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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
 
 
 
Form 10-K
 
     
(Mark One)    
þ
  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
    For the fiscal year ended December 31, 2010
OR
o
  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
    For the transition period from          to          
 
Commission File Number 1-10989
 
 
 
 
VENTAS, INC.
(Exact Name of Registrant as Specified in Its Charter)
 
     
Delaware
  61-1055020
(State or Other Jurisdiction of
Incorporation or Organization)
  (IRS Employer
Identification No.)
     
111 S. Wacker Drive, Suite 4800, Chicago, Illinois   60606
(Address of Principal Executive Offices)   (Zip Code)
 
(877) 483-6827
(Registrant’s Telephone Number, Including Area Code)
 
Securities registered pursuant to Section 12(b) of the Act:
 
     
Title of Each Class   Name of Each Exchange on Which Registered
 
Common Stock, par value $0.25 per share
  New York Stock Exchange
 
Securities registered pursuant to Section 12(g) of the Act: None
 
 
 
 
Indicate by check mark if the Registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes þ     No o
 
Indicate by check mark if the Registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.  Yes o     No þ
 
Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes þ     No o
 
Indicate by check mark whether the Registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the Registrant was required to submit and post such files).  Yes þ     No o
 
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of Registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment of this Form 10-K.  þ
 
Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):
 
Large accelerated filer þ Accelerated filer o Non-accelerated filer o Smaller reporting company o
(Do not check if a smaller reporting company)
 
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).  Yes o     No þ
 
The aggregate market value of shares of the Registrant’s common stock, par value $0.25 per share, held by non-affiliates of the Registrant, computed by reference to the closing price of the common stock on June 30, 2010, was approximately $7.3 billion. For purposes of the foregoing calculation only, all directors and executive officers of the Registrant have been deemed affiliates.
 
As of February 11, 2011, 162,920,524 shares of the Registrant’s common stock were outstanding.
 
DOCUMENTS INCORPORATED BY REFERENCE
 
Portions of the Registrant’s definitive Proxy Statement for the Annual Meeting of Stockholders to be held on May 12, 2011 are incorporated by reference into Part III, Items 10 through 14 of this Annual Report on Form 10-K.
 


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CAUTIONARY STATEMENTS
 
Unless otherwise indicated or except where the context otherwise requires, the terms “we,” “us” and “our” and other similar terms in this Annual Report on Form 10-K refer to Ventas, Inc. and its consolidated subsidiaries.
 
Forward-Looking Statements
 
This Annual Report on Form 10-K includes “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). All statements regarding our or our tenants’, operators’, managers’ or borrowers’ expected future financial position, results of operations, cash flows, funds from operations, dividends and dividend plans, financing plans, business strategy, budgets, projected costs, operating metrics, capital expenditures, competitive positions, acquisitions, investment opportunities, dispositions, merger integration, growth opportunities, expected lease income, continued qualification as a real estate investment trust (“REIT”), plans and objectives of management for future operations, and statements that include words such as “anticipate,” “if,” “believe,” “plan,” “estimate,” “expect,” “intend,” “may,” “could,” “should,” “will,” and other similar expressions are forward-looking statements. These forward-looking statements are inherently uncertain, and security holders must recognize that actual results may differ from our expectations. We do not undertake a duty to update these forward-looking statements, which speak only as of the date on which they are made.
 
Our actual future results and trends may differ materially from expectations depending on a variety of factors discussed in our filings with the Securities and Exchange Commission (the “SEC”). These factors include without limitation:
 
  •  The ability and willingness of our tenants, operators, borrowers, managers and other third parties to meet and/or perform their obligations under their respective contractual arrangements with us, including, in some cases, their obligations to indemnify, defend and hold us harmless from and against various claims, litigation and liabilities;
 
  •  The ability of our tenants, operators, borrowers and managers to maintain the financial strength and liquidity necessary to satisfy their respective obligations and liabilities to third parties, including without limitation obligations under their existing credit facilities and other indebtedness;
 
  •  Our success in implementing our business strategy and our ability to identify, underwrite, finance, consummate and integrate diversifying acquisitions or investments, including our pending transaction with Atria Senior Living Group, Inc. and those in different asset types and outside the United States;
 
  •  The nature and extent of future competition;
 
  •  The extent of future or pending healthcare reform and regulation, including cost containment measures and changes in reimbursement policies, procedures and rates;
 
  •  Increases in our cost of borrowing as a result of changes in interest rates and other factors;
 
  •  The ability of our operators and managers, as applicable, to deliver high quality services, to attract and retain qualified personnel and to attract residents and patients;
 
  •  Changes in general economic conditions and/or economic conditions in the markets in which we may, from time to time, compete, and the effect of those changes on our revenues and our ability to access the capital markets or other sources of funds;
 
  •  Our ability to pay down, refinance, restructure and/or extend our indebtedness as it becomes due;
 
  •  Our ability and willingness to maintain our qualification as a REIT due to economic, market, legal, tax or other considerations;
 
  •  Final determination of our taxable net income for the year ended December 31, 2010 and for the year ending December 31, 2011;
 
  •  The ability and willingness of our tenants to renew their leases with us upon expiration of the leases and our ability to reposition our properties on the same or better terms in the event such leases expire and are not renewed by our tenants or in the event we exercise our right to replace an existing tenant upon a default;


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  •  Risks associated with our senior living operating portfolio, such as factors causing volatility in our operating income and earnings generated by our properties, including without limitation national and regional economic conditions, costs of materials, energy, labor and services, employee benefit costs, insurance costs and professional and general liability claims, and the timely delivery of accurate property-level financial results for those properties;
 
  •  The movement of U.S. and Canadian exchange rates;
 
  •  Year-over-year changes in the Consumer Price Index and the effect of those changes on the rent escalators, including the rent escalator for Master Lease 2 with Kindred Healthcare, Inc. (together with its subsidiaries, “Kindred”), and our earnings;
 
  •  Our ability and the ability of our tenants, operators, borrowers and managers to obtain and maintain adequate liability and other insurance from reputable and financially stable providers;
 
  •  The impact of increased operating costs and uninsured professional liability claims on the liquidity, financial condition and results of operations of our tenants, operators, borrowers and managers and the ability of our tenants, operators, borrowers and managers to accurately estimate the magnitude of those claims;
 
  •  Risks associated with our medical office building (“MOB”) portfolio and operations, including our ability to successfully design, develop and manage MOBs, to accurately estimate our costs in fee-for-service projects and to retain key personnel;
 
  •  The ability of the hospitals on or near whose campuses our MOBs are located and their affiliated health systems to remain competitive and financially viable and to attract physicians and physician groups;
 
  •  Our ability to maintain or expand our relationships with our existing and future hospital and health system clients;
 
  •  Risks associated with our investments in joint ventures and unconsolidated entities, including our lack of sole decision-making authority and our reliance on our joint venture partners’ financial condition;
 
  •  The impact of market or issuer events on the liquidity or value of our investments in marketable securities; and
 
  •  The impact of any financial, accounting, legal or regulatory issues or litigation that may affect us or our major tenants, operators, and managers.
 
Many of these factors, some of which are described in greater detail under “Risk Factors” in Part I, Item 1A of this Annual Report on Form 10-K, are beyond our control and the control of our management.
 
Kindred, Brookdale Senior Living and Sunrise Information
 
Each of Kindred, Brookdale Senior Living Inc. (together with its subsidiaries, which include Brookdale Living Communities, Inc. (“Brookdale”) and Alterra Healthcare Corporation (“Alterra”), “Brookdale Senior Living”) and Sunrise Senior Living, Inc. (together with its subsidiaries, “Sunrise”) is subject to the reporting requirements of the SEC and is required to file with the SEC annual reports containing audited financial information and quarterly reports containing unaudited financial information. The information related to Kindred, Brookdale Senior Living and Sunrise contained or referred to in this Annual Report on Form 10-K is derived from filings made by Kindred, Brookdale Senior Living or Sunrise, as the case may be, with the SEC or other publicly available information, or has been provided to us by Kindred, Brookdale Senior Living or Sunrise. We have not verified this information either through an independent investigation or by reviewing Kindred’s, Brookdale Senior Living’s or Sunrise’s public filings. We have no reason to believe that this information is inaccurate in any material respect, but we cannot assure you that all of this information is accurate. Kindred’s, Brookdale Senior Living’s and Sunrise’s filings with the SEC can be found at the SEC’s website at www.sec.gov. We are providing this data for informational purposes only, and you are encouraged to obtain Kindred’s, Brookdale Senior Living’s and Sunrise’s publicly available filings from the SEC.


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TABLE OF CONTENTS
 
             
PART I
Item 1.   Business     1  
Item 1A.   Risk Factors     24  
Item 1B.   Unresolved Staff Comments     40  
Item 2.   Properties     40  
Item 3.   Legal Proceedings     42  
Item 4.   (Removed and Reserved)     42  
 
PART II
Item 5.   Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities     42  
Item 6.   Selected Financial Data     45  
Item 7.   Management’s Discussion and Analysis of Financial Condition and Results of Operations     46  
Item 7A.   Quantitative and Qualitative Disclosures About Market Risk     75  
Item 8.   Financial Statements and Supplementary Data     76  
Item 9.   Changes in and Disagreements with Accountants on Accounting and Financial Disclosure     146  
Item 9A.   Controls and Procedures     146  
Item 9B.   Other Information     146  
 
PART III
Item 10.   Directors, Executive Officers and Corporate Governance     146  
Item 11.   Executive Compensation     146  
Item 12.   Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters     146  
Item 13.   Certain Relationships and Related Transactions, and Director Independence     147  
Item 14.   Principal Accountant Fees and Services     147  
 
PART IV
Item 15.   Exhibits and Financial Statement Schedules     147  
 EX-12
 EX-21
 EX-23
 EX-31.1
 EX-31.2
 EX-32.1
 EX-32.2


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PART I
 
ITEM 1.   Business
 
BUSINESS
 
Overview
 
We are a REIT with a geographically diverse portfolio of seniors housing and healthcare properties in the United States and Canada. As of December 31, 2010, our portfolio consisted of 602 assets: 240 seniors housing communities, 187 skilled nursing facilities, 40 hospitals and 135 medical office buildings (“MOBs”) and other properties in 43 U.S. states, the District of Columbia and two Canadian provinces. With the exception of our seniors housing communities that are managed by independent third parties, such as Sunrise, pursuant to long-term management agreements and certain of our MOBs, including those acquired in connection with our Lillibridge Healthcare Services, Inc. (“Lillibridge”) acquisition (see “Note 4 — Acquisitions of Real Estate Property” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K), we lease our properties to healthcare operating companies under “triple-net” or “absolute-net” leases, which require the tenants to pay all property-related expenses. We also had real estate loan and other investments relating to seniors housing and healthcare companies or properties as of December 31, 2010.
 
Our primary business consists of acquiring, financing and owning seniors housing and healthcare properties and leasing those properties to third parties or operating those properties through independent third party managers. Through our Lillibridge subsidiary, we also provide management, leasing, marketing, facility development and advisory services to highly rated hospitals and health systems throughout the United States.
 
In October 2010, we signed a definitive agreement to acquire substantially all of the real estate assets of privately-owned Atria Senior Living Group, Inc. (together with its affiliates, “Atria”) for a total purchase price of $3.1 billion, comprised of $1.35 billion of our common stock (a fixed 24.96 million shares), $150 million in cash and the assumption or repayment of $1.6 billion of net debt. We will acquire from Atria 118 private pay seniors housing communities located primarily in affluent coastal markets such as the New York metropolitan area, New England and California. Atria, based in Louisville, Kentucky, is owned by private equity funds managed by Lazard Real Estate Partners. Prior to the closing, Atria will spin off its management company, which will continue to operate the acquired assets under long-term management agreements with us. Completion of the transaction is subject to certain conditions. We expect to complete the transaction in the first half of 2011, although we cannot assure you that the transaction will close on such timetable or at all.
 
We were incorporated in Kentucky in 1983, commenced operations in 1985 and reorganized as a Delaware corporation in 1987. We operate through three reportable business segments: triple-net leased properties, senior living operations and MOB operations. See our Consolidated Financial Statements and the related notes, including “Note 2 — Accounting Policies,” included in Part II, Item 8 of this Annual Report on Form 10-K.
 
Business Strategy
 
Our business strategy is comprised of three principal objectives: (1) generating consistent, reliable and growing cash flows; (2) maintaining a well-diversified portfolio; and (3) preserving our investment grade balance sheet and liquidity.
 
Consistent, Reliable and Growing Cash Flows
 
Our primary objective is to enhance shareholder value by generating consistent, reliable and growing cash flows through healthcare and seniors housing assets. To achieve this objective, we seek to balance our portfolio of healthcare and seniors housing properties with a combination of long-term triple-net leases that provide steady contractual growth, seniors housing operating assets that provide higher growth potential and MOBs that provide long-term stable cash flows.


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Well-Diversified Portfolio
 
We believe that maintaining a portfolio of properties and real estate loan investments diversified by asset class, tenant/operator, geography, revenue source and business model makes us less susceptible to regional economic downturns and adverse changes in regulation or reimbursement rates or methodologies in any single state. Portfolio diversification also reduces our exposure to any single tenant/operator and the risk that a single event could materially harm our business.
 
Investment Grade Balance Sheet and Liquidity
 
Having a strong balance sheet and liquidity positions us favorably for growth and also reduces risk. We seek to protect our capital and invest profitably by actively managing our leverage, lowering our cost of capital and maintaining multiple sources of liquidity, such as unsecured bank debt, mortgage financings and access to the public debt and equity markets.
 
Portfolio of Properties and Other Investments
 
As of December 31, 2010, we had: 100% ownership interests in 538 of our properties, including all 79 of our seniors housing communities managed by Sunrise; controlling interests in six MOBs owned through joint ventures with partners who provide management and leasing services for the properties; and noncontrolling interests ranging between 5% and 20% in 58 MOBs owned through joint ventures with institutional third party partners. Through our Lillibridge subsidiary, we also managed an additional 31 MOBs for third parties as of December 31, 2010.
 
The following table provides an overview of our portfolio of properties and other investments as of and for the year ended December 31, 2010:
 
                                                                 
                                        Real Estate
       
                      Percent of
    Real Estate
    Percent of
    Investment
    Number
 
    # of
    # of
          Total
    Investments,
    Real Estate
    Per
    of States/
 
Portfolio by Type   Properties     Beds/Units     Revenue     Revenues     at Cost     Investments     Bed/Unit     Provinces(1)  
    (Dollars in thousands)  
 
Seniors Housing and Healthcare Properties
                                                               
Seniors housing communities
    240       22,570     $ 638,091       62.8 %   $ 4,850,993       71.9 %   $ 214.9       36  
Skilled nursing facilities
    187       22,151       181,314       17.8       810,285       12.0       36.6       29  
Hospitals
    40       3,516       95,719       9.4       345,172       5.1       98.2       17  
MOBs(2)
    127             69,747       6.9       734,116       10.9       nm       20  
Other properties
    8       122       1,002       0.1       7,133       0.1       58.5       1  
                                                                 
Total seniors housing and healthcare properties
    602       48,359       985,873       97.0 %   $ 6,747,699       100.0 %             46  
                                                                 
Other Investments
                                                               
Loans and investments
                    16,412       1.6                                  
                                                                 
                    $ 1,002,285       98.6 %(3)                                
                                                                 
 
 
nm — not meaningful.
 
(1) As of December 31, 2010, our seniors housing and healthcare properties were located in 43 states, the District of Columbia and two Canadian provinces and were operated or managed by 23 different third-party operators or managers.
 
(2) As of December 31, 2010, 25 of our MOBs were managed by nine different third-party managers, 101 of our MOBs were managed by Lillibridge and one MOB was leased under a triple-net lease.
 
(3) The remainder of our total revenues is interest and other income and medical office building services revenue. Revenues from properties sold during 2010 are excluded from this presentation.


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Seniors Housing and Healthcare Properties
 
Seniors Housing Communities.  Our seniors housing communities include independent and assisted living communities, and communities providing care for individuals with Alzheimer’s disease and other forms of dementia or memory loss. These communities offer residential units on a month-to-month basis primarily to elderly individuals requiring various levels of assistance. Basic services for residents of these communities include housekeeping, meals in a central dining area and group activities organized by the staff with input from the residents. More extensive care and personal supervision, at additional fees, are also available for such needs as eating, bathing, grooming, transportation, limited therapeutic programs and medication administration, all of which encourage the residents to live as independently as possible according to their abilities. These services are often met by home health providers, close coordination with the resident’s physician and skilled nursing facilities.
 
Skilled Nursing Facilities.  Our skilled nursing facilities typically provide nursing care services to the elderly and rehabilitation and restoration services, including physical, occupational and speech therapies, and other medical treatment for patients and residents who do not require the high technology, care-intensive setting of an acute care or rehabilitation hospital.
 
Hospitals.  Substantially all of our hospitals are operated as long-term acute care hospitals, which are hospitals that have a Medicare average length of stay greater than 25 days that serve medically complex, chronically ill patients who require a high level of monitoring and specialized care, but whose conditions do not necessitate the continued services of an intensive care unit. The operators of these hospitals have the capability to treat patients who suffer from multiple systemic failures or conditions such as neurological disorders, head injuries, brain stem and spinal cord trauma, cerebral vascular accidents, chemical brain injuries, central nervous system disorders, developmental anomalies and cardiopulmonary disorders. Chronic patients are often dependent on technology for continued life support, such as mechanical ventilators, total parenteral nutrition, respiration or cardiac monitors and dialysis machines, and, therefore, due to their severe medical conditions, these patients generally are not clinically appropriate for admission to a nursing facility or rehabilitation hospital. Our hospitals are freestanding facilities, and we do not own any “hospitals within hospitals.” We also own two rehabilitation hospitals devoted to the rehabilitation of patients with various neurological, musculoskeletal, orthopedic and other medical conditions following stabilization of their acute medical issues.
 
Medical Office Buildings.  Our MOBs offer office space primarily to physicians and other healthcare businesses. While these properties are similar to commercial office buildings, they require more plumbing, electrical and mechanical systems to accommodate multiple physicians’ offices and examination rooms that may have sinks in every room, brighter lights and specialized medical equipment. MOBs are typically multi-tenant properties leased to multiple healthcare providers (hospitals and physician practices). As of December 31, 2010, our owned and managed MOB portfolio consisted of over 8.8 million square feet.
 
Other Properties.  Our other properties consist of personal care facilities, which provide specialized care, including supported living services, neurorehabilitation, neurobehavioral management and vocational programs, for persons with acquired or traumatic brain injury.
 
Other Investments
 
As of December 31, 2010, we had $149.3 million of net loans receivable secured by seniors housing and healthcare companies or properties. See “Note 6 — Loans Receivable” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
 
As of December 31, 2010, we also had marketable debt securities classified as available-for-sale, with a cost basis of $61.9 million and a fair market value of $66.7 million.
 
Geographic Diversification
 
Our portfolio of seniors housing and healthcare properties is broadly diversified by geographic location in the United States and Canada, with properties in only two states comprising more than 10% of our 2010 total


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revenues. The following table shows our rental income and resident fees and services derived by geographic location for our portfolio of properties for the year ended December 31, 2010:
 
                 
    Rental Income and
       
    Resident Fees and
    Percent of Total
 
    Services     Revenues  
    (Dollars in thousands)  
 
Geographic Location
               
California
  $ 122,266       12.0 %
Illinois
    104,153       10.2  
Pennsylvania
    57,131       5.6  
Massachusetts
    51,201       5.0  
New Jersey
    48,856       4.8  
Colorado
    43,114       4.2  
Florida
    38,460       3.8  
Georgia
    35,400       3.5  
New York
    35,361       3.5  
Michigan
    32,650       3.2  
Other (33 states and the District of Columbia)
    332,771       32.9  
                 
Total U.S
    901,363       88.7 %
Canada (two Canadian provinces)
    84,510       8.3  
                 
Total
  $ 985,873       97.0 %(1)
                 
 
 
(1) The remainder of our total revenues is medical office building services revenue, income from loans and investments and interest and other income. Revenues from properties sold during 2010 are excluded from this presentation.
 
Segment Information
 
As of December 31, 2010, we operated through three reportable business segments: triple-net leased properties, senior living operations and MOB operations. See “Note 19 — Segment Information” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K for more information about our business segments and the geographic diversification of our portfolio of properties.
 
Certificates of Need
 
A majority of our skilled nursing facilities and hospitals are located in states that have certificate of need (“CON”) requirements. A CON, which is issued by a governmental agency with jurisdiction over healthcare facilities, is at times required for expansion of existing facilities, construction of new facilities, addition of beds, acquisition of major items of equipment or introduction of new services. The CON rules and regulations may restrict our or our operators’ ability to expand our properties in certain circumstances.
 
The following table shows the percentage of our rental income derived by skilled nursing facilities and hospitals in states with and without CON requirements for the year ended December 31, 2010:
 
                         
    Skilled
             
    Nursing
             
    Facilities     Hospitals     Total  
 
States with CON requirements
    74.0 %     48.5 %     65.2 %
States without CON requirements
    26.0       51.5       34.8  
                         
Total
    100.0 %     100.0 %     100.0 %
                         


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Significant Tenants, Operators and Managers
 
As of December 31, 2010, approximately 37.9%, 19.7% and 13.1% of our properties, based on the gross book value of real estate investments, were managed or operated by Sunrise, Brookdale Senior Living and Kindred, respectively. For the year ended December 31, 2010 (including amounts in discontinued operations):
 
  •  our senior living operations managed by Sunrise accounted for approximately 43.4% of our total revenues and 22.7% of our total earnings before interest, taxes, depreciation and amortization (including non-cash stock-based compensation), excluding merger-related expenses and deal costs, gains and losses on real estate disposals and asset impairments and/or valuation allowances (“Adjusted EBITDA”);
 
  •  our four master lease agreements with Kindred (the “Kindred Master Leases”) accounted for approximately 24.2% of our total revenues and 35.6% of our total net operating income (“NOI,” which is defined as total revenues, less interest and other income, property-level operating expenses and MOB services costs); and
 
  •  our leases with Brookdale Senior Living accounted for approximately 11.9% of our total revenues and 17.3% of our total NOI.
 
Triple-Net Leased Properties
 
Each of our Kindred Master Leases and our leases with Brookdale Senior Living is a triple-net lease pursuant to which the tenant is required to pay all taxes, utilities and maintenance and repairs related to the properties and to maintain and pay all insurance covering the properties and their operations. In addition, the tenants are required to comply with the terms of the mortgage financing documents, if any, affecting the properties.
 
In view of the fact that Kindred and Brookdale Senior Living lease a substantial portion of our triple-net leased properties and each contributes a significant portion of our total revenues and NOI, Kindred’s and Brookdale Senior Living’s financial condition and ability and willingness to satisfy their obligations under their respective leases and other agreements with us, and their willingness to renew those leases upon expiration of the initial base terms thereof, significantly impact our results of operations and ability to service our indebtedness and to make distributions to our stockholders. We cannot assure you that either Kindred or Brookdale Senior Living will have sufficient assets, income and access to financing to enable it to satisfy those obligations, and any inability or unwillingness on its part to do so would have a material adverse effect on our business, financial condition, results of operations and liquidity, on our ability to service our indebtedness and other obligations and on our ability to make distributions to our stockholders, as required for us to continue to qualify as a REIT (a “Material Adverse Effect”). We also cannot assure you that either Kindred or Brookdale Senior Living will elect to renew its leases with us upon expiration of the initial base terms or any renewal terms thereof or that, if some or all of those leases are not renewed, we will be able to reposition the affected properties on a timely basis or on the same or better terms, if at all. See “Risks Factors — Risks Arising from Our Business — We depend on Kindred and Brookdale Senior Living for a significant portion of our revenues and operating income; Any inability or unwillingness by Kindred or Brookdale Senior Living to satisfy its obligations under its agreements with us could have a Material Adverse Effect on us” included in Item 1A of this Annual Report on Form 10-K.
 
Kindred Master Leases.  We lease 197 properties to Kindred. The aggregate annual rent we receive under each Kindred Master Lease is referred to as “Base Rent.” Base Rent escalates on May 1 of each year at a specified rate over the “Prior Period Base Rent” (as defined in the applicable Kindred Master Lease), contingent upon the satisfaction of specified facility revenue parameters. The annual rent escalator is 2.7% under Kindred Master Leases 1, 3 and 4. The annual rent escalator under Kindred Master Lease 2 is based on year-over-year changes in the Consumer Price Index, with a floor of 2.25% and a ceiling of 4%. Assuming the applicable facility revenue parameters are met, we currently expect that Base Rent due under the Kindred Master Leases will be approximately $254.9 million from May 1, 2011 through April 30, 2012. See “Note 3 — Concentration of Credit Risk” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.


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The properties we lease to Kindred pursuant to the Kindred Master Leases are grouped into bundles that contain a varying number of properties. All properties within a single bundle have the same primary lease term of ten to fifteen years from May 1, 1998 and, provided certain conditions are satisfied, are subject to three five-year renewal terms. Kindred has renewed, through April 30, 2013, its leases covering all 57 properties owned by us with a primary lease term that expired on April 30, 2008. Kindred has also renewed, through April 30, 2015, its leases covering all 109 properties owned by us (one of which we subsequently sold in June 2009) with a primary lease term that expired on April 30, 2010. Kindred retains two sequential five-year renewal options for all 165 of these assets.
 
The current lease term for each of ten bundles covering 89 properties leased to Kindred will expire on April 30, 2013 unless Kindred provides us with renewal notices with respect to those individual bundles on or before April 30, 2012. The ten bundles expiring in 2013 currently represent $120 million of annual Base Rent from May 1, 2010 through April 30, 2011. Each bundle contains six or more properties, including at least one hospital. Kindred is required to continue to perform all of its obligations under the applicable lease for the properties within any bundle that is not renewed until expiration of the term on April 30, 2013, including without limitation, payment of all rental amounts. Therefore, for any bundles that are not renewed, we will have at least one year to arrange for the repositioning of the applicable properties with new operators. In addition, we own or have the rights to all licenses and CONs at the properties, and Kindred has extensive and detailed obligations to cooperate and ensure an orderly transition of the properties to another operator. Nevertheless, we cannot assure you, if Kindred does not renew one or more bundles, that we would be successful in identifying suitable replacement operators or that we will be able to enter into leases with new tenants or operators on terms as favorable to us as our current leases, if at all. See “Risk Factors — Risks Arising from Our Business — We may be unable to reposition our properties on as favorable terms, or at all, if we have to replace any of our tenants or operators, and we may be subject to delays, limitations and expenses in repositioning our assets” included in Item 1A of this Annual Report on Form 10-K.
 
Brookdale Senior Living Leases.  Our leases with Brookdale have primary terms of fifteen years, which commenced January 28, 2004 (in the case of ten “Grand Court” properties we acquired in 2004) or October 19, 2004 (in the case of the properties we acquired in connection with our Provident Senior Living Trust (“Provident”) acquisition), and, provided certain conditions are satisfied, are subject to two ten-year renewal terms. Our leases with Alterra also have primary terms of fifteen years, which commenced October 20, 2004 or December 16, 2004 (both in the case of properties we acquired in connection with our Provident acquisition), and, provided certain conditions are satisfied, are subject to two five-year renewal terms. Brookdale Senior Living guarantees all of Brookdale’s and Alterra’s obligations under these leases, and all of our Brookdale Senior Living leases are cross-defaulted.
 
Under the terms of the Brookdale leases we assumed in connection with our Provident acquisition, Brookdale is obligated to pay base rent, which escalates on January 1 of each year by an amount equal to the lesser of (i) four times the percentage increase in the Consumer Price Index during the immediately preceding year or (ii) 3%. Under the terms of the Brookdale leases with respect to our “Grand Court” properties, Brookdale is obligated to pay base rent, which escalates on February 1 of each year by an amount equal to the greater of (i) 2% or (ii) 75% of the increase in the Consumer Price Index during the immediately preceding year. Under the terms of the Alterra leases, Alterra is obligated to pay base rent, which escalates on January 1 or November 1 of each year by an amount equal to the lesser of (i) four times the percentage increase in the Consumer Price Index during the immediately preceding year or (ii) 2.5%. The aggregate annual contractual cash base rent expected from Brookdale Senior Living for 2011 is approximately $113.1 million, excluding variable interest Brookdale is obligated to pay as additional rent based on certain floating rate mortgage debt assumed by us in connection with our Provident acquisition. The aggregate annual contractual base rent (computed in accordance with U.S. generally accepted accounting principles (“GAAP”)), excluding the variable interest, expected from Brookdale Senior Living for 2011 is approximately $117.2 million. See “Note 3 — Concentration of Credit Risk” and “Note 13 — Commitments and Contingencies” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.


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Senior Living Operations
 
Sunrise currently provides comprehensive accounting and property management services with respect to 79 of our seniors housing communities pursuant to long-term management agreements. Each management agreement has a term of 30 years from its effective date, the earliest of which began in 2004. In December 2010, we and Sunrise modified the management agreements to, among other things, reduce the management fee paid to Sunrise for the period from April 1, 2010 through December 31, 2010 and for all of 2011 to 3.50% and 3.75% per annum, respectively, after which the annual base management fee will equal 6% of revenues (with a range of 5% to 7%), cap the amount of incentive management fees payable to Sunrise and allocated “shared services” expenses, provide enhanced rights and remedies for us in the event of a Sunrise default and reallocate the NOI performance thresholds to include a cushion for all 79 communities. See “Note 3 — Concentration of Credit Risk” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
 
Although we have various rights as owner under the Sunrise management agreements, we rely on Sunrise’s personnel, good faith, expertise, historical performance, technical resources and information systems, proprietary information and judgment to manage our seniors housing communities efficiently and effectively. We also rely on Sunrise to set resident fees and otherwise operate those properties in compliance with our management agreements. Because Sunrise manages a significant portion of our properties, Sunrise’s inability to efficiently and effectively manage those properties and to provide timely and accurate accounting information with respect thereto could have a Material Adverse Effect on us. In addition, Sunrise’s inability or unwillingness to satisfy its obligations under our management agreements, changes in Sunrise’s senior management or any adverse developments in Sunrise’s business and affairs or financial condition could have a Material Adverse Effect on us. See “Risk Factors — Risks Arising from Our Business — The properties managed by Sunrise account for a significant portion of our revenues and operating income; Adverse developments in Sunrise’s business and affairs or financial condition could have a Material Adverse Effect on us” included in Item 1A of this Annual Report on Form 10-K.
 
Competition
 
We generally compete for real property investments with other healthcare REITs, healthcare operators, healthcare lenders, developers, real estate partnerships, banks, insurance companies, pension funds, private equity firms and other investors. Some of our competitors may have greater financial resources and lower costs of capital than we do. Increased competition makes it more challenging for us to identify and successfully capitalize on opportunities that meet our objectives. Our ability to compete successfully for real property investments is affected by, among other factors, the availability of suitable acquisition or investment targets, our ability to negotiate acceptable acquisition or investment terms and our access to and cost of capital. See “Risk Factors — Risks Arising from Our Business — We may encounter certain risks when implementing our business strategy to pursue investments in, and/or acquisitions or development of, additional seniors housing and/or healthcare assets” included in Item 1A of this Annual Report on Form 10-K and “Note 9 — Borrowing Arrangements” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
 
Revenues from our properties are dependent on the ability of the operators and managers of those properties to compete with other seniors housing and healthcare operators and managers. Operators and managers compete on a local and regional basis for residents, tenants and patients based on several factors. The operators and managers of our seniors housing communities, skilled nursing facilities and hospitals compete to attract and retain residents and patients based on the scope and quality of care and services provided, their ability to attract and retain qualified personnel, their reputation and financial condition, price, location and physical appearance of the properties, physician referrals and family preferences. The managers of our medical office buildings compete to attract and retain tenants based on many of the same factors, in addition to the quality of the affiliated health system, physician preferences and proximity to hospital campuses. Private, federal and state reimbursement programs and the effect of other laws and regulations also may have a significant impact on our operators’ and managers’ ability to compete successfully for residents, tenants and patients at our properties. See “Risk Factors — Risks Arising from Our Business — Our tenants,


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operators and managers may be adversely affected by increasing healthcare regulation and enforcement” and “— Changes in the reimbursement rates or methods of payment from third-party payors, including the Medicare and Medicaid programs, could have a material adverse effect on certain of our tenants and operators” included in Item 1A of this Annual Report on Form 10-K.
 
Employees
 
As of December 31, 2010, we had 263 full-time employees, including 196 employees at our Lillibridge subsidiary. We consider our relationship with our employees to be good.
 
Insurance
 
We maintain and/or require in our existing leases and other agreements that our tenants, operators and managers maintain all applicable lines of insurance on our properties and their operations. For example, pursuant to the terms of the Kindred Master Leases, Kindred is required to maintain, at its expense, specified types and minimum levels of insurance coverage related to the leased properties and Kindred’s operations at those properties. We believe that our tenants, operators and managers are in compliance with the insurance requirements contained in their respective leases and other agreements with us; however, we cannot assure you that such parties will maintain the required insurance coverages, and the failure by any of them to do so could have a Material Adverse Effect on us. We also cannot assure you that we will continue to require the same levels of insurance coverage under our leases and other agreements.
 
We maintain casualty insurance for our seniors housing communities managed by Sunrise, but Sunrise currently maintains the general and professional liability insurance covering those properties and their related operations in accordance with the standards contained in our management agreements. Under the management agreements, we may elect, on an annual basis, whether we or Sunrise will bear responsibility for maintaining the required insurance coverage for our Sunrise-managed properties, but the costs of such insurance are facility expenses paid from the revenues of those properties, regardless of who maintains the insurance.
 
As part of our MOB development business, we provide engineering, construction and architectural services, and design, construction or systems failures may result in substantial injury or damage to clients and/or third parties. Injury or damage claims may arise in the ordinary course and may be asserted with respect to ongoing or completed projects. Although we maintain liability insurance, if any claim results in a loss, we cannot assure you that our insurance coverage would be adequate to cover the loss in full. If we sustain losses in excess of our insurance coverage, we may be required to make a payment for the difference and could lose our investment in, and/or experience reduced profits and cash flows from, the affected MOB, which could have a Material Adverse Effect on us.
 
We believe that the amount and scope of insurance coverage provided by our policies and the policies maintained by our tenants, operators and managers are customary for similarly situated companies in our industry. We cannot assure you that in the future we or our tenants, operators and managers will be able to maintain the same levels of insurance coverage or that such insurance will be available at a reasonable cost. In addition, we cannot give any assurances as to the future financial viability of our insurers or that the insurance coverage provided will fully cover all losses on our properties upon the occurrence of a catastrophic event.
 
In an effort to reduce and manage costs and for various other reasons, many healthcare providers are pursuing different organizational and corporate structures coupled with self-insurance programs that may provide them with less insurance coverage. As a result, the tenants, operators and managers of our properties could incur large funded and unfunded professional liability expense, which could have a material adverse effect on their liquidity, financial condition and results of operations and, in turn, on their ability to make rental payments under, or otherwise comply with the terms of, their respective leases and other agreements with us, which could adversely affect our results of operations.


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Additional Information
 
We maintain a website at www.ventasreit.com. The information on our website is not incorporated by reference in this Annual Report on Form 10-K, and our web address is included as an inactive textual reference only.
 
We make available, free of charge, through our website our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and amendments to those reports filed or furnished pursuant to Section 13 or 15(d) of the Exchange Act as soon as reasonably practicable after we electronically file such material with, or furnish it to, the SEC. In addition, our Guidelines on Governance, the charters for each of our Audit and Compliance, Nominating and Corporate Governance and Executive Compensation Committees and our Code of Ethics and Business Conduct are available on our website, and we will mail copies of the foregoing documents to stockholders, free of charge, upon request to our Corporate Secretary at Ventas, Inc., 10350 Ormsby Park Place, Suite 300, Louisville, Kentucky 40223.
 
GOVERNMENTAL REGULATION
 
Healthcare Regulation
 
Overview
 
While the properties within our portfolio are all susceptible to many varying types of regulation, we expect that the healthcare industry, in general, will continue to face increased regulation and pressure in the areas of fraud, waste and abuse, cost control, healthcare management and provision of services, among others. A significant expansion of applicable federal, state or local laws and regulations, previously enacted or future healthcare reform, new interpretations of existing laws and regulations or changes in enforcement priorities could have a material adverse effect on certain of our operators’ liquidity, financial condition and results of operations, which, in turn, could adversely impact their ability to satisfy their contractual obligations, including making rental payments under, or otherwise complying with the terms of, their leases with us. In addition, efforts by third-party payors, such as the federal Medicare program, state Medicaid programs and private insurance carriers, including health maintenance organizations and other health plans, to impose greater discounts and more stringent cost controls upon operators (through changes in reimbursement rates and methodologies, discounted fee structures, the assumption by healthcare providers of all or a portion of the financial risk or otherwise) are expected to intensify and continue. Significant limits on the scope of services reimbursed and on reimbursement rates and fees could also have a material adverse effect on certain of our operators’ liquidity, financial condition and results of operations, which could affect adversely their ability to satisfy their contractual obligations, including making rental payments under, and otherwise complying with the terms of, their leases with us.
 
Licensure and Certification
 
Participation in the Medicare and Medicaid programs generally requires the operators of our skilled nursing facilities to be licensed on an annual or bi-annual basis and certified annually through various regulatory agencies that determine compliance with federal, state and local laws. These legal requirements relate to the quality of the nursing care provided, qualifications of the administrative personnel and nursing staff, the adequacy of the physical plant and equipment and continuing compliance with the laws and regulations governing the operation of skilled nursing facilities. The failure of an operator to maintain or renew any required license or regulatory approval or to correct serious deficiencies identified in compliance surveys could prevent it from continuing operations at a property. A loss of licensure or certification could also adversely affect a skilled nursing facility operator’s ability to receive payments from the Medicare and Medicaid programs, which, in turn, could affect adversely their ability to satisfy their contractual obligations, including making rental payments under, and otherwise complying with the terms of, their leases with us.
 
Similarly, in order to receive Medicare and Medicaid reimbursement, our hospitals must meet the applicable conditions of participation set forth by the U.S. Department of Health and Human Services


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(“HHS”) relating to the type of hospital and its equipment, personnel and standard of medical care, as well as comply with state and local laws and regulations. Hospitals undergo periodic on-site licensure surveys, which generally are limited if the hospital is accredited by The Joint Commission (formerly the Joint Commission on Accreditation of Healthcare Organizations) or other recognized accreditation organizations. A loss of licensure or certification could adversely affect a hospital’s ability to receive payments from the Medicare and Medicaid programs, which, in turn, could adversely affect their ability to satisfy their contractual obligations, including making rental payments under, and otherwise complying with the terms of, their leases with us.
 
Seniors housing communities are subject to relatively few, if any, federal regulations. Instead, to the extent they are regulated, the regulation is conducted mainly by state and local laws governing licensure, provision of services, staffing requirements and other operational matters. These laws vary greatly from one jurisdiction to another. Although recent growth in the U.S. seniors housing industry has attracted the attention of various federal agencies that believe more federal regulation of these properties is necessary, thus far, Congress has deferred to state regulation of seniors housing communities. However, as a result of this growth and increased federal scrutiny, some states have revised and strengthened their regulation of seniors housing communities, and more states are expected to do the same in the future.
 
Certificates of Need
 
Skilled nursing facilities and hospitals are subject to various state CON laws requiring governmental approval prior to the development or expansion of healthcare facilities and services. The approval process in these states generally requires a facility to demonstrate the need for additional or expanded healthcare facilities or services. CONs, where applicable, are sometimes necessary for expansion of existing facilities, construction of new facilities, changes in ownership or control of licensed facilities, addition of beds, investment in major capital equipment, introduction of new services or termination of services previously approved through the CON process. These CON laws and regulations may restrict an operator’s ability to expand our properties and grow its business in certain circumstances, which could have an effect on the operator’s revenues and, in turn, adversely impact us. In addition, in the event that any operator of our properties fails to make rental payments to us or to comply with applicable healthcare regulations, our ability to evict that operator and substitute another operator for a particular facility may be materially delayed or limited by CON laws, as well as by various state licensing and receivership laws and Medicare and Medicaid change-of-ownership rules. Such delays and limitations could have a material adverse effect on our ability to collect rent, to obtain possession of leased properties, or otherwise to exercise remedies for tenant default. We may also incur substantial additional expenses in connection with any such licensing, receivership or change-of-ownership proceedings.
 
Fraud and Abuse
 
Various federal and state laws and regulations prohibit a wide variety of fraud and abuse by healthcare providers who participate in, receive payments from or make or receive referrals for work in connection with government-funded healthcare programs, including Medicare and Medicaid. The federal laws include, by way of example, the following:
 
  •  The anti-kickback statute (Section 1128B(b) of the Social Security Act), which prohibits certain business practices and relationships, including the payment, receipt or solicitation of any remuneration, directly or indirectly, to induce a referral of any patient or service or item covered by a federal health care program, including Medicare or a state health program, such as Medicaid;
 
  •  The physician self-referral prohibition (Ethics in Patient Referral Act of 1989, commonly referred to as the “Stark Law”), which prohibits referrals by physicians of Medicare or Medicaid patients to providers of a broad range of designated healthcare services with which the physicians (or their immediate family members) have ownership interests or certain other financial arrangements;
 
  •  The False Claims Act, which prohibits any person from knowingly presenting false or fraudulent claims for payment to the federal government (including the Medicare and Medicaid programs);


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  •  The Civil Monetary Penalties Law, which authorizes HHS to impose civil penalties administratively for fraudulent acts; and
 
  •  The Health Insurance Portability and Accountability Act of 1996 (commonly referred to as “HIPAA”), which among other things, protects the privacy and security of individually identifiable health information by limiting its use and disclosure.
 
Sanctions for violating these federal laws include criminal and civil penalties such as punitive sanctions, damage assessments, monetary penalties, imprisonment, denial of Medicare and Medicaid payments, and/or exclusion from the Medicare and Medicaid programs. These laws also impose an affirmative duty on operators to ensure that they do not employ or contract with persons excluded from the Medicare and other government programs.
 
Many states have adopted or are considering legislative proposals similar to the federal anti-fraud and abuse laws, some of which extend beyond the Medicare and Medicaid programs, to prohibit the payment or receipt of remuneration for the referral of patients and physician self-referrals, regardless of whether the service was reimbursed by Medicare or Medicaid. Many states have also adopted or are considering legislative proposals to increase patient protections, such as minimum staffing levels, criminal background checks, and limiting the use and disclosure of patient specific health information. These state laws also impose criminal and civil penalties similar to the federal laws.
 
In the ordinary course of their business, the operators of our properties have been and are subject regularly to inquiries, investigations and audits by federal and state agencies that oversee applicable laws and regulations. Increased funding through recent federal and state legislation has led to significant growth in the number of investigations and enforcement actions over the past several years. Private enforcement of healthcare fraud has also increased, due in large part to amendments to the civil False Claims Act in 1986 that were designed to encourage private individuals to sue on behalf of the government. These whistleblower suits by private individuals, known as qui tam suits, may be filed by almost anyone, including present and former patients or nurses and other employees. HIPAA also created a series of new healthcare crimes.
 
As federal and state budget pressures continue, administrative agencies may continue to escalate their investigation and enforcement efforts to eliminate waste and to control fraud and abuse in governmental healthcare programs. A violation of any of these federal and state anti-fraud and abuse laws and regulations by an operator of our properties could have a material adverse effect on the operator’s liquidity, financial condition or results of operations, which could adversely their ability to satisfy their contractual obligations, including making rental payments under, and otherwise complying with the terms of, their leases with us.
 
Healthcare Legislation
 
In March 2010, President Obama signed into law the Patient Protection and Affordable Care Act, along with a reconciliation measure, the Health Care and Education Reconciliation Act of 2010 (collectively, the “Affordable Care Act”). The passage of the Affordable Care Act has resulted in comprehensive reform legislation that is expected to expand health care coverage to millions of currently uninsured people beginning in 2014. To help fund this expansion, the Affordable Care Act outlines certain reductions in Medicare reimbursement rates for various healthcare providers, including long-term acute care hospitals and skilled nursing facilities, as well as certain other changes to Medicare payment methodologies.
 
The Affordable Care Act, among other things, reduces the inflationary market basket increase included in standard federal payment rates for long-term acute care hospitals by 25 basis points in fiscal year 2010, 50 basis points in fiscal year 2011, 10 basis points in fiscal years 2012 and 2013, 30 basis points in fiscal year 2014, 20 basis points in fiscal years 2015 and 2016, and 75 basis points in fiscal years 2017 through 2019. In addition, under the Affordable Care Act, long-term acute care hospitals and skilled nursing facilities will be subject to a rate adjustment to the market basket increase, beginning in fiscal year 2012, to reflect improvements in productivity.
 
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reform legislation or changes in the administration or implementation of governmental and non-governmental healthcare reimbursement programs will not have a material adverse effect on our operators’ liquidity, financial condition or results of operations, or on their ability to satisfy their obligations to us, which, in turn, could have a Material Adverse Effect on us.
 
Medicare Reimbursement; Long-Term Acute Care Hospitals
 
The Balanced Budget Act of 1997 (“BBA”) mandated the creation of a prospective payment system for long-term acute care hospitals (“LTAC PPS”), which became effective on October 1, 2002 for cost reporting periods commencing on or after that date. Under LTAC PPS, which classifies patients into distinct diagnostic groups based on clinical characteristics and expected resource needs, long-term acute care hospitals are reimbursed on a predetermined rate, rather than on a reasonable cost basis that reflects costs incurred. LTAC PPS requires payment for a Medicare beneficiary at a predetermined, per discharge amount for each defined patient category (called “Long-Term Care — Diagnosis Related Groups” or “LTC-DRGs”), adjusted for differences in area wage levels.
 
Updates to LTAC PPS payment rates are established by regulators and published annually for the long-term acute care hospital rate year, which historically has been July 1 through June 30. However, starting with the 2010 rate year, which commenced October 1, 2009, annual rate updates now coincide with annual updates to the LTC-DRG classification system, which correspond to the federal fiscal year (October 1 through September 30).
 
The Medicare, Medicaid, and SCHIP Extension Act of 2007 (Pub. L. No. 110-173) (the “Medicare Extension Act”) significantly expanded medical necessity reviews by the Centers for Medicare & Medicaid Services (“CMS”) by requiring long-term acute care hospitals to institute a patient review process to better assess patients upon admission and on a continuing basis for appropriateness of care. In addition, the Medicare Extension Act, among other things, provided the following long-term acute care hospital payment policy changes, all of which were extended for two years by the Affordable Care Act:
 
  •  It prevented CMS from applying the “25-percent rule,” which limits payments from referring co-located hospitals, to freestanding and grandfathered long-term acute care hospitals for three years;
 
  •  It modified the application of the 25-percent rule to certain urban and rural long-term acute care “hospitals-within-hospitals” and “satellite” facilities for three years;
 
  •  It prevented CMS from applying the “very short stay outlier” policy for three years; and
 
  •  It prevented CMS from making any one-time adjustments to correct estimates used in implementing LTAC PPS for three years.
 
Lastly, the Medicare Extension Act introduced a moratorium on new long-term acute care hospitals and beds for three years.
 
On May 22, 2008, CMS published a final rule addressing two LTAC PPS payment policies mandated by the Medicare Extension Act. The rule delayed the extension of the 25-percent rule to freestanding and grandfathered long-term acute care hospitals and increased the patient percentage thresholds for certain urban and rural long-term acute care “hospitals-within-hospitals” and “satellite” facilities for three years. The rule also set forth policies on implementing the moratorium on new long-term acute care hospitals and beds imposed by the Medicare Extension Act.
 
On August 27, 2009, CMS published a final rule which finalized policies to implement changes required by Section 124 of the Medicare Improvements for Patients & Providers Act of 2008 (Pub. L. No. 110-275). This rule continued reforms intended to improve the accuracy of Medicare payments for inpatient acute care through the severity-adjusted diagnosis-related group (MS-LTC-DRG) classification system for long-term acute care hospitals.
 
On August 16, 2010, CMS published its final rule updating LTAC PPS for the 2011 fiscal year (October 1, 2010 through September 30, 2011). Under the rule, the LTAC PPS standard federal payment rate in fiscal year


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2011 reflects a 2.5% increase in the market basket index (before taking into account the 50 basis point reduction required by the Affordable Care Act), less a 2.5% adjustment to account for an increase in case-mix in fiscal year 2008 and 2009 that CMS attributes to changes in documentation and coding practices, rather than patient severity. CMS estimates that net payments to long-term acute care hospitals under the final rule would increase by approximately $22.3 million, or 0.5%, in fiscal year 2011 due to area wage adjustments, as well as increases in high-cost and short-stay outlier payments.
 
We regularly assess the financial implications of CMS’s rules on the operators of our long-term acute care hospitals, but we cannot assure you that the current rules or future updates to LTAC PPS, LTC-DRGs or Medicare reimbursement for long-term acute care hospitals will not materially adversely affect our operators, which, in turn, could have a Material Adverse Effect on us. See “Risk Factors — Risks Arising from Our Business — Changes in the reimbursement rates or methods of payment from third-party payors, including the Medicare and Medicaid programs, could have a material adverse effect on certain of our tenants and operators” included in Item 1A of this Annual Report on Form 10-K.
 
Medicare Reimbursement; Skilled Nursing Facilities
 
The BBA also mandated the creation of a prospective payment system for skilled nursing facilities (“SNF PPS”) offering Part A covered services. Under SNF PPS, payment amounts are based upon classifications determined through assessments of individual Medicare patients in the skilled nursing facility, rather than on the facility’s reasonable costs. SNF PPS payments are made on a per diem basis for each resident and are generally intended to cover all inpatient services for Medicare patients, including routine nursing care, most capital-related costs associated with the inpatient stay, and ancillary services, such as respiratory therapy, occupational and physical therapy, speech therapy and certain covered drugs.
 
In response to widespread healthcare industry concern about the reductions in payments under the BBA, the federal government enacted the Balanced Budget Refinement Act of 1999 (“BBRA”). The BBRA increased the per diem reimbursement rates for certain high acuity patients by 20% from April 1, 2000 until case mix refinements were implemented by CMS, as explained below. The BBRA also imposed a two-year moratorium on the annual cap mandated by the BBA on physical, occupational and speech therapy services provided to a patient by outpatient rehabilitation therapy providers, including Part B covered therapy services in nursing facilities. Relief from the BBA therapy caps was subsequently extended multiple times by Congress, but these extensions expired on December 31, 2009 and have not been renewed by Congress.
 
Pursuant to its final rule updating SNF PPS for the 2006 fiscal year, CMS refined the resource utilization groups (“RUGs”) used to determine the daily payment for beneficiaries in skilled nursing facilities by adding nine new payment categories. The result of this refinement, which became effective on January 1, 2006, was to eliminate the temporary add-on payments that Congress enacted as part of the BBRA.
 
Under its final rule updating LTC-DRGs for the 2007 fiscal year, CMS reduced reimbursement of uncollectible Medicare coinsurance amounts for all beneficiaries (other than beneficiaries of both Medicare and Medicaid) from 100% to 70% for skilled nursing facility cost reporting periods beginning on or after October 1, 2005. The rule also included various options for classifying and weighting patients transferred to a skilled nursing facility after a hospital stay less than the mean length of stay associated with that particular diagnosis-related group.
 
Under its final rule updating SNF PPS for the 2010 fiscal year CMS recalibrated the case-mix indexes for the resource utilization groups (RUGs) used to determine the daily payment for beneficiaries in skilled nursing facilities and implemented the RUG-IV classification model for skilled nursing facilities for fiscal year 2011; however, such implementation was delayed by the Affordable Care Act and will now occur in fiscal year 2012.
 
On July 22, 2010, CMS published its notice updating SNF PPS for the 2011 fiscal year (October 1, 2010 through September 30, 2011). Under the notice, the update to the SNF PPS standard federal payment rate for skilled nursing facilities includes a 2.3% increase in the market basket index for the 2011 fiscal year. The notice also provides a 0.6% negative adjustment due to an overestimated increase in the market basket index for the 2009 fiscal year. CMS estimates that net payments to skilled nursing facilities as a result of the market


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basket increase and the adjustment under the notice would increase by approximately $542 million, or 1.7%, in fiscal year 2011.
 
The notice includes other provisions, such as the introduction of concurrent therapy, implementation of the MDS 3.0 assessment tool, changes to the look-back period and modification of the implementation schedule for the RUG-IV classification model, that may additionally affect net payments to skilled nursing facilities.
 
On November 2, 2010, CMS placed on public display its final Medicare Physician Fee Schedule rule for the 2011 calendar year, which became effective on January 1, 2011. The rule set a $1,870 cap on physical therapy and speech-language pathology services and a separate $1,870 cap on occupational therapy services, including therapy provided in skilled nursing facilities, both without an exceptions process. Congress passed the Medicare and Medicaid Extenders Act of 2010 (Pub. L. No. 111 309), which was signed into law on December 15, 2010, to lift the caps on therapy services and continue the exceptions process.
 
We regularly assess the financial implications of CMS’s rules on the operators of our skilled nursing facilities, but we cannot assure you that the current rules or future updates to SNF PPS, therapy services or Medicare reimbursement for skilled nursing facilities will not materially adversely impact our operators, which, in turn, could have a Material Adverse Effect on us. See “Risk Factors — Risks Arising from Our Business — Changes in the reimbursement rates or methods of payment from third-party payors, including the Medicare and Medicaid programs, could have a material adverse effect on certain of our tenants and operators” included in Item 1A of this Annual Report on Form 10-K.
 
Medicaid Reimbursement; Skilled Nursing Facilities
 
Approximately two-thirds of all nursing home residents are dependent on Medicaid. Medicaid reimbursement rates, however, typically are less than the amounts charged by the operators of our skilled nursing facilities. Although the federal government and the states share responsibility for financing Medicaid, states have a wide range of discretion, within certain federal guidelines, to determine eligibility and reimbursement methodology. In addition, federal legislation limits an operator’s ability to withdraw from the Medicaid program by restricting the eviction or transfer of Medicaid residents. As state budget pressures continue to escalate as result of the financial crisis, a significant number of states have announced actual or potential budget shortfalls. As a result of these shortfalls, states are reducing Medicaid expenditures by implementing “freezes” or cuts in Medicaid rates paid to providers, including hospitals and skilled nursing facilities, or by restricting eligibility and benefits.
 
In the Deficit Reduction Act of 2005 (Pub. L. No. 109 171), Congress made changes to the Medicaid program that were estimated to result in $10 billion in savings to the federal government over the five years following enactment of the legislation, primarily through the accounting practices some states use to calculate their matched payments and revising the qualifications for individuals who are eligible for Medicaid benefits. The changes made by CMS’s final rule updating SNF PPS for the 2006 federal fiscal year were also anticipated to reduce Medicaid payments to skilled nursing facility operators. In addition, as part of the Tax Relief and Health Care Act of 2006 (Pub. L. No. 109-432), Congress reduced the ceiling on taxes that states may impose on healthcare providers and which would qualify for federal financial participation under Medicaid by 0.5%, from 6% to 5.5%. Nationally, it was anticipated that this reduction would have a negligible effect, impacting only those states with taxes in excess of 5.5%. The ceiling is scheduled to revert back to 6% on October 1, 2011. We have not ascertained the impact of this reduction on our skilled nursing facility operators.
 
The American Recovery and Reinvestment Act of 2009 (Pub. L. No. 111-5) (the “Recovery Act”), which was signed into law on February 17, 2009, provides additional funding for health care improvement, expansion and research, as well as Medicaid relief to the states. The Recovery Act temporarily increased federal payments to state Medicaid programs by $86.6 billion through, among other things, a 6.2% increase in the federal share of Medicaid expenditures across the board, with additional funds available depending on a state’s federal medical assistance percentage and unemployment rate. Though the Medicaid federal assistance payments were originally expected to expire on December 31, 2010, the President’s fiscal year 2011 budget submitted to Congress in February 2010 proposed, and Congress approved in August 2010, a six-month extension of those payments through June 30, 2011. The Recovery Act also requires states to promptly pay


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nursing facilities under their Medicaid program, and precludes states, as a condition of receiving the additional funding, from heightening their Medicaid eligibility requirements.
 
As state reimbursement methodologies continue to evolve, at this time we expect significant Medicaid rate freezes or cuts or other program changes to be adopted by many states. In addition, the U.S. government may revoke, reduce or stop approving “provider taxes” that have the effect of increasing Medicaid payments to the states. We cannot predict the impact of such actions on our operators and we cannot assure you that payments under Medicaid are currently, or will be in the future, sufficient to fully reimburse our operators for the cost of providing skilled nursing services. Severe and widespread Medicaid rate cuts or freezes could have a material adverse effect on our skilled nursing facility operators, which, in turn, could have a Material Adverse Effect on us.
 
Environmental Regulation
 
As a real property owner, we are subject to various federal, state and local laws and regulations regarding environmental, health and safety matters. These laws and regulations address, among other things, asbestos, polychlorinated biphenyls, fuel oil management, wastewater discharges, air emissions, radioactive materials, medical wastes, and hazardous wastes, and in certain cases, the costs of complying with these laws and regulations and the penalties for non-compliance can be substantial. Although we do not generally operate or manage our properties, we may be held primarily or jointly and severally liable for costs relating to the investigation and clean-up of any property from which there is or has been an actual or threatened release of a regulated material and any other affected properties, regardless of whether we knew of or caused the release. These costs typically are not limited by law or regulation and could exceed the property’s value. In addition, we may be liable for certain other costs, such as governmental fines and injuries to persons, property or natural resources, as a result of any such actual or threatened release. See “Risk Factors — Risks Arising from Our Business — If any of our properties are found to be contaminated, or if we become involved in any environmental disputes, we could incur substantial liabilities and costs” included in Item 1A of this Annual Report on Form 10-K.
 
Under the terms of our lease and management agreements, we generally have a right to indemnification by the current operators and managers of our properties for contamination caused by them. For example, the Kindred Master Leases provide that Kindred will indemnify us against any environmental claims (including penalties and clean-up costs) resulting from any condition arising in, on or under, or relating to, the leased properties at any time on or after the applicable lease commencement date and from any condition permitted to deteriorate on or after such date (including as a result of migration from adjacent properties not owned or operated by us or any of our affiliates other than Kindred and its direct affiliates). However, we cannot assure you that our operators and managers will have the financial capability or willingness to satisfy their respective indemnification obligations to us, and any such inability or unwillingness to do so may require us to satisfy the underlying environmental claims. See “Risk Factors — Risks Arising from Our Business — We depend on Kindred and Brookdale Senior Living for a significant portion of our revenues and operating income; Any inability or unwillingness by Kindred or Brookdale Senior Living to satisfy its obligations under its agreements with us could have a Material Adverse Effect on us” included in Item 1A of this Annual Report on Form 10-K.
 
In general, we have also agreed to indemnify our tenants against any environmental claims (including penalties and clean-up costs) resulting from any condition arising in, on or under, or relating to, the leased properties at any time before the applicable lease commencement date. With respect to our Sunrise-managed properties, we have agreed to indemnify Sunrise against any environmental claims (including penalties and clean-up costs) resulting from any condition on those properties, unless Sunrise caused or contributed to that condition.
 
We did not make any material capital expenditures in connection with environmental, health, and safety laws, ordinances and regulations in 2010 and do not expect that we will have to make any such material capital expenditures during 2011.


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CERTAIN U.S. FEDERAL INCOME TAX CONSIDERATIONS
 
The following discussion summarizes certain U.S. federal income tax considerations that you may deem relevant as a holder of our common stock. It is not tax advice, nor does it purport to address all aspects of U.S. federal income taxation that may be important to particular stockholders in light of their personal circumstances or to certain types of stockholders that may be subject to special rules, such as insurance companies, tax-exempt organizations (except to the extent discussed below under “— Treatment of Tax-Exempt Stockholders”), financial institutions, pass-through entities (or investors in such entities) or broker-dealers, and non-U.S. persons and foreign corporations (except to the extent discussed below under “— Special Tax Considerations for Non-U.S. Stockholders”).
 
The statements in this section are based on the Internal Revenue Code of 1986, as amended (the “Code”), U.S. Treasury Regulations and administrative and judicial interpretations thereof. The laws governing the U.S. federal income tax treatment of REITs and their stockholders are highly technical and complex, and this discussion is qualified in its entirety by the authorities listed above, as in effect on the date hereof. We cannot assure you that new laws, interpretations of law or court decisions, any of which may take effect retroactively, will not cause any statement herein to be inaccurate.
 
Federal Income Taxation of Ventas
 
We elected REIT status beginning with the year ended December 31, 1999. Beginning with the 1999 tax year, we believe that we have satisfied the requirements to qualify as a REIT, and we intend to continue to qualify as a REIT for federal income tax purposes. If we continue to qualify for taxation as a REIT, we generally will not be subject to federal income tax on net income that we currently distribute to stockholders. This treatment substantially eliminates the “double taxation” (i.e., taxation at both the corporate and stockholder levels) that generally results from investment in a corporation.
 
Notwithstanding such qualification, we will be subject to federal income tax on any undistributed taxable income, including undistributed net capital gains, at regular corporate rates. In addition, we will be subject to a 4% excise tax if we do not satisfy specific REIT distribution requirements. See “— Requirements for Qualification as a REIT — Annual Distribution Requirements.” Under certain circumstances, we may be subject to the “alternative minimum tax” on our undistributed items of tax preference. If we have net income from the sale or other disposition of “foreclosure property” (see below) held primarily for sale to customers in the ordinary course of business or certain other non-qualifying income from foreclosure property, we will be subject to tax at the highest corporate rate on that income. See “— Requirements for Qualification as a REIT — Asset Tests.” In addition, if we have net income from “prohibited transactions” (which are, in general, certain sales or other dispositions of property (other than foreclosure property) held primarily for sale to customers in the ordinary course of business), that income will be subject to a 100% tax.
 
