Welltower
WELL
#161
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A$183.30 B
Marketcap
A$267.07
Share price
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Welltower Inc. is a real estate investment company that invests primarily in senior housing, assisted living, acute care facilities, medical office buildings, hospitals and other healthcare properties

Welltower - 10-Q quarterly report FY


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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 September 30, 2007
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 1-8923
HEALTH CARE REIT, INC.
 
(Exact name of registrant as specified in its charter)
   
Delaware 34-1096634
   
(State or other jurisdiction of
incorporation or organization)
 (I.R.S. Employer
Identification No.)
   
One SeaGate, Suite 1500, Toledo, Ohio 43604
   
(Address of principal executive office) (Zip Code)
   
(419) 247-2800
 
(Registrant’s telephone number, including area code)
  
 
(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 the filing requirements for at least the past 90 days.
Yes þ     No o
     Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer þ               Accelerated filer o               Non-accelerated filer 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
     As of October 31, 2007, the registrant had 81,499,265 shares of common stock outstanding.
 
 

 


 


Table of Contents

PART I. FINANCIAL INFORMATION
Item 1. Financial Statements
CONSOLIDATED BALANCE SHEETS
HEALTH CARE REIT, INC. AND SUBSIDIARIES
         
  September 30,  December 31, 
  2007  2006 
  (Unaudited)  (Note) 
  (In thousands) 
Assets
        
Real estate investments:
        
Real property owned
        
Land and land improvements
 $440,365  $386,693 
Buildings and improvements
  4,165,573   3,659,065 
Acquired lease intangibles
  129,533   84,082 
Real property held for sale, net of accumulated depreciation
  6,908   14,796 
Construction in progress
  229,134   138,222 
 
      
 
  4,971,513   4,282,858 
Less accumulated depreciation and amortization
  (449,831)  (347,007)
 
      
Total real property owned
  4,521,682   3,935,851 
Loans receivable
  271,985   194,448 
Less allowance for losses on loans receivable
  (7,406)  (7,406)
 
      
 
  264,579   187,042 
 
      
Net real estate investments
  4,786,261   4,122,893 
Other assets:
        
Equity investments
  4,617   4,700 
Deferred loan expenses
  32,082   20,657 
Cash and cash equivalents
  31,440   36,216 
Receivables and other assets
  117,427   96,144 
 
      
 
  185,566   157,717 
 
      
Total assets
 $4,971,827  $4,280,610 
 
      
 
        
Liabilities and stockholders’ equity
        
Liabilities:
        
Borrowings under unsecured lines of credit arrangements
 $145,000  $225,000 
Senior unsecured notes
  1,890,344   1,541,814 
Secured debt
  513,058   378,972 
Liability to subsidiary trust issuing preferred securities
  52,184   52,215 
Accrued expenses and other liabilities
  105,629   101,588 
 
      
Total liabilities
  2,706,215   2,299,589 
 
        
Minority interests
  4,928   2,228 
 
        
Stockholders’ equity:
        
Preferred stock, $1.00 par value:
  338,993   338,993 
Authorized — 50,000,000 shares
        
Issued and outstanding — 13,174,989 shares at September 30, 2007 and December 31, 2006
        
Common stock, $1.00 par value:
  81,253   73,152 
Authorized — 225,000,000 shares
        
Issued — 81,488,325 shares at September 30, 2007 and 73,272,052 shares at December 31, 2006
        
Outstanding — 81,384,156 shares at September 30, 2007 and 73,192,128 shares at December 31, 2006
        
Capital in excess of par value
  2,200,030   1,873,811 
Treasury stock
  (3,952)  (2,866)
Cumulative net income
  1,025,309   932,853 
Cumulative dividends
  (1,386,899)  (1,238,860)
Accumulated other comprehensive income
  3,302   (135)
Other equity
  2,648   1,845 
 
      
Total stockholders’ equity
  2,260,684   1,978,793 
 
      
Total liabilities and stockholders’ equity
 $4,971,827  $4,280,610 
 
      
NOTE: The consolidated balance sheet at December 31, 2006 has been derived from the audited financial statements at that date but does not include all of the information and footnotes required by U.S. generally accepted accounting principles for complete financial statements.
See notes to unaudited consolidated financial statements

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CONSOLIDATED STATEMENTS OF INCOME (UNAUDITED)
HEALTH CARE REIT, INC. AND SUBSIDIARIES
                 
  Three Months Ended  Nine Months Ended 
  September 30,  September 30, 
  2007  2006  2007  2006 
  (In thousands, except per share data) 
Revenues:
                
Rental income
 $117,930  $73,328  $332,907  $214,032 
Interest income
  5,947   4,436   17,673   13,178 
Other income
  1,199   1,019   3,935   3,049 
 
            
 
  125,076   78,783   354,515   230,259 
 
                
Expenses:
                
Interest expense
  34,869   23,290   99,570   68,482 
Property operating expenses
  10,426   0   26,251   0 
Depreciation and amortization
  39,933   22,947   108,434   66,839 
General and administrative
  8,626   5,010   28,304   15,788 
Loan expense
  1,504   782   4,006   2,199 
Provision for loan losses
  0   250   0   750 
 
            
 
  95,358   52,279   266,565   154,058 
 
            
 
Income from continuing operations before minority interests
  29,718   26,504   87,950   76,201 
Minority interests
  (121)  0   (407)  0 
 
            
 
Income from continuing operations
  29,597   26,504   87,543   76,201 
 
                
Discontinued operations:
                
Net gain (loss) on sales of properties
  766   108   2,775   2,590 
Income (loss) from discontinued operations, net
  483   201   2,138   1,000 
 
            
 
  1,249   309   4,913   3,590 
 
            
 
                
Net income
  30,846   26,813   92,456   79,791 
 
                
Preferred stock dividends
  6,317   5,333   18,952   15,998 
 
 
            
Net income available to common stockholders
 $24,529  $21,480  $73,504  $63,793 
 
            
 
                
Average number of common shares outstanding:
                
Basic
  80,710   62,524   77,686   60,766 
Diluted
  81,163   62,866   78,234   61,102 
 
                
Earnings per share:
                
Basic:
                
Income from continuing operations available to common stockholders
 $0.29  $0.34  $0.88  $0.99 
Discontinued operations, net
  0.02   0.00   0.06   0.06 
 
            
Net income available to common stockholders*
 $0.30  $0.34  $0.95  $1.05 
 
                
Diluted:
                
Income from continuing operations available to common stockholders
 $0.29  $0.34  $0.88  $0.99 
Discontinued operations, net
  0.02   0.00   0.06   0.06 
 
            
Net income available to common stockholders*
 $0.30  $0.34  $0.94  $1.04 
 
                
Dividends declared and paid per common share
 $0.66  $0.64  $1.6191  $1.90 
 
* Amounts may not sum due to rounding
See notes to unaudited consolidated financial statements

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CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (UNAUDITED)
HEALTH CARE REIT, INC. AND SUBSIDIARIES
                                     
  Nine Months Ended September 30, 2007
                          Accumulated    
          Capital in             Other    
  Preferred Common Excess of Treasury Cumulative Cumulative Comprehensive Other  
  Stock Stock Par Value Stock Net Income Dividends Income Equity Total
  (In thousands)
Balances at beginning of period
 $338,993  $73,152  $1,873,811  $(2,866) $932,853  $(1,238,860)  ($135) $1,845  $1,978,793 
Comprehensive income:
                                    
Net income
                  92,456               92,456 
Other comprehensive income:
                                    
Unrealized gain (loss) on securities
                          (83)      (83)
Cash flow hedge activity
                          3,520       3,520 
 
                                    
Total comprehensive income
                                  95,893 
 
                                    
Issuance of common shares from dividend reinvestment and stock incentive plans, net of forfeitures
      1,776   67,250   (1,086)              (116)  67,824 
Proceeds from issuance of common shares
      6,325   258,969                       265,294 
Compensation expense related to stock options
                              919   919 
Cash dividends paid:
                                    
Common stock-$1.6191 per share
                      (129,088)          (129,088)
Preferred stock, Series D-$1.4766 per share
                      (5,906)          (5,906)
Preferred stock, Series E-$1.125 per share
                      (84)          (84)
Preferred stock, Series F-$1.4297 per share
                      (10,008)          (10,008)
Preferred stock, Series G-$1.4064 per share
                      (2,953)          (2,953)
   
Balances at end of period
 $338,993  $81,253  $2,200,030  $(3,952) $1,025,309  $(1,386,899) $3,302  $2,648  $2,260,684 
   
                                     
  Nine Months Ended September 30, 2006 
                          Accumulated       
          Capital in              Other       
  Preferred  Common  Excess of  Treasury  Cumulative  Cumulative  Comprehensive  Other    
  Stock  Stock  Par Value  Stock  Net Income  Dividends  Income  Equity  Total 
  (In thousands) 
Balances at beginning of period
 $276,875  $58,050  $1,306,471  $(2,054) $830,103  $(1,039,032) $0  $343  $1,430,756 
Comprehensive income:
                                    
Net income
                  79,791               79,791 
Other comprehensive income:
                                  0 
 
                                   
Total comprehensive income
                                  79,791 
 
                                   
Issuance of common shares from dividend reinvestment and stock incentive plans, net of forfeitures
      1,732   57,015   (660)              (18)  58,069 
Proceeds from issuance of common shares
      3,223   106,526                       109,749 
SFAS123(R) reclassification
          (521)                  521   0 
Compensation expense related to stock options
                              874   874 
Cash dividends paid:
                                    
Common stock-$1.90 per share
                      (116,272)          (116,272)
Preferred stock, Series D-$1.4766 per share
                      (5,906)          (5,906)
Preferred stock, Series E-$1.125 per share
                      (84)          (84)
Preferred stock, Series F-$1.4297 per share
                      (10,008)          (10,008)
   
Balances at end of period
 $276,875  $63,005  $1,469,491  $(2,714) $909,894  $(1,171,302) $0  $1,720  $1,546,969 
   
See notes to unaudited consolidated financial statements

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CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
HEALTH CARE REIT, INC. AND SUBSIDIARIES
         
  Nine Months Ended 
  September 30, 
  2007  2006 
  (In thousands) 
Operating activities
        
Net income
 $92,456  $79,791 
Adjustments to reconcile net income to net cash provided from operating activities:
        
Depreciation and amortization
  109,545   71,918 
Other amortization expenses
  4,211   2,199 
Capitalized interest
  (8,058)  (2,494)
Provision for loan losses
  0   750 
Stock-based compensation expense
  5,753   4,191 
Minority interests share of earnings
  407   0 
Rental income less than (in excess of) cash received
  (1,873)  9,756 
Amortization of above/below market leases
  (656)  0 
(Gain) loss on sales of properties
  (2,775)  (2,590)
Increase (decrease) in accrued expenses and other liabilities
  (2,800)  9,853 
Decrease (increase) in receivables and other assets
  (4,839)  (14,390)
 
      
Net cash provided from (used in) operating activities
  191,371   158,984 
 
        
Investing activities
        
Investment in real property
  (587,681)  (290,596)
Investment in loans receivable
  (121,338)  (74,126)
Other investments, net of payments
  (2,192)  (2,100)
Principal collected on loans receivable
  45,058   42,468 
Proceeds from sales of properties
  65,940   35,288 
Other
  (3,325)  (738)
 
      
Net cash provided from (used in) investing activities
  (603,538)  (289,804)
 
        
Financing activities
        
Net increase (decrease) under unsecured lines of credit arrangements
  (80,000)  81,000 
Proceeds from issuance of senior notes
  389,166   0 
Principal payments on senior notes
  (52,500)  0 
Principal payments on secured debt
  (26,494)  (2,184)
Net proceeds from the issuance of common stock
  327,419   165,808 
Decrease (increase) in deferred loan expense
  (4,454)  (2,281)
Contributions by minority interests
  2,600   0 
Distributions to minority interests
  (307)  0 
Cash distributions to stockholders
  (148,039)  (132,270)
 
