Ventas
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Ventas, Inc. is a real estate investment trust specializing in the ownership and management of health care facilities in the United States, Canada and the United Kingdom.

Ventas - 10-Q quarterly report FY2010 Q2


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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
FORM 10-Q
 
(Mark One)
   
þ  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
FOR THE QUARTERLY PERIOD ENDED JUNE 30, 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) (I.R.S. Employer Identification No.)
111 S. Wacker Drive, Suite 4800
Chicago, Illinois
(Address of Principal Executive Offices)
60606
(Zip Code)
(877) 483-6827
(Registrant’s Telephone Number, Including Area Code)
Not Applicable
(Former Name, Former Address and Former Fiscal Year, if Changed Since Last Report)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the 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 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.
       
Large accelerated filer þ Accelerated filer o Non-accelerated filer o Smaller reporting company o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o No þ
Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.
   
Class of Common Stock: Outstanding at July 26, 2010:
   
Common Stock, $0.25 par value 157,080,577
 
 

 

 


 


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PART I—FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
VENTAS, INC.
CONSOLIDATED BALANCE SHEETS
(In thousands, except per share amounts)
         
  June 30,  December 31, 
  2010  2009 
  (Unaudited)  (Audited) 
Assets
        
Real estate investments:
        
Land
 $556,469  $557,276 
Buildings and improvements
  5,732,421   5,722,837 
Construction in progress
  3,788   12,508 
 
      
 
  6,292,678   6,292,621 
Accumulated depreciation
  (1,274,088)  (1,177,911)
 
      
Net real estate property
  5,018,590   5,114,710 
Loans receivable, net
  140,870   131,887 
 
      
Net real estate investments
  5,159,460   5,246,597 
 
 
Cash and cash equivalents
  27,794   107,397 
Escrow deposits and restricted cash
  43,484   39,832 
Deferred financing costs, net
  24,891   29,252 
Other
  206,488   193,167 
 
      
Total assets
 $5,462,117  $5,616,245 
 
      
 
        
Liabilities and equity
        
Liabilities:
        
Senior notes payable and other debt
 $2,580,849  $2,670,101 
Accrued interest
  16,682   17,974 
Accounts payable and other liabilities
  181,343   190,445 
Deferred income taxes
  251,829   253,665 
 
      
Total liabilities
  3,030,703   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; 156,872 and 156,627 shares issued at June 30, 2010 and December 31, 2009, respectively
  39,343   39,160 
Capital in excess of par value
  2,583,412   2,573,039 
Accumulated other comprehensive income
  16,506   19,669 
Retained earnings (deficit)
  (222,853)  (165,710)
Treasury stock, 0 and 15 shares at June 30, 2010 and December 31, 2009, respectively
     (647)
 
      
Total Ventas stockholders’ equity
  2,416,408   2,465,511 
Noncontrolling interest
  15,006   18,549 
 
      
Total equity
  2,431,414   2,484,060 
 
      
Total liabilities and equity
 $5,462,117  $5,616,245 
 
      
See accompanying notes.

 

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VENTAS, INC.
CONSOLIDATED STATEMENTS OF INCOME
(Unaudited)
(In thousands, except per share amounts)
                 
  For the Three Months  For the Six Months 
  Ended June 30,  Ended June 30, 
  2010  2009  2010  2009 
Revenues:
                
Rental income
 $130,284  $124,612  $259,463  $247,010 
Resident fees and services
  109,867   103,399   218,353   206,338 
Income from loans and investments
  3,705   3,333   7,322   6,614 
Interest and other income
  122   108   385   394 
 
            
Total revenues
  243,978   231,452   485,523   460,356 
 
                
Expenses:
                
Interest
  44,045   43,994   88,345   89,924 
Depreciation and amortization
  50,185   48,643   102,661   98,141 
Property-level operating expenses
  75,183   72,564   154,062   148,032 
General, administrative and professional fees (including non-cash stock-based compensation expense of $3,057 and $3,078 for the three months ended 2010 and 2009, respectively, and $6,089 and $6,137 for the six months ended 2010 and 2009, respectively)
  9,858   10,355   20,541   20,953 
Foreign currency loss (gain)
  121   5   15   (1)
Loss on extinguishment of debt
  6,549   5,975   6,549   6,080 
Merger-related expenses and deal costs
  4,207   3,502   6,526   5,556 
 
            
Total expenses
  190,148   185,038   378,699   368,685 
 
            
Income before income taxes, discontinued operations and noncontrolling interest
  53,830   46,414   106,824   91,671 
Income tax (expense) benefit
  (409)  395   (695)  942 
 
            
Income from continuing operations
  53,421   46,809   106,129   92,613 
Discontinued operations
  5,544   42,374   6,004   71,539 
 
            
Net income
  58,965   89,183   112,133   164,152 
Net income attributable to noncontrolling interest (net of tax of $559 and $541 for the three months ended 2010 and 2009, respectively, and $978 and $931 for the six months ended 2010 and 2009, respectively)
  898   802   1,447   1,543 
 
            
Net income attributable to common stockholders
 $58,067  $88,381  $110,686  $162,609 
 
            
 
                
Earnings per common share:
                
Basic:
                
Income from continuing operations attributable to common stockholders
 $0.33  $0.30  $0.67  $0.61 
Discontinued operations
  0.04   0.27   0.04   0.48 
 
            
Net income attributable to common stockholders
 $0.37  $0.57  $0.71  $1.09 
 
            
Diluted:
                
Income from continuing operations attributable to common stockholders
 $0.33  $0.30  $0.66  $0.61 
Discontinued operations
  0.04   0.27   0.04   0.48 
 
            
Net income attributable to common stockholders
 $0.37  $0.57  $0.70  $1.09 
 
            
 
                
Weighted average shares used in computing earnings per common share:
                
Basic
  156,611   154,441   156,533   148,798 
Diluted
  157,441   154,510   157,206   148,859 
 
                
Dividends declared per common share
 $0.535  $0.5125  $1.07  $1.025 
See accompanying notes.

 

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VENTAS, INC.
CONSOLIDATED STATEMENTS OF EQUITY
For the Six Months Ended June 30, 2010 and the Year Ended December 31, 2009
(In thousands, except per share amounts)
                                 
          Accumulated                 
  Common  Capital in  Other  Retained      Total Ventas       
  Stock Par  Excess of  Comprehensive  Earnings  Treasury  Stockholders’  Noncontrolling  Total 
  Value  Par Value  Income (Loss)  (Deficit)  Stock  Equity  Interest  Equity 
Balance at January 1, 2009
 $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
           110,686      110,686   1,447   112,133 
Foreign currency translation
        (2,150)        (2,150)     (2,150)
Unrealized loss on marketable debt securities
        (869)        (869)     (869)
Other
        (144)        (144)     (144)
 
                             
 
                                
Comprehensive income
                 107,523   1,447   108,970 
 
                                
Net change in noncontrolling interest
     2,246            2,246   (4,990)  (2,744)
Dividends to common stockholders — $1.07 per share
           (167,829)     (167,829)     (167,829)
Issuance of common stock for stock plans
  149   7,155         2,455   9,759      9,759 
Grant of restricted stock, net of forfeitures
  34   972         (1,808)  (802)     (802)
 
                        
 
                                
Balance at June 30, 2010
 $39,343  $2,583,412  $16,506  $(222,853) $  $2,416,408  $15,006  $2,431,414 
 
                        
See accompanying notes.

 

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VENTAS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In thousands)
         
  For the Six Months Ended June 30, 
  2010  2009 
Cash flows from operating activities:
        
Net income
 $112,133  $164,152 
Adjustments to reconcile net income to net cash provided by operating activities:
        
Depreciation and amortization (including amounts in discontinued operations)
  102,722   98,815 
Amortization of deferred revenue and lease intangibles, net
  (2,943)  (3,587)
Other amortization expenses
  4,367   2,374 
Stock-based compensation
  6,089   6,137 
Straight-lining of rental income
  (4,975)  (5,990)
Loss on extinguishment of debt
  6,549   6,080 
Net gain on sale of real estate assets
  (5,225)  (66,891)
Income tax expense (benefit)
  695   (942)
Other
  (238)  (12)
Changes in operating assets and liabilities:
        
(Increase) decrease in other assets
  (5,174)  1,426 
Decrease in accrued interest
  (1,292)  (4,979)
Decrease in accounts payable and other liabilities
  (4,991)  (1,441)
 
      
Net cash provided by operating activities
  207,717   195,142 
Cash flows from investing activities:
        
Net investment in real estate property
  (22,915)  (19,358)
Investment in loans receivable
  (15,796)  (7,373)
Proceeds from real estate disposals
  23,029   56,614 
Proceeds from loans receivable
  1,323   7,701 
Capital expenditures
  (7,078)  (4,028)
 
      
Net cash (used in) provided by investing activities
  (21,437)  33,556 
Cash flows from financing activities:
        
Net change in borrowings under revolving credit facilities
  117,280   (289,928)
Proceeds from debt
  696   301,115 
Repayment of debt
  (215,171)  (503,016)
Payment of deferred financing costs
  (1,840)  (13,422)
Issuance of common stock, net
     299,201 
Cash distribution to common stockholders
  (167,829)  (153,815)
Contributions from noncontrolling interest
  633   306 
Distributions to noncontrolling interest
  (4,277)  (5,024)
Other
  4,673   5,457 
 
      
Net cash used in financing activities
  (265,835)  (359,126)
 
      
Net decrease in cash and cash equivalents
  (79,555)  (130,428)
Effect of foreign currency translation on cash and cash equivalents
  (48)  139 
Cash and cash equivalents at beginning of period
  107,397   176,812 
 
      
Cash and cash equivalents at end of period
 $27,794  $46,523 
 
      
 
        
Supplemental schedule of non-cash activities:
        
Assets and liabilities assumed from acquisitions:
        
Real estate investments
 $496  $8,307 
Utilization of escrow funds held for an Internal Revenue Code Section 1031 exchange
     (9,295)
Other assets acquired
  (355)  82 
Other liabilities
  141   (1,886)
Noncontrolling interest
     980 
Debt transferred on the sale of assets
     38,759 
See accompanying notes.

 

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
NOTE 1 — DESCRIPTION OF BUSINESS
Ventas, Inc. (together with its subsidiaries, unless otherwise indicated or except where the context otherwise requires, “we,” “us” or “our”) is a real estate investment trust (“REIT”) with a geographically diverse portfolio of seniors housing and healthcare properties in the United States and Canada. As of June 30, 2010, this portfolio consisted of 503 assets: 242 seniors housing communities, 187 skilled nursing facilities, 40 hospitals and 34 medical office buildings (“MOBs”) and other properties in 43 states and two Canadian provinces. With the exception of our seniors housing communities that are managed by independent third parties, such as Sunrise Senior Living, Inc. (together with its subsidiaries, “Sunrise”), pursuant to long-term management agreements and the majority of our MOBs, we lease our properties to healthcare operating companies under “triple-net” or “absolute-net” leases, which require the tenants to pay all property-related expenses. We also had real estate loan investments relating to seniors housing and healthcare companies or properties as of June 30, 2010.
We conduct substantially all of our business through our wholly owned subsidiaries, Ventas Realty, Limited Partnership (“Ventas Realty”), PSLT OP, L.P. and Ventas SSL, Inc. Our primary business consists of acquiring, financing and owning seniors housing and healthcare properties and leasing those properties to third parties or operating those properties through independent third party managers.
NOTE 2 — ACCOUNTING POLICIES
The accompanying Consolidated Financial Statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial information set forth in the Accounting Standards Codification (“ASC”), as published by the Financial Accounting Standards Board (“FASB”), and with the Securities and Exchange Commission (“SEC”) instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair statement of results for the interim period have been included. Operating results for the three and six months ended June 30, 2010 are not necessarily an indication of the results that may be expected for the year ending December 31, 2010. The accompanying Consolidated Financial Statements and related notes should be read in conjunction with the consolidated financial statements and notes thereto included in our Current Report on Form 8-K filed with the SEC on May 3, 2010. Certain prior period amounts have been reclassified to conform to the current period presentation.
Revenue Recognition
Certain of our leases, including the majority of our leases with Brookdale Senior Living Inc. (together with its subsidiaries, “Brookdale Senior Living”), provide for periodic and determinable increases in base rent. Base rental revenues under these leases are recognized on a straight-line basis over the terms of the applicable lease. Income on our straight-line revenue is recognized when collectibility is reasonably assured, and in the event we determine that collectibility of straight-line revenue is not reasonably assured, we establish an allowance for estimated losses. Recognizing rental income on a straight-line basis results in recognized revenue exceeding cash amounts contractually due from our tenants during the first half of the term for leases that have straight-line treatment. The cumulative excess is included in other assets, net of allowances, on our Consolidated Balance Sheets and totaled $82.4 million and $78.4 million at June 30, 2010 and December 31, 2009, respectively.
Our master lease agreements with Kindred Healthcare, Inc. (together with its subsidiaries, “Kindred”) (the “Kindred Master Leases”) and certain of our other leases provide for an annual increase in rental payments only if certain revenue parameters or other substantive contingencies are met. We recognize the increased rental revenue under these leases only if the revenue parameters or other substantive contingencies are met, rather than on a straight-line basis over the term of the applicable lease.
We recognize income from rent, lease termination fees and all other income when all of the following criteria are met in accordance with SEC Staff Accounting Bulletin 104: (i) the agreement has been fully executed and delivered; (ii) services have been rendered; (iii) the amount is fixed or determinable; and (iv) collectibility is reasonably assured.
We recognize resident fees and services, other than move-in fees, monthly as services are provided. Move-in fees, a component of resident fees and services, are recognized on a straight-line basis over the term of the applicable lease agreement. Lease agreements with residents generally have a term of one year and are cancelable by the resident with 30 days’ notice.

