facilities that are current with respect to monthly rents and mortgage payments are presently underperforming financially. Individual facilities may underperform as a result of inadequate Medicaid reimbursement, low occupancy, less than optimal patient mix, excessive operating costs, other operational issues or capital needs. Management believes that, even if these facilities remain at current levels of performance, the lease and Loan provisions contain sufficient security to assure that material rental and mortgage obligations will continue to be met for the remainder of the Lease or Loan terms. In the future it is expected that the Company will have certain properties with respect to which the Lessees may choose not to renew their Leases at existing rental rates (see Table below). Lessees generally have the right of first refusal to purchase the Properties during the Lease terms. Most Leases provide one or more five-year (or longer) renewal options at existing Lease rates and continuing additional rent formulas although certain Leases provide for Lease renewals at fair market value. The Lessees also have options to purchase the Properties, generally for fair market value, and generally at the expiration of the primary Lease term and/or any renewal term under the Lease. If options are exercised, such provisions require Lessees to purchase or renew several facilities together, precluding the possibility of Lessees purchasing or renewing only those facilities with the best financial outcomes. Thirty-one properties purchased are not subject to purchase options until 2010 or later and an additional 17 properties do not have any purchase options. A table recapping lease expirations, mortgage maturities, properties subject to purchase options and financial underperformance follows: Current Annualized Revenues of ----------------------------------------------------- Properties Subject to Possible Revenue Loss Lease Expirations Properties Subject to at Underperforming Year and Mortgage Maturities <F1> Purchase Options <F2> Properties (3) - ----- ----------------------- ----------------------- ------------------ % Amount ----- ----------- 1996 $ 3,715,000 $ 3,556,000 0.5% $ 600,000 1997 3,369,000 2,236,000 0.4 400,000 1998 14,897,000 11,951,000 1.4 1,600,000 1999 23,010,000 22,597,000 1.5 1,700,000 2000 12,321,000 12,321,000 0.9 1,100,000 Thereafter 57,117,000 41,101,000 0.8 900,000 ------------ ----------- ---- ---------- Total $114,429,000 $93,762,000 5.5% $6,300,000 ============ =========== ==== ========== <F1> This column includes the revenue impact by year and the total annualized rental and interest income associated with the Properties subject to Lessees' renewal options and/or purchase options and mortgage maturities. <F2> This column includes the revenue impact by year and the total annualized rental and interest income associated with Properties subject to purchase options. If a purchase option is exercisable at more than one date, the convention used in the table is to show the revenue subject to the purchase option at the earliest possible purchase date. The total for this column is a component of the total current annualized revenue of properties subject to lease expirations and mortgage maturities ($114,429,000). <F3> Based on current market conditions, management estimates that there could be a revenue loss upon the expiration of the current term of the Leases in the percentages and amounts shown in the table for underperforming Properties. Total revenue of the Company has grown at a compound annual growth rate of 7.41% in the past five years. No attempt has been made to show the possibility of expected gains, if any, on Properties which might offset a portion of the possible revenue loss shown above. The percentages are computed by taking the possible revenue loss as a percentage of 1995 total revenue. There are numerous factors that could have an impact on Lease renewals or purchase options, including the financial strength of the Lessee, expected facility operating performance, the relative level of interest rates and individual lessee financing options. Based upon management expectations of the Company's continued growth, the facilities subject to renewal and/or purchase options and mortgage maturities and any possible rent loss therefrom should represent a smaller percentage of revenue in the year of renewal or purchase. Each Lease is a "net" lease and the Lessee is responsible thereunder, in addition to the minimum and additional rents, for all additional charges, including charges related to non-payment or late payment of rent, all taxes and assessments, all governmental charges with respect to the leased property and all utility and other charges incurred with the operation of the leased property. Each Lessee is required, at its expense, to maintain its leased property in good order and repair, except for ordinary wear and tear. The Company and its affiliates are not required to repair, rebuild or maintain the Properties. Each Lessee, at its expense, may make non-capital additions, modifications or improvements to its leased property. All such alterations, replacements and improvements must comply with the terms and provisions of the Lease, and become the property of the Company or its affiliates upon termination of the Lease. Each Lease requires the Lessee to maintain adequate insurance on the leased property, naming the Company or its affiliates and any mortgagees as additional insureds. In certain circumstances, the Lessee may self-insure pursuant to a prudent program of self-insurance if the Lessee or the guarantor of its Lease obligations has substantial net worth. In addition, each Lease requires the Lessee to indemnify the Company or its affiliates against certain liabilities in connection with the leased property. DEVELOPMENT PROGRAM The Company has a number of "build-to-suit" type agreements that by their terms require conversion to lease agreements upon the completion of the development of the facilities. During the construction of the projects, funds are advanced pursuant to draw requests made by the developers in accordance with the terms and conditions of the applicable development agreements which require site visits prior to each advancement of funds. Since 1987, the Company has committed to the development of 28 facilities, including five rehabilitation hospitals, 11 congregate care and assisted living facilities, five long term care facilities and seven medical office buildings, representing an aggregate investment of approximately $189.6 million. As of December 31, 1995, costs of approximately $155.4 million have been funded and 22 facilities have been completed. The completed facilities comprise five rehabilitation hospitals, six congregate care and assisted living facilities, four long term care facilities and seven medical office buildings. The remaining development projects are scheduled for completion in 1996 and 1997. Simultaneously with the commencement of each of the development programs and prior to funding, the Company enters into a lease agreement with the developer/operator. The base rent under the lease is generally established at a rate equivalent to a specified number of basis points over the 10 year United States Treasury securities' yield at the conclusion of development. The development program generally includes a variety of additional forms of security and collateral beyond those provided by the Leases. During the development period, the Company generally requires additional security and collateral in the form of more than one of the following: (a) irrevocable letters of credit from financial institutions; (b) payment and performance bonds; and (c) completion guarantees by either one or a combination of the developer's parent entity, other affiliates or one or more of the individual principals who control the developer. In addition, prior to any advance of funds by the Company under the development agreement, the developer must provide (a) satisfactory evidence in the form of an endorsement to the Company's title insurance policy that no intervening liens have been placed on the property since the date of the Company's previous advance; (b) a certificate executed by the project architect that indicates that all construction work completed on the project conforms with the requirements of the applicable plans and specifications; (c) a certificate executed by the general contractor that all work requested for reimbursement has been completed; and (d) satisfactory evidence that the funds remaining unadvanced are sufficient for the payment of all costs necessary for the completion of the project in accordance with the terms and provisions of the agreement. As a further safeguard during the development period, the Company generally will retain 10% of construction funds incurred until it has received satisfactory evidence that the project will be fully completed in accordance with the applicable plans and specifications. The Company also monitors the progress of the development of each project and the accuracy of the developer's draw requests by having its own in-house inspector perform regular on-site inspections of the project prior to the release of any requested funds. FUTURE ACQUISITIONS The Company anticipates acquiring additional health care related facilities and leasing them to health care operators or investing in mortgages secured by health care facilities. TAXATION OF THE COMPANY Management of the Company believes that the Company has operated in such a manner as to qualify for taxation as a "real estate investment trust" under Sections 856 to 860 of the Internal Revenue Code of 1986, as amended (the "Code"), commencing with its taxable year ended December 31, 1985, and the Company intends to continue to operate in such a manner. No assurance can be given that it has operated or will be able to continue to operate in a manner so as to qualify or to remain so qualified. This summary is qualified in its entirety by the applicable Code provisions, rules and regulations promulgated thereunder, and administrative and judicial interpretation thereof. If the Company qualifies for taxation as a real estate investment trust, it will generally not be subject to Federal corporate income taxes on its net income that is currently distributed to stockholders. This treatment substantially eliminates the "double taxation" (i.e. at the corporate and stockholder levels) that generally results from investment in a corporation. However, the Company will continue to be subject to federal income tax under certain circumstances. The Code defines a REIT as a corporation, trust or association (i) which is managed by one or more trustees or directors; (ii) the beneficial ownership of which is evidenced by transferable shares, or by transferable certificates of beneficial interest; (iii) which would be taxable, but for Sections 856 through 860 of the Code, as a domestic corporation; (iv) which is neither a financial institution nor an insurance company subject to certain provisions of the Code; (v) the beneficial ownership of which is held by 100 or more persons; (vi) during the last half of each taxable year not more than 50% in value of the outstanding stock of which is owned, actually or constructively, by five or fewer individuals; and (vii) which meets certain other tests, described below, regarding the amount of its distributions and the nature of its income and assets. The Code provides that conditions (i) to (iv), inclusive, must be met during the entire taxable year and that condition (v) must be met during at least 335 days of a taxable year of 12 months, or during a proportionate part of a taxable year of less than 12 months. There are three gross income requirements. First, at least 75% of the Company's gross income (excluding gross income from Prohibited Transactions as defined below) for each taxable year must be derived directly or indirectly from investments relating to real property or mortgages on real property or from certain types of temporary investment income. Second, at least 95% of the Company's gross income (excluding gross income from Prohibited Transactions) for