      
Net cash provided from (used in) financing activities
  407,391   110,073 
 
      
Increase (decrease) in cash and cash equivalents
  (4,776)  (20,747)
Cash and cash equivalents at beginning of period
  36,216   36,237 
 
      
Cash and cash equivalents at end of period
 $31,440  $15,490 
 
      
Supplemental cash flow information-interest paid
 $78,530  $64,549 
 
      
Supplemental schedule of non-cash activites:
        
Assets and liabilities assumed from real property acquisitions:
        
Secured debt
 $160,001  $25,049 
Other liabilities
  11,916     
Other assets
  3,897     
See notes to unaudited consolidated financial statements

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
NOTE A — Basis of Presentation
     The accompanying unaudited consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”) for interim financial information and with instructions to Quarterly Report on Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered for a fair presentation have been included. Operating results for the nine months ended September 30, 2007 are not necessarily an indication of the results that may be expected for the year ending December 31, 2007. For further information, refer to the financial statements and footnotes thereto included in our Annual Report on Form 10-K/A for the year ended December 31, 2006.
NOTE B — Windrose Medical Properties Trust Merger
     As discussed in our Annual Report on Form 10-K/A for the year ended December 31, 2006, we completed our merger with Windrose Medical Properties Trust on December 20, 2006. These operations are the principal component of our operating property segment (see Note L). During the nine months ended September 30, 2007, we updated the purchase price allocation for the Windrose merger, as required by Statement of Financial Accounting Standards No. 141, Business Combinations. The updated purchase price allocation reflects reallocations between identifiable tangible and intangible assets. However, these adjustments did not have a significant impact on our consolidated results of operations. Allocation of the purchase price has not been finalized and is subject to adjustment. The following table presents the updated purchase price calculation and the allocation to assets acquired and liabilities assumed, based upon their estimated fair values (in thousands):
     
Common stock
 $396,846 
Preferred stock
  62,118 
Cash consideration
  183,139 
Assumed debt
  301,641 
Assumed liabilities and minority interests
  21,192 
Acquisition costs
  29,139 
 
   
Purchase price
  994,075 
Merger-related expenses
  5,213 
Capitalized equity issuance costs
  912 
 
   
Net purchase price
 $987,950 
 
   
 
    
Land and land improvements
 $126,078 
Buildings and improvements
  769,769 
Acquired lease intangibles
  42,594 
Above market lease intangibles
  32,352 
Cash and cash equivalents
  15,591 
Receivables and other assets
  22,547 
 
   
Total assets acquired
  1,008,931 
Below market lease intangibles
  20,981 
 
   
Purchase price
  987,950 
Secured debt
  249,424 
Liability to subsidiary trust issuing preferred securities
  52,217 
Accrued expenses and other liabilities
  18,977 
 
   
Total liabilities acquired
  320,618 
Minority interests
  2,215 
 
   
Net assets acquired
 $665,117 
 
   
NOTE C — Real Estate Investments
     During the nine months ended September 30, 2007, we invested $587,681,000 of cash in real property (including $180,563,000 of cash advances for construction in progress) and provided cash loan financings of $121,338,000. Additionally, $97,609,000 of completed construction projects were placed into service and began earning rent during the nine months ended September 30, 2007. As of September 30, 2007, we had $593,428,000 of unfunded construction commitments relating to existing construction in progress projects. Also during the nine months ended September 30, 2007, we sold real property generating $65,940,000 of net cash proceeds and collected $45,058,000 of cash as repayment of principal on loans receivable.

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
     In May 2007, we completed the acquisition of 17 medical office buildings and Paramount Real Estate Services from affiliates of Rendina Companies for an aggregate purchase price of approximately $294,473,000. The results of operations for these properties and Paramount have been included in our consolidated results of operations from the date of acquisition. Allocation of the purchase price has not been finalized and is subject to adjustment.
NOTE D — Distributions Paid to Common Stockholders
     On February 20, 2007, we paid a dividend of $0.2991 per share to stockholders of record on January 31, 2007. This represents a total dividend of $0.64 per share when combined with the prorated dividend of $0.3409 per share paid on December 28, 2006 in connection with the Windrose merger. These dividends related to the period from October 1, 2006 through December 31, 2006.
     On May 21, 2007, we paid a dividend of $0.66 per share to stockholders of record on May 4, 2007. These dividends related to the period from January 1, 2007 through March 31, 2007.
     On August 20, 2007, we paid a dividend of $0.66 per share to stockholders of record on August 3, 2007. These dividends related to the period from April 1, 2007 through June 30, 2007.
NOTE E — Fair Value of Derivative Instruments
     We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates. We may elect to use financial derivative instruments to hedge interest rate exposure. These decisions are principally based on our policy to match our variable rate investments with comparable borrowings, but are also based on the general trend in interest rates at the applicable dates and our perception of the future volatility of interest rates. Derivatives are recorded at fair market value on the balance sheet as assets or liabilities.
     On May 6, 2004, we entered into two interest rate swap agreements (the “2004 Swaps”) for a total notional amount of $100,000,000 to hedge changes in fair value attributable to changes in the LIBOR swap rate of $100,000,000 of fixed rate debt with a maturity date of November 15, 2013. The 2004 Swaps were treated as fair-value hedges for accounting purposes and we utilized the short-cut method to assess effectiveness. The 2004 Swaps were with highly rated counterparties in which we received a fixed rate of 6.0% and paid a variable rate based on six-month LIBOR plus a spread. On September 12, 2007, we terminated the 2004 Swaps and we received a $2,125,000 cash settlement. The unamortized amount of this settlement at September 30, 2007 was $2,059,000 and is recorded as an adjustment to the hedged item. This amount will be amortized to interest expense over the life of the hedged debt using the effective interest method. For the three and nine months ended September 30, 2007, we generated $73,000 and $23,000 of savings, respectively, related to the 2004 Swaps that was recorded as a reduction of interest expense. For the three and nine months ended September 30, 2006, we incurred $29,000 and $100,000 of losses, respectively, related to the 2004 Swaps that was recorded as an addition to interest expense.
     On July 2, 2007, we entered into two forward-starting interest rate swaps (the “July 2007 Swaps”), with an aggregate notional amount of $200,000,000 that were designated as cash flow hedges of the variability in forecasted interest payments attributable to changes in the LIBOR swap rate, on long-term fixed rate debt forecasted to be issued in 2007. The July 2007 Swaps have the economic effect of fixing $200,000,000 of our debt at 4.913% for five years. The July 2007 Swaps were settled on July 17, 2007, which was the day after the forecasted debt was priced. The cash settlement value of these contracts at July 17, 2007, was $733,000. This amount represented the effective portion of the hedges as there was no hedge ineffectiveness. Therefore, the $733,000 settlement value was deferred in accumulated other comprehensive income (“AOCI”) and will be amortized to interest expense using the effective interest method. The unamortized amount of AOCI related to these contracts at September 30, 2007 is $704,000. For the three and nine months ended September 30, 2007, we reclassified $29,000 out of AOCI as a reduction of interest expense.
     On September 12, 2007, we entered into two forward-starting interest rate swaps (the “September 2007 Swaps”) for a total notional amount of $250,000,000 to hedge 10 years of interest payments associated with a long-term borrowing that is expected to occur in 2008. The September 2007 Swaps each have an effective date of September 12, 2008 and a maturity date of September 12, 2018. We expect to settle the September 2007 Swaps when the debt is priced. The September 2007 Swaps have the economic effect of fixing $250,000,000 of our future debt at 4.469% for 10 years. The September 2007 Swaps have been designated as cash flow hedges and we expect the September 2007 Swaps to be highly effective at offsetting changes in cash flows of interest payments on $250,000,000 of our future debt due to changes in the LIBOR swap rate. Therefore, effective changes in the fair value of the September 2007 Swaps will be recorded in AOCI and reclassified to interest expense when the hedged forecasted transactions affect earnings (as interest payments are made on the expected debt issuance). The ineffective portion of the changes in fair value will be recorded directly in earnings. At September 30, 2007, the September 2007 Swaps were reported at their fair value of $2,684,000 and are included in other assets and AOCI.

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
     The valuation of derivative instruments requires us to make estimates and judgments that affect the fair value of the instruments. Fair values for our derivatives are estimated by a third party consultant, which utilizes pricing models that consider forward yield curves and discount rates. Such amounts and the recognition of such amounts are subject to significant estimates that may change in the future.
NOTE F — Discontinued Operations
     One independent living facility and one assisted living facility were held for sale as of September 30, 2007. We did not recognize an impairment loss on these assets as the fair value less estimated costs to sell exceeded our carrying values. During the nine months ended September 30, 2007, we sold nine assisted living facilities, one skilled nursing facility and one parcel of land with carrying values of $63,165,000 for a net gain of $2,775,000. In accordance with Statement of Financial Accounting Standards No. 144, Accounting for the Impairment or Disposal of Long-Lived Assets, we have reclassified the income and expenses attributable to all properties sold and attributable to the properties held for sale at September 30, 2007 to discontinued operations. Expenses include an allocation of interest expense based on property carrying values and our weighted average cost of debt. The following illustrates the reclassification impact of Statement No. 144 as a result of classifying properties as discontinued operations for the periods presented (in thousands):
                 
  Three Months Ended  Nine Months Ended 
  September 30,  September 30, 
  2007  2006  2007  2006 
Revenues:
                
Rental income
 $900  $2,976  $4,387  $9,924 
 
Expenses:
                
Interest expense
  213   984   1,138   3,117 
Provision for depreciation
  204   1,579   1,111   5,078 
General and adminstrative
  0   212   0   729 
 
 
            
Income (loss) from discontinued operations, net
 $483  $201  $2,138  $1,000 
 
            
NOTE G — Contingent Liabilities
     We have an outstanding letter of credit issued for the benefit of certain insurance companies that provide workers’ compensation insurance to one of our tenants. Our obligation under the letter of credit matures in 2009. At September 30, 2007, our obligation under the letter of credit was $2,450,000.
     As of September 30, 2007, we had $593,428,000 of unfunded construction commitments.
NOTE H — Accumulated Other Comprehensive Income
     Accumulated other comprehensive income includes amounts related to our cash flow hedge activity, unrealized gains or losses on our equity investments and unrecognized actuarial gains/losses from the adoption of Financial Accounting Standards No. 158, Employers Accounting for Defined Benefit Pension and Other Postretirement Plans — An amendment of FASB Statements No. 87, 88, 106 and 132(R) on December 31, 2006. These items are included as a component of stockholders’ equity. We did not recognize any comprehensive income related to unrecognized actuarial gains/losses for the nine months ended September 30, 2007. Please see Note E for a discussion of our cash flow hedge activity. We did not recognize any comprehensive income other than the recorded net income for the nine months ended September 30, 2006.