We may also be subject to “Built-in Gains Tax” on any appreciated asset that we own or acquire that was previously owned by a C corporation (i.e., a corporation generally subject to full corporate-level tax). If we dispose of any such asset and recognize gain on the disposition during the ten-year period immediately after the asset was owned by a C corporation (either prior to our REIT election, or through stock acquisition or merger), then we generally will be subject to regular corporate income tax on the gain equal to the lesser of the recognized gain at the time of disposition or the built-in gain in that asset as of the date it became a REIT asset. Effective January 1, 2009, our Kindred assets were no longer subject to Built-in Gains Tax. The 21 Brookdale assets we acquired in connection with our Provident acquisition will remain subject to Built-in Gains Tax until November 2014.
 
In addition, if we fail to satisfy either of the gross income tests for qualification as a REIT (as discussed below), but still maintain such qualification under the relief provisions of the Code, we will be subject to a 100% tax on the gross income attributable to the amount by which we failed the applicable test, multiplied by a fraction intended to reflect our profitability. If we violate one or more of the REIT asset tests (as discussed below), we may avoid a loss of our REIT status if we qualify under certain relief provisions and, among other things, pay a tax equal to the greater of $50,000 or the highest corporate tax rate multiplied by the net income generated by the non-qualifying asset during a specified period. If we fail to satisfy any requirement for REIT


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


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case we would be subject to a 100% tax on the income exceeding one or both of the gross income tests. If we fail to satisfy one or both of the gross income tests and do not qualify under the relief provisions for any taxable year, we will not qualify as a REIT for that year, which would have a Material Adverse Effect on us.
 
Asset Tests
 
At the close of each quarter of our taxable year, we must satisfy the following tests relating to the nature of our assets:
 
  •  At least 75% of the value of our total assets must be represented by cash or cash items (including certain receivables), government securities, “real estate assets” (including interest in real property and in mortgages on real property and shares in other qualifying REITs) or, in cases where we raise new capital through stock or long-term (maturity of at least five years) debt offerings, temporary investments in stock or debt instruments during the one-year period following our receipt of such capital (the “75% asset test”); and
 
  •  Of the investments not meeting the requirements of the 75% asset test, the value of any one issuer’s debt and equity securities owned by us (other than our interest in any entity classified as a partnership for federal income tax purposes, the stock of a taxable REIT subsidiary or the stock of a qualified REIT subsidiary) may not exceed 5% of the value of our total assets (the “5% asset test”), and we may not own more than 10% of any one issuer’s outstanding voting securities (the “10% voting securities test”) or 10% of the value of any one issuer’s outstanding securities, subject to limited “safe harbor” exceptions (the “10% value test”).
 
In addition, no more than 25% of the value of our assets can be represented by securities of taxable REIT subsidiaries (the “25% TRS test”).
 
We believe but cannot assure you that we have been and will continue to be in compliance with the asset tests described above. If we fail to satisfy the asset tests at the end of our second, third or fourth calendar quarter, we may nevertheless continue to qualify as a REIT if we satisfied all of the asset tests at the close of the preceding calendar quarter and the discrepancy between the value of our assets and the asset test requirements is due to changes in the market values of our assets and not in any part caused by an acquisition of non-qualifying assets.
 
Furthermore, if we fail to satisfy any of the asset tests at the end of any calendar quarter without curing such failure within 30 days after the end of such quarter, we would fail to qualify as a REIT unless we qualified under certain relief provisions enacted as part of the American Jobs Creation Act of 2004. Under one relief provision, we would continue to qualify as a REIT if our failure to satisfy the 5% asset test, the 10% voting securities test or the 10% value test is due to the ownership of assets having a total value not exceeding the lesser of 1% of our assets at the end of the relevant quarter or $10 million and we disposed of such assets (or otherwise met such asset tests) within six months after the end of the quarter in which the failure was identified. If we fail to satisfy any of the asset tests for a particular quarter but do not qualify under the relief provision described in the preceding sentence, then we would be deemed to have satisfied the relevant asset test if: (i) following identification of the failure, we filed a schedule with a description of each asset that caused the failure; (ii) the failure is due to reasonable cause and not willful neglect; (iii) we disposed of the non-qualifying asset (or otherwise met the relevant asset test) within six months after the end of the quarter in which the failure was identified; and (iv) we paid a penalty tax equal to the greater of $50,000 or the highest corporate tax rate multiplied by the net income generated by the non-qualifying asset during the period beginning on the first date of the failure and ending on the date we disposed of the asset (or otherwise cured the asset test failure). We cannot predict, however, whether in all circumstances we would be entitled to the benefit of these relief provisions. If we fail to satisfy any of the asset tests and do not qualify for the relief provisions, we will lose our REIT status, which would have a Material Adverse Effect on us.


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Foreclosure Property
 
The foreclosure property rules permit us (by our election) to foreclose or repossess properties without being disqualified as a REIT as a result of receiving income that does not qualify under the gross income tests. However, in that case, we would be subject to a corporate tax on the net non-qualifying income from “foreclosure property,” and the after-tax amount would increase the dividends we would be required to distribute to stockholders. See “— Annual Distribution Requirements” below.
 
Foreclosure property treatment will end on the first day on which we enter into a lease of the applicable property that will give rise to income that does not constitute “good REIT” income under Section 856(c)(3) of the Code. In addition, foreclosure property treatment will end if any construction takes place on the property (other than completion of a building or other improvement more than 10% complete before default became imminent). Foreclosure property treatment (other than for qualified healthcare property) is available for an initial period of three years and may, in certain circumstances, be extended for an additional three years. Foreclosure property treatment for qualified healthcare property is available for an initial period of two years and may, in certain circumstances, be extended for an additional four years.
 
Taxable REIT Subsidiaries
 
A taxable REIT subsidiary, or “TRS,” is a corporation subject to tax as a regular C corporation. Generally, a TRS can own assets that cannot be owned by a REIT and can perform tenant services (excluding the direct or indirect operation or management of a lodging or healthcare facility) that would otherwise disqualify the REIT’s rental income under the gross income tests. We are permitted to own up to 100% of a TRS, subject to the 25% TRS test, but there are certain limits on the ability of a TRS to deduct interest payments made to us. In addition, we are subject to a 100% penalty tax on any excess payments that we receive or any excess expenses deducted by the TRS if the economic arrangements between the REIT, the REIT’s tenants and the TRS are not comparable to similar arrangements among unrelated parties.
 
Annual Distribution Requirements
 
In order to be taxed as a REIT, we are required to distribute dividends (other than capital gain dividends) to our stockholders in an amount at least equal to the sum of (i) 90% of our “REIT taxable income” (computed without regard to the dividends paid deduction and our net capital gain) and (ii) 90% of the net income (after tax), if any, from foreclosure property, minus the sum of certain items of non-cash income. These dividends must be paid in the taxable year to which they relate, or in the following taxable year if (i) they are declared in October, November or December, payable to stockholders of record on a specified date in any one of those months and actually paid during January of such following year or (ii) they are declared before we timely file our tax return for such year and paid on or before the first regular dividend payment after such declaration, and we elect on our federal income tax return for the prior year to have a specified amount of the subsequent dividend as treated as paid in the prior year. To the extent we do not distribute all of our net capital gain or at least 90%, but less than 100%, of our “REIT taxable income,” as adjusted, we will be subject to tax on the undistributed amount at regular capital gains and ordinary corporate tax rates except to the extent of our net operating loss or capital loss carryforwards. If we pay any Built-in Gains Taxes, those taxes will be deductible in computing REIT taxable income. Moreover, if we fail to distribute during each calendar year (or, in the case of distributions with declaration and record dates falling in the last three months of the calendar year, by the end of January following such calendar year) at least the sum of 85% of our REIT ordinary income for such year, 95% of our REIT capital gain net income for such year (other than long-term capital gain we elect to retain and treat as having been distributed to stockholders), and any undistributed taxable income from prior periods, we will be subject to a 4% nondeductible excise tax on the excess of such required distribution over the amounts actually distributed.
 
We believe but cannot assure you that we have satisfied the annual distribution requirements for the year of our initial REIT election and each year thereafter through the year ended December 31, 2010. Although we intend to satisfy the annual distribution requirements to continue to qualify as a REIT for the year ending


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December 31, 2011 and subsequent years, economic, market, legal, tax or other considerations could limit our ability to meet those requirements.
 
In Revenue Procedure 2010-12, the IRS stated that it would treat stock dividends as distributions for purposes of satisfying the REIT distribution requirements for calendar years 2008 through 2012, provided that stockholders can elect to receive the distribution in either cash or stock, subject to certain limitations. Any stock so distributed would be taxable to the recipient. We may choose to declare stock dividends in accordance with Revenue Procedure 2010-12 or otherwise. We also have net operating loss carryforwards that we can use to reduce our annual distribution requirements. See “Note 12 — Income Taxes” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
 
Failure to Continue to Qualify
 
If we fail to satisfy one or more requirements for REIT qualification, other than by violating a gross income or asset test for which relief is otherwise available as described above, we would retain our REIT qualification if the failure is due to reasonable cause and not willful neglect and if we pay a penalty of $50,000 for each such failure. We cannot predict, however, whether in all circumstances we would be entitled to the benefit of this relief provision.
 
If our election to be taxed as a REIT is revoked or terminated (e.g., due to a failure to meet the REIT qualification tests without qualifying for any applicable relief provisions), we would be subject to tax (including any applicable alternative minimum tax) on our taxable income at regular corporate rates (for all open tax years beginning with the year our REIT election is revoked or terminated), except to the extent of our net operating loss and capital loss carryforwards, and distributions to stockholders would not be deductible by us, nor would they be required to be made. To the extent of current and accumulated earnings and profits, all distributions to stockholders would be taxable as ordinary income, and, subject to certain limitations in the Code, corporate stockholders may be eligible for the dividends received deduction. In addition, we would be prohibited from re-electing REIT status for the four taxable years following the year during which we ceased to qualify as a REIT, unless certain relief provisions of the Code applied. We cannot predict, however, whether we would be entitled to such relief.
 
Federal Income Taxation of U.S. Stockholders
 
As used herein, the term “U.S. Stockholder” refers to any beneficial owner of our common stock that is, for U.S. federal income tax purposes, an individual who is a citizen or resident of the United States, a corporation created or organized in or under the laws of the United States, any state thereof or the District of Columbia, an estate the income of which is includible in gross income for U.S. federal income tax purposes regardless of its source, or a trust if (i) a U.S. court is able to exercise primary supervision over the administration of such trust or (ii) the trust has elected under applicable U.S. Treasury Regulations to retain its pre-August 20, 1996 classification as a U.S. person. If an entity treated as a partnership for U.S. federal income tax purposes holds our common stock, the tax treatment of a partner in the partnership will generally depend on the status of the partner and the activities of the partnership. Partners of partnerships holding our stock should consult their tax advisors. This section assumes the U.S. Stockholder holds our common stock as a capital asset.
 
As long as we qualify as a REIT, distributions made to our taxable U.S. Stockholders out of current or accumulated earnings and profits (and not designated as capital gain dividends) generally will be taxable to such U.S. Stockholders as ordinary income and will not be eligible for the qualified dividends rate generally available to non-corporate holders or for the dividends received deduction generally available to corporations. Distributions that are designated as capital gain dividends will be taxed as a capital gain (to the extent such distributions do not exceed our actual net capital gain for the taxable year) without regard to the period for which the stockholder has held its shares. Distributions in excess of current and accumulated earnings and profits will not be taxable to a U.S. Stockholder to the extent they do not exceed the adjusted basis of the stockholder’s shares (determined on a share-by-share basis), but rather will reduce the adjusted basis of those shares. To the extent that distributions in excess of current and accumulated earnings and profits exceed the


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adjusted basis of a stockholder’s shares, such distributions will be included in income as capital gains. The tax rate applicable to such capital gains will depend on the stockholder’s holding period for the shares. Any distribution declared by us and payable to a stockholder of record on a specified date in October, November or December of any year will be treated as both paid by us and received by the stockholder on December 31 of that year, provided that we actually pay the distribution during January of the following calendar year.
 
We may elect to treat all or a part of our undistributed net capital gain as if it had been distributed to our stockholders (including for purposes of the 4% excise tax discussed above under “— Requirements for Qualification as a REIT — Annual Distribution Requirements”). If we make such an election, our stockholders would be required to include in their income as long-term capital gain their proportionate share of our undistributed net capital gain, as designated by us. Each such stockholder would be deemed to have paid its proportionate share of the income tax imposed on us with respect to such undistributed net capital gain, and this amount would be credited or refunded to the stockholder. In addition, the tax basis of the stockholder’s shares would be increased by its proportionate share of undistributed net capital gains included in its income, less its proportionate share of the income tax imposed on us with respect to such gains.
 
Stockholders may not include in their individual income tax returns any of our net operating losses or net capital losses. Instead, we would carry over those losses for potential offset against our future income, subject to certain limitations. Taxable distributions from us and gain from the disposition of our common stock will not be treated as passive activity income, and, therefore, stockholders generally will not be able to apply any “passive activity losses” (such as losses from certain types of limited partnerships in which the stockholder is a limited partner) against such income. In addition, taxable distributions from us generally will be treated as investment income for purposes of the investment interest limitations.
 
We will notify stockholders after the close of our taxable year as to the portions of the distributions attributable to that year that constitute ordinary income, return of capital and capital gain. To the extent a portion of the distribution is designated as a capital gain dividend, we will notify stockholders as to the portion that is a “15% rate gain distribution” and the portion that is an unrecaptured Section 1250 distribution. A 15% rate gain distribution is a capital gain distribution to domestic stockholders that are individuals, estates or trusts that is taxable at a maximum rate of 15%. An unrecaptured Section 1250 gain distribution would be taxable to taxable domestic stockholders that are individuals, estates or trusts at a maximum rate of 25%.
 
Taxation of U.S. Stockholders on the Disposition of Shares of Common Stock
 
In general, a U.S. Stockholder who is not a dealer in securities must treat any gain or loss realized upon a taxable disposition of our common stock as long-term capital gain or loss if the stockholder has held the shares for more than one year, and otherwise as short-term capital gain or loss. However, a U.S. Stockholder must treat any loss upon a sale or exchange of shares of our common stock held for six months or less as a long-term capital loss to the extent of capital gain dividends and any other actual or deemed distributions from us which the stockholder treats as long-term capital gain. All or a portion of any loss that a U.S. Stockholder realizes upon a taxable disposition of our common stock may be disallowed if the stockholder purchases other shares of our common stock within 30 days before or after the disposition.
 
Treatment of Tax-Exempt Stockholders
 
Tax-exempt organizations, including qualified employee pension and profit sharing trusts and individual retirement accounts (collectively, “Exempt Organizations”), generally are exempt from U.S. federal income taxation. However, they are subject to taxation on their unrelated business taxable income (“UBTI”). While many investments in real estate generate UBTI, the IRS has issued a published ruling that dividend distributions by a REIT to an exempt employee pension trust do not constitute UBTI, provided that the shares of the REIT are not otherwise used in an unrelated trade or business of the exempt employee pension trust. Based on that ruling, and subject to the exceptions discussed below, amounts distributed by us to Exempt Organizations generally should not constitute UBTI. However, if an Exempt Organization finances its acquisition of our common stock with debt, a portion of its income from us will constitute UBTI pursuant to the “debt-financed property” rules. Furthermore, social clubs, voluntary employee benefit associations,


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


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gain on the sale or exchange of U.S. real property interests are not subject to U.S. taxation if there is no withholding requirement.
 
If a Non-U.S. Stockholder does not own more than 5% of our common shares at any time during the one-year period ending on the date of a distribution, the gain will not be considered to be effectively connected with a U.S. business, and the Non-U.S. Stockholder would not be required to file a U.S. federal income tax return by receiving such a distribution. In this case, the distribution will be treated as a REIT dividend to that Non-U.S. Stockholder and taxed as a REIT dividend that is not a capital gain distribution (and subject to possible withholding), as described above. In addition, the branch profits tax will not apply to the distribution. For so long as our common stock continues to be regularly traded on an established securities market, the sale of such stock by any Non-U.S. Stockholder who is not a Five Percent Non-U.S. Stockholder (as defined below) generally will not be subject to U.S. federal income tax (unless the Non-U.S. Stockholder is a nonresident alien individual who was present in the United States for more than 182 days during the taxable year of the sale and certain other conditions apply, in which case such gain will be subject to a 30% tax on a gross basis). A “Five Percent Non-U.S. Stockholder” is a Non-U.S. Stockholder who, at some time during the five-year period preceding such sale or disposition, beneficially owned (including under certain attribution rules) more than 5% of the total fair market value of our common stock (as outstanding from time to time).
 
In general, the sale or other taxable disposition of our common stock by a Five Percent Non-U.S. Stockholder also will not be subject to U.S. federal income tax if we are a “domestically controlled REIT.” A REIT is a “domestically controlled REIT” if, at all times during the five-year period preceding the disposition in question, less than 50% in value of its shares is held directly or indirectly by Non-U.S. Stockholders. Although we believe that we currently qualify as a domestically controlled REIT, because our common stock is publicly traded, we cannot assure you that we currently qualify or will qualify as a domestically controlled REIT at any time in the future. If we do not constitute a domestically controlled REIT, a Five Percent Non-U.S. Stockholder will be taxed in the same manner as a U.S. Stockholder with respect to gain on the sale of our common stock (subject to applicable alternative minimum tax and a special alternative minimum tax in the case of nonresident alien individuals).
 
Information Reporting Requirements and Backup Withholding Tax
 
Information returns may be filed with the IRS and backup withholding tax may be collected in connection with distributions paid or required to be treated as paid during each calendar year and payments of the proceeds of a sale or other disposition of our common stock. Under the backup withholding rules, a stockholder may be subject to backup withholding at the applicable rate (currently 28% and scheduled to increase to 31% in 2011) with respect to distributions paid and proceeds from a disposition of our common stock unless such holder is a corporation, non-U.S. person or comes within certain other exempt categories and, when required, demonstrates this fact or provides a taxpayer identification number, certifies as to no loss of exemption from backup withholding and otherwise complies with the applicable requirements of the backup withholding rules. A stockholder who does not provide us with its correct taxpayer identification number also may be subject to penalties imposed by the IRS.
 
Backup withholding is not an additional tax. Rather, the U.S. federal income tax liability of persons subject to backup withholding tax will be offset by the amount of tax withheld. If backup withholding tax results in an overpayment of U.S. federal income taxes, a refund or credit may be obtained from the IRS, provided the required information is furnished timely thereto.
 
As a general matter, backup withholding and information reporting will not apply to a payment of the proceeds of a sale of our common stock by or through a foreign office of a foreign broker. Information reporting (but not backup withholding) will apply, however, to a payment of the proceeds of a sale of our common stock by a foreign office of a broker that is a U.S. person, a foreign partnership that derives 50% or more of its gross income for certain periods from the conduct of a trade or business in the United States, or more than 50% of whose capital or profit interests are owned during certain periods by U.S. persons, or a “controlled foreign corporation” for U.S. tax purposes, unless the broker has documentary evidence in its records that the holder is a Non-U.S. Stockholder and certain other conditions are satisfied, or the stockholder


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otherwise establishes an exemption. Payment to or through a U.S. office of a broker of the proceeds of a sale of our common stock is subject to both backup withholding and information reporting unless the stockholder certifies under penalties of perjury that the stockholder is a Non-U.S. Stockholder or otherwise establishes an exemption. A stockholder may obtain a refund of any amounts withheld under the backup withholding rules in excess of its U.S. federal income tax liability by timely filing the appropriate claim for a refund with the IRS.
 
Other Tax Consequences
 
State and Local Taxes
 
We and/or our stockholders may be subject to taxation by various states and localities, including those in which we or a stockholder transact business, own property or reside. State and local tax treatment may differ from the federal income tax treatment described above. Consequently, stockholders should consult their own tax advisers regarding the effect of state and local tax laws, in addition to federal, foreign and other tax laws, in connection with an investment in our common stock.
 
Possible Legislative or Other Actions Affecting Tax Consequences
 
You should recognize that future legislative, judicial and administrative actions or decisions, which may be retroactive in effect, could adversely affect our federal income tax treatment or the tax consequences of an investment in shares of our common stock. The rules dealing with U.S. federal income taxation are constantly under review by persons involved in the legislative process and by the IRS and the U.S. Treasury Department, resulting in statutory changes as well as promulgation of new, or revisions to existing, regulations and revised interpretations of established concepts.
 
We cannot predict the likelihood of passage of any new tax legislation or other provisions either directly or indirectly affecting us or our stockholders or the value of an investment in our common stock.
 
ITEM 1A.   Risk Factors
 
This section discusses the most significant factors that affect our business, operations and financial condition. It does not describe all risks and uncertainties applicable to us, our industry or ownership of our securities. If any of the following risks, as well as other risks and uncertainties that are not yet identified or that we currently think are not material, actually occur, we could be materially adversely affected. In that event, the value of our securities could decline.
 
We have grouped these risk factors into three general categories:
 
  •  Risks arising from our business;
 
  •  Risks arising from our capital structure; and
 
  •  Risks arising from our status as a REIT.
 
Risks Arising from Our Business
 
We depend on Kindred and Brookdale Senior Living for a significant portion of our revenues and operating income; Any inability or unwillingness by Kindred or Brookdale Senior Living to satisfy its obligations under its agreements with us could have a Material Adverse Effect on us.
 
We lease a substantial portion of our properties to Kindred and Brookdale Senior Living, and each of them is a significant source of our total revenues and operating income. Since the Kindred Master Leases and our leases with Brookdale Senior Living are triple-net leases, we depend on Kindred and Brookdale Senior Living not only for rental income, but also to pay insurance, taxes, utilities and maintenance and repair expenses in connection with the leased properties. Any inability or unwillingness by Kindred or Brookdale Senior Living to make rental payments to us or to otherwise satisfy its obligations under its agreements with us could have a Material Adverse Effect on us. In addition, any failure by Kindred or Brookdale Senior Living to effectively conduct its operations or to maintain and improve our properties could adversely affect its


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business reputation and its ability to attract and retain patients and residents in our properties, which could have a Material Adverse Effect on us. Kindred and Brookdale Senior Living have also agreed to indemnify, defend and hold us harmless from and against various claims, litigation and liabilities arising in connection with their respective businesses, and we cannot assure you that either Kindred or Brookdale Senior Living will have sufficient assets, income, access to financing and insurance coverage to enable it to satisfy its indemnification obligations.
 
The properties managed by Sunrise account for a significant portion of our revenues and operating income; Adverse developments in Sunrise’s business and affairs or financial condition could have a Material Adverse Effect on us.
 
Sunrise currently manages 79 of our seniors housing communities pursuant to long-term management agreements. These properties represent a substantial portion of our portfolio, based on their gross book value, and account for a significant portion of our total revenues and operating income. Although we have various rights as owner under the Sunrise management agreements, we rely on Sunrise’s personnel, good faith, expertise, historical performance, technical resources and information systems, proprietary information and judgment to manage our properties efficiently and effectively. We also rely on Sunrise to set resident fees, to provide accurate property-level financial results for our properties in a timely manner and to otherwise operate those properties in accordance with the terms of our management agreements and in compliance with all applicable laws and regulations. For example, we depend on Sunrise’s ability to attract and retain skilled management personnel who are responsible for the day-to-day operations of our seniors housing communities. A shortage of nurses or other trained personnel or general inflationary pressures may force Sunrise to enhance its pay and benefits package to compete effectively for such personnel, and Sunrise may not be able to offset such added costs by increasing the rates charged to residents. Any increase in labor costs and other property operating expenses, any failure by Sunrise to attract and retain qualified personnel, or changes in Sunrise’s senior management could adversely affect the income we receive from our Sunrise-managed communities and have a Material Adverse Effect on us.
 
In addition, any adverse developments in Sunrise’s business and affairs, financial strength or ability to operate our properties efficiently and effectively could have a Material Adverse Effect on us. If Sunrise experiences any significant financial, legal, accounting or regulatory difficulties due to the weakened economy or otherwise, such difficulties could result in, among other adverse events, acceleration of its indebtedness, the inability to renew or extend its revolving credit facility, the enforcement of default remedies by its counterparties or the commencement of insolvency proceedings under the U.S. Bankruptcy Code by or against Sunrise, any one or a combination of which could have a Material Adverse Effect on us.
 
We face potential adverse consequences of bankruptcy or insolvency by our tenants, operators, borrowers, managers and other obligors.
 
We are exposed to the risk that our tenants, operators, borrowers, managers or other obligors could become bankrupt or insolvent. Although our lease, loan and management agreements provide us with the right to exercise certain remedies in the event of default on the obligations owing to us or upon the occurrence of certain insolvency events, the bankruptcy and insolvency laws afford certain rights to a party that has filed for bankruptcy or reorganization. For example, a debtor-lessee may reject its lease with us in a bankruptcy proceeding. In such a case, our claim against the debtor-lessee for unpaid and future rents would be limited by the statutory cap of the U.S. Bankruptcy Code. This statutory cap might be substantially less than the remaining rent actually owed under the lease, and it is quite likely that any claim we might have for unpaid rent would not be paid in full. In addition, a debtor-lessee may assert in a bankruptcy proceeding that its lease should be re-characterized as a financing agreement. If such a claim is successful, our rights and remedies as a lender, compared to a landlord, would generally be more limited. Similarly, if a debtor-manager seeks bankruptcy protection, the automatic stay provisions of the U.S. Bankruptcy Code would preclude us from enforcing our remedies against the manager unless relief is first obtained from the court having jurisdiction over the bankruptcy case. In the event of an obligor bankruptcy, we may also be required to fund certain expenses and obligations (e.g., real estate taxes, debt costs and maintenance expenses) to preserve the value of


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our properties, avoid the imposition of liens on a property and/or transition a property to a new tenant, operator or manager.
 
We may be unable to reposition our properties on as favorable terms, or at all, if we have to replace any of our tenants or operators, and we may be subject to delays, limitations and expenses in repositioning our assets.
 
We cannot predict whether our tenants will renew existing leases upon their expiration. If the Kindred Master Leases, our leases with Brookdale Senior Living or any of our other leases are not renewed, we would be required to reposition those properties with another tenant or operator. In case of non-renewal, we generally have one year prior to expiration of the lease term to arrange for such repositioning and our tenants are required to continue to perform all of their obligations (including the payment of all rental amounts) for the non-renewed assets until such expiration. However, following expiration of the lease term or in the event we exercise our right to replace a tenant upon a lease default, during any period that we are attempting to locate a suitable replacement tenant or operator, there could be a decrease or cessation of rental payments on those properties. We also might not be successful in identifying suitable replacements or entering into leases with new tenants or operators on a timely basis or on terms as favorable to us as our current leases, if at all, and we may be required to fund certain expenses and obligations (e.g., real estate taxes, debt costs and maintenance expenses) to preserve the value and avoid the imposition of liens on properties while they are being repositioned.
 
Our ability to reposition our properties with another suitable tenant or operator could be significantly delayed or limited by various state licensing receivership, CON or other laws, as well as by the Medicare and Medicaid change-of-ownership rules. We could also incur substantial additional expenses in connection with any licensing, receivership or change-of-ownership proceedings. In the case of our MOBs, our ability to locate suitable replacement tenants could be impaired by the specialized medical uses of those properties, and we may be required to spend substantial amounts to adapt the MOB to other uses. Any such delays, limitations and expenses could adversely impact our ability to collect rent, obtain possession of leased properties or otherwise exercise remedies for tenant default and could have a Material Adverse Effect on us.
 
We have now, and may have in the future, exposure to contingent rent escalators, which can hinder our growth and profitability.
 
We receive a significant portion of our revenues by leasing our assets under long-term triple-net leases in which the rental rate is generally fixed with annual escalations. Certain of our leases contain escalators contingent upon the achievement of specified revenue parameters or based on changes in the Consumer Price Index. If the revenues generated by our triple-net leased properties as a result of weak economic conditions or other factors or the Consumer Price Index does not increase, our revenues attributes to these leases may not increase.
 
The weakened economy could adversely impact our operating income and earnings, as well as the results of operations of our tenants and operators, which could impair their ability to meet their obligations to us.
 
Continued concerns about the U.S. economy and the systemic impact of high unemployment, volatile energy costs, geopolitical issues, the availability and cost of credit, the U.S. mortgage market and a severely distressed real estate market have contributed to increased market volatility and weakened business and consumer confidence. This difficult operating environment could adversely affect our ability to generate revenues and/or increase our costs at our Sunrise-managed properties, thereby reducing our operating income and earnings. It could also have an adverse impact on the ability of our tenants and operators to maintain occupancy and rates in our properties, which could harm their financial condition. These economic conditions could cause us to experience operating deficiencies at our Sunrise-managed properties and/or cause our tenants and operators to be unable to meet their rental payments and other obligations due to us, which could have a Material Adverse Effect on us.


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We may be unable to successfully foreclose on the collateral securing our real estate loan investments, and even if we are successful in our foreclosure efforts, we may be unable to successfully reposition the properties, which may adversely affect our ability to recover our investments.
 
If a borrower defaults under any of our mortgage loans, we may have to foreclose on the loan or protect our interest by acquiring title to the property and thereafter making substantial improvements or repairs in order to maximize the property’s investment potential. The borrower may contest enforcement of foreclosure or other remedies, seek bankruptcy protection against our exercise of enforcement or other remedies and/or bring claims for lender liability in response to actions to enforce mortgage obligations. If the borrower seeks bankruptcy protection, the automatic stay provisions of the U.S. Bankruptcy Code would preclude us from enforcing foreclosure or other remedies against the borrower unless relief is first obtained from the court having jurisdiction over the bankruptcy case. Foreclosure-related costs, high loan-to-value ratios or declines in the value of the property may prevent us from realizing an amount equal to our mortgage loans upon foreclosure, and we may be required to record valuation allowance for such losses. Even if we are able to successfully foreclose on the collateral securing our real estate loan investments, we may inherit properties that we are unable to expeditiously reposition with new tenants or operators, if at all, which would adversely affect our ability to recover our investment.
 
We are exposed to various operational risks, liabilities and claims with respect to our operating assets that may adversely affect our ability to generate revenues and/or increase our costs and could have a Material Adverse Effect on us.
 
We are exposed to various operational risks, liabilities and claims with respect to our operating assets, including our Sunrise-managed properties and our MOBs, that may adversely affect our ability to generate revenues and/or increase our costs, thereby reducing our profitability. These risks include fluctuations in occupancy levels, the inability to achieve economic resident fees (including anticipated increases in those fees), rent control regulations, increases in costs of materials, energy, labor (as a result of unionization or otherwise) and services, national and regional economic conditions, the imposition of new or increased taxes, capital expenditure requirements, professional and general liability claims and the availability and costs of professional and general liability insurance. Any one or a combination of these factors could result in operating deficiencies at our operating assets which could have a Material Adverse Effect on us.
 
We may encounter certain risks when implementing our business strategy to pursue investments in, and/or acquisitions or development of, additional seniors housing and/or healthcare assets.
 
We intend to continue to pursue investments in, and/or acquisitions or development of, additional seniors housing and/or healthcare assets domestically and internationally, subject to the contractual restrictions contained in our unsecured revolving credit facilities and the indentures governing our outstanding senior notes. Investments in and acquisitions of these properties, including our pending Atria acquisition, entail general risks associated with any real estate investment, including risks that the investment will fail to perform in accordance with expectations, that the estimates of the cost of improvements necessary for acquired properties will prove inaccurate or that the tenant, operator or manager will fail to meet performance expectations. Furthermore, healthcare properties are often highly customized and may require costly tenant-specific improvements.
 
In addition, any new development projects that we pursue would be subject to risks of construction delays or cost overruns that may increase project costs, new project commencement risks such as receipt of zoning, occupancy and other required governmental approvals and permits and the risk of incurring development costs in connection with projects that are not pursued to completion. Investments in and acquisitions of properties outside the United States would also expose us to legal, economic and market risks associated with operating in foreign countries, such as currency and tax risks. If we incur additional debt or issue equity securities, or both, to finance future investments, acquisitions or development activity (as we intend to do in our pending Atria acquisition), our leverage could increase or our per share financial results could be reduced.


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When we attempt to finance, acquire or develop properties, we compete with healthcare providers, other healthcare REITs, healthcare lenders, real estate partnerships, banks, insurance companies, private equity firms and other investors, some of whom may have greater financial resources and lower costs of capital than we do. Our ability to compete successfully for investment and acquisition opportunities is affected by many factors, including our cost of obtaining debt and equity capital at rates comparable to or better than our competitors. Increased competition makes it more challenging for us to identify and successfully capitalize on opportunities that meet our business objectives and could improve the bargaining power of property owners seeking to sell, thereby impeding our investment, acquisition and development activities. See “Business — Competition” included in Item 1 of this Annual Report on Form 10-K. Even if we succeed in identifying and competing for such opportunities, we could encounter unanticipated difficulties and expenditures relating to the properties or businesses we invest in or acquire, the investment or acquisition could divert management’s attention from our existing business, or the value of such investment or acquisition could decrease substantially, some or all of which could have a Material Adverse Effect on us.
 
As we invest in, and/or acquire or develop, additional seniors housing and/or healthcare assets or businesses, we expect that the number of operators of our properties and, potentially, our business segments will increase. We cannot assure you that we will have the capabilities to successfully monitor and manage a portfolio of properties with a growing number of operators and/or manage such businesses. Moreover, in some cases, acquisitions require the integration of companies that have previously operated independently. Successful integration of the operations of those companies will depend primarily on our ability to consolidate operations, systems, procedures and personnel to eliminate redundancies and costs. Potential difficulties we could encounter during integration include the loss of key employees, disruption of our business, possible inconsistencies in standards, controls, procedures and policies, and the assumption of unexpected liabilities. In addition, projections of estimated future revenues, costs savings or operating metrics that we develop during the due diligence and integration planning process could prove to be inaccurate. If we experience any of these difficulties, or if we later discover additional liabilities or experience unforeseen costs relating to acquisitions, we might not achieve the economic benefit we expect, which could have a Material Adverse Effect on us.
 
Our investments are concentrated in seniors housing and healthcare real estate, making us more vulnerable economically than if our investments were diversified.
 
We invest primarily in real estate — in particular, seniors housing and healthcare properties. This concentration exposes us to all of the risks inherent in investments in real estate to a greater degree than if our portfolio was diversified, and these risks are magnified by the fact that our real estate investments are limited to properties used in the seniors housing or healthcare industries. If the current downturn in the real estate industry continues or intensifies, it could adversely affect the value of our properties and our ability to sell properties for a price or on terms acceptable to us. A downturn in the seniors housing or healthcare industries could negatively impact our operating income and earnings, as well as our operators’ ability to make rental payments to us, which, in turn, could have a Material Adverse Effect on us.
 
Because real estate investments are relatively illiquid, our ability to quickly sell or exchange any of our properties in response to changes in economic or other conditions will be limited. In addition, transfers of healthcare properties may be subject to regulatory approvals that are not required for transfers of other types of commercial properties. We cannot give any assurances that we will recognize full value for any property that we are required to sell for liquidity reasons. This inability to respond quickly to changes in the performance of our investments could adversely affect our business, results of operations and financial condition.
 
The healthcare industry is highly competitive. The occupancy levels at, and revenues from, our properties depend on the ability of our operators and managers to successfully compete with other operators and managers, including on the bases of scope and quality of care and services provided, reputation and financial condition, physical appearance of the properties, price, and location. We cannot be certain that our operators and managers will be able to achieve and maintain occupancy and rate levels that will enable them to meet all of their obligations to us. Moreover, our operators and managers may encounter increased competition in the future that could limit their ability to attract residents and patients or expand their businesses, which could


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materially adversely affect their ability to meet their obligations to us and, in turn, could have a Material Adverse Effect on us.
 
Furthermore, the healthcare industry is highly regulated, and changes in government regulation and reimbursement in the past have had material adverse consequences on the industry in general, which consequences may not have been contemplated by lawmakers and regulators. We cannot assure you that future changes in government regulation of healthcare will not have a material adverse effect on the healthcare industry, including our seniors housing and healthcare operations, tenants and operators. Our ability to invest in non-seniors housing or non-healthcare properties is restricted by the terms of our unsecured revolving credit facilities, so these adverse effects may be more pronounced than if we diversified our investments outside of real estate or outside of seniors housing or healthcare properties.
 
Our tenants, operators and managers may be adversely affected by increasing healthcare regulation and enforcement.
 
Over the last several years, the regulatory environment surrounding the long-term healthcare industry has intensified both in the amount and type of regulations and in the efforts to enforce those regulations. This is particularly true for large for-profit, multi-facility providers like Kindred, Brookdale Senior Living and Sunrise. The extensive federal, state and local laws and regulations affecting the healthcare industry include those relating to, among other things, licensure, conduct of operations, ownership of facilities, addition of facilities and equipment, allowable costs, services, prices for services, qualified beneficiaries, quality of care, patient rights, fraudulent or abusive behavior, and financial and other arrangements which may be entered into by healthcare providers. Changes in enforcement policies by federal and state governments have resulted in a significant increase in the number of inspections, citations of regulatory deficiencies and other regulatory sanctions, including terminations from the Medicare and Medicaid programs, bars on Medicare and Medicaid payments for new admissions, civil monetary penalties and even criminal penalties. See “Governmental Regulation — Healthcare Regulation” included in Item 1 of this Annual Report on Form 10-K.
 
If our tenants, operators and managers fail to comply with the extensive laws, regulations and other requirements applicable to their businesses and the operation of our properties, they could become ineligible to receive reimbursement from governmental and private third-party payor programs, face bans on admissions of new patients or residents, suffer civil and/or criminal penalties and/or be required to make significant changes to their operations. Our tenants, operators and managers also could be forced to expend considerable resources responding to an investigation or other enforcement action under applicable laws or regulations. In such event, the results of operations and financial condition of our tenants, operators and managers and the results of operations of our properties operated or managed by those entities could be adversely affected, which, in turn, could have a Material Adverse Effect on us. We are unable to predict the future course of federal, state and local regulation or legislation, including the Medicare and Medicaid statutes and regulations, or the intensity of enforcement efforts with respect to such regulation and legislation, and any changes in the regulatory framework could likewise have a material adverse effect on our tenants, operators and managers, which, in turn, could have a Material Adverse Effect on us.
 
Changes in the reimbursement rates or methods of payment from third-party payors, including the Medicare and Medicaid programs, could have a material adverse effect on certain of our tenants and operators.
 
Kindred and certain of our other tenants and operators rely on reimbursement from third-party payors, including the Medicare and Medicaid programs, for substantially all of their revenues. Various federal and state legislative and regulatory proposals have been made that would implement cost-containment measures that limit payments to healthcare providers. Budget crises and financial shortfalls could also cause states to implement Medicaid rate freezes or cuts. See “Governmental Regulation — Healthcare Regulation” included in Item 1 of this Annual Report on Form 10-K. In addition, private third-party payors have continued their efforts to control healthcare costs. We cannot assure you that adequate reimbursement levels will be available for services to be provided by Kindred and our other tenants and operators that are currently being reimbursed by Medicare, Medicaid or private payors. Significant limits by governmental and private third-party payors on


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the scope of services reimbursed and on reimbursement rates and fees could have a material adverse effect on the liquidity, financial condition and results of operations of certain of our tenants and operators, which could affect adversely their ability to make rental payments under, and otherwise comply with the terms of, their leases with us.
 
We have only limited rights to terminate our management agreements with Sunrise, and we may be unable to replace Sunrise if our management agreements are terminated or not renewed.
 
We and Sunrise are parties to long-term management agreements pursuant to which Sunrise currently provides comprehensive property management services with respect to 79 of our seniors housing communities. Each management agreement has an original term of 30 years commencing as early as 2004, but may be terminated by us upon the occurrence of an event of default by Sunrise in the performance of a material covenant or term thereof (including, in certain circumstances, the revocation of any licenses or certificates necessary for operation), subject in most cases to Sunrise’s rights to cure such defaults. Each management agreement may also be terminated upon the occurrence of certain insolvency events relating to Sunrise. In addition, we may terminate management agreements based on the failure to achieve certain NOI targets or to comply with certain expense control covenants. However, various legal and contractual considerations may limit or delay our exercise of any or all of these termination rights.
 
In the event that our management agreements with Sunrise are terminated for any reason or are not renewed upon expiration of their terms, we will have to find another manager for the properties covered by those agreements. We believe there are a number of qualified national and regional seniors care providers that would be interested in managing our Sunrise-managed properties. However, we cannot assure you that we will be able to locate another suitable manager or, if we are successful in locating such a manager, that it will manage the properties effectively. Moreover, any such replacement manager would require approval by the applicable regulatory authority and, in most cases, the mortgage lender of the applicable property. We cannot assure you that such approvals would be granted or that, if granted, the process of seeking such approvals would not cause delay. Any inability or lengthy delay in replacing Sunrise as manager following termination or non-renewal of our management agreements could have a Material Adverse Effect on us.
 
Our investments in joint ventures could be adversely affected by our lack of sole decision-making authority regarding major decisions, our reliance on our joint venture partners’ financial condition, any disputes that may arise between us and our joint venture partners and our exposure to potential losses from the actions of our joint venture partners.
 
As of December 31, 2010, we had controlling interests in six MOBs owned through joint ventures with partners who provide management and leasing services for the properties, and we had noncontrolling interests of between 5% and 20% in 58 MOBs owned through joint ventures with institutional third parties. These joint ventures involve risks not present with respect to our wholly owned properties, including the following:
 
  •  We may be prevented from taking actions that are opposed by our joint venture partners. Under certain of our joint venture arrangements, we may share decision-making authority with our joint venture partners regarding major decisions affecting the ownership or operation of the joint venture and any property owned by the joint venture, such as the sale or financing of the property or the making of additional capital contributions for the benefit of the property. For joint ventures where we have a noncontrolling interest our joint venture partners may take actions that we oppose;
 
  •  Our ability to transfer our interest in a joint venture to a third party may be restricted. Prior consent of our joint venture partners may be required for a sale or transfer to a third party of our interests in such joint ventures;
 
  •  Our joint venture partners might become bankrupt or fail to fund their share of required capital contributions, which may delay construction or development of a property or increase our financial commitment to the joint venture;


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  •  Our joint venture partners may have business interests or goals with respect to the property that conflict with our business interests and goals, which could increase the likelihood of disputes regarding the ownership, management or disposition of the property;
 
  •  Disputes may develop with our joint venture partners over decisions affecting the property or the joint venture, which may result in litigation or arbitration that could increase our expenses, distract our officers and/or directors from focusing their time and effort on our business and disrupt the day-to-day operations of the property, such as by delaying the implementation of important decisions until the conflict or dispute is resolved; and
 
  •  We may suffer losses as a result of the actions of our joint venture partners with respect to our joint venture investments.
 
We may be adversely affected by fluctuations in currency exchange rates.
 
We currently own twelve seniors housing communities in the Canadian provinces of Ontario and British Columbia. As a result, we are subject to fluctuations in U.S. and Canadian exchange rates, which may, from time to time, have an impact on our financial condition and results of operations. Increases or decreases in the value of the Canadian dollar will impact the amount of our net income. In addition, if we increase our international presence through investments in, and/or acquisitions or development of, seniors housing and/or healthcare assets outside the United States, we may transact additional business in currencies other than U.S. or Canadian dollars. Although we may decide to pursue hedging alternatives, including borrowing in local currencies, to protect against foreign currency fluctuations, we cannot assure you that any such fluctuations will not have a Material Adverse Effect on us.
 
Revenues from our senior living operations are dependent on private pay sources; Events which adversely affect the ability of seniors to afford our daily resident fees could cause our occupancy rates, resident fee revenues and results of operations to decline.
 
By and large, assisted and independent living services currently are not reimbursable under government reimbursement programs, such as Medicare and Medicaid. Hence, substantially all of the resident fee revenues generated by our senior living operations are derived from private pay sources consisting of income or assets of residents or their family members. In general, due to the expense associated with building new properties and the staffing and other costs of providing services at these properties, only seniors with income or assets meeting or exceeding the comparable median in the regions where our properties are located typically can afford to pay the daily resident and care fees. The current economic downturn and depressed housing market, as well as other events such as changes in demographics, could adversely affect the ability of seniors to afford these fees. If Sunrise or another manager is unable to attract and retain seniors with sufficient income, assets or other resources required to pay the fees associated with assisted and independent living services, our occupancy rates, resident fee revenues and results of operations could decline, which, in turn, could have a Material Adverse Effect on us.
 
Our ownership of certain properties subject to ground lease, air rights or other restrictive agreements exposes us to the loss of such properties upon breach or termination of such agreements, limits our uses of these properties and restricts our ability to sell or otherwise transfer such properties.
 
We hold interests in certain of our MOB properties through leasehold interests in the land on which the buildings are located, through leases of air rights for the space above the land on which the buildings are located or through similar agreements, and we may acquire or develop additional properties in the future that are subject to similar ground lease, air rights or other restrictive agreements. Under these agreements, we are exposed to the possibility of losing our interests in the property upon termination or an earlier breach by us. In addition, many of our ground lease, air rights and other restrictive agreements impose significant limitations on our uses of the subject properties and restrict our right to convey our interest in such agreements, which may limit our ability to timely sell or exchange the properties and impair their value.


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Overbuilding in markets in which our seniors housing communities and MOBs are located could adversely affect our future occupancy rates, operating margins and profitability.
 
Barriers to entry in the assisted living and MOB industries are not substantial. Consequently, the development of new seniors housing communities or MOBs could outpace demand. If the development of new seniors housing communities or MOBs outpaces demand for those asset types in the markets in which our properties are located, those markets may become saturated and we could experience decreased occupancy, reduced operating margins and lower profitability.
 
Termination of resident lease agreements could adversely affect our revenues and earnings.
 
Applicable regulations governing assisted living communities generally require written resident lease agreements with each resident. Most of these regulations also require that each resident have the right to terminate the resident lease agreement for any reason on reasonable notice. Consistent with these regulations, the resident lease agreements signed by Sunrise with respect to our properties managed by it generally allow residents to terminate their lease agreements on 30 days’ notice. Thus, Sunrise cannot contract with residents to stay for longer periods of time, unlike typical apartment leasing arrangements with terms of up to one year or longer. In addition, the resident turnover rate in our seniors housing communities may be difficult to predict. If a large number of resident lease agreements terminate at or around the same time, and if our units remained unoccupied, then our revenues and earnings could be adversely affected, which, in turn, could have a Material Adverse Effect on us.
 
Volatility or disruption in the capital markets could prevent our counterparties from satisfying their obligations to us.
 
Uncertainty in the capital markets and tightening of credit markets, similar to that experienced in recent years, could make accessing new capital more challenging and more expensive for our counterparties. Interest rate fluctuations, financial market volatility or credit market disruptions could limit the ability of our tenants, operators and managers to obtain credit to finance their businesses on acceptable terms, which could adversely affect their ability to satisfy their obligations to us. In addition, any difficulty experienced by our other counterparties, such as letters of credit issuers, insurance carriers, banking institutions, title companies and escrow agents, in accessing capital or other sources of funds could prevent such counterparties from remaining viable entities and/or satisfying their obligations to us, which could have a Material Adverse Effect on us.
 
The amount and scope of insurance coverage provided by our policies and policies maintained by our tenants, operators and managers may not adequately insure against losses.
 
We maintain and/or require in our existing leases and other agreements that our tenants, operators and managers maintain all applicable lines of insurance on our properties and their operations. Although we continually review the insurance maintained by us and our tenants, operators and managers and believe the coverage provided to be customary for similarly situated companies in our industry, we cannot assure you that in the future such insurance will be available at a reasonable cost or that we or our tenants, operators and managers will be able to maintain adequate levels of insurance coverage. We also cannot give any assurances as to the future financial viability of our insurers or that the insurance coverage provided will fully cover all losses on our properties upon the occurrence of a catastrophic event.
 
Should an uninsured loss or a loss in excess of insured limits occur, we could incur substantial liability or lose all or a portion of the capital we have invested in a property, as well as the anticipated future revenues from the property. In such an event, we might nevertheless remain obligated for any mortgage debt or other financial obligations related to the property. We cannot assure you that material uninsured losses, or losses in excess of insurance proceeds, will not occur in the future.
 
As part of our MOB development business, we provide engineering, construction and architectural services, and design, construction or systems failures may result in substantial injury or damage to clients and/or third parties. Injury or damage claims may arise in the ordinary course and may be asserted with respect to ongoing or completed projects. Although we maintain liability insurance, if any claim results in a


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loss, we cannot assure you that our insurance coverage would be adequate to cover the loss in full. If we sustain losses in excess of our insurance coverage, we may be required to make a payment for the difference and could lose our investment in, and/or experience reduced profits and cash flows from, the affected MOB, which could have a Material Adverse Effect on us.
 
Significant legal actions could subject us or our tenants, operators and managers to increased operating costs and substantial uninsured liabilities, which could materially adversely affect our or their liquidity, financial condition and results of operation.
 
From time to time, we may be directly involved in lawsuits and other legal proceedings. We may also be named as defendants in lawsuits arising out of alleged actions of our tenants, operators and managers for which such tenants, operators and managers have agreed to indemnify, defend and hold us harmless from and against certain claims and liabilities. An unfavorable resolution of pending or future litigation could have a Material Adverse Effect on us.
 
Our tenants, operators and managers continue to experience increases in both the frequency and severity of professional liability claims. In addition to large compensatory claims, plaintiffs’ attorneys continue to seek significant punitive damages and attorneys’ fees. Due to the historically high frequency and severity of professional liability claims against healthcare providers, the availability of professional liability insurance has been restricted and the premiums on such insurance coverage remain very high. As a result, the insurance coverage of our tenants, operators and managers might not cover all claims against them or continue to be available to them at a reasonable cost. If our tenants, operators and managers are unable to maintain adequate insurance coverage or are required to pay punitive damages, they may be exposed to substantial liabilities.
 
In addition, many healthcare providers are pursuing different organizational and corporate structures coupled with self-insurance programs that provide less insurance coverage. For example, Kindred insures its professional liability risks, in part, through a wholly owned, limited purpose insurance company, which insures initial losses up to specified coverage levels per occurrence with no aggregate coverage limit. Coverage for losses in excess of those per occurrence levels is maintained through unaffiliated commercial insurance carriers up to an aggregate limit, and all claims in excess of the aggregate limit are then insured by the limited purpose insurance company. Similarly, Sunrise maintains a self-insurance program to cover its general and professional liabilities. Our tenants, operators and managers, like Kindred and Sunrise, that insure any part of their general and professional liability risks through their own captive limited purpose entities generally estimate the future cost of general and professional liability through actuarial studies that rely primarily on historical data. However, due to the rise in the number and severity of professional claims against healthcare providers, these actuarial studies may underestimate the future cost of claims, and reserves for future claims may not be adequate to cover the actual cost of those claims.
 
As a result, the tenants, operators and managers of our properties could incur large funded and unfunded professional liability expense, which could materially adversely affect their liquidity, financial condition and results of operations, and, in turn, their ability to make rental payments under, or otherwise comply with the terms of, their leases with us or, with regard to our Sunrise-managed properties, our results of operations, which could have a Material Adverse Effect on us.
 
The hospitals on whose campuses our MOBs are located and their affiliated health systems could fail to remain competitive or financially viable, which could adversely impact their ability to attract physicians and physician groups to our MOBs.
 
Our MOB operations depend on the viability of the hospitals on or near whose campuses our MOBs are located and their affiliated health systems in order to attract physicians and other healthcare-related clients. The viability of these hospitals, in turn, depends on factors such as the quality and mix of healthcare services provided, competition, demographic trends in the surrounding community, market position and growth potential, as well as the ability of the affiliated health systems to provide economies of scale and access to capital. If a hospital on or near whose campus one of our MOBs is located is unable to meet its financial obligations, and if an affiliated health system is unable to support that hospital, the hospital may not be able to


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compete successfully or it could be forced to close or relocate, which could adversely impact its ability to attract physicians and other healthcare-related clients. Because we rely on our proximity to and affiliations with these hospitals to create demand for space in our MOBs, their inability to remain competitive or financially viable, or to attract physicians and physician groups, could materially adversely affect our MOB operations and have a Material Adverse Effect on us.
 
We may not be able to maintain or expand our relationships with our existing and future hospital and health system clients.
 
The success of our MOB business depends, to a large extent, on our past, current and future relationships with hospital and health system clients. We invest a significant amount of time to develop these relationships, and they have helped us to secure acquisition and development opportunities, as well as other advisory, property management and hospital project management projects, with both new and existing clients. If any of our relationships with hospital or health system clients deteriorates, or if a conflict of interest or non-compete arrangement prevents us from expanding these relationships, our ability to secure new acquisition and development opportunities or other advisory, property management and hospital project management projects could be adversely impacted and our professional reputation within the industry could be damaged.
 
Our MOB development projects, including development projects undertaken on a fee-for-service basis or through our joint ventures, may not yield anticipated returns.
 
A key component of our MOB long-term growth strategy is exploring development opportunities and, when appropriate, making investments in those projects. In deciding whether to make an investment in a particular MOB development, we make certain assumptions regarding the expected future performance of that property. These assumptions are subject to risks normally associated with these projects, including, among others:
 
  •  we may be unable to obtain financing for these projects on favorable terms or at all;
 
  •  we may not complete development projects on schedule or within budgeted amounts;
 
  •  we may encounter delays or refusals in obtaining all necessary zoning, land use, building, occupancy, environmental and other required governmental permits and authorizations, or underestimate the costs necessary to bring the property up to market standards;
 
  •  development and construction delays may give tenants the right to terminate preconstruction leases or cause us to incur additional costs;
 
  •  volatility in the price of construction materials and labor may increase our development costs;
 
  •  hospitals or health systems may maintain significant decision-making authority with respect to the development schedule;
 
  •  one of our builders may fail to perform or satisfy the expectations of our clients or prospective clients;
 
  •  we may incorrectly forecast risks associated with development in new geographic regions;
 
  •  tenants may not lease space at the quantity or rental rate levels projected;
 
  •  competition from other developments may lure away desirable tenants;
 
  •  the demand for the development project may decrease prior to completion; and
 
  •  lease rates and rents at newly developed properties may fluctuate depending on a number of factors, including market and economic conditions.
 
Moreover, in MOB development projects undertaken on a fee-for-service basis, we generally construct properties for clients in exchange for a fixed fee, which creates risks such as the inability to pass on increased labor and construction material costs to our clients, development and construction delays that could give our counterparties the right to receive penalties from us, and bankruptcy or default by our contractors. We attempt


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to mitigate these risks by establishing certain limits on our obligations, shifting some of the risk to the general contractor and/or seeking other legal protections.
 
If any of the foregoing risks occur, our MOB development projects, including development projects undertaken on a fee-for-service basis or through our joint ventures, may not yield anticipated returns, which could materially adversely affect our MOB operations and have a Material Adverse Effect on us.
 
Our operators may be sued under a federal whistleblower statute.
 
Our operators who engage in business with the federal government may be sued under a federal whistleblower statute designed to combat fraud and abuse in the healthcare industry. See “Governmental Regulation — Healthcare Regulation” included in Item 1 of this Annual Report on Form 10-K. These lawsuits can involve significant monetary damages and award bounties to private plaintiffs who successfully bring these suits. If any of these lawsuits were to be brought against our operators, such suits combined with increased operating costs and substantial uninsured liabilities could have a material adverse effect on the operators’ liquidity, financial condition and results of operation and on their ability to make rental payments to us, which, in turn, could have a Material Adverse Effect on us.
 
If any of our properties are found to be contaminated, or if we become involved in any environmental disputes, we could incur substantial liabilities and costs.
 
Under federal and state environmental laws and regulations, a current or former owner of real property may be liable for costs related to the investigation, removal and remediation of hazardous or toxic substances or petroleum that are released from or are present at or under, or that are disposed of in connection with such property. Owners of real property may also face other environmental liabilities, including government fines and penalties imposed by regulatory authorities and damages for injuries to persons, property or natural resources. Environmental laws and regulations often impose liability without regard to whether the owner was aware of, or was responsible for, the presence, release or disposal of hazardous or toxic substances or petroleum. In certain circumstances, environmental liability may result from the activities of a current or former operator of the property. Although we are generally indemnified by the current operators of our properties for contamination caused by them, these indemnities may not adequately cover all environmental costs. See “Governmental Regulation — Environmental Regulation” included in Item 1 of this Annual Report on Form 10-K.
 
Our success depends, in part, on our ability to retain key personnel, and the loss of any one of them could adversely impact our business.
 
The success of our business depends, in part, on the leadership and performance of our executive management team and key employees. Our future performance will be substantially dependent on our ability to retain and motivate these individuals. Competition for these individuals is intense, and we cannot give any assurances that we will retain our key officers and employees or that we can attract or retain other highly qualified individuals in the future. Losing any one or more of these persons could have a Material Adverse Effect on us.
 
Failure to maintain effective internal control over financial reporting could harm our business, results of operations and financial condition.
 
Pursuant to the Sarbanes-Oxley Act of 2002, we are required to provide a report by management on internal control over financial reporting, including management’s assessment of the effectiveness of such control. Changes to our business will necessitate ongoing changes to our internal control systems and processes. Internal control over financial reporting may not prevent or detect misstatements because of its inherent limitations, including the possibility of human error, the circumvention or overriding of controls, or fraud. Therefore, even effective internal controls can provide only reasonable assurance with respect to the preparation and fair presentation of financial statements. If we fail to maintain the adequacy of our internal controls, including any failure to implement required new or improved controls, or if we experience difficulties in their implementation, our business, results of operations and financial condition could be materially adversely harmed and we could fail to meet our reporting obligations.


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If the liabilities we have assumed in connection with acquisitions are greater than expected, or if there are unknown liabilities, our business could be materially and adversely affected.
 
We have assumed certain liabilities in connection with our past acquisitions, such as the Lillibridge acquisition, including, in some cases, contingent liabilities, and we expect to assume certain liabilities in connection with the Atria acquisition, if consummated. As we integrate these acquisitions, we may learn additional information about the seller and assumed liabilities that adversely affects us, such as:
 
  •  Liabilities relating to the clean-up or remediation of undisclosed environmental conditions;
 
  •  Unasserted claims of vendors or other persons dealing with the seller;
 
  •  Liabilities, claims and litigation, whether or not incurred in the ordinary course of business, relating to periods prior to our acquisition;
 
  •  Claims for indemnification by general partners, directors, officers and others indemnified by the seller; and
 
  •  Liabilities for taxes relating to periods prior to our acquisition.
 
As a result, we cannot assure you that our past acquisitions will be successful or will not, in fact, harm our business. Among other things, if the liabilities we have assumed are greater than expected, or if there are obligations relating to the acquired properties of which we were not aware at the time we completed the acquisition, our business could be materially adversely affected.
 
Risks Arising from Our Capital Structure
 
Limitations on our ability to access capital could have an adverse effect on our ability to meet our debt payments, make distributions to our stockholders or make future investments necessary to implement our business plan.
 
In order to meet our debt payments, make distributions to our stockholders or make future investments necessary to implement our business plan, we may need to raise additional capital. In recent years, the global capital and credit markets have experienced a period of extraordinary turmoil and upheaval, characterized by the bankruptcy, failure or sale of various financial institutions and an unprecedented level of intervention from the U.S. federal government. This disruption in the credit markets, the repricing of credit risk and the deterioration of the financial and real estate markets created difficult conditions for REITs and other companies to access capital or other sources of funds. These conditions included greater stock price volatility, significantly less liquidity, widening of credit spreads and a lack of price transparency. Although access to capital and other sources of funding improved in 2010, conditions remain difficult and could deteriorate further. We cannot predict for how long access to capital and other sources of funding will remain constrained or the extent to which our results of operation and financial condition may be adversely affected.
 
While we currently have no reason to believe that we will be unable to access our unsecured revolving credit facilities in the future, concern about the stability of the markets generally and the strength of borrowers specifically led many lenders and institutional investors in recent years to reduce and, in some cases, cease funding to borrowers. In addition, the financial institutions that are parties to our unsecured revolving credit facilities might have incurred losses or might have reduced capital reserves on account of their prior lending to borrowers, their holdings of certain mortgage securities or their other financial relationships. As a result, these financial institutions might be or become capital constrained and might tighten their lending standards, or become insolvent. If they experience shortages of capital and liquidity, or if they experience excessive volumes of borrowing requests from other borrowers within a short period of time, these lenders might not be able or willing to honor their funding commitments to us, which would adversely affect our ability to draw on our unsecured revolving credit facilities and, over time, could negatively impact our ability to consummate acquisitions, repay indebtedness as it matures, fund capital expenditures or make distributions to our stockholders. Continued adverse conditions in the credit markets in future years could also adversely affect the availability and terms of future borrowings, renewals or refinancings.


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To address any such capital constraints, we could, among other things, (i) obtain commitments from the remaining banks in our lending group or from new banks to fund increased amounts under the terms of our unsecured revolving credit facilities, (ii) access the public capital markets, (iii) obtain secured loans from government-sponsored entities, pension funds or similar sources, (iv) decrease or eliminate distributions to our stockholders or pay taxable stock dividends, and/or (v) delay or cease our acquisition and investment activity. As with other public companies, the availability of debt and equity capital depends, in part, on the trading levels of our bonds and the market price of our common stock, which, in turn, depend upon various market conditions, such as the market’s perception of our financial condition, our growth potential and our current and future earnings and cash distributions, that change from time to time. Our failure to meet the market’s expectation with regard to future earnings and cash distributions would likely adversely affect our bond trading levels and the market price of our common stock. Moreover, a significant downgrade in the ratings assigned to our long-term debt could cause our borrowing costs to increase and impact our ability to access capital. If we cannot access capital at an acceptable cost or at all, we may be required to liquidate one or more investments in properties at times that may not permit us to realize the maximum return on those investments, which could also result in adverse tax consequences to us. Restrictions on our uses and right to transfer our properties under certain healthcare regulations, ground leases, mortgages and other agreements to which our properties may be subject could adversely impact our ability to timely liquidate those investments and could impair the value of our properties. We cannot assure you that we will be able to raise the necessary capital to meet our debt service obligations, make distributions to our stockholders or make future investments necessary to implement our business plan, and the failure to do so could have a Material Adverse Effect on us.
 
We may become more leveraged.
 