 

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Fair Values of Financial Instruments
The following methods and assumptions were used 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 would be made to borrowers with similar credit ratings and for the same remaining maturities.
  Marketable debt securities: The fair value of marketable debt securities is estimated using quoted prices in active markets for identical assets or liabilities that we have the ability to access.
  Senior notes payable and other debt: The fair values of borrowings are estimated by discounting the future cash flows using current interest rates at which similar borrowings could be made by us.
Recently Issued or Adopted Accounting Standards
On January 1, 2010, we adopted Accounting Standards Update (“ASU”) No. 2009-17, Consolidation (Topic 810): Improvements to Financial Reporting by Enterprises Involved with Variable Interest Entities. ASU No. 2009-17 requires an enterprise to analyze whether its variable interest gives it a controlling financial interest in a variable interest entity (“VIE”). This analysis identifies the primary beneficiary of a VIE as the enterprise that has both of the following characteristics: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance; and (ii) the obligation to absorb losses or receive benefits of the VIE that could potentially be significant to the entity. ASU No. 2009-17 requires an enterprise to perform this analysis on an ongoing basis and requires additional disclosures about an enterprise’s involvement in VIEs. The adoption of ASU No. 2009-17 did not impact our Consolidated Financial Statements.
On January 1, 2010, we adopted ASU No. 2010-02, Consolidation (Topic 810): Accounting and Reporting for Decreases in Ownership of a Subsidiary—a Scope Clarification. ASU No. 2010-02 provides additional clarification regarding decrease-in-ownership provisions and expands the disclosures required upon deconsolidation of a subsidiary. The adoption of ASU 2010-02 did not impact our Consolidated Financial Statements.
On January 1, 2010, we adopted ASU No. 2010-06, Fair Value Measurements and Disclosures (Topic 820): Improving Disclosures about Fair Value Measurements. ASU No. 2010-06 adds new requirements for disclosures about transfers into and out of Levels 1 and 2 and separate disclosures about purchases, sales, issuances and settlements relating to Level 3 measurements. ASU No. 2010-06 is partially effective for periods beginning after December 15, 2009; requirements related to additional Level 3 disclosures will be effective for fiscal years beginning after December 15, 2010. The adoption of ASU No. 2010-06 did not impact our Consolidated Financial Statements.
In February 2010, the FASB issued ASU No. 2010-09, Subsequent Events (Topic 855): Amendments to Certain Recognition and Disclosure Requirements. ASU No. 2010-09 includes, among other things, an exemption for SEC filers from the requirement to disclose the date through which subsequent events have been evaluated. We adopted ASU No. 2010-09 during the first quarter of 2010 and will no longer include the date through which subsequent events have been evaluated in our notes to Consolidated Financial Statements.
NOTE 3 — CONCENTRATION OF CREDIT RISK
As of June 30, 2010, approximately 38.9%, 21.5% and 14.1% of our properties, based on the gross book value of real estate investments (including assets held for sale), were managed or operated by Sunrise, Brookdale Senior Living (whose subsidiaries include Brookdale Living Communities, Inc. (“Brookdale”) and Alterra Healthcare Corporation (“Alterra”)) and Kindred, respectively. Seniors housing communities and skilled nursing facilities constituted approximately 73.9% and 12.6%, respectively, of our portfolio, based on the gross book value of real estate investments (including assets held for sale), as of June 30, 2010, with the remaining properties consisting of hospitals, MOBs and other healthcare assets. As of June 30, 2010, our properties were located in 43 states and two Canadian provinces, with properties in two states each accounting for 10% or more of total revenues during the six months then ended.

 

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Approximately 25.2% and 26.8% of our total revenues and 37.0% and 38.8% of our total net operating income (“NOI,” which is defined as total revenues, less interest and other income and property-level operating expenses) (including amounts in discontinued operations) for the six months ended June 30, 2010 and 2009, respectively, were derived from our four Kindred Master Leases. Approximately 12.5% and 13.0% of our total revenues and 18.3% and 19.2% of our total NOI (including amounts in discontinued operations) for the six months ended June 30, 2010 and 2009, respectively, were derived from our lease agreements with Brookdale Senior Living. Each of the Kindred Master Leases and our leases with Brookdale Senior Living is a triple-net lease pursuant to which the tenant is required to pay all insurance, taxes, utilities and maintenance and repairs related to the properties. In addition, the tenants are required to comply with the terms of the mortgage financing documents, if any, affecting the properties.
In view of the fact that Kindred and Brookdale Senior Living lease a substantial portion of our triple-net leased properties and are each a significant source of our revenues and operating income, their financial condition and ability and willingness to satisfy their obligations under their respective leases and other agreements with us, as well as their willingness to renew those leases upon expiration of the terms thereof, have a considerable impact on our results of operations and our ability to service our indebtedness and to make distributions to our stockholders. We cannot assure you that Kindred or Brookdale Senior Living will have sufficient assets, income and access to financing to enable it to satisfy its obligations under its respective leases and other agreements with us, and any inability or unwillingness on its part to do so would have a material adverse effect on our business, financial condition, results of operations and liquidity, our ability to service our indebtedness and our ability to make distributions to our stockholders, as required for us to continue to qualify as a REIT (a “Material Adverse Effect”). We also cannot assure you that Kindred or Brookdale Senior Living will elect to renew its respective leases with us upon expiration of the initial base terms or any renewal terms thereof.
We are party to long-term management agreements with Sunrise pursuant to which Sunrise currently provides comprehensive accounting and property management services with respect to 79 of our seniors housing communities. Each management agreement has a term of 30 years from its effective date, the earliest of which began in 2004. Approximately 44.7% and 44.2% of our total revenues and 22.1% and 20.3% of our total earnings before interest, taxes, depreciation and amortization (including non-cash stock-based compensation), excluding merger-related expenses and deal costs and gains and losses on real estate disposals (“Adjusted EBITDA”) (including amounts in discontinued operations) for the six months ended June 30, 2010 and 2009, respectively, were attributable to senior living operations managed by Sunrise.
Unlike Kindred and Brookdale Senior Living, Sunrise does not lease properties from us, but rather acts as a property manager for all of our senior living operations. Therefore, while we are not directly exposed to credit risk with Sunrise, Sunrise’s inability to efficiently and effectively manage our properties and to provide timely and accurate accounting information with respect thereto could have a Material Adverse Effect on us. Although we have various rights as owner under the Sunrise management agreements, we rely on Sunrise’s personnel, good faith, expertise, historical performance, technical resources and information systems, proprietary information and judgment to manage our seniors housing communities efficiently and effectively. We also rely on Sunrise to set resident fees and otherwise operate those properties pursuant to our management agreements. Any adverse developments in Sunrise’s business and affairs or financial condition, including without limitation, the acceleration of its indebtedness, the inability to renew or extend its revolving credit facility, the enforcement of default remedies by its counterparties, or the commencement of insolvency proceedings under the U.S. Bankruptcy Code by or against Sunrise could have a Material Adverse Effect on us.
Each of Kindred, Brookdale Senior Living and Sunrise is subject to the reporting requirements of the 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 Quarterly Report on Form 10-Q 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 — DISPOSITIONS
We present separately, as discontinued operations, in all periods presented the results of operations for all long-lived assets disposed of or held for sale.

 

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2010 Dispositions and Assets Held for Sale
In June 2010, we sold four seniors housing communities for approximately $22.5 million, including a lease termination fee of $0.2 million. We recognized a gain from the sale of these assets of $4.9 million during the second quarter of 2010. The operations for these assets have been reported as discontinued operations for the three and six months ended June 30, 2010 and 2009.
During the first quarter of 2010, we classified the operations of one seniors housing community as held for sale. The net book value of this asset, $2.5 million, is reflected as held for sale as of June 30, 2010 and is included in other assets on our Consolidated Balance Sheets. The operations for this asset have been reported as discontinued operations for the three and six months ended June 30, 2010 and 2009. We expect to complete the sale of this asset and record a gain from the sale of approximately $0.1 million during the third quarter of 2010.
In February 2010, we sold one seniors housing community for approximately $2.5 million. We recognized a gain from the sale of this asset of $0.1 million during the first quarter of 2010. The operations for this asset have been reported as discontinued operations for all periods presented.
2009 Dispositions
In June 2009, we sold six skilled nursing facilities to Kindred for total consideration of $58.0 million, consisting of a $55.7 million aggregate sale price and a $2.3 million lease termination fee. The proceeds from the sale were held in an Internal Revenue Code Section 1031 exchange escrow account with a qualified intermediary and used for our acquisition of three MOBs in December 2009. Cash rent for these assets for the May 1, 2008 to April 30, 2009 lease year was approximately $5.6 million. We recognized a net gain from the sale of these assets of $38.9 million in the second quarter of 2009.
During 2009, we also sold five seniors housing communities, one hospital, one MOB and one other property to the existing tenants for an aggregate sale price of $96.2 million and transferred related debt of $38.8 million. We recognized a net gain from the sales of these assets of $27.5 million in 2009.
Set forth below is a summary of the results of operations for the three- and six-month periods ended June 30, 2010 and 2009 with respect to the properties sold or held for sale during the six months ended June 30, 2010 and the year ended December 31, 2009:
                 
  For the Three Months  For the Six Months 
  Ended June 30,  Ended June 30, 
  2010  2009  2010  2009 
      (In thousands)     
 
 
Revenues:
                
Rental income
 $405  $1,972  $901  $4,432 
Interest and other income
  225   2,300   225   2,423 
 
            
 
  630   4,272   1,126   6,855 
 
                
Expenses:
                
Interest
  127   652   286   1,531 
Depreciation and amortization
     266   61   676 
 
            
 
  127   918   347   2,207 
 
            
 
                
Income before gain on sale of real estate assets
  503   3,354   779   4,648 
Gain on sale of real estate assets
  5,041   39,020   5,225   66,891 
 
            
 
                
Discontinued operations
 $5,544  $42,374  $6,004  $71,539 
 
            

 

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NOTE 5 — INTANGIBLES
The following is a summary of our intangibles as of June 30, 2010 and December 31, 2009:
         
  June 30,  December 31, 
  2010  2009 
  (Dollars in thousands) 
 
        
Intangible Assets:
        
Above market resident leases
 $9,370  $10,525 
In-place resident leases
  96,097   96,274 
Other intangibles
  3,326   2,522 
Accumulated amortization
  (93,582)  (92,636)
       
Net Intangible Assets
 $15,211  $16,685 
       
 
        
Remaining weighted average amortization period of lease-related intangibles in years
  7.5   8.0 
 
        
Intangible Liabilities:
        
Below market resident leases
 $15,166  $15,143 
Accumulated amortization
  (11,134)  (10,760)
       
Net Intangible Liabilities
 $4,032  $4,383 
       
 
        
Remaining weighted average amortization period of lease-related intangibles in years
  8.1   8.3 
NOTE 6 — SENIOR NOTES PAYABLE AND OTHER DEBT
The following is a summary of our senior notes payable and other debt as of June 30, 2010 and December 31, 2009:
         
  June 30,  December 31, 
  2010  2009 
  (In thousands) 
 
        
Unsecured revolving credit facilities
 $126,269  $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 
65/8% Senior Notes due 2014
  71,654   71,654 
71/8% Senior Notes due 2015
     142,669 
61/2% Senior Notes due 2016
  400,000   400,000 
63/4% Senior Notes due 2017
  225,000   225,000 
Mortgage loans and other
  1,474,287   1,540,064 
 
      
Total
  2,609,643   2,701,661 
Unamortized fair value adjustment
  10,214   11,642 
Unamortized commission fees and discounts
  (39,008)  (43,202)
 
      
 
        
Senior notes payable and other debt
 $2,580,849  $2,670,101 
 
      

 

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As of June 30, 2010, our indebtedness had the following maturities:
                 
      Unsecured       
  Principal Amount  Revolving Credit  Scheduled Periodic    
  Due at Maturity  Facilities (1)  Amortization  Total Maturities 
      (In thousands)     
 
 
2010
 $122,246  $  $13,749  $135,995 
2011
  301,823      26,354   328,177 
2012
  388,937   126,269   22,798   538,004 
2013
  150,962      17,265   168,227 
2014
  109,137      15,054   124,191 
Thereafter
  1,255,599      59,450   1,315,049 
 
            
Total maturities
 $2,328,704  $126,269  $154,670  $2,609,643 
 
            
   
(1) At June 30, 2010, we had $27.8 million of unrestricted cash and cash equivalents, for a net amount outstanding on our unsecured revolving credit facilities of $98.5 million.
As of June 30, 2010, our joint venture partners’ share of total debt was $147.7 million with respect to 56 of our properties owned through joint ventures.
Unsecured Revolving Credit Facilities
As of June 30, 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 June 30, 2010, the applicable percentage was 2.80%. Our unsecured revolving credit facilities have a 20 basis point facility fee. At June 30, 2010, we had $126.3 million outstanding under our unsecured revolving credit facilities and approximately $872.7 million of availability.
Senior Notes
On June 1, 2010, we repaid in full, at par, $1.4 million principal amount outstanding of our senior notes due 2010 upon maturity. In June 2010, we also exercised our option to redeem all $142.7 million principal amount 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, and recognized a net loss on extinguishment of debt of $6.4 million during the second quarter.
Mortgages
In June 2010, we repaid $49.8 million of mortgage loans on two of our Sunrise-managed properties in which we 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.