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTE I — Earnings Per Share
     The following table sets forth the computation of basic and diluted earnings per share (in thousands, except per share data):
                 
  Three Months Ended  Nine Months Ended 
  September 30,  September 30, 
  2007  2006  2007  2006 
 
                
Numerator for basic and diluted earnings per share — net income available to common stockholders
 $24,529  $21,480  $73,504  $63,793 
 
            
 
                
Denominator for basic earnings per share — weighted average shares
  80,710   62,524   77,686   60,766 
Effect of dilutive securities:
                
Employee stock options
  55   81   150   75 
Non-vested restricted shares
  398   261   398   261 
 
            
Dilutive potential common shares
  453   342   548   336 
 
            
Denominator for diluted earnings per share — adjusted weighted average shares
  81,163   62,866   78,234   61,102 
 
            
 
                
Basic earnings per share
 $0.30  $0.34  $0.95  $1.05 
 
            
Diluted earnings per share
 $0.30  $0.34  $0.94  $1.04 
 
            
     The diluted earnings per share calculation excludes the dilutive effect of 124,000 stock options for both the three and nine months ended September 30, 2007 because the exercise prices were greater than the average market price. The diluted earnings per share calculation excludes the dilutive effect of 0 and 112,000 stock options for the three and nine months ended September 30, 2006, respectively, because the exercise prices were greater than the average market price. The Series E Cumulative Convertible and Redeemable Preferred Stock, the Series G Cumulative Convertible Preferred Stock, the $345,000,000 senior unsecured convertible notes due December 2026 and the $400,000,000 senior unsecured convertible notes due July 2027 were not included in these calculations as the effect of the conversions into common stock was anti-dilutive for the relevant periods presented.
NOTE J — Other Equity
     Other equity consists of accumulated option compensation expense which represents the amount of amortized compensation costs related to stock options awarded to employees and directors subsequent to January 1, 2003. Expense, which is recognized as the options vest based on the market value at the date of the award, totaled $188,000 and $919,000 for the three and nine months ended September 30, 2007, respectively, and $191,000 and $874,000 for the same periods in 2006.
NOTE K — Stock Incentive Plans
     Our 2005 Long-Term Incentive Plan authorizes up to 2,200,000 shares of common stock to be issued at the discretion of the Compensation Committee of the Board of Directors. The 2005 Plan replaced the 1995 Stock Incentive Plan and the Stock Plan for Non-Employee Directors. The options granted to officers and key employees under the 1995 Plan continue to vest through 2010 and expire ten years from the date of grant. Our non-employee directors, officers and key employees are eligible to participate in the 2005 Plan. The 2005 Plan allows for the issuance of, among other things, stock options, restricted stock, deferred stock units and dividend equivalent rights. Vesting periods for options, deferred stock units and restricted shares generally range from three years for non-employee directors to five years for officers and key employees. Options expire ten years from the date of grant.

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Valuation Assumptions
     The fair value of each option grant is estimated on the date of grant using the Black-Scholes-Merton option pricing model with the following weighted-average assumptions:
         
  Nine Months Ended Nine Months Ended
  September 30, 2007 September 30, 2006
Dividend yield (1)
  5.60%  6.79%
Expected volatility
  19.9%  20.3%
Risk-free interest rate
  4.74%  4.35%
Expected life (in years)
  5   5 
Weighted-average fair value (1)
 $8.31  $5.26 
 
(1) Certain options granted to employees include dividend equivalent rights (“DERs”). The fair value of options with DERs also includes the net present value of projected future dividend payments over the expected life of the option discounted at the dividend yield rate.
     The dividend yield represented the dividend yield of our common stock on the dates of grant. Our computation of expected volatility was based on historical volatility. The risk-free interest rates used were the 10-year U.S. Treasury Notes yield on the dates of grant. The expected life was based on historical experience of similar awards, giving consideration to the contractual terms, vesting schedules and expectations regarding future employee behavior.
Option Award Activity
     The following table summarizes information about stock option activity for the nine months ended September 30, 2007:
                 
  Number      Weighted Average    
  of  Weighted  Remaining  Aggregate 
  Shares  Average  Contract Life  Intrinsic 
Stock Options (000’s)  Exercise Price  (years)  Value ($000’s) 
Options at beginning of year
  917  $30.79   7.9     
Options granted
  124   45.73         
Options exercised
  (372)  28.04         
Options terminated
  (2)  39.72         
 
            
Options at end of period
  667  $35.08   7.8  $5,883 
 
            
 
                
Options exercisable at end of period
  285  $31.52   6.9  $3,531 
Weighted average fair value of options granted during the period
     $8.31         
     The aggregate intrinsic value is calculated as the difference between the exercise price of the underlying options and the quoted price of our common stock for the options that were in-the-money at September 30, 2007. During the nine months ended September 30, 2007, the aggregate intrinsic value of options exercised under our stock incentive plans was $6,014,000 determined as of the date of option exercise. During the nine months ended September 30, 2006, the aggregate intrinsic value of options exercised under our stock incentive plans was $3,025,000 determined as of the date of option exercise. Cash received from option exercises under our stock incentive plans for the nine months ended September 30, 2007 was $10,429,000. Cash received from option exercises under our stock incentive plans for the nine months ended September 30, 2006 was $4,601,000.
     As of September 30, 2007, there was approximately $2,712,000 of total unrecognized compensation cost related to unvested stock options granted under our stock incentive plans. That cost is expected to be recognized over a weighted average period of four years. As of September 30, 2007, there was approximately $12,141,000 of total unrecognized compensation cost related to unvested restricted stock granted under our stock incentive plans. That cost is expected to be recognized over a weighted average period of three years.

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
     The following table summarizes information about non-vested stock incentive awards as of September 30, 2007 and changes for the nine months ended September 30, 2007:
                 
  Stock Options  Restricted Stock 
  Number of  Weighted Average  Number of  Weighted Average 
  Shares  Grant Date  Shares  Grant Date 
  (000’s)  Fair Value  (000’s)  Fair Value 
Non-vested at December 31, 2006
  478  $5.35   248  $34.07 
Vested
  (218)  3.78   (121)  35.21 
Granted
  124   8.31   272   44.66 
Terminated
  (2)  7.63   (1)  39.36 
 
            
Non-vested at September 30, 2007
  382  $7.20   398  $40.94 
 
            
NOTE L — Segment Reporting
     We invest across the full spectrum of senior housing and health care real estate. We evaluate our business and make resource allocations on our two business segments — investment properties and operating properties. Under the investment property segment, we invest in senior housing and health care real estate through acquisition and financing of primarily single tenant properties. Properties acquired are primarily leased under triple-net leases and we are not involved in the management of the property. Our primary investment property types include skilled nursing facilities, assisted living facilities, independent living/continuing care retirement communities and specialty care facilities. Under the operating property segment, we primarily invest in medical office buildings that are typically leased under gross leases, modified gross leases or triple-net leases, to multiple tenants, and generally require a certain level of property management. The accounting policies of the segments are the same as those described in the summary of significant accounting policies (see Note 1 to our Annual Report on Form 10-K/A for the year ended December 31, 2006). There are no intersegment sales or transfers. We evaluate performance based upon net operating income of the combined properties in each segment.
     Non-segment revenue consists mainly of interest income on non-real estate investments and other income. Non-segment assets consist of corporate assets including cash, accounts receivable and deferred financing costs among others. Non-property specific revenues and expenses are not allocated to individual segments in determining net operating income.
     Summary information for the reportable segments during the three and nine months ended September 30, 2007 and 2006 is as follows (in thousands):
                                     
                  Property  Net  Real Estate       
  Rental  Interest  Other  Total  Operating  Operating  Depreciation/  Interest  Total 
  Income (1)  Income  Income  Revenues (1)  Expenses  Income (2)  Amortization (1)  Expense (1)  Assets 
Three months ended
September 30, 2007:
                                    
Investment Properties
 $86,036  $5,947      $91,983      $91,983  $25,668  $2,125  $3,478,316 
Operating Properties
  32,794           32,794  $10,426   22,368   14,469   5,760   1,307,945 
Non-segment/Corporate
         $1,199   1,199       1,199       27,197   185,566 
 
                           
 
 $118,830  $5,947  $1,199  $125,976  $10,426  $115,550  $40,137  $35,082  $4,971,827 
 
                           
 
                                    
Three months ended
September 30, 2006:
                               
Investment Properties
 $76,304  $4,436      $80,740      $80,740  $24,526  $2,357  $3,094,828 
Operating Properties
                                    
Non-segment/Corporate
         $1,019   1,019       1,019       21,917   106,001 
 
                           
 
 $76,304  $4,436  $1,019  $81,759  $0  $81,759  $24,526  $24,274  $3,200,829 
 
                           

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
                                     
                  Property  Net  Real Estate       
  Rental  Interest  Other  Total  Operating  Operating  Depreciation/  Interest  Total 
  Income (1)  Income  Income  Revenues (1)  Expenses  Income (2)  Amortization (1)  Expense (1)  Assets 
Nine months ended September 30, 2007:
                                    
Investment Properties
 $250,712  $17,673      $268,385      $268,385  $75,104  $6,747  $3,478,316 
Operating Properties
  86,582           86,582  $26,251   60,331   34,441   13,852   1,307,945 
Non-segment/Corporate
         $3,935   3,935       3,935       80,109   185,566 
 
                           
 
 $337,294  $17,673  $3,935  $358,902  $26,251  $332,651  $109,545  $100,708  $4,971,827 
 
                           
 
                                    
Nine months ended September 30, 2006:
Investment Properties
 $223,956  $13,178      $237,134      $237,134  $71,917  $6,704  $3,094,828 
Operating Properties
                                    
Non-segment/Corporate
         $3,049   3,049       3,049       64,895   106,001 
 
                           
 
 $223,956  $13,178  $3,049  $240,183  $0  $240,183  $71,917  $71,599  $3,200,829 
 
                           
 
(1) Includes amounts from discontinued operations.
 
(2) Net operating income (“NOI”) is used to evaluate the operating performance of our properties. We define NOI as total revenues, including tenant reimbursements, less property level operating expenses, which exclude depreciation and amortization, general and administrative expenses, impairments, interest expense and discontinued operations. We believe NOI provides investors relevant and useful information because it measures the operating performance of our properties at the property level on an unleveraged basis. We use NOI to make decisions about resource allocations and to assess the property level performance of our properties.
NOTE M — New Accounting Pronouncements
     On January 1, 2007, we adopted Financial Accounting Standards Board (“FASB”) Interpretation No. 48, Accounting for Uncertainty in Income Taxes. The Interpretation clarifies the accounting for uncertainty in income taxes recognized in an enterprise’s financial statements in accordance with Statement of Financial Accounting Standards No. 109, Accounting for Income Taxes. The Interpretation prescribes guidance for recognizing, measuring, reporting and disclosing a tax position taken or expected to be taken in a tax return. The adoption of the Interpretation did not have a material impact on our financial position or results of operations.
     In September 2006, the FASB also issued Statement of Financial Accounting Standards No. 157, Fair Value Measurements (“SFAS 157”), which defines fair value, establishes a framework for measuring fair value in generally accepted accounting principles, and expands disclosures about fair value measurements. SFAS 157 will be effective for fiscal year 2008. Adoption of SFAS 157 is not expected to have a material impact on our financial position, although additional disclosures may be required.
     In February 2007, the FASB issued Statement of Financial Accounting Standards No. 159, The Fair Value Option for Financial Assets and Financial Liabilities (“SFAS 159”), which permits companies to elect to measure certain eligible items at fair value. Subsequent unrealized gains and losses on those items will be reported in earnings. Upfront costs and fees related to those items will be reported in earnings as incurred and not deferred. SFAS 159 will be effective for fiscal year 2008. If a company elects to apply the provisions of SFAS 159 to eligible items existing at that date, the effect of the remeasurement to fair value will be reported as a cumulative effect adjustment to the opening balance of retained earnings. Retrospective application will not be permitted. We are currently assessing whether we will elect to use the fair value option for any eligible items.