each taxable year must be derived from income that qualifies under the 75% test and all other dividends, interest and gain from the sale or other disposition of stock or securities. Third, short-term gains from the sale or other disposition of stock or securities, gains from Prohibited Transactions and gains on the sale or other disposition of real property held for less than four years (apart from involuntary conversions and sales of foreclosure property) must represent less than 30% of the Company's gross income for each taxable year. A Prohibited Transaction is a sale or other disposition of property (other than foreclosure property) held for sale to customers in the ordinary course of business. The Company, at the close of each quarter of its taxable year, must also satisfy three tests relating to the nature of its assets. First, at least 75% of the value of the Company's total assets must be represented by real estate assets (including stock or debt instruments held for not more than one year, purchased with the proceeds of a stock offering or long-term (more than five years) public debt offering of the Company), cash, cash items and government securities. Second, not more than 25% of the Company's total assets may be represented by securities other than those in the 75% asset class. Third, of the investments included in the 25% asset class, the value of any one issuer's securities owned by the Company may not exceed 5% of the value of the Company's total assets and the Company may not own more than 10% of any one issuer's outstanding voting securities. The Company owns interests in various partnerships. In the case of a REIT that is a partner in a partnership, Treasury Regulations provide that for purposes of the REIT income and asset tests, the REIT will be deemed to own its proportionate share of the assets of the partnership and will be deemed to be entitled to the income of the partnership attributable to such share. The ownership of an interest in a partnership by a REIT may involve special tax risks, including the challenge by the Internal Revenue Service of the allocations of income and expense items of the partnership, which would affect the computation of taxable income of the REIT, and the status of the partnership as a partnership (as opposed to an association taxable as a corporation) for federal income tax purposes. The Company also owns interests in a number of subsidiaries which are intended to be treated as "qualified real estate investment trust subsidiaries." The Code provides that such subsidiaries will be ignored for federal income tax purposes and all assets, liabilities and items of income, deduction and credit of such subsidiaries will be treated as assets, liabilities and such items of the Company. If any partnership or subsidiary in which the Company owns an interest were treated as a regular corporation (and not as a partnership or qualified REIT subsidiary) for federal income tax purposes, the Company would likely fail to satisfy the REIT asset tests described above and would therefore fail to qualify as a REIT. The Company believes that each of the partnerships and subsidiaries in which it owns an interest will be treated for tax purposes as a partnership or qualified REIT subsidiary, respectively, although no assurance can be given that the Internal Revenue Service will not successfully challenge the status of any such organization. The Company, in order to qualify as a REIT, is required to distribute dividends (other than capital gain dividends) to its stockholders in an amount at least equal to (A) the sum of (i) 95% of the Company's "real estate investment trust taxable income" (computed without regard to the dividends paid deduction and the Company's net capital gain) and (ii) 95% of the net income, if any (after tax), from foreclosure property, minus (B) the sum of certain items of non-cash income. Such distributions must be paid in the taxable year to which they relate, or in the following taxable year if declared before the Company timely files its tax return for such year, if paid on or before the first regular dividend payment date after such declaration and if the Company so elects and specifies the dollar amount in its tax return. To the extent that the Company does not distribute all of its net long-term capital gain or distributes at least 95%, but less than 100%, of its "real estate investment trust taxable income," as adjusted, it will be subject to tax thereon at regular corporate tax rates. Furthermore, if the Company should fail to distribute during each calendar year at least the sum of (i) 85% of its real estate investment trust ordinary income for such year, (ii) 95% of its real estate investment capital gain income for such year, and (iii) any undistributed taxable income from prior periods, the Company would be subject to a 4% excise tax on the excess of such required distributions over the amounts actually distributed. If the Company fails to qualify for taxation as a REIT in any taxable year, and certain relief provisions do not apply, the Company will be subject to tax (including any applicable alternative minimum tax) on its taxable income at regular corporate rates. Distributions to stockholders in any year in which the Company fails to qualify will not be deductible by the Company nor will they be required to be made. Unless entitled to relief under specific statutory provisions, the Company will also be disqualified from taxation as a real estate investment trust for the four taxable years following the year during which qualification was lost. It is not possible to state whether in all circumstances the Company would be entitled to the statutory relief. Failure to qualify for even one year could substantially reduce distributions to stockholders and could result in the Company's incurring substantial indebtedness (to the extent borrowings are feasible) or liquidating substantial investments in order to pay the resulting taxes. Distributions made to the Company's stockholders out of current or accumulated earnings and profits will be taken into account by them as ordinary income. Such distributions will not be eligible for the dividends received deductions for corporations as long as the Company qualifies as a REIT. Distributions that are designated as capital gain dividends will be taxed as long-term capital gains to the extent they do not exceed the Company's actual net capital gain for the taxable year, although corporate stockholders may be required to treat up to 20% of any such capital gain dividend as ordinary income. Distributions in excess of current or accumulated earnings and profits will not be taxable to a stockholder to the extent that they do not exceed the adjusted basis of the stockholder's shares. To the extent that such distributions exceed the adjusted basis of a stockholder's shares they will be included in income as long-term or short-term capital gain (as described below with respect to the sale or exchange of the shares) assuming the shares are held as a capital asset in the hands of the stockholder. Stockholders may not include in their individual income tax returns any net operating losses or capital losses of the Company. In general, any gain or loss upon a sale or exchange of shares by a stockholder who has held such shares as a capital asset will be long-term or short-term depending on whether the stock was held for more than one year; provided however, any loss on the sale or exchange of shares that have been held by such stockholder for six months or less will be treated as a long-term capital loss to the extent of distributions from the Company required to be treated by such stockholder as long-term capital gain. The Company and its stockholders may be subject to state or local taxation in various state or local jurisdictions, including those in which it or they transact business or reside. The state and local tax treatment of the Company and its shareholders may not conform to the federal income tax consequences discussed above. GOVERNMENT REGULATION The Company is indirectly affected by government regulation of the health care industry in that the Company's additional rents are generally based on its Lessees' gross revenues from operations. Aggressive efforts by health insurers and governmental agencies to limit the cost of hospital services and to reduce utilization of hospital and other health care facilities may reduce future revenues or slow revenue growth from inpatient facilities and shift utilization from inpatient to outpatient facilities. In addition, contingent or percentage rent arrangements are subject to federal and state laws and regulations governing illegal rebates and kickbacks where the Company's co-investors are physicians or others in a position to refer patients to the facilities. The goal of these laws and regulations is to prohibit, through the imposition of criminal and civil penalties that may include exclusion from reimbursement programs, payment arrangements that include compensation for patient referrals. Although only limited interpretive or enforcement guidance is available, the Company has structured its rent arrangements in a manner which it believes complies with such laws and regulations. Health care facilities are also subject to a wide variety of federal, state and local environmental and occupational health and safety laws and regulations which affect facility operations. Expansion, including the addition of new beds or services or acquisition of medical equipment, and occasionally the contraction of health care facilities, may be subject to state and local regulatory approval through certificate of need ("CON") programs. States vary in their utilization of CON controls. Revenues of Lessees are generally derived from payments for patient care. Such payments are received from the federal Medicare program, state Medicaid programs, private insurance carriers, health care service plans, health maintenance organizations, preferred provider arrangements, self-insured employers and directly from patients. Medicare payments for psychiatric, long term and rehabilitative care are based on allowable costs plus a return on equity for proprietary facilities. Medicare payments to acute care hospitals for inpatient services are made pursuant to the Prospective Payment System ("PPS") under which a hospital is paid a prospectively established rate based on the category of the patient's diagnosis ("Diagnostic Related Groups" or "DRG's"). In 1991, Medicare began to phase in over a period of years reimbursement to hospitals for capital-related inpatient costs under PPS using a federal rate rather than the cost-based reimbursement system previously used. DRG rates are subject to adjustment on an annual basis as part of the federal budget reconciliation process. For example, as a part of the Omnibus Budget Reconciliation Act, the 1993 Congress provided for over $50 billion in cuts to the Medicare program over the next five years, including approximately $23 billion in cuts in Medicare spending for hospitals. Medicaid programs generally pay for acute, rehabilitative and psychiatric care based on reasonable costs at fixed rates; long term care facilities are generally reimbursed using fixed daily rates. Both Medicare and Medicaid payments are generally below retail rates for Lessee-operated facilities. Increasingly, states have experimented with the introduction of managed care contracting techniques in the administration of Medicaid programs. Such mechanisms could have the impact of reducing utilization of or reimbursement to Lessee-operated facilities. Third party payors in various states and areas base payments on costs, retail rates or, increasingly, negotiated rates, including discounts from normal charges, fixed daily rates and prepaid capitated rates. LONG TERM CARE FACILITIES. Regulation of long term care facilities is exercised primarily through the licensing of such facilities. Against a common background established by federal law enacted as part of the Omnibus Budget Reconciliation Act of 1987 (OBRA'87) Regulatory authorities and licensing standards vary from state to state, and in some