 

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NOTE 7 — FAIR VALUES OF FINANCIAL INSTRUMENTS
As of June 30, 2010 and December 31, 2009, the carrying amounts and fair values of our financial instruments were as follows:
                 
  June 30, 2010  December 31, 2009 
  Carrying      Carrying    
  Amount  Fair Value  Amount  Fair Value 
  (In thousands) 
Cash and cash equivalents
 $27,794  $27,794  $107,397  $107,397 
Loans receivable, net
  140,870   142,025   131,887   129,512 
Marketable debt securities
  64,800   64,800   65,038   65,038 
Senior notes payable and other debt, gross
  (2,609,643)  (2,591,820)  (2,701,661)  (2,780,405)
Fair value estimates are subjective in nature and depend on a number of important assumptions, including estimates of future cash flows, risks, discount rates and relevant comparable market information associated with each financial instrument. The use of different market assumptions and estimation methodologies may have a material effect on the reported estimated fair value amounts. Accordingly, the estimates presented above are not necessarily indicative of the amounts we would realize in a current market exchange.
At June 30, 2010, we held marketable debt securities, classified as available-for-sale, with an aggregate amortized cost basis and fair value of $61.2 million and $64.8 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. We do not intend to sell these securities and it is more likely than not that we will not be required to sell these securities prior to maturity.
NOTE 8 — 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.
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 Senior Living Real Estate Investment Trust (“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.

 

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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 seek 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.
The briefing process for HCP’s appeal and our cross-appeal is complete, and a final decision by the Sixth Circuit could be issued by June 2011. There can be no assurance 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 the operations of our seniors housing communities managed by Sunrise. It is the opinion of management that, except as set forth in this Note 8, 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 9 — INCOME TAXES
We have elected for certain of our subsidiaries to be treated as taxable REIT subsidiaries (“TRS” or “TRS entities”), which are subject to federal and state income taxes. Although the TRS entities were not liable for any cash federal income taxes for the three or six months ended June 30, 2010, federal income tax liabilities for these TRS entities may increase in future periods as we exhaust net operating loss carryforwards and as our senior living operations segment grows. Such increases could be significant.
The consolidated provision for income taxes for the three months ended June 30, 2010 and 2009 was an expense of $0.4 million and a benefit of $0.4 million, respectively. These amounts were adjusted by income tax expense of $0.6 million and $0.5 million, respectively, related to the noncontrolling interest share of net income. The consolidated provision for income taxes for the six months ended June 30, 2010 and 2009 was an expense of $0.7 million and a benefit of $0.9 million, respectively. These amounts were adjusted by income tax expense of $1.0 million and $0.9 million, respectively, related to the noncontrolling interest share of net income. Realization of a deferred tax benefit is dependent in part upon generating sufficient taxable income in future periods. Our net operating loss carryforwards begin to expire in 2024 with respect to the TRS entities and 2020 with respect to our other entities.

 

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Each TRS is a tax paying component for purposes of classifying deferred tax assets and liabilities. Net deferred tax liabilities related to TRS entities totaled $251.8 million and $253.7 million at June 30, 2010 and December 31, 2009, respectively, and related primarily to book and tax basis differences for fixed and intangible assets and to net operating losses.
Generally, we are subject to audit under the statute of limitations by the Internal Revenue Service for the year ended December 31, 2006 and subsequent years and are subject to audit by state taxing authorities for the year ended December 31, 2005 and subsequent years. We are also subject to audit by the Canada Revenue Agency for periods subsequent to 2003 related to entities acquired or formed in connection with our Sunrise REIT acquisition.
NOTE 10 — STOCKHOLDERS’ EQUITY
In March 2010, in connection with our outstanding 37/8% convertible senior notes due 2011, issued in 2006, 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 the convertible notes. The registration statement replaced our previous resale shelf registration statement, which expired pursuant to the SEC’s rules.
Accumulated Other Comprehensive Income
         
  June 30,  December 31, 
  2010  2009 
  (In thousands) 
 
        
Foreign currency translation
 $13,909  $16,059 
Unrealized gain on marketable debt securities
  3,571   4,440 
Other
  (974)  (830)
 
      
 
 
Total accumulated other comprehensive income
 $16,506  $19,669 
 
      

 

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NOTE 11 — EARNINGS PER COMMON SHARE
The following table shows the amounts used in computing basic and diluted earnings per common share:
                 
  For the Three Months  For the Six Months 
  Ended June 30,  Ended June 30, 
  2010  2009  2010  2009 
  (In thousands, except per share amounts) 
Numerator for basic and diluted earnings per share:
                
Income from continuing operations attributable to common stockholders
 $52,523  $46,007  $104,682  $91,070 
Discontinued operations
  5,544   42,374   6,004   71,539 
 
            
Net income attributable to common stockholders
 $58,067  $88,381  $110,686  $162,609 
 
            
 
                
Denominator:
                
Denominator for basic earnings per share — weighted average shares
  156,611   154,441   156,533   148,798 
Effect of dilutive securities:
                
Stock options
  357   63   337   55 
Restricted stock awards
  48   6   45   6 
Convertible notes
  425      291    
 
            
Denominator for diluted earnings per share — adjusted weighted average shares
  157,441   154,510   157,206   148,859 
 
            
 
                
Basic earnings per share:
                
Income from continuing operations attributable to common stockholders
 $0.33  $0.30  $0.67  $0.61 
Discontinued operations
  0.04   0.27   0.04   0.48 
 
            
Net income attributable to common stockholders
 $0.37  $0.57  $0.71  $1.09 
 
            
 
                
Diluted earnings per share:
                
Income from continuing operations attributable to common stockholders
 $0.33  $0.30  $0.66  $0.61 
Discontinued operations
  0.04   0.27   0.04   0.48 
 
            
Net income attributable to common stockholders
 $0.37  $0.57  $0.70  $1.09 
 
            
NOTE 12 — SEGMENT INFORMATION
As of June 30, 2010, we operated through two reportable business segments: triple-net leased properties and senior living 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.
As of June 30, 2010, our MOB segment consists of leasing space primarily to physicians and other healthcare businesses and engaging third parties to manage those operations. Due to our limited operation of and allocation of capital to the MOBs, the MOB segment is not individually reported and is included in “All Other” because it did not meet necessary quantitative and qualitative thresholds at June 30, 2010.
We evaluate performance of the combined properties in each segment based on NOI. There are no intersegment sales or transfers.
All other revenues consist primarily of rental income related to the MOBs, income from loans and investments and other miscellaneous income.

 

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Summary information by business segment is as follows:
For the three months ended June 30, 2010:
                 
  Triple-Net  Senior       
  Leased  Living  All    
  Properties  Operations  Other  Total 
  (In thousands) 
 
                
Revenues:
                
Rental income
 $118,044  $  $12,240  $130,284 
Resident fees and services
     109,867      109,867 
Income from loans and investments
        3,705   3,705 
Interest and other income
  93   7   22   122 
 
            
Total revenues
 $118,137  $109,874  $15,967  $243,978 
 
            
 
                
Segment net operating income
 $118,044  $38,808  $11,821  $168,673 
Interest and other income
  93   7   22   122 
Interest expense
  (21,441)  (21,422)  (1,182)  (44,045)
Depreciation and amortization
  (27,335)  (18,122)  (4,728)  (50,185)
General, administrative and professional fees
        (9,858)  (9,858)
Foreign currency loss
     (121)     (121)
Loss on extinguishment of debt
  (6,447)  (102)     (6,549)
Merger-related expenses and deal costs
     (535)  (3,672)  (4,207)
 
            
Income (loss) before income taxes, discontinued operations and noncontrolling interest
 $62,914  $(1,487) $(7,597) $53,830 
 
            
For the three months ended June 30, 2009:
                 
  Triple-Net  Senior       
  Leased  Living  All    
  Properties  Operations  Other  Total 
  (In thousands) 
 
                
Revenues:
                
Rental income
 $116,269  $  $8,343  $124,612 
Resident fees and services
     103,399      103,399 
Income from loans and investments
        3,333   3,333 
Interest and other income
  43   1   64   108 
 
            
Total revenues
 $116,312  $103,400  $11,740  $231,452 
 
            
 
                
Segment net operating income
 $116,269  $33,857  $8,654  $158,780 
Interest and other income
  43   1   64   108 
Interest expense
  (20,521)  (22,579)  (894)  (43,994)
Depreciation and amortization
  (29,854)  (15,813)  (2,976)  (48,643)
General, administrative and professional fees
        (10,355)  (10,355)
Foreign currency loss
     (5)     (5)
Loss on extinguishment of debt
  (5,975)        (5,975)
Merger-related expenses and deal costs
     (3,498)  (4)  (3,502)
 
            
Income (loss) before income taxes, discontinued operations and noncontrolling interest
 $59,962  $(8,037) $(5,511) $46,414 
 
            

 

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For the six months ended June 30, 2010:
                 
  Triple-Net  Senior       
  Leased  Living  All    
  Properties  Operations  Other  Total 
  (In thousands) 
 
                
Revenues:
                
Rental income
 $235,034  $  $24,429  $259,463 
Resident fees and services
     218,353      218,353 
Income from loans and investments
        7,322   7,322 
Interest and other income
  298   20   67   385 
 
            
Total revenues
 $235,332  $218,373  $31,818  $485,523 
 
            
 
                
Segment net operating income
 $235,034  $72,617  $23,425  $331,076 
Interest and other income
  298   20   67   385 
Interest expense
  (43,271)  (42,688)  (2,386)  (88,345)
Depreciation and amortization
  (56,902)  (36,084)  (9,675)  (102,661)
General, administrative and professional fees
        (20,541)  (20,541)
Foreign currency loss
     (15)     (15)
Loss on extinguishment of debt
  (6,447)  (102)     (6,549)
Merger-related expenses and deal costs
  (38)  (1,246)  (5,242)  (6,526)
 
            
Income (loss) before income taxes, discontinued operations and noncontrolling interest
 $128,674  $(7,498) $(14,352) $106,824 
 
            
For the six months ended June 30, 2009:
                 
  Triple-Net  Senior       
  Leased  Living  All    
  Properties  Operations  Other  Total 
  (In thousands) 
 
                
Revenues:
                
Rental income
 $230,319  $  $16,691  $247,010 
Resident fees and services
     206,338      206,338 
Income from loans and investments
        6,614   6,614 
Interest and other income
  158   10   226   394 
 
            
Total revenues
 $230,477  $206,348  $23,531  $460,356 
 
            
 
                
Segment net operating income
 $230,319  $64,342  $17,269  $311,930 
Interest and other income
  158   10   226   394 
Interest expense
  (42,623)  (45,352)  (1,949)  (89,924)
Depreciation and amortization
  (59,653)  (32,938)  (5,550)  (98,141)
General, administrative and professional fees
        (20,953)  (20,953)
Foreign currency gain
     1      1 
Loss on extinguishment of debt
  (6,012)     (68)  (6,080)
Merger-related expenses and deal costs
  (174)  (5,355)  (27)  (5,556)
 
            
Income (loss) before income taxes, discontinued operations and noncontrolling interest
 $122,015  $(19,292) $(11,052) $91,671 
 
            

 

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  For the Three Months  For the Six Months 
  Ended June 30,  Ended June 30, 
  2010  2009  2010  2009 
     (In thousands)    
Capital expenditures:
                
Triple-net leased properties (1)
 $100  $148  $12,092  $10,148 
Senior living operations
  1,494   1,457   2,893   2,599 
All other (2)
  12,244   9,524   15,008   19,934 
 
            
Total capital expenditures
 $13,838  $11,129  $29,993  $32,681 
 
            
   
(1) The six months ended June 30, 2009 includes $9.3 million from funds held in an Internal Revenue Code Section 1031 exchange escrow account with a qualified intermediary.
 