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTE N — Subsequent Events
     At September 30, 2007, we had a $52,184,000 liability to a subsidiary trust that had issued trust preferred securities, which liability was assumed in the Windrose merger. On March 24, 2006, Windrose’s wholly-owned subsidiary, Windrose Capital Trust I (the “Trust”), completed the issuance and sale in a private placement of $50,000,000 in aggregate principal amount of fixed/floating rate preferred securities. The trust preferred securities are scheduled to mature on March 30, 2036, are redeemable at our option beginning March 30, 2011, and require quarterly distributions to the holders of the trust preferred securities. Distributions on the trust preferred securities accumulate at a fixed rate per annum equal to 7.22% through March 30, 2011, and a variable rate per annum equal to LIBOR plus 2.05% thereafter.
     The common stock of the Trust was purchased by an operating partnership of Windrose for $1,000,000. The Trust used the proceeds from the sale of the trust preferred securities together with the proceeds from the sale of the common stock to purchase $51,000,000 in aggregate principal amount of unsecured fixed/floating junior subordinated notes due March 30, 2036 issued by the operating partnership. The operating partnership received approximately $49,000,000 in net proceeds, after the payment of fees and expenses, from the sale of the junior subordinated notes to the Trust. In accordance with FASB Interpretation No. 46(R), Consolidation of Variable Interest Entities, we have not consolidated the Trust because the operating partnership is not considered the primary beneficiary of the Trust.
     On November 6, 2007, we purchased all $50,000,000 of the outstanding trust preferred securities at par for the purpose of unwinding this financing arrangement and extinguishing the liability of the operating partnership to the Trust.
NOTE O — Convertible Notes Issuance
     On July 20, 2007, we completed the issuance of $400,000,000 4.75% convertible senior unsecured notes due July 15, 2027. We generated net proceeds of approximately $389,166,000.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     The following discussion and analysis is based primarily on the consolidated financial statements of Health Care REIT, Inc. for the periods presented and should be read together with the notes thereto contained in this Quarterly Report on Form 10-Q. Other important factors are identified in our Annual Report on Form 10-K/A for the year ended December 31, 2006, including factors identified under the headings “Business,” “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”
Executive Overview
Business
     Health Care REIT, Inc. is an equity real estate investment trust that invests in the full spectrum of senior housing and health care real estate. Founded in 1970, we were the first REIT to invest exclusively in health care facilities. The following table summarizes our portfolio as of September 30, 2007:
                                     
  Investments(1)  Percentage of  Revenues(2)  Percentage of  Number of  # Beds/Units  Investment per  Operators/    
Type of Property (in thousands)  Investments  (in thousands)  Revenues(2)  Properties  or Sq. Ft.  metric (3)  Tenants  States 
Independent living/CCRCs
 $678,145   14% $33,060   9%  57  6,615 units$154,493 per unit 22   22 
Assisted living facilities
  1,002,599   21%  86,314   24%  201  12,052 units93,352 per unit 25   33 
Skilled nursing facilities
  1,544,271   32%  118,007   33%  234  31,680 beds49,177 per bed 22   28 
Medical office buildings
  1,233,327   26%  81,332   23%  117  4,837,991 sq. ft.270 per sq. ft. 874   17 
Specialty care facilities
  337,775   7%  18,581   5%  22  1,541 beds245,289 per bed 11   10 
Interest income
          17,673   5%                    
Other income
          3,935   1%                    
 
                               
Totals
 $4,796,117   100% $358,902   100%  631                 
 
                               
 
(1) Investments include gross real estate investments and credit enhancements which amounted to $4,793,667,000 and $2,450,000, respectively.
 
(2) Revenues include gross revenues and revenues from discontinued operations for the nine months ended September 30, 2007.
 
(3) Investment per metric was computed by using the total investment amount of $5,389,545,000, which includes gross real estate investments, credit enhancements and unfunded construction commitments for which initial funding has commenced which amounted to $4,793,667,000, $2,450,000 and $593,428,000, respectively.
     Our primary objectives are to protect stockholder capital and enhance stockholder value. We seek to pay consistent cash dividends to stockholders and create opportunities to increase dividend payments to stockholders as a result of annual increases in rental and interest income and portfolio growth. To meet these objectives, we invest across the full spectrum of senior housing and health care real estate and diversify our investment portfolio by property type, operator/tenant and geographic location.
     Substantially all of our revenues and sources of cash flows from operations are derived from operating lease rentals and interest earned on outstanding loans receivable. These items represent our primary source of liquidity to fund distributions and are dependent upon our obligors’ continued ability to make contractual rent and interest payments to us. To the extent that our obligors experience operating difficulties and are unable to generate sufficient cash to make payments to us, there could be a material adverse impact on our consolidated results of operations, liquidity and/or financial condition. To mitigate this risk, we monitor our investments through a variety of methods determined by the type of property and operator/tenant. Our asset management process includes review of monthly financial statements for each property, periodic review of obligor credit, periodic property inspections and review of covenant compliance relating to licensure, real estate taxes, letters of credit and other collateral. In monitoring our portfolio, our personnel use a proprietary database to collect and analyze property-specific data. Additionally, we conduct extensive research to ascertain industry trends and risks. Through these asset management and research efforts, we are typically able to intervene at an early stage to address payment risk, and in so doing, support both the collectibility of revenue and the value of our investment.
     In addition to our asset management and research efforts, we also structure our investments to help mitigate payment risk. We typically limit our investments to no more than 90% of the appraised value of a property. Operating leases and loans are normally credit enhanced by guaranties and/or letters of credit. In addition, operating leases are typically structured as master leases and loans are generally cross-defaulted and cross-collateralized with other loans, operating leases or agreements between us and the obligor and its affiliates.
     For the nine months ended September 30, 2007, rental income and interest income represented 94% and 5%, respectively, of total gross revenues (including revenues from discontinued operations). Substantially all of our operating leases are designed with either fixed or contingent escalating rent structures. Leases with fixed annual rental escalators are generally recognized on a straight-line basis over the

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initial lease period, subject to a collectibility assessment. Rental income related to leases with contingent rental escalators is generally recorded based on the contractual cash rental payments due for the period. Our yield on loans receivable depends upon a number of factors, including the stated interest rate, the average principal amount outstanding during the term of the loan and any interest rate adjustments.
          Depending upon the availability and cost of external capital, we anticipate investing in additional properties. New investments are generally funded from temporary borrowings under our unsecured line of credit arrangement, internally generated cash and the proceeds from sales of real property. Our investments generate internal cash from rent and interest receipts and principal payments on loans receivable. Permanent financing for future investments, which replaces funds drawn under the unsecured lines of credit arrangements, is expected to be provided through a combination of public and private offerings of debt and equity securities and the incurrence or assumption of secured debt. We believe our liquidity and various sources of available capital are sufficient to fund operations, meet debt service obligations (both principal and interest), make dividend distributions and finance future investments.
          Depending upon market conditions, we believe that new investments will be available in the future with spreads over our cost of capital that will generate appropriate returns to our stockholders. During the nine months ended September 30, 2007, we completed $891,806,000 of gross new investments and had $101,260,000 of investment payoffs, resulting in net investments of $790,546,000. We expect to complete gross new investments of $1.1 billion to $1.2 billion during 2007, including acquisitions of approximately $850,000,000 to $950,000,000 and funded new development of approximately $250,000,000. We anticipate the sale of real property and the repayment of loans receivable totaling approximately $100,000,000 to $150,000,000 resulting in net new investments of $950,000,000 to $1.1 billion during 2007. It is possible that additional loan repayments or sales of real property may occur in the future. To the extent that loan repayments and real property sales exceed new investments, our revenues and cash flows from operations could be adversely affected. We expect to reinvest the proceeds from any loan repayments and real property sales in new investments. To the extent that new investment requirements exceed our available cash on hand, we expect to borrow under our unsecured lines of credit arrangements. At September 30, 2007, we had $31,440,000 of cash and cash equivalents and $1,005,000,000 of available borrowing capacity under our unsecured line of credit arrangement.
Windrose Medical Properties Trust Merger
          As discussed in our Annual Report on Form 10-K/A for the year ended December 31, 2006, we completed our merger with Windrose Medical Properties Trust on December 20, 2006. These operations are the principal component of our operating property segment (see Note L to our unaudited consolidated financial statements). The results of operations for this segment represent the primary change in our consolidated results of operations from the prior year. Allocation of the purchase price has not been finalized and is subject to adjustment.
Rendina/Paramount Acquisition
          In May 2007, we completed the acquisition of 17 medical office buildings and Paramount Real Estate Services from affiliates of Rendina Companies for an aggregate purchase price of approximately $294,473,000. The results of operations for these properties and Paramount have been included in our consolidated results of operations from the date of acquisition. Allocation of the purchase price has not been finalized and is subject to adjustment.
Key Transactions in 2007
          We have completed the following key transactions to date in 2007:
  our Board of Directors increased our quarterly dividend to $0.66 per share, which represents a two cent increase from the quarterly dividend of $0.64 paid for 2006. The dividend declared for the quarter ended September 30, 2007 represents the 146thconsecutive dividend payment;
 
  we completed $891,806,000 of gross investments and had $101,260,000 of investment payoffs during the nine months ended September 30, 2007;
 
  we completed a public offering of 6,325,000 shares of common stock with net proceeds to the company of approximately $265,294,000 in April 2007;
 
  we issued $400,000,000 of 4.75% convertible senior unsecured notes due July 2027 with net proceeds to the company of approximately $389,166,000 in July 2007; and
 
  we closed on a $1,150,000,000 unsecured revolving credit facility in August 2007 to replace our $700,000,000 facility which was scheduled to mature in July 2009 and our $40,000,000 facility which was scheduled to mature in May 2008. Among other things, the new facility provides us with additional financial flexibility and borrowing capacity, extends our agreement to August 2011 and reduces our incremental borrowing cost from 80 basis points to 60 basis points over LIBOR based on our then current ratings.

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Key Performance Indicators, Trends and Uncertainties
          We utilize several key performance indicators to evaluate the various aspects of our business. These indicators are discussed below and relate to operating performance, concentration risk and credit strength. Management uses these key performance indicators to facilitate internal and external comparisons to our historical operating results, in making operating decisions and for budget planning purposes.
          Operating Performance. We believe that net income available to common stockholders (“NICS”) is the most appropriate earnings measure. Other useful supplemental measures of our operating performance include funds from operations (“FFO”) and funds available for distribution (“FAD”); however, these supplemental measures are not defined by U.S. generally accepted accounting principles (“U.S. GAAP”). Please refer to the section entitled “Non-GAAP Financial Measures” for further discussion of FFO and FAD and for reconciliations of FFO and FAD to NICS. These earnings measures and their relative per share amounts are widely used by investors and analysts in the valuation, comparison and investment recommendations of companies. The following table reflects the recent historical trends of our operating performance measures for the periods presented (in thousands, except per share data):
                             
  Three Months Ended
  March 31, June 30, September 30, December 31, March 31, June 30, September 30,
  2006 2006 2006 2006 2007 2007 2007
   
Net income (loss) available to common stockholders
 $19,645  $22,668  $21,480  $17,494  $23,356  $25,620  $24,529 
Funds from operations
  41,354   45,870   45,898   44,459   56,207   59,979   63,830 
Funds available for distribution
  49,975   47,071   48,032   46,809   53,825   59,016   66,379 
 
                            
Per share data (fully diluted):
                            
Net income (loss) available to common stockholders
 $0.34  $0.37  $0.34  $0.27  $0.32  $0.32  $0.30 
Funds from operations
  0.71   0.74   0.73   0.69   0.76   0.75   0.79 
Funds available for distribution
  0.85   0.76   0.76   0.72   0.73   0.74   0.82 
          Credit Strength. We measure our credit strength both in terms of leverage ratios and coverage ratios. Our leverage ratios include debt to book capitalization and debt to market capitalization. The leverage ratios indicate how much of our balance sheet capitalization is related to long-term debt. The coverage ratios indicate our ability to service interest and fixed charges (interest, secured debt principal amortization and preferred dividends). We expect to maintain capitalization ratios and coverage ratios sufficient to maintain investment grade ratings with Moody’s Investors Service, Standard & Poor’s Ratings Services and Fitch Ratings. The coverage ratios are based on earnings before interest, taxes, depreciation and amortization (“EBITDA”) which is discussed in further detail, and reconciled to net income, below in “Non-GAAP Financial Measures.” Leverage ratios and coverage ratios are widely used by investors, analysts and rating agencies in the valuation, comparison, investment recommendations and rating of companies. The following table reflects the recent historical trends for our credit strength measures for the periods presented:
                             