instances from locality to locality. These standards are constantly reviewed and revised. Agencies periodically inspect facilities, at which time deficiencies may be identified which must be corrected as a condition to continued licensing or certification and participation in government reimbursement programs. Depending on the nature of such deficiencies, remedies can be routine or costly. Similarly, compliance with regulations which cover a broad range of areas such as patients' rights, staff training, quality of life and quality of resident care may increase facility start-up and operating costs. ACUTE CARE HOSPITALS. Acute care hospitals are subject to extensive federal, state and local regulation. Acute care hospitals undergo periodic inspections regarding standards of medical care, equipment and hygiene as a condition of licensure. Various licenses and permits also are required for purchasing and administering narcotics, operating laboratories and pharmacies and the use of radioactive materials and certain equipment. Each of the Company's facilities, the operation of which requires accreditation, is accredited by the Joint Commission on Accreditation of Healthcare Organizations. Such accreditation is generally required for continued licensing and for participation in government sponsored provider programs. Acute care hospitals must comply with requirements for various forms of utilization review. In addition, under PPS, each state must have a Professional Review Organization carry out federally mandated reviews of Medicare patient admissions, treatment and discharges in acute care hospitals. PSYCHIATRIC AND REHABILITATION HOSPITALS. Psychiatric and rehabilitation hospitals are subject to extensive federal, state and local legislation, regulation, inspection and licensure requirements similar to those of acute care hospitals. For psychiatric hospitals, there are specific laws regulating civil commitment of patients and disclosure of information. Many states have adopted a "patient's bill of rights" which sets forth certain higher standards for patient care that are designed to decrease restrictions and enhance dignity in treatment. Insurance reimbursement for psychiatric treatment generally is more limited than for general health care. PHYSICIAN GROUP PRACTICE CLINICS. Physician group practice clinics are subject to extensive federal, state and local legislation and regulation. Every state imposes licensing requirements on individual physicians and on facilities and services operated by physicians. In addition, federal and state laws regulate health maintenance organizations and other managed care organizations with which physician groups may have contracts. Many states require regulatory approval, including certificates of need, before establishing certain types of physician-directed clinics, offering certain services or making expenditures in excess of statutory thresholds for healthcare equipment, facilities or programs. In connection with the expansion of existing operations and the entry into new markets, physician clinics and affiliated practice groups may become subject to compliance with additional regulation. HEALTH CARE REFORM. The health care industry is facing various challenges, including increased government and private payer pressure on health care providers to control costs, the migration of patients from acute care facilities into extended care and home care settings and the vertical and horizontal consolidation of health care providers. The pressure to control health care costs intensified during 1993 and 1994 as a result of the national health care reform debate and has continued into 1996 as Congress attempts to slow the rate of growth of federal health care expenditures as part of its effort to balance the federal budget. For example, bills have been passed by the House and the Senate in the context of the federal budget reconciliation process which call for reduced future reimbursement to hospitals under the existing Medicare system, the establishment of a prospective payment system for Medicare reimbursement of long term care, reduced growth in future Medicaid reimbursement and the establishment of a "block grant" program that would give states greater discretion in designing and administering their Medicaid programs than presently afforded under federal law. Spending in the United States Health Care Industry during 1994 was approximately $938.0 billion, representing 14% of Gross Domestic Product. The Company believes that government and private efforts to contain or reduce health care costs will continue. These trends are likely to lead to reduced or slower growth in reimbursement for certain services provided by some of the Company's Lessees. The Company believes that the vast nature of the health care industry, the financial strength and operating flexibility of its operators and the diversity of its portfolio will mitigate against the impact of any such diminution in reimbursements. However, the Company cannot predict whether any of the above proposals or any other proposals will be adopted and, if adopted, no assurance can be given that the implementation of such reforms will not have a material adverse effect on the Company's financial condition or results of operations. OBJECTIVES AND POLICIES The Company is organized to invest in income-producing health care related facilities. In evaluating potential investments, the Company considers such factors as (1) the geographic area, type of property and demographic profile; (2) the location, construction quality, condition and design of the property; (3) the current and anticipated cash flow and its adequacy to meet operational needs and lease obligations and to provide a competitive market return on equity to the Company's investors; (4) the potential for capital appreciation, if any; (5) the growth, tax and regulatory environment of the communities in which the properties are located; (6) occupancy and demand for similar health facilities in the same or nearby communities; (7) an adequate mix of private and government sponsored patients; (8) potential alternative uses of the facilities; and (9) prospects for liquidity through financing or refinancing. There are no limitations on the percentage of the Company's total assets that may be invested in any one property or partnership. The Investment Committee of the Board of Directors may establish limitations as it deems appropriate from time to time. No limits have been set on the number of properties in which the Company will seek to invest, or on the concentration of investments in any one facility or any one city or state. The Company acquires its investments primarily for income. Since its inception, the Company has issued four classes of securities which are senior to the Common Stock, of which two classes are outstanding at December 31, 1995. In 1986, the Company issued $60,000,000 of 9-1/2% Senior Notes due December 1, 1996. In 1988, the Company issued $75,000,000 of 9-7/8% Senior Notes due February 15, 1998. In April 1989, the Company authorized a $75,000,000 Medium Term Note program (Series A MTN) in accordance with which it has issued $55,000,000 of unsecured Medium Term Notes at coupon rates of 8.00% to 10.57% due 1999 - 2003. In September 1993, the Company authorized a $75,000,000 Medium Term Note Program (Series B MTN), out of a $200,000,000 combined debt and equity shelf filed in August 1993. In August 1995 the Series B MTN authorized amount was increased to approximately $150,000,000. As of February 1, 1996 the Company has issued $99,000,000 of Series B MTNs at coupon rates ranging from 6.62% to 9.10% due 1998-2015. In November 1993, the Company issued $100,000,000 in 6% Convertible Subordinated Notes due 2000. Proceeds of these Notes were utilized to redeem without penalty the $60,000,000 of 9 1/2% Senior Notes due December 1, 1996, on which the Company had a call provision as of December 1, 1993. On March 13, 1995, the Company used the net proceeds of the offering of 1,725,000 shares of common stock (approximately $47,000,000) and $27,000,000 principal amount of the Series B MTNs issued in February and March 1995 to redeem without penalty or premium the $75,000,000 of 9-7/8% Senior Notes due February 15, 1998 on which the Company had a call provision as of February 15, 1995. In September 1995, the Company registered $200 million of debt and equity Securities under a shelf registration statement filed with the Securities Exchange Commission. The Company may, in the future, issue debt securities which will be senior to the Common Stock. The Company has no present plans to issue senior equity securities, although the Board of Directors is authorized to issue up to 50,000,000 shares of preferred stock. The Company has authority to offer shares of its capital stock in exchange for investments which conform to its standards and to repurchase or otherwise acquire its shares or other securities, but does not presently intend to do so. The Company may incur additional indebtedness when, in the opinion of its management and Directors, it is advisable. For short-term purposes the Company from time to time negotiates lines of credit, or arranges for other short-term borrowings from banks or otherwise. The Company may arrange for long-term borrowings through public offerings or from institutional investors. Under its Bylaws, the Company is subject to various restrictions with respect to borrowings. In addition, the Company may incur additional mortgage indebtedness on real estate which it has acquired through purchase, foreclosure or otherwise. Where leverage is present on terms deemed favorable, the Company invests in properties subject to existing loans, or secured by mortgages, deeds of trust or similar liens on the properties. The Company also may obtain non-recourse or other mortgage financing on unleveraged properties in which it has invested or may refinance properties acquired on a leveraged basis. In July, 1990, the Company adopted a Rights Agreement whereby Company stockholders received, for each share of Common Stock owned, one right to purchase shares of Common Stock of the Company, or securities of an acquiring entity, at one-half market value (the "Rights"). The Rights will be exercisable only if and when certain circumstances occur, including the acquisition by a person or group of 15% or more of the Company's outstanding common shares, or the making of a tender offer for 30% or more of the Company's common shares. The Rights are intended to protect stockholders of the Company from takeover tactics that could deprive them of the full value of their shares. The Company will not, without the prior approval of a majority of Directors, acquire from or sell to any Director, officer or employee of the Company, or any affiliate thereof, as the case may be, any of the assets or other property of the Company. The Company provides to its stockholders annual reports containing audited financial statements and quarterly reports containing unaudited information. The policies set forth herein have been established by the Board of Directors of the Company and may be changed without stockholder approval. Item 2. PROPERTIES See Item 1. for details. Item 3. LEGAL PROCEEDINGS During 1995, the Company was not a party to any material legal proceedings. Item 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS None. PART II Item 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS The Company's Common Stock is listed on the New York Stock Exchange. Set forth below for the fiscal quarters indicated are the reported high and low sales prices of the Company's Common Stock on the New York Stock Exchange. 