(2) The six months ended June 30, 2010 includes $11.1 million in earnest money deposits related to the acquisition of businesses owned and operated by Lillibridge Healthcare Services, Inc. and its related entities (collectively, “Lillibridge”). See “Note 13–Subsequent Event.”
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 Three Months  For the Six Months 
  Ended June 30,  Ended June 30, 
  2010  2009  2010  2009 
     (In thousands)    
 
                
Revenues:
                
United States
 $223,347  $213,797  $444,629  $426,093 
Canada
  20,631   17,655   40,894   34,263 
 
            
Total revenues
 $243,978  $231,452  $485,523  $460,356 
 
            
         
  June 30,  December 31, 
  2010  2009 
  (In thousands) 
Net real estate property:
        
United States
 $4,610,486  $4,696,674 
Canada
  408,104   418,036 
 
      
Total net real estate property
 $5,018,590  $5,114,710 
 
      
NOTE 13 — SUBSEQUENT EVENT
On July 1, 2010, we completed the acquisition of businesses owned and operated by Lillibridge and its real estate interests in 96 MOBs and ambulatory facilities for approximately $381 million, including the assumption of debt. 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 healthcare systems nationally. Lillibridge manages for third parties 31 MOBs. 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 of space; 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. An institutional third party holds the majority interests in these joint ventures, and we have a right of first offer on those interests. We funded the acquisition with cash on hand (including $11.1 million in earnest money deposits made in June 2010), borrowings under our revolving credit facilities and the assumption of mortgage debt. In connection with the acquisition, approximately $133 million of mortgage debt was paid off. Our portfolio now includes 153 owned or managed MOBs with 8.6 million square feet in 20 states, including the District of Columbia.

 

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NOTE 14 — CONDENSED CONSOLIDATING INFORMATION
We and certain of our direct and indirect wholly owned subsidiaries (the “Wholly Owned Subsidiary Guarantors”) have fully and unconditionally guaranteed, on a joint and several basis, the obligation to pay principal and interest with respect to the senior notes of our subsidiaries, Ventas Realty and Ventas Capital Corporation (the “Issuers”). Ventas Capital Corporation is a wholly owned direct subsidiary of Ventas Realty that was formed to facilitate the offering of the senior notes and has no assets or operations. In addition, Ventas Realty and the Wholly Owned Subsidiary Guarantors have fully and unconditionally guaranteed, on a joint and several basis, the obligation to pay principal and interest with respect to our convertible notes. We have other subsidiaries (“Non-Guarantor Subsidiaries”) that are not included among the Wholly Owned Subsidiary Guarantors, and such subsidiaries are not obligated with respect to the senior notes or the convertible notes. Contractual and legal restrictions, including those contained in the instruments governing certain Non-Guarantor Subsidiaries’ outstanding indebtedness, may under certain circumstances restrict our ability to obtain cash from our Non-Guarantor Subsidiaries for the purpose of meeting our debt service obligations, including our guarantee of payment of principal and interest on the senior notes and our primary obligation to pay principal and interest on the convertible notes. Certain of our real estate assets are also subject to mortgages. The following summarizes our condensed consolidating information as of June 30, 2010 and December 31, 2009 and for the three and six months ended June 30, 2010 and 2009:
CONDENSED CONSOLIDATING BALANCE SHEET
As of June 30, 2010
                         
      Wholly              
      Owned      Non-       
      Subsidiary      Guarantor  Consolidated    
  Ventas, Inc.  Guarantors  Issuers  Subsidiaries  Elimination  Consolidated 
  (In thousands) 
 
                        
Assets
                        
Net real estate investments
 $1,260  $2,268,480  $736,612  $2,153,108  $  $5,159,460 
Cash and cash equivalents
  2,557   6,101      19,136      27,794 
Escrow deposits and restricted cash
  84   9,945   10,107   23,348      43,484 
Deferred financing costs, net
  3,003   1,234   10,958   9,696      24,891 
Investment in and advances to affiliates
  1,116,730      1,028,721      (2,145,451)   
Other
  83,405   79,623   9,341   34,119      206,488 
 
                  
Total assets
 $1,207,039  $2,365,383  $1,795,739  $2,239,407  $(2,145,451) $5,462,117 
 
                  
 
                        
Liabilities and equity
                        
Liabilities:
                        
Senior notes payable and other debt
 $223,257  $405,763  $818,822  $1,133,007  $  $2,580,849 
Intercompany loans
  (50,691)  450,791   (400,100)         
Accrued interest
  (105)  1,600   9,862   5,325      16,682 
Accounts payable and other liabilities
  30,617   79,078   24,321   47,327      181,343 
Deferred income taxes
  251,829               251,829 
 
                  
Total liabilities
  454,907   937,232   452,905   1,185,659      3,030,703 
Total equity
  752,132   1,428,151   1,342,834   1,053,748   (2,145,451)  2,431,414 
 
                  
Total liabilities and equity
 $1,207,039  $2,365,383  $1,795,739  $2,239,407  $(2,145,451) $5,462,117 
 
                  

 

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CONDENSED CONSOLIDATING BALANCE SHEET
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  $2,268,865  $769,857  $2,198,379  $  $5,246,597 
Cash and cash equivalents
     4,249   82,886   20,262      107,397 
Escrow deposits and restricted cash
  215   9,184   12,766   17,667      39,832 
Deferred financing costs, net
  1,192   1,610   15,577   10,873      29,252 
Investment in and advances to affiliates
  1,169,609      1,308,403      (2,478,012)   
Other
  3   76,400   82,346   34,418      193,167 
 
                  
Total assets
 $1,180,515  $2,360,308  $2,271,835  $2,281,599  $(2,478,012) $5,616,245 
 
                  
 
                        
Liabilities and equity
                        
Liabilities:
                        
Senior notes payable and other debt
 $220,942  $422,182  $876,987  $1,149,990  $  $2,670,101 
Intercompany loans
  (45,563)  453,784   (408,200)  (21)      
Accrued interest
  (3,552)  5,125   10,732   5,669      17,974 
Accounts payable and other liabilities
  15,696   69,254   42,580   62,915      190,445 
Deferred income taxes
  253,665   61      (61)     253,665 
 
                  
Total liabilities
  441,188   950,406   522,099   1,218,492      3,132,185 
Total equity
  739,327   1,409,902   1,749,736   1,063,107   (2,478,012)  2,484,060 
 
                  
Total liabilities and equity
 $1,180,515  $2,360,308  $2,271,835  $2,281,599  $(2,478,012) $5,616,245 
 
                  

 

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CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Three Months Ended June 30, 2010
                         
      Wholly              
      Owned      Non-       
      Subsidiary      Guarantor  Consolidated    
  Ventas, Inc.  Guarantors  Issuers  Subsidiaries  Elimination  Consolidated 
  (In thousands) 
Revenues:
                        
Rental income
 $602  $42,017  $69,640  $18,025  $  $130,284 
Resident fees and services
     33,564      76,303      109,867 
Income from loans and investments
  1,411   468   1,826         3,705 
Equity earnings in affiliates
  61,610   437         (62,047)   
Interest and other income
  85   8   21   8      122 
 
                  
Total revenues
  63,708   76,494   71,487   94,336   (62,047)  243,978 
 
                        
Expenses:
                        
Interest
  1,387   5,970   20,018   16,670      44,045 
Depreciation and amortization
  417   21,280   9,424   19,064      50,185 
Property-level operating expenses
  2   23,146   137   51,898      75,183 
General, administrative and professional fees
  133   3,782   4,730   1,213      9,858 
Foreign currency loss (gain)
  182   (63)     2      121 
Loss on extinguishment of debt
     102   6,447         6,549 
Merger-related expenses and deal costs
  4,198   (1)     10      4,207 
Intercompany interest
  (1,177)  8,332   (7,223)  68       
 
                  
Total expenses
  5,142   62,548   33,533   88,925      190,148 
 
                  
 
                        
Income before income taxes, discontinued operations and noncontrolling interest
  58,566   13,946   37,954   5,411   (62,047)  53,830 
Income tax (expense) benefit
  (499)  90            (409)
 
                  
Income from continuing operations
  58,067   14,036   37,954   5,411   (62,047)  53,421 
Discontinued operations
     (223)  5,767         5,544 
 
                  
Net income
  58,067   13,813   43,721   5,411   (62,047)  58,965 
Net income attributable to noncontrolling interest, net of tax
           898      898 
 
                  
Net income attributable to common stockholders
 $58,067  $13,813  $43,721  $4,513  $(62,047) $58,067 
 
                  

 

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CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Three Months Ended June 30, 2009
                         
      Wholly              
      Owned      Non-       
      Subsidiary      Guarantor  Consolidated    
  Ventas, Inc.  Guarantors  Issuers  Subsidiaries  Elimination  Consolidated 
  (In thousands) 
Revenues:
                        
Rental income
 $588  $37,924  $67,916  $18,184  $  $124,612 
Resident fees and services
     29,485      73,914      103,399 
Income from loans and investments
        3,333         3,333 
Equity earnings in affiliates
  87,813   792         (88,605)   
Interest and other income
  (1)  (11)  117   3      108 
 
                  
Total revenues
  88,400   68,190   71,366   92,101   (88,605)  231,452 
 
                        
Expenses:
                        
Interest
  1,062   6,689   22,694   13,549      43,994 
Depreciation and amortization
  162   19,407   9,695   19,379      48,643 
Property-level operating expenses
     21,901   122   50,541      72,564 
General, administrative and professional fees
  48   3,805   5,133   1,369      10,355 
Foreign currency (gain) loss
  (38)  38   6   (1)     5 
Loss on extinguishment of debt
        5,975         5,975 
Merger-related expenses and deal costs
     3,498   4         3,502 
Intercompany interest
  (820)  10,164   (9,238)  (106)      
 
                  
Total expenses
  414   65,502   34,391   84,731      185,038 
 
                  
 
                        
Income before income taxes, discontinued operations and noncontrolling interest
  87,986   2,688   36,975   7,370   (88,605)  46,414 
Income tax benefit
  395               395 
 
                  
Income from continuing operations
  88,381   2,688   36,975   7,370   (88,605)  46,809 
Discontinued operations
     155   42,219         42,374 
 
                  
Net income
  88,381   2,843   79,194   7,370   (88,605)  89,183 
Net (loss) income attributable to noncontrolling interest, net of tax
     (662)     1,464      802 
 
                  
Net income attributable to common stockholders
 $88,381  $3,505  $79,194  $5,906  $(88,605) $88,381 
 
                  

 

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CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Six Months Ended June 30, 2010
                         
      Wholly              
      Owned      Non-       
      Subsidiary      Guarantor  Consolidated    
  Ventas, Inc.  Guarantors  Issuers  Subsidiaries  Elimination  Consolidated 
  (In thousands) 
Revenues:
                        
Rental income
 $1,195  $83,023  $139,344  $35,901  $  $259,463 
Resident fees and services
     66,607      151,746      218,353 
Income from loans and investments
  2,841   880   3,601         7,322 
Equity earnings in affiliates
  115,741   870         (116,611)   
Interest and other income
  292   36   42   15      385 
 
                  
Total revenues
  120,069   151,416   142,987   187,662   (116,611)  485,523 
 
                        
Expenses:
                        
Interest
  2,623   11,742   40,754   33,226      88,345 
Depreciation and amortization
  808   44,041   19,132   38,680      102,661 
Property-level operating expenses
     47,598   266   106,198      154,062 
General, administrative and professional fees
  120   8,058   9,838   2,525      20,541 
Foreign currency loss (gain)
  42   (30)     3      15 
Loss on extinguishment of debt
     102   6,447         6,549 
Merger-related expenses and deal costs
  6,467   49      10      6,526 
Intercompany interest
  (2,347)  16,571   (14,359)  135       
 
                  
Total expenses
  7,713   128,131   62,078   180,777      378,699 
 
                  
 
                        
Income before income taxes, discontinued operations and noncontrolling interest
  112,356   23,285   80,909   6,885   (116,611)  106,824 
Income tax (expense) benefit
  (1,510)  815            (695)
 
                  
Income from continuing operations
  110,846   24,100   80,909   6,885   (116,611)  106,129 
Discontinued operations
  (160)  117   6,047         6,004 
 
                  
Net income
  110,686   24,217   86,956   6,885   (116,611)  112,133 
Net income attributable to noncontrolling interest, net of tax
           1,447      1,447 
 
                  
Net income attributable to common stockholders
 $110,686  $24,217  $86,956  $5,438  $(116,611) $110,686 
 
                  

 

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CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Six Months Ended June 30, 2009
                         
      Wholly              
      Owned      Non-       
      Subsidiary      Guarantor  Consolidated    
  Ventas, Inc.  Guarantors  Issuers  Subsidiaries  Elimination  Consolidated 
  (In thousands) 
Revenues:
                        
Rental income
 $1,165  $75,717  $136,860  $33,268  $  $247,010 
Resident fees and services
     58,430      147,908      206,338 
Income from loans and investments
        6,614         6,614 
Equity earnings in affiliates
  161,560   1,411         (162,971)   
Interest and other income
     (5)  378   21      394 
 
                  
Total revenues
  162,725   135,553   143,852   181,197   (162,971)  460,356 
 
                        
Expenses:
                        
Interest
  2,141   12,282   47,418   28,083      89,924 
Depreciation and amortization
  324   40,821   20,253   36,743      98,141 
Property-level operating expenses
     43,422   234   104,376      148,032 
General, administrative and professional fees
  89   7,424   10,826   2,614      20,953 
Foreign currency loss (gain)
  5   4   (8)  (2)     (1)
Loss on extinguishment of debt
        6,012   68      6,080 
Merger-related expenses and deal costs
     5,351   205         5,556 
Intercompany interest
  (1,501)  22,074   (20,414)  (159)      
 