  Three Months Ended
  March 31, June 30, September 30, December 31, March 31, June 30, September 30,
  2006 2006 2006 2006 2007 2007 2007
   
 
Debt to book capitalization ratio
  52%  49%  51%  53%  54%  52%  53%
Debt to market capitalization ratio
  38%  37%  36%  39%  40%  41%  40%
 
                            
Interest coverage ratio
  2.99x  3.16x  2.98x  2.75x  2.82x  2.83x  2.81x
Fixed charge coverage ratio
  2.41x  2.52x  2.41x  2.23x  2.28x  2.30x  2.31x
          Concentration Risk. We evaluate our concentration risk in terms of asset mix, investment mix, customer mix and geographic mix. Concentration risk is a valuable measure in understanding what portion of our investments could be at risk if certain sectors were to experience downturns. Asset mix measures the portion of our investments that are real property. In order to qualify as an equity REIT, at least 75% of our real estate investments must be real property whereby each property, which includes the land, buildings, improvements, intangibles and related rights, is owned by us and leased to a tenant pursuant to a long-term operating lease. Investment mix measures the portion of our investments that relate to our various property types. Customer mix measures the portion of our investments that relate to our top five customers. Geographic mix measures the portion of our investments that relate to our top five states. The following table reflects our recent historical trends of concentration risk for the periods presented:

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  March 31, June 30, September 30, December 31, March 31, June 30, September 30,
  2006 2006 2006 2006 2007 2007 2007
   
 
                            
Asset mix:
                            
Real property
  94%  94%  93%  95%  94%  95%  94%
Loans receivable
  6%  6%  7%  5%  6%  5%  6%
 
                            
Investment mix:
                            
Independent living/CCRCs
  15%  15%  16%  13%  13%  13%  14%
Assisted living facilities
  33%  33%  32%  25%  24%  22%  21%
Skilled nursing facilities
  45%  45%  46%  34%  36%  33%  32%
Medical office buildings
              22%  21%  26%  26%
Specialty care facilities
  7%  7%  6%  6%  6%  6%  7%
 
                            
Customer mix:
                            
Emeritus Corporation
  12%  12%  11%  9%  8%  8%  7%
Brookdale Senior Living Inc.
  10%  10%  9%  7%  7%  6%  5%
Life Care Centers of America, Inc.
  7%  8%  7%  6%  6%  5%  5%
Home Quality Management, Inc.
          8%  6%  6%  5%  5%
Merrill Gardens L.L.C.
  7%  7%  6%  4%  4%  4%  4%
Tara Cares, LLC
      6%                    
Delta Health Group, Inc.
  6%                        
Remaining operators/tenants
  58%  57%  59%  68%  69%  72%  74%
 
                            
Geographic mix:
                            
Florida
  14%  14%  15%  17%  16%  16%  16%
Texas
  8%  8%  8%  11%  13%  13%  13%
Massachusetts
  12%  11%  11%  8%  8%  7%  7%
California
              7%  7%  7%  7%
Ohio
  9%  9%  8%  6%  6%  6%  6%
North Carolina
  7%  7%  6%                
Remaining states
  50%  51%  52%  51%  50%  51%  51%
      We evaluate our key performance indicators in conjunction with current expectations to determine if historical trends are indicative of future results. Our expected results may not be achieved and actual results may differ materially from our expectations. Factors that may cause actual results to differ from expected results are described in more detail in “Forward-Looking Statements and Risk Factors” and other sections of this Quarterly Report on Form 10-Q. Management regularly monitors economic and other factors to develop strategic and tactical plans designed to improve performance and maximize our competitive position. Our ability to achieve our financial objectives is dependent upon our ability to effectively execute these plans and to appropriately respond to emerging economic and company-specific trends. Please refer to our Annual Report on Form 10-K/A for the year ended December 31, 2006, under the headings “Business,” “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” for further discussion of these risk factors.
Portfolio Update
          Investment Properties. Payment coverages of the operators in our investment property portfolio continue to remain strong. Our overall payment coverage is at 1.96 times, which is consistent with the prior year. The table below reflects our recent historical trends of portfolio coverages. Coverage data reflects the 12 months ended for the periods presented. CBMF represents the ratio of facilities’ earnings before interest, taxes, depreciation, amortization, rent and management fees to contractual rent or interest due us. CAMF represents the ratio of earnings before interest, taxes, depreciation, amortization, and rent (but after imputed management fees) to contractual rent or interest due us.
             
  June 30, 2005 June 30, 2006 June 30, 2007
  CBMF CAMF CBMF CAMF CBMF CAMF
Independent living/CCRCs (1)
     1.47x 1.25x 1.46x 1.26x
Assisted living facilities
 1.51x 1.28x 1.51x 1.30x 1.59x 1.37x
Skilled nursing facilities
 2.20x 1.65x 2.16x 1.55x 2.21x 1.60x
Specialty care facilities
 3.53x 2.91x 3.18x 2.65x 2.57x 2.01x
 
            
Weighted averages
 1.91x 1.54x 1.95x 1.53x 1.96x 1.52x
 
(1) As a result of our significant independent living/continuing care retirement community acquisitions in the fourth quarter of 2005, we began to separately disclose this facility classification in our portfolio reporting. We adopted the National Investment Center definitions and reclassified certain of our existing facilities to this classification.

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          Operating Properties. The primary performance measure for our operating properties is net operating income (“NOI”) as discussed below in Non-GAAP Financial Measures. At September 30, 2007, we had 117 medical office buildings and four specialty care facilities in our operating properties portfolio. The following table summarizes and reconciles our net operating income for the periods indicated (in thousands):
             
 
 Rental Property
Operating
 Net Operating
 
 Income Expenses Income
 
         
Three months ended September 30, 2007:
            
Medical office buildings
 $30,984  $10,296  $20,688 
Specialty care facilities
  1,810   130   1,680 
 
         
Totals
 $32,794  $10,426  $22,368 
 
         
 
            
Nine months ended September 30, 2007:
            
Medical office buildings
 $81,332  $26,044  $55,288 
Specialty care facilities
  5,250   207   5,043 
 
         
Totals
 $86,582  $26,251  $60,331 
 
         
Corporate Governance
          Maintaining investor confidence and trust has become increasingly important in today’s business environment. Health Care REIT, Inc.’s Board of Directors and management are strongly committed to policies and procedures that reflect the highest level of ethical business practices. Our corporate governance guidelines provide the framework for our business operations and emphasize our commitment to increase stockholder value while meeting all applicable legal requirements. In March 2004, the Board of Directors adopted its Corporate Governance Guidelines. These guidelines meet the listing standards adopted by the New York Stock Exchange and are available on our Web site at www.hcreit.com and from us upon written request sent to the Senior Vice President — Administration and Corporate Secretary, Health Care REIT, Inc., One SeaGate, Suite 1500, P.O. Box 1475, Toledo, Ohio 43603-1475.
Liquidity and Capital Resources
Sources and Uses of Cash
          Our primary sources of cash include rent and interest receipts, borrowings under unsecured lines of credit arrangements, public and private offerings of debt and equity securities, proceeds from the sales of real property and principal payments on loans receivable. Our primary uses of cash include dividend distributions, debt service payments (including principal and interest), real property investments (including construction advances), loan advances and general and administrative expenses. These sources and uses of cash are reflected in our Consolidated Statements of Cash Flows and are discussed in further detail below.
          The following is a summary of our sources and uses of cash flows (dollars in thousands):
                 
  Nine Months Ended  Change 
  Sep. 30, 2007  Sep. 30, 2006  $  % 
 
                
Cash and cash equivalents at beginning of period
 $36,216  $36,237  $(21)  0%
Cash provided from (used in) operating activities
  191,371   158,984   32,387   20%
Cash provided from (used in) investing activities
  (603,538)  (289,804)  (313,734)  108%
Cash provided from (used in) financing activities
  407,391   110,073   297,318   270%
 
            
Cash and cash equivalents at end of period
 $31,440  $15,490  $15,950   103%
 
            
          Operating Activities. The change in net cash provided from operating activities is primarily attributable to an increase in net income, excluding depreciation and amortization, and to changes in straight-line rent. The increase in net income is discussed below in “Results of Operations.”

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     The following is a summary of our straight-line rent and above/below market amortization (dollars in thousands):
                 
  Nine Months Ended  Change 
  Sep. 30, 2007  Sep. 30, 2006  $  % 
 
                
Gross straight-line rental income
 $12,664  $6,520  $6,144   94%
Cash receipts due to real property sales
  (2,670)  (1,623)  (1,047)  65%
Prepaid rent receipts
  (8,121)  (14,653)  6,532   -45%
Amortization related to above/below market leases
  656   0   656   n/a 
 
            
 
 $2,529  $(9,756) $12,285   n/a 
 
            
     Gross straight-line rental income represents the non-cash difference between contractual cash rent due and the average rent recognized pursuant to Statement of Financial Accounting Standards No. 13, Accounting for Leases (“SFAS 13”), for leases with fixed rental escalators, net of collectibility reserves. This amount is positive in the first half of a lease term (but declining every year due to annual increases in cash rent due) and is negative in the second half of a lease term. The increase in gross straight-line rental income is primarily attributable to leases in our operating properties segment, assumed in connection with the Windrose merger on December 20, 2006. The decrease in prepaid rent receipts is primarily attributable to cash received in connection with the acquisition of Commonwealth Communities Holdings LLC by Kindred Healthcare, Inc. in February 2006 as discussed in our Annual Report on Form 10-K for the year ended December 31, 2005.
     Investing Activities. The changes in net cash used in investing activities are primarily attributable to net changes in real property and loans receivable. The following is a summary of our investment and disposition activities (dollars in thousands):
                 
  Nine Months Ended 
  Sep. 30, 2007  Sep. 30, 2006 
  Facilities  Amount  Facilities  Amount 
 
                
Real property acquisitions:
                
Independent living/CCRCs
  1  $43,000   2  $25,337 
Assisted living facilities
  3   14,975   4   30,650 
Skilled nursing facilities
  8   122,875   16   141,482 
Medical office buildings
  25   356,518       0 
Specialty care facilities
  1   11,923       0 
Land parcels
      8,928       3,274 
 
            
Total acquisitions
  38   558,219   22   200,743 
Less: Assumed debt
      (160,001)      (25,049)
Assumed other assets/(liabilities), net
      (8,019)      0 
 
              
Cash disbursed for acquisitions
      390,199       175,694 
Construction in progress cash advances
      180,563       103,237 
Capital improvements to existing properties
      16,919       11,665 
 
              
Total cash invested in real property
      587,681       290,596 
 
                
Real property dispositions:
                
Assisted living facilities
  9   57,794   4   26,974 
Skilled nursing facilities
  1   4,500   3   7,827 
Land parcels
      3,646       487 
 
            
Proceeds from real property sales
  10   65,940   7   35,288 
 
            
Net cash investments in real property
  28  $521,741   15  $255,308 
 
            
 
                
Advances on loans receivable:
                
Investments in new loans
     $106,213      $64,319 
Draws on existing loans
      15,125       9,807 
 
              
Total investments in loans
      121,338       74,126 
 
                
Receipts on loans receivable:
                
Loan payoffs
      38,095       30,046 
Principal payments on loans
      6,963       12,422 
 
              
Total principal receipts on loans
      45,058       42,468 
 
              
Net cash advances (receipts) on loans receivable
     $76,280      $31,658 
 
              
     Financing Activities. The changes in net cash provided from or used in financing activities are primarily attributable to changes related to our long-term debt arrangements, proceeds from the issuance of common stock and dividend payments.