As of December 31, 2010, we had approximately $2.9 billion of outstanding indebtedness. The instruments governing our existing indebtedness permit us to incur substantial additional debt, and we may borrow additional funds, which may include secured borrowings. A high level of indebtedness would require us to dedicate a substantial portion of our cash flow from operations to the payment of debt service, thereby reducing the funds available to implement our business strategy and to make distributions to stockholders. A high level of indebtedness could also have the following consequences:
 
  •  Potential limits on our ability to adjust rapidly to changing market conditions and vulnerability in the event of a downturn in general economic conditions or in the real estate and/or healthcare industries;
 
  •  Potential impairment of our ability to obtain additional financing for our business strategy; and
 
  •  Potential downgrade in the rating of our debt securities by one or more rating agencies, which could have the effect of, among other things, limiting our access to capital and increasing our cost of borrowing.
 
In addition, from time to time we mortgage our properties to secure payment of indebtedness. If we are unable to meet our mortgage payments, then the encumbered properties could be foreclosed upon or transferred to the mortgagee with a consequent loss of income and asset value. A foreclosure on one or more of our properties could have a Material Adverse Effect on us.
 
We are exposed to increases in interest rates, which could reduce our profitability and adversely impact our ability to refinance existing debt, sell assets or engage in acquisition and investment activity, and our decision to hedge against interest rate risk might not be effective.
 
We receive a significant portion of our revenues by leasing our assets under long-term triple-net leases in which the rental rate is generally fixed with annual rent escalations, subject to certain limitations. Certain of our debt obligations are floating rate obligations with interest rate and related payments that vary with the movement of LIBOR, Bankers’ Acceptance or other indexes. The generally fixed rate nature of our revenues and the variable rate nature of certain of our obligations create interest rate risk. Although our operating assets


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provide a partial hedge against interest rate fluctuations, if interest rates rise, our interest costs for our existing floating rate debt and any new debt we incur would also increase. This increased cost could have the effect of reducing our profitability or making our lease and other revenues insufficient to meet our obligations, and could make the financing of any acquisition or investment activity more costly. Further, rising interest rates could limit our ability to refinance existing debt when it matures or cause us to pay higher rates upon refinancing. An increase in interest rates may also decrease the amount third parties are willing to pay for our assets, thereby limiting our ability to reposition our portfolio promptly in response to changes in economic or other conditions.
 
We may seek to manage our exposure to interest rate volatility by using hedging arrangements that involve risk, including the risk that counterparties may fail to honor their obligations under these arrangements, that these arrangements may not be effective in reducing our exposure to interest rate changes, that the amount of income we may earn from hedging transactions may be limited by federal tax provisions governing REITs, and that these arrangements may result in higher interest rates than we would otherwise have. Moreover, no amount of hedging activity can completely insulate us from the risks associated with changes in interest rates. Failure to hedge effectively against interest rate risk, if we choose to engage in such activities, could adversely affect our results of operations and financial condition.
 
Covenants in the instruments governing our existing indebtedness limit our operational flexibility, and a covenant breach could materially adversely affect our operations.
 
The terms of the instruments governing our existing indebtedness require us to comply with a number of customary financial and other covenants, such as maintaining debt service coverage, leverage ratios and net worth requirements. Our continued ability to incur additional debt and to conduct business in general is subject to compliance with these covenants, which limit our operational flexibility. Breaches of these covenants could result in defaults under the applicable debt instruments, in addition to any other indebtedness cross-defaulted against such instruments, even if we satisfy our payment obligations. Financial and other covenants that limit our operational flexibility, as well as defaults resulting from our breach of any of these covenants, could have a Material Adverse Effect on us.
 
Risks Arising from Our Status as a REIT
 
Loss of our status as a REIT would have significant adverse consequences to us and the value of our common stock.
 
If we lose our status as a REIT (currently and/or with respect to any tax years for which the statute of limitations has not expired), we will face serious tax consequences that will substantially reduce the funds available for satisfying our obligations and for distribution to our stockholders for each of the years involved because:
 
  •  We would not be allowed a deduction for distributions to stockholders in computing our taxable income and would be subject to federal income tax at regular corporate rates;
 
  •  We also could be subject to the federal alternative minimum tax and possibly increased state and local taxes; and
 
  •  Unless we are entitled to relief under statutory provisions, we could not elect to be subject to tax as a REIT for four taxable years following the year during which we were disqualified.
 
In addition, in such event we would no longer be required to pay dividends to maintain REIT status. As a result of all these factors, our failure to qualify as a REIT also could impair our ability to implement our business strategy and would adversely affect the value of our common stock.
 
Qualification as a REIT involves the application of highly technical and complex Code provisions for which there are only limited judicial and administrative interpretations. The determination of various factual matters and circumstances not entirely within our control may affect our ability to remain qualified as a REIT. In addition, new legislation, regulations, administrative interpretations or court decisions may adversely affect


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our investors or our ability to remain qualified as a REIT for tax purposes. Although we believe that we qualify as a REIT, we cannot assure you that we will continue to qualify or remain qualified as a REIT for tax purposes.
 
The 90% distribution requirement will decrease our liquidity and may limit our ability to engage in otherwise beneficial transactions.
 
To comply with the 90% distribution requirement applicable to REITs and to avoid the nondeductible excise tax, we must make distributions to our stockholders. See “Certain U.S. Federal Income Tax Considerations — Requirements for Qualification as a REIT — Annual Distribution Requirements” included in Item 1 of this Annual Report on Form 10-K. The indentures governing our outstanding senior notes permit us to make annual distributions to our stockholders in an amount equal to the minimum amount necessary to maintain our REIT status so long as the ratio of our Debt to Adjusted Total Assets (as each term is defined in the indentures) does not exceed 60% and to make additional distributions if we pass certain other financial tests. However, distributions may limit our ability to rely upon rental payments from our properties or subsequently acquired properties to finance investments, acquisitions or new developments.
 
Although we anticipate that we generally will have sufficient cash or liquid assets to enable us to satisfy the REIT distribution requirement, it is possible that, from time to time, we may not have sufficient cash or other liquid assets to meet the 90% distribution requirement. This may be due to timing differences between the actual receipt of income and actual payment of deductible expenses, on the one hand, and the inclusion of that income and deduction of those expenses in arriving at our taxable income, on the other hand. In addition, non-deductible expenses such as principal amortization or repayments or capital expenditures in excess of non-cash deductions also may cause us to fail to have sufficient cash or liquid assets to enable us to satisfy the 90% distribution requirement.
 
In the event that timing differences occur or we decide to retain cash or to distribute such greater amount as may be necessary to avoid income and excise taxation, we may, if possible, borrow funds, issue additional equity securities, pay taxable stock dividends, distribute other property or securities or engage in a transaction intended to enable us to meet the REIT distribution requirements. Any of these actions may require us to raise additional capital to meet our obligations; however, see “— Risks Arising from Our Capital Structure — Limitations on our ability to access capital could have an adverse effect on our ability to meet our debt payments, make distributions to our stockholders or make future investments necessary to implement our business plan.” The terms of the instruments governing our existing indebtedness restrict our ability to engage in some of these transactions.
 
To preserve our qualification as a REIT, our certificate of incorporation contains ownership limits with respect to our capital stock that may delay, defer or prevent a change of control of our company.
 
To assist us in preserving our qualification as a REIT, our certificate of incorporation provides that if a person acquires beneficial ownership of more than 9.9% of our outstanding preferred stock or 9.0% of our common stock, the shares that are beneficially owned in excess of the applicable limit are considered to be “excess shares” and are automatically deemed transferred to a trust for the benefit of a charitable institution or other qualifying organization selected by our Board of Directors. The trust is entitled to all dividends with respect to the excess shares and the trustee may exercise all voting power over the excess shares. We have the right to buy the excess shares for a purchase price equal to the lesser of (i) the price per share in the transaction that created the excess shares or (ii) the market price on the day we buy the shares, but if we do not purchase them, the trustee of the trust is required to transfer the excess shares at the direction of our Board of Directors. These ownership limits could delay, defer or prevent a transaction or a change of control that might involve a premium price for our common stock or might otherwise be in the best interests of our stockholders.


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If we decide to pay taxable stock dividends to meet the REIT distribution requirements, your tax liability may be greater than the amount of cash you receive.
 
Under Revenue Procedure 2010-12, the IRS has stated that it will treat stock dividends as distributions for purposes of satisfying the REIT distribution requirements for calendar years 2008 through 2012 if each stockholder can elect to receive the distribution in cash, even if the aggregate cash amount paid to all stockholders is limited, provided certain requirements are met. Accordingly, if we decide to pay a stock dividend in accordance with Revenue Procedure 2010-12, your tax liability with respect to such dividend may be significantly greater than the amount of cash you receive.
 
ITEM 1B.   Unresolved Staff Comments
 
None.
 
ITEM 2.   Properties
 
Seniors Housing and Healthcare Properties
 
As of December 31, 2010, we owned 602 assets: 240 seniors housing communities, 187 skilled nursing facilities, 40 hospitals and 135 MOBs and other properties in 43 U.S. states, the District of Columbia and two Canadian provinces. We believe that the asset class, geographic, revenue source and business model diversity of our portfolio makes us less susceptible to regional economic downturns and adverse changes in regulation or reimbursement rates or methodologies in any single state.
 
At December 31, 2010, we had mortgage loan obligations outstanding in the aggregate principal amount of $1.3 billion, secured by 114 of our properties.


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The following table sets forth select information regarding the properties we owned as of December 31, 2010 for each geographic location in which we own property:
 
                                                                 
    Seniors Housing
    Skilled Nursing
                Other
 
    Communities     Facilities     Hospitals     MOBs     Properties  
    Number of
          Number of
    Licensed
    Number of
    Licensed
    Number of
    Number of
 
Geographic Location   Properties     Units     Facilities     Beds     Hospitals     Beds     Properties     Properties  
 
Alabama
    2       220       2       329                   3        
Arizona
    8       654       3       462       2       109       1        
Arkansas
    5       337                                      
California
    26       3,298       6       771       5       455       1        
Colorado
    6       459       4       464       1       68       9        
Connecticut
    4       458       5       522                          
District of Columbia
                                        2        
Florida
    14       1,441                   6       511       8        
Georgia
    10       837       4       520                   5        
Idaho
    1       70       7       624                          
Illinois
    16       2,561       1       82       4       430       16        
Indiana
    9       1,001       13       1,844       1       59       11        
Kansas
    2       69                                      
Kentucky
                27       3,041       2       424              
Louisiana
    1       58                   1       168              
Maine
                8       654                          
Maryland
    2       149                               1        
Massachusetts
    6       856       26       2,668       2       109              
Michigan
    8       644                               9        
Minnesota
    9       617       1       140                   1        
Missouri
    1       173                   2       227       14        
Montana
    1       106       2       276                          
Nebraska
    1       135                                      
Nevada
                2       174       1       52              
New Hampshire
                      512                          
New Jersey
    9       718       3       153                          
New Mexico
    4       445       1             1       61              
New York
    14       1,285                                      
North Carolina
    7       504             1,730       1       124              
Ohio
    15       1,077       16       1,575                   15        
Oklahoma
                12             1       59              
Oregon
                      205                          
Pennsylvania
    24       1,598       2       797       2       115       4        
Rhode Island
                6       197                          
South Carolina
    2       120       2                         1        
Tennessee
    4       283             397       1       49       8        
Texas
    3       262       3             7       496       12       8  
Utah
    1       79             411                          
Vermont
                4       150                          
Virginia
    5       400       1       601                          
Washington
    3       314       4       656                          
West Virginia
    1       59       7                                
Wisconsin
    4       159             1,825                   5        
Wyoming
                11       371                   1        
                                                                 
                      4                                          
Total U.S
    228       21,446       187       22,151       40       3,516       127       8  
British Columbia
    3       276                                      
Ontario
    9       848                                      
                                                                 
Total Canada
    12       1,124                                      
                                                                 
Total
    240       22,570       187       22,151       40       3,516       127       8  
                                                                 


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Corporate Offices
 
We are headquartered in Chicago, Illinois, with additional offices in Louisville, Kentucky, Dallas, Texas and New York, New York. We lease all of our corporate offices.
 
ITEM 3.   Legal Proceedings
 
The information contained in “Note 15 — Litigation” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K is incorporated by reference into this Item 3. Except as set forth therein, we are not a party to, nor is any of our property the subject of, any material pending legal proceedings.
 
ITEM 4.   (Removed and Reserved)
 
PART II
 
ITEM 5.   Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
 
Market Information
 
Our common stock, par value $0.25 per share, is listed and traded on the New York Stock Exchange (the “NYSE”) under the symbol “VTR.” The following table sets forth, for the periods indicated, the high and low sales prices of our common stock as reported on the NYSE and the dividends declared per share.
 
                         
    Sales Price of
   
    Common Stock   Dividends
    High   Low   Declared
 
2010
                       
First Quarter
  $ 49.24     $ 40.36     $ 0.535  
Second Quarter
    50.33       43.14       0.535  
Third Quarter
    53.89       45.77       0.535  
Fourth Quarter
    56.20       48.53       0.535  
2009
                       
First Quarter
  $ 33.49     $ 19.13     $ 0.5125  
Second Quarter
    32.40       21.66       0.5125  
Third Quarter
    40.23       27.41       0.5125  
Fourth Quarter
    44.91       36.19       0.5125  
 
As of February 11, 2011, we had 162,920,524 shares of our common stock outstanding held by approximately 2,900 stockholders of record.
 
Dividends and Distributions
 
We pay regular quarterly dividends to holders of our common stock to comply with the provisions of the Code governing REITs. On February 16, 2011, our Board of Directors declared the first quarterly installment of our 2011 dividend in the amount of $0.575 per share, payable in cash on March 31, 2011 to stockholders of record on March 11, 2011. We expect to distribute at least 100% of our taxable net income to our stockholders for 2011. See “Certain U.S. Federal Income Tax Considerations — Requirements for Qualification as a REIT — Annual Distribution Requirements” included in Part I, Item 1 of this Annual Report on Form 10-K.
 
Our Board of Directors normally makes decisions regarding the nature, frequency and amount of our dividends on a quarterly basis. Because the Board considers a number of factors when making these decisions, including our current and future liquidity needs and position, current and projected results from operations and performance and credit quality of our tenants, operators, managers and borrowers, we cannot assure you that we will maintain the policy stated above. Please see “Cautionary Statements” and the risk factors included in


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Part I, Item 1A of this Annual Report on Form 10-K for a description of other factors that may affect our distribution policy.
 
Our stockholders may reinvest all or a portion of any cash distribution on their shares of our common stock by participating in our Distribution Reinvestment and Stock Purchase Plan, subject to the terms of the plan. See “Note 16 — Capital Stock” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.
 
Director and Employee Stock Sales
 
Certain of our directors, executive officers and other employees have adopted and may, from time to time in the future, adopt non-discretionary, written trading plans that comply with Rule 10b5-1 under the Exchange Act, or otherwise monetize their equity-based compensation.
 
Our Amended and Restated Securities Trading Policy generally prohibits our directors, executive officers and other employees from pledging our equity securities to secure “margin loans.”
 
Stock Repurchases
 
The table below summarizes repurchases of our common stock made during the quarter ended December 31, 2010:
 
                 
    Number of Shares
  Average Price
    Repurchased(1)   per Share
 
October 1 through October 31
           
November 1 through November 30
    12,774     $ 51.27  
December 1 through December 31
    14,187     $ 52.75  
 
 
(1) Repurchases represent shares withheld to pay taxes on the vesting of restricted stock or the exercise of options granted to employees. The value of the shares withheld is the closing price of our common stock on the date the vesting or exercise occurs.


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Stock Performance Graph
 
The following performance graph compares the cumulative total return (including dividends) to the holders of our common stock from December 31, 2005 through December 31, 2010, with the cumulative total returns of the NYSE Composite Index, the FTSE NAREIT Composite REIT Index (the “Composite REIT Index”), the FTSE NAREIT Healthcare Equity REIT Index (the “Healthcare REIT Index”) and the S&P 500 Index over the same period. The comparison assumes $100 was invested on December 31, 2005 in our common stock and in each of the foregoing indexes and assumes reinvestment of dividends, as applicable. We have included the NYSE Composite Index in the performance graph because our common stock is listed on the NYSE. We have included the other indexes (other than the S&P 500 Index, of which we are a member) because we believe that they are either most representative of the industry in which we compete, or otherwise provide a fair basis for comparison with us, and are therefore particularly relevant to an assessment of our performance. The figures in the table below are rounded to the nearest dollar.
 
                                                             
      12/31/2005     12/31/2006     12/31/2007     12/31/2008     12/31/2009     12/31/2010
Ventas
    $ 100       $ 138       $ 155       $ 121       $ 168       $ 211  
NYSE Composite Index
    $ 100       $ 120       $ 131       $ 80       $ 102       $ 116  
Composite REIT Index
    $ 100       $ 134       $ 110       $ 68       $ 87       $ 112  
Healthcare REIT Index
    $ 100       $ 145       $ 148       $ 130       $ 162       $ 193  
S&P 500 Index
    $ 100       $ 116       $ 122       $ 77       $ 97       $ 112  
                                                             
 
(PERFORMANCE GRAPH)


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ITEM 6.   Selected Financial Data
 
You should read the following selected financial data in conjunction with “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in Item 7 of this Annual Report on Form 10-K and our Consolidated Financial Statements and the notes thereto included in Item 8 of this Annual Report on Form 10-K, as acquisitions, divestitures, changes in accounting policies and other items impact the comparability of the financial data.
 
                                         
    As of and for the Years Ended December 31,(1)
    2010   2009   2008   2007   2006
    (Dollars in thousands, except per share data)
 
Operating Data
                                       
Rental income
  $ 539,572     $ 496,568     $ 476,815     $ 454,496     $ 378,763  
Resident fees and services
    446,301       421,058       429,257       282,226        
Interest expense
    178,863       176,990       202,624       194,752       125,737  
Property-level operating expenses
    315,953       302,813       306,944       198,125       3,171  
General, administrative and
professional fees
    49,830       38,830       40,651       36,425       26,136  
Income from continuing operations attributable to common stockholders
    218,370       193,120       174,054       130,242       118,001  
Discontinued operations
    27,797       73,375       48,549       143,439       13,153  
Net income attributable to common stockholders
    246,167       266,495       222,603       273,681       131,154  
Per Share Data
                                       
Income from continuing operations attributable to common stockholders, basic
  $ 1.39     $ 1.27     $ 1.24     $ 1.06     $ 1.13  
Net income attributable to common stockholders, basic
  $ 1.57     $ 1.75     $ 1.59     $ 2.23     $ 1.26  
Income from continuing operations attributable to common stockholders, diluted
  $ 1.38     $ 1.26     $ 1.24     $ 1.06     $ 1.13  
Net income attributable to common stockholders, diluted
  $ 1.56     $ 1.74     $ 1.59     $ 2.22     $ 1.25  
Dividends declared per common share
  $ 2.14     $ 2.05     $ 2.05     $ 1.90     $ 1.58  
Other Data
                                       
Net cash provided by operating activities
  $ 447,622     $ 422,101     $ 379,907     $ 404,600     $ 238,867  
Net cash used in investing activities
    (301,920 )     (1,746 )     (136,256 )     (1,175,192 )     (481,974 )
Net cash (used in) provided by financing activities
    (231,452 )     (490,180 )     (95,979 )     802,675       242,712  
FFO(2)
    421,506       393,409       412,357       374,218       249,392  
Normalized FFO(2)
    453,981       409,045       379,469       327,136       254,878  
Balance Sheet Data
                                       
Real estate investments, at cost
  $ 6,747,699     $ 6,399,421     $ 6,256,562     $ 6,380,703     $ 3,707,837  
Cash and cash equivalents
    21,812       107,397       176,812       28,334       1,246  
Total assets
    5,758,021       5,616,245       5,771,418       5,718,475       3,256,021  
Senior notes payable and other debt
    2,900,044       2,670,101       3,136,998       3,346,531       2,312,021  
 
 
(1) Effective January 1, 2009, we adopted Financial Accounting Standards Board guidance relating to convertible debt instruments that may be settled in cash upon conversion. See “Note 2 — Accounting Policies” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K for detail regarding the impact of the adoption on our Consolidated Financial Statements.
 
(2) We believe that net income, as defined by generally accepted accounting principles (“GAAP”), is the most appropriate earnings measurement. However, we consider Funds From Operations (“FFO”) and normalized FFO appropriate measures of operating performance of an equity REIT. Moreover, we believe that normalized FFO provides useful information because it allows investors, analysts and our management to


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compare our operating performance to the operating performance of other real estate companies and between periods on a consistent basis without having to account for differences caused by unanticipated items. We use the National Association of Real Estate Investment Trusts (“NAREIT”) definition of FFO. NAREIT defines FFO as net income (computed in accordance with GAAP), excluding gains (or losses) from sales of real estate property, plus real estate depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. Adjustments for unconsolidated partnerships and joint ventures are calculated to reflect FFO on the same basis. We define normalized FFO as FFO excluding the following items (which may be recurring in nature): (a) gains and losses on the sales of real property assets; (b) merger-related costs and expenses, including amortization of intangibles and transition and integration expenses, and deal costs and expenses, including expenses and recoveries, if any, relating to our lawsuit against HCP, Inc. and the issuance of preferred stock or bridge loan fees; (c) the impact of any expenses related to asset impairment and valuation allowances, the write-off of unamortized deferred financing fees, or additional costs, expenses, discounts, make-whole payments, penalties or premiums incurred as a result of early retirement or payment of our debt; (d) the non-cash effect of income tax benefits or expenses; (e) the impact of future unannounced acquisitions or divestitures (including pursuant to tenant options to purchase) and capital transactions; (f) the reversal or incurrence of contingent liabilities; (g) gains and losses for non-operational foreign currency hedge agreements; and (h) one-time expenses in connection with the Kindred rent reset process. FFO and normalized FFO presented herein are not necessarily identical to FFO and normalized FFO presented by other real estate companies due to the fact that not all real estate companies use the same definitions. FFO and normalized FFO should not be considered alternatives to net income (determined in accordance with GAAP) as indicators of our financial performance or alternatives to cash flow from operating activities (determined in accordance with GAAP) as measures of our liquidity, nor are FFO and normalized FFO necessarily indicative of sufficient cash flow to fund all of our needs. See “Management’s Discussion and Analysis of Financial Condition and Results of Operations — Funds From Operations” included in Item 7 of this Annual Report on Form 10-K for a reconciliation of these measures to our GAAP earnings.
 
ITEM 7.   Management’s Discussion and Analysis of Financial Condition and Results of Operations
 
The following discussion and analysis provides information which management believes is relevant to an assessment and understanding of the consolidated results of operations and financial condition of Ventas, Inc. (together with its subsidiaries, unless otherwise indicated or except where the context otherwise requires, “we,” “us” or “our”). You should read this discussion in conjunction with our Consolidated Financial Statements and the notes thereto included in Item 8 of this Annual Report on Form 10-K. This Management’s Discussion and Analysis will help you understand:
 
  •  Our corporate and operating environment;
 
  •  2010 operating highlights;
 
  •  Our critical accounting policies and estimates;
 
  •  Our results of operations for the last three years;
 
  •  Asset and liability management;
 
  •  Our liquidity and capital resources;
 
  •  Our cash flows; and
 
  •  Contractual obligations.
 
Corporate and Operating Environment
 
We are a real estate investment trust (“REIT”) with a geographically diverse portfolio of seniors housing and healthcare properties in the United States and Canada. As of December 31, 2010, our portfolio consisted of 602 assets: 240 seniors housing communities, 187 skilled nursing facilities, 40 hospitals and 135 medical office buildings (“MOBs”) and other properties in 43 U.S. states, the District of Columbia and two Canadian


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provinces. With the exception of our seniors housing communities that are managed by independent third parties, such as Sunrise Senior Living, Inc. (together with its subsidiaries, “Sunrise”), pursuant to long-term management agreements and certain of our MOBs, other than those acquired in connection with our Lillibridge Healthcare Services, Inc. (“Lillibridge”) acquisition (see “Note 4 — Acquisitions of Real Estate Property” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K), we lease our properties to healthcare operating companies under “triple-net” or “absolute net” leases, which require the tenants to pay all property-related expenses. We also had real estate loan and other investments relating to seniors housing and healthcare companies or properties as of December 31, 2010.
 
Our primary business consists of acquiring, financing and owning seniors housing and healthcare properties and leasing those properties to third parties or operating those properties through independent third-party managers. Through our Lillibridge subsidiary, we also provide management, leasing, marketing, facility development and advisory services to highly rated hospitals and health systems throughout the United States.
 
We currently operate through three reportable business segments: triple-net leased properties, senior living operations and MOB operations. See “Note 19 — Segment Information” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
 
As of December 31, 2010, we had: 100% ownership interests in 538 of our properties, including all 79 of our seniors housing communities managed by Sunrise; controlling interests in six MOBs owned through joint ventures with partners who provide management and leasing services for the properties; and noncontrolling interests ranging between 5% and 20% in 58 MOBs owned through joint ventures with institutional third party partners. Through our Lillibridge subsidiary, we also managed an additional 31 MOBs for third parties as of December 31, 2010.
 
Our business strategy is comprised of three principal objectives: (1) generating consistent, reliable and growing cash flows; (2) maintaining a well-diversified portfolio; and (3) preserving our investment grade balance sheet and liquidity.
 
Access to external capital is critical to the success of our strategy as it impacts our ability to repay maturing indebtedness and to make future investments. Our access to and cost of capital depend on various factors, including general market conditions, interest rates, credit ratings on our securities, perception of our potential future earnings and cash distributions and the market price of our common stock. Generally, we attempt to match the long-term duration of most of our investments with long-term fixed rate financing. At December 31, 2010, only 5.3% of our consolidated debt was variable rate debt.
 
2010 Operating Highlights
 
2010 Highlights
 
  •  Since February 2010, our senior unsecured debt securities have maintained investment grade ratings by all three nationally recognized rating agencies.
 
  •  During 2010, we received $235.0 million of additional capital commitments for the portion of indebtedness under our unsecured revolving credit facilities maturing in 2012. We now have $1.0 billion of aggregate borrowing capacity under our unsecured revolving credit facilities, all of which matures on April 26, 2012.
 
  •  Our Board of Directors declared four quarterly installments of our 2010 dividend in the amount of $0.535 per share, representing a 4.4% increase over our 2009 quarterly dividend. The quarterly installments of our 2010 dividend were paid in cash in March, June, September and December.
 
  •  During 2010, we sold seven seniors housing communities for approximately $60.5 million, including lease termination fees of $0.7 million, and recognized a gain from these sales of approximately $17.3 million.


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  •  In July 2010, we completed the acquisition of businesses owned and operated by Lillibridge and its related entities and their real estate interests in 96 MOBs and ambulatory facilities for approximately $381 million, including the assumption of $79.5 million of debt. As a result of the transaction, we acquired: a 100% interest in Lillibridge’s property management, leasing, construction and development, advisory and asset management services business; a 100% interest in 38 MOBs comprising 1.9 million square feet; a 20% joint venture interest in 24 MOBs comprising 1.5 million square feet; and a 5% joint venture interest in 34 MOBs comprising 2.3 million square feet. We are the managing member of these joint ventures and the property manager for the joint venture properties. Two institutional third parties hold the controlling interests in these joint ventures, and we have a right of first offer on those interests. We funded the acquisition with cash on hand, borrowings under our unsecured revolving credit facilities and the assumption of mortgage debt. In connection with the acquisition, $132.7 million of mortgage debt was repaid. In December 2010, we purchased five MOBs under the Lillibridge platform for an aggregate purchase price of $36.6 million. Our portfolio now includes 158 owned or managed MOBs comprising 8.8 million square feet in 19 states and the District of Columbia.
 
  •  In September 2010, we entered into a $200.0 million three-year unsecured term loan with Bank of America, N.A., as lender. The term loan is non-amortizing and bears interest at an all-in fixed rate of 4% per annum. The term loan contains the same restrictive covenants as our unsecured revolving credit facilities.
 
  •  In October 2010, we signed a definitive agreement to acquire substantially all of the real estate assets of privately-owned Atria Senior Living Group, Inc. (together with its affiliates, “Atria”) for a total purchase price of $3.1 billion, comprised of $1.35 billion of our common stock (a fixed 24.96 million shares), $150 million in cash and the assumption or repayment of $1.6 billion of net debt. We will acquire from Atria 118 private pay seniors housing communities located primarily in affluent coastal markets such as the New York metropolitan area, New England and California. Atria, based in Louisville, Kentucky, is owned by private equity funds managed by Lazard Real Estate Partners. Prior to the closing, Atria will spin off its management company, which will continue to operate the acquired assets under long-term management agreements with us. Completion of the transaction is subject to certain conditions. We expect to complete the transaction in the first half of 2011, although we cannot assure you that the transaction will close on such timetable or at all.
 
  •  In November 2010, we sold $400.0 million aggregate principal amount of 3.125% senior notes due 2015 issued by our subsidiaries, Ventas Realty, Limited Partnership (“Ventas Realty”) and Ventas Capital Corporation, at a public offering price equal to 99.528% of par, for total proceeds of $398.1 million, before the underwriting discount and expenses.
 
  •  During 2010, we purchased or repaid $215.7 million aggregate principal amount of our outstanding senior notes, and our mortgage debt obligations decreased by $190.5 million.
 
  •  In December 2010, we acquired Sunrise’s noncontrolling interests in 58 of our seniors housing communities currently managed by Sunrise for a total valuation of approximately $186 million, including assumption of Sunrise’s share of mortgage debt totaling $144 million. The noncontrolling interests acquired represented between 15% and 25% ownership interests in the communities, and we now own 100% of all 79 of our seniors housing communities managed by Sunrise.
 
  •  In December 2010, we and Sunrise modified the management agreements with respect to each of our 79 Sunrise-managed seniors housing communities. Among other things, the modifications included: reduction of the management fee paid to Sunrise for the period from April 1, 2010 through December 31, 2010 and for all of 2011 to 3.50% and 3.75% per annum, respectively, after which the annual base management fee will equal 6% of revenues (with a range of 5% to 7%); a cap on the amount of incentive management fees payable to Sunrise and allocated “shared services” expenses; enhanced rights and remedies for us in the event of a Sunrise default; and reallocation of the net operating income (“NOI”) performance thresholds to include a cushion for all 79 communities.


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Critical Accounting Policies and Estimates
 
Our Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K have been prepared in accordance with GAAP set forth in the Accounting Standards Codification (“ASC”), as published by the Financial Accounting Standards Board (“FASB”). GAAP requires us to make estimates and assumptions about future events that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting periods. We base these estimates on our experience and on various other assumptions we believe to be reasonable under the circumstances. However, if our judgment or interpretation of the facts and circumstances relating to various transactions or other matters had been different, a different accounting treatment may have been applied, resulting in a different presentation of our financial statements. We periodically re-evaluate our estimates and assumptions, and in the event they prove to be different from actual results, we make adjustments in subsequent periods to reflect more current estimates and assumptions about matters that are inherently uncertain. We believe that the critical accounting policies described below, among others, affect our more significant estimates and judgments used in the preparation of our financial statements. For more information regarding our critical accounting policies, see “Note 2 — Accounting Policies” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
 
Principles of Consolidation
 
The Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K include our accounts and the accounts of our wholly owned subsidiaries and the joint venture entities over which we exercise control. All intercompany transactions and balances have been eliminated in consolidation, and net earnings are reduced by the portion of net earnings attributable to noncontrolling interests. We apply FASB guidance for arrangements with variable interest entities (“VIEs”), which requires us to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of the VIE. We consolidate investments in VIEs when we are determined to be the primary beneficiary of the VIE.
 
We must make judgments regarding our level of influence or control over an entity and whether we are (or are not) the primary beneficiary of a VIE. We identify the primary beneficiary of a VIE as the enterprise that has both of the following characteristics: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or receive benefits of the VIE that could potentially be significant to the entity. We perform this analysis on an ongoing basis, and our ability to make accurate judgments regarding our influence or control over an entity and to determine the primary beneficiary of a VIE affects the presentation of these entities in our Consolidated Financial Statements. In the future, our assumptions may change, which could result in the identification of a different primary beneficiary.
 
Long-Lived Assets and Intangibles
 
We record investments in real estate assets at cost. We account for acquisitions using the purchase method and allocate the cost of the properties acquired among tangible and recognized intangible assets and liabilities based upon their estimated fair values as of the acquisition date. Recognized intangibles primarily include the value of in-place leases, acquired lease contracts, tenant and customer relationships, trade names/trademarks and goodwill.
 
Our method for allocating the purchase price paid to acquire investments in real estate requires us to make subjective assessments for determining fair value of the assets acquired and liabilities assumed. This includes determining the value of the buildings and improvements, land and improvements, ground leases, tenant improvements, in-place leases, above and/or below market leases and any debt assumed. These estimates require significant judgment and in some cases involve complex calculations. These allocation assessments directly impact our results of operations, as amounts allocated to certain assets and liabilities have different depreciation or amortization lives. In addition, we amortize the value assigned to above and/or below


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market leases as a component of revenue, unlike in-place leases and other intangibles, which we include in depreciation and amortization in our Consolidated Statements of Income.
 
We estimate the fair value of buildings on an as-if-vacant basis and depreciate the building value over the estimated remaining life of the building. We determine the allocated value of other fixed assets based upon the replacement cost and depreciate such value over the assets’ estimated remaining useful lives. We determine the value of land based on real estate tax assessed values in relation to the total value of the asset, on internal analyses of recently acquired and existing comparable properties within our portfolio or by considering the sales prices of similar properties in recent transactions. The fair value of lease intangibles, if any, reflects (i) the estimated value of any above and/or below market leases, determined by discounting the difference between the estimated current market rent and the in-place rentals, the resulting intangible asset or liability of which is amortized to revenue over the remaining life of the associated lease plus any fixed rate renewal periods, (ii) the estimated value of in-place leases related to the cost to obtain tenants, including tenant allowances, tenant improvements and leasing commissions, and an estimated value of the absorption period to reflect the value of the rents and recovery costs foregone during a reasonable lease-up period, as if the acquired space was vacant, which is amortized over the remaining life of the associated lease, and (iii) the estimated value of any above and/or below market ground leases, determined by discounting the difference between the estimated market rental rate and the in-place lease rate, which is amortized over the remaining life of the associated lease. We estimate the value of tenant or other customer relationships acquired, if any, by considering the nature and extent of existing business relationships with the tenant or customer, growth prospects for developing new business with the tenant or customer, the tenant’s credit quality, expectations of lease renewals with the tenant, and the potential for significant, additional future leasing arrangements with the tenant and amortize that value over the expected life of the associated arrangements or leases, which includes the remaining terms of the related leases and any expected renewal periods. We estimate the value of trade names/trademarks using a royalty rate methodology and amortize the resulting intangible over the estimated useful life. We calculate the fair value of long-term debt by discounting the remaining contractual cash flows on each instrument at the current market rate for those borrowings, which we approximate based on the rate we would expect to incur to replace each instrument on the date of acquisition, and recognize any fair value adjustments related to long-term debt as effective yield adjustments over the remaining term of the instrument. We do not amortize goodwill, which is the excess of the purchase price paid over the fair value of the net assets of the acquired business.
 
Impairment of Long-Lived and Intangible Assets
 
We periodically evaluate our long-lived assets, primarily consisting of our investments in real estate, for impairment indicators. If indicators of impairment are present, we evaluate the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying operations, and we adjust the net book value of leased properties and other long-lived assets to fair value if the sum of the expected future undiscounted cash flows including sales proceeds is less than book value. An impairment loss is recognized at the time we make any such determination. If impairment indicators arise with respect to intangible assets with finite useful lives, we evaluate impairment by comparing the carrying amount of the asset to the estimated future undiscounted net cash flows to be generated by the asset. If estimated future undiscounted net cash flows are less than the carrying amount of the asset, then the fair value of the asset is estimated. We determine the impairment expense by comparing the estimated fair value of the intangible asset to its carrying value and recognize any shortfall from fair value as an expense in the current period. Goodwill is reviewed for impairment at least annually, but more frequently if indicators arise. We compare the estimated fair value of the reporting unit to which the goodwill has been assigned with the reporting unit’s carrying value. The fair values used in this evaluation of goodwill and real estate investments and intangibles are estimated based upon discounted future cash flow projections. These cash flow projections are based upon a number of estimates and assumptions, such as revenue and expense growth rates and discount rates.


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Business Combinations
 
For our acquisitions, we measure the assets acquired, liabilities assumed (including contingencies) and any noncontrolling interests at their fair values on the acquisition date. Our acquisition-related transaction costs are included in merger-related expenses and deal costs on our Consolidated Statements of Income for the years ended December 31, 2010 and 2009. Prior to January 1, 2009, these costs were capitalized as part of the asset value at the time of the acquisition, as required by FASB guidance in effect at that time.
 
Loans Receivable
 
Loans receivable are stated at the unpaid principal balance net of any deferred origination fees, purchase discounts or premiums and/or valuation allowances. Net deferred origination fees, which are comprised of loan fees collected from the borrower net of certain direct costs, and purchase discounts or premiums are amortized to income over the contractual life of the loan using the effective interest method. We evaluate the collectibility of loans and other amounts receivable from third parties based on a number of factors, including (i) corporate and facility-level financial and operational reports, (ii) compliance with the financial covenants set forth in the applicable loan or lease agreement, (iii) the financial stability of the borrower or tenant and any guarantor, (iv) the payment history of the borrower or tenant, and (v) current economic conditions. Our level of reserves, if any, for loans and other amounts receivable from third parties fluctuates depending upon all of these factors. We record a reserve at the time it is probable that we will be unable to collect all amounts due according to the contractual terms of the loan agreement, including the contractual interest and principal payments of the loan. At the time a reserve is recorded, we typically cease recognizing interest income on the loan.
 
Fair Value
 
We follow FASB guidance that defines fair value and provides direction for measuring fair value and making the necessary disclosures. The guidance emphasizes that fair value is a market-based measurement, not an entity-specific measurement, and should be determined based on the assumptions that market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, the guidance establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within levels one and two of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within level three of the hierarchy).
 
Level one inputs utilize unadjusted quoted prices in active markets for identical assets or liabilities that the reporting entity has the ability to access. Level two inputs are inputs other than quoted prices included in level one that are directly or indirectly observable for the asset or liability. Level two inputs may include quoted prices for similar assets and liabilities in active markets, as well as other observable inputs for the asset or liability, such as interest rates, foreign exchange rates and yield curves that are observable at commonly quoted intervals. Level three inputs are unobservable inputs for the asset or liability, which are typically based on the reporting entity’s own assumptions, as there is little, if any, related market activity. In instances where the determination of the fair value measurement is based on inputs from different levels of the hierarchy, the level within which the entire fair value measurement falls is based on the lowest level input that is significant to the fair value measurement in its entirety. Additionally, if an entity determines there has been a significant decrease in the volume and level of activity for an asset or liability relative to the normal market activity for such asset or liability (or similar assets or liabilities), then transactions or quoted prices may not accurately reflect fair value. In addition, if there is evidence that the transaction for the asset or liability is not orderly, the entity shall place little, if any, weight on that transaction price as an indicator of fair value. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability.
 
We record marketable debt and equity securities as available-for-sale and classify them as a component of other assets on our Consolidated Balance Sheets. These securities are recorded at fair market value, with


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unrealized gains and losses recorded in stockholders’ equity as a component of accumulated other comprehensive income on our Consolidated Balance Sheets. We report interest income, including discount or premium amortization, on marketable debt securities and gains or losses on securities sold, which are based on the specific identification method, in income from loans and investments on our Consolidated Statements of Income.
 
We determined the fair value of our current investments in marketable securities using level one inputs. We determined the valuation allowance for loan losses based on level three inputs. See “Note 6 — Loans Receivable” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
 
The estimated fair values of tangible and intangible assets and liabilities recorded in connection with business combinations are based on level three inputs. We estimate fair values based on cash flow projections utilizing appropriate discount and/or capitalization rates and available market information.
 
We determine impairment in real estate investments, including intangibles and goodwill, utilizing cash flow projections that apply estimated revenue and expense growth rates, discount rates and capitalization rates, which are classified as level three inputs.
 
We also follow FASB guidance requiring entities to separate an other-than-temporary impairment of a fixed maturity security into two components when (i) there are credit losses associated with the security that management asserts that it does not have an intent to sell and (ii) it is more likely than not that the entity will not be required to sell the security before recovery of its cost basis. The amount of the other-than-temporary impairment related to a credit loss is recognized in earnings, and the amount of the other-than-temporary impairment related to other factors is recorded in other comprehensive loss. We have not recognized any other-than-temporary impairments.
 
Revenue Recognition
 
Certain of our leases, including the majority of our leases with Brookdale Senior Living and the majority of our MOB leases, provide for periodic and determinable increases in base rent. We recognize base rental revenues under these leases on a straight-line basis over the term of the applicable lease. Income on our straight-line revenue is recognized when collectibility is reasonably assured, and in the event we determine that collectibility of straight-line revenue is not reasonably assured, we establish an allowance for estimated losses. Recognizing rental income on a straight-line basis results in recognized revenue exceeding cash amounts contractually due from our tenants during the first half of the term for leases that have straight-line treatment.
 
Our master lease agreements with Kindred (the “Kindred Master Leases”) and certain of our other leases provide for an annual increase in rental payments only if certain revenue parameters or other substantive contingencies are met. We recognize the increased rental revenue under these leases only if such parameters or contingencies are met, rather than on a straight-line basis over the term of the applicable lease.
 
We recognize income from rent, lease termination fees, management advisory services and all other income once all of the following criteria are met in accordance with Securities and Exchange Commission (the “SEC”) Staff Accounting Bulletin 104: (i) the applicable agreement has been fully executed and delivered; (ii) services have been rendered; (iii) the amount is fixed or determinable; and (iv) collectibility is reasonably assured.
 
We recognize resident fees and services, other than move-in fees, monthly as services are provided. We recognize move-in fees on a straight-line basis over the term of the applicable lease agreement. Lease agreements with residents generally have a term of one year and are cancelable by the resident with 30 days’ notice.


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Federal Income Tax
 
Since we have elected to be treated as a REIT under the applicable provisions of the Internal Revenue Code of 1986, as amended (the “Code”), we made no provision for federal income tax purposes prior to our acquisition of the assets of Sunrise Senior Living Real Estate Investment Trust (“Sunrise REIT”) in April 2007. As a result of the Sunrise REIT acquisition, we now record income tax expense or benefit with respect to certain of our entities which are taxed as “taxable REIT subsidiaries” under provisions similar to those applicable to regular corporations and not under the REIT provisions.
 
We account for deferred income taxes using the asset and liability method and recognize deferred tax assets and liabilities for the expected future tax consequences of events that have been included in our financial statements or tax returns. Under this method, we determine deferred tax assets and liabilities based on the differences between the financial reporting and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. An increase or decrease in the deferred tax liability that results from a change in circumstances, and which causes a change in our judgment about expected future tax consequences of events, would be included in the tax provision when such changes occur. Deferred income taxes also reflect the impact of operating loss and tax credit carryforwards. A valuation allowance is provided if we believe it is more likely than not that all or some portion of the deferred tax asset will not be realized. An increase or decrease in the valuation allowance that results from a change in circumstances, and which causes a change in our judgment about the realizability of the related deferred tax asset, would be included in the tax provision when such changes occur.
 
Recently Adopted Accounting Standards
 
On December 21, 2010, the FASB issued Accounting Standards Update (“ASU”) 2010-29, which impacts any public entity that enters into business combinations that are material on an individual or aggregate basis. The guidance specifies that if a public entity presents comparative financial statements, the entity should disclose revenues and earnings of the combined entity as though the business combination(s) that occurred during the year had occurred at the beginning of the prior annual period when preparing the pro forma financial information for both the current and prior reporting periods. The guidance also requires that pro forma disclosures be accompanied by a narrative description regarding the nature and amount of material, nonrecurring pro forma adjustments directly attributable to the business combination included in reported pro forma revenues and earnings. This guidance is effective for business combinations consummated in periods beginning after December 15, 2010. We adopted this guidance on January 1, 2011. We do not believe the adoption of this guidance will have a material impact on our Consolidated Financial Statements.
 
Results of Operations
 
As of December 31, 2010, we operated through three reportable business segments: triple-net leased properties, senior living operations and MOB operations. Our triple-net leased properties segment consists of acquiring and owning seniors housing and healthcare properties in the United States and leasing those properties to healthcare operating companies under “triple-net” or “absolute-net” leases, which require the tenants to pay all property-related expenses. Our senior living operations segment primarily consists of investments in seniors housing communities located in the United States and Canada for which we engage independent third parties, such as Sunrise, to manage the operations. Our MOB operations segment primarily consists of acquiring, owning, developing, leasing and managing MOBs.
 
With the addition of the Lillibridge businesses and properties in July 2010, we believed the segregation of our MOB operations into its own reporting segment would be useful in assessing the performance of this portion of our business in the same way that management intends to review our performance and make operating decisions. Prior to the acquisition, we operated through two reportable segments: triple-net leased properties and senior living operations.


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Years Ended December 31, 2010 and 2009
 
The table below shows our results of operations for each year and the dollar and percentage changes in those results from year to year.
 
                                 
    Year Ended
             
    December 31,     Change  
    2010     2009     $     %  
          (Dollars in thousands)        
 
Segment NOI:
                               
Triple-Net Leased Properties
  $ 469,825     $ 460,646     $ 9,179       2.0 %
Senior Living Operations
    154,470       131,013       23,457       17.9  
MOB Operations
    50,205       23,154       27,051       > 100  
All Other
    16,412       13,107       3,305       25.2  
                                 
Total Segment NOI
    690,912       627,920       62,992       10.0  
Interest and other income
    484       842       (358 )     42.5  
Interest expense
    (178,863 )     (176,990 )     (1,873 )     1.1  
Depreciation and amortization
    (205,600 )     (199,531 )     (6,069 )     3.0  
General, administrative and professional fees
    (49,830 )     (38,830 )     (11,000 )     28.3  
Foreign currency loss
    (272 )     (50 )     (222 )     > 100  
Loss on extinguishment of debt
    (9,791 )     (6,080 )     (3,711 )     61.0  
Merger-related expenses and deal costs
    (19,243 )     (13,015 )     (6,228 )     47.9  
                                 
Income before loss from unconsolidated entities, income taxes, discontinued operations and noncontrolling interest
    227,797       194,266       33,531       17.3  
Loss from unconsolidated entities
    (664 )           (664 )     nm  
Income tax (expense) benefit
    (5,201 )     1,719       (6,920 )     > 100  
                                 
Income from continuing operations
    221,932       195,985       25,947       13.2  
Discontinued operations
    27,797       73,375       (45,578 )     62.1  
                                 
Net income
    249,729       269,360       (19,631 )     7.3  
Net income attributable to noncontrolling interest, net of tax
    3,562       2,865       697       24.3  
                                 
Net income attributable to common stockholders
  $ 246,167     $ 266,495     $ (20,328 )     7.6 %
                                 
 
 
nm — not meaningful
 
Segment NOI — Triple-Net Leased Properties
 
NOI for our triple-net leased properties segment consists solely of rental income earned from these assets. We incur no direct operating expenses for this segment.
 
The year-over-year increase in triple-net leased properties segment NOI primarily reflects $6.2 million of additional rent resulting from the annual escalators in the rent paid under the Kindred Master Leases effective May 1, 2010, $0.8 million in additional rent from a seniors housing community we acquired in 2010 and various other escalations in the rent paid on our other existing properties.
 
Revenues related to our triple-net leased properties segment consist of fixed rental amounts (subject to annual escalations) received directly from our tenants based on the terms of the applicable leases and generally do not depend on the operating performance of our properties. Therefore, while occupancy information is relevant to the operations of our tenants, our revenues and financial results are not directly impacted by the overall occupancy levels or profits at the triple-net leased properties. Average occupancy rates related to


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triple-net leased properties we owned at December 31, 2010, for the third quarter of 2010, which is the most recent information available to us from our tenants, are shown below.
 
                 
        Average Occupancy
    Number of
  for the Three Months
    Properties
  Ended September 30,
    at December 31, 2010   2010
 
Properties:
               
Skilled Nursing Facilities
    187       87.8 %
Seniors Housing Properties
    158       90.5 %
Hospitals
    40       54.6 %
 
Segment NOI — Senior Living Operations
 
                                                 
    For the Year
                         
    Ended December 31,     Change              
    2010     2009     $     %              
    (Dollars in thousands)  
 
Segment NOI — Senior Living Operations:
                                               
Total revenues
  $ 446,301     $ 421,058     $ 25,243       6.0 %                
Less:
                                               
Property-level operating expenses
    291,831       290,045       1,786       0.6                  
                                                 
Segment NOI
  $ 154,470     $ 131,013     $ 23,457       17.9 %                
                                                 
 
Revenues related to our senior living operations segment are resident fees and services, which include all amounts earned from residents at our seniors housing communities, such as rental fees related to resident leases, extended health care fees and other ancillary service income. The year-over-year increase in senior living operations segment revenues is attributed primarily to a decrease in the average Canadian dollar exchange rate, which had a favorable impact of $8.2 million in 2010, $3.3 million of additional revenues from three seniors housing communities added to our portfolio in 2010 and late 2009, higher occupancy rates and higher average daily rates in our Sunrise-managed communities. Average resident occupancy rates related to our senior living operations during 2010 and 2009 were as follows:
 
                                 
    Number of Communities
    Average Resident Occupancy
 
    at December 31,     For the Year Ended December 31,  
    2010     2009     2010     2009  
 
Stabilized Communities
    80       78       89.1 %     88.3 %
Lease-Up Communities
    2       1       84.3 %     70.4 %
                                 
Total
    82       79       88.9 %     87.7 %
                                 
Same-Store Stabilized Communities
    78       78       89.1 %     88.3 %
 
Property-level operating expenses related to our senior living operations segment include labor, food, utility, marketing, management and other property operating costs. Property-level operating expenses increased in 2010 over 2009 primarily due to a decrease in the average Canadian dollar exchange rate, which had an unfavorable impact of $5.4 million in 2010, $3.1 million of additional expenses from three seniors housing communities added to our portfolio in 2010 and late 2009 and increased expenses related to occupancy and revenue growth, partially offset by the receipt of a $5 million cash payment from Sunrise in 2010 for expense overages and a decrease of $4.2 million in management fees.


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Segment NOI — MOB Operations
 
                                 
    For the Year
       
    Ended December 31,     Change  
    2010     2009     $     %  
    (Dollars in thousands)  
 
Segment NOI — MOB Operations:
                               
Rental income
  $ 69,747     $ 35,922     $ 33,825       94.2 %
Medical office building services revenue
    14,098             14,098       nm  
                                 
Total revenues
    83,845       35,922       47,923       > 100  
Less:
                               
Property-level operating expenses
    24,122       12,768       11,354       88.9  
Medical office building services costs
    9,518             9,518       nm  
Segment NOI
  $ 50,205     $ 23,154     $ 27,051       >100 %
                                 
 
 
nm — not meaningful
 
MOB operations segment revenues and property-level operating expenses both increased year-over-year primarily due to additional rent relating to the MOBs we acquired during 2010 and 2009, including the Lillibridge portfolio. Average occupancy rates related to our MOB operations during 2010 and 2009 were as follows:
 
                                 
    Number of Properties
   
    at December 31,   Occupancy at December 31,
    2010   2009   2010   2009
 
Stabilized MOBs
    63       21       94.8 %     94.9 %
Non-Stabilized MOBs
    6       5       73.9 %     73.9 %
                                 
Total
    69       26       91.5 %     89.6 %
                                 
Same-Store Stabilized MOBs
    18       18       93.2 %     93.9 %
 
Medical office building services revenue and costs are a direct result of the Lillibridge businesses that we acquired in July 2010.
 
Segment NOI — All Other
 
All other NOI consists solely of income from loans and investments. Income from loans and investments increased in 2010 over the prior year due primarily to interest earned on the investments we made during 2010 and 2009.
 
Interest Expense
 
Total interest expense, including interest allocated to discontinued operations of $1.1 million and $2.7 million for the years ended December 31, 2010 and 2009, respectively, increased $0.2 million in 2010 over 2009. This difference is due primarily to increased deferred financing fee amortization, increased land lease payments and a $0.4 million increase in interest from higher effective interest rates, partially offset by a $2.7 million reduction in interest from lower loan balances. Interest expense includes $9.0 million and $7.4 million of amortized deferred financing fees for 2010 and 2009, respectively. Our effective interest rate was 6.4% for 2010, compared to 6.3% for 2009. A decrease in the average Canadian dollar exchange rate had an unfavorable impact on interest expense of $0.7 million for 2010, compared to 2009.
 
Depreciation and Amortization
 
Depreciation and amortization expense increased primarily as a result of the properties we acquired or developed during 2010 and 2009, including the Lillibridge portfolio.


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General, Administrative and Professional Fees
 
General, administrative and professional fees increased $11.0 million in 2010 over 2009 due primarily to the Lillibridge acquisition.
 
Foreign Currency Gain/Loss
 
The foreign currency loss in 2010 resulted primarily from the net change in our forward contract valuation compared to the revaluation of intercompany loans, partially offset by the Canadian exchange rate differential between the trade date and settlement date on a cash payment.
 
Loss on Extinguishment of Debt
 
The loss on extinguishment of debt in 2010 relates primarily to our redemption in June 2010 of all $142.7 million principal amount then outstanding of our 71/8% senior notes due 2015, our redemption in October 2010 of all $71.7 million principal amount then outstanding of our 65/8% senior notes due 2014 and various mortgage repayments in December 2010. The loss on extinguishment of debt in 2009 primarily relates to the purchase, in open market transactions and/or through cash tender offers, of $361.6 million aggregate principal amount of our outstanding senior notes.
 
Merger-Related Expenses and Deal Costs
 
Merger-related expenses and deal costs consisted of expenses relating to our favorable $101.6 million jury verdict against HCP, Inc. (“HCP”) and subsequent cross-appeals arising out of our Sunrise REIT acquisition, integration costs related to consummated transactions and deal costs required by GAAP to be expensed rather than capitalized into the asset value, which include certain fees and expenses incurred in connection with the Lillibridge acquisition and other deal costs for unconsummated transactions, including our pending Atria acquisition.
 
Loss From Unconsolidated Entities
 
Loss from unconsolidated entities for 2010 relates to the noncontrolling interests in joint ventures we acquired as part of the Lillibridge acquisition. We have ownership interests ranging between 5% and 20% in 58 MOBs. See “Note 4 — Acquisitions of Real Estate Property” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
 
Income Tax Expense/Benefit
 
Income tax expense/benefit before noncontrolling interest represents amounts related to our taxable REIT subsidiaries as a result of the Sunrise REIT and Lillibridge acquisitions. The change from an income tax benefit in 2009 to a non-cash income tax expense in 2010 is primarily due to increased NOI at our Sunrise-managed seniors housing communities. See “Note 12 — Income Taxes” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
 
Discontinued Operations
 
Discontinued operations for 2010 includes a $17.3 million gain on the sale of seven assets sold during 2010, lease termination fees of $0.7 million related to these assets and a $7.9 million previously deferred gain recognized in the fourth quarter of 2010 upon repayment of a note to the buyer. Discontinued operations for 2009 includes a $66.8 million net gain on the sale of fourteen assets sold during 2009 and a lease termination fee of $2.3 million related to these assets.
 
Net Income Attributable to Noncontrolling Interest
 
Net income attributable to noncontrolling interest, net of tax primarily represents Sunrise’s share of net income from its previous ownership percentage in 60 of our seniors housing communities during 2009 and 58 of our seniors housing communities for most of 2010.


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Years Ended December 31, 2009 and 2008
 
The table below shows our results of operations for each year and the dollar and percentage changes in those results from year to year.
 
                                 
    Year Ended
             
    December 31,     Change  
    2009     2008     $     %  
          (Dollars in thousands)        
 
Segment NOI:
                               
Triple-Net Leased Properties
  $ 460,616     $ 449,099     $ 11,547       2.6 %
Senior Living Operations
    131,013       138,813       (7,800 )     5.6  
MOB Operations
    23,154       17,210       5,944       34.5  
All Other
    13,107       2,853       10,254       > 100  
                                 
Total Segment NOI
    627,920       607,975       19,945       3.3  
Interest and other income
    842       4,226       (3,384 )     80.1  
Interest expense
    (176,990 )     (202,624 )     25,634       12.7  
Depreciation and amortization
    (199,531 )     (229,501 )     29,970       13.1  
General, administrative and professional fees
    (38,830 )     (40,651 )     1,821       4.5  
Foreign currency (loss) gain
    (50 )     162       (212 )     > 100  
(Loss) gain on extinguishment of debt
    (6,080 )     2,398       (8,478 )     > 100  
Merger-related expenses and deal costs
    (13,015 )     (4,460 )     (8,555 )     > 100  
                                 
Income before reversal of contingent liability, income taxes, discontinued operations and noncontrolling interest
    194,266       137,525       56,741       41.3  
Reversal of contingent liability
          23,328       (23,328 )     nm  
Income tax benefit
    1,719       15,885       (14,166 )     89.2  
                                 
Income from continuing operations
    195,985       176,738       19,247       10.9  
Discontinued operations
    73,375       48,549       24,826       51.1  
                                 
Net income
    269,360       225,287       44,073       19.6  
Net income attributable to noncontrolling interest, net of tax
    2,865       2,684       181       6.7  
                                 
Net income attributable to common stockholders
  $ 266,495     $ 222,603     $ 43,892       19.7 %
                                 
 
 
nm — not meaningful
 
Segment NOI — Triple-Net Leased Properties
 
The increase in our triple-net leased properties segment NOI for 2009 over 2008 primarily reflects $6.4 million of additional rent resulting from the annual escalators in the rent paid under the Kindred Master Leases effective May 1, 2009, $0.9 million of additional rent relating to a triple-net leased property acquired in 2009, a rent reset increase of $1.8 million on four seniors housing communities and three skilled nursing facilities and various other escalations in the rent paid on our other existing properties.


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Segment NOI — Senior Living Operations
 
                                 
    For the Year
             
    Ended December 31,     Change  
    2009     2008     $     %  
          (Dollars in thousands)        
 
Segment NOI — Senior Living Operations:
                               
Total revenues
  $ 421,058     $ 429,257     $ (8,199 )     (1.9 ) %
Less:
                               
Property-level operating expenses
    290,045       290,444       (399 )     (0.1 )
                                 
Segment NOI
  $ 131,013     $ 138,813     $ (7,800 )     (5.6 ) %
                                 
 
Our senior living operations segment revenues decreased in 2009 from the prior year primarily due to an increase in the average Canadian dollar exchange rate, which had an unfavorable impact of $5.0 million in 2009, and lower average occupancy in our communities. Average resident occupancy rates related to our senior living operations during 2009 and 2008 were as follows:
 
                                 
    Number of Communities
  Average Resident Occupancy
    at December 31,   For the Year Ended December 31,
    2009   2008   2009   2008
 
Stabilized Communities
    78       73       88.3 %     91.4 %
Lease-Up Communities
    1       6       70.4 %     67.2 %
                                 
Total
    79       79       87.7 %     89.1 %
                                 
Same-Store Stabilized Communities
    73       73       88.6 %     91.4 %
 
The decrease in property-level operating expenses for 2009 over 2008 is attributed primarily to an increase in the average Canadian dollar exchange rate, which had a favorable impact of $3.6 million in 2009 and various other cost savings, partially offset by approximately $4 million of property-level expense credits and reconciliations related to our Sunrise-managed communities in 2008 that did not recur in 2009.
 
Segment NOI — MOB Operations
 
                                 
    For the Year
             
    Ended December 31,     Change  
    2009     2008     $     %  
          (Dollars in thousands)        
 
Segment NOI — MOB Operations:
                               
Rental income
  $ 35,922     $ 27,716     $ 8,206       29.6 %
Less:
                               
Property-level operating expenses
    12,768       10,506       2,262       21.5  
                                 
Segment NOI
  $ 23,154     $ 17,210     $ 5,944       34.5 %
                                 


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Our MOB operations segment revenues increased in 2009 over 2008 due primarily to additional rent relating to the MOBs we acquired during 2008 and 2009. Occupancy rates related to our MOBs for 2009 and 2008 were as follows:
 
                                 
    Number of Properties
    Average Occupancy
 
    at December 31,     For the Year Ended December 31,  
    2009     2008     2009     2008  
 
Stabilized MOBs
    21       19       94.9 %     95.4 %
Non-Stabilized MOBs
    5       2       73.9 %     59.6 %
                                 
Total
    26       21       89.6 %     90.1 %
                                 
Same-Store Stabilized MOBs
    18       18       93.9 %     94.8 %
 
The increase in property-level operating expenses during 2009 over 2008 is attributed primarily to the MOBs we acquired during 2008 and 2009.
 
Segment NOI — All Other
 
All other NOI in 2009 consists solely of income from loans and investments, while 2008 includes a $6.0 million loan receivable valuation allowance not related to our reporting segments. Income from loans and investments increased $4.3 million in 2009 over 2008 due primarily to interest earned on the investments we made during 2008 and 2009.
 
Interest and Other Income
 
The decrease in our interest and other income during 2009 is primarily attributable to the resolution in 2008 of a legal dispute and higher interest rates earned on cash balances in 2008.
 
Interest Expense
 
Total interest expense, including interest allocated to discontinued operations of $2.7 million and $10.5 million for the years ended December 31, 2009 and 2008, respectively, decreased $33.4 million during 2009 over 2008. This difference is due primarily to a $8.6 million reduction in interest from lower effective interest rates and a $25.6 million reduction in interest from lower loan balances. Interest expense includes $7.4 million and $6.4 million of amortized deferred financing fees for 2009 and 2008, respectively. Our effective interest rate decreased to 6.3% for the year ended December 31, 2009, from 6.6% for the prior year. An increase in the average Canadian dollar exchange rate had a favorable impact on interest expense of $0.4 million for the year ended December 31, 2009, as compared to the same period in 2008.
 
Depreciation and Amortization
 
Approximately $28.9 million of the decrease in 2009 depreciation and amortization expense is due to in-place lease intangibles related to the Sunrise REIT acquisition in 2007, which were fully amortized during the second quarter of 2008.
 