                  
Total expenses
  1,058   131,378   64,526   171,723      368,685 
 
                  
 
                        
Income before income taxes, discontinued operations and noncontrolling interest
  161,667   4,175   79,326   9,474   (162,971)  91,671 
Income tax benefit
  942               942 
 
                  
Income from continuing operations
  162,609   4,175   79,326   9,474   (162,971)  92,613 
Discontinued operations
     (1,559)  61,737   11,361      71,539 
 
                  
Net income
  162,609   2,616   141,063   20,835   (162,971)  164,152 
Net (loss) income attributable to noncontrolling interest, net of tax
     (1,090)     2,633      1,543 
 
                  
Net income attributable to common stockholders
 $162,609  $3,706  $141,063  $18,202  $(162,971) $162,609 
 
                  

 

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CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the Six Months Ended June 30, 2010
                         
      Wholly              
      Owned      Non-       
      Subsidiary      Guarantor  Consolidated    
  Ventas, Inc.  Guarantors  Issuers  Subsidiaries  Elimination  Consolidated 
  (In thousands) 
 
                        
Net cash (used in) provided by operating activities
 $(5,903) $87,705  $110,425  $15,490  $  $207,717 
 
                        
Net cash (used in) provided by investing activities
  (11,083)  7,467   (14,426)  (3,395)     (21,437)
 
                        
Cash flows from financing activities:
                        
Net change in borrowings under revolving credit facilities
     33,280   84,000         117,280 
Proceeds from debt
           696      696 
Repayment of debt
     (55,794)  (149,127)  (10,250)     (215,171)
Net change in intercompany debt
  270,919   (116,945)  8,100   (162,074)      
Payment of deferred financing costs
     (48)  (1,792)        (1,840)
Cash distribution (to) from affiliates
  (88,220)  46,104   (120,018)  162,134       
Cash distribution to common stockholders
  (167,829)              (167,829)
Contributions from noncontrolling interest
           633      633 
Distributions to noncontrolling interest
           (4,277)     (4,277)
Other
  4,673               4,673 
 
                  
Net cash provided by (used in) financing activities
  19,543   (93,403)  (178,837)  (13,138)     (265,835)
 
                  
Net increase (decrease) in cash and cash equivalents
  2,557   1,769   (82,838)  (1,043)     (79,555)
Effect of foreign currency translation on cash and cash equivalents
        (48)        (48)
Cash and cash equivalents at beginning of period
     4,332   82,886   20,179      107,397 
 
                  
Cash and cash equivalents at end of period
 $2,557  $6,101  $  $19,136  $  $27,794 
 
                  

 

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CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the Six Months Ended June 30, 2009
                         
      Wholly              
      Owned      Non-       
      Subsidiary      Guarantor  Consolidated    
  Ventas, Inc.  Guarantors  Issuers  Subsidiaries  Elimination  Consolidated 
  (In thousands) 
Net cash provided by operating activities
 $185  $37,618  $120,571  $36,768  $  $195,142 
 
Net cash provided by (used in) investing activities
     58,816   24,203   (49,463)     33,556 
 
Cash flows from financing activities:
                        
Net change in borrowings under revolving credit facilities
     (39,688)  (250,240)        (289,928)
Proceeds from debt
     261   166,000   134,854      301,115 
Repayment of debt
     (80,900)  (413,374)  (8,742)     (503,016)
Net change in intercompany debt
  (40,240)  (25,426)  88,956   (23,290)      
Payment of deferred financing costs
     (986)  (8,840)  (3,596)     (13,422)
Issuance of common stock, net
  299,201               299,201 
Cash distribution (to) from affiliates
  (110,788)  45,604   147,893   (82,709)      
Cash distribution to common stockholders
  (153,815)              (153,815)
Contributions from noncontrolling interest
           306      306 
Distributions to noncontrolling interest
     (379)     (4,645)     (5,024)
Other
  5,457               5,457 
 
                  
Net cash (used in) provided by financing activities
  (185)  (101,514)  (269,605)  12,178      (359,126)
 
                  
Net decrease in cash and cash equivalents
     (5,080)  (124,831)  (517)     (130,428)
Effect of foreign currency translation on cash and cash equivalents
     (1)  139   1      139 
Cash and cash equivalents at beginning of period
     10,323   144,918   21,571      176,812 
 
                  
Cash and cash equivalents at end of period
 $  $5,242  $20,226  $21,055  $  $46,523 
 
                  

 

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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Cautionary Statements
Unless otherwise indicated or except where the context otherwise requires, the terms “we,” “us” and “our” and other similar terms in this Quarterly Report on Form 10-Q refer to Ventas, Inc. and its consolidated subsidiaries.
Forward-Looking Statements
This Quarterly Report on Form 10-Q 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, merger integration, growth opportunities, dispositions, 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 the 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 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;
  The results of litigation affecting us;
  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, 2009 and for the year ending December 31, 2010;

 

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  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;
  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;
  The ability and willingness of the lenders under our unsecured revolving credit facilities to fund, in whole or in part, borrowing requests made by us from time to time;
  Risks associated with our recent acquisition of businesses owned and operated by Lillibridge Healthcare Services, Inc. and its related entities (collectively, “Lillibridge”), including our ability to successfully design, develop and manage MOBs 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, 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 that may affect us or our major tenants, operators and managers.
Many of these factors 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 Quarterly Report on Form 10-Q 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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Company Overview
We are a REIT with a geographically diverse portfolio of seniors housing and healthcare properties in the United States and Canada. As of June 30, 2010, this portfolio consisted of 503 assets: 242 seniors housing communities, 187 skilled nursing facilities, 40 hospitals and 34 medical office buildings (“MOBs”) and other properties in 43 states and two Canadian provinces. With the exception of our seniors housing communities that are managed by independent third parties, such as Sunrise, pursuant to long-term management agreements and the majority of our MOBs, we lease our properties to healthcare operating companies under “triple-net” or “absolute-net” leases, which require the tenants to pay all property-related expenses. We also had real estate loan investments relating to seniors housing and healthcare companies or properties as of June 30, 2010.
We conduct substantially all of our business through our wholly owned subsidiaries, Ventas Realty, Limited Partnership (“Ventas Realty”), PSLT OP, L.P. and Ventas SSL, Inc. Our primary business consists of acquiring, financing and owning seniors housing and healthcare properties and leasing those properties to third parties or operating those properties through independent third-party managers.
Our business strategy is comprised of three principal objectives: (1) portfolio diversification; (2) stable earnings and growth; and (3) maintaining a strong balance sheet and liquidity.
Operating Highlights and Key Performance Trends
2010 Highlights
  Since January 1, 2010, we have received $235.0 million of additional capital commitments for the portion of our unsecured revolving credit facilities maturing in 2012. As a result, we now have $1.0 billion of aggregate borrowing capacity under our revolving credit facilities, all of which matures on April 26, 2012.
  Our Board of Directors declared the first and second quarterly installments of our 2010 dividend in the amount of $0.535 per share, which represents a 4.4% increase over our 2009 quarterly dividend. The first quarterly installment of the 2010 dividend was paid on March 31, 2010 to stockholders of record on March 12, 2010. The second quarterly installment of the 2010 dividend was paid on June 30, 2010 to stockholders of record on June 11, 2010.
  During the first half of 2010, we sold five seniors housing communities for approximately $25.0 million, including a lease termination fee of $0.2 million, and recognized a gain from these sales of approximately $5.0 million.
  On July 1, 2010, we completed the acquisition of businesses owned and operated by Lillibridge and its real estate interests in 96 MOBs and ambulatory facilities for approximately $381 million, including the assumption of debt. 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 healthcare systems nationally. Lillibridge manages for third parties 31 MOBs. 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 of space; 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. An institutional third party holds the majority interests in these joint ventures, and we have a right of first offer on those interests. We funded the acquisition with cash on hand (including $11.1 million in earnest money deposits made in June 2010), borrowings under our revolving credit facilities and the assumption of mortgage debt. In connection with the acquisition, approximately $133 million of mortgage debt was paid off. Our portfolio now includes 153 owned or managed MOBs with 8.6 million square feet in 20 states, including the District of Columbia.

 

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Concentration Risk
Concentration ratios are useful measures in understanding the potential risks of economic downturns involving our various property types, 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 property types or tenants, operators or managers. Operations mix measures the portion of our operating results attributable to certain tenants, operators or managers or geographic location. The following tables reflect our concentration risk as of the dates and for the periods presented:
         
  June 30, 2010  December 31, 2009 
 
        
Investment mix by type1:
        
Seniors housing communities
  73.9%  74.1%
Skilled nursing facilities
  12.6%  12.6%
Hospitals
  5.3%  5.4%
MOBs
  5.9%  5.8%
Loans receivable, net
  2.2%  2.0%
Other properties
  0.1%  0.1%
 
        
Investment mix by tenant, operator and manager1:
        
Sunrise
  38.9%  38.9%
Kindred
  14.1%  14.1%
Brookdale Senior Living
  21.5%  21.8%
   
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 Six Months Ended June 30, 
  2010  2009 
 
        
Tenant, operator and manager operations mix:
        
 
        
Revenues1:
        
Sunrise
  44.7%  44.2%
Kindred
  25.2%  26.8%
Brookdale Senior Living
  12.5%  13.0%
All others
  16.0%  14.5%
 
        
Adjusted EBITDA2:
        
Sunrise
  22.1%  20.3%
Kindred
  35.8%  40.3%
Brookdale Senior Living
  16.2%  18.7%
All others
  25.9%  20.7%
 
        
NOI3:
        
Sunrise
  21.9%  20.3%
Kindred
  37.0%  38.8%
Brookdale Senior Living
  18.3%  19.2%
All others
  22.8%  21.7%
 
        
Geographic operations mix4:
        
California
  12.5%  12.7%
Illinois
  10.4%  10.4%
Ontario
  5.9%  5.3%
Pennsylvania
  5.6%  5.6%
Massachusetts
  5.3%  5.3%
All others
  58.7%  59.2%
   
1 Total revenues includes 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 “Adjusted EBITDA” is defined as earnings before interest, taxes, depreciation and amortization (including non-cash stock-based compensation), excluding merger-related expenses and deal costs and gains and losses on real estate disposals (including amounts in discontinued operations).
 
3 Net operating income (“NOI”) is defined as total revenues, less interest and other income and property-level operating expenses (including amounts in discontinued operations).
 
4 Ratios are based on total revenues for each period presented. Total revenues includes 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” for further discussion and reconciliations of NOI and Adjusted EBITDA to our net income, as computed in accordance with U.S. generally accepted accounting principles (“GAAP”).

 

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Recent Developments Regarding Government Regulation
Healthcare Legislation
In March 2010, the President 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 which 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 in the market basket increase, beginning in fiscal year 2012, to reflect improvements in productivity. The Affordable Care Act also extends for two years the long-term acute care hospital payment policy changes provided by the Medicare, Medicaid, and SCHIP Extension Act of 2007 and delays the implementation of the RUG-IV classification model for skilled nursing facilities until fiscal year 2012.
We are currently analyzing the financial implications of the Affordable Care Act on the operators of our properties. We cannot assure you that existing or future healthcare reform legislation or changes in the administration or implementation of governmental and non-governmental healthcare reimbursement programs will not have a material adverse effect on our operators’ liquidity, financial condition or results of operations, or on their ability to satisfy their obligations to us, which, in turn, could have a material adverse effect on 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”).
Medicare Reimbursement; Long-Term Acute Care Hospitals
On May 4, 2010, the Centers for Medicare & Medicaid Services (“CMS”) published its proposed rule updating the prospective payment system for long-term acute care hospitals (LTAC PPS) for the 2011 fiscal year (October 1, 2010 through September 30, 2011). Under the proposed rule, the LTAC PPS standard federal payment rate would decrease by 0.1% in fiscal year 2011, reflecting a 2.4% increase in the market basket index, 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. However, due to the timing of the proposed rule in relation to the passage of the Affordable Care Act, the proposed rule did not reflect statutory changes made by that legislation. Accordingly, on June 2, 2010, CMS published a supplement to the May 4, 2010 proposed rule to address certain provisions of the Affordable Care Act. Among other things, the supplemental proposed rule updates the increase in the market basket index for fiscal year 2011 to 1.9%, reflecting the 50 basis point reduction required by the Affordable Care Act. Despite the decrease in the LTAC PPS standard federal payment rate, CMS estimates that net payments to long-term acute care hospitals under the supplemental proposed rule would increase by approximately $13 million, or 0.3%, in fiscal year 2011 due to area wage adjustments, as well as increases in high-cost and short-stay outlier payments.
This rule is a proposed rule and is not final. The proposed rule also does not reflect additional statutory changes made by the Affordable Care Act. We are currently analyzing the financial implications of this proposed rule on the operators of our long-term acute care hospitals.
We cannot assure you that the final rule issued by CMS or other future updates to LTAC PPS 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.
Medicare Reimbursement; Skilled Nursing Facilities
On June 25, 2010, CMS placed on public display its proposed Medicare Physician Fee Schedule rule for the 2011 calendar year. Under the proposed rule, reimbursement rates for outpatient therapy under Part B, including therapy provided in skilled nursing facilities, would be reduced by approximately 10% (net of a recent 2.2% rate increase enacted as part of other legislation).