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     For the nine months ended September 30, 2007, we had a net decrease of $80,000,000 on our unsecured lines of credit arrangements as compared to a net increase of $81,000,000 for the same period in 2006.
     The changes in our senior unsecured notes are due to the issuance of $400,000,000 of 4.75% convertible senior unsecured notes in July 2007 and the repayment of $52,500,000 of 7.5% senior unsecured notes that matured in August 2007. The increase in secured debt principal payments is primarily attributable to the extinguishment of $20,506,000 of loans during the three months ended June 30, 2007. See the discussion of interest expense below in “Results of Operations” for additional information.
     The following is a summary of our common stock issuances (dollars in thousands, except per share amounts):
                 
  Shares Issued  Issue Price  Gross Proceeds  Net Proceeds 
 
                
April 2006 public issuance
  3,222,800  $36.00  $116,021  $109,749 
2006 DRIP
  1,440,341   35.28   50,811   50,811 
2006 Options
  210,585   21.93   4,619   4,619 
 
             
2006 Totals
  4,873,726      $171,451  $165,179 
 
             
 
                
April 2007 public issuance
  6,325,000  $44.01  $278,363  $265,294 
2007 DRIP
  1,254,851   41.54   52,123   52,123 
2007 Options
  354,473   28.22   10,002   10,002 
 
             
2007 Totals
  7,934,324      $340,488  $327,419 
 
             
     In order to qualify as a REIT for federal income tax purposes, we must distribute at least 90% of our taxable income (including 100% of capital gains) to our stockholders. The increase in dividends is primarily attributable to an increase in our common stock outstanding (as discussed above) and dividends paid on our Series G Preferred Stock issued in December 2006 in conjunction with the Windrose merger in December 2006.
     The following is a summary of our dividend payments (in thousands, except per share amounts):
                 
  Nine Months Ended 
  Sep. 30, 2007  Sep. 30, 2006 
  Per Share  Amount  Per Share  Amount 
 
                
Common Stock
 $1.6191  $129,088  $1.9000  $116,272 
Series D Preferred Stock
  1.4766   5,906   1.4766   5,906 
Series E Preferred Stock
  1.1250   84   1.1250   84 
Series F Preferred Stock
  1.4297   10,008   1.4297   10,008 
Series G Preferred Stock
  1.4064   2,953       0 
 
              
Totals
     $148,039      $132,270 
 
              
Off-Balance Sheet Arrangements
     We have an outstanding letter of credit issued for the benefit of certain insurance companies that provide workers’ compensation insurance to one of our tenants. Our obligation under the letter of credit matures in 2009. At September 30, 2007, our obligation under the letter of credit was $2,450,000.
     We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates. We may or may not elect to use financial derivative instruments to hedge interest rate exposure. These decisions are principally based on the general trend in interest rates at the applicable dates, our perception of the future volatility of interest rates and our relative levels of variable rate debt and variable rate investments. As of September 30, 2007, we participated in two forward-starting interest rate swap agreements related to our long-term debt. Please see Note E to our unaudited consolidated financial statements for additional information.

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Contractual Obligations
     The following table summarizes our payment requirements under contractual obligations as of September 30, 2007 (in thousands):
                     
  Payments Due by Period 
Contractual Obligations Total  2007  2008-2009  2010-2011  Thereafter 
 
                    
Unsecured lines of credit arrangements
 $145,000  $0  $0  $145,000  $0 
Senior unsecured notes (1)
  1,887,330       42,330       1,845,000 
Secured debt (1)
  512,036   2,133   81,260   67,601   361,042 
Trust preferred liability (1)
  51,000   51,000             
Contractual interest obligations
  1,432,552   44,369   294,355   276,501   817,327 
Capital lease obligations
  0                 
Operating lease obligations
  53,795   921   6,350   5,643   40,881 
Purchase obligations
  626,653   29,692   297,642   281,686   17,633 
Other long-term liabilities
  0                 
 
               
Total contractual obligations
 $4,708,366  $128,115  $721,937  $776,431  $3,081,883 
 
               
 
(1) Amounts represent principal amounts due and do not reflect unamortized premiums/discounts or other fair value adjustments as reflected on the balance sheet.
     At September 30, 2007, we had an unsecured credit arrangement with a consortium of seventeen banks providing for a revolving line of credit (“revolving credit”) in the amount of $1.15 billion, which is scheduled to expire on August 5, 2011. Borrowings under the agreement are subject to interest payable in periods no longer than three months at either the agent bank’s prime rate of interest or the applicable margin over LIBOR interest rate, at our option (5.73% at September 30, 2007). The applicable margin is based on our ratings with Moody’s Investors Service and Standard & Poor’s Ratings Services and was 0.6% at September 30, 2007. In addition, we pay a facility fee annually to each bank based on the bank’s commitment under the revolving credit facility. The facility fee depends on our ratings with Moody’s Investors Service and Standard & Poor’s Ratings Services and was 0.15% at September 30, 2007. We also pay an annual agent’s fee of $50,000. Principal is due upon expiration of the agreement. At September 30, 2007, we had $145,000,000 outstanding under the unsecured line of credit arrangement and estimated total contractual interest obligations of $34,585,000. Contractual interest obligations are estimated based on the assumption that the balance of $145,000,000 at September 30, 2007 is constant until maturity at interest rates in effect at September 30, 2007.
     We have $1,887,330,000 of senior unsecured notes principal outstanding with fixed annual interest rates ranging from 4.75% to 8.0%, payable semi-annually. Total contractual interest obligations on senior unsecured notes totaled $1,205,275,000 at September 30, 2007. Additionally, we have mortgage loans with total outstanding principal of $512,036,000, collateralized by owned properties, with fixed annual interest rates ranging from 4.89% to 8.21%, payable monthly. The carrying values of the properties securing the mortgage loans totaled $983,851,000 at September 30, 2007. Total contractual interest obligations on mortgage loans totaled $192,321,000 at September 30, 2007.
     At September 30, 2007, we had $51,000,000 of trust preferred liability principal outstanding with a fixed annual interest rate of 7.22%. On November 6, 2007, we purchased all $50,000,000 of the outstanding trust preferred securities at par for the purpose of unwinding this financing arrangement and extinguishing the liability of an operating partnership to a subsidiary trust. At September 30, 2007, we had $371,000 of contractual interest obligations for this liability. Please see Note N to our unaudited consolidated financial statements for additional information.
     At September 30, 2007, we had operating lease obligations of $53,795,000 relating primarily to ground leases at certain of our properties and office space leases.
     Purchase obligations are comprised of unfunded construction commitments and contingent purchase obligations. At September 30, 2007, we had outstanding construction financings of $229,134,000 for leased properties and were committed to providing additional financing of approximately $593,428,000 to complete construction. At September 30, 2007, we had contingent purchase obligations totaling $33,225,000. These contingent purchase obligations primarily relate to deferred acquisition fundings and capital improvements. Deferred acquisition fundings are contingent upon a tenant satisfying certain conditions in the lease. Upon funding, amounts due from the tenant are increased to reflect the additional investment in the property.
Capital Structure
     As of September 30, 2007, we had stockholders’ equity of $2,260,684,000 and a total outstanding debt balance of $2,600,586,000, which represents a debt to total book capitalization ratio of 53%. Our ratio of debt to market capitalization was 40% at September 30, 2007. For the nine months ended September 30, 2007, our interest coverage ratio was 2.82 to 1.00. For the nine months ended September 30, 2007, our fixed charge coverage ratio was 2.30 to 1.00. Also, at September 30, 2007, we had $31,440,000 of cash and cash equivalents and $1,005,000,000 of available borrowing capacity under our unsecured lines of credit arrangements.
     Our debt agreements contain various covenants, restrictions and events of default. Among other things, these provisions require us to maintain certain financial ratios and minimum net worth and impose certain limits on our ability to incur indebtedness, create liens and make investments or acquisitions. As of September 30, 2007, we were in compliance with all of the covenants under our debt agreements. None of our debt agreements contain provisions for acceleration which could be triggered by our debt ratings with Moody’s Investors

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Service and Standard & Poor’s Ratings Services. However, under our unsecured lines of credit arrangements, these ratings on our senior unsecured notes are used to determine the fees and interest payable.
     As of October 31, 2007, our senior unsecured notes were rated Baa2 (stable), BBB- (positive) and BBB (stable) by Moody’s Investors Service, Standard & Poor’s Ratings Services and Fitch Ratings, respectively. We plan to manage the company to maintain investment grade status with a capital structure consistent with our current profile. Any downgrades in terms of ratings or outlook by any or all of the noted rating agencies could have a material adverse impact on our cost and availability of capital, which could in turn have a material adverse impact on our consolidated results of operations, liquidity and/or financial condition.
     On May 12, 2006, we filed an open-ended automatic or “universal” shelf registration statement with the Securities and Exchange Commission covering an indeterminate amount of future offerings of debt securities, common stock, preferred stock, depositary shares, warrants and units. As of October 31, 2007, we had an effective registration statement on file in connection with our enhanced DRIP program under which we may issue up to 10,760,247 shares of common stock. As of October 31, 2007, 9,856,325 shares of common stock remained available for issuance under this registration statement. Depending upon market conditions, we anticipate issuing securities under our registration statements to invest in additional properties and to repay borrowings under our unsecured lines of credit arrangements.
Results of Operations
     Our primary sources of revenue include rent and interest. Our primary expenses include interest expense, depreciation and amortization, property operating expenses and general and administrative expenses. These revenues and expenses are reflected in our Consolidated Statements of Income and are discussed in further detail below. The following is a summary of our results of operations (dollars in thousands):
                                 
  Three Months Ended Change Nine Months Ended Change
  Sep. 30, 2007 Sep. 30, 2006 $ % Sep. 30, 2007 Sep. 30, 2006 $ %
 
                                
Net income available to common stockholders
 $24,529  $21,480  $3,049   14% $73,504  $63,793  $9,711   15%
Funds from operations
  63,830   45,898   17,932   39%  180,018   133,120   46,898   35%
Funds available for distribution
  66,379   48,032   18,347   38%  179,220   145,075   34,145   24%
EBITDA
  107,546   76,465   31,081   41%  306,634   225,588   81,046   36%
 
Per share data (fully diluted):
                                
Net income available to common stockholders
 $0.30  $0.34  $(0.04)  -12% $0.94  $1.04  $(0.10)  -10%
Funds from operations
  0.79   0.73   0.06   8%  2.30   2.18   0.12   6%
Funds available for distribution
  0.82   0.76   0.06   8%  2.29   2.37   (0.08)  -3%
 
                                
Interest coverage ratio
  2.81x  2.98x  -0.17x  -6%  2.82x  3.04x  -0.22x  -7%
Fixed charge coverage ratio
  2.31x  2.41x  -0.10x  -4%  2.30x  2.44x  -0.14x  -6%
     Revenues were comprised of the following (dollars in thousands):
                                 
  Three Months Ended  Change  Nine Months Ended  Change 
  Sep. 30, 2007  Sep. 30, 2006  $  %  Sep. 30, 2007  Sep. 30, 2006  $  % 
 
                                
Rental income
 $117,930  $73,328  $44,602   61% $332,907  $214,032  $118,875   56%
Interest income
  5,947   4,436   1,511   34%  17,673   13,178   4,495   34%
Transaction fees and other income
  1,199   1,019   180   18%  3,935   3,049   886   29%
 
                        
Totals
 $125,076  $78,783  $46,293   59% $354,515  $230,259  $124,256   54%
 
                        
     The increase in gross revenues is primarily attributable to increased rental income resulting from the acquisitions of new properties from which we receive rent. See the discussion of investing activities in “Liquidity and Capital Resources” above for further information. Certain of our leases contain annual rental escalators that are contingent upon changes in the Consumer Price Index and/or changes in the gross operating revenues of the tenant’s properties. These escalators are not fixed, so no straight-line rent is recorded; however, rental income is recorded based on the contractual cash rental payments due for the period. If gross operating revenues at our facilities and/or the Consumer Price Index do not increase, a portion of our revenues may not continue to increase. Sales of real property would offset revenue increases and, to the extent that they exceed new acquisitions, could result in decreased revenues. Our leases could renew above or below current rent rates, resulting in an increase or decrease in rental income.