General, Administrative and Professional Fees
 
The decrease in general, administrative and professional fees during 2009 is a result of lower professional fees and dead deal costs recorded in 2008, partially offset by an increase in non-cash stock-based compensation.
 
Loss on Extinguishment of Debt
 
The loss on extinguishment of debt in 2009 primarily relates to the purchase, in open market transactions and/or through cash tender offers, of $361.6 million aggregate principal amount of our outstanding senior


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notes. The gain on extinguishment of debt in 2008 primarily represents the purchase of $176.4 million aggregate principal amount of our outstanding senior notes in open market transactions for a discount.
 
Merger-Related Expenses and Deal Costs
 
Merger-related expenses and deal costs consisted of expenses relating to our favorable $101.6 million jury verdict against HCP arising out of our Sunrise REIT acquisition and, during 2009, deal costs required by GAAP to be expensed rather than capitalized into the asset value.
 
Reversal of Contingent Liability
 
We had a $23.3 million deferred tax liability for any built-in gains tax related to the disposition of certain assets owned or deemed to be owned by us prior to our REIT election in 1999. The ten-year period in which these assets were subject to built-in gains tax ended on December 31, 2008. Because we had no pending or planned dispositions of these assets through December 31, 2008 and did not expect to pay any amounts related to this contingent liability, the $23.3 million deferred tax liability was reversed into income during 2008.
 
Income Tax Benefit
 
Income tax benefit before noncontrolling interest represents a deferred benefit which is due solely to our taxable REIT subsidiaries as a direct result of the Sunrise REIT acquisition. See “Note 12 — Income Taxes” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
 
Discontinued Operations
 
Discontinued operations for 2009 includes a $66.8 million net gain on the sale of fourteen assets sold during the year and a lease termination fee of $2.3 million related to these assets. Discontinued operations for 2008 includes a $39.0 million gain on the sale of twelve assets sold during the year and a lease termination fee of $1.6 million related to these assets. See “Note 5 — Dispositions” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
 
Net Income Attributable to Noncontrolling Interest
 
Net income attributable to noncontrolling interest, net of tax primarily represents Sunrise’s share of net income from its ownership percentage in 60 and 61 of our seniors housing communities during 2009 and 2008, respectively.
 
Non-GAAP Financial Measures
 
We believe that net income, as defined by GAAP, is the most appropriate earnings measurement. However, we consider certain non-GAAP financial measures to be useful supplemental measures of our operating performance. A non-GAAP financial measure is generally defined as one that purports to measure historical or future financial performance, financial position or cash flows, but excludes or includes amounts that would not be so adjusted in the most comparable GAAP measure. Set forth below are descriptions of the non-GAAP financial measures we consider relevant to our business and useful to investors, as well as reconciliations of these measures to our most directly comparable GAAP financial measures.
 
The non-GAAP financial measures we present herein are not necessarily identical to those presented by other real estate companies due to the fact that not all real estate companies use the same definitions. These measures should not be considered as alternatives to net income (determined in accordance with GAAP) as indicators of our financial performance or as alternatives to cash flow from operating activities (determined in accordance with GAAP) as measures of our liquidity, nor are these measures necessarily indicative of sufficient cash flow to fund all of our needs. We believe that in order to facilitate a clear understanding of our consolidated historical operating results, these measures should be examined in conjunction with net income as presented in our Consolidated Financial Statements and data included elsewhere in this Annual Report on Form 10-K.


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Funds From Operations and Normalized Funds From Operations
 
Historical cost accounting for real estate assets implicitly assumes that the value of real estate assets diminishes predictably over time. Since real estate values, instead, have historically risen or fallen with market conditions, many industry investors have considered presentations of operating results for real estate companies that use historical cost accounting to be insufficient by themselves. To overcome this problem, we consider Funds From Operations (“FFO”) and normalized FFO appropriate measures of operating performance of an equity REIT. Moreover, we believe that normalized FFO provides useful information because it allows investors, analysts and our management to compare our operating performance to the operating performance of other real estate companies and between periods on a consistent basis without having to account for differences caused by unanticipated items. We use the National Association of Real Estate Investment Trusts (“NAREIT”) definition of FFO. NAREIT defines FFO as net income (computed in accordance with GAAP), excluding gains (or losses) from sales of real estate property, plus real estate depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. Adjustments for unconsolidated partnerships and joint ventures will be calculated to reflect FFO on the same basis. We define normalized FFO as FFO excluding the following items (which may be recurring in nature): (a) gains and losses on the sales of real property assets; (b) merger-related costs and expenses, including amortization of intangibles and transition and integration expenses, and deal costs and expenses, including expenses and recoveries, if any, relating to our lawsuit against HCP and the issuance of preferred stock or bridge loan fees; (c) the impact of any expenses related to asset impairment and valuation allowances, the write-off of unamortized deferred financing fees, or additional costs, expenses, discounts, make-whole payments, penalties or premiums incurred as a result of early retirement or payment of our debt; (d) the non-cash effect of income tax benefits or expenses; (e) the impact of future unannounced acquisitions or divestitures (including pursuant to tenant options to purchase) and capital transactions; (f) the reversal or incurrence of contingent liabilities; (g) gains and losses for non-operational foreign currency hedge agreements; and (h) one-time expenses in connection with the Kindred rent reset process.
 
Our FFO and normalized FFO for the five years ended December 31, 2010 are summarized in the following table. The increase in our FFO for the year ended December 31, 2010 over the prior year can be attributed primarily to rental increases from our triple-net leased portfolio, higher NOI at our senior living operations portfolio due primarily to increased occupancy and higher average daily rates, and higher NOI at


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our MOB operating portfolio due primarily to our Lillibridge acquisition, partially offset by higher general, administrative and professional fees due primarily to our Lillibridge acquisition.
 
                                         
    For the Year Ended December 31,  
    2010     2009     2008     2007     2006  
                (In thousands)              
 
Net income attributable to common stockholders
  $ 246,167     $ 266,495     $ 222,603     $ 273,681     $ 131,154  
Adjustments:
                                       
Real estate depreciation and amortization
    203,966       198,841       228,778       224,028       107,253  
Real estate depreciation related to noncontrolling interest
    (6,217 )     (6,349 )     (6,251 )     (3,749 )      
Real estate depreciation related to unconsolidated entities
    2,367                          
Discontinued operations:
                                       
Gain on sale of real estate assets
    (25,241 )     (67,305 )     (39,026 )     (129,478 )      
Depreciation on real estate assets
    464       1,727       6,253       9,736       10,985  
                                         
FFO
    421,506       393,409       412,357       374,218       249,392  
Adjustments:
                                       
Reversal of contingent liability
                (23,328 )           (1,769 )
Provision for loan losses
                5,994              
Income tax expense (benefit)
    2,930       (3,459 )     (17,616 )     (29,095 )      
Loss (gain) on extinguishment of debt
    9,791       6,080       (2,398 )     (88 )     1,273  
Merger-related expenses and deal costs
    19,243       13,015       4,460       2,979        
Amortization of other intangibles
    511                          
Net gain on sale of marketable equity securities
                      (864 )     (1,379 )
Gain on foreign currency hedge
                      (24,314 )      
Preferred stock issuance costs
                      1,750        
Bridge loan fee
                      2,550        
Rent reset costs
                            7,361  
                                         
Normalized FFO
  $ 453,981     $ 409,045     $ 379,469     $ 327,136     $ 254,878  
                                         
 
Adjusted EBITDA
 
We consider Adjusted EBITDA an important supplemental measure to net income because it provides additional information with which to evaluate the performance of our operations and serves as another indication of our ability to service debt. We define Adjusted EBITDA as earnings before interest, taxes, depreciation and amortization (including non-cash stock-based compensation), excluding merger-related expenses and deal costs, gains and losses on real estate disposals and asset impairments and/or valuation allowances (including amounts in discontinued operations). The following is a reconciliation of Adjusted


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EBITDA to net income (including amounts in discontinued operations) for the years ended December 31, 2010, 2009 and 2008:
 
                         
    For the Year Ended December 31,  
    2010     2009     2008  
    (In thousands)  
 
Net income
  $ 249,729     $ 269,360     $ 225,287  
Adjustments:
                       
Interest
    179,918       179,736       213,132  
Loss (gain) on extinguishment of debt
    9,791       6,080       (2,398 )
Taxes (including amounts in general, administrative and professional fees)
    6,280       (519 )     (14,385 )
Reversal of contingent liability
                (23,328 )
Depreciation and amortization
    206,064       201,258       235,754  
Non-cash stock-based compensation expense
    14,078       11,882       9,976  
Merger-related expenses and deal costs
    19,243       13,015       4,460  
Gain on sale of real estate assets
    (25,241 )     (67,305 )     (39,026 )
Provision for loan losses
                5,994  
                         
Adjusted EBITDA
  $ 659,862     $ 613,507     $ 615,466  
                         
 
NOI
 
We consider NOI an important supplemental measure to net income because it allows investors, analysts and our management to measure unlevered property-level operating results and to compare our operating results to the operating results of other real estate companies and between periods on a consistent basis. We define NOI as total revenues, less interest and other income, property-level operating expenses and MOB services costs (including amounts in discontinued operations). The following is a reconciliation of NOI to total revenues (including amounts in discontinued operations) for the years ended December 31, 2010, 2009 and 2008:
 
                         
    For the Year Ended December 31,  
    2010     2009     2008  
          (In thousands)        
 
Total revenues
  $ 1,016,867     $ 931,575     $ 919,145  
Less:
                       
Interest and other income
    484       842       4,226  
Property-level operating expenses
    315,953       302,813       306,944  
MOB services costs
    9,518              
                         
NOI (excluding amounts in discontinued operations)
    690,912       627,920       607,975  
Discontinued operations
    3,350       8,120       24,584  
                         
NOI (including amounts in discontinued operations)
  $ 694,262     $ 636,040     $ 632,559  
                         
 
Asset/Liability Management
 
Asset/liability management is a key element of our overall risk management program. The objective of asset/liability management is to support the achievement of our business strategies while maintaining appropriate risk levels. The asset/liability management process focuses on a variety of risks, including market risk (primarily interest rate risk and foreign currency exchange risk) and credit risk. Effective management of these risks is an important determinant of the absolute levels and variability of our FFO and net worth. The following discussion addresses our integrated management of assets and liabilities, including the use of derivative financial instruments. We do not use derivative financial instruments for speculative purposes.


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Market Risk
 
We are exposed to market risk related to changes in interest rates on borrowings under our unsecured revolving credit facilities, certain of our mortgage loans that are floating rate obligations, mortgage loans receivable and marketable debt securities. These market risks result primarily from changes in U.S. or Canadian LIBOR rates, the Canadian Bankers’ Acceptance rate or the U.S. or Canadian Prime rates. We continuously monitor our level of floating rate debt with respect to total debt and other factors, including our assessment of the current and future economic environment.
 
Interest rate fluctuations generally do not affect our fixed rate debt obligations until they mature. However, changes in interest rates affect the fair value of our fixed rate debt. If interest rates have risen at the time our fixed rate debt matures or is refinanced, our future earnings and cash flows could be adversely affected by additional borrowing costs. Conversely, lower interest rates at the time of maturity or refinancing may lower our overall borrowing costs.
 
To highlight the sensitivity of our fixed rate debt to changes in interest rates, the following summary shows the effects of a hypothetical instantaneous change of 100 basis points (BPS) in interest rates as of December 31, 2010 and 2009:
 
                 
    As of December 31,
    2010   2009
    (In thousands)
 
Gross book value
  $ 2,771,695     $ 2,477,225  
Fair value(1)
    2,900,143       2,572,472  
Fair value reflecting change in interest rates:(1)
               
−100 BPS
    3,008,630       2,681,982  
+100 BPS
    2,794,140       2,469,655  
 
 
(1) The change in fair value of fixed rate debt was due primarily to overall changes in interest rates and a net increase in debt.


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The table below sets forth certain information with respect to our debt, excluding premiums and discounts.
 
                         
    As of December 31,  
    2010     2009     2008  
    (Dollars in thousands)  
 
Balance:
                       
Fixed rate:
                       
Senior notes and other
  $ 1,537,433     $ 1,153,131     $ 1,364,608  
Mortgage loans and other
    1,234,263       1,324,094       1,228,123  
Variable rate:
                       
Unsecured revolving credit facilities
    40,000       8,466       300,207  
Mortgage loans
    115,258       215,970       246,202  
                         
Total
  $ 2,926,954     $ 2,701,661     $ 3,139,140  
                         
Percent of total debt:
                       
Fixed rate:
                       
Senior notes and other
    52.5 %     42.7 %     43.5 %
Mortgage loans and other
    42.2 %     49.0 %     39.1 %
Variable rate:
                       
Unsecured revolving credit facilities
    1.4 %     0.3 %     9.6 %
Mortgage loans
    3.9 %     8.0 %     7.8 %
                         
Total
    100.0 %     100.0 %     100.0 %
                         
Weighted average interest rate at end of period:
                       
Fixed rate:
                       
Senior notes and other
    5.1 %     6.3 %     6.6 %
Mortgage loans and other
    6.2 %     6.3 %     6.4 %
Variable rate:
                       
Unsecured revolving credit facilities
    3.1 %     3.1 %     2.2 %
Mortgage loans
    1.5 %     2.0 %     2.4 %
Total
    5.4 %     6.0 %     5.8 %
 
The decrease in our outstanding variable rate debt from December 31, 2009 is primarily attributable to mortgage repayments, partially offset by additional borrowings under our unsecured revolving credit facilities. Pursuant to the terms of certain leases with one of our tenants, if interest rates increase on certain debt that we have totaling $80.0 million as of December 31, 2010, our tenant is required to pay us additional rent (on a dollar-for-dollar basis) in an amount equal to the increase in interest expense resulting from the increased interest rates. Therefore, the increase in interest expense related to this debt is equally offset by an increase in additional rent due to us from the tenant. Assuming a 100 basis point increase in the weighted average interest rate related to our variable rate debt, and assuming no change in the outstanding balance as of December 31, 2010, interest expense for 2011 would increase and our net income would decrease by approximately $1.3 million, or $0.01 per diluted common share. The fair value of our fixed and variable rate debt is based on current interest rates at which we could obtain similar borrowings.
 
We earn interest from investments in marketable debt securities on a fixed rate basis. We record these investments as available-for-sale at fair market value, with unrealized gains and losses recorded as a component of stockholders’ equity. Interest rate fluctuations and market conditions will cause the fair value of these investments to change. As of December 31, 2010 and 2009, the fair value of our marketable debt securities, which had an original cost of $58.7 million and $58.7 million, respectively, was $66.7 million and $65.0 million, respectively.


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As of December 31, 2010, the fair value of our loans receivable was $155.4 million and was based on our estimates of currently prevailing rates for comparable loans. See “Note 6 — Loans Receivable” and “Note 10 — Fair Values of Financial Instruments” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
 
We are subject to fluctuations in U.S. and Canadian exchange rates which may, from time to time, have an impact on our financial condition and results of operations. Increases or decreases in the value of the Canadian dollar will impact the amount of net income we earn from our senior living operations in Canada. Based on 2010 results, if the Canadian dollar exchange rate were to increase or decrease by $0.10, our results from operations would decrease or increase, as applicable, by less than $0.01 million per year. If we increase our international presence through investments in, and/or acquisitions or development of, seniors housing and/or healthcare assets outside the United States, we may also decide to transact additional business in currencies other than U.S. or Canadian dollars. Although we may decide to pursue hedging alternatives (including additional borrowings in local currencies) to protect against foreign currency fluctuations, we cannot assure you that any such fluctuations will not have a material adverse effect on our business, financial condition, results of operations and liquidity, on our ability to service our indebtedness and on our ability to make distributions to our stockholders, as required for us to continue to qualify as a REIT (a “Material Adverse Effect”).
 
Concentration and Credit Risk
 
We use concentration ratios to understand the potential risks of economic downturns involving our various asset types, geographic locations or tenants, operators or managers. We evaluate our concentration risk in terms of investment mix and operations mix. Investment mix measures the portion of our investments related to certain asset types or tenants, operators or managers. Operations mix measures the portion of our operating results attributable to certain tenants, operators or managers or geographic locations. The following tables reflect our concentration risk as of the dates and for the periods presented:
 
                 
    December 31,
    2010   2009
 
Investment mix by type(1):
               
Seniors housing communities
    70.2 %     74.2 %
Skilled nursing facilities
    11.7 %     12.4 %
MOBs
    10.8 %     6.0 %
Hospitals
    5.0 %     5.3 %
Loans receivable, net
    2.2 %     2.0 %
Other properties
    0.1 %     0.1 %
Investment mix by tenant, operator and manager(1):
               
Sunrise
    37.9 %     39.7 %
Kindred
    13.1 %     13.9 %
Brookdale Senior Living
    19.7 %     21.5 %
 
 
(1) Ratios are based on the gross book value of real estate investments (including assets held for sale) as of each reporting date.
 


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    For the Years Ended December 31,
    2010   2009   2008
 
Tenant, operator and manager operations mix:
                       
Revenues(1):
                       
Sunrise
    43.4 %     44.7 %     45.4 %
Kindred
    24.2 %     26.2 %     25.5 %
Brookdale Senior Living
    11.9 %     12.9 %     12.4 %
All others
    17.5 %     14.7 %     15.3 %
Adjusted EBITDA:
                       
Sunrise
    22.7 %     20.4 %     21.7 %
Kindred
    34.6 %     39.2 %     39.6 %
Brookdale Senior Living
    17.0 %     18.6 %     18.9 %
All others
    25.7 %     21.8 %     19.8 %
NOI:
                       
Sunrise
    22.2 %     20.6 %     21.9 %
Kindred
    35.6 %     38.5 %     38.1 %
Brookdale Senior Living
    17.3 %     19.1 %     18.5 %
All others
    24.9 %     21.8 %     21.5 %
Geographic operations mix(4):
                       
California
    12.0 %     12.7 %     12.6 %
Illinois
    10.2 %     10.3 %     10.6 %
Ontario
    5.9 %     5.6 %     5.8 %
Pennsylvania
    5.6 %     5.6 %     5.6 %
Massachusetts
    5.0 %     5.3 %     5.9 %
All others
    58.3 %     59.0 %     58.1 %
 
 
(1) Total revenues includes medical office building services revenue, revenue from loans and investments and interest and other income. Revenues from properties sold or held for sale as of the reporting date are included in this presentation.
 
(2) Ratios are based on total revenues for each period presented. Total revenues includes medical office building services revenue, revenue from loans and investments and interest and other income. Revenues from properties held for sale as of the reporting date are included in this presentation. Revenues from properties sold as of the reporting date are excluded from this presentation.
 
See “Non-GAAP Financial Measures” included elsewhere in this Annual Report on Form 10-K for additional disclosure and reconciliations of Adjusted EBITDA and NOI to our net income, as computed in accordance with GAAP.
 
We derive a significant portion of our revenue by leasing our assets under long-term triple-net leases in which the rental rate is generally fixed with annual escalators, subject to certain limitations. Some of our triple-net lease escalators are tied to the Consumer Price Index, with caps, floors or collars. We also earn revenue from individual residents at our seniors housing communities managed by independent third parties, such as Sunrise, and tenants in our MOBs. For the year ended December 31, 2010, 28.6% of our Adjusted EBITDA was derived from our senior living operations managed by Sunrise and MOB operations, where rental rates may fluctuate upon lease rollovers and renewals due to economic or market conditions.
 
Our reliance on Kindred and Brookdale Senior Living for a significant portion of our revenues and operating income creates credit risk. Kindred’s and Brookdale Senior Living’s financial condition and ability to meet their rental payments and other obligations to us have a significant impact on our results of operations

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and our ability to make distributions to our stockholders. In addition, any failure by Kindred or Brookdale Senior Living to effectively conduct its operations or to maintain and improve our properties could adversely affect its business reputation or its ability to attract and retain patients and residents in our properties, which could have a Material Adverse Effect on us. See “Risk Factors — Risks Arising from Our Business — We depend on Kindred and Brookdale Senior Living for a significant portion of our revenues and operating income; Any inability or unwillingness by Kindred or Brookdale Senior Living to satisfy its obligations under its agreements with us could have a Material Adverse Effect on us” included in Part I, Item 1A of this Annual Report on Form 10-K and “Note 3 — Concentration of Credit Risk” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K. We regularly monitor the credit risk under our lease and other agreements with our tenants and borrowers by, among other things, (i) reviewing and analyzing information regarding the healthcare industry generally, publicly available information regarding tenants, and information provided by the tenants and borrowers under our lease and other agreements, and (ii) having periodic discussions with tenants, borrowers and their representatives.
 
Sunrise currently provides comprehensive property management and accounting services with respect to 79 of our seniors housing communities pursuant to long-term management agreements. Each management agreement has a term of 30 years from its effective date, the earliest of which began in 2004. Pursuant to the management agreements, we pay Sunrise a base management fee equal to a specified percentage of resident fees and similar revenues, subject to reduction based on below target performance relating to NOI for a pool of properties. For our 79 Sunrise-managed communities, we paid management fees of 5% for the period from January 1, 2010 through March 31, 2010 and 3.5% for the period from April 1, 2010 through December 31, 2010. For 2011, in accordance with the management agreements, as modified in December 2010, we will pay management fees of 3.75% of resident fees and similar revenues, and thereafter we will pay base management fees of 6% of resident fees and similar revenues (with a range of 5% to 7%). After 2011, we will also be obligated to pay incentive management fees if the properties exceed aggregate performance targets relating to NOI; provided, however, that total management fees, including incentive fees, shall not exceed 7% of resident fees and similar revenues. The management agreements also specify that we will reimburse Sunrise for direct or indirect costs necessary to manage our seniors housing communities.
 
We may terminate our management agreements upon the occurrence of an event of default by Sunrise in the performance of a material covenant or term thereof (including, in certain circumstances, the revocation of any licenses or certificates necessary for operation), subject in most cases to Sunrise’s rights to cure such defaults. Each management agreement may also be terminated upon the occurrence of certain insolvency events relating to Sunrise. In addition, the management agreements provide for termination rights if performance falls below specified NOI targets or if Sunrise fails to comply with certain expense-control covenants. However, various legal and contractual considerations may limit or delay our exercise of any or all of these termination rights.
 
We acquired Sunrise’s noncontrolling interests in our joint ventures with Sunrise in December 2010 and now own 100% of our 79 Sunrise-managed communities. See “Note 4 — Acquisitions of Real Estate Property” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
 
See “Risk Factors — Risks Arising from Our Business — The properties managed by Sunrise account for a significant portion of our revenues and operating income; Adverse developments in Sunrise’s business and affairs or financial condition could have a Material Adverse Effect on us” included in Part I, Item 1A of this Annual Report on Form 10-K.
 
Lease Expirations
 
We are exposed to the risk that, as our triple-net leases expire, our tenants may elect not to renew those leases and, in that event, we may be unable to reposition the applicable properties on a timely basis or on as


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favorable terms, if at all. The following table summarizes our triple-net lease expirations scheduled to occur over the next ten years:
 
                         
            % of 2010 Total
    Number of
  2010 Annual
  Triple-Net Rental
    Properties   Rental Income   Income(1)
        (Dollars in thousands)    
 
2011
        $       %
2012
    4       3,874       0.8  
2013
    90       119,401       25.4  
2014
    3       3,332       0.7  
2015
    140       154,927       33.0  
2016
    1       1,054       0.2  
2017
                 
2018
    1       399       0.1  
2019
    84       122,059       26.0  
2020
    6       11,233       2.4  
 
 
(1) Total 2010 triple-net rental income excludes income included in discontinued operations.
 
The non-renewal of some or all of our leases could have a Material Adverse Effect on us. See “Risk Factors— Risks Arising from Our Business — We may be unable to reposition our properties on as favorable terms, or at all, if we have to replace any of our tenants or operators, and we may be subject to delays, limitations and expenses in repositioning our assets” included in Part I, Item IA of this Annual Report on Form 10-K.
 
Liquidity and Capital Resources
 
During 2010, our principal sources of liquidity were proceeds from issuances of debt, cash flows from operations, proceeds from dispositions, proceeds from repayments of loans receivable, borrowings under our unsecured revolving credit facilities and cash on hand. During the next twelve months, our principal liquidity needs are to: (i) fund normal operating expenses; (ii) meet our debt service requirements; (iii) repay maturing mortgage and other debt, including our convertible notes; (iv) fund capital expenditures for our senior living operations and our MOB operations; (v) fund acquisitions, including our pending Atria transaction, investments and/or commitments, including development activities; and (vi) make distributions to our stockholders, as required for us to continue to qualify as a REIT. Except as discussed below, we believe that these needs will be satisfied by cash flows from operations, cash on hand, debt financings, issuance of equity securities, proceeds from sales of assets and borrowings under our unsecured revolving credit facilities. However, if these sources of capital are not available and/or if we make significant acquisitions and investments, we may be required to obtain funding from additional borrowings, assume debt from the seller, dispose of assets (in whole or in part through joint venture arrangements with third parties) and/or issue secured or unsecured long-term debt or other securities. We expect to fund the Atria transaction through the issuance of 24.96 million shares of our common stock, cash on hand, borrowings under our unsecured revolving credit facilities and assumed mortgage financing. See “Risk Factors — Risks Arising from Our Capital Structure — Limitations on our ability to access capital could have an adverse effect on our ability to meet our debt payments, make distributions to our stockholders or make future investments necessary to implement our business plan” included in Part  I, Item 1A of this Annual Report on Form 10-K.
 
As of December 31, 2010, we had a total of $21.8 million of unrestricted cash and cash equivalents, operating cash and cash related to our senior living operations and MOB operations that is deposited and held in property-level accounts. Funds maintained in the property-level accounts are used primarily for the payment of property-level expenses and certain capital expenditures. At December 31, 2010, we also had escrow deposits and restricted cash of $38.9 million and $956.8 million of unused borrowing capacity available under our unsecured revolving credit facilities.


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Unsecured Revolving Credit Facilities
 
At December 31, 2010, our aggregate borrowing capacity under the unsecured revolving credit facilities was $1.0 billion, all of which matures on April 26, 2012. Borrowings under our unsecured revolving credit facilities bear interest at a fluctuating rate per annum (based on U.S. or Canadian LIBOR, the Canadian Bankers’ Acceptance rate, or the U.S. or Canadian Prime rate), plus an applicable percentage based on our consolidated leverage. At December 31, 2010, the applicable percentage was 2.80%. Our unsecured revolving credit facilities also have a 20 basis point facility fee.
 
In October 2010, we amended the terms of our unsecured revolving credit facilities to release the subsidiary guarantees thereunder.
 
The agreements governing our unsecured revolving credit facilities subject us to a number of restrictive covenants. See “Note 9 — Borrowing Arrangements” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
 
Convertible Senior Notes
 
As of December 31, 2010, we had $230.0 million aggregate principal amount of our 3% Convertible Senior Notes due 2011 outstanding. The convertible notes are convertible at the option of the holder (i) prior to September 15, 2011, upon the occurrence of specified events and (ii) on or after September 15, 2011, at any time prior to the close of business on the second business day prior to the stated maturity (December 1, 2011), in each case into cash up to the principal amount of the convertible notes and cash or shares of our common stock, at our election, in respect of any conversion value in excess of the principal amount at the current conversion rate of 23.2133 shares per $1,000 principal amount of notes (which equates to a current conversion price of approximately $43.08 per share). The conversion rate is subject to adjustment in certain circumstances, including the payment of a quarterly dividend in excess of $0.395 per share. To the extent the market price of our common stock exceeds the conversion price our earnings per share will be diluted.
 
In September 2010, the subsidiary guarantees on our outstanding convertible notes (other than the guarantee by Ventas Realty) were released pursuant to the terms of the indentures governing the notes.
 
The indenture governing the convertible notes subjects us to a number of restrictive covenants. See “Note 9 — Borrowing Arrangements” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
 
Senior Notes and Other
 
As of December 31, 2010, the following series of senior notes issued by our subsidiaries, Ventas Realty and Ventas Capital Corporation, were outstanding:
 
  •  $82.4 million principal amount of 9% senior notes due 2012;
 
  •  $400.0 million principal amount of 3.125% senior notes due 2015;
 
  •  $400.0 million principal amount of 61/2% senior notes due 2016; and
 
  •  $225.0 million principal amount of 63/4% senior notes due 2017.
 
In May 2010, we repaid in full, at par, $1.4 million principal amount then outstanding of our 63/4% senior notes due 2010 upon maturity. In June 2010, we exercised our option to redeem all $142.7 million principal amount then outstanding of our 71/8% senior notes due 2015, at a redemption price equal to 103.56% of par, plus accrued and unpaid interest to the redemption date, pursuant to the call option contained in the indenture governing the notes. As a result, we paid a total of $147.8 million, plus accrued and unpaid interest, on the redemption date and recognized a net loss on extinguishment of debt of $6.4 million during the second quarter of 2010.
 
In October 2010, we exercised our option to redeem all $71.7 million principal amount then outstanding of our 65/8% senior notes due 2014, at a redemption price equal to 102.21% of par, plus accrued and unpaid


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interest to the redemption date, pursuant to the call option contained in the indenture governing the notes. As a result, we paid a total of $73.3 million, plus accrued and unpaid interest, on the redemption date and recognized a loss on extinguishment of debt of $2.5 million during the fourth quarter of 2010.
 
In September 2010, the subsidiary guarantees on our outstanding senior notes (other than our 9% senior notes due 2012) were released pursuant to the terms of the indentures governing the notes.
 
In November 2010, we issued and sold $400.0 million aggregate principal amount of our 3.125% senior notes due 2015, at a public offering price equal to 99.528% of par, for total proceeds of $398.1 million, before the underwriting discount and expenses.
 
During 2009, we issued and sold $200.0 million aggregate principal amount of our 61/2% senior notes due 2016 at a 153/4% discount to par value for total proceeds of $168.5 million, before the underwriting discount and expenses. We also repaid in full, at par, $49.8 million principal amount then outstanding of our 83/4% senior notes due 2009 upon maturity and purchased in open market transactions and/or through cash tender offers $361.6 million of our senior notes composed of: $121.6 million principal amount then outstanding of our 63/4% senior notes due 2010; $109.4 million principal amount then outstanding of our 9% senior notes due 2012; $103.3 million principal amount then outstanding of our 65/8% senior notes due 2014; and $27.3 million principal amount then outstanding of our 71/8% senior notes due 2015. We recognized a net loss on extinguishment of debt of $6.1 million related to these purchases.
 
We may, from time to time, seek to retire or purchase additional amounts of our outstanding senior notes for cash and/or in exchange for equity securities in open market purchases, privately negotiated transactions or otherwise. Such repurchases or exchanges, if any, will depend on prevailing market conditions, our liquidity requirements, contractual restrictions, prospects for future access to capital and other factors. The amounts involved may be material.
 
The indentures governing our outstanding senior notes subject us to a number of restrictive covenants. However, at any time we maintain investment grade ratings by both Moody’s Investor Service and Standard & Poor’s Ratings Services, the indentures governing our 2012, 2016 and 2017 senior notes provide that certain of these restrictive covenants will either be suspended or fall away. See “Note 9 — Borrowing Arrangements” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
 
In September 2010, we entered into a $200.0 million three-year unsecured term loan with Bank of America, N.A., as lender. The term loan is non-amortizing and bears interest at an all-in fixed rate of 4% per annum. The term loan contains the same restrictive covenants as our unsecured revolving credit facilities.
 
Mortgage Loan Obligations
 
Total facility-level mortgage debt outstanding was approximately $1.3 billion and $1.5 billion as of December 31, 2010 and 2009, respectively.
 
In June 2010, we repaid $49.8 million of mortgage loans on two of our Sunrise-managed properties in which we previously had 80% ownership interests. In connection with our payment of Sunrise’s share ($9.9 million) of those mortgage loans, we acquired Sunrise’s 20% noncontrolling interests in the properties.
 
In July 2010, in connection with our acquisition of Lillibridge and its related entities, we assumed $79.5 million of mortgage debt. See “Note 4 — Acquisitions of Real Estate Property” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.
 
During 2009, we closed a pool of seventeen first mortgage loans through a government-sponsored entity aggregating $132.1 million principal amount. These loans, which are secured by seventeen of our seniors housing communities, mature in July 2019 and bear interest at a weighted average fixed rate of 6.68% per annum. We also closed a first mortgage loan through a government-sponsored entity in the original principal amount of $40.5 million. This loan is secured by one seniors housing community, matures in November 2014 and bears interest at a fixed rate of 5.14% per annum.


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Dividends
 
In order to continue to qualify as a REIT, we must make annual distributions to our stockholders of at least 90% of REIT taxable income (excluding net capital gain). Our quarterly dividends in 2010 aggregated $2.14 per share, which exceeds 100% of our 2010 estimated taxable income. We also intend to pay dividends greater than 100% of taxable income for 2011. On February 16, 2011, our Board of Directors declared the first quarter 2011 dividend of $0.575 per share, payable in cash on March 31, 2011 to holders of record on March 11, 2011.
 
We expect that REIT taxable income will be less than cash flow due to the allowance of depreciation and other non-cash deductions in computing REIT taxable income. Although we anticipate that we generally will be able to satisfy the 90% distribution requirement, from time to time, we may not have sufficient cash on hand or other liquid assets to meet this requirement or we may decide to retain cash or distribute such greater amount as may be necessary to avoid income and excise taxation. If we do not have sufficient cash on hand or other liquid assets to enable us to satisfy the 90% distribution requirement, or if we desire to retain cash, we may borrow funds, issue additional equity securities, pay taxable stock dividends, if possible, distribute other property or securities or engage in a transaction intended to enable us to meet the REIT distribution requirements or any combination of the foregoing. See “Certain U.S. Federal Income Tax Considerations — Requirements for Qualification as a REIT— Annual Distribution Requirements” included in Part I, Item 1 of this Annual Report on Form 10-K.
 
Capital Expenditures
 
Our tenants generally bear the responsibility of maintaining and improving our triple-net leased properties. Accordingly, we do not expect to incur any major capital expenditures in connection with these properties. After the terms of the triple-net leases expire, or in the event that the tenants are unable or unwilling to meet their obligations under those leases, we anticipate funding any capital expenditures for which we may become responsible by cash flows from operations or through additional borrowings. With respect to our senior living and MOB operations, we expect that capital expenditures will be funded by the cash flows from the properties or through additional borrowings. To the extent that unanticipated expenditures or significant borrowings are required, our liquidity may be affected adversely. Our ability to borrow additional funds may be restricted in certain circumstances by the terms of the instruments governing our outstanding indebtedness. Our ability to borrow may also be limited by our lenders’ ability and willingness to fund, in whole or in part, borrowing requests under our unsecured revolving credit facilities.
 
Equity Offerings
 
In February 2011, we completed the sale of 5,563,000 shares of our common stock in an underwritten public offering pursuant to our existing shelf registration statement. We received $300.0 million in aggregate proceeds from the sale, which we intend to use to repay existing mortgage debt and for working capital and other general corporate purposes, including to fund future acquisitions or investments, if any.
 
In March 2010, we filed a registration statement on Form S-3 with the SEC relating to the resale, from time to time, by the selling stockholders of shares of our common stock, if any, that may become issuable upon conversion of our outstanding 37/8% convertible senior notes due 2011. The registration statement replaced our previous resale shelf registration statement, which expired pursuant to the SEC’s rules.
 
In April 2009, we completed the sale of 13,062,500 shares of our common stock in an underwritten public offering pursuant to the shelf registration statement. We received $312.2 million in aggregate proceeds from the sale, which we used, together with our net proceeds from the sale of the senior notes due 2016, to fund our cash tender offers for our outstanding senior notes, to repay debt and for general corporate purposes.
 
In April 2009, we filed an automatic shelf registration statement on Form S-3 with the SEC relating to the sale, from time to time, of an indeterminate amount of debt securities and related guarantees, common stock, preferred stock, depositary shares and warrants. The registration statement replaced our previous automatic shelf registration statement, which expired pursuant to the SEC’s rules.


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Other
 
We received proceeds of $11.1 million and $2.2 million for the years ended December 31, 2010 and 2009, respectively, from the exercises of outstanding stock options. Future proceeds from the exercises of stock options will be primarily affected by the future performance of our stock price and the number of options outstanding. Options outstanding have increased to 1.7 million as of December 31, 2010, from 1.6 million as of December 31, 2009. The average weighted exercise price was $38.12 as of December 31, 2010.
 
We issued approximately 41,600 and 20,800 shares of common stock under our Distribution Reinvestment and Stock Purchase Plan, for net proceeds of $2.1 million and $0.6 million for the years ended December 31, 2010 and 2009, respectively. We currently offer a 1% discount on the purchase price of our stock to shareholders who reinvest their dividends and/or make optional cash purchases of common stock through the plan. Each month or quarter, as applicable, we may lower or eliminate the discount without prior notice, thereby affecting the future proceeds that we receive from this plan.
 
Cash Flows
 
The following is a summary of our sources and uses of cash flows for the years ended December 31, 2010 and 2009:
 
                                 
    For the Year Ended
       
    December 31,     Change  
    2010     2009     $     %  
          (Dollars in thousands)        
 
Cash and cash equivalents at beginning of period
  $ 107,397     $ 176,812     $ (69,415 )     39.3 %
Net cash provided by operating activities
    447,622       422,101       25,521       6.0  
Net cash used in investing activities
    (301,920 )     (1,746 )     (300,174 )     > 100  
Net cash used in financing activities
    (231,452 )     (490,180 )     258,728       52.8  
Effect of foreign currency translation on cash and cash equivalents
    165       410       (245 )     59.8  
                                 
Cash and cash equivalents at end of period
  $ 21,812     $ 107,397     $ (85,585 )     79.7 %
                                 
 
Cash Flows from Operating Activities
 
Cash flows from operating activities increased in 2010 primarily due to increases in FFO, as previously discussed, partially offset by a net decrease in working capital.
 
Cash Flows from Investing Activities
 
Cash used in investing activities during 2010 and 2009 consisted primarily of our investments in real estate ($274.4 million and $45.7 million in 2010 and 2009, respectively), purchase of noncontrolling interests ($42.3 million in 2010), investments in loans receivable ($38.7 million and $13.8 million in 2010 and 2009, respectively), contributions to unconsolidated entities ($4.7 million in 2010) and capital expenditures ($19.9 million and $13.8 million in 2010 and 2009, respectively). These uses were partially offset by proceeds from real estate disposals ($58.2 million and $58.5 million in 2010 and 2009, respectively), proceeds from loans receivable ($19.3 million and $8.0 million in 2010 and 2009, respectively) and proceeds from the sale of investments ($5.0 million in 2009).
 
Cash Flows from Financing Activities
 
Cash used in financing activities during 2010 consisted primarily of $524.8 million of debt repayments, $336.1 million of cash dividend payments to common stockholders, $8.1 million of distributions to noncontrolling interests and $2.7 million of payments for deferred financing costs. These uses were partially offset by $597.4 million of proceeds from the issuance of debt and $28.6 million of net borrowings under our unsecured revolving credit facilities.


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Cash used in financing activities during 2009 consisted primarily of $525.2 million of debt repayments, $314.4 million of cash dividend payments to common stockholders, $292.9 million of net payments made on our unsecured revolving credit facilities, $9.9 million of distributions to noncontrolling interests and $16.7 million of payments for deferred financing costs. These uses were partially offset by $365.7 million of proceeds from the issuance of debt and $299.2 million of proceeds from the issuance of common stock.
 
Contractual Obligations
 
The following table summarizes the effect that minimum debt (which includes principal and interest payments) and other material noncancelable commitments are expected to have on our cash flow in future periods as of December 31, 2010:
 
                                         
          Less Than
                More Than
 
    Total     1 Year(4)     1-3 Years(5)     3-5 Years(6)     5 Years (7)  
                (In thousands)              
 
Long-term debt obligations(1)(2)
  $ 3,735,842     $ 442,473     $ 1,070,496     $ 740,998     $ 1,481,875  
Acquisition commitments(3)
    3,100,000       3,100,000                    
Operating and ground lease obligations
    158,118       3,686       7,360       6,076       140,996  
                                         
Total
  $ 6,993,960     $ 3,546,159     $ 1,077,856     $ 747,074     $ 1,622,871  
                                         
 
 
(1) Amounts represent contractual amounts due, including interest.
 
(2) Interest on variable rate debt was based on forward rates obtained as of December 31, 2010.
 
(3) Represents commitment for the Atria transaction.
 
(4) Includes $230.0 million outstanding principal amount of our convertible notes.
 
(5) Includes $82.4 million outstanding principal amount of our senior notes due 2012, $200.0 million outstanding principal amount of our unsecured term loan due 2013 and $40.0 million outstanding under our unsecured revolving credit facilities that matures in 2012.
 
(6) Includes $400.0 million outstanding principal amount of our senior notes due 2015.
 
(7) Includes $400.0 million outstanding principal amount of our senior notes due 2016 and $225.0 million outstanding principal amount of our senior notes due 2017.
 
As of December 31, 2010, we had $17.9 million of unrecognized tax benefits that have been excluded from the table above, as we are unable to make a reasonable reliable estimate of the period of cash settlement, if any, with the respective tax authority.
 
ITEM 7A.   Quantitative and Qualitative Disclosures About Market Risk
 
The information set forth in Item 7 of this Annual Report on Form 10-K under “Management’s Discussion and Analysis of Financial Condition and Results of Operations — Asset/Liability Management” is incorporated by reference into this Item 7A.


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ITEM 8.   Financial Statements and Supplementary Data
 
Ventas, Inc.
 
Index to Consolidated Financial Statements and Financial Statement Schedules
 
         
    77  
    78  
    79  
    80  
    81  
    82  
    83  
    84  
Consolidated Financial Statement Schedule
       
    130  


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MANAGEMENT REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING
 
Management of Ventas, Inc. (the “Company”) is responsible for establishing and maintaining adequate internal control over financial reporting, as defined in Rule 13a-15(f) and 15d-15(f) under the Securities Exchange Act of 1934, as amended. Management, with the participation of the Company’s Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of the Company’s internal control over financial reporting based on the framework established in Internal Control — Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). Based on this evaluation, management has determined that the Company’s internal control over financial reporting as of December 31, 2010 was effective.
 
On July 1, 2010, the Company acquired Lillibridge Healthcare Services, Inc. (together with its related entities, “Lillibridge”). As permitted under Securities and Exchange Commission guidelines, the Company excluded from the assessment of the effectiveness of its internal control over financial reporting as of December 31, 2010, internal control over financial reporting of the Lillibridge assets and operations. Net assets and total revenues related to Lillibridge represented 12.2% and 3.5%, respectively, of the Company’s related consolidated financial statement amounts as of and for the year ended December 31, 2010.
 
The effectiveness of the Company’s internal control over financial reporting as of December 31, 2010 has been audited by Ernst & Young LLP, an independent registered public accounting firm, as stated in their report included herein.


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REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
 
Stockholders and Board of Directors
Ventas, Inc.
 
We have audited the accompanying consolidated balance sheets of Ventas, Inc. as of December 31, 2010 and 2009, and the related consolidated statements of income, equity, and cash flows for each of the three years in the period ended December 31, 2010. Our audits also included the financial statement schedule listed in the accompanying index to the financial statements and schedule. These financial statements and schedule are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements and schedule based on our audits.
 
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.
 
In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of Ventas, Inc. at December 31, 2010 and 2009, and the consolidated results of its operations and its cash flows for each of the three years in the period ended December 31, 2010, in conformity with U.S. generally accepted accounting principles. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic financial statements taken as a whole, presents fairly in all material respects the information set forth therein.
 
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), Ventas Inc.’s internal control over financial reporting as of December 31, 2010, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission and our report dated February 18, 2011 expressed an unqualified opinion thereon.
 
/s/ Ernst & Young LLP
 
Chicago, Illinois
18 February 2011


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REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
ON INTERNAL CONTROL OVER FINANCIAL REPORTING
 
Stockholders and Board of Directors
Ventas, Inc.
 
We have audited Ventas, Inc.’s internal control over financial reporting as of December 31, 2010, based on criteria established in Internal Control — Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (the COSO criteria). Ventas, Inc.’s management is responsible for maintaining effective internal control over financial reporting, and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying Management Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the company’s internal control over financial reporting based on our audit.
 
We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.
 
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the company’s assets that could have a material effect on the financial statements.
 
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
 
As indicated in the accompanying Management Report on Internal Control over Financial Reporting, management’s assessment of and conclusions on the effectiveness of internal control over financial reporting did not include internal control over financial reporting of the Lillibridge assets and operations, which are included in the 2010 consolidated financial statements of Ventas, Inc. and constituted 12.2% and 3.5% of net assets and total revenues, respectively, of the Company’s related consolidated financial statements as of and for the year ended December 31, 2010. Our audit of internal control over financial reporting of Ventas, Inc. also did not include an evaluation of the internal control over financial reporting of the Lillibridge assets and operations.
 
In our opinion, Ventas, Inc. maintained, in all material respects, effective internal control over financial reporting as of December 31, 2010, based on the COSO criteria.
 
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the 2010 consolidated financial statements and financial statement schedule of Ventas, Inc. and our report dated February 18, 2011 expressed an unqualified opinion thereon.
 
/s/ Ernst & Young LLP
 
Chicago, Illinois
18 February 2011


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VENTAS, INC.
 
CONSOLIDATED BALANCE SHEETS
As of December 31, 2010 and 2009
 
                 
    2010     2009  
    (In thousands, except per share amounts)  
 
ASSETS
Real estate investments:
               
Land
  $ 559,072     $ 557,276  
Buildings and improvements
    6,035,295       5,722,837  
Construction in progress
    6,519       12,508  
Acquired lease intangibles
    146,813       106,800  
                 
      6,747,699       6,399,421  
Accumulated depreciation and amortization
    (1,468,180 )     (1,270,314 )
                 
Net real estate property
    5,279,519       5,129,107  
Loans receivable, net
    149,263       131,887  
Investments in unconsolidated entities
    15,332        
                 
Net real estate investments
    5,444,114       5,260,994  
Cash and cash equivalents
    21,812       107,397  
Escrow deposits and restricted cash
    38,940       39,832  
Deferred financing costs, net
    19,533       29,252  
Other
    233,622       178,770  
                 
Total assets
  $ 5,758,021     $ 5,616,245  
                 
 
LIABILITIES AND EQUITY
Liabilities:
               
Senior notes payable and other debt
  $ 2,900,044     $ 2,670,101  
Accrued interest
    19,296       17,974  
Accounts payable and other liabilities
    207,143       190,445  
Deferred income taxes
    241,333       253,665  
                 
Total liabilities
    3,367,816       3,132,185  
Commitments and contingencies
               
Equity:
               
Ventas stockholders’ equity:
               
Preferred stock, $1.00 par value; 10,000 shares authorized, unissued
           
Common stock, $0.25 par value; 300,000 shares authorized; 157,279 and 156,627 shares issued at December 31, 2010 and 2009, respectively
    39,391       39,160  
Capital in excess of par value
    2,576,843       2,573,039  
Accumulated other comprehensive income
    26,868       19,669  
Retained earnings (deficit)
    (255,628 )     (165,710 )
Treasury stock, 14 and 15 shares at December 31, 2010 and 2009, respectively
    (748 )     (647 )
                 
Total Ventas stockholders’ equity
    2,386,726       2,465,511  
Noncontrolling interest
    3,479       18,549  
                 
Total equity
    2,390,205       2,484,060  
                 
Total liabilities and equity
  $ 5,758,021     $ 5,616,245  
                 
 
See accompanying notes.


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VENTAS, INC.
 
CONSOLIDATED STATEMENTS OF INCOME
For the Years Ended December 31, 2010, 2009 and 2008
 
                         
    2010     2009     2008  
    (In thousands, except per share amounts)  
 
Revenues:
                       
Rental income:
                       
Triple-net leased
  $ 469,825     $ 460,646     $ 449,099  
Medical office buildings
    69,747       35,922       27,716  
                         
      539,572       496,568       476,815  
Resident fees and services
    446,301       421,058       429,257  
Medical office building services revenue
    14,098              
Income from loans and investments
    16,412       13,107       8,847  
Interest and other income
    484       842       4,226  
                         
Total revenues
    1,016,867       931,575       919,145  
Expenses:
                       
Interest
    178,863       176,990       202,624  
Depreciation and amortization
    205,600       199,531       229,501  
Property-level operating expenses:
                       
Senior living
    291,831       290,045       290,444  
Medical office buildings
    24,122       12,768       10,506  
All other
                5,994  
                         
      315,953       302,813       306,944  
Medical office building services costs
    9,518              
General, administrative and professional fees (including non-cash stock-based compensation expense of $14,078, $11,882 and $9,976 for the years ended December 31, 2010, 2009 and 2008, respectively)
    49,830       38,830       40,651  
Foreign currency loss (gain)
    272       50       (162 )
Loss (gain) on extinguishment of debt
    9,791       6,080       (2,398 )
Merger-related expenses and deal costs
    19,243       13,015       4,460  
                         
Total expenses
    789,070       737,309       781,620  
                         
Income before loss from unconsolidated entities, reversal of contingent liability, income taxes, discontinued operations and noncontrolling interest
    227,797       194,266       137,525  
Loss from unconsolidated entities
    (664 )            
Reversal of contingent liability
                23,328  
Income tax (expense) benefit
    (5,201 )     1,719       15,885  
                         
Income from continuing operations
    221,932       195,985       176,738  
Discontinued operations
    27,797       73,375       48,549  
                         
Net income
    249,729       269,360       225,287  
Net income attributable to noncontrolling interest (net of tax of $2,271, $1,740 and $1,731 for the years ended December 31, 2010, 2009 and 2008, respectively)
    3,562       2,865       2,684  
                         
Net income attributable to common stockholders
  $ 246,167     $ 266,495     $ 222,603  
                         
Earnings per common share:
                       
Basic:
                       
Income from continuing operations attributable to common stockholders
  $ 1.39     $ 1.27     $ 1.24  
Discontinued operations
    0.18       0.48       0.35  
                         
Net income attributable to common stockholders
  $ 1.57     $ 1.75     $ 1.59  
                         
Diluted:
                       
Income from continuing operations attributable to common stockholders
  $ 1.38     $ 1.26     $ 1.24  
Discontinued operations
    0.18       0.48       0.35  
                         
Net income attributable to common stockholders
  $ 1.56     $ 1.74     $ 1.59  
                         
Weighted average shares used in computing earnings per common share:
                       
Basic
    156,608       152,566       139,572  
Diluted
    157,657       152,758       139,912  
 
See accompanying notes.


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VENTAS, INC.
 
CONSOLIDATED STATEMENTS OF EQUITY
For the Years Ended December 31, 2010, 2009 and 2008
 
                                                                 
                Accumulated
                               
    Common
    Capital in
    Other
    Retained
          Total Ventas
             
    Stock Par
    Excess of
    Comprehensive
    Earnings
    Treasury
    Stockholders’
    Noncontrolling
       
    Value     Par Value     Income (Loss)     (Deficit)     Stock     Equity     Interest     Total Equity  
    (In thousands, except per share amounts)  
 
Balance at January 1, 2008
  $ 33,416     $ 1,840,823     $ 17,416     $ (51,560 )   $ (626 )   $ 1,839,469     $ 31,454     $ 1,870,923  
Comprehensive Income:
                                                               
Net income
                      222,603             222,603       2,684       225,287  
Foreign currency translation
                (26,142 )                 (26,142 )           (26,142 )
Unrealized loss on interest rate swap
                (637 )                 (637 )           (637 )
Reclassification adjustment for realized loss on interest rate swap included in net income during the year
                1,103                   1,103             1,103  
Unrealized loss on marketable debt securities
                (12,887 )                 (12,887 )           (12,887 )
Other
                58                   58             58  
                                                                 
Comprehensive income
                                  184,098       2,684       186,782  
Net change in noncontrolling interest
                                        (15,001 )     (15,001 )
Dividends to common stockholders — $2.05 per share
                      (288,849 )           (288,849 )           (288,849 )
Issuance of common stock
    2,309       406,231                         408,540             408,540  
Issuance of common stock for stock plans
    64       15,901                   1,047       17,012             17,012  
Grant of restricted stock, net of forfeitures
    36       1,170                   (878 )     328             328  
                                                                 
Balance at December 31, 2008
    35,825       2,264,125       (21,089 )     (117,806 )     (457 )     2,160,598       19,137       2,179,735  
Comprehensive Income:
                                                               
Net income
                      266,495             266,495       2,865       269,360  
Foreign currency translation
                23,552                   23,552             23,552  
Unrealized gain on marketable debt securities
                17,327                   17,327             17,327  
Other
                (121 )                 (121 )           (121 )
                                                                 
Comprehensive income
                                  307,253       2,865       310,118  
Net change in noncontrolling interest
          334                         334       (3,453 )     (3,119 )
Dividends to common stockholders — $2.05 per share
                      (314,399 )           (314,399 )           (314,399 )
Issuance of common stock
    3,266       295,935                         299,201             299,201  
Issuance of common stock for stock plans
    30       12,819                   175       13,024             13,024  
Grant of restricted stock, net of forfeitures
    39       (174 )                 (365 )     (500 )           (500 )
                                                                 
Balance at December 31, 2009
    39,160       2,573,039       19,669       (165,710 )     (647 )     2,465,511       18,549       2,484,060  
Comprehensive Income:
                                                               
Net income
                      246,167             246,167       3,562       249,729  
Foreign currency translation
                6,951                   6,951             6,951  
Unrealized gain on marketable debt securities
                354                   354             354  
Other
                (106 )                 (106 )           (106 )
                                                                 
Comprehensive income
                                  253,366       3,562       256,928  
Net change in noncontrolling interest
          (18,503 )                       (18,503 )     (18,632 )     (37,135 )
Dividends to common stockholders — $2.14 per share
                      (336,085 )           (336,085 )           (336,085 )
Issuance of common stock for stock plans
    197       21,076                   3,371       24,644             24,644  
Grant of restricted stock, net of forfeitures
    34       1,231                   (3,472 )     (2,207 )           (2,207 )
                                                                 
Balance at December 31, 2010
  $ 39,391     $ 2,576,843     $ 26,868     $ (255,628 )   $ (748 )   $ 2,386,726     $ 3,479     $ 2,390,205  
                                                                 
 
See accompanying notes.


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VENTAS, INC.
 
CONSOLIDATED STATEMENTS OF CASH FLOWS
For the Years Ended December 31, 2010, 2009 and 2008
 
                         
    2010     2009     2008  
    (In thousands)  
 
Cash flows from operating activities:
                       
Net income
  $ 249,729     $ 269,360     $ 225,287  
Adjustments to reconcile net income to net cash provided by operating activities:
                       
Depreciation and amortization (including amounts in discontinued operations)
    206,064       201,258       235,754  
Amortization of deferred revenue and lease intangibles, net
    (6,433 )     (6,669 )     (9,344 )
Other amortization expenses
    8,643       6,353       3,994  
Stock-based compensation
    14,078       11,882       9,976  
Straight-lining of rental income
    (10,167 )     (11,879 )     (14,652 )
Reversal of contingent liability
                (23,328 )
Gain on real estate loan investments
    (915 )            
Loss (gain) on extinguishment of debt
    9,791       6,080       (168 )
Net gain on sale of real estate assets (including amounts in discontinued operations)
    (25,241 )     (67,305 )     (39,026 )
Income tax expense (benefit)
    5,201       (1,719 )     (15,885 )
Loss from unconsolidated entities
    664              
Provision for loan losses
                5,994  
Other
    (46 )     (95 )     614  
Changes in operating assets and liabilities:
                       
Increase in other assets
    (8,245 )     (1,514 )     (3,541 )
Increase (decrease) in accrued interest
    1,311       (3,957 )     1,100  
Increase in accounts payable and other liabilities
    3,188       20,306       3,132  
                         
Net cash provided by operating activities
    447,622       422,101       379,907  
Cash flows from investing activities:
                       
Net investment in real estate property
    (274,441 )     (45,715 )     (53,801 )
Purchase of noncontrolling interest
    (42,333 )            
Proceeds from real estate disposals
    58,163       58,542       104,183  
Investment in loans receivable
    (38,725 )     (13,803 )     (108,826 )
Purchase of marketable debt securities
                (63,680 )
Proceeds from loans receivable
    19,291       8,028       135  
Proceeds from sale of investments
          5,000        
Contributions to unconsolidated entities
    (4,709 )            
Distributions from unconsolidated entities
    689              
Capital expenditures
    (19,855 )     (13,798 )     (16,359 )
Other
                2,092  
                         
Net cash used in investing activities
    (301,920 )     (1,746 )     (136,256 )
Cash flows from financing activities:
                       
Net change in borrowings under revolving credit facilities
    28,564       (292,873 )     73,366  
Proceeds from debt
    597,382       365,682       140,262  
Repayment of debt
    (524,760 )     (525,173 )     (416,896 )
Payment of deferred financing costs
    (2,694 )     (16,655 )     (3,857 )
Issuance of common stock, net
          299,201       408,540  
Cash distribution to common stockholders
    (336,085 )     (314,399 )     (288,849 )
Contributions from noncontrolling interest
    818       1,211        
Distributions to noncontrolling interest
    (8,082 )     (9,869 )     (15,732 )
Other
    13,405       2,695       7,187  
                         
Net cash used in financing activities
    (231,452 )     (490,180 )     (95,979 )
                         
Net (decrease) increase in cash and cash equivalents
    (85,750 )     (69,825 )     147,672  
Effect of foreign currency translation on cash and cash equivalents
    165       410       806  
Cash and cash equivalents at beginning of year
    107,397       176,812       28,334  
                         
Cash and cash equivalents at end of year
  $ 21,812     $ 107,397     $ 176,812  
                         
Supplemental disclosure of cash flow information:
                       
Interest paid including swap payments and receipts
  $ 161,352     $ 175,298     $ 202,360  
Supplemental schedule of non-cash activities:
                       
Assets and liabilities assumed from acquisitions:
                       
Real estate investments
  $ 125,846     $ 67,781     $ 33,967  
Utilization of escrow funds held for an Internal Revenue Code Section 1031 exchange
          (64,995 )      
Other assets acquired
    (385 )           1,684  
Debt assumed
    125,320             34,629  
Noncontrolling interest
          2,724       685  
Other liabilities
    141       62       337  
Debt transferred on the sale of assets
          38,759       6,917  
 
See accompanying notes.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
 
Note 1 — Description of Business
 
Ventas, Inc. (together with its subsidiaries, unless otherwise indicated or except where the context otherwise requires, “we,” “us” or “our”) is a real estate investment trust (“REIT”) with a geographically diverse portfolio of seniors housing and healthcare properties in the United States and Canada. As of December 31, 2010, our portfolio consisted of 602 assets: 240 seniors housing communities, 187 skilled nursing facilities, 40 hospitals and 135 medical office buildings (“MOBs”) and other properties in 43 U.S. states, the District of Columbia and two Canadian provinces. With the exception of our seniors housing communities that are managed by independent third parties, such as Sunrise Senior Living, Inc. (together with its subsidiaries, “Sunrise”), pursuant to long-term management agreements and certain of our MOBs, including those acquired in connection with our Lillibridge Healthcare Services, Inc. (“Lillibridge”) acquisition (see “Note 4 — Acquisitions of Real Estate Property”), we lease our properties to healthcare operating companies under “triple-net” or “absolute net” leases, which require the tenants to pay all property-related expenses. Kindred Healthcare, Inc. (together with its subsidiaries, “Kindred”) leased 197 of our properties and Brookdale Senior Living Inc. (together with its subsidiaries, which include Brookdale Living Communities, Inc. (“Brookdale”) and Alterra Healthcare Corporation (“Alterra”), “Brookdale Senior Living”) leased 79 of our properties as of December 31, 2010. We also had real estate loan and other investments relating to seniors housing and healthcare companies or properties as of December 31, 2010.
 
Our primary business consists of acquiring, financing and owning seniors housing and healthcare properties and leasing those properties to third parties or operating those properties through independent third party managers. Through our Lillibridge subsidiary, we also provide management, leasing, marketing, facility development and advisory services to highly rated hospitals and health systems throughout the United States.
 
Note 2 — Accounting Policies
 
Principles of Consolidation
 
The accompanying Consolidated Financial Statements include our accounts and the accounts of our wholly owned subsidiaries and the joint venture entities over which we exercise control. All intercompany transactions and balances have been eliminated in consolidation, and net earnings are reduced by the portion of net earnings attributable to noncontrolling interests.
 
We apply FASB guidance for arrangements with variable interest entities (“VIEs”), which requires us to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of the VIE. A VIE is broadly defined as an entity with one or more of the following characteristics: (a) the total equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (b) as a group, the holders of the equity investment at risk lack (i) the ability to make decisions about the entity’s activities through voting or similar rights, (ii) the obligation to absorb the expected losses of the entity, or (iii) the right to receive the expected residual returns of the entity; or (c) the equity investors have voting rights that are not proportional to their economic interests, and substantially all of the entity’s activities either involve, or are conducted on behalf of, an investor that has disproportionately few voting rights. We consolidate investments in VIEs when we are determined to be the primary beneficiary of the VIE. We may change our original assessment of a VIE due to events such as the modification of contractual arrangements that affects the characteristics or adequacy of the entity’s equity investments at risk and the disposal of all or a portion of an interest held by the primary beneficiary. We identify the primary beneficiary of a VIE as the enterprise that has both of the following characteristics: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or receive benefits of the VIE that could potentially be significant to the entity. We perform this analysis on an ongoing basis. At December 31, 2010, we did not have any unconsolidated VIEs.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
We also apply FASB guidance related to investments in joint ventures based on the type of rights held by the limited partner(s) which may preclude consolidation by the sole general partner in certain circumstances in which the general partner would otherwise consolidate the joint venture. The assessment of limited partners’ rights and their impact on the presumption of control of the limited partnership by the sole general partner should be made when an investor becomes the sole general partner and should be reassessed if (i) there is a change to the terms or in the exercisability of the rights of the limited partners, (ii) the sole general partner increases or decreases its ownership of limited partnership interests, or (iii) there is an increase or decrease in the number of outstanding limited partnership interests. This guidance is also applied to managing member interests in limited liability companies.
 