 

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On July 16, 2010, CMS placed on public display its proposed rule updating the prospective payment system for skilled nursing facilities (SNF PPS) for the 2011 fiscal year (October 1, 2010 through September 30, 2011). Under the proposed rule, 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 proposed rule also provides a 0.6% 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 basket increase and the adjustment under the proposed rule would increase by approximately $542 million, or 1.7%, in fiscal year 2011.
The proposed rule includes other provisions, such as the introduction of concurrent therapy, 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.
These rules are proposed rules and are not final. We are currently analyzing the financial implications of these proposed rules on the operators of our skilled nursing facilities.
Critical Accounting Policies and Estimates
Our Consolidated Financial Statements included in Item 1 of this Quarterly Report on Form 10-Q have been prepared in accordance with GAAP for interim financial information 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 believed to be reasonable under the circumstances. However, if our judgment or interpretation of the facts and circumstances relating to various transactions or other matters had been different, it is possible that different accounting treatment would have been applied, resulting in a different presentation of our financial statements. From time to time, we re-evaluate our estimates and assumptions, and in the event estimates or assumptions prove to be different from actual results, we make adjustments in subsequent periods to reflect more current estimates and assumptions about matters that are inherently uncertain. The critical accounting policies that affect our more significant estimates and assumptions used in the preparation of our Consolidated Financial Statements included in Item 1 of this Quarterly Report on Form 10-Q are described in our Current Report on Form 8-K filed with the SEC on May 3, 2010.
Results of Operations
As of June 30, 2010, we operated through two reportable business segments: triple-net leased properties and senior living 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.
As of June 30, 2010, our MOB segment consists of leasing space primarily to physicians and other healthcare businesses and engaging third parties to manage those operations. Due to our limited operation of and allocation of capital to the MOBs, the MOB segment is not individually reported and is included in “All Other” because it did not meet necessary quantitative and qualitative thresholds at June 30, 2010.

 

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Three Months Ended June 30, 2010 and 2009
The table below shows the results of operations for the three months ended June 30, 2010 and 2009 and the dollar and percentage changes in those results from period to period.
                 
  For the Three Months    
  Ended June 30,  Change 
  2010  2009  $  % 
NOI:
                
Triple-Net Leased Properties
 $118,044  $116,269  $1,775   1.5%
Senior Living Operations
  38,808   33,857   4,951   14.6 
All Other
  11,821   8,654   3,167   36.6 
 
             
Total NOI
  168,673   158,780   9,893   6.2 
 
                
Interest and other income
  122   108   14   13.0 
Interest expense
  (44,045)  (43,994)  (51)  0.1 
Depreciation and amortization
  (50,185)  (48,643)  (1,542)  3.2 
General, administrative and professional fees
  (9,858)  (10,355)  497   (4.8)
Foreign currency loss
  (121)  (5)  (116)  >100 
Loss on extinguishment of debt
  (6,549)  (5,975)  (574)  9.6 
Merger-related expenses and deal costs
  (4,207)  (3,502)  (705)  20.1 
 
             
Income before income taxes, discontinued operations and noncontrolling interest
  53,830   46,414   7,416   16.0 
Income tax (expense) benefit
  (409)  395   (804)  >100 
 
             
Income from continuing operations
  53,421   46,809   6,612   14.1 
Discontinued operations
  5,544   42,374   (36,830)  (86.9)
 
             
Net income
  58,965   89,183   (30,218)  (33.9)
Net income attributable to noncontrolling interest
  898   802   96   12.0 
 
             
 
                
Net income attributable to common stockholders
 $58,067  $88,381  $(30,314)  (34.3)%
 
             
NOI — Triple-Net Leased Properties
NOI for our triple-net leased properties consists solely of rental income earned from these assets. We incur no direct operating expenses for this segment.
The increase in our second quarter 2010 NOI over the same period in 2009 primarily reflects $1.6 million of additional rent resulting from the annual escalators in the rent paid under our master lease agreements with Kindred (the “Kindred Master Leases”) effective May 1, 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.

 

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NOI — Senior Living Operations
                 
  For the Three Months    
  Ended June 30,  Change 
  2010  2009  $  % 
  (In thousands)       
NOI — Senior Living Operations:
                
Total revenues
 $109,874  $103,400  $6,474   6.3%
Less:
                
Interest and other income
  7   1   6   > 100 
Property-level operating expenses
  71,059   69,542   1,517   2.2 
 
             
NOI
 $38,808  $33,857  $4,951   14.6%
 
             
The majority of revenues related to our senior living operations segment are resident fees and services, which consist primarily of all amounts earned from residents at our seniors housing communities, including rental fees related to resident leases, extended health care fees and other ancillary service income. The increase in revenues during the second quarter of 2010 over the same period in 2009 is attributed primarily to a decrease in the average Canadian dollar exchange rate, which had a favorable impact of $2.4 million in 2010, higher occupancy rates and higher average daily rates in our communities. Average resident occupancy rates related to our senior living operations managed by third parties were as follows:
                 
  Number of Communities  Average Resident Occupancy 
  as of June 30,  For the Three Months Ended June 30, 
  2010  2009  2010  2009 
Stabilized Communities
  80   78   88.4%  87.2%
Lease-Up Communities
  2   1   86.5%  67.9%
 
              
Total
  82   79   88.3%  86.5%
 
              
 
                
Same-Store Stabilized Communities
  78   78   88.4%  87.2%
Property-level operating expenses related to our senior living operations segment primarily include expenses such as labor, food, utilities, marketing, management and other property operating costs. The increase in property-level operating expenses in the second quarter of 2010 compared to the same period in 2009 primarily reflects a decrease in the average Canadian dollar exchange rate, which had an unfavorable impact of $1.5 million in 2010 and increases in labor and marketing costs, partially offset by the receipt of $3 million for expense overages at our Sunrise-managed communities in the second quarter of 2010.
NOI — All Other
                 
  For the Three Months    
  Ended June 30,  Change 
  2010  2009  $  % 
  (In thousands)       
NOI — All Other:
                
Rental income
 $12,240  $8,343  $3,897   46.7%
Other revenue
  3,727   3,397   330   9.7 
 
             
Total revenues
  15,967   11,740   4,227   36.0 
Less:
                
Interest and other income
  22   64   (42)  (65.6)
Property-level operating expenses
  4,124   3,022   1,102   36.5 
 
             
NOI
 $11,821  $8,654  $3,167   36.6%
 
             

 

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All other revenues consist primarily of rental income related to the MOBs, income from loans and investments and other miscellaneous income. The increase in all other revenues during the second quarter of 2010 compared to the same period in 2009 is attributed primarily to $3.7 million of additional rent relating to MOBs acquired during 2009 and a $0.4 million increase in income from loans and investments due primarily to interest earned on the investments we made during 2009. Average occupancy rates related to our MOBs were as follows:
                 
          Average Occupancy 
  Number of Properties at June 30,  For the Three Months Ended June 30, 
  2010  2009  2010  2009 
Stabilized MOBs
  22   19   94.7%  93.5%
Lease-Up MOBs
  4   3   81.6%  67.2%
 
              
Total
  26   22   92.1%  89.1%
 
              
 
                
Same-Store Stabilized MOBs
  18   18   93.5%  93.5%
All other property-level operating expenses include all expenses related to our MOB operations. The change in property-level operating expenses in the second quarter of 2010 over 2009 primarily reflects increased expenses related to acquisitions that occurred during 2009.
Interest Expense
Total interest expense, including interest allocated to discontinued operations of $0.1 million and $0.7 million for the three months ended June 30, 2010 and 2009, respectively, decreased $0.5 million in the second quarter of 2010 over the same period in 2009 primarily due to a $0.8 million reduction in interest from lower loan balances. Interest expense includes $2.3 million and $1.9 million of amortized deferred financing fees for the three months ended June 30, 2010 and 2009, respectively. Our effective interest rate was 6.6% for the three months ended June 30, 2010, an increase of five basis points from the three months ended June 30, 2009. A decrease in the average Canadian dollar exchange rate had an unfavorable impact on interest expense of $0.2 million for the three months ended June 30, 2010, compared to the same period in 2009.
Depreciation and Amortization
Depreciation and amortization expense increased primarily due to properties we acquired or developed during the period from July 1, 2009 through June 30, 2010.
Loss on Extinguishment of Debt
Loss on extinguishment of debt for the three months ended June 30, 2010 relates primarily to our redemption of all $142.7 million principal amount 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. Loss on extinguishment of debt for the same period in 2009 relates primarily to our cash tender offers for our outstanding senior notes completed in May 2009.
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”) arising out of our Sunrise Senior Living REIT (“Sunrise REIT”) acquisition and deal costs required by GAAP to be expensed rather than capitalized into the asset value, which include certain fees and expenses incurred to acquire Lillibridge in 2010 and other deal costs for unconsummated transactions.
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 acquisition. The change from an income tax benefit in 2009 to an income tax expense in 2010 is primarily due to increased NOI at our seniors housing communities managed by Sunrise. Excluding income taxes related to noncontrolling interest, we have net tax benefit in both periods. See “Note 9Income Taxes” of the Notes to Consolidated Financial Statements included in Item 1 of this Quarterly Report on Form 10-Q.

 

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Discontinued Operations
Discontinued operations for the second quarter of 2010 include a $4.9 million net gain on the sale of four assets sold during the second quarter of 2010 and a lease termination fee of $0.2 million. Discontinued operations for the same period in 2009 include a gain on sale of assets of $38.9 million and a lease termination fee of $2.3 million related to six assets sold during the second quarter of 2009. See “Note 4—Dispositions” of the Notes to Consolidated Financial Statements included in Item 1 of this Quarterly Report on Form 10-Q.
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 58 of our seniors housing communities.
Six Months Ended June 30, 2010 and 2009
The table below shows the results of operations for the six months ended June 30, 2010 and 2009 and the dollar and percentage changes in those results from period to period.
                 
  For the Six Months Ended    
  June 30,  Change 
  2010  2009  $  % 
NOI:
                
Triple-Net Leased Properties
 $235,034  $230,319  $4,715   2.0%
Senior Living Operations
  72,617   64,342   8,275   12.9 
All Other
  23,425   17,269   6,156   35.6 
 
             
Total NOI
  331,076   311,930   19,146   6.1 
 
                
Interest and other income
  385   394   (9)  (2.3)
Interest expense
  (88,345)  (89,924)  1,579   (1.8)
Depreciation and amortization
  (102,661)  (98,141)  (4,520)  4.6 
General, administrative and professional fees
  (20,541)  (20,953)  412   (2.0)
Foreign currency (loss) gain
  (15)  1   (16)  >100 
Loss on extinguishment of debt
  (6,549)  (6,080)  (469)  7.7 
Merger-related expenses and deal costs
  (6,526)  (5,556)  (970)  17.5 
 
             
Income before income taxes, discontinued operations and noncontrolling interest
  106,824   91,671   15,153   16.5 
Income tax (expense) benefit
  (695)  942   (1,637)  >100 
 
             
Income from continuing operations
  106,129   92,613   13,516   14.6 
Discontinued operations
  6,004   71,539   (65,535)  (91.6)
 
             
Net income
  112,133   164,152   (52,019)  (31.7)
Net income attributable to noncontrolling interest
  1,447   1,543   (96)  (6.2)
 
             
Net income attributable to common stockholders
 $110,686  $162,609  $(51,923)  (31.9)%
 
             
NOI — Triple-Net Leased Properties
The increase in our NOI for the six months ended June 30, 2010 over the same period in 2009 primarily reflects $3.1 million of additional rent resulting from the annual escalators in the rent paid under the Kindred Master Leases effective May 1, 2010 and various other escalations in the rent paid on our other existing properties.