1995 1994 1993 High Low High Low High Low ------------------ ------------------ ------------------ First Quarter $30 3/8 $28 $32 $27 1/4 $32 $24 Second Quarter 32 3/4 29 1/2 32 5/8 29 1/2 32 1/4 27 1/4 Third Quarter 34 7/8 31 5/8 31 1/4 27 7/8 31 5/8 28 1/4 Fourth Quarter 35 1/4 31 1/2 30 7/8 26 1/4 33 5/8 25 As of January 31, 1996 there were approximately 1,831 stockholders of record and in excess of 32,500 beneficial stockholders of the Company's Common Stock. It has been the Company's policy to declare quarterly dividends to the holders of its shares of Common Stock so as to comply with applicable sections of the Internal Revenue Code governing REITs. The cash dividends per share paid by the Company are set forth below: 1995 1994 1993 ---- ---- ---- First Quarter $ .5200 $ .4800 $ .4500 Second Quarter .5300 .4900 .4575 Third Quarter .5400 .5000 .4650 Fourth Quarter .5500 .5100 .4725 ------- ------- ------- $2.1400 $1.9800 $1.8450 ======= ======= ======= Item 6. SELECTED FINANCIAL DATA Set forth below is selected financial data with respect to the Company for the years ended December 31, 1995, 1994, 1993, 1992, and 1991. Year Ended December 31, 1995 1994 1993 1992 1991 ---------------------------------------------------------------- (Amounts in thousands, except per share data) Total Revenue $105,696 $ 98,996 $ 92,549 $ 83,727 $ 79,417 Net Income 80,266 49,977 44,087 35,715 26,451 Funds From Operations 75,428 66,966 61,427 53,580 45,075 Dividends Paid 60,167 52,831 49,030 44,136 37,299 Total Assets 667,831 573,826 549,638 509,150 458,579 Debt Obligations 299,084 271,463 245,291 205,760 212,431 Stockholders' Equity 339,460 269,403 269,873 271,375 211,274 Net Income Per Share 2.83 1.87 1.66 1.38 1.15 Dividends Paid Per Share 2.1400 1.9800 1.8450 1.7250 1.6175 Item 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS GENERAL The Company is in the business of acquiring health care facilities that it leases on a long-term basis to health care providers. On a more limited basis, the Company has provided mortgage financing for health care facilities. As of December 31, 1995, the Company's portfolio of properties, including equity investments, consists of 202 facilities that are located in 36 states. The portfolio is comprised of 144 long term care facilities, 31 congregate care and assisted living facilities, 12 medical office buildings, six acute care hospitals, six rehabilitation facilities, two physician group practice clinics and one psychiatric care facility. The gross acquisition price of the properties, including partnership acquisitions, is approximately $824,840,000 at December 31, 1995. RESULTS OF OPERATIONS YEAR ENDED DECEMBER 31, 1995 VS. YEAR ENDED DECEMBER 31, 1994 Funds From Operations totaled $75,428,000 for the year ended December 31, 1995, an increase of 12.6% or $8,462,000 as compared to $66,966,000 for the year ended December 31, 1994. Net income for the year ended December 31, 1995 was $80,266,000, or $2.83 per share, on revenues of $105,696,000. This is compared to net income for the prior year of $49,977,000, or $1.87 per share, on revenues of $98,996,000. Net income and net income per share for the year ended December 31, 1995 included a $23,550,000, or $0.83 per share, gain on the sale of 10 leased real estate properties. Under the terms of the sale, the Company received net cash proceeds of $8,387,000 and is providing a 15 year mortgage in the initial amount of $34,760,000. Additionally, net income for the year ended December 31, 1994 was favorably influenced by a $1,000,000 final settlement related to a partnership investment. The increase in total revenue of $6,700,000, or 6.8% is due primarily to increased base rents from facilities acquired in 1995 and a full year's rents on the 1994 acquisitions. In addition, the increases in additional rents and interest income of $1,371,000 were the result of increases at most of the facilities that are eligible to pay such rents. The growth in additional rents and interest income was slowed somewhat by the sale and concurrent financing of certain real estate properties. Those sales converted the character of the returns on the assets from the base and additional rental income to interest income. Interest and other income increased $3,118,000 primarily as a result of the addition of approximately $42,954,000 in loans receivables during 1995. Interest expense decreased $794,000, or 3.9% to $19,339,000 for the year ended December 31, 1995 as compared to $20,133,000 for the prior year. The decrease is primarily due to lower interest rates and lower average borrowings from the Company redeeming in March 1995, without penalty, $75,000,000 of 9-7/8% Senior Notes that were due in 1998. This was offset by the Company issuing approximately $78,000,000 in Senior Notes during 1995 with interest rates averaging 7.8%. YEAR ENDED DECEMBER 31, 1994 VS. YEAR ENDED DECEMBER 31, 1993 Funds From Operations totaled $66,966,000 for the year ended December 31, 1994, an increase of 9.0% or $5,539,000 over the $61,427,000 for the prior year. Net Income for the year ended December 31, 1994 was $49,977,000, or $1.87 per share, on revenues of $98,996,000, compared to net income of $44,087,000, or $1.66 per share, on revenues of $92,549,000 for the prior year. These increases were primarily attributable to higher base rents and from higher levels of additional rental and interest income. Additionally, both the years ended December 31, 1994 and 1993 were favorably influenced by non-recurring income items totaling $1,000,000 and $2,000,000, respectively. The increase in base rents of $4,422,000 to $64,811,000 was attributed to rents received in 1994 from newly acquired facilities and from a full year's rents on 1993 acquisitions. Additional rental and interest income increased by $2,009,000 over the prior year to $16,707,000 for 1994. Additional rental and interest income is a function of increases in facility revenues over specified base year revenues and/or increases based on inflation indices or other factors. The majority of the Company's investments, other than new facilities, contributed to this increase. Interest expense increased by $405,000 to $20,133,000 stemming primarily from higher long term borrowings. In November 1993, the Company issued $100,000,000 of 6% Convertible Subordinated Notes due 2000. A portion of that offering was utilized early in December 1993 to redeem, without penalty, the $60,000,000 of 9-1/2% Senior Notes due 1996. The remaining $40,000,000 supported the Company's acquisitions and construction projects in 1994. LIQUIDITY AND CAPITAL RESOURCES The Company has financed acquisitions through the sale of common stock, the issuance of long-term debt, the assumption of limited amounts of mortgage debt, the use of short-term bank lines and through internally generated cash flow. Facilities under construction are generally financed by means of cash on hand or short-term borrowings under the Company's existing bank lines. In the future, the Company may use its Medium-Term Note ("MTN") program to finance a portion of the costs of construction. At the completion of construction and commencement of the lease, short-term borrowings used in the construction phase are generally refinanced with new long-term debt or equity. On February 9, 1995, the Company issued 1,725,000 shares of Common Stock at $29 per share with net proceeds of approximately $47,400,000. During 1995, the Company issued a total of $78,000,000 of MTNs, bearing interest from 6.62% to 9.00% and maturing between 2000 and 2015. On March 13, 1995 the proceeds from the issuance of the stock and MTNs were used to retire $75,000,000 9-7/8% Senior Notes due 1998 without penalty at par plus accrued interest. At December 31, 1995, stockholders equity in the Company totaled $339,460,000 and the debt to equity ratio was 0.88 to 1. For the year ended December 31, 1995, Funds From Operations covered interest expense 4.9 to 1. At December 31, 1995, the Company had approximately $51,000,000 available under its 1993 shelf registration statement for future issuance of MTNs from time to time based on Company needs and then existing market conditions. In September, 1995, the Company registered $200,000,000 of debt and equity securities under a shelf registration statement filed with the Securities and Exchange Commission. At December 31, 1995, there was approximately $68,000,000 unused on its $100,000,000 revolving line of credit. This line of credit with a group of seven domestic and international banks expires on March 31, 1998. The Company's Senior and Convertible Subordinated Notes have been rated investment grade by debt rating agencies since 1986. Current ratings are as follows: Moody's Standard & Poor's Duff & Phelps ------- ---------------- ------------- Senior Notes Baa1 BBB+ A- Convertible Subordinated Notes Baa2 BBB BBB+ Since inception in May 1985, the Company has recorded approximately $442,551,000 in cumulative Funds From Operations. Of this amount, a total of approximately $361,609,000 has been distributed to stockholders as dividends. The balance of approximately $80,942,000 has been retained as an additional source of capital for the Company. Dividends paid or payable as a percentage of Funds From Operations were 80%, 79% and 80% for the years ended December 31, 1995, 1994 and 1993. Since commencing business in 1985, the Company has paid dividends equal to approximately 82% of Funds From Operations. As of December 31, 1995, the Company had commitments to purchase and construct health care facilities totaling approximately $127,997,000 which were expected to be funded during 1996 or in 1997. Of the foregoing, on February 1, 1996, the Company invested in five long term care campuses in North and South Carolina for $49,000,000. These campuses include 631 congregate or assisted living units and 222 long term care beds. The Company has leased 10 facilities to Emeritus Corporation ("Emeritus") for a 15 year term and made a loan to Emeritus for the remaining facility. Emeritus is one of the largest publicly traded providers of assisted living services in the United States. With this transaction it is expected that revenues from Emeritus will approximate 10 percent of the Company's current portfolio of rents. At December 31, 1995, the Company had approximately $30,000,000 in irrevocable letters of credit from commercial banks to back the obligations of many of its Lessees' Lease and borrowers' Loan obligations. The Company may draw upon the letters of credit if there are any defaults under the Leases and/or Loans. Amounts available under letters of credit change from time to time; such changes may be material. Management believes that the Company's liquidity and sources of capital are adequate to finance its operations as well as its future investments in additional facilities. Item 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA The Company's Consolidated Balance Sheets as of December 31, 1995 and 1994 and its Consolidated Statements of Income, Stockholders' Equity, and Cash Flows for the years ended December 31, 1995, 1994 and 1993, together with the report of Arthur Andersen LLP, independent public accountants, are included elsewhere herein. Reference is made to the "Index to Consolidated Financial Statements". Item 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE None. PART III Item 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT The executive officers of the Company were as follows on February 1, 1996: Name Age Position - --------------------------- ----- ------------------------------------------------- Kenneth B. Roath 60 Chairman, President and Chief Executive Officer James G. Reynolds 44 Executive Vice President and Chief Financial Officer Devasis Ghose 42 Senior Vice President - Finance and Treasurer Edward J. Henning 42 Senior Vice President, General Counsel and Corporate Secretary Stephen R. Maulbetsch 38 Senior Vice President - Property and Acquisitions Analysis There is hereby incorporated by reference the information appearing under the captions "Board of Directors and Officers" and "Compliance with Section 16(a) of the Securities Exchange Act of 1934" in the Registrant's definitive proxy statement relating to its Annual Meeting of Stockholders to be held on April 25, 1996. Item 11. EXECUTIVE COMPENSATION There is hereby incorporated by reference the information under the caption "Executive Compensation" in the Registrant's definitive proxy statement relating to its Annual Meeting of Stockholders to be held on April 25, 1996. Item 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT There is hereby incorporated by reference the information under the captions "Principal Stockholders" and "Board of Directors and Officers" in the Registrant's definitive proxy statement relating to its Annual Meeting of Stockholders to be held on April 25, 1996. Item 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS There is hereby incorporated by reference the information under the caption "Certain Transactions" in the Registrant's definitive proxy statement relating to its Annual Meeting of Stockholders to be held on April 25, 1996. PART IV Item 14. EXHIBITS, FINANCIAL STATEMENTS, SCHEDULES AND REPORTS ON FORM 8-K a) Financial Statements: 1) Report of Independent Public Accountants 2) Financial Statements Consolidated Balance Sheets - December 31, 1995 and 1994 Consolidated Statements of Income - for the years ended December 31, 1995, 1994 and 1993 Consolidated Statements of Stockholders' Equity - for the years ended December 31, 1995, 1994 and 1993 Consolidated Statements of Cash Flows - for the years ended December 31, 1995, 1994 and 1993 Notes to Consolidated Financial Statements Note - All schedules have been omitted because the required information is presented in the financial statements and the related notes or because the schedules are not applicable. b) Reports on Form 8-K: No reports on Form 8-K were filed by the Company during the fourth quarter of 1995. c) Exhibits 3.1 Articles of Restatement of the Company. 