Exhibit 10.24.3 [Logo of Bank of America] Interest RATE CAP ----------------- BANK OF AMERICA, N.A. - --------------------- DERIVATIVES TRADE SUPPORT TO: Ventas Realty, Limited Partnership 4360 Brownsboro Road, Suite 115 Louisville, KY 40207 ATTN: Debbie Cafaro TEL: 502-357-9010 FAX: 502-357-9001 FROM: Bank of America, N.A. 233 South Wacker Drive - Suite 2800 Chicago, IL 60606 DATE: 11DEC01 Our Reference Number: 236853 Internal Tracking Numbers: 3405948 Dear Sir/Madam, The purpose of this letter agreement is to confirm the terms and conditions of the Transaction entered into between Ventas Realty, Limited Partnership and Bank of America, N.A. (each a "party" and together "the parties") on the Trade Date specified below (the "Transaction"). This letter agreement constitutes a "Confirmation" as referred to in the ISDA Master Agreement specified in paragraph 1 below (the "Agreement"). The definitions and provisions contained in the 2000 ISDA Definitions, as published by the International Swaps and Derivatives Association, Inc., (the "Definitions") are incorporated into this Confirmation. In the event of any inconsistency between the Definitions and this Confirmation, this Confirmation will govern. 1. This Confirmation supplements, forms part of, and is subject to, the ISDA Master Agreement dated as of September 28, 2001, as amended and supplemented from time to time, between the parties. All provisions contained in the Agreement govern this Confirmation except as expressly modified below. 1 In this Confirmation "Party A" means Bank of America, N.A. and "Party B" means Ventas Realty, Limited Partnership. 2. The terms of the particular Transaction to which this Confirmation relates are as follows: Notional Amount: $225,000,000 (Amortizing - see schedule) Trade Date: December 11, 2001 Effective Date: December 12, 2001 Termination Date: December 10, 2006, subject to adjustment in accordance with the Modified Following Business Day Convention Fixed Amounts: Fixed Rate Payer: Bank of America, N.A. Fixed Rate Payer Payment Dates: N/A Fixed Amount: $0 Floating Amounts: Floating Rate Payer: Ventas Realty, Limited Partnership Cap Rate: 8.00% Floating Rate Period End Dates: The tenth day of each month commencing January 10, 2002 and ending on the Termination Date, subject to adjustment in accordance with the Modified Following Business Day Convention Floating Rate Payer Payment Dates: The ninth day of each month commencing January 9, 2002 and ending on December 9, 2006 subject to adjustment in accordance with the Preceding Business Day Convention. Floating Rate Option USD-LIBOR-BBA Floating Rate for initial Calculation 1.9413% Period: 2 Designated Maturity: 1-month Floating Rate Day Count Fraction: Act/360 Reset Dates: Two business days prior to the first day of each calculation period Method of Averaging: N/A Compounding: Inapplicable Compounding Dates: N/A Business Days: New York Calculation Agent: Party A 3. Recording of Conversations: Each Party to this Transaction acknowledges and agrees to the tape or electronic recording of conversations between the parties to this Transaction whether by one or other or both of the parties or their agents, and that any such recordings may be submitted in evidence in any Proceedings relating to the Agreement and/or this Transaction. 4. Account Details: Account for payments to Pay to: Party A: Name: Bank of America, N.A. City: New York ABA No: 026009593 Account No: 6550219386 Attn: Rate Derivative Settlements Account for payments to Ventas Realty Limited Partnership Party B: Sun Trust Bank ABA: 064000046 A/C #: 7020723487 3 5. Offices: The Office of Party A for this Charlotte, NC Transaction is: The Office of Party B for this Ventas, Inc. Transaction is: 4360 Brownsboro Road, Suite 115 Louisville, KY 40207 Please confirm that the foregoing correctly sets forth the terms and conditions of our agreement by responding within three (3) Business Days by returning via telecopier an executed copy of this Confirmation to the attention of Global Derivative Operations fax no. (+1 312) 234 3603. Failure to respond within such period shall not affect the validity or enforceability of this Transaction, and shall be deemed to be an affirmation of the terms and conditions contained herein, absent manifest error. Bank of America, N.A. Accepted and confirmed as of the date first written: Ventas Realty, Limited Partnership /s/ Tracey Bissell /s/ T. Richard Riney - ------------------------------ ------------------------------------------ Authorized Signatory Name: T. Richard Riney Title: Executive Vice President Amortization Schedule: Start Date Notational Amount (USD) 12/12/01 $ 225,000,000.00 1/10/02 $ 224,814,185.09 2/11/02 $ 224,626,905.34 3/11/02 $ 224,438,149.19 4/10/02 $ 224,247,905.02 5/10/02 $ 224,056,161.10 6/10/02 $ 223,862,905.59 7/10/02 $ 223,668,126.58 8/12/02 $ 223,471,812.07 9/10/02 $ 223,273,949.94 10/10/02 $ 223,074,528.00 11/12/02 $ 222,873,533.95 12/10/02 $ 222,670,955.40 1/10/03 $ 222,466,779,85 2/10/03 $ 222,260,994.72 4 3/10/03 $ 222,053,587.32 4/10/03 $ 221,844,544.85 5/12/03 $ 221,633,854.44 6/10/03 $ 221,421,503.08 7/10/03 $ 221,207,477.68 8/11/03 $ 220,991,765.05 9/10/03 $ 220,774,351.89 10/10/03 $ 220,555,224.78 11/10/03 $ 220,334,370.23 12/10/03 $ 220,111,774,60 1/12/04 $ 219,887,424.18 2/10/04 $ 219,661,305.13 3/10/04 $ 219,433,403.50 4/12/04 $ 219,203,705.26 5/10/04 $ 218,972,196.22 6/10/04 $ 218,738,862.12 7/12/04 $ 218,503,688.57 8/10/04 $ 218,266,661.07 9/10/04 $ 218,027,765.01 10/12/04 $ 217,786,985.64 11/10/04 $ 217,544,308,13 12/10/04 $ 217,299,717.52 1/10/05 $ 217,053,198.71 2/10/05 $ 216,804,736.52 3/10/05 $ 216,554,315.61 4/11/05 $ 216,301,920.55 5/10/05 $ 216,047,535.78 6/10/05 $ 215,791,145.61 7/11/05 $ 215,532,734.23 8/10/05 $ 215,272,285.71 9/12/05 $ 215,009,783.98 10/11/05 $ 214,745,212.87 11/10/05 $ 214,478,556.05 12/12/05 $ 214,209,797.09 1/10/06 $ 213,938,919.41 2/10/06 $ 213,665,906.31 3/10/06 $ 213,390,740.96 4/10/06 $ 213,113,406.39 5/10/06 $ 212,833,885.50 6/12/06 $ 212,552,161.05 7/10/06 $ 212,268,215.68 8/10/06 $ 211,982,031.86 9/11/06 $ 211,693,591.97 10/10/06 $ 211,402,878.21 11/10/06 $ 211,109,872.65 5