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     Interest income increased from 2006 primarily due to an increase in the balance of outstanding loans.
     Expenses were comprised of the following (dollars in thousands):
                                 
  Three Months Ended  Change  Nine Months Ended  Change 
  Sep. 30, 2007  Sep. 30, 2006  $  %  Sep. 30, 2007  Sep. 30, 2006  $  % 
 
Interest expense
 $34,869  $23,290  $11,579   50% $99,570  $68,482  $31,088   45%
Property operating expenses
  10,426   0   10,426   n/a   26,251   0   26,251   n/a 
Depreciation and amortization
  39,933   22,947   16,986   74%  108,434   66,839   41,595   62%
General and administrative
  8,626   5,010   3,616   72%  28,304   15,788   12,516   79%
Loan expense
  1,504   782   722   92%  4,006   2,199   1,807   82%
Provision for loan losses
  0   250   (250)  -100%  0   750   (750)  -100%
 
                        
Totals
 $95,358  $52,279  $43,079   82% $266,565  $154,058  $112,507   73%
 
                        
     The following is a summary of our interest expense (dollars in thousands):
                                 
  Three Months Ended  Change  Nine Months Ended  Change 
  Sep. 30, 2007  Sep. 30, 2006  $  %  Sep. 30, 2007  Sep. 30, 2006  $  % 
Senior unsecured notes
 $26,951  $19,574  $7,377   38% $74,295  $58,722  $15,573   27%
Secured debt
  7,885   2,357   5,528   235%  20,599   6,704   13,895   207%
Unsecured lines of credit
  2,647   3,698   (1,051)  -28%  11,280   8,567   2,713   32%
Subsidiary trust liability
  863   0   863   n/a   2,644   0   2,644   n/a 
Capitalized interest
  (3,162)  (1,384)  (1,778)  128%  (8,058)  (2,494)  (5,564)  223%
SWAP losses (savings)
  (102)  29   (131)  n/a   (52)  100   (152)  n/a 
Discontinued operations
  (213)  (984)  771   -78%  (1,138)  (3,117)  1,979   -63%
 
                        
Totals
 $34,869  $23,290  $11,579   50% $99,570  $68,482  $31,088   45%
 
                        
     The increase in interest expense on senior unsecured notes is due to higher average borrowings offset by lower average interest rates. The following is a summary of our senior note activity (dollars in thousands):
                                 
  Three Months Ended  Three Months Ended  Nine Months Ended  Nine Months Ended 
  September 30, 2007  September 30, 2006  September 30, 2007  September 30, 2006 
  Face  Weighted Avg.  Face  Weighted Avg.  Face  Weighted Avg.  Face  Weighted Avg. 
  Amount  Interest Rate  Amount  Interest Rate  Amount  Interest Rate  Amount  Interest Rate 
Beginning balance
 $1,539,830   6.159% $1,194,830   6.566% $1,539,830   6.159% $1,194,830   6.566%
Debt issued
  400,000   4.750%          400,000   4.750%        
Principal payments
  (52,500)  7.500%          (52,500)  7.500%        
 
                        
Ending balance
 $1,887,330   5.823% $1,194,830   6.566% $1,887,330   5.823% $1,194,830   6.566%
 
                        
 
                                
Monthly averages
 $1,813,580   5.907% $1,194,830   6.566% $1,649,330   6.048% $1,194,830   6.566%

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     The change in interest expense on secured debt is due to the net effect and timing of assumptions, extinguishments and principal amortizations. The following is a summary of our secured debt principal activity (dollars in thousands):
                                 
  Three Months Ended  Three Months Ended  Nine Months Ended  Nine Months Ended 
  September 30, 2007  September 30, 2006  September 30, 2007  September 30, 2006 
      Weighted Avg.      Weighted Avg.      Weighted Avg.      Weighted Avg. 
  Amount  Interest Rate  Amount  Interest Rate  Amount  Interest Rate  Amount  Interest Rate 
Beginning balance
 $500,435   6.137% $131,178   7.135% $378,400   6.348% $107,540   7.328%
Debt assumed
  13,623   5.700%          159,958   5.814%  25,049   6.315%
Debt extinguished
                  (20,506)  7.732%        
Principal payments
  (2,022)  6.222%  (773)  7.213%  (5,816)  6.381%  (2,184)  7.264%
 
                        
Ending balance
 $512,036   6.125% $130,405   7.135% $512,036   6.125% $130,405   7.135%
 
                        
 
Monthly averages
 $502,830   6.134% $130,794   7.135% $441,870   6.233% $124,024   7.185%
     The change in interest expense on unsecured lines of credit arrangements is due primarily to the net effect and timing of average draws, paydowns and variable interest rate changes. The following is a summary of our unsecured lines of credit arrangements (dollars in thousands):
                 
  Three Months Ended September 30,  Nine Months Ended September 30, 
  2007  2006  2007  2006 
Balance outstanding at quarter end
 $145,000  $276,000  $145,000  $276,000 
Maximum amount outstanding at any month end
 $145,000  $276,000  $381,000  $276,000 
Average amount outstanding (total of daily principal balances divided by days in period)
 $142,392  $209,662  $218,607  $168,518 
Weighted average interest rate (actual interest expense divided by average borrowings outstanding)
  7.43%  7.05%  6.88%  6.78%
     At September 30, 2007, we had $51,000,000 of trust preferred liability principal outstanding with a fixed annual interest rate of 7.22%. On November 6, 2007, we purchased all $50,000,000 of the outstanding trust preferred securities at par for the purpose of unwinding this financing arrangement and extinguishing the liability of an operating partnership to a subsidiary trust. Please see Note N to our unaudited consolidated financial statements for additional information.
     We capitalize certain interest costs associated with funds used to finance the construction of properties owned directly by us. The amount capitalized is based upon the borrowings outstanding during the construction period using the rate of interest that approximates our cost of financing. Our interest expense is reduced by the amount capitalized. Capitalized interest for the three and nine months ended September 30, 2007 totaled $3,162,000 and $8,058,000, respectively, as compared with $1,384,000 and $2,494,000 for the same periods in 2006.
     On May 6, 2004, we entered into two interest rate swap agreements (the “2004 Swaps”) for a total notional amount of $100,000,000 to hedge changes in fair value attributable to changes in the LIBOR swap rate of $100,000,000 of fixed rate debt with a maturity date of November 15, 2013. The 2004 Swaps were treated as fair-value hedges for accounting purposes and we utilized the short-cut method to assess effectiveness. The 2004 Swaps were with highly rated counterparties in which we received a fixed rate of 6.0% and paid a variable rate based on six-month LIBOR plus a spread. On September 12, 2007, we terminated the 2004 Swaps and we received a $2,125,000 cash settlement. The unamortized amount of this settlement at September 30, 2007 was $2,059,000 and is recorded as an adjustment to the hedged item. This amount will be amortized to interest expense over the life of the hedged debt using the effective interest method. For the three and nine months ended September 30, 2007, we generated $73,000 and $23,000 of savings, respectively, related to the 2004 Swaps that was recorded as a reduction of interest expense. For the three and nine months ended September 30, 2006, we incurred $29,000 and $100,000 of losses, respectively, related to the 2004 Swaps that was recorded as an addition to interest expense.
     On July 2, 2007, we entered into two forward-starting interest rate swaps, with an aggregate notional amount of $200,000,000 that were designated as cash flow hedges of the variability in forecasted interest payments attributable to changes in the LIBOR swap rate, on long-term fixed rate debt forecasted to be issued in 2007. The 2007 Swaps have the economic effect of fixing $200,000,000 of our debt at 4.913% for five years. The 2007 Swaps were settled on July 17, 2007, which was the day after the forecasted debt was priced. The cash settlement value of these contracts at July 17, 2007, was $733,000. This amount represented the effective portion of the hedges as there was no hedge ineffectiveness. Therefore, the $733,000 settlement value was deferred in accumulated other comprehensive income (“AOCI”) and will be amortized to interest expense using the effective interest method. The unamortized amount of AOCI related to these contracts at September 30, 2007 is $704,000. For the three and nine months ended September 30, 2007, we reclassified $29,000 out of AOCI as a reduction of interest expense.

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     As discussed in our Annual Report on Form 10-K/A for the year ended December 31, 2006, we completed our merger with Windrose Medical Properties Trust on December 20, 2006. These operations are the principal component of our property operating expenses. There was no similar activity in the prior year periods.
     Depreciation and amortization increased primarily as a result of additional investments in properties owned directly by us. See the discussion of investing activities in “Liquidity and Capital Resources” above for additional details. To the extent that we acquire or dispose of additional properties in the future, our provision for depreciation and amortization will change accordingly.
     General and administrative expenses as a percentage of revenues (including revenues from discontinued operations) for the three and nine months ended September 30, 2007, were 6.85% and 7.89%, respectively, as compared with 6.39% and 6.88% for the same periods in 2006. The increase from 2006 is primarily related to $1,750,000 of acquisition finders’ fees paid during the three months ended June 30, 2007 and costs associated with our initiatives to attract and retain appropriate personnel to achieve our business objectives. During the quarter ended June 30, 2007, we recorded $1,750,000 of one-time acquisition finders’ fees paid to former Windrose management in connection with the closing of the Rendina/Paramount transaction. These fees relate to services rendered prior to the consummation of the Windrose merger in December 2006. Due to the recipients’ current employment status with the company, the fees have been expensed as compensation rather than included in the purchase price of the acquisition, as is typical with such fees.
     Loan expense represents the amortization of deferred loan costs incurred in connection with the issuance and amendments of debt. The change in loan expense is primarily due to costs associated with the issuance of $345,000,000 of senior unsecured convertible notes in November and December 2006, costs related to the assumption of secured debt in connection with the Windrose merger in December 2006, the issuance of $400,000,000 of senior unsecured convertible notes in July 2007 and costs associated with the amendment of our unsecured line of credit in August 2007.
     As a result of our quarterly evaluation, we concluded that the allowance for loan losses at December 31, 2006 remained appropriate as of September 30, 2007. The provision for loan losses is related to our critical accounting estimate for the allowance for loan losses and is discussed below in “Critical Accounting Policies.”
     Other items were comprised of the following (dollars in thousands):
                                 
  Three Months Ended  Change  Nine Months Ended  Change 
  Sep. 30, 2007  Sep. 30, 2006  $  %  Sep. 30, 2007  Sep. 30, 2006  $  % 
 
Minority interests
 $(121) $0  $(121)  n/a  $(407) $0  $(407)  n/a 
Gain (loss) on sales of properties
  766   108   658   609%  2,775   2,590   185   7%
Discontinued operations, net
  483   201   282   140%  2,138   1,000   1,138   114%
Preferred dividends
  (6,317)  (5,333)  (984)  18%  (18,952)  (15,998)  (2,954)  18%
 
                        
Totals
 $(5,189) $(5,024) $(165)  3% $(14,446) $(12,408) $(2,038)  16%
 
                        
     Minority interests primarily relate to certain joint venture properties acquired in connection with the Windrose merger in December 2006. There were no similar investments in the prior year period.
      One independent living facility and one assisted living facility were held for sale as of September 30, 2007. We did not recognize an impairment loss on these assets as the fair value less estimated costs to sell exceeded our carrying values. During the nine months ended September 30, 2007, we sold nine assisted living facilities, one skilled nursing facility and one parcel of land with carrying values of $63,165,000 for a net gain of $2,775,000. These properties generated $2,138,000 of income after deducting depreciation and interest expense from rental revenue for the nine months ended September 30, 2007. All properties sold subsequent to January 1, 2005 and held for sale at September 30, 2007 generated $1,000,000 of income after deducting depreciation and interest expense from rental revenue for the nine months ended September 30, 2006. Please refer to Note F to our unaudited consolidated financial statements for further discussion.
     The increase in preferred stock dividends is due to an increase in average outstanding preferred shares as a result of the issuance of 2,100,000 shares of 7.5% Series G Cumulative Convertible Preferred Stock in connection with the Windrose merger in December 2006.