10/ 3.2 Amended and Restated Bylaws of the Company. 1/ 4.1 Rights Agreement, dated as of July 5, 1990, between the Company and Manufacturers Hanover Trust Company of California, as Rights Agent. 11/ 4.2 Indenture dated as of September 1, 1993 between the Company and The Bank of New York, as Trustee. 12/ 4.3 Indenture dated as of April 1, 1989 between the Company and The Bank of New York for Debt Securities. 2/ 4.4 Form of Fixed Rate Note. 2/ 4.5 Form of Floating Rate Note. 2/ 10.1 Amendment No. 1, dated as of May 30, 1985, to Partnership Agreement of Health Care Property Partners, a California general partnership ("HCPP"), the general partners of which consist of the Company and certain affiliates of Tenet Healthcare Corporation ("Tenet"). 3/ 10.9 Corporate Guaranty of Obligations of Subsidiaries Pursuant to Leases, Percentage Rent Agreement and Contract of Acquisition, dated as of May 30, 1985, from Tenet in favor of HCPP. 3/ 10.10 Deferred Compensation Plan of the Company. 3/ 10.27 Employment Agreement dated April 28, 1988 between the Company and Kenneth B. Roath. 5/ 10.28 Health Care Property Investors, Inc. Executive Retirement Plan. 4/ 10.29 Health Care Property Investors, Inc. Amended Stock Incentive Plan, as amended. 8/ 10.30 Health Care Property Investors, Inc. Directors Stock Incentive Plan, as amended. 8/ 10.34 First Amendment to Employment Agreement dated February 1, 1990 between the Company and Kenneth B. Roath. 6/ 10.36 Retirement Plan for Outside Directors of Health Care Property Investors, Inc. as of January 1, 1991. 7/ 10.37 Revolving Credit Agreement dated as of March 31, 1994 among Health Care Property Investors, certain banks and The Bank of New York as agent. 9/ 10.38 Letter from The Bank of New York and banks that are signatories to Revolving Credit Agreement extending commitment. 13/ 10.39 Amendment No. 1 to Health Care Property Investors, Inc. Executive Retirement Plan. 13/ 21.1 List of Subsidiaries. 23.1 Consent of Independent Public Accountants. 27.1 Financial Data Schedule 1/ This exhibit is incorporated by reference to the exhibit numbered 3(ii) in the Company's quarterly report on Form 10-Q for the period ended June 30, 1995 2/ This exhibit is incorporated by reference to exhibit 4.1, 4.2 and 4.3 in the Company's Form S-3 Registration Statement dated March 20, 1989. 3/ This exhibit is incorporated by reference to the corresponding numbered exhibit in the Company's annual report on Form 10-K for the year ended December 31, 1985. 4/ This exhibit is incorporated by reference to the corresponding numbered exhibit in the Company's annual report on Form 10-K for the year ended December 31, 1987. 5/ This exhibit is incorporated by reference to the corresponding numbered exhibit in the Company's annual report on Form 10-K for the year ended December 31, 1988. 6/ This exhibit is incorporated by reference to Appendix B of the Company's Form 10-K for the year ended December 31, 1990. 7/ This exhibit is incorporated by reference to Appendix B of the Company's Form 10-K for the year ended December 31, 1991. 8/ This exhibit is incorporated by reference to the corresponding numbered exhibit in the Company's annual report on Form 10-K for the year ended December 31, 1992. 9/ The exhibit is incorporated by reference to the corresponding numbered exhibit in the Company's Form 8-K as of February 8, 1995. 10/ This exhibit is incorporated by reference to exhibit 3.1 in the Company's Annual Report on Form 10-K for the year ended December 31, 1994. 11/ This exhibit is incorporated by reference to exhibit 1 to the Company's Registration Statement on Form 8-A filed with the Commission on July 17, 1990. 12/ This exhibit is incorporated by reference to exhibit 4.1 to the Company's Registration Statement on Form S-3 dated September 9, 1993. 13/ This exhibit is incorporated by reference to the corresponding numbered exhibit in the Company's annual report on Form 10-K for the year ended December 31, 1994. For the purposes of complying with the amendments to the rules governing Form S-8 (effective July 13, 1990) under the Securities Act of 1933, the undersigned registrant hereby undertakes as follows, which undertaking shall be incorporated by reference into registrant's Registration Statement on Form S-8 Nos. 33-28483 (filed May 11, 1989): Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the registrant pursuant to the foregoing provisions, or otherwise, the registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Securities Act of 1933 and is therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by the registrant of expenses incurred or paid by a director, officer or controlling person of the registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy expressed in the Act and will be governed by the final adjudication of such issue. SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. Dated: February 6, 1996 HEALTH CARE PROPERTY INVESTORS, INC. (Registrant) /s/ KENNETH B. ROATH --------------------------------------------------- Kenneth B. Roath, Chairman of the Board of Directors, President and Chief Executive Officer Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the Registrant and in the capacities and on the dates indicated. Date Signature and Title - ---- ------------------- February 6, 1996 /s/ KENNETH B. ROATH ------------------------------------------------- Kenneth B. Roath, Chairman of the Board of Directors, President and Chief Executive Officer (Principal Executive Officer) February 6, 1996 /s/ JAMES G. REYNOLDS ------------------------------------------------- James G. Reynolds, Executive Vice President and Chief Financial Officer (Principal Financial Officer) February 6, 1996 /s/ DEVASIS GHOSE ------------------------------------------------- Devasis Ghose, Senior Vice President- Finance and Treasurer (Principal Accounting Officer) February 6, 1996 /s/ PAUL V. COLONY ------------------------------------------------- Paul V. Colony, Director February 6, 1996 /s/ ROBERT R. FANNING, JR. ------------------------------------------------- Robert R. Fanning, Jr., Director February 6, 1996 /s/ MICHAEL D. MCKEE ------------------------------------------------- Michael D. McKee, Director February 6, 1996 /s/ ORVILLE E. MELBY ------------------------------------------------- Orville E. Melby, Director February 6, 1996 /s/ HAROLD M. MESSMER, JR. ------------------------------------------------- Harold M. Messmer, Jr., Director February 6, 1996 /s/ PETER L. RHEIN ------------------------------------------------- Peter L. Rhein, Director EXHIBIT INDEX Ex. 21.1 List of Subsidiaries Ex. 23.1 Consent of Independent Public Accountants Ex. 27.1 Financial Data Schedule INDEX TO CONSOLIDATED FINANCIAL STATEMENTS Report of Independent Public Accountants Consolidated Balance Sheets - as of December 31, 1995 and 1994 Consolidated Statements of Income - for the years ended December 31, 1995, 1994 and 1993 Consolidated Statements of Stockholders' Equity - for the years ended December 31, 1995, 1994 and 1993 Consolidated Statements of Cash Flows - for the years ended December 31, 1995, 1994 and 1993 Notes to Consolidated Financial Statements REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS To Health Care Property Investors, Inc.: We have audited the accompanying consolidated balance sheets of Health Care Property Investors, Inc. (a Maryland corporation) as of December 31, 1995 and 1994, and the related consolidated statements of income, stockholders' equity and cash flows for each of the three years in the period ended December 31, 1995. These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with generally accepted auditing standards. 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 financial position of Health Care Property Investors, Inc. as of December 31, 1995 and 1994, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 1995 in conformity with generally accepted accounting principles. ARTHUR ANDERSEN LLP Los Angeles, California January 16, 1996 (except with respect to the matters discussed in Note 13, as to which the date is February 1, 1996) HEALTH CARE PROPERTY INVESTORS, INC. CONSOLIDATED BALANCE SHEETS (Dollar amounts in thousands, except par values) December 31, 1995 1994 ----------------------------------------- ASSETS Real Estate Properties Buildings and Improvements $ 581,152 $ 522,847 Accumulated Depreciation (121,983) (111,540) ------------ ------------ 459,169 411,307 Construction in Progress 7,508 5,674 Land 61,317 58,814 ------------ ------------ 527,994 475,795 Loans Receivable 120,959 79,165 Investments in and Advances to Partnerships 9,248 9,642 Other Assets 7,630 6,296 Cash and Cash Equivalents 2,000 2,928 ------------ ------------ TOTAL ASSETS $ 667,831 $ 573,826 ============ ============ LIABILITIES AND STOCKHOLDERS' EQUITY Bank Notes Payable $ 31,700 $ 11,200 Senior Notes Due 1998-2015 153,994 150,882 Convertible Subordinated Notes Due 2000 100,000 100,000 Mortgage Notes Payable 13,390 9,381 Accounts Payable and Accrued Expenses 10,568 13,483 Minority Interests in Partnerships 18,719 19,477 Commitments Stockholders' Equity: Preferred Stock, $1.00 par value, 50,000,000 shares authorized; none outstanding. --- --- Common Stock, $1.00 par value; 100,000,000 shares authorized; 28,574,194 and 26,733,734 outstanding as of December 31, 1995 and 1994, respectively. 