On January 1, 2009, we adopted FASB guidance that requires minority interests to be characterized as noncontrolling interests and classified as a component of consolidated equity. The calculation of income and earnings per share continues to be based on income amounts attributable to the parent and is characterized as net income attributable to common stockholders. As the ownership of a controlled subsidiary increases or decreases, any difference between the consideration paid and the adjustment to the noncontrolling interest balance must be recorded as a component of equity in additional paid-in capital, so long as we maintain a controlling ownership interest. As required, all prior year amounts have been reclassified to reflect our adoption of this guidance.
 
On January 1, 2010, we adopted FASB guidance that provides additional clarification regarding decrease-in-ownership provisions and expands the disclosures required upon deconsolidation of a subsidiary. The adoption did not impact our Consolidated Financial Statements.
 
Investments in Unconsolidated Entities
 
We report investments in unconsolidated entities over whose operating and financial policies we have the ability to exercise significant influence under the equity method of accounting. Under this method of accounting, our share of the investee’s earnings or losses is included in our Consolidated Statements of Income.
 
The initial carrying value of investments in unconsolidated entities is based on the fair value of the assets at the time we acquired the joint venture interest. To the extent our cost basis differs from the basis reflected at the joint venture level, we generally amortize the difference over the lives of the related assets and liabilities and include it in our share of income or loss from unconsolidated entities. Our estimated fair values for our equity method investments are based on discounted cash flow models that include all estimated cash inflows and outflows over a specified holding period and, where applicable, any estimated debt premiums or discounts. The capitalization rates, discount rates and credit spreads we use in these models are based upon assumptions that we believe to be within a reasonable range of current market rates for the respective investments.
 
Accounting Estimates
 
The preparation of financial statements in accordance with GAAP requires us to make estimates and assumptions about future events that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
 
Long-Lived Assets and Intangibles
 
We record investments in real estate assets at cost. We account for acquisitions using the purchase method and allocate the cost of the properties acquired among tangible and recognized intangible assets and liabilities based upon their estimated fair values as of the acquisition date. Recognized intangibles primarily include the


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
value of in place leases, acquired lease contracts, tenant and customer relationships, trade names/trademarks and goodwill.
 
We estimate the fair value of buildings on an as-if-vacant basis and depreciate the building value over the estimated remaining life of the building. We determine the allocated value of other fixed assets based upon the replacement cost and depreciate such value over the assets’ estimated remaining useful lives. We determine the value of land based on real estate tax assessed values in relation to the total value of the asset, on internal analyses of recently acquired and existing comparable properties within our portfolio or by considering the sales prices of similar properties in recent transactions. The fair value of lease intangibles, if any, reflects (i) the estimated value of any above and/or below market leases, determined by discounting the difference between the estimated current market rent and the in-place rentals, the resulting intangible asset or liability of which is amortized to revenue over the remaining life of the associated lease plus any fixed rate renewal periods, (ii) the estimated value of in-place leases related to the cost to obtain tenants, including tenant allowances, tenant improvements and leasing commissions, and an estimated value of the absorption period to reflect the value of the rents and recovery costs foregone during a reasonable lease-up period, as if the acquired space was vacant, which is amortized over the remaining life of the associated lease, and (iii) the estimated value of any above and/or below market ground leases, determined by discounting the difference between the estimated market rental rate and the in-place lease rate, which is amortized over the remaining life of the associated lease. We estimate the value of tenant or other customer relationships acquired, if any, by considering the nature and extent of existing business relationships with the tenant or customer, growth prospects for developing new business with the tenant or customer, the tenant’s credit quality, expectations of lease renewals with the tenant, and the potential for significant, additional future leasing arrangements with the tenant and amortize that value over the expected life of the associated arrangements or leases, which includes the remaining terms of the related leases and any expected renewal periods. We estimate the value of trade names/trademarks using a royalty rate methodology and amortize the resulting intangible over the estimated useful life. We calculate the fair value of long-term debt by discounting the remaining contractual cash flows on each instrument at the current market rate for those borrowings, which we approximate based on the rate we would expect to incur to replace each instrument on the date of acquisition, and recognize any fair value adjustments related to long-term debt as effective yield adjustments over the remaining term of the instrument. We do not amortize goodwill, which is the excess of the purchase price paid over the fair value of the net assets of the acquired business.
 
Fixtures and equipment, with a net book value of $34.5 million and $45.7 million at December 31, 2010 and 2009, respectively, is included in net real estate property on our Consolidated Balance Sheets. We record depreciation on the straight-line basis, using estimated useful lives ranging from 20 to 50 years for buildings and improvements and three to ten years for fixtures and equipment. Depreciation is discontinued when a property is identified as held-for-sale.
 
Impairment of Long-Lived and Intangible Assets
 
We periodically evaluate our long-lived assets, primarily consisting of our investments in real estate, for impairment indicators. If indicators of impairment are present, we evaluate the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying operations, and we adjust the net book value of leased properties and other long-lived assets to fair value if the sum of the expected future undiscounted cash flows including sales proceeds is less than book value. An impairment loss is recognized at the time we make any such determination. If impairment indicators arise with respect to intangible assets with finite useful lives, we evaluate impairment by comparing the carrying amount of the asset to the estimated future undiscounted net cash flows expected to be generated by the asset. If estimated future undiscounted net cash flows are less than the carrying amount of the asset, then the fair value of the asset is estimated. We determine the impairment expense by comparing the estimated fair value of the intangible asset to its carrying value and recognize any shortfall from fair value as an expense in the current


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
period. Goodwill is reviewed for impairment at least annually, but more frequently if indicators arise. We compare the estimated fair value of the reporting unit to which the goodwill has been assigned with the reporting unit’s carrying value. The fair values used in this evaluation of goodwill, real estate investments and intangibles are estimated based upon discounted future cash flow projections. These cash flow projections are based upon a number of estimates and assumptions, such as revenue and expense growth rates, capitalization rates and discount rates. We did not record any impairment charges for the years ended December 31, 2010, 2009 and 2008.
 
Assets Held-for-Sale and Discontinued Operations
 
We classify certain long-lived assets as held-for-sale. Long-lived assets to be disposed of are reported at the lower of their carrying amount or fair value minus cost to sell and are no longer depreciated. Discontinued operations is defined as a component of an entity that has either been disposed of or is deemed to be held-for-sale if both the operations and cash flows of the component have been or will be eliminated from ongoing operations as a result of the disposal transaction and the entity will not have any significant continuing involvement in the operations of the component after the disposal transaction. The results of operations and gain or loss on assets sold or held-for-sale are reflected in our Consolidated Statements of Income as discontinued operations for all periods presented. Interest expense allocated to discontinued operations has been estimated based on a proportional allocation of rental income and identified mortgage interest, or some combination thereof.
 
Loans Receivable
 
Loans receivable are stated at the unpaid principal balance net of any deferred origination fees, purchase discounts or premiums and/or valuation allowances. Net deferred origination fees, which are comprised of loan fees collected from the borrower net of certain direct costs, and purchase discounts or premiums are amortized to income over the contractual life of the loan using the effective interest method, with any unamortized balances recognized in income immediately if the loan is repaid before its contractual maturity. For the years ended December 31, 2010, 2009 and 2008, we realized gains related to the repayments of various loans receivable of $1.0 million, $0 and $0, respectively, included in income from loans and investments on our Consolidated Income Statements.
 
We evaluate the collectibility of loans and other amounts receivable from third parties based on a number of factors, including (i) corporate and facility-level financial and operational reports, (ii) compliance with the financial covenants set forth in the applicable loan or lease agreement, (iii) the financial stability of the borrower or tenant and any guarantor, (iv) the payment history of the borrower or tenant, and (v) current economic conditions. Our level of reserves, if any, for loans and other amounts receivable from third parties fluctuates depending upon all of these factors. We record a reserve at the time it is probable that we will be unable to collect all amounts due according to the contractual terms of the loan agreement, including the contractual interest and principal payments of the loan. At the time a reserve is recorded, we typically cease recognizing interest income on the loan. The valuation allowance for loan losses was $0 and $3.7 million at December 31, 2010 and 2009, respectively. See “Note 6 — Loans Receivable.”
 
Cash Equivalents
 
Cash equivalents consist of highly liquid investments with a maturity date of three months or less when purchased. These investments are stated at cost, which approximates fair value.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Escrow Deposits and Restricted Cash
 
Escrow deposits consist of amounts held by us or our lenders to provide for future real estate tax and insurance expenditures and tenant improvements related to our properties and operations. Restricted cash represents amounts paid to us for security deposits and other similar purposes.
 
Deferred Financing Costs
 
Deferred financing costs are amortized as a component of interest expense over the terms of the related borrowings using a method that approximates a level yield, and were approximately $19.5 million and $29.3 million at December 31, 2010 and 2009, respectively, net of accumulated amortization. Amortized costs of approximately $17.8 million, $14.6 million and $7.6 million were included in interest expense for the years ended December 31, 2010, 2009 and 2008, respectively.
 
Marketable Debt and Equity Securities
 
We record marketable debt and equity securities as available-for-sale and classify them as a component of other assets on our Consolidated Balance Sheets. These securities are recorded at fair value, with unrealized gains and losses recorded in stockholders’ equity as a component of accumulated other comprehensive income on our Consolidated Balance Sheets. We report interest income, including discount or premium amortization, on marketable debt securities and gains or losses on securities sold, which are based on the specific identification method, in income from loans and investments on our Consolidated Statements of Income.
 
Derivative Instruments
 
From time to time, we may use derivative instruments to protect our future cash flows against the risk of interest rate movements under our variable rate debt agreements and the risk of foreign currency exchange rate movements. Derivative instruments are reported at fair value on our Consolidated Balance Sheets. We recognize changes in the fair value of derivatives as adjustments to net income if the derivative does not qualify for hedge accounting. If the derivative is eligible for hedge accounting, such changes are reported in accumulated other comprehensive income, exclusive of ineffectiveness amounts, which are recognized as adjustments to net income.
 
Fair Values of Financial Instruments
 
Fair value is a market-based measurement, not an entity-specific measurement, and should be determined based on the assumptions that market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, FASB guidance establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within levels one and two of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within level three of the hierarchy).
 
Level one inputs utilize unadjusted quoted prices in active markets for identical assets or liabilities that the reporting entity has the ability to access. Level two inputs are inputs other than quoted prices included in level one that are directly or indirectly observable for the asset or liability. Level two inputs may include quoted prices for similar assets and liabilities in active markets, as well as other observable inputs for the asset or liability, such as interest rates, foreign exchange rates and yield curves that are observable at commonly quoted intervals. Level three inputs are unobservable inputs for the asset or liability, which are typically based on the reporting entity’s own assumptions, as there is little, if any, related market activity. In instances where the determination of the fair value measurement is based on inputs from different levels of the hierarchy, the level within which the entire fair value measurement falls is based on the lowest level input that is significant


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
to the fair value measurement in its entirety. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability.
 
We determined the fair value of our current investments in marketable securities using level one inputs. Additionally, we determined the valuation allowance for loan losses based on level three inputs. See “Note 6 — Loans Receivable.”
 
The estimated fair values of tangible and intangible assets and liabilities recorded in connection with business combinations are based on level three inputs. We estimate fair values based on cash flow projections utilizing appropriate discount and/or capitalization rates and available market information.
 
We determine impairment in real estate investments, including intangibles and goodwill, utilizing cash flow projections that apply estimated revenue and expense growth rates, discount rates and capitalization rates, which are classified as level three inputs.
 
We use the following methods and assumptions in estimating fair value disclosures for financial instruments.
 
    Cash and cash equivalents:  The carrying amount of unrestricted cash and cash equivalents reported in our Consolidated Balance Sheets approximates fair value due to the short maturity of these instruments.
 
    Loans receivable:  The fair value of loans receivable is estimated by discounting the future cash flows using current interest rates at which similar loans with the same maturities would be made to borrowers with similar credit ratings. See “— Loans Receivable” above regarding valuation allowances for loan losses.
 
    Marketable debt securities:  The fair value of marketable debt securities is estimated using quoted prices in active markets for identical assets or liabilities that we have the ability to access.
 
    Senior notes payable and other debt:  The fair value of borrowings is estimated by discounting the future cash flows using current interest rates at which similar borrowings could be made by us.
 
During 2010, we adopted FASB guidance that adds new requirements for disclosures regarding transfers into and out of levels one and two and separate disclosures regarding purchases, sales, issuances and settlements relating to level three measurements. The adoption did not impact our Consolidated Financial Statements.
 
Revenue Recognition
 
Certain of our leases, including the majority of our leases with Brookdale Senior Living and the majority of our MOB leases, provide for periodic and determinable increases in base rent. We recognize base rental revenues under these leases on a straight-line basis over the terms of the applicable lease. Income on our straight-line revenue is recognized when collectibility is reasonably assured, and in the event we determine that collectibility of straight-line revenue is not reasonably assured, we establish an allowance for estimated losses. Recognizing rental income on a straight-line basis results in recognized revenue exceeding cash amounts contractually due from our tenants during the first half of the term for leases that have straight-line treatment. The cumulative excess is included in other assets, net of allowances, on our Consolidated Balance Sheets and totaled $86.3 million and $78.4 million at December 31, 2010 and 2009, respectively.
 
Our master lease agreements with Kindred (the “Kindred Master Leases”) and certain of our other leases provide for an annual increase in rental payments only if certain revenue parameters or other substantive contingencies are met. We recognize the increased rental revenue under these leases only if such parameters or contingencies are met, rather than on a straight-line basis over the term of the applicable lease.
 
We recognize income from rent, lease termination fees, management advisory services and all other income when all of the following criteria are met in accordance with the Securities and Exchange Commission (the “SEC”) Staff Accounting Bulletin 104: (i) the applicable agreement has been fully executed and delivered; (ii) services have been rendered; (iii) the amount is fixed or determinable; and (iv) collectibility is reasonably assured.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
We recognize resident fees and services, other than move-in fees, monthly as services are provided. We recognize move-in fees on a straight-line basis over the term of the applicable lease agreement. Lease agreements with residents generally have a term of one year and are cancelable by the resident with 30 days’ notice.
 
Stock-Based Compensation
 
We account for stock-based compensation in accordance with FASB guidance requiring all share-based payments to employees, including grants of employee stock options, to be recognized in our Consolidated Statements of Income on a straight-line basis as the requisite service periods are rendered based on their grant date fair values.
 
Gain on Sale of Assets
 
We recognize sales of assets only upon the closing of the transaction with the purchaser. Payments received from purchasers prior to closing are recorded as deposits and classified as other assets on our Consolidated Balance Sheets. We recognize gains on assets sold using the full accrual method upon closing when the collectibility of the sales price is reasonably assured, we are not obligated to perform any significant activities after the sale to earn the profit, we have received adequate initial investment from the buyer, and other profit recognition criteria have been satisfied. Gains may be deferred in whole or in part until the sales satisfy the following requirements of gain recognition: (i) the profit is determinable, meaning that the collectability of the sales price is reasonably assured or the amount that will not be collectible can be estimated; and (ii) the earnings process is virtually complete, meaning that we are not obliged to perform any significant activities after the sale to earn the profit.
 
Federal Income Tax
 
Since we have elected to be treated as a REIT under the applicable provisions of the Internal Revenue Code of 1986, as amended (the “Code”), we make no provision for REIT income and expense, other than for certain unrecognized tax benefit items. However, we record income tax expense or benefit with respect to certain of our entities which are taxed as “taxable REIT subsidiaries” under provisions similar to those applicable to regular corporations.
 
We account for deferred income taxes using the asset and liability method. Deferred tax assets and liabilities are recognized for the expected future tax consequences of events that have been included in our financial statements or tax returns. Under this method, we determine deferred tax assets and liabilities based on the differences between the financial reporting and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. An increase or decrease in the deferred tax liability that results from a change in circumstances, and which causes us to change our judgment about expected future tax consequences of events, would be included in the tax provision when such changes occur. Deferred income taxes also reflect the impact of operating loss and tax credit carryforwards. A valuation allowance is provided if we believe it is more likely than not that all or some portion of the deferred tax asset will not be realized. An increase or decrease in the valuation allowance that results from a change in circumstances, and which causes us to change our judgment about the realizability of the related deferred tax asset, would be included in the tax provision when such changes occur.
 
Foreign Currency
 
Certain of our subsidiaries’ functional currencies are the local currencies of their respective countries. We translate the results of operations of our foreign subsidiaries into U.S. dollars using average rates of exchange in effect during the period, and we translate balance sheet accounts using exchange rates in effect at the end of the period. Resulting currency translation adjustments are recorded in accumulated other comprehensive


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
income, a component of stockholders’ equity, in our Consolidated Balance Sheets. Transaction gains and losses are recorded in our Consolidated Statements of Income.
 
Segment Reporting
 
As of December 31, 2010, we operated through three reportable business segments: triple-net leased properties, senior living operations and MOB operations. Our triple-net leased properties segment consists of acquiring and owning seniors housing and healthcare properties in the United States and leasing those properties to healthcare operating companies under “triple-net” or “absolute-net” leases, which require the tenants to pay all property-related expenses. Our senior living operations segment consists of investments in seniors housing communities located in the United States and Canada for which we engage independent third parties, such as Sunrise, to manage the operations. Our MOB operations segment primarily consists of acquiring, owning, developing, leasing and managing MOBs.
 
On July 1, 2010, we completed the acquisition of businesses owned and operated by Lillibridge and its related entities and their real estate interests in 96 MOBs and ambulatory facilities. With the addition of these businesses and properties, we believed the segregation of our MOB operations into its own reporting segment would be useful in assessing the performance of this portion of our business in the same way that management intends to review our performance and make operating decisions. Prior to the acquisition, we operated through two reportable segments: triple-net leased properties and senior living operations. See “Note 19 — Segment Information.”
 
Business Combinations
 
On January 1, 2009, we adopted FASB guidance that requires the acquiring entity in a business combination to measure the assets acquired, liabilities assumed (including contingencies) and any noncontrolling interests at their fair values on the acquisition date. The guidance also requires that acquisition-related transaction costs be expensed as incurred, acquired research and development value be capitalized and acquisition-related restructuring costs be capitalized only if they meet certain criteria. This guidance did not have a material impact on our Consolidated Financial Statements at the time of adoption. Beginning January 1, 2009, we began expensing acquisition-related transaction costs as incurred. These costs are included in merger-related expenses and deal costs on our Consolidated Statements of Income for the years ended December 31, 2010 and 2009.
 
Convertible Debt Instruments
 
On January 1, 2009, we adopted FASB guidance relating to convertible debt instruments that may be settled in cash upon conversion. The guidance specifies that issuers of convertible debt instruments that may be settled in cash upon conversion (including partial cash settlement) should separately account for the liability and equity components in a manner that will reflect the entity’s nonconvertible debt borrowing rate when interest cost is recognized in subsequent periods. Our nonconvertible debt borrowing rate at the time our convertible senior notes were issued was 61/8%. As required, all prior year amounts have been restated to reflect our adoption of this guidance. Applying this guidance, interest expense increased and net income decreased by $4.2 million ($0.03 per diluted share), $3.9 million ($0.03 per diluted share) and $3.7 million ($0.03 per diluted share) for the years ended December 31, 2010, 2009 and 2008, respectively, and total equity increased by $12.1 million at December 31, 2008, which includes the calculated equity component of $19.5 million. As of December 31, 2010 and 2009, the remaining unamortized liability component was $225.6 million and $220.9 million, respectively.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Recently Adopted Accounting Standards
 
On December 21, 2010, the FASB issued Accounting Standards Update (“ASU”) 2010-29, which impacts any public entity that enters into business combinations that are material on an individual or aggregate basis. The guidance specifies that if a public entity presents comparative financial statements, the entity should disclose revenues and earnings of the combined entity as though the business combination(s) that occurred during the year had occurred at the beginning of the prior annual period when preparing the pro forma financial information for both the current and prior reporting periods. The guidance also requires that pro forma disclosures be accompanied by a narrative description regarding the nature and amount of material, nonrecurring pro forma adjustments directly attributable to the business combination included in reported pro forma revenues and earnings. This guidance is effective for business combinations consummated in periods beginning after December 15, 2010. We adopted this guidance on January 1, 2011. We do not believe the adoption of this guidance will have a material impact on our Consolidated Financial Statements.
 
Reclassifications
 
Certain prior year amounts have been reclassified to conform to the current year presentation.
 
Note 3 — Concentration of Credit Risk
 
As of December 31, 2010, approximately 37.9%, 19.7% and 13.1% of our properties, based on the gross book value of real estate investments, were managed or operated by Sunrise, Brookdale Senior Living and Kindred, respectively. Seniors housing communities and skilled nursing facilities constituted approximately 70.2% and 11.7%, respectively, of our portfolio, based on the gross book value of real estate investments, as of December 31, 2010, with the remaining properties consisting of hospitals, MOBs and other healthcare assets. As of December 31, 2010, our properties were located in 43 states, the District of Columbia and two Canadian provinces, with properties in each of two U.S. states accounting for 10% or more of our total revenues during the year ended December 31, 2010. Properties in each of two states accounted for 10% or more of our total revenues (including amounts in discontinued operations related to properties held-for-sale at December 31, 2009 and 2008, respectively) for the years ended December 31, 2009 and 2008, respectively.
 
Approximately 24.2%, 26.2% and 25.5% of our total revenues and 35.6%, 38.5% and 38.1% of our total net operating income (“NOI”, which is defined as total revenues, less interest and other income, property-level operating expenses and MOB services costs) (including amounts in discontinued operations) for the years ended December 31, 2010, 2009 and 2008, respectively, were derived from our four Kindred Master Leases. Approximately 11.9%, 12.9% and 12.4% of our total revenues and 17.3%, 19.1% and 18.5% of our total NOI (including amounts in discontinued operations) for the years ended December 31, 2010, 2009 and 2008, respectively, were derived from our lease agreements with Brookdale Senior Living. Each of the Kindred Master Leases and our leases with Brookdale Senior Living is a triple-net lease pursuant to which the tenant is required to pay all insurance, taxes, utilities and maintenance and repairs related to the properties and to comply with the terms of the mortgage financing documents, if any, affecting the properties.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
The following table sets forth the future contracted minimum rentals, excluding contingent rent escalations, but with straight-line rents where applicable, for all of our triple-net and MOB leases:
 
                                 
          Brookdale Senior
             
    Kindred     Living     Other     Total  
    (In thousands)  
 
2011
  $ 252,773     $ 117,179     $ 166,637     $ 536,589  
2012
    259,320       117,185       162,720       539,225  
2013
    179,915       117,191       157,887       454,993  
2014
    141,519       117,197       152,219       410,935  
2015
    47,574       117,203       134,611       299,388  
Thereafter
          452,499       593,577       1,046,076  
                                 
Total
  $ 881,101     $ 1,038,454     $ 1,367,651     $ 3,287,206  
                                 
 
In view of the fact that Kindred and Brookdale Senior Living lease a substantial portion of our triple-net leased properties and each contributes a significant portion of our total revenues and NOI, Kindred’s and Brookdale Senior Living’s financial condition and ability and willingness to satisfy their obligations under their respective leases and other agreements with us, and their willingness to renew those leases upon expiration of the terms thereof, significantly impact our results of operations and ability to service our indebtedness and to make distributions to our stockholders. We cannot assure you that either Kindred or Brookdale Senior Living will have sufficient assets, income and access to financing to enable it to satisfy those obligations, and any inability or unwillingness on its part to do so would have a material adverse effect on our business, financial condition, results of operations and liquidity, on our ability to service our indebtedness and other obligations and on our ability to make distributions to our stockholders, as required for us to continue to qualify as a REIT (a “Material Adverse Effect”). We also cannot assure you that either Kindred or Brookdale Senior Living will elect to renew its leases with us upon expiration of the initial base terms or any renewal terms thereof or that, if some or all of those leases are not renewed, we will be able to reposition the affected properties on a timely basis or on the same or better terms, if at all.
 
For the years ended December 31, 2010, 2009 and 2008, senior living operations managed by Sunrise accounted for approximately 43.4%, 44.7% and 45.4% of our total revenues and 22.7%, 20.4% and 21.7% of our total earnings before interest, taxes, depreciation and amortization (including non-cash stock-based compensation), excluding merger-related expenses and deal costs, gains and losses on real estate disposals and asset impairments and/or valuation allowances (“Adjusted EBITDA”) (including amounts in discontinued operations), respectively.
 
In December 2010, we and Sunrise modified the management agreements with respect to our 79 seniors housing communities managed by Sunrise. Among other things, the modifications included: reduction of the management fee paid to Sunrise for the period from April 1, 2010 through December 31, 2010 and for all of 2011 to 3.50% and 3.75% per annum, respectively, after which the annual base management fee will equal 6% of revenues (with a range of 5% to 7%); a cap on the amount of incentive management fees payable to Sunrise and allocated “shared services” expenses; enhanced rights and remedies for us in the event of a Sunrise default; and reallocation of the NOI performance thresholds to include a cushion for all 79 communities.
 
Unlike Kindred and Brookdale Senior Living, Sunrise does not lease properties from us, but rather acts as a property manager for 79 of our seniors housing communities. Therefore, while we are not directly exposed to credit risk with respect to Sunrise, Sunrise’s inability to efficiently and effectively manage our properties and to provide timely and accurate accounting information with respect thereto could have a Material Adverse Effect on us. Although we have various rights as owner under the Sunrise management agreements, we rely on Sunrise’s personnel, good faith, expertise, historical performance, technical resources and information systems, proprietary information and judgment to manage our seniors housing communities efficiently and effectively.


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We also rely on Sunrise to set resident fees and otherwise operate those properties in compliance with our management agreements. Sunrise’s inability or unwillingness to satisfy its obligations under our management agreements, changes in Sunrise’s senior management or any adverse developments in Sunrise’s business and affairs or financial condition could have a Material Adverse Effect on us.
 
Each of Kindred, Brookdale Senior Living and Sunrise is subject to the reporting requirements of the SEC and is required to file with the SEC annual reports containing audited financial information and quarterly reports containing unaudited financial information. The information related to Kindred, Brookdale Senior Living and Sunrise contained or referred to in this Annual Report on Form 10-K is derived from filings made by Kindred, Brookdale Senior Living or Sunrise, as the case may be, with the SEC or other publicly available information, or has been provided to us by Kindred, Brookdale Senior Living or Sunrise. We have not verified this information either through an independent investigation or by reviewing Kindred’s, Brookdale Senior Living’s or Sunrise’s public filings. We have no reason to believe that this information is inaccurate in any material respect, but we cannot assure you that all of this information is accurate. Kindred’s, Brookdale Senior Living’s and Sunrise’s filings with the SEC can be found at the SEC’s website at www.sec.gov. We are providing this data for informational purposes only, and you are encouraged to obtain Kindred’s, Brookdale Senior Living’s and Sunrise’s publicly available filings from the SEC.
 
Note 4 — Acquisitions of Real Estate Property
 
The following summarizes our acquisitions in 2010, 2009 and 2008. We completed these acquisitions primarily to invest in additional seniors housing and healthcare properties and achieve an expected yield on investment, to grow and diversify our portfolio and revenue base and to reduce our dependence on any single operator, geography or asset type for our revenue.
 
Lillibridge Acquisition
 
On July 1, 2010, we completed the acquisition of businesses owned and operated by Lillibridge and its related entities and their real estate interests in 96 MOBs and ambulatory facilities for approximately $381 million, including the assumption of $79.5 million of mortgage debt, which was not repaid in connection with the closing. Lillibridge is a fully-integrated healthcare real estate company that owns, designs, develops and manages MOBs, and offers strategic, financial and operational real estate advisory services, principally for highly rated, not-for-profit hospitals and healthcare systems throughout the United States.
 
As a result of the transaction, we acquired: a 100% interest in Lillibridge’s property management, leasing, construction and development, advisory and asset management services business; a 100% interest in 38 MOBs; a 20% joint venture interest in 24 MOBs; and a 5% joint venture interest in 34 MOBs. We are the managing member of these joint ventures and the property manager for the joint venture properties. Two institutional third parties hold the controlling interests in these joint ventures, and we have a right of first offer on those interests. We funded the acquisition with cash on hand, borrowings under our unsecured revolving credit facilities and the assumption of mortgage debt. In connection with the acquisition, $132.7 million of mortgage debt was repaid.
 
Other 2010 Acquisitions
 
In December 2010, we acquired Sunrise’s noncontrolling interests in 58 of our seniors housing communities currently managed by Sunrise for a total valuation of approximately $186 million, including assumption of Sunrise’s share of mortgage debt totaling $144 million. The noncontrolling interests acquired represented between 15% and 25% ownership interests in the communities, and we now own 100% of all 79 of our Sunrise-managed seniors housing communities. We recorded the difference between the consideration paid and the noncontrolling interest balance as a component of equity in additional paid-in capital.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Also in December 2010, we purchased five MOBs under our Lillibridge platform for a purchase price of $36.6 million. Our portfolio now includes 158 owned or managed MOBs in 19 U.S. states and the District of Columbia.
 
2009 Acquisitions
 
We purchased four MOBs for an aggregate purchase price of $77.7 million, including $1.7 million of noncontrolling interest. We own one of these MOBs through a consolidated joint venture with a partner that provides management and leasing services for the property. The purchase price was allocated between building and improvements, tenant improvements and lease intangibles of $60.9 million, $11.1 million and $5.7 million, respectively. Additionally, in 2009, we purchased one skilled nursing facility for $10.0 million and leased it to Brookdale Senior Living. The purchase price was allocated between land of $0.7 million and building and improvements of $9.3 million.
 
We also completed the development of two MOBs pursuant to an arrangement we entered into with a nationally recognized private developer of MOBs and healthcare facilities in 2008. That arrangement gave us the exclusive right, as part of a joint venture, to develop up to ten identified MOBs on hospital campuses in eight states. As of December 31, 2009, we had invested approximately $35.6 million, including $1.4 million of noncontrolling interest, in two MOBs under the arrangement, both of which we consolidate. The investment was allocated between land, building and improvements and tenant improvements of $1.4 million, $25.5 million and $8.7 million, respectively.
 
2008 Acquisitions
 
We acquired a 47-unit seniors housing community located in Texas for $5.1 million, which we lease to an affiliate of Capital Senior Living Corporation. The purchase price was allocated to building and improvements based upon estimated fair value.
 
We acquired three MOBs for an aggregate purchase price of $66.8 million, inclusive of assumed debt of $34.6 million at the time of the acquisitions. The purchase price was allocated between land, building and improvements, tenant improvements and lease intangibles of $4.6 million, $59.1 million, $3.0 million and $0.1 million, respectively, based upon their estimated fair values. We own one of these MOBs through a consolidated joint venture, with a partner that provides management and leasing services for the property.
 
As of December 31, 2008, we had invested approximately $8.7 million in the two MOBs that were both under development pursuant to our exclusive joint venture arrangement described above.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Estimated Fair Value
 
We accounted for the transactions completed during the year ended December 31, 2010 under the purchase method. The following table summarizes the fair values of the assets acquired and liabilities assumed at the date of acquisition, which were determined using level two and three inputs.
 
                         
    Lillibridge     Other     Total  
    (In thousands)  
 
Land
  $ 2,667     $ 1,196     $ 3,863  
Buildings and improvements
    257,312       45,733       303,045  
Acquired lease intangibles
    36,474       3,014       39,488  
Investment in unconsolidated entities
    12,092             12,092  
Other assets
    46,718             46,613  
                         
Total assets acquired
    355,263       49,943       405,101  
Notes payable and other debt
    108,505             108,505  
Other liabilities
    13,993       2,528       16,416  
                         
Total liabilities assumed
    122,498       2,528       124,921  
                         
Net assets acquired
    232,765       47,415       280,180  
Cash acquired
    5,739             5,739  
                         
Total cash used
  $ 227,026     $ 47,415     $ 274,441  
                         
 
Pending Acquisition
 
In October 2010, we signed a definitive agreement to acquire substantially all of the real estate assets of privately-owned Atria Senior Living Group, Inc. (together with its affiliates, “Atria”) for a total purchase price of $3.1 billion, comprised of $1.35 billion of our common stock (a fixed 24.96 million shares), $150 million in cash and the assumption or repayment of $1.6 billion of net debt. We will acquire from Atria 118 private pay seniors housing communities located primarily in affluent coastal markets such as the New York metropolitan area, New England and California. Atria, based in Louisville, Kentucky, is owned by private equity funds managed by Lazard Real Estate Partners. Prior to the closing, Atria will spin off its management company, which will continue to operate the acquired assets under a long-term management contract with us. We expect to complete the transaction in the first half of 2011, although we cannot assure you that the transaction will close on such timetable or at all.
 
Note 5 — Dispositions
 
We present separately, as discontinued operations, in all periods presented the results of operations for all assets held-for-sale or disposed of during the three-year period ended December 31, 2010.
 
2010 Dispositions
 
During 2010, we sold seven seniors housing communities for approximately $60.5 million, including lease termination fees of $0.7 million, and recognized a gain from these sales of approximately $17.3 million in 2010.
 
2009 Dispositions
 
In June 2009, we sold six skilled nursing facilities to Kindred for total consideration of $58.0 million, consisting of a $55.7 million aggregate sale price and a $2.3 million lease termination fee. The proceeds from


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
the sale were held in a Code Section 1031 exchange escrow account with a qualified intermediary and used for our acquisition of three MOBs in December 2009. We recognized a gain from the sale of these assets of $39.3 million in 2009.
 
During 2009, we also sold five seniors housing communities, one hospital, one MOB and one other property to the existing tenants for an aggregate sale price of $96.2 million and transferred related debt of $38.8 million. We recognized a net gain from the sales of these assets of $27.5 million in 2009.
 
2008 Dispositions
 
In December 2008, we sold five seniors housing communities to the existing tenant for an aggregate sale price of $62.5 million. We realized a gain from the sale of these assets of $21.5 million in 2008, $8.3 million of which was deferred due to a $10.0 million loan we made to the buyer in conjunction with the sale and was initially being recognized over a period of three years from the date of the sale. However, in December 2010, the buyer repaid the loan in full, and we recognized the remaining gain at that time. We recognized $7.9 million and $0.5 million of the gain during the years ended December 31, 2010 and 2009, respectively. See “Note 6 — Loans Receivable.”
 
In April 2008, we sold seven properties for an aggregate sale price of $69.1 million. We recognized a gain from the sale of these assets of $25.9 million in 2008. In addition, we received a lease termination fee from the tenant of $1.6 million.
 
Set forth below is a summary of the results of operations of properties sold during the years ended December 31, 2010, 2009 and 2008, all of which were included in our triple-net leased properties segment, with the exception of one MOB we sold during 2009.
 
                         
    2010     2009     2008  
    (In thousands)  
 
Revenues:
                       
Rental income
  $ 3,350     $ 8,120     $ 24,584  
Interest and other income
    725       2,423       1,700  
                         
Expenses:
    4,075       10,543       26,284  
Interest
    1,055       2,746       10,508  
Depreciation and amortization
    464       1,727       6,253  
                         
      1,519       4,473       16,761  
                         
Income before gain on sale of real estate assets
    2,556       6,070       9,523  
Gain on sale of real estate assets
    25,241       67,305       39,026  
                         
Discontinued operations
  $ 27,797     $ 73,375     $ 48,549  
                         
 
Note 6 — Loans Receivable
 
As of December 31, 2010, we had $149.3 million of net loans receivable relating to seniors housing and healthcare companies or properties.
 
In June 2008, we purchased $112.5 million principal amount of first mortgage debt issued by a national provider of healthcare services, primarily skilled nursing care. We purchased this debt at a discount for $98.8 million, resulting in an effective interest rate to maturity of LIBOR plus 533 basis points. Interest on the loan is payable monthly at an annual rate of LIBOR plus 125 basis points, and the loan matures in January 2012, but may be extended for one year, at the borrower’s option, subject to certain conditions.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
In December 2008, we received a $10.0 million three-year note issued to us as partial consideration for five seniors housing communities we sold at that time. This note was repaid in full in December 2010.
 
In 2005, we made three first mortgage loans in the aggregate principal amount of $20 million. The loans originally accrued interest at a non-default annual rate of 9% and were secured by four seniors housing communities and guaranteed. During 2008, the borrowers defaulted on their obligations under the loans, and we initiated foreclosure actions on the four secured assets. Due to the unfavorable capital markets and economic environment at that time, we recorded a provision for loan losses on the loans of $6.0 million. Since then, we have taken title to all four assets through foreclosure. We sold one property to an affiliate of one of our existing tenants for approximately $6.3 million. In connection with the sale, we provided $5.0 million of first mortgage financing to the purchaser, secured by, among other things, the property, and received cash consideration of $1.2 million after expenses. We recorded no gain or loss from this transaction. The carrying amounts of the remaining three assets, totaling $9.0 million, approximated the fair value of the underlying assets and no gain or loss was recorded in connection with obtaining title. Operations from these three properties were consolidated into our consolidated financial statements during 2010.
 
During 2009, we entered into a sourcing and services agreement with a third party to acquire or originate a diversified pool of mortgage loans secured by stable, cash flowing seniors housing and MOB assets. In late 2009, we acquired a first mortgage loan in the principal amount of $6.5 million bearing interest at a fixed rate of 10% per annum and maturing in 2012. During 2010, we acquired a first mortgage loan in the principal amount of $15.8 million bearing interest at a fixed rate of 6.6% per annum and maturing in 2017. Additionally, during 2010, we acquired a first mortgage loan in the principal amount of $20.0 million bearing interest at a fixed rate of 9.25% per annum and maturing in 2015.
 
Note 7 — Investments in Unconsolidated Entities
 
We report investments in unconsolidated entities over whose operating and financial policies we have the ability to exercise significant influence under the equity method of accounting. We serve as the managing member of each unconsolidated entity and provide various services in exchange for fees and reimbursements. Our joint venture partners have significant participating rights, and, therefore, we are not required to consolidate these entities. Additionally, these entities are not considered VIEs as they are viable entities controlled by equity holders with sufficient capital. At December 31, 2010, we owned interests in 58 properties which were accounted for under the equity method. Our net investment in these properties as of December 31, 2010 was $15.3 million. For the year ended December 31, 2010, we recorded a loss from unconsolidated entities of $0.7 million.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Note 8 — Intangibles
 
                 
    December 31,
    December 31,
 
    2010     2009  
    (Dollars in thousands)  
 
Intangible Assets:
               
Above market leases
  $ 13,232     $ 10,525  
In-place leases
    125,452       96,274  
Other intangibles
    41,680       2,522  
Accumulated amortization
    (100,808 )     (92,636 )
                 
Net Intangible Assets
  $ 79,556     $ 16,685  
                 
Remaining weighted average amortization period of lease-related intangible assets in years
    18.5       8.0  
Intangible Liabilities:
               
Below market leases
  $ 22,398     $ 15,143  
Accumulated amortization
    (12,495 )     (10,760 )
                 
Net Intangible Liabilities
  $ 9,903     $ 4,383  
                 
Remaining weighted average amortization period of lease-related intangible liabilities in years
    6.9       8.3  
 
Lease-related intangible assets are included in net real estate investments on our Consolidated Balance Sheets. Other intangible assets (including goodwill, non-compete agreements and trade names/trademarks) and below market lease intangibles are included in other assets and accounts payable and other liabilities, respectively, on our Consolidated Balance Sheets. The net amortization expense related to these intangibles for the years ended December 31, 2010, 2009 and 2008 was $6.9 million, $1.9 million and $29.5 million, respectively. The estimated net amortization of these intangibles for each of the next five years is as follows: 2011 — $6.8 million; 2012 — $5.0 million; 2013 — $4.5 million; 2014 — $4.2 million; and 2015 — $3.4 million.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Note 9 — Borrowing Arrangements
 
The following is a summary of our long-term debt and certain interest rate and maturity information as of December 31, 2010 and 2009:
 
                 
    2010     2009  
    (In thousands)  
 
Unsecured revolving credit facilities
  $ 40,000     $ 8,466  
63/4% Senior Notes due 2010
          1,375  
37/8% Convertible Senior Notes due 2011
    230,000       230,000  
9% Senior Notes due 2012
    82,433       82,433  
Unsecured term loan due 2013
    200,000        
65/8% Senior Notes due 2014
          71,654  
71/8% Senior Notes due 2015
          142,669  
3.125% Senior Notes due 2015
    400,000        
61/2% Senior Notes due 2016
    400,000       400,000  
63/4% Senior Notes due 2017
    225,000       225,000  
Mortgage loans and other
    1,349,521       1,540,064  
                 
Total
    2,926,954       2,701,661  
Unamortized fair value adjustment
    11,790       11,642  
Unamortized commission fees and discounts
    (38,700 )     (43,202 )
                 
Senior notes payable and other debt
  $ 2,900,044     $ 2,670,101  
                 
 
Unsecured Revolving Credit Facilities
 
We have $1.0 billion of aggregate borrowing capacity under our unsecured revolving credit facilities, all of which matures on April 26, 2012. Borrowings under our unsecured revolving credit facilities bear interest at a fluctuating rate per annum (based on U.S. or Canadian LIBOR, Canadian Bankers’ Acceptance rate, or the U.S. or Canadian Prime rate) plus an applicable percentage based on our consolidated leverage. At December 31, 2010, the applicable percentage was 2.80%. Our unsecured revolving credit facilities also have a 20 basis point facility fee. At December 31, 2010, we had $40.0 million of borrowings outstanding, $3.2 million of letters of credit and $956.8 million of available borrowing capacity under our unsecured revolving credit facilities.
 
In October 2010, we amended the terms of our unsecured revolving credit facilities to release the subsidiary guarantees thereunder.
 
Convertible Senior Notes
 
As of December 31, 2010, we had $230.0 million aggregate principal amount of our 37/8% convertible notes due 2011 outstanding. The convertible notes are convertible at the option of the holder (i) prior to September 15, 2011, upon the occurrence of specified events and (ii) on or after September 11, 2011, at any time prior to the close of business on the second business day prior to the stated maturity (December 1, 2011), in each case into cash up to the principal amount of the convertible notes and cash or shares of our common stock, at our election, in respect of any conversion value in excess of the principal amount at the current conversion rate of 23.2133 shares per $1,000 principal amount of notes (which equates to a conversion price of approximately $43.08 per share). The conversion rate is subject to adjustment in certain circumstances, including the payment of a quarterly dividend in excess of $0.395 per share. To the extent the market price of our common stock exceeds the conversion price, our earnings per share will be diluted. The convertible notes


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
had a minimal dilutive impact per share for the year ended December 31, 2010. See “Note 14 — Earnings Per Share.”
 
Initially, the convertible notes were unconditionally guaranteed, jointly and severally, on a senior unsecured basis by Ventas Realty, Limited Partnership (“Ventas Realty”) and by certain of our other direct and indirect subsidiaries. On September 30, 2010, the subsidiary guarantees (other than the guarantee by Ventas Realty) were released pursuant to the terms of the indenture governing the notes. The convertible notes are part of our and the guarantor’s general unsecured obligations, ranking equal in right of payment with all of our and the guarantor’s existing and future senior obligations and ranking senior to all of our and the guarantor’s existing and future subordinated indebtedness. However, the convertible notes are effectively subordinated to our and the guarantor’s secured indebtedness, if any, to the extent of the value of the assets securing that indebtedness. The convertible notes are also structurally subordinated to preferred equity and indebtedness, whether secured or unsecured, of our subsidiaries that do not guarantee the convertible notes.
 
We may not redeem the convertible notes prior to maturity except to the extent necessary to preserve our status as a REIT.
 
If we experience certain kinds of changes of control, holders may require us to repurchase all or a portion of their convertible notes for cash at a purchase price equal to 100% of the principal amount of the convertible notes to be repurchased, plus any accrued and unpaid interest to the date of purchase.
 
Senior Notes and Other
 
As of December 31, 2010, we had $1.3 billion aggregate principal amount of senior notes issued by our subsidiaries, Ventas Realty and Ventas Capital Corporation (collectively, the “Issuers”) outstanding. We issued $200.0 million principal amount of each of our senior notes due 2016 and senior notes due 2017 at initial discounts to par value of 1/2% and 55/8%, respectively. We issued $50.0 million principal amount of our senior notes due 2014 at a 1% discount to par value.
 
In May 2010, we repaid in full, at par, $1.4 million principal amount then outstanding of our 63/4% senior notes due 2010 upon maturity. In June 2010, we exercised our option to redeem all $142.7 million principal amount then outstanding of our 71/8% senior notes due 2015, at a redemption price equal to 103.56% of par, plus accrued and unpaid interest to the redemption date, pursuant to the call option contained in the indenture governing the notes. As a result, we paid a total of $147.8 million, plus accrued and unpaid interest, on the redemption date and recognized a net loss on extinguishment of debt of $6.4 million during the second quarter of 2010.
 
In October 2010, we exercised our option to redeem all $71.7 million principal amount then outstanding of our 65/8% senior notes due 2014, at a redemption price equal to 102.21% of par, plus accrued and unpaid interest to the redemption date, pursuant to the call option contained in the indenture governing the notes. As a result, we paid a total of $73.3 million, plus accrued and unpaid interest, on the redemption date and recognized a loss on extinguishment of debt of $2.5 million during the fourth quarter of 2010.
 
In November 2010, we issued and sold $400.0 million aggregate principal amount of 3.125% senior notes due 2015, at a public offering price equal to 99.528% of par for total proceeds of $398.1 million, before the underwriting discount and expenses.
 
During 2009, we issued and sold $200.0 million aggregate principal amount of senior notes due 2016 at a 153/4% discount to par value, for total proceeds of $168.5 million, before the underwriting discount and expenses. We also repaid in full, at par, $49.8 million principal amount then outstanding of our senior notes due 2009 upon maturity, and purchased in open market transactions and/or through cash tender offers $361.6 million of our senior notes composed of: $121.6 million principal amount of our outstanding 63/4% senior notes due 2010; $109.4 million principal amount of our outstanding 9% senior notes due 2012;


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
$103.3 million principal amount of our outstanding 65/8% senior notes due 2014; and $27.3 million principal amount of our outstanding 71/8% senior notes due 2015. We recognized a net loss on extinguishment of debt of $6.1 million related to these purchases.
 
During 2008, we purchased $124.4 million principal amount of senior notes due 2009 and $52.0 million principal amount of senior notes due 2010 in open market transactions and reported a net gain on extinguishment of debt of $2.5 million.
 
Initially, the senior notes were unconditionally guaranteed, jointly and severally, on a senior unsecured basis by us and, except in the case of our 3.125% senior notes due 2015, by certain of our direct and indirect subsidiaries. On September 30, 2010, the subsidiary guarantees on our outstanding senior notes (other than our 9% senior notes due 2012) were released pursuant to the terms of the indentures governing the notes. The senior notes are part of our and the Issuers’ general unsecured obligations, ranking equal in right of payment with all of our and the Issuers’ existing and future senior obligations and ranking senior to all of our and the Issuers’ existing and future subordinated indebtedness. However, the senior notes are effectively subordinated to our and the Issuers’ secured indebtedness, if any, to the extent of the value of the assets securing that indebtedness. The senior notes are also structurally subordinated to the preferred equity and indebtedness, whether secured or unsecured, of our subsidiaries.
 
The Issuers may redeem each series of senior notes, in whole at any time or in part from time to time, prior to maturity at varying redemption prices set forth in the applicable indenture, plus, in each case, accrued and unpaid interest thereon to the redemption date. In addition, at certain times, the Issuers may redeem up to 35% of the aggregate principal amount of each series of senior notes (other than our 3.125% senior notes due 2015) with the net cash proceeds from certain equity offerings at the redemption price set forth in the applicable indenture, plus accrued and unpaid interest thereon to the redemption date.
 
If we experience certain kinds of changes of control, the Issuers must make an offer to repurchase the senior notes (other than our 3.125% senior notes due 2015), in whole or in part, at a purchase price in cash equal to 101% of the principal amount thereof, plus any accrued and unpaid interest to the date of purchase; provided, however, that in the event Moody’s Investors Service (“Moody’s”) and Standard & Poor’s Ratings Services (“S&P”) have confirmed their ratings at Ba3 or higher and BB- or higher on the senior notes and certain other conditions are met, this repurchase obligation will not apply.
 
In September 2010, we entered into a $200.0 million three-year unsecured term loan with Bank of America, N.A., as lender. The term loan is non-amortizing and bears interest at an all-in fixed rate of 4% per annum. The term loan contains the same restrictive covenants as our unsecured revolving credit facilities.
 
Mortgages
 
At December 31, 2010, we had outstanding 105 mortgage loans in the aggregate principal amount of $1.3 billion that are collateralized by 114 underlying properties. These loans generally bear interest at fixed rates ranging from 5.1% to 7.7% per annum, except for six loans having aggregate outstanding principal balances totaling $115.3 million which bear interest at the lender’s variable rates ranging from 1.2% to 2.6% per annum as of December 31, 2010. At December 31, 2010, the weighted average annual rate on our fixed rate mortgage loans was 6.2%, and the weighted average annual rate on our variable rate mortgage loans was 1.5%. Our mortgage loans had a weighted average maturity of 5.8 years as of December 31, 2010.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Scheduled Maturities of Borrowing Arrangements and Other Provisions
 
As of December 31, 2010, our indebtedness had the following maturities:
 
                                 
          Unsecured
    Scheduled
       
    Principal Amount
    Revolving Credit
    Periodic
    Total
 
    Due at Maturity     Facilities(1)     Amortization     Maturities  
          (In thousands)        
 
2011
  $ 256,245     $     $ 26,909     $ 283,154  
2012
    388,937       40,000       23,431       452,368  
2013
    350,962             17,888       368,850  
2014
    53,485             14,908       68,393  
2015
    469,271             12,075       481,346  
Thereafter
    1,219,521             53,322       1,272,843  
                                 
Total maturities
  $ 2,738,421     $ 40,000     $ 148,533     $ 2,926,954  
                                 
 
 
(1) At December 31, 2010, we had $21.8 million of unrestricted cash and cash equivalents, for a net amount outstanding on our unsecured revolving credit facilities of $18.2 million.
 
As of December 31, 2010, our joint venture partners’ share of total debt was $4.8 million with respect to three of our properties owned through consolidated joint ventures. Total debt does not include our portion of debt related to our investments in unconsolidated entities.
 
The instruments governing our outstanding indebtedness contain covenants that limit our ability and the ability of certain of our subsidiaries to, among other things: (i) incur debt; (ii) make certain dividends, distributions and investments; (iii) enter into certain transactions; (iv) merge, consolidate or transfer certain assets; and (v) sell assets. At any time we maintain investment grade ratings by both Moody’s and S&P, the indentures governing certain series of our senior notes provide that certain of these restrictive covenants will either be suspended or fall away. We and our subsidiaries are also required to maintain total unencumbered assets of at least 150% of our unsecured debt. Our unsecured revolving credit facilities and term loan also require us to maintain certain financial covenants pertaining to, among other things, our consolidated leverage, secured debt, fixed charge coverage and net worth.
 
As of December 31, 2010, we were in compliance with all of these covenants.
 
Derivatives and Hedging
 
In the normal course of business, we are exposed to the effect of interest rate movements on future cash flows under our variable rate debt obligations and the effect of foreign currency exchange rate movements on our senior living operations. We attempt to mitigate these risks by following established risk management policies and procedures, including the use of derivative instruments.
 
For interest rate exposures, we use derivatives primarily to fix the rate on our variable rate debt and to manage the cost of borrowing obligations. We prohibit the use of derivative instruments for trading or speculative purposes, and we have a policy of only entering into contracts with major financial institutions based upon their credit ratings and other factors. When considered together with the underlying exposure that the derivative is designed to hedge, we do not expect that the use of derivatives in this manner would have any material adverse effect on our future net income or financial position.
 
Unamortized Fair Value Adjustment
 
As of December 31, 2010, the unamortized fair value adjustment related to the long-term debt we assumed in connection with our 2007 acquisition of the assets of Sunrise Senior Living Real Estate Investment


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Trust (“Sunrise REIT”) and various MOB acquisitions was $11.8 million and will be recognized as effective yield adjustments over the remaining term of the instruments. The estimated aggregate amortization of the fair value adjustment related to long-term debt (reduction of interest expense) for each of the next five years follows: 2011 — $3.2 million; 2012 — $2.6 million; 2013 — $1.7 million; 2014 — $1.0 million; and 2015 — $0.8 million.
 
Note 10 — Fair Values of Financial Instruments
 
As of December 31, 2010 and 2009, the carrying amounts and fair values of our financial instruments were as follows:
 
                                 
    2010   2009
    Carrying
  Fair
  Carrying
  Fair
    Amount   Value   Amount   Value
        (In thousands)    
 
Cash and cash equivalents
  $ 21,812     $ 21,812     $ 107,397     $ 107,397  
Loans receivable, net
    149,263       155,377       131,887       129,512  
Marketable debt securities
    66,675       66,675       65,038       65,038  
Senior notes payable and other debt, gross
    (2,926,954 )     (3,055,435 )     (2,701,661 )     (2,780,405 )
 
Fair value estimates are subjective in nature and depend upon several important assumptions, including estimates of future cash flows, risks, discount rates and relevant comparable market information associated with each financial instrument. The use of different market assumptions and estimation methodologies may have a material effect on the reported estimated fair value amounts. Accordingly, the estimates presented above are not necessarily indicative of the amounts we would realize in a current market exchange.
 
At December 31, 2010, we held marketable debt securities, classified as available-for-sale, with an aggregate amortized cost basis and fair value of $61.9 million and $66.7 million, respectively. At December 31, 2009, these securities had an aggregate amortized cost basis and fair value of $60.6 million and $65.0 million, respectively. The contractual maturities of our marketable debt securities range from October 1, 2012 to April 15, 2016. In January 2011, we sold one of the securities and received proceeds of approximately $10.6 million. We expect to recognize a gain from the sale of approximately $0.8 million in the first quarter of 2011.
 
Note 11 — Stock-Based Compensation
 
Compensation Plans
 
We have: four plans under which outstanding options to purchase common stock and/or shares or units of restricted stock have been, or may be, granted to officers, employees and non-employee directors (the 2000 Incentive Compensation Plan (Employee Plan), the 2004 Stock Plan for Directors, the 2006 Incentive Plan, and the 2006 Stock Plan for Directors); one plan under which executive officers may receive common stock in lieu of compensation (the Executive Deferred Stock Compensation Plan); and two plans under which certain directors have received or may receive common stock in lieu of director fees (the Common Stock Purchase Plan for Directors (the “Directors Stock Purchase Plan”) and the Nonemployee Directors’ Deferred Stock Compensation Plan). These plans are referred to collectively as the “Plans.”
 
During the year ended December 31, 2010, we were permitted to make option and restricted stock grants and stock issuances only under the Executive Deferred Stock Compensation Plan, the Nonemployee Directors’ Deferred Stock Compensation Plan, the 2006 Incentive Plan and the 2006 Stock Plan for Directors.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
The number of shares reserved and the number of shares available for future grants or issuance under these Plans as of December 31, 2010 are as follows:
 
  •  Executive Deferred Stock Compensation Plan — 500,000 shares were reserved initially for issuance to our executive officers in lieu of the payment of all or a portion of their salary, at their option and 500,000 shares were available for future issuance as of December 31, 2010.
 
    Nonemployee Directors’ Deferred Stock Compensation Plan — 500,000 shares were reserved initially for issuance to nonemployee directors in lieu of the payment of all or a portion of their retainer and meeting fees, at their option, and 453,267 shares were available for future issuance as of December 31, 2010.
 
    2006 Incentive Plan — 5,000,000 shares were reserved initially for grants or issuance to employees, and 2,597,732 shares were available for future grants or issuance as of December 31, 2010. This plan replaced the 2000 Incentive Compensation Plan (Employee Plan).
 
    2006 Stock Plan for Directors — 400,000 shares were reserved initially for grants or issuance to non-employee directors and 229,448 shares were available for future grants or issuance as of December 31, 2010. This plan replaced the 2004 Stock Plan for Directors.
 
Under the Plans (other than the Executive Deferred Stock Compensation Plan, the Directors Stock Purchase Plan and the Nonemployee Directors’ Deferred Stock Compensation Plan), options are exercisable at the market price on the date of grant, expire ten years from the date of grant, and vest over periods ranging from one to five years. Vesting of certain options may accelerate upon a change of control of Ventas, as defined in the applicable Plan, and other specified events.
 
Stock Options
 
In determining the estimated fair value of our stock options as of the date of grant, we used the Black-Scholes option pricing model with the following assumptions:
 
                         
    2010     2009     2008  
 
Risk-free interest rate
    2.00 - 3.45 %     1.37 - 2.32 %     2.48 %
Dividend yield
    6.75 %     5.75 %     5.75 %
Volatility factors of the expected market price for our common stock
    37.1 - 44.6 %     36.1 - 42.7 %     21.0 %
Weighted average expected life of options
    4.25 - 7.0 years       3.5 - 6.0 years       3.5 years  
 
The following is a summary of stock option activity in 2010:
 
                                         
                      Weighted
       
                Weighted
    Average
       
          Range of
    Average
    Remaining
    Intrinsic
 
          Exercise
    Exercise
    Contractual
    Value
 
Activity   Shares     Prices     Price     Life (Years)     ($000’s)  
 
Outstanding as of December 31, 2009
    1,639,976     $ 11.34 - $45.25     $ 35.85                  
Options granted
    343,601       43.74 - 45.26       44.45                  
Options exercised
    (327,019 )     21.57 - 43.26       33.38                  
Options canceled
                                 
                                         
Outstanding as of December 31, 2010
    1,656,558       11.34 - 45.26       38.12       7.2     $ 23,781  
                                         
Exercisable as of December 31, 2010
    1,316,355     $ 11.34 - $45.26     $ 37.96       6.8     $ 19,111  
                                         


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Compensation cost for all share-based awards are based on the grant date fair value and are recognized as the requisite service periods are rendered. Compensation costs related to stock options for the years ended December 31, 2010, 2009 and 2008 were $3.1 million, $2.9 million and $2.3 million, respectively.
 
A summary of the status of our nonvested stock options as of December 31, 2010 and changes during the year then ended follows:
 
                 
          Weighted Average
 
          Grant Date Fair
 
Activity   Shares     Value  
 
Nonvested at beginning of year
    484,343     $ 4.89  
Granted
    343,601       9.59  
Vested
    (487,741 )     5.80  
Forfeited
           
                 
Nonvested at end of year
    340,203     $ 8.33  
                 
 
As of December 31, 2010, we had $1.0 million of total unrecognized compensation cost related to nonvested stock options granted under the Plans. We expect to recognize that cost over a weighted average period of one year. Proceeds received from options exercised under the Plans for the years ended December 31, 2010, 2009 and 2008 were $10.9 million, $2.2 million and $6.2 million, respectively.
 
Restricted Stock and Restricted Stock Units
 
We recognize the market value of shares of restricted stock and restricted stock units on the date of the award as stock-based compensation expense over the service period, with charges to general and administrative expenses of approximately $11.0 million in 2010, $9.0 million in 2009 and $7.7 million in 2008. Restricted stock and restricted stock units generally vest over periods ranging from two to five years. The vesting of restricted stock and restricted stock units may accelerate upon a change of control of Ventas, as defined in the applicable Plan, and other specified events.
 
A summary of the status of our nonvested restricted stock and restricted stock units as of December 31, 2010, and changes during the year ended December 31, 2010 follows:
 
                                 
          Weighted
          Weighted
 
          Average
          Average
 
    Restricted
    Grant Date
    Restricted
    Grant Date
 
    Stock     Fair Value     Stock Units     Fair Value  
 
Nonvested at December 31, 2009
    361,173     $ 37.16       6,122     $ 37.39  
Granted
    382,130       46.02       2,632       43.74  
Vested
    (244,443 )     38.84       (4,064 )     39.33  
Forfeited
    (4,893 )     45.81              
                                 
Nonvested at December 31, 2010
    493,967     $ 43.10       4,690     $ 39.28  
                                 
 
As of December 31, 2010, we had $14.5 million unrecognized compensation cost related to nonvested restricted stock and restricted stock units under the Plans. We expect to recognize that cost over a weighted average period of 2.8 years.
 
Employee and Director Stock Purchase Plan
 
We have in effect an Employee and Director Stock Purchase Plan (“ESPP”) under which our employees and directors may purchase shares of our common stock at a discount. Pursuant to the terms of the ESPP, on each purchase date, participants may purchase shares of common stock at a price not less than 90% of the


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
market price on that date (with respect to the employee tax-favored portion of the plan) and not less than 95% of the market price on that date (with respect to the additional employee and director portion of the plan). We initially reserved 2,500,000 shares for issuance under the ESPP. As of December 31, 2010, 36,375 shares had been purchased under the ESPP and 2,463,625 shares were available for future issuance.
 
Employee Benefit Plan
 
We maintain a 401(K) plan that allows eligible employees to defer compensation subject to certain limitations imposed by the Code. We make a contribution for each qualifying employee of up to 3% of his or her salary, subject to certain limitations, regardless of the employee’s individual contribution. During 2010, 2009 and 2008, our aggregate contributions were approximately $200,000, $189,000 and $164,000, respectively.
 
Note 12 — Income Taxes
 
We have elected to be taxed as a REIT under the Code commencing with the year ended December 31, 1999. We have also elected for certain of our subsidiaries to be treated as taxable REIT subsidiaries (“TRS” or “TRS entities”), which are subject to federal and state income taxes. The TRS entities were created or acquired in connection with the Sunrise REIT and Lillibridge acquisitions. All entities other than the TRS entities are collectively referred to as “the REIT” within this Note 12.
 