 

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NOI — Senior Living Operations
                 
  For the Six Months    
  Ended June 30,  Change 
  2010  2009  $  % 
  (In thousands)       
NOI — Senior Living Operations:
                
Total revenues
 $218,373  $206,348  $12,025   5.8%
Less:
                
Interest and other income
  20   10   10   100.0 
Property-level operating expenses
  145,736   141,996   3,740   2.6 
 
             
NOI
 $72,617  $64,342  $8,275   12.9%
 
             
The increase in revenues during the six months ended June 30, 2010 over the same period in 2009 is attributed primarily to a decrease in the average Canadian dollar exchange rate, which had a favorable impact of $5.8 million in 2010, higher occupancy rates and higher average daily rates in our communities. Average resident occupancy rates related to our senior living operations managed by third parties were as follows:
                 
  Number of Communities  Average Resident Occupancy 
  at June 30,  For the Six Months Ended June 30, 
  2010  2009  2010  2009 
Stabilized Communities
  80   78   88.4%  88.1%
Lease-Up Communities
  2   1   85.8%  65.8%
 
              
Total
  82   79   88.3%  87.3%
 
              
 
                
Same-Store Stabilized Communities
  78   78   88.4%  88.1%
The increase in property-level operating expenses for the six months ended June 30, 2010 over the same period in 2009 primarily reflects a decrease in the average Canadian dollar exchange rate, which had an unfavorable impact of $3.9 million in 2010 and increases in labor and marketing costs, partially offset by the receipt of $3 million for expense overages at our Sunrise-managed communities and a decrease in utility costs in the first six months of 2010.
NOI — All Other
                 
  For the Six Months    
  Ended June 30,  Change 
  2010  2009  $  % 
  (In thousands)       
NOI — All Other:
                
Rental income
 $24,429  $16,691  $7,738   46.4%
Other revenue
  7,389   6,840   549   8.0 
 
             
Total revenues
  31,818   23,531   8,287   35.2 
Less:
                
Interest and other income
  67   226   (159)  (70.4)
Property-level operating expenses
  8,326   6,036   2,290   37.9 
 
             
NOI
 $23,425  $17,269  $6,156   35.6%
 
             

 

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The increase in all other revenues during the second quarter of 2010 over the same period in 2009 is attributed primarily to $7.5 million of additional rent relating to MOBs acquired during 2009 and a $0.7 million increase in income from loans and investments due primarily to interest earned on the investments we made during 2009. Average occupancy rates related to our MOBs were as follows:
                 
          Average Occupancy 
  Number of Properties at June 30,  For the Six Months Ended June 30, 
  2010  2009  2010  2009 
Stabilized MOBs
  22   19   94.9%  94.1%
Lease-Up MOBs
  4   3   77.5%  64.7%
 
              
Total
  26   22   91.5%  89.5%
 
              
 
                
Same-Store Stabilized MOBs
  18   18   93.9%  94.1%
The change in property-level operating expenses during the six months ended June 30, 2010 over the same period in 2009 primarily reflects increased expenses related to acquisitions that occurred during 2009.
Interest Expense
Total interest expense, including interest allocated to discontinued operations of $0.3 million and $1.5 million for the six months ended June 30, 2010 and 2009, respectively, decreased $2.8 million during the six months ended June 30, 2010 over the same period in 2009, primarily due to a $9.7 million reduction in interest from lower loan balances, partially offset by a $5.6 million increase in interest from higher effective interest rates. Interest expense includes $4.5 million and $3.4 million of amortized deferred financing fees for the six months ended June 30, 2010 and 2009, respectively. Our effective interest rate increased to 6.6% for the six months ended June 30, 2010, from 6.1% for the six months ended June 30, 2009 due to the higher outstanding balances on our revolving credit facilities maintained during the first half of 2009 at lower rates. A decrease in the average Canadian dollar exchange rate had an unfavorable impact on interest expense of $0.5 million for the six months ended June 30, 2010, compared to the same period in 2009.
Depreciation and Amortization
Depreciation and amortization expense increased primarily due to properties we acquired or developed during the period from July 1, 2009 through June 30, 2010.
Loss on Extinguishment of Debt
Loss on extinguishment of debt for the six months ended June 30, 2010 relates primarily to our redemption of all $142.7 million principal amount 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. Loss on extinguishment of debt for the same period in 2009 relates primarily to our cash tender offers for our outstanding senior notes completed in May 2009.
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 deal costs required by GAAP to be expensed rather than capitalized into the asset value, which include certain fees and expenses incurred to acquire Lillibridge in 2010 and other deal costs for unconsummated transactions.

 

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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 acquisition. The change from an income tax benefit in 2009 to an income tax expense in 2010 is primarily due to increased NOI at our seniors housing communities managed by Sunrise. Excluding income taxes related to noncontrolling interest, we had net tax benefit in both periods. See “Note 9—Income Taxes” of the Notes to Consolidated Financial Statements included in Item 1 of this Quarterly Report on Form 10-Q.
Discontinued Operations
Discontinued operations for the six months ended June 30, 2010 include a $5.0 million net gain on the sale of five assets sold during the six months ended June 30, 2010 and a lease termination fee of $0.2 million. Discontinued operations for the same period in 2009 include a gain on sale of assets of $66.9 million and a lease termination fee of $2.4 million related to thirteen assets sold during the six months ended June 30, 2009. See “Note 4—Dispositions” of the Notes to Consolidated Financial Statements included in Item 1 of this Quarterly Report on Form 10-Q.
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 58 of our seniors housing communities.
Non-GAAP Financial Measures
We believe that net income, as defined by GAAP, is the most appropriate earnings measurement. However, we consider other 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 measure.
Our non-GAAP financial measures presented herein are not necessarily comparable 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 Quarterly Report on Form 10-Q.
Funds From Operations and Normalized Funds From Operations and Funds Available for Distribution
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 and Funds Available for Distribution (“FAD”) appropriate measures of performance of an equity REIT. We believe that these measures of operating performance may be used by investors to measure and compare operating performance between periods. We use the National Association of Real Estate Investment Trusts (“NAREIT”) definition of FFO. NAREIT defines FFO as net income (computed in accordance with GAAP), excluding gains (or losses) from sales of real estate property, plus real estate depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. We define “normalized FFO” as FFO excluding the following items (which may be recurring in nature): (a) gains and losses on the sales of assets; (b) merger-related costs and expenses and deal costs and expenses, including expenses relating to our lawsuit against HCP; (c) the impact of any expenses related to asset impairment and valuation allowances, the write-off of unamortized deferred financing fees, or additional costs, expenses, discounts or premiums incurred as a result of early debt retirement or payment of our debt; and (d) the non-cash effect of income tax benefits/expenses. Normalized FAD represents normalized FFO excluding straight-line rental adjustments and routine capital expenditures. Routine capital expenditures represent improvements or betterments to real estate properties that extend or increase the useful life of the asset and are required to continue to generate current revenues and to maintain the value of the property subsequent to acquisition. Routine capital expenditures exclude the noncontrolling interest share for joint venture properties. As many investors are interested in those capital expenditures made by a company that are not revenue enhancing in nature, we adjust our normalized FFO for routine capital expenditures to arrive at normalized FAD.

 

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Our FFO and normalized FFO and FAD for the three and six months ended June 30, 2010 and 2009 are summarized in the following table. The increase in our FFO for the three and six months ended June 30, 2010 over the prior year is primarily due to rental increases from our triple-net leased portfolio and higher NOI at our senior living and MOB operating portfolios, including the receipt of $3 million for expense overages at our Sunrise-managed communities in 2010, and lower interest expense during the six months ended June 30, 2010.
                 
  For the Three Months  For the Six Months 
  Ended June 30,  Ended June 30, 
  2010  2009  2010  2009 
  (In thousands) 
 
                
Net income attributable to common stockholders
 $58,067  $88,381  $110,686  $162,609 
Adjustments:
                
Real estate depreciation and amortization
  49,932   48,472   102,179   97,800 
Real estate depreciation related to noncontrolling interest
  (1,680)  (1,496)  (3,406)  (3,116)
Discontinued operations:
                
Gain on sale of real estate assets
  (5,041)  (39,020)  (5,225)  (66,891)
Depreciation on real estate assets
     266   61   676 
 
            
FFO
  101,278   96,603   204,295   191,078 
Adjustments:
                
Income tax benefit
  (150)  (936)  (283)  (1,873)
Loss on extinguishment of debt
  6,549   5,975   6,549   6,080 
Merger-related expenses and deal costs
  4,207   3,502   6,526   5,556 
 
            
 
                
Normalized FFO
  111,884   105,144   217,087   200,841 
 
                
Straight-lining of rental income
  (2,526)  (3,052)  (4,975)  (5,990)
Routine capital expenditures
  (1,288)  (632)  (1,885)  (1,776)
 
            
 
                
Normalized FAD
 $108,070  $101,460  $210,227  $193,075 
 
            

 

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Adjusted EBITDA
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 and gains and losses on real estate disposals. We believe that Adjusted EBITDA is an important supplemental measure to net income and cash flow from operating activities because it provides additional information to assess and evaluate the performance of our operations. We also consider it to be a profitability measure which indicates our ability to service debt. The following is a reconciliation of Adjusted EBITDA to net income (including amounts in discontinued operations) for the three and six months ended June 30, 2010 and 2009:
                 
  For the Three Months  For the Six Months 
  Ended June 30,  Ended June 30, 
  2010  2009  2010  2009 
  (In thousands) 
 
                
Net income
 $58,965  $89,183  $112,133  $164,152 
Adjustments:
                
Interest
  44,172   44,646   88,631   91,455 
Loss on extinguishment of debt
  6,549   5,975   6,549   6,080 
Taxes (including amounts in general, administrative and professional fees)
  657   (98)  1,193   (343)
Depreciation and amortization
  50,185   48,909   102,722   98,817 
Non-cash stock-based compensation expense
  3,057   3,078   6,089   6,137 
Merger-related expenses and deal costs
  4,207   3,502   6,526   5,556 
Gain on sale of real estate assets
  (5,041)  (39,020)  (5,225)  (66,891)
 
            
Adjusted EBITDA
 $162,751  $156,175  $318,618  $304,963 
 
            
NOI
We define NOI as total revenues, less interest and other income and property-level operating expenses. We believe that NOI is an important supplemental measure to net income and cash flow from operating activities because it allows us to evaluate the operating performance of our properties at the property level on an unleveraged basis. The following is a reconciliation of NOI for the three and six months ended June 30, 2010 and 2009:
                 
  For the Three Months  For the Six Months 
  Ended June 30,  Ended June 30, 
  2010  2009  2010  2009 
  (In thousands) 
 
                
Total revenues
 $243,978  $231,452  $485,523  $460,356 
Less:
                
Interest and other income
  122   108   385   394 
Property-level operating expenses
  75,183   72,564   154,062   148,032 
 
            
NOI (excluding amounts in discontinued operations)
  168,673   158,780   331,076   311,930 
Discontinued operations
  405   1,972   901   4,432 
 
            
NOI (including amounts in discontinued operations)
 $169,078  $160,752  $331,977  $316,362 
 
            

 

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Liquidity and Capital Resources
During the six months ended June 30, 2010, our principal sources of liquidity were cash flows from operations, proceeds from dispositions, borrowings under our unsecured revolving credit facilities and cash on hand. On July 1, 2010, we funded the Lillibridge transaction with a combination of cash on hand, borrowings under our unsecured revolving credit facilities and assumed secured mortgage financing. For the remainder of 2010, our principal liquidity needs are to: (i) fund normal operating expenses; (ii) meet our debt service requirements; (iii) repay maturing mortgage debt; (iv) fund capital expenditures for our senior living operations and our MOBs; (v) fund acquisitions, investments and/or commitments; and (vi) make distributions to our stockholders, as required for us to continue to qualify as a REIT. We believe that these needs will be satisfied by cash flows from operations, cash on hand, debt financings, proceeds from sales of assets and borrowings under our unsecured revolving credit facilities. However, if these sources of capital are not available and/or if we make significant acquisitions and investments, we may be required to obtain funding from additional borrowings, assume debt from the seller, dispose of assets (in whole or in part through joint venture arrangements with third parties) and/or issue secured or unsecured long-term debt or other securities.
As of June 30, 2010, we had a total of $27.8 million of unrestricted cash and cash equivalents, consisting primarily of operating cash and cash related to our senior living operations that is deposited and held in property-level accounts. Funds maintained in the property-level accounts are used primarily for the payment of property-level expenses and certain capital expenditures. A portion of the cash maintained in these property-level accounts is distributed to us monthly. At June 30, 2010, we also had escrow deposits and restricted cash of $43.5 million, and unused credit availability of $872.7 million under our unsecured revolving credit facilities.
Unsecured Revolving Credit Facilities
At June 30, 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 June 30, 2010, the applicable percentage was 2.80%. Our unsecured revolving credit facilities have a 20 basis point facility fee. As of July 27, 2010, we had $352.7 million outstanding under our unsecured revolving credit facilities (including outstanding letters of credit of $7.8 million) and $647.3 million of availability.
Senior Notes
On June 1, 2010, we repaid in full, at par, $1.4 million principal amount outstanding of our senior notes due 2010 upon maturity. In June 2010, we also exercised our option to redeem all $142.7 million principal amount 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, and recognized a net loss on extinguishment of debt of $6.4 million during the second quarter.
Mortgages
In June 2010, we repaid $49.8 million of mortgage loans on two of our Sunrise-managed properties in which we 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.
Cash Flows
The following is a summary of our sources and uses of cash flows for the six months ended June 30, 2010 and 2009:
                 
  For the Six Months    
  Ended June 30,  Change 
  2010  2009  $  % 
 
                
Cash and cash equivalents at beginning of period
 $107,397  $176,812  $(69,415)  (39.3)%
Net cash provided by operating activities
  207,717   195,142   12,575   6.4 
Net cash (used in) provided by investing activities
  (21,437)  33,556   (54,993)  >100 
Net cash used in financing activities
  (265,835)  (359,126)  93,291   (26.0)
Effect of foreign currency translation on cash and cash equivalents
  (48)  139   (187)  >100 
 
             
Cash and cash equivalents at end of period
 $27,794  $46,523  $(18,729)  (40.3)%
 
             