28,574 26,733 Additional Paid-In Capital 353,166 305,049 Cumulative Net Income 319,329 239,063 Cumulative Dividends (361,609) (301,442) ------------ ------------ Total Stockholders' Equity 339,460 269,403 ------------ ------------ TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY $ 667,831 $ 573,826 ============ ============ The accompanying Notes to Consolidated Financial Statements are an integral part of these statements. HEALTH CARE PROPERTY INVESTORS, INC. CONSOLIDATED STATEMENTS OF INCOME (Amounts in thousands, except per share amounts) Year Ended December 31, -------------------------------------------------------------------- 1995 1994 1993 -------------- -------------- -------------- REVENUE Base Rental Income $ 68,717 $ 64,811 $ 60,389 Additional Rental and Interest Income 18,078 16,707 14,698 Interest and Other Income 18,160 15,042 15,188 Facility Operating Revenue 741 2,436 2,274 -------------- -------------- -------------- 105,696 98,996 92,549 -------------- -------------- -------------- EXPENSES Interest Expense 19,339 20,133 19,728 Depreciation/Noncash Charges 19,208 17,521 17,862 Other Expenses 6,034 5,185 5,147 Facility Operating Expenses 720 2,595 2,306 -------------- -------------- -------------- 45,301 45,434 45,043 -------------- -------------- -------------- INCOME FROM OPERATIONS 60,395 53,562 47,506 Minority Interests (3,679) (3,585) (3,419) Gain on Sale of Real Estate Properties 23,550 --- --- -------------- -------------- -------------- NET INCOME $ 80,266 $ 49,977 $ 44,087 ============== ============== ============== NET INCOME PER SHARE $ 2.83 $ 1.87 $ 1.66 ============== ============== ============== WEIGHTED AVERAGE SHARES OUTSTANDING 28,348 26,679 26,580 ============== ============== ============== The accompanying Notes to Consolidated Financial Statements are an integral part of these statements. HEALTH CARE PROPERTY INVESTORS, INC. CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (Amounts in thousands) Common Stock ----------------------------------------- Additional Total Number Par Value Paid-In Cumulative Cumulative Stockholders' Of Shares Amount Capital Net Income Dividends Equity ----------- ---------- ---------- ------------ ----------- ------------- Balances, December 31, 1992 26,444 $ 26,444 $299,513 $144,999 $(199,581) $271,375 Issuance of Stock 30 30 737 767 Exercise of Stock Options 159 159 2,515 2,674 Net Income 44,087 44,087 Dividends (49,030) (49,030) ------- --------- --------- --------- ----------- --------- Balances, December 31, 1993 26,633 26,633 302,765 189,086 (248,611) 269,873 Issuance of Stock 17 17 575 592 Exercise of Stock Options 83 83 1,709 1,792 Net Income 49,977 49,977 Dividends (52,831) (52,831) ------- --------- --------- --------- ---------- --------- Balances, December 31, 1994 26,733 26,733 305,049 239,063 (301,442) 269,403 Issuance of Stock 1,805 1,805 47,613 49,418 Exercise of Stock Options 36 36 504 540 Net Income 80,266 80,266 Dividends (60,167) (60,167) ------- --------- --------- ---------- ----------- ---------- Balances, December 31, 1995 28,574 $ 28,574 $353,166 $319,329 $(361,609) $339,460 ======== ========== ========== ========= =========== ========== The accompanying Notes to Consolidated Financial Statements are an integral part of these statements. HEALTH CARE PROPERTY INVESTORS, INC. CONSOLIDATED STATEMENTS OF CASH FLOWS (Dollar Amounts in thousands) Year Ended December 31, -------------------------------------------------------------------- 1995 1994 1993 -------------- -------------- -------------- CASH FLOWS FROM OPERATING ACTIVITIES Net Income $ 80,266 $ 49,977 $ 44,087 Real Estate Depreciation 16,691 15,829 15,861 Noncash Charges 2,517 1,692 2,001 Partnership Adjustments (496) (532) (522) Gain on Sale of Real Estate Properties (23,550) --- --- ---------------- ----------------- ----------------- FUNDS FROM OPERATIONS 75,428 66,966 61,427 Change in Other Assets/Liabilities (4,264) (1,447) 1,280 ---------------- ----------------- ----------------- 71,164 65,519 62,707 ---------------- ----------------- ----------------- CASH FLOWS FROM INVESTING ACTIVITIES Acquisition of Real Estate, Net (83,345) (52,413) (34,195) Proceeds from Sale of Real Estate Properties 8,387 --- --- Advances Repaid by Partnerships --- 88 14,707 Other Investments and Loans (5,669) (9,058) (9,827) ---------------- ----------------- ----------------- (80,627) (61,383) (29,315) ---------------- ----------------- ----------------- CASH FLOWS FROM FINANCING ACTIVITIES Net Change in Bank Notes Payable 20,500 11,200 (12,700) Repayment of Senior Notes (75,000) --- (60,000) Issuance of Senior Notes Due 1998-2015 77,607 14,914 15,906 Convertible Subordinated Notes Due 2000 --- --- 97,500 Cash Proceeds from Issuing Common Stock 47,109 1,709 2,674 Final Payments on Mortgages (637) (1,897) (2,864) Periodic Payments on Mortgages (1,148) (1,257) (1,259) Dividends Paid (60,167) (52,831) (49,030) Other Financing Activities 271 (256) 941 ---------------- ----------------- ----------------- 8,535 (28,418) (8,832) ---------------- ----------------- ----------------- NET (DECREASE)/INCREASE IN CASH AND CASH EQUIVALENTS $ (928) $ (24,282) $ 24,560 ================ ================= ================= ADDITIONAL CASH FLOW DISCLOSURES Interest Paid, Net of Capitalized Interest $ 21,783 $ 20,127 $ 19,282 ================ ================= ================= Capitalized Interest $ 599 $ 332 $ 932 ================ ================= ================= Mortgages Assumed on Acquired Properties $ 5,893 $ 3,114 --- ================ ================= ================= The accompanying Notes to Consolidated Financial Statements are an integral part of these statements. HEALTH CARE PROPERTY INVESTORS, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (1) THE COMPANY Health Care Property Investors, Inc. (the "Company"), a Maryland corporation, was organized in March 1985 to qualify as a real estate investment trust ("REIT"). The Company was organized to invest in health care related properties located throughout the United States, including long term care facilities, acute care and rehabilitation hospitals, assisted living and congregate care facilities, medical office buildings, physician group practice clinics and psychiatric facilities. As of December 31, 1995, the Company owns interests in 202 properties (the "Properties") located in 36 states and operated by 51 health care providers. The Properties include 144 long term care facilities, six acute care hospitals, six rehabilitation hospitals, 31 congregate care and assisted living centers, 12 medical office buildings, two physician group practice clinics and one psychiatric facility. (2) SIGNIFICANT ACCOUNTING POLICIES REAL ESTATE: The Company records the acquisition of real estate at cost and uses the straight-line method of depreciation for buildings and improvements over estimated useful lives ranging up to 45 years. During the current year the Company adopted Financial Accounting Standards Board ("FASB") Statement No. 121 and determined that no impairment write-downs were necessary. The Company provides accelerated depreciation on certain of its investments based primarily on an estimation of net realizable value of such investments at the end of the primary lease terms. Acquisition, development and construction arrangements are accounted for as real estate investments/joint ventures or loans based on the characteristics of the arrangements. INVESTMENTS IN SUBSIDIARIES AND PARTNERSHIPS: The equity method of accounting is used for investments in partnerships which are 50% owned. The Company consolidates the accounts of its subsidiaries and partnerships which are majority owned and controlled. All significant intercompany investments, accounts and transactions have been eliminated. The accounting policies of the non-consolidated investments are substantially consistent with those of the Company. CASH AND CASH EQUIVALENTS: Investments purchased with original maturities of three months or less are considered to be cash and cash equivalents. FEDERAL INCOME TAXES: The Company has operated at all times so as to qualify as a REIT under Sections 856 to 860 of the Internal Revenue Code of 1986. As such, the Company is not taxed on its income which is distributed to stockholders. At December 31, 1995, the tax basis of the Company's net assets and liabilities exceeds the reported amounts by approximately $12,000,000. Earnings and profits, which determine the taxability of dividends to stockholders, differ from net income for financial statements due to the treatment required under the Internal Revenue Code of certain interest income and expense items, depreciable lives, basis of assets and timing of rental income. ADDITIONAL RENTAL AND INTEREST INCOME: Additional Rental and Interest Income includes the amounts in excess of the initial annual base rents and interest. Additional Rental and Interest Income is generated by a percentage of increased revenue over specified base period revenue of the properties, fixed increases in rent or interest, and increases based on inflation indices. NET INCOME PER SHARE: Net Income Per Share is calculated by dividing net income by the weighted average number of common shares outstanding during the period. The effect of common stock equivalents is immaterial. FUNDS FROM OPERATIONS: Funds From Operations is defined as net income (computed in accordance with generally accepted accounting principles), excluding gains (or losses) from debt restructuring and sales of property, plus depreciation and non cash charges, and after adjustments for unconsolidated partnerships and joint ventures. Adjustments for unconsolidated partnerships and joint ventures are calculated to reflect Funds From Operations on the same basis. Funds From Operations does not represent cash generated from operating activities in accordance with generally accepted accounting principles, is not necessarily indicative of cash available to fund cash needs and should not be considered as an alternative to net income. (3) REAL ESTATE INVESTMENTS The Company was organized to make long-term equity-oriented investments principally in operating, income-producing health care related properties. The Company's equity investments have been structured as land and building leasebacks and are made either directly by the Company or through partnerships in which the Company is the general partner. Under the terms of the lease agreements, the Company earns fixed monthly base rents and may earn periodic additional rents. At December 31, 1995, minimum future rental income from 155 non-cancellable operating leases was approximately $85,000,000 in 1996, $84,000,000 in 1997, $75,000,000 in 1998, $60,000,000 in 1999, $50,000,000 in 2000 and $267,000,000 in the aggregate thereafter. The Company has certain real estate investments that allow the Company to "put" the facilities to the Lessees at lease termination. These financing leases are classified under Loans Receivable. At December 31, 1995 minimum future interest income from six non-cancellable financing leases was approximately $3,000,000 in each of the next four years, $1,000,000 in 2000 and $2,000,000 in the aggregate thereafter. During 1995, the Company purchased and leased or agreed to construct a total of 21 facilities operated by nine different operators for an aggregate investment of approximately $101.9 million. These facilities include 15 assisted living facilities, five long term care facilities and a medical office building. In April 1995, the Company sold 10 leased facilities to Beverly Enterprises, Inc. ("Beverly") for $43,450,000, resulting in a gain of $23,550,000. Under the terms of the sale agreement, the Company received net cash proceeds of $8,387,000 and provided a 15 year mortgage with an initial interest rate of 10.4% to Beverly in the initial amount of $34,760,000. The following tabulation lists the Company's total real estate investments at December 31, 1995 (Dollar amounts in thousands): Number Of Buildings & Total Accumulated Mortgage Notes Facility Type and Location Facilities Land Improvements Investments Depreciation Payable - ----------------------------------------------------------------------------------------------------------------------------- LONG TERM CARE FACILITIES California 16 $ 6,546 $ 26,059 $ 32,605 $ 8,587 $ --- Colorado 3 1,541 9,966 11,507 3,760 --- Florida 8 4,680 25,819 30,499 5,115 --- Indiana 11 2,725 37,674 40,399 7,718 --- Kansas 3 788 9,906 10,694 2,645 1,428 Maryland 3 1,287 18,972 20,259 4,343 --- Massachusetts 5 1,587 16,814 18,401 6,606 --- Missouri 2 1,215 12,350 13,565 5,144 --- North Carolina 7 1,132 22,019 23,151 2,149 5,927 Ohio 6 1,125 23,835 24,960 7,562 1,001 Tennessee 10 1,072 36,541 37,613 8,720 961 Texas 10 816 16,890 17,706 5,341 --- Wisconsin 7 1,197 16,737 17,934 4,985 --- Others (13 states) 19 2,603 41,920 44,523 13,836 296 - ----------------------------------------------------------------------------------------------------------------------------- Total Long Term Care Facilities 110 28,314 315,502 343,816 86,511 9,613 - ----------------------------------------------------------------------------------------------------------------------------- ACUTE CARE HOSPITALS Los Gatos, California 1 3,736 17,139 20,875 5,561 --- Slidell, Louisiana 1 2,520 19,412 21,932 5,045 --- Plaquemine, Louisiana 1 737 9,722 10,459 904 --- - ----------------------------------------------------------------------------------------------------------------------------- Total Acute Care Hospitals 3 6,993 46,273 53,266 11,510 --- - ----------------------------------------------------------------------------------------------------------------------------- CONGREGATE