We intend to continue to operate in such a manner as to enable us to qualify as a REIT; however, our actual qualification and taxation as a REIT depends upon our ability to meet, on a continuing basis, distribution levels, stock ownership, and the various qualification tests. During the years ended December 31, 2010, 2009 and 2008, our tax treatment of distributions per common share was as follows:
 
                         
    2010     2009     2008  
 
Tax treatment of distributions:
                       
Ordinary income
  $ 1.99928     $ 1.8356     $ 1.9025  
Long-term capital gain
    0.07644       0.1510       0.0712  
Unrecaptured Section 1250 gain
    0.06428       0.0634       0.0763  
                         
Distribution reported for 1099-DIV purposes
    2.14000       2.0500       2.0500  
Less: Dividend declared in prior year and taxable in current year
                 
                         
Distributions declared per common share outstanding
  $ 2.14000     $ 2.0500     $ 2.0500  
                         
 
We believe we have met the annual REIT distribution requirement by payment of at least 90% of our estimated taxable income for 2010, 2009 and 2008. Our consolidated provision (benefit) for income taxes for the years ended December 31, 2010, 2009 and 2008 was as follows:
 
                         
    2010     2009     2008  
    (In thousands)  
 
Current
  $ 2,459     $ 2,166     $ 3,010  
Deferred
    2,742       (3,885 )     (18,895 )
                         
Total
  $ 5,201     $ (1,719 )   $ (15,885 )
                         
 
The deferred tax expense/benefit for the years ended December 31, 2010, 2009 and 2008 was adjusted by income tax expense of $2.3 million, $1.7 million and $1.7 million, respectively, related to the noncontrolling interest share of net income. For the tax years ended December 31, 2010, 2009 and 2008, the Canadian


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
income tax benefit included in the consolidated benefit for income taxes was $0.3 million, $2.0 million and $3.3 million, respectively.
 
Although the TRS entities were not liable for any cash federal income taxes for the year ended December 31, 2010, their federal income tax liabilities may increase in future years as we exhaust net operating loss carryforwards and as our senior living operations segment grows. Such increases could be significant.
 
A reconciliation of income tax expense, which is computed by applying the federal corporate tax rate for the years ended December 31, 2010, 2009 and 2008, to the income tax benefit is as follows:
 
                         
    2010     2009     2008  
    (In thousands)  
 
Tax at statutory rate on earnings from continuing operations before noncontrolling interest and income taxes
  $ 79,497     $ 67,993     $ 48,134  
State income taxes, net of federal benefit
    700       (126 )     (445 )
Increase in valuation allowance
    5,705       7,713       1,170  
Increase in ASC 740 income tax liability
    2,420       2,166       3,010  
Tax at statutory rate on earnings not subject to federal income taxes
    (83,324 )     (79,120 )     (68,538 )
Other differences
    203       (345 )     784  
                         
Income tax expense (benefit)
  $ 5,201     $ (1,719 )   $ (15,885 )
                         
 
The REIT made no income tax payments for the year ended December 31, 2010, 2009 and 2008.
 
In connection with the Sunrise REIT acquisition, we established a beginning net deferred tax liability of $306.3 million related to temporary differences between the financial reporting and tax bases of assets and liabilities acquired (primarily property and related assets, net of net operating loss carryforwards). No net deferred tax asset or liability was recorded for the Lillibridge acquisition.
 
Each TRS is a tax paying component for purposes of classifying deferred tax assets and liabilities. The tax effects of temporary differences and carryforwards included in the net deferred tax liabilities at December 31, 2010, 2009 and 2008 are summarized as follows:
 
                         
    2010     2009     2008  
    (In thousands)  
 
Property, primarily differences in depreciation and amortization, the tax basis of land assets and the treatment of interests and certain costs
  $ (287,165 )   $ (293,800 )   $ (291,481 )
Operating loss and interest deduction carryforwards
    103,733       86,014       70,302  
Expense accruals and other
    3,093       (58 )     275  
Valuation allowance
    (60,994 )     (45,821 )     (36,595 )
                         
Net deferred tax liabilities
  $ (241,333 )   $ (253,665 )   $ (257,499 )
                         
 
Our net deferred tax liability decreased $12.3 million during 2010 due primarily to the purchase of Sunrise’s noncontrolling interests in 58 of our seniors housing communities currently managed by Sunrise. See “Note 4 — Acquisitions of Real Estate Property.”
 
Due to our uncertainty regarding the realization of certain deferred tax assets, we established valuation allowances, the majority of which related to the net operating loss (“NOL”) carryforward related to the REIT.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
For the years ended December 31, 2010 and 2009, the net difference between tax bases and the reported amount of REIT assets and liabilities for federal income tax purposes was approximately $365.4 million and $384.7 million, respectively, less than the book bases of those assets and liabilities for financial reporting purposes.
 
We are subject to corporate level taxes for any asset dispositions during the ten-year period immediately after the assets were owned by a C corporation (either prior to our REIT election, through stock acquisition or merger) (“built-in gains tax”). The amount of income potentially subject to built-in gains tax is generally equal to the lesser of the excess of the fair value of the asset over its adjusted tax basis as of the date it became a REIT asset or the actual amount of gain. Some, but not all, future gains could be offset by available NOLs.
 
We had a $23.3 million deferred tax liability as of December 31, 2007 to be utilized for any built-in gains tax related to the disposition of assets owned prior to our REIT election in 1999. The ten-year period in which these assets were subject to built-in gains tax ended on December 31, 2008. Because we did not dispose of any of these assets prior to December 31, 2008, we did not expect to pay any amounts related to this contingent liability and therefore $23.3 million was reversed into income during 2008.
 
Generally, we are subject to audit under the statute of limitations by the Internal Revenue Service (“IRS”) for the year ended December 31, 2007 and subsequent years and are subject to audit by state taxing authorities for the year ended December 31, 2006 and subsequent years. We are also subject to audit by the Canada Revenue Agency (“CRA”) and provincial authorities generally for periods subsequent to 2004 related to entities acquired or formed in connection with our Sunrise REIT acquisition.
 
We have a combined NOL carryforward of $154 million at December 31, 2010 related to the TRS entities and an NOL carryforward related to the REIT of $110 million (including carryforwards related to Lillibridge entities of $12.5 million and $19.2 million, respectively). These amounts can be used to offset future taxable income (and/or taxable income for prior years if an audit determines that tax is owed), if any. The REIT will be entitled to utilize NOLs and tax credit carryforwards only to the extent that REIT taxable income exceeds our deduction for dividends paid. Lillibridge NOL carryforwards are limited as to their utilization by Section 382 of the Code. The NOL carryforwards begin to expire in 2024 with respect to the TRS entities and in 2020 for the REIT.
 
As a result of our uncertainty regarding the use of existing REIT NOLs, we have not ascribed any net deferred tax benefit to REIT NOL carryforwards as of December 31, 2010 and 2009. The IRS may challenge our entitlement to these tax attributes during its review of the tax returns for the previous tax years. We believe we are entitled to these tax attributes, but we cannot give any assurances as to the outcome of these matters.
 
The following table summarizes the activity related to our unrecognized tax benefits:
 
                 
    2010     2009  
    (In thousands)  
 
Balance as of January 1
  $ 15,444     $ 12,870  
Additions to tax positions related to the current year
    2,424       2,562  
Additions to tax positions related to prior years
          577  
Subtractions to tax positions related to prior years
          (565 )
                 
Balance as of December 31
  $ 17,868     $ 15,444  
                 
 
Included in the unrecognized tax benefits of $17.9 million and $15.4 million at December 31, 2010 and 2009, respectively, was $17.3 million and $15.0 million of tax benefits that, if recognized, would reduce our annual effective tax rate. We accrued no penalties. Interest of $0.4 million related to the unrecognized tax benefits was accrued during 2010. We expect our unrecognized tax benefits to increase by $2.5 million during 2011.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Note 13 — Commitments and Contingencies
 
Assumption of Certain Operating Liabilities and Litigation
 
We may be subject to various liabilities arising out of our acquisitions, including most recently the Lillibridge acquisition. Some of these liabilities may be indemnified by third parties. If the liabilities we have assumed are greater than expected, if there are obligations relating to the acquired properties or operations of which we were not aware at the time of completion of the acquisitions, or if we are not indemnified, such liabilities and/or obligations could have a Material Adverse Effect on us.
 
Other
 
We are subject to certain operating and ground lease obligations that generally require fixed monthly or annual rent payments and may also include escalation clauses and renewal options. These leases have terms that expire during the next 84 years, excluding extension options. Our future minimum lease obligations under non-cancelable operating and ground leases as of December 31, 2010 were $3.7 million in 2011, $3.7 million in 2012, $3.7 million in 2013, $3.2 million in 2014, $2.9 million in 2015 and $141.0 million thereafter.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Note 14 — Earnings Per Share
 
The following table shows the amounts used in computing basic and diluted earnings per common share:
 
                         
    For the Year Ended December 31,  
    2010     2009     2008  
    (In thousands, except per share amounts)  
 
Numerator for basic and diluted earnings per share:
                       
Income from continuing operations attributable to common stockholders
  $ 218,370     $ 193,120     $ 174,054  
Discontinued operations
    27,797       73,375       48,549  
                         
Net income attributable to common stockholders
  $ 246,167     $ 266,495     $ 222,603  
                         
Denominator:
                       
Denominator for basic earnings per share — weighted average shares
    156,608       152,566       139,572  
Effect of dilutive securities:
                       
Stock options
    407       126       223  
Restricted stock awards
    70       64       17  
Convertible notes
    572       2       100  
                         
Dilutive potential common stock
    1,049       192       340  
                         
Denominator for diluted earnings per share — adjusted weighted average shares
    157,657       152,758       139,912  
                         
Basic earnings per share:
                       
Income from continuing operations attributable to common stockholders
  $ 1.39     $ 1.27     $ 1.24  
Discontinued operations
    0.18       0.48       0.35  
                         
Net income attributable to common stockholders
  $ 1.57     $ 1.75     $ 1.59  
                         
Diluted earnings per share:
                       
Income from continuing operations attributable to common stockholders
  $ 1.38     $ 1.26     $ 1.24  
Discontinued operations
    0.18       0.48       0.35  
                         
Net income attributable to common stockholders
  $ 1.56     $ 1.74     $ 1.59  
                         
 
There were 0, 975,500 and 940,500 anti-dilutive options outstanding for the years ended December 31, 2010, 2009 and 2008, respectively.
 
Note 15 — Litigation
 
Legal Proceedings Defended and Indemnified by Third Parties
 
Kindred, Brookdale Senior Living, Sunrise and our other tenants, operators and managers are parties to certain legal actions and regulatory investigations arising in the normal course of their business. In certain cases, the tenant, operator or manager, as applicable, has agreed to indemnify, defend and hold us harmless against these actions and investigations. However, the resolution of any litigation or investigations, either individually or in the aggregate, could have a material adverse effect on Kindred’s, Brookdale Senior Living’s, Sunrise’s or such other tenants’, operators’ and managers’ liquidity, financial condition or results of operations, which, in turn, could have a Material Adverse Effect on us.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Litigation Related to the Sunrise REIT Acquisition
 
On May 3, 2007, we filed a lawsuit against HCP, Inc. (“HCP”) in the United States District Court for the Western District of Kentucky, entitled Ventas, Inc. v. HCP, Inc., Case No. 07-cv-238-JGH. We asserted claims of tortious interference with contract and tortious interference with prospective business advantage. Our complaint alleged that HCP interfered with our purchase agreement to acquire the assets and liabilities of Sunrise REIT and with the process for unitholder consideration of the purchase agreement. The complaint alleged, among other things, that HCP made certain improper and misleading public statements and/or offers to acquire Sunrise REIT and that HCP’s actions caused us to suffer substantial damages, including, among other things, the payment of materially greater consideration to acquire Sunrise REIT resulting from the substantial increase in the purchase price above the original contract price necessary to obtain unitholder approval and increased costs associated with the delay in closing the acquisition, including increased costs to finance the transaction as a result of the delay.
 
HCP brought counterclaims against us alleging misrepresentation and negligent misrepresentation by Sunrise REIT related to its sale process, claiming that we were responsible for those actions as successor. HCP sought compensatory and punitive damages. On March 25, 2009, the District Court granted us judgment on the pleadings against all counterclaims brought by HCP and dismissed HCP’s counterclaims with prejudice. Thereafter, the District Court confirmed the dismissal of HCP’s counterclaims.
 
On July 16, 2009, the District Court denied HCP’s summary judgment motion as to our claim for tortious interference with business advantage, permitting us to present that claim against HCP at trial. The District Court granted HCP’s motion for summary judgment as to our claim for tortious interference with contract and dismissed that claim. The District Court also ruled that we could not seek to recover a portion of our alleged damages.
 
On September 4, 2009, the jury unanimously held that HCP tortiously interfered with our business expectation to acquire Sunrise REIT at the agreed price by employing significantly wrongful means such as fraudulent misrepresentation, deceit and coercion. The jury awarded us $101.6 million in compensatory damages, which is the full amount of damages the District Court permitted us to seek at trial. The District Court entered judgment on the jury’s verdict on September 8, 2009.
 
On November 16, 2009, the District Court affirmed the jury’s verdict and denied all of HCP’s post-trial motions, including a motion requesting that the District Court overturn the jury’s verdict and enter judgment for HCP or, in the alternative, award HCP a new trial. The District Court also denied our motion for pre-judgment interest and/or to modify the jury award to increase it to reflect the currency rates in effect on September 8, 2009, the date of entry of the judgment.
 
On November 17, 2009, HCP appealed the District Court’s judgment to the United States Court of Appeals for the Sixth Circuit (the “Sixth Circuit”). HCP argues that the judgment against it should be vacated and the case remanded for a new trial and/or that judgment should be entered in its favor as a matter of law. We are vigorously contesting HCP’s appeal and seek confirmation by the Sixth Circuit of both the jury’s verdict and the various rulings in our favor in the District Court.
 
On November 24, 2009, we filed a cross-appeal to the Sixth Circuit, which will be heard and decided in conjunction with HCP’s appeal. In addition to maintaining the full benefit of our favorable jury verdict, in our cross-appeal, we have asserted that we are entitled to substantial monetary relief in addition to the jury verdict, including punitive damages, additional compensatory damages and pre-judgment interest. We are vigorously pursuing our cross-appeal and are seeking additional proceedings in the District Court in which a jury may supplement the current judgment.
 
On December 11, 2009, HCP posted a $102.8 million letter of credit in our favor to serve as security to stay execution of the jury verdict pending the appellate proceedings.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
The briefing process for HCP’s appeal and our cross-appeal is complete, and oral argument has been scheduled for March 10, 2011. We expect that a final decision by the Sixth Circuit will be issued in 2011. We cannot assure you as to the outcome of HCP’s appeal or our cross-appeal or the timing of a decision by the Sixth Circuit.
 
Other Litigation
 
We are party to various other lawsuits, investigations and claims (some of which may not be insured) arising in the normal course of our business, including without limitation in connection with our senior living and MOB operations. It is the opinion of our management that, except as otherwise set forth in this Note 15, the disposition of these actions, investigations and claims will not, individually or in the aggregate, have a Material Adverse Effect on us. However, we are unable to predict the ultimate outcome of pending litigation, investigations and claims, and if management’s assessment of our liability with respect to these actions, investigations and claims is incorrect, such actions, investigations and claims could have a Material Adverse Effect on us.
 
Note 16 — Capital Stock
 
At December 31, 2010 and 2009, our authorized capital stock consisted of 300,000,000 shares of common stock, par value $0.25 per share, and 10,000,000 shares of preferred stock, par value $1.00 per share.
 
In February 2011, we completed the sale of 5,563,000 shares of our common stock in an underwritten public offering pursuant to our existing shelf registration statement. We received $300.0 million in aggregate proceeds from the sale, which we intend to use to repay existing mortgage debt and for working capital and other general corporate purposes, including to fund future acquisitions or investments, if any.
 
In March 2010, we filed a registration statement on Form S-3 with the SEC relating to the resale, from time to time, by the selling stockholders of shares of our common stock, if any, that may become issuable upon conversion of our outstanding 37/8% convertible senior notes due 2011. The registration statement replaced our previous resale shelf registration statement, which expired pursuant to the SEC’s rules.
 
In April 2009, we issued and sold 13,062,500 shares of our common stock in an underwritten public offering pursuant to our existing shelf registration statement. We received $312.2 million in aggregate proceeds from the sale, before the underwriting discount and expenses, which we used, together with our net proceeds from the sale of our senior notes due 2016, to fund our cash tender offers for outstanding senior notes, to repay debt and for general corporate purposes.
 
In April 2009, we filed an automatic shelf registration statement on Form S-3 with the SEC relating to the sale, from time to time, of an indeterminate amount of debt securities and related guarantees, common stock, preferred stock, depositary shares and warrants. The registration statement replaced our previous automatic shelf registration statement, which expired pursuant to the SEC’s rules.
 
Excess Share Provision
 
In order to preserve our ability to maintain REIT status, our Certificate of Incorporation provides that if a person acquires beneficial ownership of more than 9% of our outstanding common stock or 9.9% of our outstanding preferred stock, the shares that are beneficially owned in excess of such limit are deemed to be excess shares. These shares are automatically deemed transferred to a trust for the benefit of a charitable institution or other qualifying organization selected by our Board of Directors. The trust is entitled to all dividends with respect to the shares and the trustee may exercise all voting power over the shares.
 
We have the right to buy the excess shares for a purchase price equal to the lesser of the price per share in the transaction that created the excess shares or the market price on the date we buy the shares, and we


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
may defer payment of the purchase price for the excess shares for up to five years. If we do not purchase the excess shares, the trustee of the trust is required to transfer the excess shares at the direction of the Board of Directors. The owner of the excess shares is entitled to receive the lesser of the proceeds from the sale or the original purchase price for such excess shares, and any additional amounts are payable to the beneficiary of the trust.
 
Our Board of Directors is empowered to grant waivers from the excess share provisions of our Certificate of Incorporation.
 
Distribution Reinvestment and Stock Purchase Plan
 
We have in effect a Distribution Reinvestment and Stock Purchase Plan (“DRIP”), under which existing stockholders may purchase shares of common stock by reinvesting all or a portion of the cash distribution on their shares of our common stock, subject to certain limits. Existing stockholders and new investors also may purchase shares of our common stock under the DRIP by making optional cash payments, subject to certain limits. We currently offer a 1% discount on the purchase price of our common stock to shareholders who reinvest their dividends and/or make optional cash purchases through the DRIP. The amount and availability of this discount is at our discretion. The granting of a discount for one month or quarter, as applicable, will not insure the availability or amount of a discount in future periods, and each month or quarter, as applicable, we may lower or eliminate the discount without prior notice. We may also, without prior notice, change our determination as to whether common shares will be purchased by the plan administrator directly from us or in the open market.
 
Accumulated Other Comprehensive Income
 
                 
    As of December 31,  
    2010     2009  
    (In thousands)  
 
Foreign currency translation
  $ 23,010     $ 16,059  
Unrealized gain on marketable debt securities
    4,794       4,440  
Other
    (936 )     (830 )
                 
Total accumulated other comprehensive income
  $ 26,868     $ 19,669  
                 
 
Note 17 — Related Party Transactions
 
We lease eight personal care facilities to Tangram Rehabilitation Network, Inc. (“Tangram”) pursuant to a master lease agreement that is guaranteed by its parent company, Res-Care, Inc. (“Res-Care”), of which a member of our Board of Directors served as Chairman of the Board until December 2010. For the years ended December 31, 2010, 2009 and 2008, Tangram has paid us approximately $1.0 million, $1.0 million and $0.9 million, respectively, in base rent payments.
 
In connection with the closing of our Lillibridge acquisition, we entered into an Intellectual Property Rights Purchase and Sale Agreement with Todd W. Lillibridge, who became our Executive Vice President, Medical Property Operations. Under the agreement, we acquired Mr. Lillibridge’s rights in and to the use of the Lillibridge name and the “LILLIBRIDGE” trademark, as well as certain derivative trademarks, design marks and slogans for an aggregate purchase price of $3.0 million, which was reported in the total purchase price for the acquisition. See “Note 4 — Acquisitions of Real Estate Property.”


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Note 18 — Quarterly Financial Information (Unaudited)
 
Summarized unaudited consolidated quarterly information for the years ended December 31, 2010 and 2009 is provided below.
 
                                 
    For the Year Ended December 31, 2010  
    First
    Second
    Third
    Fourth
 
    Quarter     Quarter     Quarter     Quarter  
    (In thousands, except per share amounts)  
 
Revenues(1)
  $ 240,888     $ 243,320     $ 264,665     $ 267,994  
                                 
Income from continuing operations attributable to common stockholders(1)
  $ 51,874     $ 52,215     $ 57,356     $ 56,925  
Discontinued operations(1)
    745       5,852       542       20,658  
                                 
Net income attributable to common stockholders
  $ 52,619     $ 58,067     $ 57,898     $ 77,583  
                                 
Earnings per share:
                               
Basic:
                               
Income from continuing operations attributable to common stockholders
  $ 0.34     $ 0.33     $ 0.37     $ 0.36  
Discontinued operations
    0.00       0.04       0.00       0.13  
                                 
Net income attributable to common stockholders
  $ 0.34     $ 0.37     $ 0.37     $ 0.49  
                                 
Diluted:
                               
Income from continuing operations applicable to common shares
  $ 0.34     $ 0.33     $ 0.37     $ 0.36  
Discontinued operations
    0.00       0.04       0.00       0.13  
                                 
Net income applicable to common shares
  $ 0.34     $ 0.37     $ 0.37     $ 0.49  
                                 
Dividends declared per share
  $ 0.535     $ 0.535     $ 0.535     $ 0.535  
 
 
(1) The amounts presented for the three months ended March 31, 2010 and June 30, 2010 are not equal to the same amounts previously reported in our Quarterly Reports on Form 10-Q as a result of discontinued operations consisting of properties sold in 2010.
 


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
                 
    For the Three Months Ended  
    March 31,
    June 30,
 
    2010     2010  
    (In thousands, except per share amounts)  
 
Revenues, previously reported in Form 10-Q
  $ 241,545     $ 243,978  
Revenues, previously reported in Form 10-Q, subsequently reclassified to discontinued operations
    (657 )     (658 )
                 
Total revenues disclosed in Form 10-K
  $ 240,888     $ 243,320  
                 
Income from continuing operations attributable to common stockholders, previously reported in Form 10-Q
  $ 52,159     $ 52,523  
Income from continuing operations attributable to common stockholders, previously reported in Form 10-Q, subsequently reclassified to discontinued operations
    (285 )     (308 )
                 
Income from continuing operations attributable to common stockholders disclosed in Form 10-K
  $ 51,874     $ 52,215  
                 
Discontinued operations, previously reported in Form 10-Q
  $ 460     $ 5,544  
Discontinued operations from properties sold subsequent to the respective reporting period
    285       308  
                 
Discontinued operations disclosed in Form 10-K
  $ 745     $ 5,852  
                 
 
                                 
    For the Year Ended December 31, 2009  
    First
    Second
    Third
    Fourth
 
    Quarter     Quarter     Quarter     Quarter  
    (In thousands, except per share amounts)  
 
Revenues
  $ 228,247     $ 230,795     $ 234,637     $ 237,896  
                                 
Income from continuing operations attributable to common stockholders
  $ 44,817     $ 45,736     $ 49,226     $ 53,341  
Discontinued operations
    29,411       42,645       579       740  
                                 
Net income attributable to common stockholders
  $ 74,228     $ 88,381     $ 49,805     $ 54,081  
                                 
Earnings per share:
                               
Basic:
                               
Income from continuing operations attributable to common stockholders
  $ 0.32     $ 0.29     $ 0.32     $ 0.35  
Discontinued operations
    0.21       0.28       0.00       0.00  
                                 
Net income attributable to common stockholders
  $ 0.52     $ 0.57     $ 0.32     $ 0.35  
                                 
Diluted:
                               
Income from continuing operations applicable to common shares
  $ 0.31     $ 0.29     $ 0.32     $ 0.35  
Discontinued operations
    0.21       0.28       0.00       0.00  
                                 
Net income applicable to common shares
  $ 0.52     $ 0.57     $ 0.32     $ 0.35  
                                 
Dividends declared per share
  $ 0.5125     $ 0.5125     $ 0.5125     $ 0.5125  

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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Note 19 — Segment Information
 
As of December 31, 2010, we operated through three reportable business segments: triple-net leased properties, senior living operations and MOB operations. Our triple-net leased properties segment consists of acquiring and owning seniors housing and healthcare properties in the United States and leasing those properties to healthcare operating companies under “triple-net” or “absolute-net” leases, which require the tenants to pay all property-related expenses. Our senior living operations segment consists of investments in seniors housing communities located in the United States and Canada for which we engage independent third parties, such as Sunrise, to manage the operations. Our MOB operations segment primarily consists of acquiring, owning, developing, leasing and managing MOBs.
 
With the addition of the Lillibridge businesses and properties in July 2010, we believed the segregation of our MOB operations into its own reporting segment would be useful in assessing the performance of this portion of our business in the same way that management intends to review our performance and make operating decisions. Prior to the Lillibridge acquisition, we operated through two reportable segments: triple-net leased properties and senior living operations. Prior year amounts have been restated to reflect the segregation of our MOB operations into a reportable business segment.
 
We evaluate performance of the combined properties in each segment based on segment profit, which we define as NOI adjusted for gain/loss from unconsolidated entities. We define NOI as total revenues, less interest and other income, property-level operating expenses and MOB services costs. We believe that net income, as defined by GAAP, is the most appropriate earnings measurement. However, we believe that segment profit serves as a useful supplement to net income because it allows investors, analysts and our management to measure unlevered property-level operating results and to compare our operating results to the operating results of other real estate companies and between periods on a consistent basis. Segment profit should not be considered as an alternative to net income (determined in accordance with GAAP) as an indicator of our financial performance. In order to facilitate a clear understanding of our consolidated historical operating results, segment profit should be examined in conjunction with net income as presented in our Consolidated Financial Statements and data included elsewhere in this Annual Report on Form 10-K.
 
Interest expense, depreciation and amortization, general, administrative and professional fees and non-property specific revenues and expenses are not allocated to individual segments for purposes of assessing segment performance. There are no intersegment sales or transfers.
 
All other revenues consist primarily of income from loans and investments and other miscellaneous income. All other assets consist primarily of corporate assets including cash, restricted cash, deferred financing costs, notes receivable, and miscellaneous accounts receivable.


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Summary information by business segment is as follows:
 
For the year ended December 31, 2010:
 
                                         
    Triple-Net
    Senior
                   
    Leased
    Living
    MOB
    All
       
    Properties     Operations     Operations     Other     Total  
    (In thousands)  
 
Revenues:
                                       
Rental income
  $ 469,825     $     $ 69,747     $     $ 539,572  
Resident fees and services
          446,301                   446,301  
Medical office building services revenue
                14,098             14,098  
Income from loans and investments
                      16,412       16,412  
Interest and other income
                      484       484  
                                         
Total revenues
  $ 469,825     $ 446,301     $ 83,845     $ 16,896     $ 1,016,867  
                                         
Total revenues
  $ 469,825     $ 446,301     $ 83,845     $ 16,896     $ 1,016,867  
Less:
                                       
Interest and other income
                      484       484  
Property-level operating expenses
          291,831       24,122             315,953  
Medical office building services costs
                9,518             9,518  
                                         
Segment NOI
    469,825       154,470       50,205       16,412       690,912  
Loss from unconsolidated entities
                (664 )           (664 )
                                         
Segment profit
  $ 469,825     $ 154,470     $ 49,541     $ 16,412       690,248  
                                         
Interest and other income
                                    484  
Interest expense
                                    (178,863 )
Depreciation and amortization
                                    (205,600 )
General, administrative and professional fees
                                    (49,830 )
Foreign currency loss
                                    (272 )
Loss on extinguishment of debt
                                    (9,791 )
Merger-related expenses and deal costs
                                    (19,243 )
Income tax expense
                                    (5,201 )
Discontinued operations
                                    27,797  
                                         
Net income
                                  $ 249,729  
                                         


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
For the year ended December 31, 2009:
 
                                         
    Triple-Net
    Senior
                   
    Leased
    Living
    MOB
    All
       
    Properties     Operations     Operations     Other     Total  
    (In thousands)  
 
Revenues:
                                       
Rental income
  $ 460,646     $     $ 35,922     $     $ 496,568  
Resident fees and services
          421,058                   421,058  
Income from loans and investments
                      13,107       13,107  
Interest and other income
                      842       842  
                                         
Total revenues
  $ 460,646     $ 421,058     $ 35,922     $ 13,949     $ 931,575  
                                         
Total revenues
  $ 460,646     $ 421,058     $ 35,922     $ 13,949     $ 931,575  
Less:
                                       
Interest and other income
                      842       842  
Property-level operating expenses
          290,045       12,768             302,813  
                                         
Segment NOI
    460,646       131,013       23,154       13,107       627,920  
Loss from unconsolidated entities
                             
                                         
Segment profit
  $ 460,646     $ 131,013     $ 23,154     $ 13,107       627,920  
                                         
Interest and other income
                                    842  
Interest expense
                                    (176,990 )
Depreciation and amortization
                                    (199,531 )
General, administrative and professional fees
                                    (38,830 )
Foreign currency loss
                                    (50 )
Loss on extinguishment of debt
                                    (6,080 )
Merger-related expenses and deal costs
                                    (13,015 )
Income tax benefit
                                    1,719  
Discontinued operations
                                    73,375  
                                         
Net income
                                  $ 269,360  
                                         


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
For the year ended December 31, 2008:
 
                                         
    Triple-Net
    Senior
                   
    Leased
    Living
    MOB
    All
       
    Properties     Operations     Operations     Other     Total  
    (In thousands)  
 
Revenues:
                                       
Rental income
  $ 449,099     $     $ 27,716     $     $ 476,815  
Resident fees and services
          429,257                   429,257  
Income from loans and investments
                      8,847       8,847  
Interest and other income
                      4,226       4,226  
                                         
Total revenues
  $ 449,099     $ 429,257     $ 27,716     $ 13,073     $ 919,145  
                                         
Total revenues
  $ 449,099     $ 429,257     $ 27,716     $ 13,073     $ 919,145  
Less:
                                       
Interest and other income
                      4,226       4,226  
Property-level operating expenses
          290,444       10,506       5,994       306,944  
                                         
Segment NOI
    449,099       138,813       17,210       2,853       607,975  
Loss from unconsolidated entities
                             
                                         
Segment profit
  $ 449,099     $ 138,813     $ 17,210     $ 2,853       607,975  
                                         
Interest and other income
                                    4,226  
Interest expense
                                    (202,624 )
Depreciation and amortization
                                    (229,501 )
General, administrative and professional fees
                                    (40,651 )
Foreign currency gain
                                    162  
Gain on extinguishment of debt
                                    2,398  
Merger-related expenses and deal costs
                                    (4,460 )
Reversal of contingent liability
                                    23,328  
Income tax benefit
                                    15,885  
Discontinued operations
                                    48,549  
                                         
Net income
                                  $ 225,287  
                                         
 
                 
    As of December 31,  
    2010     2009  
    (In thousands)  
 
Assets:
               
Triple-net leased properties
  $ 2,474,612     $ 2,599,200  
Senior living operations
    2,297,041       2,342,884  
MOB operations
    748,945       370,110  
All other assets
    237,423       304,051  
                 
Total assets
  $ 5,758,021     $ 5,616,245  
                 
 


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
                         
    For the Year Ended December 31,  
    2010     2009     2008  
    (In thousands)  
 
Capital expenditures:
                       
Triple-net leased properties(1)
  $ 12,884     $ 10,867     $ 11,487  
Senior living operations
    10,268       11,081       7,301  
MOB operations(2)
    271,144       105,880       51,372  
                         
Total capital expenditures
  $ 294,296     $ 127,828     $ 70,160  
                         
 
 
(1) 2009 includes $9.3 million from funds held in a Code Section 1031 exchange escrow account with a qualified intermediary.
 
(2) 2009 includes $55.7 million from funds held in a Code Section 1031 exchange escrow account with a qualified intermediary.
 
Our portfolio of properties and real estate investments are located in the United States and Canada. Revenues are attributed to an individual country based on the location of each property. Geographic information regarding our business segments is as follows:
 
                         
    For the Year Ended December 31,  
    2010     2009     2008  
    (In thousands)  
 
Revenue:
                       
United States
  $ 932,337     $ 857,847     $ 843,671  
Canada
    84,530       73,728       75,474  
                         
Total revenues
  $ 1,016,867     $ 931,575     $ 919,145  
                         
 
                 
    As of December 31,  
    2010     2009  
    (In thousands)  
 
Long-lived assets:
               
United States
  $ 4,857,510     $ 4,711,071  
Canada
    422,009       418,036  
                 
Total long-lived assets
  $ 5,279,519     $ 5,129,107  
                 
 
Note 20 — Condensed Consolidating Information
 
Initially, we and certain of our direct and indirect wholly owned subsidiaries (the “Wholly Owned Subsidiary Guarantors”) fully and unconditionally guaranteed, on a joint and several basis, the obligation to pay principal and interest with respect to the senior notes of the Issuers (other than our 3.125% senior notes due 2015). Ventas Capital Corporation is a wholly owned direct subsidiary of Ventas Realty that was formed in 2002 to facilitate offerings of the senior notes and has no assets or operations. In addition, Ventas Realty and the Wholly Owned Subsidiary Guarantors fully and unconditionally guaranteed, on a joint and several basis, the obligation to pay principal and interest with respect to our convertible notes. Other subsidiaries (“Non-Guarantor Subsidiaries”) that were not included among the Guarantors were not obligated with respect to the senior notes or the convertible notes. On September 30, 2010, the Wholly Owned Subsidiary Guarantors were released from their obligations with respect to each series of then outstanding senior notes (other than the 9% senior notes due 2012) of the Issuers and our convertible notes pursuant to the terms of the applicable indentures. Contractual and legal restrictions, including those contained in the instruments governing certain

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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
Non-Guarantor Subsidiaries’ outstanding indebtedness, may under certain circumstances restrict our ability to obtain cash from our Non-Guarantor Subsidiaries for the purpose of meeting our debt service obligations, including our guarantee of payment of principal and interest on the senior notes and our primary obligation to pay principal and interest on the convertible notes. Certain of our real estate assets are also subject to mortgages. The following summarizes our condensed consolidating information as of December 31, 2010 and 2009 and for the years ended December 31, 2010, 2009, and 2008:
 
CONDENSED CONSOLIDATING BALANCE SHEET
As of December 31, 2010
 
                                                 
          Wholly
                         
          Owned
          Non-
             
          Subsidiary
          Guarantor
    Consolidated
       
    Ventas, Inc.     Guarantors     Issuers     Subsidiaries     Elimination     Consolidated  
    (In thousands)  
 
Assets
                                               
Net real estate investments
  $ 937     $ 2,723,878     $ 688,158     $ 2,031,141     $     $ 5,444,114  
Cash and cash equivalents
    1,083       2,314             18,415             21,812  
Escrow deposits and restricted cash
    76       13,713       9,169       15,982             38,940  
Deferred financing costs, net
    2,691       1,295       7,961       7,586             19,533  
Investment in and advances to affiliates
    1,413,338             1,028,720             (2,442,058 )      
Other
    75,794       113,666       8,057       36,105             233,622  
                                                 
Total assets
  $ 1,493,919     $ 2,854,866     $ 1,742,065     $ 2,109,229     $ (2,442,058 )   $ 5,758,021  
                                                 
Liabilities and stockholders’ equity
                                               
Liabilities:
                                               
Senior notes payable and other debt
  $ 225,644     $ 301,337     $ 1,301,089     $ 1,071,974     $     $ 2,900,044  
Intercompany
    (144,897 )     579,313       (434,454 )     38              
Accrued interest
    (113 )     1,526       12,852       5,031             19,296  
Accounts payable and other liabilities
    41,355       147,101       15,712       2,975             207,143  
Deferred income taxes
    241,333                               241,333  
                                                 
Total liabilities
    363,322       1,029,277       895,199       1,080,018             3,367,816  
Total equity
    1,130,597       1,825,589       846,866       1,029,211       (2,442,058 )     2,390,205  
                                                 
Total liabilities and equity
  $ 1,493,919     $ 2,854,866     $ 1,742,065     $ 2,109,229     $ (2,442,058 )   $ 5,758,021  
                                                 


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
CONDENSED CONSOLIDATING BALANCE SHEET — (Continued)
As of December 31, 2009
 
                                                 
          Wholly
                         
          Owned
          Non-
             
          Subsidiary
          Guarantor
    Consolidated
       
    Ventas, Inc.     Guarantors     Issuers     Subsidiaries     Elimination     Consolidated  
    (In thousands)  
 
Assets
                                               
Net real estate investments
  $ 9,496     $ 2,378,879     $ 769,857     $ 2,102,762     $     $ 5,260,994  
Cash and cash equivalents
          4,258       82,886       20,253             107,397  
Escrow deposits and restricted cash
    215       9,790       12,766       17,061             39,832  
Deferred financing costs, net
    1,192       1,612       15,577       10,871             29,252  
Investment in and advances to affiliates
    1,169,609             1,308,403             (2,478,012 )      
Other
    3       67,740       82,346       28,681             178,770  
                                                 
Total assets
  $ 1,180,515     $ 2,462,279     $ 2,271,835     $ 2,179,628     $ (2,478,012 )   $ 5,616,245  
                                                 
Liabilities and stockholders’ equity
                                               
Liabilities:
                                               
Senior notes payable and other debt
  $ 220,942     $ 468,653     $ 876,987     $ 1,103,519     $     $ 2,670,101  
Intercompany
    (45,563 )     453,897       (408,200 )     (134 )            
Accrued interest
    (3,552 )     5,302       10,732       5,492             17,974  
Accounts payable and other liabilities
    15,696       63,397       42,580       68,772             190,445  
Deferred income taxes
    253,665       61             (61 )           253,665  
                                                 
Total liabilities
    441,188       991,310       522,099       1,177,588             3,132,185  
Total equity
    739,327       1,470,969       1,749,736       1,002,040       (2,478,012 )     2,484,060  
                                                 
Total liabilities and equity
  $ 1,180,515     $ 2,462,279     $ 2,271,835     $ 2,179,628     $ (2,478,012 )   $ 5,616,245  
                                                 


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Year Ended December 31, 2010
 
                                                 
          Wholly
                         
          Owned
          Non-
             
          Subsidiary
          Guarantor
    Consolidated
       
    Ventas, Inc.     Guarantors     Issuers     Subsidiaries     Elimination     Consolidated  
    (In thousands)  
 
Revenues:
                                               
Rental income
  $ 2,409     $ 189,316     $ 280,246     $ 67,601     $     $ 539,572  
Resident fees and services
          159,546             286,755             446,301  
Medical office building services revenue
          14,098                         14,098  
Income from loans and investments
    5,666       2,957       7,789                   16,412  
Equity earnings in affiliates
    256,034       1,908                   (257,942 )      
Interest and other income
    332       60       83       9             484  
                                                 
Total revenues
    264,441       367,885       288,118       354,365       (257,942 )     1,016,867  
Expenses:
                                               
Interest
    5,378       26,397       82,744       64,344             178,863  
Depreciation and amortization
    1,635       95,587       37,550       70,828             205,600  
Property-level operating expenses
          116,457       519       198,977             315,953  
Medical office building services costs
          9,518                         9,518  
General, administrative and professional fees
    (2,549 )     25,688       21,618       5,073             49,830  
Foreign currency loss
    219       52             1             272  
Loss on extinguishment of debt
          798       8,993                   9,791  
Merger-related expenses and deal costs
    14,291       4,942             10             19,243  
Intercompany interest
    (3,620 )     32,507       (28,887 )                  
                                                 
Total expenses
    15,354       311,946       122,537       339,233             789,070  
                                                 
Income before loss from unconsolidated entities, income taxes, discontinued operations and noncontrolling interest
    249,087       55,939       165,581       15,132       (257,942 )     227,797  
Loss from unconsolidated entities
                (664 )                 (664 )
Income tax expense
    (2,920 )     (2,281 )                       (5,201 )
                                                 
Income from continuing operations
    246,167       53,658       164,917       15,132       (257,942 )     221,932  
Discontinued operations
          1,942       25,855                   27,797  
                                                 
Net income
    246,167       55,600       190,772       15,132       (257,942 )     249,729  
Net income attributable to noncontrolling interest
                      3,562             3,562  
                                                 
Net income attributable to common stockholders
  $ 246,167     $ 55,600     $ 190,772     $ 11,570     $ (257,942 )   $ 246,167  
                                                 


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
CONDENSED CONSOLIDATING STATEMENT OF INCOME — (Continued)
For the Year Ended December 31, 2009
 
                                                 
          Wholly
                         
          Owned
          Non-
             
          Subsidiary
          Guarantor
    Consolidated
       
    Ventas, Inc.     Guarantors     Issuers     Subsidiaries     Elimination     Consolidated  
    (In thousands)  
 
Revenues:
                                               
Rental income
  $ 2,351     $ 148,203     $ 276,008     $ 70,006     $     $ 496,568  
Resident fees and services
          141,669             279,389             421,058  
Income from loans and investments
          3       13,104                   13,107  
Equity earnings in affiliates
    264,163       2,309                   (266,472 )      
Interest and other income
    1       6       800       35             842  
                                                 
Total revenues
    266,515       292,190       289,912       349,430       (266,472 )     931,575  
Expenses:
                                               
Interest
    4,318       23,314       88,988       60,370             176,990  
Depreciation and amortization
    651       86,236       40,398       72,246             199,531  
Property-level operating expenses
          102,425       456       199,932             302,813  
General, administrative and professional fees
    109       14,692       18,934       5,095             38,830  
Foreign currency (gain) loss
    (45 )     63       23       9             50  
Loss on extinguishment of debt
                6,012       68             6,080  
Merger-related expenses and deal costs
          11,682       1,333                   13,015  
Intercompany interest
    (3,294 )     39,077       (35,130 )     (653 )            
                                                 
Total expenses
    1,739       277,489       121,014       337,067             737,309  
                                                 
Income before income taxes, discontinued operations and noncontrolling interest
    264,776       14,701       168,898       12,363       (266,472 )     194,266  
Income tax benefit
    1,719                               1,719  
                                                 
Income from continuing operations
    266,495       14,701       168,898       12,363       (266,472 )     195,985  
Discontinued operations
          33       61,981       11,361             73,375  
                                                 
Net income
    266,495       14,734       230,879       23,724       (266,472 )     269,360  
Net (loss) income attributable to noncontrolling interest
          (1,271 )           4,136             2,865  
                                                 
Net income attributable to common stockholders
  $ 266,495     $ 16,005     $ 230,879     $ 19,588     $ (266,472 )   $ 266,495  
                                                 


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
CONDENSED CONSOLIDATING STATEMENT OF INCOME — (Continued)
For the Year Ended December 31, 2008
 
                                                 
          Wholly
                         
          Owned
          Non-
             
          Subsidiary
          Guarantor
    Consolidated
       
    Ventas, Inc.     Guarantors     Issuers     Subsidiaries     Elimination     Consolidated  
    (In thousands)  
 
Revenues:
                                               
Rental income
  $ 2,296     $ 142,170     $ 263,801     $ 68,548     $     $ 476,815  
Resident fees and services
          142,583             286,674             429,257  
Income from loans and investments
                8,847                   8,847  
Equity earnings in affiliates
    191,524       5,596                   (197,120 )      
Interest and other income
    73       207       3,539       407             4,226  
                                                 
Total revenues
    193,893       290,556       276,187       355,629       (197,120 )     919,145  
Expenses:
                                               
Interest
    3,845       36,783       104,872       57,124             202,624  
Depreciation and amortization
    648       96,898       40,115       91,840             229,501  
Property-level operating expenses
          100,597       6,515       199,832             306,944  
General, administrative and professional fees
    6,045       13,531       16,320       4,755             40,651  
Foreign currency loss (gain)
    126       (228 )           (60 )           (162 )
Loss (gain) on extinguishment of debt
          30       (1,869 )     (559 )           (2,398 )
Merger-related expenses and deal costs
          3,922       815       (277 )           4,460  
Intercompany interest
    (161 )     48,381       (48,708 )     488              
                                                 
Total expenses
    10,503       299,914       118,060       353,143             781,620  
                                                 
Income (loss) before reversal of contingent liability, income taxes, discontinued operations and noncontrolling interest
    183,390       (9,358 )     158,127       2,486       (197,120 )     137,525  
Reversal of contingent liability
    23,328                               23,328  
Income tax benefit
    15,885                               15,885  
                                                 
Income (loss) from continuing operations
    222,603       (9,358 )     158,127       2,486       (197,120 )     176,738  
Discontinued operations
          1,462       39,537       7,550             48,549  
                                                 
Net income (loss)
    222,603       (7,896 )     197,664       10,036       (197,120 )     225,287  
Net (loss) income attributable to noncontrolling interest, net of tax
          (2,484 )           5,168             2,684  
                                                 
Net income (loss) attributable to common stockholders
  $ 222,603     $ (5,412 )   $ 197,664     $ 4,868     $ (197,120 )   $ 222,603  
                                                 


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the Year Ended December 31, 2010
 
                                                 
          Wholly
                         
          Owned
          Non-
             
          Subsidiary
          Guarantor
    Consolidated
       
    Ventas, Inc.     Guarantors     Issuers     Subsidiaries     Elimination     Consolidated  
    (In thousands)  
 
Net cash provided by operating activities
  $ 14,092     $ 194,585     $ 213,295     $ 25,650     $     $ 447,622  
Net cash (used in) provided by investing activities
          (17,223 )     (266,609 )     (18,088 )           (301,920 )
Cash flows from financing activities:
                                               
Net change in borrowings under revolving credit facilities
          (11,436 )     40,000                   28,564  
Proceeds from debt
                595,712       1,670             597,382  
Repayment of debt
          (254,677 )     (244,710 )     (25,373 )           (524,760 )
Net change in intercompany debt
    (95,762 )     128,791       (26,250 )     (6,779 )            
Payment of deferred financing costs
          (47 )     (2,647 )                 (2,694 )
Cash distribution from (to) affiliates
    405,433       (41,937 )     (391,842 )     28,346              
Cash distribution to common stockholders
    (336,085 )                             (336,085 )
Contributions from noncontrolling interest
                      818             818  
Distributions to noncontrolling interest
                      (8,082 )           (8,082 )
Other
    13,405                               13,405  
                                                 
Net cash used in financing activities
    (13,009 )     (179,306 )     (29,737 )     (9,400 )           (231,452 )
                                                 
Net increase (decrease) in cash and cash equivalents
    1,083       (1,944 )     (83,051 )     (1,838 )           (85,750 )
Effect of foreign currency translation on cash and cash equivalents
                165                   165  
Cash and cash equivalents at beginning of year
          4,258       82,886       20,253             107,397  
                                                 
Cash and cash equivalents at end of year
  $ 1,083     $ 2,314     $     $ 18,415     $     $ 21,812  
                                                 


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS — (Continued)
For the Year Ended December 31, 2009
 
                                                 
          Wholly
                         
          Owned
          Non-
             
          Subsidiary
          Guarantor
    Consolidated
       
    Ventas, Inc.     Guarantors     Issuers     Subsidiaries     Elimination     Consolidated  
    (In thousands)  
 
Net cash provided by operating activities
  $ 1,385     $ 109,171     $ 220,936     $ 90,609     $     $ 422,101  
Net cash provided by (used in) investing activities
          10,138       11,447       (23,331 )           (1,746 )
Cash flows from financing activities:
                                               
Net change in borrowings under revolving credit facilities
          (42,633 )     (250,240 )                 (292,873 )
Proceeds from debt
          276       166,000       199,406             365,682  
Repayment of debt
          (29,440 )     (433,528 )     (62,205 )           (525,173 )
Net change in intercompany debt
    (44,623 )     (22,143 )     105,402       (38,636 )            
Payment of deferred financing costs
          (1,172 )     (11,034 )     (4,449 )           (16,655 )
Issuance of common stock, net
    299,201                               299,201  
Cash distribution from (to) affiliates
    55,741       (29,640 )     128,575       (154,676 )            
Cash distribution to common stockholders
    (314,399 )                             (314,399 )
Contributions from noncontrolling interest
                      1,211             1,211  
Distributions to noncontrolling interest
          (379 )           (9,490 )           (9,869 )
Other
    2,695                               2,695  
                                                 
Net cash used in financing activities
    (1,385 )     (125,131 )     (294,825 )     (68,839 )           (490,180 )
                                                 
Net decrease in cash and cash equivalents
          (5,822 )     (62,442 )     (1,561 )           (69,825 )
Effect of foreign currency translation on cash and cash equivalents
                410                   410  
Cash and cash equivalents at beginning of year
          10,080       144,918       21,814             176,812  
                                                 
Cash and cash equivalents at end of year
  $     $ 4,258     $ 82,886     $ 20,253     $     $ 107,397  
                                                 


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VENTAS, INC.
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
 
CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS — (Continued)
For the Year Ended December 31, 2008
 
                                                 
          Wholly
                         
          Owned
          Non-
             
          Subsidiary
          Guarantor
    Consolidated
       
    Ventas, Inc.     Guarantors     Issuers     Subsidiaries     Elimination     Consolidated  
    (In thousands)  
 
Net cash provided by operating activities
  $ 548     $ 77,195     $ 172,479     $ 129,685     $     $ 379,907  
Net cash provided by (used in) investing activities
    1,717       (38,192 )     (73,663 )     (26,118 )           (136,256 )
Cash flows from financing activities:
                                               
Net change in borrowings under revolving credit facilities
          (27,574 )     100,940                   73,366  
Proceeds from debt
          466             139,796             140,262  
Repayment of debt
          (116,333 )     (206,835 )     (93,728 )           (416,896 )
Net change in intercompany debt
    43,407       (78,082 )     43,399       (8,724 )            
Payment of deferred financing costs
          (811 )     (1,099 )     (1,947 )           (3,857 )
Issuance of common stock, net
    408,540                               408,540  
Cash distribution (to) from affiliates
    (172,582 )     188,111       108,397       (123,926 )            
Cash distribution to common stockholders
    (288,817 )     (32 )                       (288,849 )
Distributions to noncontrolling interest
                      (15,732 )           (15,732 )
Other
    7,187                               7,187  
                                                 
Net cash (used in) provided by financing activities
    (2,265 )     (34,255 )     44,802       (104,261 )           (95,979 )
                                                 
Net increase (decrease) in cash and cash equivalents
          4,748       143,618       (694 )           147,672  
Effect of foreign currency translation on cash and cash equivalents
                806                   806  
Cash and cash equivalents at beginning of year
          5,332       494       22,508             28,334  
                                                 
Cash and cash equivalents at end of year
  $     $ 10,080     $ 144,918     $ 21,814     $     $ 176,812  
                                                 


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VENTAS, INC.
 
 
SCHEDULE III
REAL ESTATE AND ACCUMULATED DEPRECIATION
 
                         
    For the Year Ended December 31,  
    2010     2009     2008  
    (In thousands)  
 
Reconciliation of real estate:
                       
Carrying cost:
                       
Balance at beginning of period
  $ 6,292,621     $ 6,160,630     $ 6,292,181  
Additions during period:
                       
Acquisitions
    315,538       108,376       93,901  
Capital expenditures
    21,038       13,798       16,359  
Dispositions:
                       
Sale of assets
    (46,083 )     (34,525 )     (173,399 )
Foreign currency translation
    17,772       44,342       (68,412 )
                         
Balance at end of period
  $ 6,600,886     $ 6,292,621     $ 6,160,630  
                         
Accumulated depreciation:
                       
Balance at beginning of period
  $ 1,177,911     $ 987,691     $ 816,352  
Additions during period:
                       
Depreciation expense
    197,256       198,789       200,132  
Dispositions:
                       
Sale of assets
    (8,259 )     (11,469 )     (30,355 )
Foreign currency translation
    1,311       2,900       1,562  
                         
Balance at end of period
  $ 1,368,219     $ 1,177,911     $ 987,691  
                         


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VENTAS, INC.
 
 
SCHEDULE III
REAL ESTATE AND ACCUMULATED DEPRECIATION
December 31, 2010
(Dollars in Thousands)
 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
                                                                                                                 
       
BROOKDALE SENIORS HOUSING COMMUNITIES
                                                                                                   
                                                                                                               
  3225    
Clare Bridge of Oro Valley
  Oro Valley     AZ     $     $ 666     $ 6,169     $     $ 666     $ 6,169     $ 6,835     $ 1,555     $ 5,280       1998       2005     35 years
                                                                                                               
  3236    
Clare Bridge of Tempe
  Tempe     AZ             611       4,066             611       4,066       4,677       1,025       3,652       1997       2005     35 years
                                                                                                               
  3219    
Sterling House of Mesa
  Mesa     AZ             655       6,998             655       6,998       7,653       1,764       5,889       1998       2005     35 years
                                                                                                               
  3227    
Sterling House of Peoria
  Peoria     AZ             598       4,872             598       4,872       5,470       1,228       4,242       1998       2005     35 years
                                                                                                               
  3238    
Sterling House on East Speedway
  Tucson     AZ             506       4,745             506       4,745       5,251       1,196       4,055       1998       2005     35 years
                                                                                                               
  2424    
The Springs of East Mesa
  Mesa     AZ             2,747       24,918             2,747       24,918       27,665       6,382       21,283       1986       2005     35 years
                                                                                                               
  2429    
Brookdale Place
  San Marcos     CA             4,288       36,204             4,288       36,204       40,492       9,532       30,960       1987       2005     35 years
                                                                                                               
  2428    
The Atrium
  San Jose     CA       25,026       6,240       66,329             6,240       66,329       72,569       16,049       56,520       1987       2005     35 years
                                                                                                               
  2426    
Woodside Terrace
  Redwood City     CA             7,669       66,691             7,669       66,691       74,360       17,358       57,002       1988       2005     35 years
                                                                                                               
  3206    
Wynwood of Colorado Springs
  Colorado Springs     CO             715       9,279             715       9,279       9,994       2,338       7,656       1997       2005     35 years
                                                                                                               
  3220    
Wynwood of Pueblo
  Pueblo     CO       5,264       840       9,403             840       9,403       10,243       2,370       7,873       1997       2005     35 years
                                                                                                               
  2435    
Chatfield
  West Hartford     CT             2,493       22,833             2,493       22,833       25,326       5,827       19,499       1989       2005     35 years
                                                                                                               
  2420    
The Gables at Farmington
  Farmington     CT       10,501       3,995       36,310             3,995       36,310       40,305       9,293       31,012       1984       2005     35 years
                                                                                                               
  3245    
Clare Bridge Cottage of Winter Haven
  Winter Haven     FL             232       3,006             232       3,006       3,238       757       2,481       1997       2005     35 years
                                                                                                               
  3235    
Clare Bridge of Tallahassee
  Tallahassee     FL       4,674       667       6,168             667       6,168       6,835       1,554       5,281       1998       2005     35 years
                                                                                                               
  3241    
Clare Bridge of West Melbourne
  West Melbourne     FL       6,661       586       5,481             586       5,481       6,067       1,381       4,686       2000       2005     35 years
                                                                                                               
  3226    
Sterling House of Pensacola
  Pensacola     FL             633       6,087             633       6,087       6,720       1,534       5,186       1998       2005     35 years
                                                                                                               
  3246    
Sterling House of Winter Haven
  Winter Haven     FL             438       5,549             438       5,549       5,987       1,398       4,589       1997       2005     35 years
                                                                                                               
  2436    
The Classic at West Palm Beach
  West Palm Beach     FL       26,100       3,758       33,072             3,758       33,072       36,830       8,569       28,261       1990       2005     35 years
                                                                                                               
  2403    
The Grand Court Fort Myers (Waterford Place)
  Fort Myers     FL             1,065       9,586             1,065       9,586       10,651       2,117       8,534       1988       2004     35 years
                                                                                                               
  2414    
The Grand Court Tavares
  Tavares     FL             431       3,881             431       3,881       4,312       965       3,347       1985       2004     35 years
                                                                                                               
  3239    
Wynwood of Twin Falls
  Twin Falls     ID             703       6,153             703       6,153       6,856       1,551       5,305       1997       2005     35 years
                                                                                                               
  2421    
Devonshire of Hoffman Estates
  Hoffman Estates     IL             3,886       44,130             3,886       44,130       48,016       10,445       37,571       1987       2005     35 years
                                                                                                               
  2432    
Hawthorn Lakes
  Vernon Hills     IL             4,439       35,044             4,439       35,044       39,483       9,480       30,003       1987       2005     35 years
                                                                                                               
  2415    
Seasons at Glenview
  Northbrook     IL             1,988       39,762             1,988       39,762       41,750       8,106       33,644       1999       2004     35 years
                                                                                                               
  2423    
The Devonshire
  Lisle     IL       34,134       7,953       70,400             7,953       70,400       78,353       18,199       60,154       1990       2005     35 years
                                                                                                               
  2416    
The Hallmark
  Chicago     IL             11,057       107,517             11,057       107,517       118,574       26,840       91,734       1990       2005     35 years
                                                                                                               
  2418    
The Heritage
  Des Plaines     IL       32,000       6,871       60,165             6,871       60,165       67,036       15,619       51,417       1993       2005     35 years
                                                                                                               
  2417    
The Kenwood of Lake View
  Chicago     IL       11,867       3,072       26,668             3,072       26,668       29,740       6,946       22,794       1950       2005     35 years
                                                                                                               
  2433    
The Willows
  Vernon Hills     IL             1,147       10,041             1,147       10,041       11,188       2,607       8,581       1999       2005     35 years
                                                                                                               
  2437    
Westbury
  Lisle     IL             730       9,270             730       9,270       10,000       706       9,294       1990       2009     35 years
                                                                                                               
  2422    
Berkshire of Castleton
  Indianapolis     IN             1,280       11,515             1,280       11,515       12,795       2,958       9,837       1986       2005     35 years
                                                                                                               
  3209    
Sterling House of Evansville
  Evansville     IN       3,750       357       3,765             357       3,765       4,122       949       3,173       1998       2005     35 years


131


Table of Contents

 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  3218    
Sterling House of Marion
  Marion     IN             207       3,570             207       3,570       3,777       900       2,877       1998       2005     35 years
                                                                                                               
  3230    
Sterling House of Portage
  Portage     IN             128       3,649             128       3,649       3,777       920       2,857       1999       2005     35 years
                                                                                                               
  3232    
Sterling House of Richmond
  Richmond     IN             495       4,124             495       4,124       4,619       1,039       3,580       1998       2005     35 years
                                                                                                               
  3237    
Clare Bridge Cottage of Topeka
  Topeka     KS       5,114       370       6,825             370       6,825       7,195       1,720       5,475       2000       2005     35 years
                                                                                                               
  3216    
Clare Bridge of Leawood
  Leawood     KS       3,819       117       5,127             117       5,127       5,244       1,292       3,952       2000       2005     35 years
                                                                                                               
  2425    
River Bay Club
  Quincy     MA             6,101       57,862             6,101       57,862       63,963       14,576       49,387       1986       2005     35 years
                                                                                                               
  2407    
The Grand Court Farmington Hills
  Farmington Hills     MI       5,859       847       7,620             847       7,620       8,467       1,668       6,799       1989       2004     35 years
                                                                                                               
  3224    
Wynwood of Northville
  Northville     MI       7,520       407       6,068             407       6,068       6,475       1,529       4,946       1996       2005     35 years
                                                                                                               
  3240    
Wynwood of Utica
  Utica     MI             1,142       11,808             1,142       11,808       12,950       2,976       9,974       1996       2005     35 years
                                                                                                               
  3208    
Clare Bridge of Eden Prairie
  Eden Prairie     MN             301       6,228             301       6,228       6,529       1,569       4,960       1998       2005     35 years
                                                                                                               
  3223    
Clare Bridge of North Oaks
  North Oaks     MN             1,057       8,296             1,057       8,296       9,353       2,091       7,262       1998       2005     35 years
                                                                                                               
  3229    
Clare Bridge of Plymouth
  Plymouth     MN             679       8,675             679       8,675       9,354       2,186       7,168       1998       2005     35 years
                                                                                                               
  2419    
Edina Park Plaza
  Edina     MN       16,774       3,621       33,141             3,621       33,141       36,762       8,460       28,302       1998       2005     35 years
                                                                                                               
  3203    
Sterling House of Blaine
  Blaine     MN             150       1,675             150       1,675       1,825       422       1,403       1997       2005     35 years
                                                                                                               
  3211    
Sterling House of Inver Grove Heights
  Inver Grove
  Heights
    MN       2,939       253       2,655             253       2,655       2,908       669       2,239       1997       2005     35 years
                                                                                                               
  2405    
The Grand Court Kansas City I
  Kansas City     MO       8,880       1,250       11,249             1,250       11,249       12,499       2,405       10,094       1989       2004     35 years
                                                                                                               
  3204    
Clare Bridge of Cary
  Cary     NC             724       6,466             724       6,466       7,190       1,629       5,561       1997       2005     35 years
                                                                                                               
  3244    
Clare Bridge of Winston-Salem
  Winston-Salem     NC             368       3,497             368       3,497       3,865       881       2,984       1997       2005     35 years
                                                                                                               
  2434    
Brendenwood
  Voorhees     NJ       18,180       3,158       29,909             3,158       29,909       33,067       7,538       25,529       1987       2005     35 years
                                                                                                               
  3242    
Clare Bridge of Westampton
  Westampton     NJ             881       4,741             881       4,741       5,622       1,195       4,427       1997       2005     35 years
                                                                                                               
  2430    
Ponce de Leon
  Santa Fe     NM                   28,178                   28,178       28,178       6,788       21,390       1986       2005     35 years
                                                                                                               
  2404    
The Grand Court Albuquerque
  Albuquerque     NM             1,382       12,440             1,382       12,440       13,822       2,880       10,942       1991       2004     35 years
                                                                                                               
  3221    
Clare Bridge of Niskayuna
  Niskayuna     NY             1,021       8,333             1,021       8,333       9,354       2,100       7,254       1997       2005     35 years
                                                                                                               
  3228    
Clare Bridge of Perinton
  Pittsford     NY             611       4,066             611       4,066       4,677       1,025       3,652       1997       2005     35 years
                                                                                                               
  3243    
Clare Bridge of Williamsville
  Williamsville     NY       7,249       839       3,841             839       3,841       4,680       968       3,712       1997       2005     35 years
                                                                                                               