 

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Cash Flows from Operating Activities
The increase in our net cash provided by operating activities for the six months ended June 30, 2010 was due primarily to higher FFO during that period as a result of rental increases from our triple-net leased portfolio, higher NOI at our senior living and MOB operating portfolios, including the receipt of $3 million for expense overages at our Sunrise-managed communities, and lower interest expense in 2010.
Cash Flows from Investing Activities
Investing activities during the six months ended June 30, 2010 and 2009 consisted primarily of our investments in real estate and earnest money deposits ($22.9 million and $19.4 million in 2010 and 2009, respectively), investments in loans receivable ($15.8 million and $7.4 million in 2010 and 2009, respectively) and capital expenditures ($7.1 million and $4.0 million in 2010 and 2009, respectively), offset by proceeds from loans receivable ($1.3 million and $7.7 million in 2010 and 2009, respectively) and proceeds from real estate disposals ($23.0 million and $56.6 million in 2010 and 2009, respectively).
Cash Flows from Financing Activities
Net cash used in financing activities for the six months ended June 30, 2010 consisted primarily of $167.8 million of cash dividend payments to common stockholders, $149.1 million of senior note repayments, $66.0 million of aggregate principal payments on mortgage obligations, $4.3 million of distributions to noncontrolling interests and $1.8 million of payments for deferred financing costs, offset by $117.3 million of proceeds from borrowings under our unsecured revolving credit facilities.
Net cash used in financing activities for the six months ended June 30, 2009 consisted primarily of $289.9 million of payments made on our unsecured revolving credit facilities, $153.8 million of cash dividend payments to common stockholders, $411.5 million of senior note purchases and repayments, $91.5 million of aggregate principal payments on mortgage obligations and $13.4 million of payments for deferred financing costs, offset by $301.1 million of proceeds from the issuance of debt and $299.2 million from the issuance of common stock.
Capital Expenditures
Our tenants generally bear the responsibility to maintain and improve our triple-net leased properties. Accordingly, we do not expect to incur any major capital expenditures in connection with these properties. After the terms of the triple-net leases expire, or in the event that the tenants are unable or unwilling to meet their obligations under those leases, we anticipate funding any capital expenditures for which we may become responsible by cash flows from operations or through additional borrowings. With respect to our MOBs and our senior living communities managed by independent third parties pursuant to management agreements, we expect that capital expenditures will be funded by the cash flows from the properties or through additional borrowings. To the extent that unanticipated expenditures or significant borrowings are required, our liquidity may be affected adversely. Our ability to borrow funds may be restricted in certain circumstances by the terms of our unsecured revolving credit facilities and the indentures governing our outstanding senior notes. Our ability to borrow may also be limited by our lenders’ ability and willingness to fund, in whole or in part, borrowing requests under our unsecured revolving credit facilities.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
The following discussion of our exposure to various market risks contains forward-looking statements that involve risks and uncertainties. These projected results have been prepared utilizing certain assumptions considered reasonable in light of information currently available to us. Nevertheless, because of the inherent unpredictability of interest rates as well as other factors, actual results could differ materially from those projected in such forward-looking information.
We are exposed to market risk for changes in interest rates on borrowings under our unsecured revolving credit facilities, certain of our mortgage loans that are floating rate obligations and mortgage loans receivable. These market risks result primarily from changes in U.S. or Canadian LIBOR rates, the Canadian Bankers’ Acceptance rate or the U.S. or Canadian Prime rates. We continuously monitor our level of floating rate debt with respect to total debt and other factors, including our assessment of the current and future economic environment.

 

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Interest rate fluctuations generally do not affect our fixed rate debt obligations until such instruments mature. However, changes in interest rates will affect the fair value of our fixed rate instruments. If interest rates have risen at the time our fixed rate debt matures or at the time we refinance such debt, our future earnings and cash flows could be adversely affected by the additional cost of borrowings. Conversely, lower interest rates at the time our debt matures or at the time of refinancing may lower our overall borrowing costs.
To highlight the sensitivity of our fixed rate debt to changes in interest rates, the following summary shows the effects of a hypothetical instantaneous change of 100 basis points (BPS) in interest rates as of June 30, 2010 and December 31, 2009:
         
  As of  As of 
  June 30, 2010  December 31, 2009 
  (In thousands) 
 
 
Gross book value
 $2,316,600  $2,477,225 
Fair value (1)
  2,472,119   2,572,472 
Fair value reflecting change in interest rates: (1)
        
-100 BPS
  2,568,026   2,681,982 
+100 BPS
  2,377,046   2,469,655 
 
   
(1) The change in fair value of fixed rate debt was due primarily to overall changes in interest rates and debt repayments.

 

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The table below sets forth certain information with respect to our debt, excluding premiums and discounts:
             
  As of  As of  As of 
  June 30,  December 31,  June 30, 
  2010  2009  2009 
  (Dollars in thousands) 
 
            
Balance:
            
Fixed rate:
            
Senior notes
 $1,009,087  $1,153,131  $1,153,510 
Mortgage loans and other
  1,307,513   1,324,094   1,278,214 
Variable rate:
            
Unsecured revolving credit facilities
  126,269   8,466   10,402 
Mortgage loans
  166,774   215,970   208,614 
 
         
Total
 $2,609,643  $2,701,661  $2,650,740 
 
         
 
            
Percent of total debt:
            
Fixed rate:
            
Senior notes
  38.7%  42.7%  43.5%
Mortgage loans and other
  50.1%  49.0%  48.2%
Variable rate:
            
Unsecured revolving credit facilities
  4.8%  0.3%  0.4%
Mortgage loans
  6.4%  8.0%  7.9%
 
         
Total
  100.0%  100.0%  100.0%
 
         
 
            
Weighted average interest rate at end of period:
            
Fixed rate:
            
Senior notes
  6.2%  6.3%  6.3%
Mortgage loans and other
  6.3%  6.3%  6.4%
Variable rate:
            
Unsecured revolving credit facilities
  3.2%  3.1%  3.2%
Mortgage loans
  1.7%  2.0%  1.1%
Total
  5.8%  6.0%  5.9%
The increase in our outstanding variable rate debt from December 31, 2009 is primarily attributable to additional borrowings under our unsecured revolving credit facilities, partially offset by mortgage repayments. 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 June 30, 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 one percentage point increase in the interest rate related to the variable rate debt, and assuming no change in the outstanding balance as of June 30, 2010, interest expense for 2010 would increase by approximately $2.7 million, or $0.02 per common share on a diluted basis. The fair value of our fixed and variable rate debt is based on current interest rates at which we could obtain similar borrowings.
We have investments in marketable debt securities on which we earn interest on a fixed rate basis. We record these investments as available-for-sale at fair 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 June 30, 2010 and December 31, 2009, the fair value of our marketable debt securities, which had an original cost of $58.7 million, was $64.8 million and $65.0 million, respectively.
As of June 30, 2010, the fair value of our loans receivable was $142.0 million, based on our estimates of currently prevailing rates for comparable loans.

 

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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 Canadian operations. Based on results for the six months ended June 30, 2010, if the Canadian dollar exchange rate were to increase or decrease by $0.10, our net income would decrease or increase, as applicable, by $0.4 million for the six-month period. 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 us.
We may engage in hedging strategies to manage our exposure to market risks in the future, depending on an analysis of the interest rate and foreign currency exchange rate environments and the costs and risks of such strategies. We do not use derivative financial instruments for speculative purposes.
ITEM 4. 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 June 30, 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 June 30, 2010, at the reasonable assurance level.
Internal Control Over Financial Reporting
In January 2010, we implemented an Enterprise Resource Planning (“ERP”) system, which included a new general ledger system. Various internal controls were modified due to the new ERP system. We believe that the system has enhanced internal control over financial reporting. Other than the implementation of the new ERP system and related changes in internal controls, during the first quarter of 2010, there were no significant 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.
During the second 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.

 

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PART II—OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
The information contained in “Note 8—Litigation” of the Notes to Consolidated Financial Statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q is incorporated by reference into this Item 1. Except as set forth therein, there have been no material developments in the legal proceedings reported in our Annual Report on Form 10-K for the year ended December 31, 2009.
ITEM 1A. RISK FACTORS
The following risk factors reflect certain modifications of, or additions to, the risk factors continued in our Annual Report on Form 10-K for the year ended December 31, 2009 as a result of our acquisition of Lillibridge.
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 their 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 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;

 

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  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.
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 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 and 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 or 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.
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.

 

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As part of our MOB development business, we provide engineering, construction and architectural services, where design, construction or systems failures may result in substantial injury or damage to clients and/or third parties. These claims may arise in the normal course of our development business, and may be asserted with respect to projects completed and/or past occurrences. If any claim results in a loss, there can be no guarantee 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 both our investment in, and anticipated profits and cash flows from, the affected MOB, which could have a Material Adverse Effect on us.
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 the expiration of the terms thereof. 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 certain circumstances, we could also exercise our right to replace any tenant or operator upon a default under the terms of the applicable lease. In case of non-renewal, our tenants are required to continue to perform all obligations (including the payment of all rental amounts) for any assets that are not renewed until expiration of the then current lease term. We generally have one year to arrange for the repositioning of non-renewed assets prior to the expiration of the lease term. If we exercise our right to replace a tenant upon a default under a lease, 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 cannot assure you that we would be successful in identifying suitable replacements or entering into leases with new tenants or operators on terms as favorable to us as our current leases, if at all. In this event, 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 impacted by the specialized medical uses of those properties, and we may be required to spend substantial amounts to adapt the MOB to other uses. These delays, limitations and expenses could materially delay or impact our ability to reposition our properties, collect rent, obtain possession of leased properties or otherwise to exercise remedies for tenant default and could have a Material Adverse Effect on us.

 

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ITEM 6. EXHIBITS
       
Exhibit    
Number Description of Document Location of Document
    
 
  
 10.1  
Employment Agreement dated as of June 22, 2010 between Ventas, Inc. and Todd W. Lillibridge.
 Filed herewith.
    
 
  
 10.2  
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.
 Filed herewith.
    
 
  
 10.3  
Guaranty of Agreement Regarding Leases dated as of November 7, 2006 by Senior Care, Inc. in favor of Ventas Realty, Limited Partnership.
 Filed herewith.
    
 
  
 10.4  
Amended and Restated Employment Agreement dated as of December 28, 2006 between Ventas, Inc. and Debra A. Cafaro.
 Filed herewith.
    
 
  
 31.1  
Certification of Debra A. Cafaro, Chairman, President and Chief Executive Officer, pursuant to Rule 13a-14(a) under the Securities Exchange Act of 1934, as amended.
 Filed herewith.
    
 
  
 31.2  
Certification of Richard A. Schweinhart, Executive Vice President and Chief Financial Officer, pursuant to Rule 13a-14(a) under the Securities Exchange Act of 1934, as amended.
 Filed herewith.
    
 
  
 32.1  
Certification of Debra A. Cafaro, Chairman, President and Chief Executive Officer, pursuant to Rule 13a-14(b) under the Securities Exchange Act of 1934, as amended, 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 Securities Exchange Act of 1934, as amended, and 18 U.S.C. § 1350.
 Filed herewith.
    
 
  
 101  
Interactive Data File.
 Filed herewith.

 

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SIGNATURES
Pursuant to the requirements 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: July 30, 2010
     
 VENTAS, INC.
 
 
 By:  /s/ Debra A. Cafaro  
  Debra A. Cafaro  
  Chairman, President and
Chief Executive Officer
 
 
   
 By:  /s/ Richard A. Schweinhart  
  Richard A. Schweinhart  
  Executive Vice President and
Chief Financial Officer
 
 

 

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EXHIBIT INDEX
       
Exhibit    
Number Description of Document Location of Document
    
 
  
 10.1  
Employment Agreement dated as of June 22, 2010 between Ventas, Inc. and Todd W. Lillibridge.
 Filed herewith.
    
 
  
 10.2  
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.
 Filed herewith.
    
 
  
 10.3  
Guaranty of Agreement Regarding Leases dated as of November 7, 2006 by Senior Care, Inc. in favor of Ventas Realty, Limited Partnership.
 Filed herewith.
    
 
  
 10.4  
Amended and Restated Employment Agreement dated as of December 28, 2006 between Ventas, Inc. and Debra A. Cafaro.
 Filed herewith.
    
 
  
 31.1  
Certification of Debra A. Cafaro, Chairman, President and Chief Executive Officer, pursuant to Rule 13a-14(a) under the Securities Exchange Act of 1934, as amended.
 Filed herewith.
    
 
  
 31.2  
Certification of Richard A. Schweinhart, Executive Vice President and Chief Financial Officer, pursuant to Rule 13a-14(a) under the Securities Exchange Act of 1934, as amended.
 Filed herewith.
    
 
  
 32.1  
Certification of Debra A. Cafaro, Chairman, President and Chief Executive Officer, pursuant to Rule 13a-14(b) under the Securities Exchange Act of 1934, as amended, 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 Securities Exchange Act of 1934, as amended, and 18 U.S.C. § 1350.
 Filed herewith.
    
 
  
 101  
Interactive Data File.
 Filed herewith.

 

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