CARE AND ASSISTED LIVING CENTERS Arizona 1 473 4,434 4,907 --- --- California 3 3,310 17,140 20,450 161 --- Florida 2 940 5,249 6,189 590 --- Maryland 1 1,008 4,033 5,041 --- --- New Mexico 1 310 7,105 7,415 318 --- New York 1 150 3,923 4,073 25 --- Pennsylvania 2 165 13,838 14,003 79 --- Texas 6 1,142 9,785 10,927 81 --- Virginia 1 912 4,616 5,528 199 --- Washington 2 545 6,179 6,724 --- --- Others (4 States) 4 1,060 14,445 15,505 1,870 1,043 - ----------------------------------------------------------------------------------------------------------------------------- Total Congregate Care and Assisted Living 24 10,015 90,747 100,762 3,323 1,043 - ----------------------------------------------------------------------------------------------------------------------------- PSYCHIATRIC FACILITY, Georgia 1 738 3,181 3,919 1,330 --- - ----------------------------------------------------------------------------------------------------------------------------- REHABILITATION HOSPITALS Peoria, Arizona 1 1,565 7,050 8,616 1,044 --- Little Rock, Arkansas 1 709 9,599 10,308 1,207 --- Colorado Springs, Colorado 1 690 8,346 9,036 998 --- Overland Park, Kansas 1 2,316 10,719 13,035 1,691 --- San Antonio/Dallas, Texas 2 3,990 29,679 33,668 9,331 --- - ----------------------------------------------------------------------------------------------------------------------------- Total Rehabilitation Hospitals 6 9,270 65,393 74,663 14,271 --- - ----------------------------------------------------------------------------------------------------------------------------- MEDICAL OFFICE BUILDINGS Texas 8 1,966 38,774 40,740 4,283 --- Utah 1 276 4,392 4,668 23 --- - ----------------------------------------------------------------------------------------------------------------------------- Total Medical Office Buildings 9 2,242 43,166 45,408 4,306 --- - ----------------------------------------------------------------------------------------------------------------------------- Physician Group Practice Clinics 2 3,745 24,398 28,143 732 2,734 - ----------------------------------------------------------------------------------------------------------------------------- TOTAL CONSOLIDATED REAL ESTATE OWNED 155 61,317 588,660 649,977 121,983 13,390 - ----------------------------------------------------------------------------------------------------------------------------- Partnership Investments, Including All Partners' Assets 16 --- --- 55,273 --- --- Financing Leases 6 --- --- 22,139 --- --- Mortgage Loans (see Note 6) 25 --- --- 97,451 --- --- - ----------------------------------------------------------------------------------------------------------------------------- TOTAL INVESTMENT PORTFOLIO 202 $ 61,317 $ 588,660 $ 824,840 $ 121,983 $ 13,390 ============================================================================================================================= COMPANY OPERATED FACILITIES: From time to time, the Company operates facilities as a result of Lease terminations. The Company had one such facility in 1995, 1994 and 1993, and the related operations was included in the Company's consolidated financial statements under Facility Operating Revenue and Facility Operating Expenses. In April 1995, the Company sold the facility. (4) MAJOR OPERATORS Listed below are the Company's major operators which represent five percent or more of the Company's revenue, the investment in Properties operated by those health care providers, and the percentage of total revenue from these operators for the years ended December 31, 1995, 1994 and 1993. All of these operators are publicly traded companies. Percentage of Total Revenue Year Ended December 31, Investment at December 31, 1995 1995 1994 1993 ----------------- ---- ---- ---- (Dollar amounts in thousands) Vencor, Inc. (formerly Hillhaven) $158,422 22% 23% 24% Beverly Enterprises, Inc. 70,721 11 12 12 Horizon/CMS Healthcare Corp. 53,237 9 10 11 Tenet Healthcare Corporation 42,806 8 8 14 Columbia/HCA Healthcare Corp. 73,103 7 7 5 HealthSouth Corporation 42,284 6 7 -- -------- ---- ---- ---- $440,573 63% 67% 66% ======== ==== ==== ==== Certain of these facilities have been subleased or assigned to other operators. The Company and Tenet Healthcare Corporation (hereinafter, together with its subsidiaries "Tenet"), entered into a joint venture agreement in 1985, with equity interests of 77% and 23%, respectively, to own and leaseback 24 health care facilities. The Company and its partnerships have leased 44 additional facilities to Tenet and Vencor, Inc. and its subsidiaries ("Vencor"). In January 1994, two rehabilitation hospitals with an investment value of approximately $33,668,000 that had been leased by Tenet were assigned to HealthSouth Corporation. These facilities constituted 5% of the Company's total revenue for the year ended December 31, 1995. All of the leases referred to in this paragraph representing 35% of the Company's total revenue for the year ended December 31, 1995 are unconditionally guaranteed by Tenet. (5) INVESTMENTS IN PARTNERSHIPS As of December 31, 1995, the Company was the general partner and a 50% equity interest owner in Health Care Investors I, a limited partnership that was created in 1985 to invest in nine long term care facilities in Missouri and one long term care facility each in Illinois and Arkansas. All of the properties were leased to Vencor on a long-term basis. A Director of the Company was a 15.2% limited partner in this partnership since inception. On January 19, 1996, Health Care Investors I sold nine long term care facilities in Missouri for $20,675,000 and repaid the outstanding mortgage loan of $15,185,000 which was secured by the partnership assets. Subsequently, the Company acquired the partnership interests of all of the limited partners and paid each limited partner its pro rata share of (I) the net proceeds from the Missouri sale, (ii) the value of the two remaining properties and (iii) $1,015,000 paid to resolve claims previously made by two unaffiliated limited partners. The Company now has a 100% investment in the two remaining long term care facilities. The Company is the general partner and a 50% equity interest owner in five partnerships that each lease a congregate care center. Combined summarized financial information of the partnerships follows: December 31, 1995 1994 -------------------------------------------------- (Amounts in thousands) Real Estate Properties, Net $37,596 $39,074 Other Assets 2,540 3,208 ------- ------- Total Assets $40,136 $42,282 ======= ======= Notes Payable to Others $30,923 $31,609 Accounts Payable 322 387 Other Partners' Capital/(Deficit) (357) 644 Investments and Advances from the Company 9,248 9,642 ------- ------- Total Liabilities and Partners' Capital $40,136 $42,282 ======= ======= Rental Income $ 7,951 $ 7,756 ======= ======= Net Income $ 1,874 $ 1,536 ======= ======= Company's Equity in Partnership Operations $ 1,508 $ 1,318 Distributions to the Company 1,746 1,590 ------- ------- Distributions from Partnerships in Excess of Income $ 238 $ 272 ======= ======= (6) LOANS RECEIVABLE The following is a summary of the Loans Receivable: December 31, 1995 1994 --------------------------------------- (Amounts in thousands) Mortgage Loans (see below) $ 97,451 $ 55,398 Financing Leases (see note 3) 22,139 20,595 Equipment and Other Loans 1,369 3,172 -------- -------- Total Loans Receivable $120,959 $ 79,165 ======== ======== The following is a summary of mortgage loans receivable at December 31, 1995: Final Number Initial Payment of Principal Carrying Due Loans Payment Terms Amount Amount - ------------------------------------------------------------------------------------------------------------- (Dollar amounts in thousands) 1996-2002 5 Monthly payments from $9,900 to $ 7,144 $ 6,018 $27,300 including effective interest of approximately 20.48% secured by five long term care facilities located in California and Arizona. 2001 2 Monthly payments from $112,500 to 31,665 27,696 $337,500 including average interest of 11.84% secured by two acute care hospitals and two medical office building leased and operated by Columbia/HCA Healthcare Corp. 2003 1 Monthly payment of $96,800 including 10,991 10,997 interest of 9.86% on an acute care hospital operated by OrNda Health Care. 2005 1 Monthly payment of $56,200 including 6,394 6,309 interest of 9.58% on an assisted living facility in New Jersey operated by Emeritus Corporation. 2009 2 Monthly payments from $40,300 to $61,700 10,228 10,068 including interest of 10.96% to 11.81% on one medical office building and a long term care facility located in California. 2010 1 Monthly payments of $325,700 including 34,760 34,584 fixed interest of 10.40% secured by nine long term care and one congregate care facilities operated by Beverly. 2015 1 Monthly payment of $18,000 including 1,800 1,779 fixed interest of 10.50% on a long term care facility in Michigan. --- --------- --------- Totals 13 $102,982 $ 97,451 === ========= ========= During 1995 the Company funded three mortgage loans totaling $42,954,000 covering 12 properties which mature from 2005 to 2015. At December 31, 1995, minimum future principal payments from non-cancellable mortgage loans was approximately $3,398,000 in 1996, $4,477,000 in 1997, $6,156,000 in 1998, $3,369,000 in 1999, $5,992,000 in 2000 and $74,059,000 in the aggregate thereafter. (7) NOTES PAYABLE SENIOR NOTES DUE 1998 TO 2015: The following is a summary of Senior Notes outstanding at December 31, 1995 and 1994: Year December 31, Prepayment Issued 1995 1994 Interest Rate Maturity Without Penalty - ------ -------- -------- ------------- -------- --------------- (Dollar Amount in Thousands) 1988 $ --- $ 75,000 9.875% 1998 1995-1998 1989 10,000 10,000 10.56% 1999 None 1990 12,500 12,500 10.20-10.30% 2000 1997-2000 1991 22,500 22,500 9.44-9.88% 2001 1998-2001 1993 10,000 10,000 8.00% 2003 2000-2003 1993 6,000 6,000 6.10-6.70% 1998-2003 None 1994 15,000 15,000 8.81-9.10% 1999-2004 None 1995 58,000 --- 7.03-8.87% 2000-2005 None 1995 20,000 --- 6.62-9.00% 2010-2015 2002-2015 ---------- ---------- $154,000 $151,000 Less Unamortized Original Issue Discount (6) (118) ---------- ---------- $153,994 $150,882 ========== ========= The weighted average interest rate on the Senior Notes was 9.07% and 9.63% for 1995 and 1994, respectively, and the weighted average balance of the Senior Notes borrowings was approximately $129,500,000 and $137,500,000 during 1995 and 1994, respectively. The Senior Notes are recorded net of remaining original issue discounts which aggregate $6,000 at December 31, 1995 and $118,000 at December 31, 1994. These amounts are amortized over the term of the Notes. If held to maturity, the first required Senior Note maturities would be $5,000,000 in 1998, $15,000,000 in 1999, 22,500,000 in 2000 and $111,500,000 thereafter. CONVERTIBLE SUBORDINATED NOTES DUE 2000: On November 8, 1993, the Company issued $100,000,000 6% Convertible Subordinated Notes due November 8, 2000. These Notes are prepayable without penalty after November 8, 1998. The Notes are convertible into shares of common stock of the Company at a conversion price of $37.806. A total of 2,645,083 shares of common stock have been reserved for such issuance. MORTGAGE NOTES PAYABLE: At December 31, 1995, Mortgage Notes Payable were $13,390,000 secured by 13 health care facilities with a net book value of approximately $41,661,000. Interest rates on the mortgage notes ranged from 4.50% to 9.75%. Required principal payments on the notes range from $1,020,000 to $1,427,000 per year in the next five years and $6,764,000 in the aggregate thereafter. BANK NOTES: The Company has an unsecured revolving credit line aggregating $100,000,000 with certain banks. This credit line expires on March 31, 1998 and bears an annual facility fee of 0.20%. These agreements provide for interest at the Prime Rate, the London Interbank Offered Rate plus .425% or at a rate negotiated with each bank at the time of borrowing. Interest rates incurred by the Company ranged from 5.69% to 6.94%, and 5.00% to 6.25%, on maximum short-term bank borrowings of $53,300,000 and $11,200,000 for 