  2427    
The Gables at Brighton
  Rochester     NY             1,131       9,498             1,131       9,498       10,629       2,507       8,122       1988       2005     35 years
                                                                                                               
  3205    
Villas of Sherman Brook
  Clinton     NY             947       7,528             947       7,528       8,475       1,897       6,578       1991       2005     35 years
                                                                                                               
  3234    
Villas of Summerfield
  Syracuse     NY             1,132       11,434             1,132       11,434       12,566       2,881       9,685       1991       2005     35 years
                                                                                                               
  3212    
Wynwood of Kenmore
  Kenmore     NY       14,022       1,487       15,170             1,487       15,170       16,657       3,823       12,834       1995       2005     35 years
                                                                                                               
  3222    
Wynwood of Niskayuna
  Niskayuna     NY       17,684       1,884       16,103             1,884       16,103       17,987       4,058       13,929       1996       2005     35 years
                                                                                                               
  3201    
Clare Bridge Cottage of Austintown
  Austintown     OH             151       3,087             151       3,087       3,238       778       2,460       1999       2005     35 years
                                                                                                               
  3200    
Sterling House of Alliance
  Alliance     OH       2,403       392       6,283             392       6,283       6,675       1,583       5,092       1998       2005     35 years
                                                                                                               
  3202    
Sterling House of Beaver Creek
  Beavercreek     OH             587       5,381             587       5,381       5,968       1,356       4,612       1998       2005     35 years
                                                                                                               
  3233    
Sterling House of Salem
  Salem     OH             634       4,659             634       4,659       5,293       1,174       4,119       1998       2005     35 years
                                                                                                               
  3207    
Sterling House of Westerville
  Columbus     OH       1,950       267       3,600             267       3,600       3,867       907       2,960       1999       2005     35 years
                                                                                                               
  2402    
The Grand Court Dayton
  Dayton     OH             636       5,721             636       5,721       6,357       1,520       4,837       1987       2004     35 years
                                                                                                               
  2413    
The Grand Court Springfield
  Springfield     OH             250       2,250             250       2,250       2,500       602       1,898       1986       2004     35 years
                                                                                                               
  2411    
The Grand Court Lubbock
  Lubbock     TX             720       6,479             720       6,479       7,199       1,417       5,782       1984       2004     35 years
                                                                                                               
  2409    
The Grand Court Bristol
  Bristol     VA             648       5,835             648       5,835       6,483       1,359       5,124       1985       2004     35 years
                                                                                                               
  3217    
Clare Bridge of Lynwood
  Lynwood     WA             1,219       9,573             1,219       9,573       10,792       2,413       8,379       1999       2005     35 years

132


Table of Contents

 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  3231    
Clare Bridge of Puyallup
  Puyallup     WA       10,220       1,055       8,298             1,055       8,298       9,353       2,091       7,262       1998       2005     35 years
                                                                                                               
  2431    
Park Place
  Spokane     WA             1,622       12,895             1,622       12,895       14,517       3,478       11,039       1915       2005     35 years
                                                                                                               
  3214    
Clare Bridge Cottage of La Crosse
  LaCrosse     WI             621       4,056       1,126       621       5,182       5,803       1,099       4,704       2004       2005     35 years
                                                                                                               
  3213    
Clare Bridge of Kenosha
  Kenosha     WI             551       5,431       2,772       551       8,203       8,754       1,556       7,198       2000       2005     35 years
                                                                                                               
  3210    
Sterling House of Fond du Lac
  Fond du Lac     WI             196       1,603             196       1,603       1,799       404       1,395       2000       2005     35 years
                                                                                                               
  3215    
Sterling House of La Crosse
  LaCrosse     WI             644       5,831       2,637       644       8,468       9,112       1,650       7,462       1998       2005     35 years
                                                                                                             
                                                                                                               
       
TOTAL FOR BROOKDALE SENIORS HOUSING COMMUNITIES
               
282,590
     
126,199
     
1,226,835
     
6,535
     
126,199
     
1,233,370
     
1,359,569
     
306,577
     
1,052,992
                     
                                                                                                               
       
SUNRISE SENIORS HOUSING COMMUNITIES
                                                                                                       
  4064    
Sunrise of Scottsdale
  Scottsdale     AZ             2,229       27,575       123       2,238       27,689       29,927       3,130       26,797       2007       2007     35 years
                                                                                                               
  4073    
Sunrise of Lynn Valley
  Vancouver     BC       15,518       11,759       37,424       (42 )     11,713       37,428       49,141       4,187       44,954       2002       2007     35 years
                                                                                                               
  4077    
Sunrise of Vancouver
  Vancouver     BC             6,649       31,937       230       6,649       32,167       38,816       3,858       34,958       2005       2007     35 years
                                                                                                               
  4069    
Sunrise of Victoria
  Victoria     BC       14,749       8,332       29,970       111       8,306       30,107       38,413       3,458       34,955       2001       2007     35 years
                                                                                                               
  4043    
Sunrise of Canyon Crest
  Riverside     CA       12,357       5,486       19,658       437       5,489       20,092       25,581       2,637       22,944       2006       2007     35 years
                                                                                                               
  4055    
Sunrise of Fair Oaks
  Fair Oaks     CA       11,724       1,456       23,679       962       2,166       23,931       26,097       3,076       23,021       2001       2007     35 years
                                                                                                               
  4023    
Sunrise of La Costa
  Carlsbad     CA       12,137       4,890       20,590       362       4,898       20,944       25,842       2,985       22,857       1999       2007     35 years
                                                                                                               
  4045    
Sunrise of Mission Viejo
  Mission Viejo     CA       11,453       3,802       24,560       224       3,802       24,784       28,586       3,202       25,384       1998       2007     35 years
                                                                                                               
  4047    
Sunrise of Pacific Palisades
  Pacific Palisades     CA       8,243       4,458       17,064       212       4,458       17,276       21,734       2,429       19,305       2001       2007     35 years
                                                                                                               
  4066    
Sunrise of Rocklin
  Rocklin     CA             1,378       23,565       285       1,374       23,854       25,228       2,739       22,489       2007       2007     35 years
                                                                                                               
  4035    
Sunrise of San Mateo
  San Mateo     CA       12,930       2,682       35,335       927       2,682       36,262       38,944       3,942       35,002       1999       2007     35 years
                                                                                                               
  4050    
Sunrise of Sterling Canyon
  Valencia     CA       18,503       3,868       29,293       3,152       3,911       32,402       36,313       3,765       32,548       1998       2007     35 years
                                                                                                               
  4012    
Sunrise of Sunnyvale
  Sunnyvale     CA       8,371       2,933       34,361       164       2,933       34,525       37,458       4,015       33,443       2000       2007     35 years
                                                                                                               
  4016    
Sunrise of Westlake Village
  Westlake Village     CA             4,935       30,722       129       4,935       30,851       35,786       3,492       32,294       2004       2007     35 years
                                                                                                               
  4018    
Sunrise of Yorba Linda
  Yorba Linda     CA             1,689       25,240       194       1,689       25,434       27,123       2,873       24,250       2002       2007     35 years
                                                                                                               
  4009    
Sunrise of Cherry Creek
  Denver     CO       8,242       1,621       28,370       309       1,621       28,679       30,300       3,376       26,924       2000       2007     35 years
                                                                                                               
  4059    
Sunrise of Orchard
  Littleton     CO       11,646       1,813       22,183       427       1,813       22,610       24,423       2,908       21,515       1997       2007     35 years
                                                                                                               
  4030    
Sunrise of Pinehurst
  Denver     CO       15,422       1,417       30,885       373       1,417       31,258       32,675       4,079       28,596       1998       2007     35 years
                                                                                                               
  4061    
Sunrise of Westminster
  Westminster     CO       8,337       2,649       16,243       358       2,699       16,551       19,250       2,215       17,035       2000       2007     35 years
                                                                                                               
  4028    
Sunrise of Stamford
  Stamford     CT       16,987       4,612       28,533       489       4,612       29,022       33,634       3,745       29,889       1999       2007     35 years
                                                                                                               
  4053    
Sunrise of East Cobb
  Marietta     GA       10,466       1,797       23,420       265       1,798       23,684       25,482       2,922       22,560       1997       2007     35 years
                                                                                                               
  4056    
Sunrise of Huntcliff I
  Atlanta     GA       33,873       4,232       66,161       1,889       4,240       68,042       72,282       7,950       64,332       1987       2007     35 years
                                                                                                               
  4057    
Sunrise of Huntcliff II
  Atlanta     GA       5,456       2,154       17,137       335       2,154       17,472       19,626       2,151       17,475       1998       2007     35 years
                                                                                                               
  4058    
Sunrise of Ivey Ridge
  Alpharetta     GA       5,681       1,507       18,516       366       1,507       18,882       20,389       2,474       17,915       1998       2007     35 years
                                                                                                               
  4040    
Sunrise of Bloomingdale
  Bloomingdale     IL       19,079       1,287       38,625       275       1,294       38,893       40,187       4,687       35,500       2000       2007     35 years
                                                                                                               
  4042    
Sunrise of Buffalo Grove
  Buffalo Grove     IL       15,123       2,154       28,021       275       2,154       28,296       30,450       3,535       26,915       1999       2007     35 years
                                                                                                               
  4021    
Sunrise of Glen Ellyn
  Glen Ellyn     IL       17,437       2,455       34,064       213       2,460       34,272       36,732       4,393       32,339       2000       2007     35 years
                                                                                                               
  4015    
Sunrise of Lincoln Park
  Chicago     IL             3,485       26,687       145       3,485       26,832       30,317       2,970       27,347       2003       2007     35 years
                                                                                                               
  4024    
Sunrise of Naperville
  Naperville     IL       8,420       1,946       28,538       430       1,952       28,962       30,914       3,778       27,136       1999       2007     35 years
                                                                                                               
  4060    
Sunrise of Palos Park
  Palos Park     IL       20,921       2,363       42,205       267       2,363       42,472       44,835       5,151       39,684       2001       2007     35 years
                                                                                                               
  4014    
Sunrise of Park Ridge
  Park Ridge     IL       12,487       5,533       39,557       259       5,547       39,802       45,349       4,633       40,716       1998       2007     35 years
                                                                                                               
  4036    
Sunrise of Willowbrook
  Willowbrook     IL       20,486       1,454       60,738       974       1,973       61,193       63,166       5,622       57,544       2000       2007     35 years

133


Table of Contents

 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  4052    
Sunrise of Baton Rouge
  Baton Rouge     LA       8,943       1,212       23,547       358       1,212       23,905       25,117       2,908       22,209       2000       2007     35 years
                                                                                                               
  4051    
Sunrise of Arlington
  Arlington     MA       19,156       86       34,393       223       86       34,616       34,702       4,283       30,419       2001       2007     35 years
                                                                                                               
  4032    
Sunrise of Norwood
  Norwood     MA       13,473       2,230       30,968       778       2,240       31,736       33,976       3,529       30,447       1997       2007     35 years
                                                                                                               
  4033    
Sunrise of Columbia
  Columbia     MD       9,433       1,780       23,083       862       1,780       23,945       25,725       2,655       23,070       1996       2007     35 years
                                                                                                               
  4034    
Sunrise of Rockville
  Rockville     MD       13,655       1,039       39,216       478       1,039       39,694       40,733       4,291       36,442       1997       2007     35 years
                                                                                                               
  4038    
Sunrise of Bloomfield
  Bloomfield Hills     MI             3,736       27,657       1,137       3,737       28,793       32,530       3,356       29,174       2006       2007     35 years
                                                                                                               
  4008    
Sunrise of North Ann Arbor
  Ann Arbor     MI             1,703       15,857       245       1,668       16,137       17,805       2,040       15,765       2000       2007     35 years
                                                                                                               
  4046    
Sunrise of Northville
  Plymouth     MI       15,280       1,445       26,090       226       1,445       26,316       27,761       3,320       24,441       1999       2007     35 years
                                                                                                               
  4048    
Sunrise of Rochester
  Rochester     MI       19,066       2,774       38,666       176       2,774       38,842       41,616       4,738       36,878       1998       2007     35 years
                                                                                                               
  4031    
Sunrise of Troy
  Troy     MI       10,898       1,758       23,727       112       1,761       23,836       25,597       3,115       22,482       2001       2007     35 years
                                                                                                               
  4054    
Sunrise of Edina
  Edina     MN       9,882       3,181       24,224       605       3,181       24,829       28,010       3,175       24,835       1999       2007     35 years
                                                                                                               
  4017    
Sunrise of North Hills
  Raleigh     NC             749       37,091       529       751       37,618       38,369       4,273       34,096       2000       2007     35 years
                                                                                                               
  4019    
Sunrise of Providence
  Charlotte     NC       8,862       1,976       19,472       528       1,976       20,000       21,976       2,460       19,516       1999       2007     35 years
                                                                                                               
  4025    
Sunrise of East Brunswick
  East Brunswick     NJ       14,030       2,784       26,173       324       2,784       26,497       29,281       3,565       25,716       1999       2007     35 years
                                                                                                               
  4001    
Sunrise of Morris Plains
  Morris Plains     NJ       19,523       1,492       32,052       315       1,492       32,367       33,859       3,841       30,018       1997       2007     35 years
                                                                                                               
  4002    
Sunrise of Old Tappan
  Old Tappan     NJ       18,131       2,985       36,795       157       2,985       36,952       39,937       4,381       35,556       1997       2007     35 years
                                                                                                               
  4062    
Sunrise of Wall
  Wall     NJ       10,593       1,053       19,101       337       1,055       19,436       20,491       2,465       18,026       1999       2007     35 years
                                                                                                               
  4005    
Sunrise of Wayne
  Wayne     NJ       14,402       1,288       24,990       270       1,288       25,260       26,548       3,039       23,509       1996       2007     35 years
                                                                                                               
  4006    
Sunrise of Westfield
  Westfield     NJ       19,085       5,057       23,803       424       5,057       24,227       29,284       2,953       26,331       1996       2007     35 years
                                                                                                               
  4029    
Sunrise of Woodcliff Lake
  Woodcliff Lake     NJ       18,510       3,493       30,801       213       3,496       31,011       34,507       4,132       30,375       2000       2007     35 years
                                                                                                               
  4044    
Sunrise of Fleetwood
  Mount Vernon     NY       13,712       4,381       28,434       338       4,381       28,772       33,153       3,727       29,426       1999       2007     35 years
                                                                                                               
  4011    
Sunrise of New City
  New City     NY       11,761       1,906       27,323       468       1,906       27,791       29,697       3,352       26,345       1999       2007     35 years
                                                                                                               
  4027    
Sunrise of North Lynbrook
  Lynbrook     NY       20,779       4,622       38,087       579       4,670       38,618       43,288       5,074       38,214       1999       2007     35 years
                                                                                                               
  4049    
Sunrise of Smithtown
  Smithtown     NY       14,276       2,853       25,621       651       3,013       26,112       29,125       3,653       25,472       1999       2007     35 years
                                                                                                               
  4063    
Sunrise of Staten Island
  Staten Island     NY             7,237       23,910       (383 )     7,281       23,483       30,764       3,549       27,215       2006       2007     35 years
                                                                                                               
  4010    
Sunrise of Cuyahoga Falls
  Cuyahoga Falls     OH             626       10,239       167       626       10,406       11,032       1,358       9,674       2000       2007     35 years
                                                                                                               
  4013    
Sunrise of Parma
  Cleveland     OH       4,770       695       16,641       164       695       16,805       17,500       2,020       15,480       2000       2007     35 years
                                                                                                               
  4075    
Sunrise of Aurora
  Aurora     ON             1,570       36,113       19       1,567       36,135       37,702       4,219       33,483       2002       2007     35 years
                                                                                                               
  4070    
Sunrise of Burlington
  Burlington     ON             1,173       24,448       96       1,173       24,544       25,717       2,770       22,947       2001       2007     35 years
                                                                                                               
  4076    
Sunrise of Erin Mills
  Mississauga     ON             1,957       27,020       60       1,949       27,088       29,037       3,397       25,640       2007       2007     35 years
                                                                                                               
  4068    
Sunrise of Mississauga
  Mississauga     ON       13,766       3,554       33,631       114       3,582       33,717       37,299       3,791       33,508       2000       2007     35 years
                                                                                                               
  4071    
Sunrise of Oakville
  Oakville     ON             2,753       37,489       241       2,753       37,730       40,483       4,208       36,275       2002       2007     35 years
                                                                                                               
  4072    
Sunrise of Richmond Hill
  Richmond Hill     ON       12,967       2,155       41,254       (11 )     2,149       41,249       43,398       4,562       38,836       2002       2007     35 years
                                                                                                               
  4078    
Sunrise of Steeles
  Vaughan     ON             2,563       57,513       2,976       1,433       61,619       63,052       5,934       57,118       2003       2007     35 years
                                                                                                               
  4067    
Sunrise of Unionville
  Markham     ON       15,731       2,322       41,140       50       2,319       41,193       43,512       4,559       38,953       2000       2007     35 years
                                                                                                               
  4074    
Sunrise of Windsor
  Windsor     ON             1,813       20,882       169       1,833       21,031       22,864       2,465       20,399       2001       2007     35 years
                                                                                                               
  4004    
Sunrise of Abington
  Abington     PA       24,526       1,838       53,660       672       1,862       54,308       56,170       6,353       49,817       1997       2007     35 years
                                                                                                               
  4041    
Sunrise of Blue Bell
  Blue Bell     PA       9,198       1,765       23,920       540       1,788       24,437       26,225       3,136       23,089       2006       2007     35 years
                                                                                                               
  4022    
Sunrise of Exton
  Exton     PA       8,372       1,123       17,765       406       1,124       18,170       19,294       2,360       16,934       2000       2007     35 years
                                                                                                               
  4003    
Sunrise of Granite Run
  Media     PA       11,843       1,272       31,781       412       1,272       32,193       33,465       3,675       29,790       1997       2007     35 years
                                                                                                               
  4007    
Sunrise of Haverford
  Haverford     PA       7,695       941       25,872       391       951       26,253       27,204       3,111       24,093       1997       2007     35 years

134


Table of Contents

 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  4020    
Sunrise of Westtown
  West Chester     PA             1,547       22,996       322       1,562       23,303       24,865       3,347       21,518       1999       2007     35 years
                                                                                                               
  4037    
Sunrise of Hillcrest
  Dallas     TX             2,616       27,680       31       2,616       27,711       30,327       3,239       27,088       2006       2007     35 years
                                                                                                               
  4065    
Sunrise of Sandy
  Sandy     UT             2,576       22,987       (318 )     2,604       22,641       25,245       2,691       22,554       2007       2007     35 years
                                                                                                               
  4039    
Sunrise of Alexandria
  Alexandria     VA       5,816       88       14,811       371       115       15,155       15,270       2,272       12,998       1998       2007     35 years
                                                                                                               
  4026    
Sunrise of Richmond
  Richmond     VA       10,317       1,120       17,446       386       1,137       17,815       18,952       2,364       16,588       1999       2007     35 years
                                                                                                               
  4000    
Sunrise of Springfield
  Springfield     VA       8,811       4,440       18,834       652       4,440       19,486       23,926       2,369       21,557       1997       2007     35 years
                                                                                                             
                                                                                                               
       
TOTAL FOR SUNRISE SENIORS HOUSING COMMUNITIES
                793,310       212,352       2,286,059       32,979       212,940       2,318,450       2,531,390       278,451       2,252,939                      
       
OTHER SENIORS HOUSING COMMUNITIES
                                                                                                       
                                                                                                               
  3106    
CaraVita Village
  Montgomery     AL             779       8,507       752       779       9,259       10,038       1,689       8,349       1987       2005     35 years
                                                                                                               
  3800    
Elmcroft of Halcyon
  Montgomery     AL             220       5,476             220       5,476       5,696       652       5,044       1999       2006     35 years
                                                                                                               
  3821    
Elmcroft of Blytheville
  Blytheville     AR             294       2,946             294       2,946       3,240       351       2,889       1997       2006     35 years
                                                                                                               
  3822    
Elmcroft of Maumelle
  Maumelle     AR             1,252       7,601             1,252       7,601       8,853       905       7,948       1997       2006     35 years
                                                                                                               
  3823    
Elmcroft of Mountain Home
  Mountain Home     AR             204       8,971             204       8,971       9,175       1,068       8,107       1997       2006     35 years
                                                                                                               
  3825    
Elmcroft of Sherwood
  Sherwood     AR             1,320       5,693             1,320       5,693       7,013       678       6,335       1997       2006     35 years
                                                                                                               
  3605    
West Shores
  Hot Springs     AR       5,728       1,326       10,904             1,326       10,904       12,230       1,782       10,448       1988       2005     35 years
                                                                                                               
  3601    
Cottonwood Village
  Cottonwood     AZ             1,200       15,124             1,200       15,124       16,324       2,439       13,885       1986       2005     35 years
                                                                                                               
  3808    
ActivCare at La Mesa
  La Mesa     CA             2,431       6,101             2,431       6,101       8,532       726       7,806       1997       2006     35 years
                                                                                                               
  3807    
ActivCare at Point Loma
  San Diego     CA             2,117       6,865             2,117       6,865       8,982       817       8,165       1999       2006     35 years
                                                                                                               
  2813    
Emeritus at Barrington Court
  Danville     CA             360       4,640             360       4,640       5,000       680       4,320       1999       2006     35 years
                                                                                                               
  2803    
Emeritus at Fairwood Manor
  Anaheim     CA             2,464       7,908             2,464       7,908       10,372       1,639       8,733       1977       2005     35 years
                                                                                                               
  3810    
Grossmont Gardens
  La Mesa     CA             9,104       59,349             9,104       59,349       68,453       7,065       61,388       1964       2006     35 years
                                                                                                               
  3811    
Las Villas Del Carlsbad
  Carlsbad     CA             1,760       30,469             1,760       30,469       32,229       3,627       28,602       1987       2006     35 years
                                                                                                               
  3805    
Las Villas Del Norte
  Escondido     CA             2,791       32,632             2,791       32,632       35,423       3,885       31,538       1986       2006     35 years
                                                                                                               
  3809    
Mountview Retirement Residence
  Montrose     CA             1,089       15,449             1,089       15,449       16,538       1,839       14,699       1974       2006     35 years
                                                                                                               
  3806    
Rancho Vista
  Vista     CA             6,730       21,828             6,730       21,828       28,558       2,599       25,959       1982       2006     35 years
                                                                                                               
  2815    
Emeritus at Roseville Gardens
  Roseville     CA             220       2,380             220       2,380       2,600       353       2,247       1996       2006     35 years
                                                                                                               
  2804    
Emeritus at Heritage Place
  Tracy     CA             1,110       13,296             1,110       13,296       14,406       2,275       12,131       1986       2005     35 years
                                                                                                               
  3604    
Villa Santa Barbara
  Santa Barbara     CA       11,168       1,219       12,426             1,219       12,426       13,645       2,020       11,625       1977       2005     35 years
                                                                                                               
  2802    
Emeritus at South Windsor
  South Windsor     CT             2,187       12,682             2,187       12,682       14,869       2,475       12,394       1999       2004     35 years
                                                                                                               
  3801    
Elmcroft of Timberlin Parc
  Jacksonville     FL             455       5,905             455       5,905       6,360       703       5,657       1998       2006     35 years
                                                                                                               
  3102    
Highland Terrace
  Inverness     FL             269       4,108             269       4,108       4,377       766       3,611       1997       2005     35 years
                                                                                                               
  2807    
Emeritus at Bonita Springs
  Bonita Springs     FL       9,482       1,540       10,783             1,540       10,783       12,323       2,657       9,666       1989       2005     35 years
                                                                                                               
  2808    
Emeritus at Boynton Beach
  Boynton Beach     FL       14,532       2,317       16,218             2,317       16,218       18,535       3,791       14,744       1999       2005     35 years
                                                                                                               
  2809    
Emeritus at Deer Creek
  Deerfield     FL             1,399       9,791             1,399       9,791       11,190       2,689       8,501       1999       2005     35 years
                                                                                                               
  2810    
Emeritus at Jensen Beach
  Jensen Beach     FL       13,040       1,831       12,820             1,831       12,820       14,651       3,141       11,510       1999       2005     35 years
                                                                                                               
  3826    
Elmcroft of Martinez
  Martinez     GA             408       6,764             408       6,764       7,172       676       6,496       1997       2007     35 years
                                                                                                               
  3101    
Greenwood Gardens
  Marietta     GA             706       3,132             706       3,132       3,838       639       3,199       1997       2005     35 years
                                                                                                               
  3103    
Peachtree Estates
  Dalton     GA             501       5,229             501       5,229       5,730       985       4,745       2000       2005     35 years
                                                                                                               
  3104    
Tara Plantation
  Cumming     GA             1,381       7,707             1,381       7,707       9,088       1,409       7,679       1998       2005     35 years
                                                                                                               
  3107    
The Sanctuary at Northstar
  Kennesaw     GA             906       5,614             906       5,614       6,520       1,011       5,509       2001       2005     35 years

135


Table of Contents

 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  3100    
Winterville Retirement
  Winterville     GA             243       7,418             243       7,418       7,661       1,322       6,339       1999       2005     35 years
                                                                                                               
  3827    
Elmcroft of Muncie
  Muncie     IN             244       11,218             244       11,218       11,462       1,122       10,340       1998       2007     35 years
                                                                                                               
  3606    
Georgetowne Place
  Fort Wayne     IN       11,474       1,315       18,185             1,315       18,185       19,500       2,782       16,718       1987       2005     35 years
                                                                                                               
  3603    
The Harrison
  Indianapolis     IN       2,592       1,200       5,740             1,200       5,740       6,940       1,031       5,909       1985       2005     35 years
                                                                                                               
  3607    
Towne Centre
  Merrillville     IN             1,291       27,709             1,291       27,709       29,000       7,279       21,721       1987       2006     35 years
                                                                                                               
  2510    
Heritage Woods
  Agawam     MA             1,249       4,625             1,249       4,625       5,874       1,437       4,437       1997       2004     30 years
                                                                                                               
  2805    
Summerville at Farm Pond
  Framingham     MA       39,897       5,819       33,361             5,819       33,361       39,180       6,002       33,178       1999       2004     35 years
                                                                                                               
  2806    
Whitehall Estate
  Hyannis     MA       6,773       1,277       9,063             1,277       9,063       10,340       1,569       8,771       1999       2005     35 years
                                                                                                               
  3608    
Rose Arbor
  Maple Grove     MN             1,140       12,421             1,140       12,421       13,561       3,214       10,347       2000       2006     35 years
                                                                                                               
  3609    
Wildflower Lodge
  Maple Grove     MN             504       5,035             504       5,035       5,539       1,308       4,231       1981       2006     35 years
                                                                                                               
  3802    
Elmcroft of Little Avenue
  Charlotte     NC             250       5,077             250       5,077       5,327       604       4,723       1997       2006     35 years
                                                                                                               
  3846    
Elmcroft of Northridge
  Raleigh     NC             184       3,592             184       3,592       3,776       428       3,348       1984       2006     35 years
                                                                                                               
  3602    
Crown Pointe
  Omaha     NE       7,437       1,316       11,950             1,316       11,950       13,266       1,969       11,297       1985       2005     35 years
                                                                                                               
  2233    
Cottonbloom Assisted Living
  Las Cruces     NM             153       897       67       153       964       1,117       38       1,079       1996       2009     35 years
                                                                                                               
  3600    
The Amberleigh
  Amherst     NY       11,828       3,498       19,097             3,498       19,097       22,595       3,354       19,241       1988       2005     35 years
                                                                                                               
  3847    
Elmcroft of Lima
  Lima     OH             490       3,368             490       3,368       3,858       401       3,457       1998       2006     35 years
                                                                                                               
  3813    
Elmcroft of Medina
  Medina     OH             661       9,788             661       9,788       10,449       1,165       9,284       1999       2006     35 years
                                                                                                               
  3812    
Elmcroft of Ontario
  Mansfield     OH             523       7,968             523       7,968       8,491       949       7,542       1998       2006     35 years
                                                                                                               
  3816    
Elmcroft of Sagamore Hills
  Sagamore Hills     OH             980       12,604             980       12,604       13,584       1,501       12,083       2000       2006     35 years
                                                                                                               
  3814    
Elmcroft of Washington Township
  Miamisburg     OH             1,235       12,611             1,235       12,611       13,846       1,501       12,345       1998       2006     35 years
                                                                                                               
  3848    
Elmcroft of Xenia
  Xenia     OH             653       2,801             653       2,801       3,454       333       3,121       1999       2006     35 years
                                                                                                               
  2501    
Berkshire Commons
  Reading     PA             470       4,301             470       4,301       4,771       1,187       3,584       1997       2004     30 years
                                                                                                               
  3849    
Elmcroft of Allison Park
  Allison Park     PA             1,171       5,686             1,171       5,686       6,857       677       6,180       1986       2006     35 years
                                                                                                               
  3850    
Elmcroft of Altoona
  Duncansville     PA             331       4,729             331       4,729       5,060       563       4,497       1997       2006     35 years
                                                                                                               
  3851    
Elmcroft of Berwick
  Berwick     PA             111       6,741             111       6,741       6,852       802       6,050       1998       2006     35 years
                                                                                                               
  3853    
Elmcroft of Chippewa
  Beaver Falls     PA             1,394       8,586             1,394       8,586       9,980       1,022       8,958       1998       2006     35 years
                                                                                                               
  3817    
Elmcroft of Dillsburg
  Dillsburg     PA             432       7,797             432       7,797       8,229       928       7,301       1998       2006     35 years
                                                                                                               
  3818    
Elmcroft of Lebanon
  Lebanon     PA             240       7,336             240       7,336       7,576       873       6,703       1999       2006     35 years
                                                                                                               
  3854    
Elmcroft of Lewisburg
  Lewisburg     PA             232       5,666             232       5,666       5,898       675       5,223       1999       2006     35 years
                                                                                                               
  3856    
Elmcroft of Loyalsock
  Montoursville     PA             413       3,412             413       3,412       3,825       406       3,419       1999       2006     35 years
                                                                                                               
  3857    
Elmcroft of Reading
  Reading     PA             638       4,942             638       4,942       5,580       588       4,992       1998       2006     35 years
                                                                                                               
  3855    
Elmcroft of Reedsville
  Lewistown     PA             189       5,170             189       5,170       5,359       616       4,743       1998       2006     35 years
                                                                                                               
  3858    
Elmcroft of Saxonburg
  Saxonburg     PA             770       5,949             770       5,949       6,719       708       6,011       1994       2006     35 years
                                                                                                               
  3815    
Elmcroft of Shippensburg
  Shippensburg     PA             203       7,634             203       7,634       7,837       909       6,928       1999       2006     35 years
                                                                                                               
  3860    
Elmcroft of State College
  State College     PA             320       7,407             320       7,407       7,727       882       6,845       1997       2006     35 years
                                                                                                               
  2504    
Highgate at Paoli Pointe
  Paoli     PA             1,151       9,079             1,151       9,079       10,230       2,283       7,947       1997       2004     30 years
                                                                                                               
  2502    
Lehigh Commons
  Macungie     PA             420       4,406             420       4,406       4,826       1,191       3,635       1997       2004     30 years
                                                                                                               
  2511    
Mifflin Court
  Shillington     PA             689       4,265             689       4,265       4,954       959       3,995       1997       2004     35 years
                                                                                                               
  2503    
Sanatoga Court
  Pottstown     PA             360       3,233             360       3,233       3,593       895       2,698       1997       2004     30 years
                                                                                                               
  3803    
Elmcroft of Florence
  Florence     SC             108       7,620             108       7,620       7,728       907       6,821       1998       2006     35 years
                                                                                                               
  3105    
The Inn at Seneca
  Seneca     SC             365       2,768             365       2,768       3,133       538       2,595       1999       2005     35 years

136


Table of Contents

 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  3804    
Elmcroft of Hamilton Place
  Chattanooga     TN             87       4,248             87       4,248       4,335       506       3,829       1998       2006     35 years
                                                                                                               
  3819    
Elmcroft of Kingsport
  Kingsport     TN             22       7,815             22       7,815       7,837       930       6,907       2000       2006     35 years
                                                                                                               
  3863    
Elmcroft of Lebanon
  Lebanon     TN             180       7,086             180       7,086       7,266       844       6,422       2000       2006     35 years
                                                                                                               
  3862    
Elmcroft of West Knoxville
  Knoxville     TN             439       10,697             439       10,697       11,136       1,273       9,863       2000       2006     35 years
                                                                                                               
  3610    
Whitley Place
  Keller     TX                   5,100                   5,100       5,100       425       4,675       1998       2008     35 years
                                                                                                               
  3865    
Elmcroft of Chesterfield
  Richmond     VA             829       6,534             829       6,534       7,363       778       6,585       1999       2006     35 years
                                                                                                               
  3820    
Elmcroft of Martinsburg
  Martinsburg     WV             248       8,320             248       8,320       8,568       990       7,578       1999       2006     35 years
                                                                                                               
  2240    
Rainbow Retirement Community
  Great Falls     MT             386       5,677             386       5,677       6,063       100       5,963       1998       2010     35 years
                                                                                                               
  3866    
Elmcroft of Southern Pines
  Southern Pines     NC             1,196       10,766             1,196       10,766       11,962       231       11,731       1998       2010     35 years
                                                                                                               
  2239    
Peachtree Village Retirement Community
  Roswell     NM             161       2,194             161       2,194       2,355       48       2,307       1999       2010     35 years
                                                                                                             
                                                                                                               
       
TOTAL FOR OTHER SENIORS
HOUSING COMMUNITIES
                133,951       89,670       789,010       819       89,670       789,829       879,499       121,074       758,425                      
       
TOTAL FOR SENIORS HOUSING COMMUNITIES
                1,209,851       428,221       4,301,904       40,333       428,809       4,341,649       4,770,458       706,102       4,064,356                      
       
KINDRED SKILLED NURSING FACILITIES
                                                                                                       
                                                                                                               
  0824    
Specialty Healthcare & Rehabilitation Center of Mobile
  Mobile     AL             5       2,981             5       2,981       2,986       1,944       1,042       1967       1992     29 years
                                                                                                               
  0791    
Whitesburg Gardens Health Care Center
  Huntsville     AL             534       4,216             534       4,216       4,750       3,320       1,430       1968       1991     25 years
                                                                                                               
  0743    
Desert Life Rehabilitation and Care Center
  Tucson     AZ             611       5,117             611       5,117       5,728       3,966       1,762       1979       1982     37 years
                                                                                                               
  0853    
Kachina Point Health Care and Rehabilitation Center
  Sedona     AZ             364       4,179             364       4,179       4,543       2,736       1,807       1983       1984     45 years
                                                                                                               
  0851    
Villa Campana Health Care Center
  Tucson     AZ             533       2,201             533       2,201       2,734       1,197       1,537       1983       1993     35 years
                                                                                                               
  0738    
Bay View Nursing and Rehabilitation Center
  Alameda     CA             1,462       5,981             1,462       5,981       7,443       3,932       3,511       1967       1993     45 years
                                                                                                               
  0167    
Canyonwood Nursing and Rehab Center
  Redding     CA             401       3,784             401       3,784       4,185       1,860       2,325       1989       1989     45 years
                                                                                                               
  0335    
Lawton Healthcare Center
  San Francisco     CA             943       514             943       514       1,457       430       1,027       1962       1996     20 years
                                                                                                               
  0150    
The Tunnell Center for Rehabilitation & Healthcare
  San Francisco     CA             1,902       7,531             1,902       7,531       9,433       4,854       4,579       1967       1993     28 years
                                                                                                               
  0350    
Valley Gardens Health Care & Rehabilitation Center
  Stockton     CA             516       3,405             516       3,405       3,921       1,764       2,157       1988       1988     29 years
                                                                                                               
  0148    
Village Square Nursing and Rehabilitation Center
  San Marcos     CA             766       3,507             766       3,507       4,273       1,501       2,772       1989       1993     42 years
                                                                                                               
  0745    
Aurora Care Center
  Aurora     CO             197       2,328             197       2,328       2,525       1,455       1,070       1962       1995     30 years
                                                                                                               
  0873    
Brighton Care Center
  Brighton     CO             282       3,377             282       3,377       3,659       2,159       1,500       1969       1992     30 years
                                                                                                               
  0859    
Malley Healthcare and Rehabilitation Center
  Northglenn     CO             501       8,294             501       8,294       8,795       5,035       3,760       1971       1993     29 years
                                                                                                               
  0744    
Cherry Hills Health Care Center
  Englewood     CO             241       2,180             241       2,180       2,421       1,452       969       1960       1995     30 years
                                                                                                               
  0562    
Andrew House Healthcare
  New Britain     CT             247       1,963             247       1,963       2,210       1,190       1,020       1967       1992     29 years
                                                                                                               
  0563    
The Crossings West Campus
  New London     CT             202       2,363             202       2,363       2,565       1,522       1,043       1969       1994     28 years
                                                                                                               
  0567    
The Crossings East Campus
  New London     CT             401       2,776             401       2,776       3,177       1,952       1,225       1968       1992     29 years
                                                                                                               
  0568    
Parkway Pavilion Healthcare
  Enfield     CT             337       3,607             337       3,607       3,944       2,524       1,420       1968       1994     28 years
                                                                                                               
  0566    
Windsor Rehabilitation and Healthcare Center
  Windsor     CT             368       2,520             368       2,520       2,888       1,757       1,131       1965       1994     30 years
                                                                                                               
  1228    
Lafayette Nursing and Rehab Center
  Fayetteville     GA             598       6,623             598       6,623       7,221       4,937       2,284       1989       1995     20 years
                                                                                                               
  0155    
Savannah Rehabilitation & Nursing Center
  Savannah     GA             213       2,772             213       2,772       2,985       1,756       1,229       1968       1993     28.5 years
                                                                                                               
  0660    
Savannah Specialty Care Center
  Savannah     GA             157       2,219             157       2,219       2,376       1,649       727       1972       1991     26 years

137


Table of Contents

 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  0645    
Specialty Care of Marietta
  Marietta     GA             241       2,782             241       2,782       3,023       1,845       1,178       1968       1993     28.5 years
                                                                                                               
  0225    
Aspen Park Healthcare
  Moscow     ID             261       2,571             261       2,571       2,832       2,096       736       1955       1990     25 years
                                                                                                               
  0218    
Canyon West Health and Rehabilitation Center
  Caldwell     ID             312       2,050             312       2,050       2,362       816       1,546       1974       1998     45 years
                                                                                                               
  0216    
Boise Health and Rehabilitation Center
  Boise     ID             256       3,593             256       3,593       3,849       1,288       2,561       1977       1998     45 years
                                                                                                               
  0221    
Lewiston Rehabilitation & Care Center
  Lewiston     ID             133       3,982             133       3,982       4,115       2,971       1,144       1964       1984     29 years
                                                                                                               
  0409    
Mountain Valley Care & Rehabilitation Center
  Kellogg     ID             68       1,280             68       1,280       1,348       1,271       77       1971       1984     25 years
                                                                                                               
  0222    
Nampa Care Center
  Nampa     ID             252       2,810             252       2,810       3,062       2,648       414       1950       1983     25 years
                                                                                                               
  0223    
Weiser Rehabilitation & Care Center
  Weiser     ID             157       1,760             157       1,760       1,917       1,817       100       1963       1983     25 years
                                                                                                               
  0290    
Bremen Health Care Center
  Bremen     IN             109       3,354             109       3,354       3,463       1,830       1,633       1982       1996     45 years
                                                                                                               
  0780    
Columbus Health and Rehabilitation Center
  Columbus     IN             345       6,817             345       6,817       7,162       5,291       1,871       1966       1991     25 years
                                                                                                               
  0131    
Harrison Health and Rehabilitation Centre
  Corydon     IN             125       6,068             125       6,068       6,193       1,745       4,448       1998       1998     45 years
                                                                                                               
  0269    
Meadowvale Health and Rehabilitation Center
  Bluffton     IN             7       787             7       787       794       513       281       1962       1995     22 years
                                                                                                               
  0406    
Muncie Health & Rehabilitation Center
  Muncie     IN             108       4,202             108       4,202       4,310       2,885       1,425       1980       1993     25 years
                                                                                                               
  0407    
Parkwood Health Care Center
  Lebanon     IN             121       4,512             121       4,512       4,633       3,120       1,513       1977       1993     25 years
                                                                                                               
  0111    
Rolling Hills Health Care Center
  New Albany     IN             81       1,894             81       1,894       1,975       1,346       629       1984       1993     25 years
                                                                                                               
  0112    
Royal Oaks Health Care and Rehabilitation Center
  Terre Haute     IN             418       5,779             418       5,779       6,197       2,128       4,069       1995       1995     45 years
                                                                                                               
  0113    
Southwood Health & Rehabilitation Center
  Terre Haute     IN             90       2,868             90       2,868       2,958       2,006       952       1988       1993     25 years
                                                                                                               
  0209    
Valley View Health Care Center
  Elkhart     IN             87       2,665             87       2,665       2,752       1,882       870       1985       1993     25 years
                                                                                                               
  0694    
Wedgewood Healthcare Center
  Clarksville     IN             119       5,115             119       5,115       5,234       2,745       2,489       1985       1995     35 years
                                                                                                               
  0213    
Wildwood Health Care Center
  Indianapolis     IN             134       4,983             134       4,983       5,117       3,467       1,650       1988       1993     25 years
                                                                                                               
  0294    
Windsor Estates Health & Rehab Center
  Kokomo     IN             256       6,625             256       6,625       6,881       3,510       3,371       1962       1995     35 years
                                                                                                               
  0782    
Danville Centre for Health and Rehabilitation
  Danville     KY             322       3,538             322       3,538       3,860       2,060       1,800       1962       1995     30 years
                                                                                                               
  0864    
Harrodsburg Health Care Center
  Harrodsburg     KY             137       1,830             137       1,830       1,967       1,426       541       1974       1985     35 years
                                                                                                               
  0785    
Hillcrest Health Care Center
  Owensboro     KY             544       2,619             544       2,619       3,163       2,654       509       1963       1982     22 years
                                                                                                               
  0282    
Maple Manor Health Care Center
  Greenville     KY             59       3,187             59       3,187       3,246       2,187       1,059       1968       1990     30 years
                                                                                                               
  0784    
Northfield Centre for Health and Rehabilitation
  Louisville     KY             285       1,555             285       1,555       1,840       1,160       680       1969       1985     30 years
                                                                                                               
  0278    
Oakview Nursing and Rehabilitation Center
  Calvert City     KY             124       2,882             124       2,882       3,006       1,961       1,045       1967       1990     30 years
                                                                                                               
  0281    
Riverside Manor Healthcare Center
  Calhoun     KY             103       2,119             103       2,119       2,222       1,460       762       1963       1990     30 years
                                                                                                               
  0277    
Rosewood Health Care Center
  Bowling Green     KY             248       5,371             248       5,371       5,619       3,655       1,964       1970       1990     30 years
                                                                                                               
  0280    
Fountain Circle Health and Rehabilitation
  Winchester     KY             137       6,120             137       6,120       6,257       4,121       2,136       1967       1990     30 years
                                                                                                               
  0787    
Woodland Terrace Health Care Facility
  Elizabethtown     KY             216       1,795             216       1,795       2,011       1,884       127       1969       1982     26 years
                                                                                                               
  0501    
Blue Hills Alzheimer’s Care Center
  Stoughton     MA             511       1,026             511       1,026       1,537       1,336       201       1965       1982     28 years
                                                                                                               
  0581    
Blueberry Hill Skilled Nursing & Rehabilitation Center
  Beverly     MA             129       4,290             129       4,290       4,419       3,053       1,366       1965       1968     40 years
                                                                                                               
  0529    
Bolton Manor Nursing and Rehabilitation Center
  Marlborough     MA             222       2,431             222       2,431       2,653       1,925       728       1973       1984     34.5 years
                                                                                                               
  0503    
Brigham Manor Nursing and Rehabilitation Center
  Newburyport     MA             126       1,708             126       1,708       1,834       1,473       361       1806       1982     27 years
                                                                                                               
  0582    
Colony House Nursing and Rehabilitation Center
  Abington     MA             132       999             132       999       1,131       1,063       68       1965       1969     40 years
                                                                                                               
  0534    
Country Gardens Skilled Nursing & Rehabilitation Center
  Swansea     MA             415       2,675             415       2,675       3,090       2,309       781       1969       1984     27 years
                                                                                                               
  0507    
Country Rehabilitation and Nursing Center
  Newburyport     MA             199       3,004             199       3,004       3,203       2,537       666       1968       1982     27 years

138


Table of Contents

 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  0508    
Crawford Skilled Nursing and Rehabilitation Center
  Fall River     MA             127       1,109             127       1,109       1,236       1,081       155       1968       1982     29 years
                                                                                                               
  0542    
Den-Mar Rehabilitation and Nursing Center
  Rockport     MA             23       1,560             23       1,560       1,583       1,353       230       1963       1985     30 years
                                                                                                               
  0573    
Eagle Pond Rehabilitation and Living Center
  South Dennis     MA             296       6,896             296       6,896       7,192       3,422       3,770       1985       1987     50 years
                                                                                                               
  0584    
Franklin Skilled Nursing and Rehabilitation Center
  Franklin     MA             156       757             156       757       913       793       120       1967       1969     40 years
                                                                                                               
  0585    
Great Barrington Rehabilitation and Nursing Center
  Great Barrington     MA             60       1,142             60       1,142       1,202       1,131       71       1967       1969     40 years
                                                                                                               
  0513    
Hallmark Nursing and Rehabilitation Center
  New Bedford     MA             202       2,694             202       2,694       2,896       2,284       612       1968       1982     26 years
                                                                                                               
  0516    
Hammersmith House Nursing Care Center
  Saugus     MA             112       1,919             112       1,919       2,031       1,600       431       1965       1982     28 years
                                                                                                               
  0198    
Harrington House Nursing and Rehabilitation Center
  Walpole     MA             4       4,444             4       4,444       4,448       1,984       2,464       1991       1991     45 years
                                                                                                               
  0532    
Hillcrest Nursing and Rehabilitation Center
  Fitchburg     MA             175       1,461             175       1,461       1,636       1,462       174       1957       1984     25 years
                                                                                                               
  0327    
Laurel Ridge Rehabilitation and Nursing Center
  Jamaica Plain     MA             194       1,617             194       1,617       1,811       1,212       599       1968       1989     30 years
                                                                                                               
  0539    
Newton and Wellesley Alzheimer Center
  Wellesley     MA             297       3,250             297       3,250       3,547       2,531       1,016       1971       1984     30 years
                                                                                                               
  0517    
Oakwood Rehabilitation and Nursing Center
  Webster     MA             102       1,154             102       1,154       1,256       1,089       167       1967       1982     31 years
                                                                                                               
  0506    
Presentation Nursing & Rehabilitation Center
  Brighton     MA             184       1,220             184       1,220       1,404       1,238       166       1968       1982     28 years
                                                                                                               
  0537    
Quincy Rehabilitation and Nursing Center
  Quincy     MA             216       2,911             216       2,911       3,127       2,632       495       1965       1984     24 years
                                                                                                               
  0587    
River Terrace Healthcare
  Lancaster     MA             268       957             268       957       1,225       1,088       137       1969       1969     40 years
                                                                                                               
  0514    
Sachem Skilled Nursing & Rehabilitation Center
  East Bridgewater     MA             529       1,238             529       1,238       1,767       1,491       276       1968       1982     27 years
                                                                                                               
  0526    
The Eliot Healthcare Center
  Natick     MA             249       1,328             249       1,328       1,577       1,244       333       1996       1982     31 years
                                                                                                               
  0518    
Timberlyn Heights Nursing and Rehabilitation Center
  Great Barrington     MA             120       1,305             120       1,305       1,425       1,217       208       1968       1982     29 years
                                                                                                               
  0588    
Walden Rehabilitation and Nursing Center
  Concord     MA             181       1,347             181       1,347       1,528       1,364       164       1969       1968     40 years
                                                                                                               
  0544    
Augusta Rehabilitation Center
  Augusta     ME             152       1,074             152       1,074       1,226       939       287       1968       1985     30 years
                                                                                                               
  0555    
Brentwood Rehabilitation and Nursing Center
  Yarmouth     ME             181       2,789             181       2,789       2,970       2,045       925       1945       1985     45 years
                                                                                                               
  0547    
Brewer Rehabilitation and Living Center
  Brewer     ME             228       2,737             228       2,737       2,965       1,967       998       1974       1985     33 years
                                                                                                               
  0545    
Eastside Rehabilitation and Living Center
  Bangor     ME             316       1,349             316       1,349       1,665       1,113       552       1967       1985     30 years
                                                                                                               
  0549    
Kennebunk Nursing and Rehabilitation Center
  Kennebunk     ME             99       1,898             99       1,898       1,997       1,330       667       1977       1985     35 years
                                                                                                               
  0550    
Norway Rehabilitation & Living Center
  Norway     ME             133       1,658             133       1,658       1,791       1,167       624       1972       1985     39 years
                                                                                                               
  0554    
Westgate Manor
  Bangor     ME             287       2,718             287       2,718       3,005       2,175       830       1969       1985     31 years
                                                                                                               
  0546    
Winship Green Nursing Center
  Bath     ME             110       1,455             110       1,455       1,565       1,111       454       1974       1985     35 years
                                                                                                               
  0416    
Park Place Health Care Center
  Great Falls     MT             600       6,311             600       6,311       6,911       4,007       2,904       1963       1993     28 years
                                                                                                               
  0433    
Parkview Acres Care and Rehabilitation Center
  Dillon     MT             207       2,578             207       2,578       2,785       1,650       1,135       1965       1993     29 years
                                                                                                               
  0806    
Chapel Hill Rehabilitation and Healthcare Center
  Chapel Hill     NC             347       3,029             347       3,029       3,376       2,009       1,367       1984       1993     28 years
                                                                                                               
  0188    
Cypress Pointe Rehabilitation and Health Care Centre
  Wilmington     NC             233       3,710             233       3,710       3,943       2,528       1,415       1966       1993     28.5 years
                                                                                                               
  0726    
Guardian Care of Elizabeth City
  Elizabeth City     NC             71       561             71       561       632       632             1977       1982     20 years
                                                                                                               
  0706    
Guardian Care of Henderson
  Henderson     NC             206       1,997             206       1,997       2,203       1,280       923       1957       1993     29 years
                                                                                                               
  0704    
Guardian Care of Roanoke Rapids
  Roanoke Rapids     NC             339       4,132             339       4,132       4,471       3,128       1,343       1967       1991     25 years
                                                                                                               
  0723    
Guardian Care of Rocky Mount
  Rocky Mount     NC             240       1,732             240       1,732       1,972       1,348       624       1975       1997     25 years
                                                                                                               
  0713    
Guardian Care of Zebulon
  Zebulon     NC             179       1,933             179       1,933       2,112       1,242       870       1973       1993     29 years

139


Table of Contents

 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  0711    
Kinston Rehabilitation and Healthcare Center
  Kinston     NC             186       3,038             186       3,038       3,224       1,870       1,354       1961       1993     29 years
                                                                                                               
  0307    
Lincoln Nursing Center
  Lincolnton     NC             39       3,309             39       3,309       3,348       2,345       1,003       1976       1986     35 years
                                                                                                               
  0116    
Pettigrew Rehabilitation and Healthcare Center
  Durham     NC             101       2,889             101       2,889       2,990       1,931       1,059       1969       1993     28 years
                                                                                                               
  0143    
Raleigh Rehabilitation & Healthcare Center
  Raleigh     NC             316       5,470             316       5,470       5,786       4,229       1,557       1969       1991     25 years
                                                                                                               
  0724    
Rehabilitation and Health Center of Gastonia
  Gastonia     NC             158       2,359             158       2,359       2,517       1,576       941       1968       1992     29 years
                                                                                                               
  0707    
Rehabilitation and Nursing Center of Monroe
  Monroe     NC             185       2,654             185       2,654       2,839       1,811       1,028       1963       1993     28 years
                                                                                                               
  0146    
Rose Manor Healthcare Center
  Durham     NC             200       3,527             200       3,527       3,727       2,627       1,100       1972       1991     26 years
                                                                                                               
  0191    
Silas Creek Manor
  Winston-Salem     NC             211       1,893             211       1,893       2,104       1,225       879       1966       1993     28.5 years
                                                                                                               
  0137    
Sunnybrook Healthcare and Rehabilitation Specialists
  Raleigh     NC             187       3,409             187       3,409       3,596       2,657       939       1971       1991     25 years
                                                                                                               
  0591    
Dover Rehabilitation and Living Center
  Dover     NH             355       3,797             355       3,797       4,152       3,212       940       1969       1990     25 years
                                                                                                               
  0592    
Greenbriar Terrace Healthcare
  Nashua     NH             776       6,011             776       6,011       6,787       4,670       2,117       1963       1990     25 years
                                                                                                               
  0593    
Hanover Terrace Healthcare
  Hanover     NH             326       1,825             326       1,825       2,151       1,154       997       1969       1993     29 years
                                                                                                               
  0640    
Las Vegas Healthcare and Rehabilitation Center
  Las Vegas     NV             454       1,018             454       1,018       1,472       543       929       1940       1992     30 years
                                                                                                               
  0641    
Torrey Pines Care Center
  Las Vegas     NV             256       1,324             256       1,324       1,580       911       669       1971       1992     29 years
                                                                                                               
  0634    
Cambridge Health & Rehabilitation Center
  Cambridge     OH             108       2,642             108       2,642       2,750       1,878       872       1975       1993     25 years
                                                                                                               
  0569    
Chillicothe Nursing & Rehabilitation Center
  Chillicothe     OH             128       3,481             128       3,481       3,609       2,617       992       1976       1985     34 years
                                                                                                               
  0635    
Coshocton Health & Rehabilitation Center
  Coshocton     OH             203       1,979             203       1,979       2,182       1,395       787       1974       1993     25 years
                                                                                                               
  0560    
Franklin Woods Nursing and Rehabilitation Center
  Columbus     OH             190       4,712             190       4,712       4,902       2,374       2,528       1986       1992     38 years
                                                                                                               
  0868    
Lebanon Country Manor
  Lebanon     OH             105       3,617             105       3,617       3,722       2,168       1,554       1984       1986     43 years
                                                                                                               
  0571    
Logan Health Care Center
  Logan     OH             169       3,750             169       3,750       3,919       2,447       1,472       1979       1991     30 years
                                                                                                               
  0577    
Minerva Park Nursing and Rehabilitation Center
  Columbus     OH             210       3,684             210       3,684       3,894       1,353       2,541       1973       1997     45 years
                                                                                                               
  0570    
Pickerington Nursing & Rehabilitation Center
  Pickerington     OH             312       4,382             312       4,382       4,694       2,232       2,462       1984       1992     37 years
                                                                                                               
  0572    
Winchester Place Nursing and Rehabilitation Center
  Canal Winchester     OH             454       7,149             454       7,149       7,603       5,146       2,457       1974       1993     28 years
                                                                                                               
  0453    
Medford Rehabilitation and Healthcare Center
  Medford     OR             362       4,610             362       4,610       4,972       2,992       1,980       1961       1991     34 years
                                                                                                               
  0452    
Sunnyside Care Center
  Salem     OR             1,512       2,249             1,512       2,249       3,761       1,323       2,438       1981       1991     30 years
                                                                                                               
  1237    
Wyomissing Nursing and Rehabilitation Center
  Reading     PA             61       5,095             61       5,095       5,156       1,868       3,288       1966       1993     45 years
                                                                                                               
  1224    
Chestnut Terrace Nursing and Rehabilitation Center
  E. Providence     RI             174       2,643             174       2,643       2,817       990       1,827       1962       1990     45 years
                                                                                                               
  1231    
Oak Hill Nursing and Rehabilitation Center
  Pawtucket     RI             91       6,724             91       6,724       6,815       2,498       4,317       1966       1990     45 years
                                                                                                               
  0132    
Madison Healthcare and Rehabilitation Center
  Madison     TN             168       1,445             168       1,445       1,613       963       650       1968       1992     29 years
                                                                                                               
  0884    
Masters Health Care Center
  Algood     TN             524       4,370             524       4,370       4,894       2,865       2,029       1981       1987     38 years
                                                                                                               
  0822    
Primacy Healthcare and Rehabilitation Center
  Memphis     TN             1,222       8,344             1,222       8,344       9,566       4,747       4,819       1980       1990     37 years
                                                                                                               
  0230    
Crosslands Rehabilitation & Healthcare Center
  Sandy     UT             334       4,300             334       4,300       4,634       2,093       2,541       1987       1992     40 years
                                                                                                               
  0655    
Federal Heights Rehabilitation and Nursing Center
  Salt Lake City     UT             201       2,322             201       2,322       2,523       1,536       987       1962       1992     29 years
                                                                                                               
  0247    
St. George Care and Rehabilitation Center
  Saint George     UT             419       4,465             419       4,465       4,884       2,665       2,219       1976       1993     29 years
                                                                                                               
  0140    
Wasatch Care Center
  Ogden     UT             373       597             373       597       970       586       384       1964       1990     25 years
                                                                                                               
  0842    
Bay Pointe Medical and Rehabilitation Center
  Virginia Beach     VA             805       2,886       (380 )     425       2,886       3,311       1,803       1,508       1971       1993     29 years
                                                                                                               
  0826    
Harbour Pointe Medical and Rehabilitation Center
  Norfolk     VA             427       4,441             427       4,441       4,868       2,890       1,978       1969       1993     28 years

140


Table of Contents

 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  0825    
Nansemond Pointe Rehabilitation and Healthcare Center
  Suffolk     VA             534       6,990             534       6,990       7,524       4,256       3,268       1963       1991     32 years
                                                                                                               
  0829    
River Pointe Rehabilitation and Healthcare Center
  Virginia Beach     VA             770       4,440             770       4,440       5,210       3,526       1,684       1953       1991     25 years
                                                                                                               
  0559    
Birchwood Terrace Healthcare
  Burlington     VT             15       4,656             15       4,656       4,671       3,744       927       1965       1990     27 years
                                                                                                               
  0114    
Arden Rehabilitation and Healthcare Center
  Seattle     WA             1,111       4,013             1,111       4,013       5,124       2,559       2,565       1950       1993     28.5 years
                                                                                                               
  0158    
Bellingham Health Care and Rehabilitation Services
  Bellingham     WA             441       3,824             441       3,824       4,265       2,454       1,811       1972       1993     28.5 years
                                                                                                               
  0168    
Lakewood Healthcare Center
  Lakewood     WA             504       3,511             504       3,511       4,015       1,855       2,160       1989       1989     45 years
                                                                                                               
  0127    
Northwest Continuum Care Center
  Longview     WA             145       2,563             145       2,563       2,708       1,676       1,032       1955       1992     29 years
                                                                                                               
  0462    
Queen Anne Healthcare
  Seattle     WA             570       2,750             570       2,750       3,320       1,835       1,485       1970       1993     29 years
                                                                                                               
  0165    
Rainier Vista Care Center
  Puyallup     WA             520       4,780             520       4,780       5,300       2,310       2,990       1986       1991     40 years
                                                                                                               
  0180    
Vancouver Health & Rehabilitation Center
  Vancouver     WA             449       2,964             449       2,964       3,413       1,956       1,457       1970       1993     28 years
                                                                                                               
  0766    
Colonial Manor Medical and Rehabilitation Center
  Wausau     WI             169       3,370             169       3,370       3,539       2,028       1,511       1964       1995     30 years
                                                                                                               
  0767    
Colony Oaks Care Center
  Appleton     WI             353       3,571             353       3,571       3,924       2,508       1,416       1967       1993     29 years
                                                                                                               
  0765    
Eastview Medical and Rehabilitation Center
  Antigo     WI             200       4,047             200       4,047       4,247       3,062       1,185       1962       1991     28 years
                                                                                                               
  0771    
Kennedy Park Medical & Rehabilitation Center
  Schofield     WI             301       3,596             301       3,596       3,897       3,514       383       1966       1982     29 years
                                                                                                               
  0774    
Mt. Carmel Health & Rehabilitation Center
  Milwaukee     WI             2,678       25,867             2,678       25,867       28,545       18,425       10,120       1958       1991     30 years
                                                                                                               
  0773    
Mount Carmel Medical and Rehabilitation Center
  Burlington     WI             274       7,205             274       7,205       7,479       4,211       3,268       1971       1991     30 years
                                                                                                               
  0769    
North Ridge Medical and Rehabilitation Center
  Manitowoc     WI             206       3,785             206       3,785       3,991       2,530       1,461       1964       1992     29 years
                                                                                                               
  0289    
San Luis Medical and Rehabilitation Center
  Green Bay     WI             259       5,299             259       5,299       5,558       3,949       1,609       1968       1996     25 years
                                                                                                               
  0775    
Sheridan Medical Complex
  Kenosha     WI             282       4,910             282       4,910       5,192       3,758       1,434       1964       1991     25 years
                                                                                                               
  0770    
Vallhaven Care Center
  Neenah     WI             337       5,125             337       5,125       5,462       3,442       2,020       1966       1993     28 years
                                                                                                               
  0776    
Woodstock Health and Rehabilitation Center
  Kenosha     WI             562       7,424             562       7,424       7,986       5,882       2,104       1970       1991     25 years
                                                                                                               
  0441    
Mountain Towers Healthcare and Rehabilitation Center
  Cheyenne     WY             342       3,468             342       3,468       3,810       2,143       1,667       1964       1992     29 years
                                                                                                               
  0483    
Sage View Care Center
  Rock Springs     WY             287       2,392             287       2,392       2,679       1,534       1,145       1964       1993     30 years
                                                                                                               
  0481    
South Central Wyoming Healthcare and Rehabilitation
  Rawlins     WY             151       1,738             151       1,738       1,889       1,100       789       1955       1993     29 years
                                                                                                               
  0482    
Wind River Healthcare and Rehabilitation Center
  Riverton     WY             179       1,559             179       1,559       1,738       974       764       1967       1992     29 years
                                                                                                             
                                                                                                               
       
TOTAL KINDRED SKILLED NURSING FACILITIES
                      50,734       544,311       (380 )     50,354       544,311       594,665       365,684       228,981                      
       
NON-KINDRED SKILLED NURSING FACILITIES
                                                                                                       
                                                                                                               
  3829    
McCreary Health & Rehabilitation Center
  Pine Knot     KY             73       2,443             73       2,443       2,516       291       2,225       1990       2006     35 years
                                                                                                               
  3830    
Colonial Health & Rehabilitation Center
  Bardstown     KY             38       2,829             38       2,829       2,867       337       2,530       1968       2006     35 years
                                                                                                               
  3831    
Glasgow Health & Rehabilitation Center
  Glasgow     KY             21       2,997             21       2,997       3,018       357       2,661       1968       2006     35 years
                                                                                                               
  3832    
Green Valley Health & Rehabilitation Center
  Carrollton     KY             29       2,325             29       2,325       2,354       277       2,077       1978       2006     35 years
                                                                                                               
  3833    
Hart County Health Center
  Horse Cave     KY             68       6,059             68       6,059       6,127       721       5,406       1993       2006     35 years
                                                                                                               
  3834    
Heritage Hall Health & Rehabilitation Center
  Lawrenceburg     KY             38       3,920             38       3,920       3,958       467       3,491       1973       2006     35 years
                                                                                                               
  3835    
Jackson Manor
  Annville     KY             131       4,442             131       4,442       4,573       529       4,044       1989       2006     35 years

141


Table of Contents

 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  3836    
Jefferson Manor
  Louisville     KY             2,169       4,075             2,169       4,075       6,244       485       5,759       1982       2006     35 years
                                                                                                               
  3837    
Jefferson Place
  Louisville     KY             1,307       9,175             1,307       9,175       10,482       1,092       9,390       1991       2006     35 years
                                                                                                               
  3838    
Meadowview Health & Rehabilitation Center
  Louisville     KY             317       4,666             317       4,666       4,983       556       4,427       1973       2006     35 years
                                                                                                               
  3839    
Monroe Health & Rehabilitation Center
  Tompkinsville     KY             32       8,756             32       8,756       8,788       1,042       7,746       1969       2006     35 years
                                                                                                               
  3840    
North Hardin Health & Rehabilitation Center
  Radcliff     KY             218       11,944             218       11,944       12,162       1,422       10,740       1986       2006     35 years
                                                                                                               
  3841    
Professional Care Health & Rehabilitation Center
  Hartford     KY             22       7,905             22       7,905       7,927       941       6,986       1967       2006     35 years
                                                                                                               
  3842    
Rockford Health & Rehabilitation Center
  Louisville     KY             364       9,568             364       9,568       9,932       1,139       8,793       1975       2006     35 years
                                                                                                               
  3843    
Summerfield Health & Rehabilitation Center
  Louisville     KY             1,089       10,756             1,089       10,756       11,845       1,280       10,565       1979       2006     35 years
                                                                                                               
  3844    
Tanbark Health & Rehabilitation Center
  Lexington     KY             868       6,061             868       6,061       6,929       722       6,207       1989       2006     35 years
                                                                                                               
  3845    
Summit Manor Health & Rehabilitation Center
  Columbia     KY             38       12,510             38       12,510       12,548       1,489       11,059       1965       2006     35 years
                                                                                                               
  3764    
Golden Living Center - Rochester East
  Rochester     MN             639       3,497             639       3,497       4,136       3,542       594       1967       1982     28 years
                                                                                                               
  2505    
Lopatcong Center
  Phillipsburg     NJ             1,490       12,336             1,490       12,336       13,826       3,287       10,539       1982       2004     30 years
                                                                                                               
  2702    
Burlington House
  Cincinnati     OH             918       5,087             918       5,087       6,005       1,166       4,839       1989       2004     35 years
                                                                                                               
  3920    
Marietta Convalescent Center
  Marietta     OH             158       3,266       75       158       3,341       3,499       2,353       1,146       1972       1993     25 years
                                                                                                               
  2701    
Regency Manor
  Columbus     OH             606       16,424             606       16,424       17,030       3,769       13,261       1883       2004     35 years
                                                                                                               
  3852    
Balanced Care at Bloomsburg
  Bloomsburg     PA             621       1,371             621       1,371       1,992       163       1,829       1997       2006     35 years
                                                                                                               
  2507    
The Belvedere
  Chester     PA             822       7,203             822       7,203       8,025       1,905       6,120       1899       2004     30 years
                                                                                                               
  2508    
Chapel Manor
  Philadelphia     PA             1,595       13,982       931       1,595       14,913       16,508       3,697       12,811       1948       2004     30 years
                                                                                                               
  2509    
Pennsburg Manor
  Pennsburg     PA             1,091       7,871             1,091       7,871       8,962       2,155       6,807       1982       2004     30 years
                                                                                                               
  2506    
Wayne Center
  Wayne     PA             662       6,872       850       662       7,722       8,384       1,861       6,523       1875       2004     30 years
                                                                                                             
                                                                                                               
       
TOTAL NON-KINDRED SKILLED NURSING FACILITIES
                      15,424       188,340       1,856       15,424       190,196       205,620       37,045       168,575                      
       
TOTAL FOR SKILLED NURSING FACILITIES
                      66,158       732,651       1,476       65,778       734,507       800,285       402,729       397,556                      
       
KINDRED HOSPITALS
                                                                                                       
                                                                                                               
  4656    
Kindred Hospital - Arizona - Phoenix
  Phoenix     AZ             226       3,359             226       3,359       3,585       2,221       1,364       1980       1992     30 years
                                                                                                               
  4658    
Kindred Hospital - Tucson
  Tucson     AZ             130       3,091             130       3,091       3,221       2,478       743       1969       1994     25 years
                                                                                                               
  4644    
Kindred Hospital - Brea
  Brea     CA             3,144       2,611             3,144       2,611       5,755       979       4,776       1990       1995     40 years
                                                                                                               
  4807    
Kindred Hospital - Ontario
  Ontario     CA             523       2,988             523       2,988       3,511       2,322       1,189       1950       1994     25 years
                                                                                                               
  4848    
Kindred Hospital - San Diego
  San Diego     CA             670       11,764             670       11,764       12,434       9,412       3,022       1965       1994     25 years
                                                                                                               
  4822    
Kindred Hospital - San Francisco Bay Area
  San Leandro     CA             2,735       5,870             2,735       5,870       8,605       5,596       3,009       1962       1993     25 years
                                                                                                               
  4842    
Kindred Hospital - Westminster
  Westminster     CA             727       7,384             727       7,384       8,111       6,700       1,411       1973       1993     20 years
                                                                                                               
  4665    
Kindred Hospital - Denver
  Denver     CO             896       6,367             896       6,367       7,263       5,765       1,498       1963       1994     20 years
                                                                                                               
  4674    
Kindred Hospital - Central Tampa
  Tampa     FL             2,732       7,676             2,732       7,676       10,408       3,847       6,561       1970       1993     40 years
                                                                                                               
  4652    
Kindred Hospital - North Florida
  Green Cove Springs     FL             145       4,613             145       4,613       4,758       3,569       1,189       1956       1994     20 years
                                                                                                               
  4602    
Kindred Hospital - South Florida - Coral Gables
  Coral Gables     FL             1,071       5,348             1,071       5,348       6,419       4,263       2,156       1956       1992     30 years
                                                                                                               
  4645    
Kindred Hospital - South Florida Ft. Lauderdale
  Ft. Lauderdale     FL             1,758       14,080             1,758       14,080       15,838       11,425       4,413       N/A       1989     30 years
                                                                                                               
  4876    
Kindred Hospital - South Florida - Hollywood
  Hollywood     FL             605       5,229             605       5,229       5,834       4,317       1,517       1937       1995     20 years
                                                                                                               
  4611    
Kindred Hospital - Bay Area St. Petersburg
  St. Petersburg     FL             1,401       16,706             1,401       16,706       18,107       11,518       6,589       1968       1997     40 years
                                                                                                               
  4871    
Kindred - Chicago - Lakeshore
  Chicago     IL             1,513       9,525             1,513       9,525       11,038       9,202       1,836       1995       1976     20 years
                                                                                                               
  4637    
Kindred Hospital - Chicago (North Campus)
  Chicago     IL             1,583       19,980             1,583       19,980       21,563       15,604       5,959       1949       1995     25 years

142


Table of Contents

 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  4690    
Kindred Hospital - Chicago (Northlake Campus)
  Northlake     IL             850       6,498             850       6,498       7,348       4,756       2,592       1960       1991     30 years
                                                                                                               
  4615    
Kindred Hospital - Sycamore
  Sycamore     IL             77       8,549             77       8,549       8,626       6,264       2,362       1949       1993     20 years
                                                                                                               
  4638    
Kindred Hospital - Indianapolis
  Indianapolis     IN             985       3,801             985       3,801       4,786       2,785       2,001       1955       1993     30 years
                                                                                                               
  4633    
Kindred Hospital - Louisville
  Louisville     KY             3,041       12,279             3,041       12,279       15,320       10,130       5,190       1964       1995     20 years
                                                                                                               
  4666    
Kindred Hospital - New Orleans
  New Orleans     LA             648       4,971             648       4,971       5,619       3,744       1,875       1968       1978     20 years
                                                                                                               
  4688    
Kindred Hospital - Boston
  Boston     MA             1,551       9,796             1,551       9,796       11,347       8,227       3,120       1930       1994     25 years
                                                                                                               
  4673    
Kindred Hospital - Boston North Shore
  Peabody     MA             543       7,568             543       7,568       8,111       4,333       3,778       1974       1993     40 years
                                                                                                               
  4612    
Kindred Hospital - Kansas City
  Kansas City     MO             277       2,914             277       2,914       3,191       2,240       951       N/A       1992     30 years
                                                                                                               
  4680    
Kindred Hospital - St. Louis
  St Louis     MO             1,126       2,087             1,126       2,087       3,213       1,613       1,600       1984       1991     40 years
                                                                                                               
  4662    
Kindred Hospital - Greensboro
  Greensboro     NC             1,010       7,586             1,010       7,586       8,596       6,385       2,211       1964       1994     20 years
                                                                                                               
  4664    
Kindred Hospital - Albuquerque
  Albuquerque     NM             11       4,253             11       4,253       4,264       2,143       2,121       1985       1993     40 years
                                                                                                               
  4647    
Kindred Hospital - Las Vegas (Sahara)
  Las Vegas     NV             1,110       2,177             1,110       2,177       3,287       1,026       2,261       1980       1994     40 years
                                                                                                               
  4618    
Kindred Hospital - Oklahoma City
  Oklahoma City     OK             293       5,607             293       5,607       5,900       3,634       2,266       1958       1993     30 years
                                                                                                               
  4614    
Kindred Hospital - Philadelphia
  Philadelphia     PA             135       5,223             135       5,223       5,358       2,477       2,881       N/A       1995     35 years
                                                                                                               
  4619    
Kindred Hospital - Pittsburgh
  Oakdale     PA             662       12,854             662       12,854       13,516       7,547       5,969       1972       1996     40 years
                                                                                                               
  4628    
Kindred Hospital - Chattanooga
  Chattanooga     TN             756       4,415             756       4,415       5,171       3,389       1,782       1975       1993     22 years
                                                                                                               
  4668    
Kindred Hospital - Fort Worth
  Ft. Worth     TX             648       10,608             648       10,608       11,256       7,250       4,006       1960       1994     34 years
                                                                                                               
  4685    
Kindred Hospital - Houston
  Houston     TX             33       7,062             33       7,062       7,095       5,460       1,635       N/A       1994     20 years
                                                                                                               
  4654    
Kindred Hospital (Houston Northwest)
  Houston     TX             1,699       6,788             1,699       6,788       8,487       4,126       4,361       1986       1985     40 years
                                                                                                               
  4660    
Kindred Hospital - Mansfield
  Mansfield     TX             267       2,462             267       2,462       2,729       1,587       1,142       1983       1990     40 years
                                                                                                               
  4635    
Kindred Hospital - San Antonio
  San Antonio     TX             249       11,413             249       11,413       11,662       6,955       4,707       1981       1993     30 years
                                                                                                               
  4653    
Kindred Hospital - Tarrant County (Fort Worth Southwest)
  Ft. Worth     TX             2,342       7,458             2,342       7,458       9,800       6,788       3,012       1987       1986     20 years
                                                                                                             
                                                                                                               
       
TOTAL FOR KINDRED HOSPITALS
                      38,172       272,960             38,172       272,960       311,132       202,077       109,055                      
       
NON-KINDRED HOSPITALS
                                                                                                       
                                                                                                               
  3828    
Gateway Rehabilitation Hospital at Florence
  Florence     KY             3,600       4,924             3,600       4,924       8,524       586       7,938       2001       2006     35 years
                                                                                                               
  3864    
Highlands Regional Rehabilitation Hospital
  El Paso     TX             1,900       23,616             1,900       23,616       25,516       2,811       22,705       1999       2006     35 years
                                                                                                             
                                                                                                               
       
TOTAL FOR NON-KINDRED HOSPITALS
                      5,500       28,540             5,500       28,540       34,040       3,397       30,643                      
       
TOTAL FOR HOSPITALS
                      43,672       301,500             43,672       301,500       345,172       205,474       139,698                      
       
MEDICAL OFFICE BUILDINGS
                                                                                                       
                                                                                                               
  2956    
Avista Two Medical Plaza
  Louisville     CO                   17,330       1,212             18,542       18,542       874       17,668       2003       2009     35 years
                                                                                                               
  2952    
Briargate Medical Campus
  Colorado Springs     CO             1,238       12,301       136       1,244       12,431       13,675       1,665       12,010       2002       2007     35 years
                                                                                                               
  3071    
The Sierra Medical Building
  Parker     CO       11,222       1,444       14,059       761       1,444       14,820       16,264       875       15,389       2009       2009     35 years
                                                                                                               
  2951    
Potomac Medical Plaza
  Aurora     CO             2,401       9,118       1,328       2,442       10,405       12,847       2,350       10,497       1986       2007     35 years
                                                                                                               
  2953    
Printers Park Medical Plaza
  Colorado Springs     CO             2,641       47,507       310       2,641       47,817       50,458       6,283       44,175       1999       2007     35 years
                                                                                                               
  2907    
Aventura Heart & Health
  Aventura     FL       16,995             25,361       2,513             27,874       27,874       3,699       24,175       2006       2007     35 years
                                                                                                               
  2902    
JFK Medical Plaza
  Lake Worth     FL             453       1,711       139       453       1,850       2,303       351       1,952       1999       2004     35 years
                                                                                                               
  2903    
Palms West Building 6
  Loxahatchee     FL             965       2,678       35       965       2,713       3,678       498       3,180       2000       2004     35 years
                                                                                                               
  2905    
Regency Medical Office Park Phase I
  Melbourne     FL             590       3,156       97       603       3,240       3,843       573       3,270       1995       2004     35 years
                                                                                                               
  2904    
Regency Medical Office Park Phase II
  Melbourne     FL             770       3,809       188       781       3,986       4,767       690       4,077       1998       2004     35 years
                                                                                                               
  2906    
University Medical Office Building
  Tamarac     FL                   6,690                   6,690       6,690       869       5,821       2006       2007     35 years

143


Table of Contents

 
                                                                                                                 
                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  3006    
Eastside Physicians Center
  Snellville     GA             1,289       25,019       352       1,289       25,371       26,660       2,504       24,156       1994       2008     35 years
                                                                                                               
  3007    
Eastside Physicians Plaza
  Snellville     GA       7,135       294       12,948       19       294       12,967       13,261       1,132       12,129       2003       2008     35 years
                                                                                                               
  2955    
Doctors Office Building III (“DOB III”)
  Hoffman Estates     IL                   24,550       (69 )           24,481       24,481       1,756       22,725       2005       2009     35 years
                                                                                                               
  2954    
Eberle Medical Office Building (“Eberle MOB”)
  Elk Grove Village     IL                   16,315       49             16,364       16,364       1,130       15,234       2005       2009     35 years
                                                                                                               
  3015    
Charles O. Fisher Medical Building
  Westminster     MD                   13,795       427             14,222       14,222       724       13,498       2009       2009     35 years
                                                                                                               
  2950    
Broadway Medical Office Building
  Kansas City     MO       6,471       1,300       12,602       1,451       1,316       14,037       15,353       3,314       12,039       1976       2007     35 years
                                                                                                               
  2925    
Anderson Medical Arts Building I
  Cincinnati     OH                   9,632       808             10,440       10,440       1,324       9,116       1984       2007     35 years
                                                                                                               
  2926    
Anderson Medical Arts Building II
  Cincinnati     OH                   15,123       1,613             16,736       16,736       1,856       14,880       2007       2007     35 years
                                                                                                               
  3003    
DCMH Medical Office Building
  Drexel Hill     PA                   10,424       1,059             11,483       11,483       2,936       8,547       1984       2004     30 years
                                                                                                               
  3002    
Professional Office Building I
  Upland     PA                   6,283       732             7,015       7,015       1,773       5,242       1978       2004     30 years
                                                                                                               
  3070    
St. Francis Millennium Medical Office Building
  Greenville     SC       15,117             13,062       7,746             20,808       20,808       1,371       19,437       2009       2009     35 years
                                                                                                               
  2901    
Abilene Medical Commons I
  Abilene     TX             179       1,611             179       1,611       1,790       295       1,495       2000       2004     35 years
                                                                                                               
  3061    
Bayshore Rehabilitation Center MOB
  Pasadena     TX       721       95       1,128             95       1,128       1,223       191       1,032       1988       2005     35 years
                                                                                                               
  3060    
Bayshore Surgery Center MOB
  Pasadena     TX       6,051       765       9,123       381       765       9,504       10,269       1,663       8,606       2001       2005     35 years
                                                                                                               
  3021    
Casper WY MOB
  Casper     WY             3,015       26,513       99       3,017       26,610       29,627       2,238       27,389       2008       2008     35 years
                                                                                                               
  6370    
St. Vincent’s Medical Center East #46
  Birmingham     AL                   25,329                   25,329       25,329       477       24,852       2005       2010     35 years
                                                                                                               
  6371    
St. Vincent’s Medical Center East #48
  Birmingham     AL                   13,130                   13,130       13,130       399       12,731       1989       2010     35 years
                                                                                                               
  6372    
St. Vincent’s Medical Center East #52
  Birmingham     AL                   7,608                   7,608       7,608       294       7,314       1985       2010     35 years
                                                                                                               
  6310    
Community Physicians Pavilion
  Lafayette     CO                   10,543                   10,543       10,543       227       10,316       2004       2010     35 years
                                                                                                               
  6320    
Lutheran Medical Office Building II
  Wheat Ridge     CO                   2,655                   2,655       2,655       145       2,510       1976       2010     35 years
                                                                                                               
  6322    
Lutheran Medical Office Building III
  Wheat Ridge     CO                   7,266                   7,266       7,266       184       7,082       2004       2010     35 years
                                                                                                               
  6321    
Lutheran Medical Office Building IV
  Wheat Ridge     CO                   11,947                   11,947       11,947       265       11,682       1991       2010     35 years
                                                                                                               
  6390    
DePaul Professional Office Building
  Washington     DC                   6,533                   6,533       6,533       330       6,203       1987       2010     35 years
                                                                                                               
  6391    
Providence Medical Office Building
  Washington     DC                   2,556                   2,556       2,556       159       2,397       1975       2010     35 years
                                                                                                               
  6408    
301 W Hay Building
  Decatur     IL       433             640                   640       640       22       618       1980       2010     35 years
                                                                                                               
  6405    
304 W Hay Building
  Decatur     IL       5,882             8,702                   8,702       8,702       250       8,452       2002       2010     35 years
                                                                                                               
  6420    
575 W Hay Building
  Decatur     IL             111       739             111       739       850       20       830       1984       2010     35 years
                                                                                                               
  6411    
Corporate Health Services
  Decatur     IL       1,568       934       1,386             934       1,386       2,320       42       2,278       1996       2010     35 years
                                                                                                               
  6407    
ENTA
  Decatur     IL       777             1,150                   1,150       1,150       28       1,122       1996       2010     35 years
                                                                                                               
  6404    
Kenwood Medical Center
  Decatur     IL       2,635             3,898                   3,898       3,898       175       3,723       1996       2010     35 years
                                                                                                               
  6403    
Monroe Medical Center
  Decatur     IL       64             95                   95       95       7       88       1971       2010     35 years
                                                                                                               
  6402    
Physicians and Dental Building
  Decatur     IL       457             676                   676       676       32       644       1972       2010     35 years
                                                                                                               
  6400    
Physicians Plaza East
  Decatur     IL       627             927                   927       927       91       836       1976       2010     35 years
                                                                                                               
  6401    
Physicians Plaza West
  Decatur     IL       1,313             1,943                   1,943       1,943       118       1,825       1987       2010     35 years
                                                                                                               
  6412    
Rock Springs Medical
  Decatur     IL       604       399       495             399       495       894       16       878       1990       2010     35 years
                                                                                                               
  6410    
SIU Family Practice
  Decatur     IL       1,142             1,689                   1,689       1,689       123       1,566       1997       2010     35 years
                                                                                                               
  6409    
South Shore Medical Building
  Decatur     IL       697       902       129             902       129       1,031       14       1,017       1991       2010     35 years
                                                                                                               
  6406    
302 W Hay Building
  Decatur     IL       2,344             3,467                   3,467       3,467       144       3,323       1993       2010     35 years
                                                                                                               
  6301    
Ambulatory Services Building
  Anderson     IN                   4,266                   4,266       4,266       165       4,101       1995       2010     35 years
                                                                                                               
  6302    
St. John’s Medical Arts Building
  Anderson     IN                   2,281                   2,281       2,281       121       2,160       1973       2010     35 years
                                                                                                               
  6300    
Wilbur S. Roby Building
  Anderson     IN                   2,653                   2,653       2,653       115       2,538       1992       2010     35 years

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                                                            Life on
                                Gross Amount
                      Which
                    Initial Cost to
  Costs
  Carried at Close of
                      Depreciation
        Location       Company   Capitalized
  Period                       in Income
Property
          State /
          Buildings and
  Subsequent to
      Buildings and
      Accumulated
      Year of
  Year
  Statement
#   Property Name   City   Province   Encumbrances   Land   Improvements   Acquisition   Land   Improvements   Total   Depreciation   NBV   Construction   Acquired   is Computed
 
                                                                                                               
  6337    
Borgess Health & Fitness Center
  Kalamazoo     MI                   11,959                   11,959       11,959       289       11,670       1984       2010     35 years
                                                                                                               
  6333    
Borgess Navigation Center
  Kalamazoo     MI                   2,391                   2,391       2,391       59       2,332       1976       2010     35 years
                                                                                                               
  6334    
Borgess Visiting Nurses
  Kalamazoo     MI             90       2,328             90       2,328       2,418       74       2,344       1900       2010     35 years
                                                                                                               
  6360    
Heart Center Building
  Kalamazoo     MI                   8,420                   8,420       8,420       229       8,191       1980       2010     35 years
                                                                                                               
  6332    
Medical Commons Building
  Kalamazoo     MI                   661                   661       661       16       645       1979       2010     35 years
                                                                                                               
  6330    
Medical Specialties Building
  Kalamazoo     MI                   19,242                   19,242       19,242       484       18,758       1989       2010     35 years
                                                                                                               
  6331    
North Professional Building
  Kalamazoo     MI                   7,228                   7,228       7,228       193       7,035       1983       2010     35 years
                                                                                                               
  6336    
Pro Med Center Plainwell
  Kalamazoo     MI                   697                   697       697       18       679       1991       2010     35 years
                                                                                                               
  6335    
Pro Med Center Richland
  Richland     MI             233       2,267             233       2,267       2,500       65       2,435       1996       2010     35 years
                                                                                                               
  6350    
Penn State University Outpatient Center
  Hershey     PA       57,415             55,439                   55,439       55,439       1,000       54,439       2008       2010     35 years
                                                                                                               
  6340    
St. Joseph Medical Office Building
  Reading     PA                   10,823                   10,823       10,823       228       10,595       2006       2010     35 years
                                                                                                               
  6380    
Seton Williamson Medical Plaza
  Round Rock     TX                   15,370                   15,370       15,370       371       14,999       2008       2010     35 years
                                                                                                               
  6460    
Appleton Heart Institute
  Appleton     WI                   7,954                   7,954       7,954             7,954       2003       2010     35 years
                                                                                                               
  6462    
Appleton Medical Offices South
  Appleton     WI                   9,299                   9,299       9,299             9,299       1983       2010     35 years
                                                                                                               
  6461    
Appleton Medical Offices West
  Appleton     WI                   5,740                   5,740       5,740             5,740       1989       2010     35 years
                                                                                                               
  6464    
Aylward Medical Building Condo Floors 3 & 4
  Neenah     WI                   4,838                   4,838       4,838             4,838       2006       2010     35 years
                                                                                                               
  6463    
Theda Clark Medical Center Office Pavilion
  Neenah     WI                   7,137                   7,137       7,137             7,137       1993       2010     35 years
                                                                                                             
                                                                                                               
       
TOTAL FOR MEDICAL OFFICE BUILDINGS
                139,670       20,108       636,344       21,386       20,197       657,641       677,838       49,923       627,915                      
       
PERSONAL CARE FACILITIES
                                                                                                       
  3718,
19,
21-28
   
ResCare - Tangram - 8 sites
  San Marcos     TX             616       6,517             616       6,517       7,133       3,991       3,142       N/A       1998     20 years
                                                                                                             
                                                                                                               
       
TOTAL FOR PERSONAL CARE FACILITIES
                      616       6,517             616       6,517       7,133       3,991       3,142                      
                                                                                                             
                                                                                                               
       
TOTAL FOR ALL PROPERTIES
              $ 1,349,521     $ 558,775     $ 5,978,916     $ 63,195     $ 559,072     $ 6,041,814     $ 6,600,886     $ 1,368,219     $ 5,232,667                      
                                                                                                             
 

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ITEM 9.   Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
 
Not applicable.
 
ITEM 9A.   Controls and Procedures
 
Evaluation of Disclosure Controls and Procedures
 
As required by Rules 13a-15(b) and 15d-15(b) of the Exchange Act, our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures as of December 31, 2010. Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) were effective as of December 31, 2010, at the reasonable assurance level.
 
Internal Control over Financial Reporting
 
The information set forth under “Management Report on Internal Control over Financial Reporting” and “Report of Independent Registered Public Accounting Firm on Internal Control over Financial Reporting” included in Part II, Item 8 of this Annual Report on Form 10-K is incorporated by reference into this Item 9A.
 
Internal Control Changes
 
During the fourth quarter of 2010, there were no changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
 
ITEM 9B.   Other Information
 
Not applicable.
 
PART III
 
ITEM 10.   Directors, Executive Officers and Corporate Governance
 
The information required by this Item 10 is incorporated by reference to the material under the headings “Proposals Requiring Your Vote — Proposal 1: Election of Directors,” “Executive Officers,” “Corporate Governance — Governance Information” and “— Board and Committee Membership” and “Section 16(a) Beneficial Ownership Reporting Compliance” in our definitive Proxy Statement for the 2011 Annual Meeting of Stockholders, which we will file with the SEC not later than April 30, 2011.
 
ITEM 11.   Executive Compensation
 
The information required by this Item 11 is incorporated by reference to the material under the headings “Corporate Governance — Non-Employee Director Compensation,” “Executive Compensation” and “Corporate Governance — Board and Committee Membership” in our definitive Proxy Statement for the 2011 Annual Meeting of Stockholders, which we will file with the SEC not later than April 30, 2011.
 
ITEM 12.   Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
 
The information required by this Item 12 is incorporated by reference to the material under the headings “Equity Compensation Plan Information” and “Securities Ownership” in our definitive Proxy Statement for the 2011 Annual Meeting of Stockholders, which we will file with the SEC not later than April 30, 2011.


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ITEM 13.   Certain Relationships and Related Transactions, and Director Independence
 
The information required by this Item 13 is incorporated by reference to the material under the headings “Transactions with Related Persons” and “Corporate Governance — Governance Information” in our definitive Proxy Statement for the 2011 Annual Meeting of Stockholders, which we will file with the SEC not later than April 30, 2011.
 
ITEM 14.   Principal Accountant Fees and Services
 
The information required by this Item 14 is incorporated by reference to the material under the heading “Proposals Requiring Your Vote — Proposal 2: Ratification of the Selection of Ernst & Young as Our Independent Registered Public Accounting Firm for Fiscal Year 2011” in our definitive Proxy Statement for the 2011 Annual Meeting of Stockholders, which we will file with the SEC not later than April 30, 2011.
 
PART IV
 
ITEM 15.   Exhibits and Financial Statement Schedules
 
Financial Statements and Financial Statement Schedules
 
The following documents have been included in Part II, Item 8 of this Annual Report on Form 10-K:
 
     
    Page
 
  78
  80
  81
  82
  83
  84
Consolidated Financial Statement Schedule
   
  130
 
All other schedules have been omitted because they are inapplicable, not required or the information is included elsewhere in the Consolidated Financial Statements or notes thereto.


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Exhibits
 
             
Exhibit
       
Number   Description of Document   Location of Document
 
  2 .1   Merger Agreement dated as of October 21, 2010 by and among Ventas, Inc., Ventas SL I, LLC, Ventas SL II, LLC, Ventas SL III, LLC, Atria Holdings LLC, Lazard Senior Housing Partners LP, LSHP Coinvestment Partnership I LP, Atria Senior Living Group, Inc., One Lantern Senior Living Inc and LSHP Coinvestment Inc.   Incorporated by reference to Exhibit 2.1 to our Current Report on Form 8-K, filed on October 27, 2010.
  3 .1   Amended and Restated Certificate of Incorporation of Ventas, Inc., as amended.   Incorporated by reference to Exhibit 3.1 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2008.
  3 .2   Fourth Amended and Restated Bylaws of Ventas, Inc.   Incorporated by reference to Exhibit 3.1 to our Current Report on Form 8-K, filed on October 4, 2010.
  4 .1   Specimen common stock certificate.   Incorporated by reference to Exhibit 4.1 to our Annual Report on Form 10-K for the year ended December 31, 1998.
  4 .2   Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.   Incorporated by reference to the Prospectus included in our Registration Statement on Form S-3, filed on November 28, 2008, File No. 333-155770.
  4 .3   Registration Rights Agreement dated as of December 1, 2006 by and among Ventas, Inc. and Banc of America Securities LLC, J.P. Morgan Securities Inc. and Merrill Lynch, Pierce, Fenner & Smith Incorporated, as Initial Purchasers.   Incorporated by reference to Exhibit 4.2 to our Current Report on Form 8-K, filed on December 6, 2006.
  4 .4   Certain instruments with respect to long-term debt of Ventas, Inc. and its consolidated subsidiaries are not filed herewith pursuant to Item 601(b)(4)(iii) of Regulation S-K, since the total amount of securities authorized under each such instrument does not exceed 10% of the total assets of Ventas, Inc. and its subsidiaries on a consolidated basis. Ventas, Inc. agrees to furnish a copy of any such instrument to the SEC upon request.    
  10 .1.1   Second Amended and Restated Master Lease Agreement No. 1 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.   Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on May 3, 2007.
  10 .1.2   Second Amended and Restated Master Lease Agreement No. 2 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.   Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on May 3, 2007.


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Exhibit
       
Number   Description of Document   Location of Document
 
  10 .1.3   Second Amended and Restated Master Lease Agreement No. 3 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.   Incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K, filed on May 3, 2007.
  10 .1.4   Second Amended and Restated Master Lease Agreement No. 4 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.   Incorporated by reference to Exhibit 10.4 to our Current Report on Form 8-K, filed on May 3, 2007.
  10 .2.1   Form of Property Lease Agreement with respect to the Brookdale properties.   Incorporated by reference to Exhibit 10.13 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
  10 .2.2   Form of Lease Guaranty with respect to the Brookdale properties.   Incorporated by reference to Exhibit 10.16 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
  10 .2.3   Schedule of Agreements Substantially Identical in All Material Respects to the agreements incorporated by reference as Exhibits 10.2.1 and 10.2.2 to this Annual Report on Form 10-K, pursuant to Instruction 2 to Item 601 of Regulation S-K.   Incorporated by reference to Exhibit 10.3 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2005.
  10 .2.4.1   Agreement Regarding Leases dated as of October 19, 2004 by and between Brookdale Provident Properties LLC and PSLT-BLC Properties Holdings, LLC.   Incorporated by reference to Exhibit 10.14 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
  10 .2.4.2   Letter Agreement dated March 28, 2005 by and among Brookdale Provident Properties LLC, PSLT-BLC Properties Holdings, LLC and Ventas Provident, LLC (successor to Provident Senior Living Trust).   Incorporated by reference to Exhibit 10.19 to Amendment No. 4 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on April 11, 2005, File No. 333-120206.
  10 .2.4.3   Letter Agreement dated April 4, 2008 by and between Brookdale Provident Properties LLC and PSLT-BLC Properties Holdings, LLC.   Incorporated by reference to Exhibit 10.2.4.3 to our Annual Report on Form 10-K for the year ended December 31, 2009.
  10 .2.4.4   First Amendment to Agreement Regarding Leases dated as of February 11, 2009 by and between PSLT-BLC Properties Holdings, LLC, Brookdale Provident Properties LLC, Brookdale Provident Management LLC and Ventas Provident, LLC.   Incorporated by reference to Exhibit 10.2.4.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .2.4.5   Second Amendment to Agreement Regarding Leases dated as of March 2, 2009 by and between PSLT-BLC Properties Holdings, LLC and Brookdale Provident Properties LLC, et al.   Incorporated by reference to Exhibit 10.2.4.5 to our Annual Report on Form 10-K for the year ended December 31, 2009.
  10 .2.4.6   Third Amendment to Agreement Regarding Leases dated as of November 6, 2009 by and between PSLT-BLC Properties Holdings, LLC and Brookdale Provident Properties LLC, et al.   Incorporated by reference to Exhibit 10.2.4.6 to our Annual Report on Form 10-K for the year ended December 31, 2009.


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Exhibit
       
Number   Description of Document   Location of Document
 
  10 .2.5   Guaranty of Agreement Regarding Leases dated as of October 19, 2004 by Brookdale Living Communities, Inc. in favor of PSLT-BLC Properties Holdings, LLC.   Incorporated by reference to Exhibit 10.15 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
  10 .2.6   Guaranty dated as of February 11, 2009 by Brookdale Senior Living Inc., for the benefit of the landlords with respect to the Brookdale and Alterra properties, PSLT-BLC Properties Holdings, LLC and PSLT-ALS Properties Holdings, LLC.   Incorporated by reference to Exhibit 10.2.9 to our Annual Report on Form 10-K for the year ended December 31, 2009.
  10 .3.1   Credit and Guaranty Agreement dated as of April 26, 2006 among Ventas Realty, Limited Partnership, as borrower, Ventas, Inc. and the other guarantors named therein, as guarantors, Bank of America, N.A., as Administrative Agent, Issuing Bank and Swingline Lender, and the lenders identified therein.   Incorporated by reference to Exhibit 10.2 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2010.
  10 .3.2   Modification Agreement dated as of March 30, 2007 to Credit and Guaranty Agreement among Ventas Realty, Limited Partnership, the Guarantors and Lenders signatory thereto and Bank of America, N.A.   Incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2007.


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Exhibit
       
Number   Description of Document   Location of Document
 
  10 .3.3   First Amendment dated as of July 27, 2007 to Credit and Guaranty Agreement among Ventas Realty, Limited Partnership, the Guarantors and Lenders signatory thereto and Bank of America, N.A.   Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on August 1, 2007.
  10 .3.4   Second Amendment dated as of March 13, 2008 to Credit and Guaranty Agreement among Ventas Realty, Limited Partnership and the other Borrowers identified therein, the Guarantors and Lenders Signatory thereto and Bank of America, N.A.   Incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2008.
  10 .3.5   Third Amendment dated as of March 31, 2009 to Credit and Guaranty Agreement among Ventas Realty, Limited Partnership and the other Borrowers identified therein, the Guarantors and Lenders Signatory thereto and Bank of America, N.A.   Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on April 3, 2009.
  10 .3.6   Fourth Amendment dated as of October 12, 2010 to Credit and Guaranty Agreement among Ventas Realty, Limited Partnership and the other borrowers identified therein, the Guarantors named therein, Bank of America, N.A. and the lenders identified therein.   Incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2010.
  10 .4   Letter Agreement dated as of January 14, 2007 between Ventas, Inc. and Sunrise Senior Living, Inc.   Incorporated by reference to Exhibit 10.4 to our Annual Report on Form 10-K for the year ended December 31, 2006.
  10 .5.1   Agreement Regarding Leases dated as of November 7, 2006 by and between Senior Care Operations Holdings, LLC and Ventas Realty, Limited Partnership.   Incorporated by reference to Exhibit 10.9.1 to our Annual Report on Form 10-K for the year ended December 31, 2006.
  10 .5.2   Guaranty of Agreement Regarding Leases dated as of November 7, 2006 by Senior Care, Inc. in favor of Ventas Realty, Limited Partnership.   Incorporated by reference to Exhibit 10.3 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2010.
  10 .6*   Ventas, Inc. 2000 Incentive Compensation Plan, as amended.   Incorporated by reference to Exhibit 10.14.1 to our Annual Report on Form 10-K for the year ended December 31, 2004.
  10 .7*   Ventas, Inc. 2004 Stock Plan for Directors, as amended.   Incorporated by reference to Exhibit 10.16.1 to our Annual Report on Form 10-K for the year ended December 31, 2004.
  10 .8.1*   Ventas, Inc. 2006 Incentive Plan, as amended.   Incorporated by reference to Exhibit 10.10.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .8.2*   Form of Stock Option Agreement — 2006 Incentive Plan.   Incorporated by reference to Exhibit 10.15.2 to our Annual Report on Form 10-K for the year ended December 31, 2006.
  10 .8.3*   Form of Restricted Stock Agreement — 2006 Incentive Plan.   Incorporated by reference to Exhibit 10.15.3 to our Annual Report on Form 10-K for the year ended December 31, 2006.
  10 .9.1*   Ventas, Inc. 2006 Stock Plan for Directors, as amended.   Incorporated by reference to Exhibit 10.11.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.


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Exhibit
       
Number   Description of Document   Location of Document
 
  10 .9.2*   Form of Stock Option Agreement — 2006 Stock Plan for Directors.   Incorporated by reference to Exhibit 10.11.2 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .9.3*   Form of Restricted Stock Agreement — 2006 Stock Plan for Directors.   Incorporated by reference to Exhibit 10.11.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .9.4*   Form of Restricted Stock Unit Agreement — 2006 Stock Plan for Directors.   Incorporated by reference to Exhibit 10.11.4 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .10.1*   Ventas Executive Deferred Stock Compensation Plan, as amended.   Incorporated by reference to Exhibit 10.12.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .10.2*   Deferral Election Form under the Ventas Executive Deferred Stock Compensation Plan.   Incorporated by reference to Exhibit 10.12.2 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .11.1*   Ventas Nonemployee Directors’ Deferred Stock Compensation Plan, as amended.   Incorporated by reference to Exhibit 10.13.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .11.2*   Deferral Election Form under the Ventas Nonemployee Directors’ Deferred Stock Compensation Plan.   Incorporated by reference to Exhibit 10.13.2 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .12.1*   Amended and Restated Employment Agreement dated as of December 28, 2006 between Ventas, Inc. and Debra A. Cafaro.   Incorporated by reference to Exhibit 10.4 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2010.
  10 .12.2*   Amendment dated as of December 31, 2008 to Amended and Restated Employment Agreement between Ventas, Inc. and Debra A. Cafaro.   Incorporated by reference to Exhibit 10.14.2 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .13.1*   Employment Agreement dated as of July 31, 1998 between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.15.2.1 to our Annual Report on Form 10-K for the year ended December 31, 2002.
  10 .13.2*   Amendment dated as of September 30, 1999 to Employment Agreement between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.15.2.2 to our Annual Report on Form 10-K for the year ended December 31, 2002.
  10 .13.3*   Amendment dated as of March 19, 2007 to Employment Agreement between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on March 23, 2007.
  10 .13.4*   Amendment dated as of December 31, 2008 to Employment Agreement between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.15.4 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .13.5*   Change-in-Control Severance Agreement dated as of May 1, 1998 between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.15.2.3 to our Annual Report on Form 10-K for the year ended December 31, 2002.
  10 .13.6*   Amendment dated as of September 30, 1999 to Change-in-Control Severance Agreement between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.15.2.4 to our Annual Report on Form 10-K for the year ended December 31, 2002.


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Exhibit
       
Number   Description of Document   Location of Document
 
  10 .13.7*   Amendment dated as of March 19, 2007 to Change-in-Control Severance Agreement between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on March 23, 2007.
  10 .13.8*   Amendment dated as of December 31, 2008 to Change-in-Control Severance Agreement between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.15.8 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .14.1*   Amended and Restated Employment Agreement dated as of December 31, 2004 between Ventas, Inc. and Richard A. Schweinhart.   Incorporated by reference to Exhibit 10.4 to our Current Report on Form 8-K filed on January 6, 2005.
  10 .14.2*   Amendment dated as of March 19, 2007 to Amended and Restated Employment Agreement between Ventas, Inc. and Richard A. Schweinhart.   Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on March 23, 2007.
  10 .14.3*   Amendment dated as of December 31, 2008 to Amended and Restated Employment Agreement between Ventas, Inc. and Richard A. Schweinhart.   Incorporated by reference to Exhibit 10.16.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .15.1*   Employment Agreement dated as of September 18, 2002 between Ventas, Inc. and Raymond J. Lewis.   Incorporated by reference to Exhibit 10.3 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2002.
  10 .15.2*   Amendment dated as of March 19, 2007 to Employment Agreement between Ventas, Inc. and Raymond J. Lewis.   Incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K, filed on March 23, 2007.
  10 .15.3*   Amendment dated as of December 31, 2008 to Employment Agreement between Ventas, Inc. and Raymond J. Lewis.   Incorporated by reference to Exhibit 10.17.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .16*   Employment Agreement dated as of June 22, 2010 between Ventas, Inc. and Todd W. Lillibridge.   Incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2010.
  10 .17*   Ventas Employee and Director Stock Purchase Plan, as amended.   Incorporated by reference to Exhibit 10.18 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .18   First Amended and Restated Agreement of Limited Partnership of Ventas Realty, Limited Partnership.   Incorporated by reference to Exhibit 3.5 to our Registration Statement on Form S-4, as amended, File No. 333-89312.
  10 .19.1   Amended and Restated Agreement of Limited Partnership of PSLT OP, L.P.   Incorporated by reference to Exhibit 10.9 to Provident Senior Living Trust’s Registration Statement on Form S-11, as amended, File No. 333-120206.
  10 .19.2   Supplement to the Amended and Restated Agreement of Limited Partnership of PSLT OP, L.P., dated as of August 3, 2004.   Incorporated by reference to Exhibit 10.10 to Provident Senior Living Trust’s Registration Statement on Form S-11, as amended, File No. 333-120206.
  12     Statement Regarding Computation of Ratios of Earnings to Combined Fixed Charges and Preferred Stock Dividends.   Filed herewith.
  21     Subsidiaries of Ventas, Inc.   Filed herewith.


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Exhibit
       
Number   Description of Document   Location of Document
 
  23     Consent of Ernst & Young LLP.   Filed herewith.
  31 .1   Certification of Debra A. Cafaro, Chairman and Chief Executive Officer, pursuant to Rule 13a-14(a) under the Exchange Act.   Filed herewith.
  31 .2   Certification of Richard A. Schweinhart, Executive Vice President and Chief Financial Officer, pursuant to Rule 13a-14(a) under the Exchange Act.   Filed herewith.
  32 .1   Certification of Debra A. Cafaro, Chairman and Chief Executive Officer, pursuant to Rule 13a-14(b) under the Exchange Act and 18 U.S.C. 1350.   Filed herewith.
  32 .2   Certification of Richard A. Schweinhart, Executive Vice President and Chief Financial Officer, pursuant to Rule 13a-14(b) under the Exchange Act and 18 U.S.C. 1350.   Filed herewith.
  101     Interactive Data File.   To be filed by amendment within 30 days under Rule 405 of Regulation S-T.
 
 
* Management contract or compensatory plan or arrangement required to be filed as an exhibit pursuant to Item 15(c) of Form 10-K.


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SIGNATURES
 
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized.
 
Date: February 18, 2011
 
VENTAS, INC.
 
  By: 
/s/  DEBRA A. CAFARO
Debra A. Cafaro
Chairman and Chief Executive
Officer
 
Pursuant to the requirements of the Securities Exchange Act of 1934, this Report has been signed below by the following persons on behalf of the Registrant and in the capacities and on the dates indicated.
 
             
Signature   Title   Date
 
         
/s/  DEBRA A. CAFARO

Debra A. Cafaro
  Chairman and Chief Executive Officer (Principal Executive Officer)   February 18, 2011
         
/s/  RICHARD A. SCHWEINHART

Richard A. Schweinhart
  Executive Vice President and Chief Financial Officer
(Principal Financial Officer)
  February 18, 2011
         
/s/  ROBERT J. BREHL

Robert J. Brehl
  Chief Accounting Officer and Controller (Principal Accounting Officer)   February 18, 2011
         
/s/  DOUGLAS CROCKER II

Douglas Crocker II
  Director   February 18, 2011
         
/s/  RONALD G. GEARY

Ronald G. Geary
  Director   February 18, 2011
         
/s/  JAY M. GELLERT

Jay M. Gellert
  Director   February 18, 2011
         
/s/  ROBERT D. REED

Robert D. Reed
  Director   February 18, 2011
         
/s/  SHELI Z. ROSENBERG

Sheli Z. Rosenberg
  Director   February 18, 2011
         
/s/  GLENN J. RUFRANO

Glenn J. Rufrano
  Director   February 18, 2011
         
/s/  JAMES D. SHELTON

James D. Shelton
  Director   February 18, 2011
         
/s/  THOMAS C. THEOBALD

Thomas C. Theobald
  Director   February 18, 2011


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EXHIBIT INDEX
 
             
Exhibit
       
Number   Description of Document   Location of Document
 
  2 .1   Merger Agreement dated as of October 21, 2010 by and among Ventas, Inc., Ventas SL I, LLC, Ventas SL II, LLC, Ventas SL III, LLC, Atria Holdings LLC, Lazard Senior Housing Partners LP, LSHP Coinvestment Partnership I LP, Atria Senior Living Group, Inc., One Lantern Senior Living Inc and LSHP Coinvestment Inc.   Incorporated by reference to Exhibit 2.1 to our Current Report on Form 8-K, filed on October 27, 2010.
  3 .1   Amended and Restated Certificate of Incorporation of Ventas, Inc., as amended.   Incorporated by reference to Exhibit 3.1 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2008.
  3 .2   Fourth Amended and Restated Bylaws of Ventas, Inc.   Incorporated by reference to Exhibit 3.1 to our Current Report on Form 8-K, filed on October 4, 2010.
  4 .1   Specimen common stock certificate.   Incorporated by reference to Exhibit 4.1 to our Annual Report on Form 10-K for the year ended December 31, 1998.
  4 .2   Ventas, Inc. Distribution Reinvestment and Stock Purchase Plan.   Incorporated by reference to the Prospectus included in our Registration Statement on Form S-3, filed on November 28, 2008, File No. 333-155770.
  4 .3   Registration Rights Agreement dated as of December 1, 2006 by and among Ventas, Inc. and Banc of America Securities LLC, J.P. Morgan Securities Inc. and Merrill Lynch, Pierce, Fenner & Smith Incorporated, as Initial Purchasers.   Incorporated by reference to Exhibit 4.2 to our Current Report on Form 8-K, filed on December 6, 2006.
  4 .4   Certain instruments with respect to long-term debt of Ventas, Inc. and its consolidated subsidiaries are not filed herewith pursuant to Item 601(b)(4)(iii) of Regulation S-K, since the total amount of securities authorized under each such instrument does not exceed 10% of the total assets of Ventas, Inc. and its subsidiaries on a consolidated basis. Ventas, Inc. agrees to furnish a copy of any such instrument to the SEC upon request.    
  10 .1.1   Second Amended and Restated Master Lease Agreement No. 1 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.   Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on May 3, 2007.
  10 .1.2   Second Amended and Restated Master Lease Agreement No. 2 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.   Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on May 3, 2007.


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Exhibit
       
Number   Description of Document   Location of Document
 
  10 .1.3   Second Amended and Restated Master Lease Agreement No. 3 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.   Incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K, filed on May 3, 2007.
  10 .1.4   Second Amended and Restated Master Lease Agreement No. 4 dated as of April 27, 2007 for lease executed by Ventas Realty, Limited Partnership, as Lessor, and Kindred Healthcare, Inc. and Kindred Healthcare Operating, Inc., as Tenant.   Incorporated by reference to Exhibit 10.4 to our Current Report on Form 8-K, filed on May 3, 2007.
  10 .2.1   Form of Property Lease Agreement with respect to the Brookdale properties.   Incorporated by reference to Exhibit 10.13 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
  10 .2.2   Form of Lease Guaranty with respect to the Brookdale properties.   Incorporated by reference to Exhibit 10.16 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
  10 .2.3   Schedule of Agreements Substantially Identical in All Material Respects to the agreements incorporated by reference as Exhibits 10.2.1 and 10.2.2 to this Annual Report on Form 10-K, pursuant to Instruction 2 to Item 601 of Regulation S-K.   Incorporated by reference to Exhibit 10.3 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2005.
  10 .2.4.1   Agreement Regarding Leases dated as of October 19, 2004 by and between Brookdale Provident Properties LLC and PSLT-BLC Properties Holdings, LLC.   Incorporated by reference to Exhibit 10.14 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
  10 .2.4.2   Letter Agreement dated March 28, 2005 by and among Brookdale Provident Properties LLC, PSLT-BLC Properties Holdings, LLC and Ventas Provident, LLC (successor to Provident Senior Living Trust).   Incorporated by reference to Exhibit 10.19 to Amendment No. 4 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on April 11, 2005, File No. 333-120206.
  10 .2.4.3   Letter Agreement dated April 4, 2008 by and between Brookdale Provident Properties LLC and PSLT-BLC Properties Holdings, LLC.   Incorporated by reference to Exhibit 10.2.4.3 to our Annual Report on Form 10-K for the year ended December 31, 2009.
  10 .2.4.4   First Amendment to Agreement Regarding Leases dated as of February 11, 2009 by and between PSLT-BLC Properties Holdings, LLC, Brookdale Provident Properties LLC, Brookdale Provident Management LLC and Ventas Provident, LLC.   Incorporated by reference to Exhibit 10.2.4.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .2.4.5   Second Amendment to Agreement Regarding Leases dated as of March 2, 2009 by and between PSLT-BLC Properties Holdings, LLC and Brookdale Provident Properties LLC, et al.   Incorporated by reference to Exhibit 10.2.4.5 to our Annual Report on Form 10-K for the year ended December 31, 2009.


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Exhibit
       
Number   Description of Document   Location of Document
 
  10 .2.4.6   Third Amendment to Agreement Regarding Leases dated as of November 6, 2009 by and between PSLT-BLC Properties Holdings, LLC and Brookdale Provident Properties LLC, et al.   Incorporated by reference to Exhibit 10.2.4.6 to our Annual Report on Form 10-K for the year ended December 31, 2009.
  10 .2.5   Guaranty of Agreement Regarding Leases dated as of October 19, 2004 by Brookdale Living Communities, Inc. in favor of PSLT-BLC Properties Holdings, LLC.   Incorporated by reference to Exhibit 10.15 to Amendment No. 2 to Provident Senior Living Trust’s Registration Statement on Form S-11, filed on January 18, 2005, File No. 333-120206.
  10 .2.6   Guaranty dated as of February 11, 2009 by Brookdale Senior Living Inc., for the benefit of the landlords with respect to the Brookdale and Alterra properties, PSLT-BLC Properties Holdings, LLC and PSLT-ALS Properties Holdings, LLC.   Incorporated by reference to Exhibit 10.2.9 to our Annual Report on Form 10-K for the year ended December 31, 2009.
  10 .3.1   Credit and Guaranty Agreement dated as of April 26, 2006 among Ventas Realty, Limited Partnership, as borrower, Ventas, Inc. and the other guarantors named therein, as guarantors, Bank of America, N.A., as Administrative Agent, Issuing Bank and Swingline Lender, and the lenders identified therein.   Incorporated by reference to Exhibit 10.2 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2010.


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Exhibit
       
Number   Description of Document   Location of Document
 
  10 .3.2   Modification Agreement dated as of March 30, 2007 to Credit and Guaranty Agreement among Ventas Realty, Limited Partnership, the Guarantors and Lenders signatory thereto and Bank of America, N.A.   Incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2007.
  10 .3.3   First Amendment dated as of July 27, 2007 to Credit and Guaranty Agreement among Ventas Realty, Limited Partnership, the Guarantors and Lenders signatory thereto and Bank of America, N.A.   Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on August 1, 2007.
  10 .3.4   Second Amendment dated as of March 13, 2008 to Credit and Guaranty Agreement among Ventas Realty, Limited Partnership and the other Borrowers identified therein, the Guarantors and Lenders Signatory thereto and Bank of America, N.A.   Incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2008.
  10 .3.5   Third Amendment dated as of March 31, 2009 to Credit and Guaranty Agreement among Ventas Realty, Limited Partnership and the other Borrowers identified therein, the Guarantors and Lenders Signatory thereto and Bank of America, N.A.   Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on April 3, 2009.
  10 .3.6   Fourth Amendment dated as of October 12, 2010 to Credit and Guaranty Agreement among Ventas Realty, Limited Partnership and the other borrowers identified therein, the Guarantors named therein, Bank of America, N.A. and the lenders identified therein.   Incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2010.
  10 .4   Letter Agreement dated as of January 14, 2007 between Ventas, Inc. and Sunrise Senior Living, Inc.   Incorporated by reference to Exhibit 10.4 to our Annual Report on Form 10-K for the year ended December 31, 2006.
  10 .5.1   Agreement Regarding Leases dated as of November 7, 2006 by and between Senior Care Operations Holdings, LLC and Ventas Realty, Limited Partnership.   Incorporated by reference to Exhibit 10.9.1 to our Annual Report on Form 10-K for the year ended December 31, 2006.
  10 .5.2   Guaranty of Agreement Regarding Leases dated as of November 7, 2006 by Senior Care, Inc. in favor of Ventas Realty, Limited Partnership.   Incorporated by reference to Exhibit 10.3 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2010.
  10 .6*   Ventas, Inc. 2000 Incentive Compensation Plan, as amended.   Incorporated by reference to Exhibit 10.14.1 to our Annual Report on Form 10-K for the year ended December 31, 2004.
  10 .7*   Ventas, Inc. 2004 Stock Plan for Directors, as amended.   Incorporated by reference to Exhibit 10.16.1 to our Annual Report on Form 10-K for the year ended December 31, 2004.
  10 .8.1*   Ventas, Inc. 2006 Incentive Plan, as amended.   Incorporated by reference to Exhibit 10.10.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .8.2*   Form of Stock Option Agreement — 2006 Incentive Plan.   Incorporated by reference to Exhibit 10.15.2 to our Annual Report on Form 10-K for the year ended December 31, 2006.


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Table of Contents

             
Exhibit
       
Number   Description of Document   Location of Document
 
  10 .8.3*   Form of Restricted Stock Agreement — 2006 Incentive Plan.   Incorporated by reference to Exhibit 10.15.3 to our Annual Report on Form 10-K for the year ended December 31, 2006.
  10 .9.1*   Ventas, Inc. 2006 Stock Plan for Directors, as amended.   Incorporated by reference to Exhibit 10.11.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .9.2*   Form of Stock Option Agreement — 2006 Stock Plan for Directors.   Incorporated by reference to Exhibit 10.11.2 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .9.3*   Form of Restricted Stock Agreement — 2006 Stock Plan for Directors.   Incorporated by reference to Exhibit 10.11.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .9.4*   Form of Restricted Stock Unit Agreement — 2006 Stock Plan for Directors.   Incorporated by reference to Exhibit 10.11.4 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .10.1*   Ventas Executive Deferred Stock Compensation Plan, as amended.   Incorporated by reference to Exhibit 10.12.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .10.2*   Deferral Election Form under the Ventas Executive Deferred Stock Compensation Plan.   Incorporated by reference to Exhibit 10.12.2 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .11.1*   Ventas Nonemployee Directors’ Deferred Stock Compensation Plan, as amended.   Incorporated by reference to Exhibit 10.13.1 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .11.2*   Deferral Election Form under the Ventas Nonemployee Directors’ Deferred Stock Compensation Plan.   Incorporated by reference to Exhibit 10.13.2 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .12.1*   Amended and Restated Employment Agreement dated as of December 28, 2006 between Ventas, Inc. and Debra A. Cafaro.   Incorporated by reference to Exhibit 10.4 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2010.
  10 .12.2*   Amendment dated as of December 31, 2008 to Amended and Restated Employment Agreement between Ventas, Inc. and Debra A. Cafaro.   Incorporated by reference to Exhibit 10.14.2 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .13.1*   Employment Agreement dated as of July 31, 1998 between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.15.2.1 to our Annual Report on Form 10-K for the year ended December 31, 2002.
  10 .13.2*   Amendment dated as of September 30, 1999 to Employment Agreement between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.15.2.2 to our Annual Report on Form 10-K for the year ended December 31, 2002.
  10 .13.3*   Amendment dated as of March 19, 2007 to Employment Agreement between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on March 23, 2007.
  10 .13.4*   Amendment dated as of December 31, 2008 to Employment Agreement between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.15.4 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .13.5*   Change-in-Control Severance Agreement dated as of May 1, 1998 between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.15.2.3 to our Annual Report on Form 10-K for the year ended December 31, 2002.


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Exhibit
       
Number   Description of Document   Location of Document
 
  10 .13.6*   Amendment dated as of September 30, 1999 to Change-in-Control Severance Agreement between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.15.2.4 to our Annual Report on Form 10-K for the year ended December 31, 2002.
  10 .13.7*   Amendment dated as of March 19, 2007 to Change-in-Control Severance Agreement between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.1 to our Current Report on Form 8-K, filed on March 23, 2007.
  10 .13.8*   Amendment dated as of December 31, 2008 to Change-in-Control Severance Agreement between Ventas, Inc. and T. Richard Riney.   Incorporated by reference to Exhibit 10.15.8 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .14.1*   Amended and Restated Employment Agreement dated as of December 31, 2004 between Ventas, Inc. and Richard A. Schweinhart.   Incorporated by reference to Exhibit 10.4 to our Current Report on Form 8-K filed on January 6, 2005.
  10 .14.2*   Amendment dated as of March 19, 2007 to Amended and Restated Employment Agreement between Ventas, Inc. and Richard A. Schweinhart.   Incorporated by reference to Exhibit 10.2 to our Current Report on Form 8-K, filed on March 23, 2007.
  10 .14.3*   Amendment dated as of December 31, 2008 to Amended and Restated Employment Agreement between Ventas, Inc. and Richard A. Schweinhart.   Incorporated by reference to Exhibit 10.16.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .15.1*   Employment Agreement dated as of September 18, 2002 between Ventas, Inc. and Raymond J. Lewis.   Incorporated by reference to Exhibit 10.3 to our Quarterly Report on Form 10-Q for the quarter ended September 30, 2002.
  10 .15.2*   Amendment dated as of March 19, 2007 to Employment Agreement between Ventas, Inc. and Raymond J. Lewis.   Incorporated by reference to Exhibit 10.3 to our Current Report on Form 8-K, filed on March 23, 2007.
  10 .15.3*   Amendment dated as of December 31, 2008 to Employment Agreement between Ventas, Inc. and Raymond J. Lewis.   Incorporated by reference to Exhibit 10.17.3 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .16*   Employment Agreement dated as of June 22, 2010 between Ventas, Inc. and Todd W. Lillibridge.   Incorporated by reference to Exhibit 10.1 to our Quarterly Report on Form 10-Q for the quarter ended June 30, 2010.
  10 .17*   Ventas Employee and Director Stock Purchase Plan, as amended.   Incorporated by reference to Exhibit 10.18 to our Annual Report on Form 10-K for the year ended December 31, 2008.
  10 .18   First Amended and Restated Agreement of Limited Partnership of Ventas Realty, Limited Partnership.   Incorporated by reference to Exhibit 3.5 to our Registration Statement on Form S-4, as amended, File No. 333-89312.
  10 .19.1   Amended and Restated Agreement of Limited Partnership of PSLT OP, L.P.   Incorporated by reference to Exhibit 10.9 to Provident Senior Living Trust’s Registration Statement on Form S-11, as amended, File No. 333-120206.
  10 .19.2   Supplement to the Amended and Restated Agreement of Limited Partnership of PSLT OP, L.P., dated as of August 3, 2004.   Incorporated by reference to Exhibit 10.10 to Provident Senior Living Trust’s Registration Statement on Form S-11, as amended, File No. 333-120206.
  12     Statement Regarding Computation of Ratios of Earnings to Combined Fixed Charges and Preferred Stock Dividends.   Filed herewith.
  21     Subsidiaries of Ventas, Inc.   Filed herewith.


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Exhibit
       
Number   Description of Document   Location of Document
 
  23     Consent of Ernst & Young LLP.   Filed herewith.
  31 .1   Certification of Debra A. Cafaro, Chairman and Chief Executive Officer, pursuant to Rule 13a-14(a) under the Exchange Act.   Filed herewith.
  31 .2   Certification of Richard A. Schweinhart, Executive Vice President and Chief Financial Officer, pursuant to Rule 13a-14(a) under the Exchange Act.   Filed herewith.
  32 .1   Certification of Debra A. Cafaro, Chairman and Chief Executive Officer, pursuant to Rule 13a-14(b) under the Exchange Act and 18 U.S.C. 1350.   Filed herewith.
  32 .2   Certification of Richard A. Schweinhart, Executive Vice President and Chief Financial Officer, pursuant to Rule 13a-14(b) under the Exchange Act and 18 U.S.C. 1350.   Filed herewith.
  101     Interactive Data File.   To be filed by amendment within 30 days under Rule 405 of Regulation S-T.
 
 
* Management contract or compensatory plan or arrangement required to be filed as an exhibit pursuant to Item 15(c) of Form 10-K.


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