1995 and 1994, respectively. The weighted average interest rates were approximately 6.17% and 5.90% on weighted average short-term bank borrowings of $16,427,000 and $4,216,000 for the same respective periods. (8) DISCLOSURES ABOUT FAIR VALUE OF FINANCIAL INSTRUMENTS The following methods and assumptions were used to estimate the fair value of each class of financial instruments for which it is practicable to estimate that value: Cash and Cash Equivalents The carrying amount approximates fair value because of the short maturity of those instruments. Mortgage Loans Receivable and Long-Term Debt Fair values are based on the estimates of management and on rates currently prevailing for comparable loans and instruments of comparable maturities, and are as follows: December 31, 1995 December 31, 1994 ------------------- ------------------- Carrying Fair Carrying Fair Amount Value Amount Value ---------- ------- ---------- ------- (Amounts in thousands) Mortgage Loans Receivable $ 97,451 107,000 $ 55,398 $ 60,000 Long-Term Debt 267,384 284,000 260,263 254,000 (9) STOCK INCENTIVE PLANS Under the terms of the Company's Directors' Stock Incentive Plan and the Company's Amended Stock Incentive Plan ("Plans"), the Company has reserved for issuance up to 2,500,000 of the outstanding shares of common stock. Directors, Officers and key employees of the Company are eligible to participate in the Plans. The following is a list of stock options and awards: Stock Options Incentive Stock Awards ------------- ---------------------- Number of Shares Exercise Price Number of Shares ---------------- -------------- ---------------- Outstanding at January 1, 1993 587,680 $9.50-$22.50 27,100 Granted 1993 369,450 $25.53-$27.75 30,550 1994 69,050 $29.13-$30.16 20,550 1995 87,700 $28.38-$30.38 79,220 Cancelled-1994 (19,800) $12.20-$29.13 (3,200) Exercised 1993 158,980 $12.11-$22.50 1994 83,200 $12.11-$25.18 1995 36,240 $12.11-$25.53 The incentive stock awards ("Awards") are granted at no cost to the employees. The Awards generally vest and are amortized over five-year periods. The stock options become exercisable on either a one-year or a five-year schedule after the date of the grant. The Company accounts for stock options under Accounting Principles Board Opinion 25 (APB25), Accounting for Stock Issued to Employees. In 1995, the FASB promulgated FASB Statement No. 123, Accounting for Stock Based Compensation. FASB 123 permits the Company to continue accounting for stock options under APB 25. During the year ended December 31, 1994, the Company made loans totaling $1,596,000 secured by stock in the Company for the purpose of exercising incentive stock options by Directors, Officers and key employees. No loans were made during the year ended December 31, 1995. The interest rate charged, based on the prevailing applicable federal rates, was 7.00% in 1994. As of December 31, 1995, $589,000 in such loans included under the caption Loans Receivable were outstanding. (10) DIVIDENDS Dividend payment dates are scheduled approximately 50 days following each calendar quarter. A dividend of $0.56 per share was declared by the Board of Directors on January 24, 1996, to be paid on February 20, 1996 to stockholders of record on February 5, 1996. In order to qualify as a real estate investment trust, the Company must, among other requirements, distribute at least 95% of its real estate investment trust taxable income to its stockholders. Per share dividend payments by the Company to the stockholders were characterized in the following manner for tax purposes: 1995 1994 1993 --------- --------- --------- Ordinary Income $1.3450 $1.9800 $1.8450 Capital Gain Income .7950 ---- ---- Return of Capital ---- ---- ---- --------- --------- --------- Total Dividends Paid $2.1400 $1.9800 $1.8450 ========= ========= ========= (11) COMMITMENTS As of December 31, 1995, the Company had committed to acquire or invest in 11 assisted living facilities and one long term care facility totaling approximately $96,375,000 (see Note 13 below). In addition, the Company had committed to fund construction costs and or improvements at new and existing facilities as follows: New facilities (five assisted living $22,255,000 facilities, and one long term care facility) Existing facilities (six medical office 9,367,000 buildings, two assisted living facilities, two long term care facilities and one physician group practice clinic) ------------ $31,622,000 ============ (12) QUARTERLY FINANCIAL DATA (UNAUDITED) Three Months Ended March 31 June 30 September 30 December 31 -------- ------- ------------ ----------- (Amounts in thousands, except per share amounts) 1995 - ---- Revenue $26,728 $25,911 $26,274 $26,783 Net Income $13,756 $37,866 <F1> $14,644 $14,000 Dividends Paid Per Share $ .5200 $ .5300 $ .5400 $ .5500 Net Income Per Share $ .50 $ 1.33 <F1> $ .51 $ .49 1994 - ---- Revenue $23,617 $25,389 $24,525 $25,465 Net Income $11,252 $13,208 $12,417 $13,100 Dividends Paid Per Share $ .4800 $ .4900 $ .5000 $ .5100 Net Income Per Share $ .42 $ .50 $ .46 $ .49 <F1> Includes $23,550,000 or $0.83 per share for gain on sale of properties. (13) SUBSEQUENT EVENTS On February 1, 1996, the Company invested in five long term care campuses in North and South Carolina for $49,000,000. These campuses include 631 congregate or assisted living units and 222 long term care beds. The Company has leased 10 facilities to Emeritus Corporation ("Emeritus") for a 15 year term and made a loan to Emeritus for the remaining facility. With this transaction, it is expected that revenues from Emeritus will approximate 10 percent of the Company's portfolio of rents. APPENDIX I TENET HEALTHCARE CORPORATION SET FORTH BELOW IS CERTAIN CONDENSED FINANCIAL DATA OF TENET HEALTHCARE CORPORATION ("TENET") WHICH IS TAKEN FROM TENET'S ANNUAL REPORT ON FORM 10-K FOR THE YEAR ENDED MAY 31, 1995 AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION (THE "COMMISSION") UNDER THE SECURITIES EXCHANGE ACT OF 1934, AS AMENDED (THE "EXCHANGE ACT"), AND THE TENET QUARTERLY REPORT ON FORM 10-Q FOR THE QUARTER ENDED NOVEMBER 30, 1995 AS FILED WITH THE COMMISSION. The information and financial data contained herein concerning Tenet was obtained and has been condensed from Tenet's public filings under the Exchange Act. The Tenet financial data presented includes only the most recent interim and fiscal year end reporting periods. The Company can make no representation as to the accuracy and completeness of Tenet's public filings but has no reason not to believe the accuracy and completeness of such filings. It should be noted that Tenet has no duty, contractual or otherwise, to advise the Company of any events which might have occurred subsequent to the date of such publicly available information which could affect the significance or accuracy of such information. Tenet is subject to the information filing requirements of the Exchange Act, and, in accordance therewith, is obligated to file periodic reports, proxy statements and other information with the Commission relating to its business, financial condition and other matters. Such reports, proxy statements and other information may be inspected at the offices of the Commission at 450 Fifth Street, N.W. Washington D.C., and should also be available at the following Regional Offices of the Commission: Room 1400, 75 Park Place, New York, New York 10007 and Suite 1400, Northwestern Atrium Center, 500 West Madison Street, Chicago, Illinois 60661. Such reports and other information concerning Tenet can also be inspected at the offices of the New York Stock Exchange, Inc., 20 Broad Street, Room 1102, New York, New York 10005. TENET HEALTHCARE CORPORATION AND SUBSIDIARIES CONSOLIDATED CONDENSED BALANCE SHEETS (Dollar amounts in millions) November 30, May 31, 1995 1995 ------------ --------- A S S E T S Cash and cash equivalents $ 99 $ 155 Short-term investments in debt securities 135 139 Accounts and notes receivable, less allowance for doubtful accounts ($161 at November 30 and $184 at May 31) 731 565 Inventories of supplies, at cost 125 116 Deferred income taxes 268 410 Assets held for sale 38 184 Prepaid expenses and other assets 59 55 --------- -------- Total current assets 1,455 1,624 --------- -------- Investments and other assets 510 362 Property, plant and equipment, net 3,564 3,319 Intangible assets, at cost Less accumulated amortization ($99 at November 30 and $58 at May 31) 2,612 2,613 --------- -------- $ 8,141 $ 7,918 ========= ======== TENET HEALTHCARE CORPORATION AND SUBSIDIARIES CONSOLIDATED CONDENSED BALANCE SHEETS (Dollar amounts in millions, except par values and share amounts) November 30, May 31, 1995 1995 ------------ ------- LIABILITIES AND STOCKHOLDERS' EQUITY Current portion of long-term debt $ 273 $ 252 Short-term borrowings and notes 2 35 Accounts payable 268 359 Employee compensation and benefits 162 162 Reserves related to discontinued operations 25 77 Other current liabilities 449 471 ----------- ------------ Total current liabilities 1,179 1,356 ----------- ------------ Long-term debt, net of current portion 3,255 3,273 Other long-term liabilities and minority interests 968 1,002 Deferred income taxes 384 301 Common stock, $.075 par value; authorized 450,000,000 shares; 218,713,406 shares issued at November 30, 1995 and at May 31, 1995 16 16 Other shareholders' equity 2,558 2,242 Treasury stock, at cost, 15,159,055 shares at November 30, 1995 and 18,775,274 at May 31, 1995 (219) (272) ----------- ------------ Total stockholders' equity 2,355 1,986 ----------- ------------ $ 8,141 $ 7,918 =========== ============ TENET HEALTHCARE CORPORATION AND SUBSIDIARIES CONSOLIDATED CONDENSED STATEMENTS OF INCOME (Dollar amounts in millions) Six months ended Year ended November 30, 1995 May 31, 1995 ----------------- ------------ Net operating revenues $ 2,655 $ 3,318 ----------------- ------------ Operating and administrative expenses (2,127) (2,732) Depreciation and amortization (163) (195) Interest expense, net of capitalized portion (158) (138) ----------------- ------------ Total costs and expenses (2,448) (3,065) ----------------- ------------ Investment earnings 13 27 Equity in earnings of unconsolidated affiliates 14 28 Minority interests in income of consolidated subsidiaries (11) (9) Net (loss)/gain on disposals of facilities and long-term investments 295 (2) Gain on sale of subsidiary's common stock 17 32 ----------------- ------------ Income from continuing operations before income taxes 535 329 Taxes on income (234) (135) ----------------- ------------ Income from continuing operations 301 194 ----------------- ------------ Discontinued operations --- (9) Extraordinary charge from early extinguishment of debt --- (20) ---------------- ------------ Net income $ 301 $ 165 ================ ============ TENET HEALTHCARE CORPORATION AND SUBSIDIARIES CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS (Dollar amounts in millions) Six Months Ended Year Ended November 30, 1995 May 31, 1995 ----------------- ------------ NET CASH PROVIDED BY(USED IN) OPERATING ACTIVITIES (including changes in all operating assets and liabilities): $ 11 $ (7) ------------ ------------- CASH FLOWS FROM INVESTING ACTIVITIES: Purchase of property, plant and equipment (161) (264) Purchase of new businesses, net of cash acquired (367) (1,429) Proceeds from sales of facilities, investments and other assets 403 172 Other items (10) 8 ------------- ------------- Net cash provided by (used in) investing activities (135) (1,513) ------------- ------------- CASH FLOWS FROM FINANCING ACTIVITIES: Proceeds from sale of 8-5/8% Senior Notes 487 --- Payments of other borrowings (1,065) (1,388) Proceeds from other borrowings 592 2,742 Cash dividends paid to shareholders --- --- Proceeds from exercises of performance options 45 --- Proceeds from stock options exercised 9 --- Other items --- 8 ------------- ------------- Net cash used in financing activities 68 1,362 ------------- ------------- Net decrease in cash and cash equivalents (56) (158) Cash and cash equivalents at beginning of year 155 313 -------------- -------------- Cash and cash equivalents at end of year $ 99 $ 155 ============== ==============