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Non-GAAP Financial Measures
     We believe that net income, as defined by U.S. GAAP, is the most appropriate earnings measurement. However, we consider FFO and FAD to be useful supplemental measures of our operating performance. Historical cost accounting for real estate assets in accordance with U.S. GAAP implicitly assumes that the value of real estate assets diminishes predictably over time as evidenced by the provision for depreciation. However, since real estate values have historically risen or fallen with market conditions, many industry investors and analysts have considered presentations of operating results for real estate companies that use historical cost accounting to be insufficient. In response, the National Association of Real Estate Investment Trusts (“NAREIT”) created FFO as a supplemental measure of operating performance for REITs that excludes historical cost depreciation from net income. FFO, as defined by NAREIT, means net income, computed in accordance with U.S. GAAP, excluding gains (or losses) from sales of real estate, plus depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. FAD represents FFO excluding the non-cash straight-line rental adjustments.
     EBITDA stands for earnings before interest, taxes, depreciation and amortization. We believe that EBITDA, along with net income and cash flow provided from operating activities, is an important supplemental measure because it provides additional information to assess and evaluate the performance of our operations. Additionally, restrictive covenants in our long-term debt arrangements contain financial ratios based on EBITDA. We primarily utilize EBITDA to measure our interest coverage ratio, which represents EBITDA divided by total interest, and our fixed charge coverage ratio, which represents EBITDA divided by fixed charges. Fixed charges include total interest, secured debt principal amortization and preferred dividends.
     During the quarter ended June 30, 2007, we recorded $1,750,000 ($0.02 per diluted share) of one-time acquisition finders’ fees paid to former Windrose management in connection with the closing of the Rendina/Paramount transaction. These fees relate to services rendered prior to the consummation of the Windrose merger in December 2006. Due to the recipients’ current employment status with the company, the fees have been expensed as compensation rather than included in the purchase price of the acquisition, as is typical with such fees. These fees have not been added back for the calculations of FFO, FAD or EBITDA.
     Net operating income (“NOI”) is used to evaluate the operating performance of certain real estate properties such as medical office buildings. We define NOI as rental revenues, including tenant reimbursements, less property level operating expenses, which exclude depreciation and amortization, general and administrative expenses, impairments, interest expense and discontinued operations. We believe NOI provides investors relevant and useful information because it measures the operating performance of our medical office buildings at the property level on an unleveraged basis. We use NOI to make decisions about resource allocations and to assess the property level performance of our medical office buildings.
     Our supplemental measures are financial measures that are widely used by investors, equity and debt analysts and rating agencies in the valuation, comparison, rating and investment recommendations of companies. Management uses these financial measures to facilitate internal and external comparisons to our historical operating results and in making operating decisions. Additionally, these measures are utilized by the Board of Directors to evaluate management. Our supplemental measures do not represent net income or cash flow provided from operating activities as determined in accordance with U.S. GAAP and should not be considered as alternative measures of profitability or liquidity. Finally, the supplemental measures, as defined by us, may not be comparable to similarly entitled items reported by other real estate investment trusts or other companies.

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     The table below reflects the reconciliation of FFO to net income available to common stockholders, the most directly comparable U.S. GAAP measure, for the periods presented. The provisions for depreciation and amortization include provisions for depreciation and amortization from discontinued operations. Amounts are in thousands except for per share data.
                             
  Three Months Ended
  March 31, June 30, September 30, December 31, March 31, June 30, September 30,
  2006 2006 2006 2006 2007 2007 2007
   
FFO Reconciliation:
                            
Net income available to common stockholders
 $19,645  $22,668  $21,480  $17,494  $23,356  $25,620  $24,529 
Depreciation and amortization
  23,262   24,131   24,526   25,645   33,860   35,547   40,137 
Loss (gain) on sales of properties
  (1,553)  (929)  (108)  1,324   (977)  (1,033)  (766)
Minority interests
  0   0   0   (4)  (32)  (155)  (70)
   
Funds from operations
 $41,354  $45,870  $45,898  $44,459  $56,207  $59,979  $63,830 
 
                            
Average common shares outstanding:
                            
Basic
  58,178   61,548   62,524   64,277   73,224   79,060   80,710 
Diluted
  58,535   61,868   62,866   64,687   73,791   79,546   81,163 
 
                            
Per share data:
                            
Net income available to common stockholders
                            
Basic
 $0.34  $0.37  $0.34  $0.27  $0.32  $0.32  $0.30 
Diluted
  0.34   0.37   0.34   0.27   0.32   0.32   0.30 
 
                            
Funds from operations
                            
Basic
 $0.71  $0.75  $0.73  $0.69  $0.77  $0.76  $0.79 
Diluted
  0.71   0.74   0.73   0.69   0.76   0.75   0.79 
         
  Nine Months Ended
  September 30, September 30,
  2006 2007
   
FFO Reconciliation:
        
Net income available to common stockholders
 $63,793  $73,504 
Depreciation and amortization
  71,917   109,545 
Loss (gain) on sales of properties
  (2,590)  (2,775)
Minority interests
  0   (256)
   
Funds from operations
 $133,120  $180,018 
 
        
Average common shares outstanding:
        
Basic
  60,766   77,686 
Diluted
  61,102   78,234 
 
        
Per share data:
        
Net income available to common stockholders
        
Basic
 $1.05  $0.95 
Diluted
  1.04   0.94 
 
        
Funds from operations
        
Basic
 $2.19  $2.32 
Diluted
  2.18   2.30 

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     The table below reflects the reconciliation of FAD to net income available to common stockholders, the most directly comparable U.S. GAAP measure, for the periods presented. The provisions for depreciation and amortization include provisions for depreciation and amortization from discontinued operations. Amounts are in thousands except for per share data.
                             
  Three Months Ended
  March 31, June 30, September 30, December 31, March 31, June 30, September 30,
  2006 2006 2006 2006 2007 2007 2007
   
FAD Reconciliation:
                            
Net income available to common stockholders
 $19,645  $22,668  $21,480  $17,494  $23,356  $25,620  $24,529 
Depreciation and amortization
  23,262   24,131   24,526   25,645   33,860   35,547   40,137 
Loss (gain) on sales of properties
  (1,553)  (929)  (108)  1,324   (977)  (1,033)  (766)
Gross straight-line rental income
  (2,400)  (2,216)  (1,904)  (2,912)  (4,231)  (3,878)  (4,555)
Prepaid/straight-line rent receipts
  10,310   2,710   3,256   4,285   2,078   2,832   5,881 
Rental income related to above/(below) market leases
  0   0   0   (60)  (460)  (464)  268 
Amortization of deferred loan expenses
  711   707   782   1,056   1,267   1,236   1,504 
Cap Ex, tenant improvements, lease commissions
  0   0   0   (21)  (1,063)  (762)  (704)
Minority interests
  0   0   0   (2)  (5)  (82)  85 
   
Funds available for distribution
 $49,975  $47,071  $48,032  $46,809  $53,825  $59,016  $66,379 
 
                            
Average common shares outstanding:
                            
Basic
  58,178   61,548   62,524   64,277   73,224   79,060   80,710 
Diluted
  58,535   61,868   62,866   64,687   73,791   79,546   81,163 
 
                            
Per share data:
                            
Net income available to common stockholders
                            
Basic
 $0.34  $0.37  $0.34  $0.27  $0.32  $0.32  $0.30 
Diluted
  0.34   0.37   0.34   0.27   0.32   0.32   0.30 
 
                            
Funds available for distribution
                            
Basic
 $0.86  $0.76  $0.77  $0.73  $0.74  $0.75  $0.82 
Diluted
  0.85   0.76   0.76   0.72   0.73   0.74   0.82 
         
  Nine Months Ended
  September 30, September 30,
  2006 2007
   
FAD Reconciliation:
        
Net income available to common stockholders
 $63,793  $73,504 
Depreciation and amortization
  71,917   109,545 
Loss (gain) on sales of properties
  (2,590)  (2,775)
Gross straight-line rental income
  (6,520)  (12,664)
Prepaid/straight-line rent receipts
  16,276   10,791 
Rental income related to above/(below) market leases
  0   (656)
Amortization of deferred loan expenses
  2,199   4,006 
Cap Ex, tenant improvements, lease commissions
  0   (2,529)
Minority interests
  0   (2)
   
Funds available for distribution
 $145,075  $179,220 
 
        
Average common shares outstanding:
        
Basic
  60,766   77,686 
Diluted
  61,102   78,234 
 
        
Per share data:
        
Net income available to common stockholders
        
Basic
 $1.05  $0.95 
Diluted
  1.04   0.94 
 
        
Funds available for distribution
        
Basic
 $2.39  $2.31 
Diluted
  2.37   2.29 

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     The table below reflects the reconciliation of EBITDA to net income, the most directly comparable U.S. GAAP measure, for the periods presented. Interest expense and the provisions for depreciation and amortization includes discontinued operations. Tax expense represents income-based taxes. Amortization represents the amortization of deferred loan expenses. Adjusted EBITDA represents EBITDA as adjusted below for items pursuant to covenant provisions of our unsecured lines of credit arrangements. Dollars are in thousands.
                             
  Three Months Ended
  March 31, June 30, September 30, December 31, March 31, June 30, September 30,
  2006 2006 2006 2006 2007 2007 2007
   
EBITDA Reconciliation:
                            
Net income
 $24,978  $28,001  $26,813  $22,958  $29,673  $31,937  $30,846 
Interest expense
  24,238   23,087   24,274   25,235   31,999   33,624   35,082 
Tax expense (benefit)
  0   12   70   0   11   (69)  (23)
Depreciation and amortization
  23,262   24,131   24,526   25,645   33,860   35,547   40,137 
Amortization of deferred loan expenses
  711   707   782   1,056   1,267   1,236   1,504 
   
EBITDA
  73,189   75,938   76,465   74,894   96,810   102,275   107,546 
Stock-based compensation expense
  2,514   838   839   2,789   3,177   1,276   1,301 
Provision for loan losses
  250   250   250   250   0   0   0 
   
Adjusted EBITDA
 $75,953  $77,026  $77,554  $77,933  $99,987  $103,551  $108,847 
 
                            
Interest Coverage Ratio:
                            
Interest expense
 $24,238  $23,087  $24,274  $25,235  $31,999  $33,624  $35,082 
Capitalized interest
  202   909   1,384   1,976   2,327   2,570   3,162 
   
Total interest
  24,440   23,996   25,658   27,211   34,326   36,194   38,244 
EBITDA
 $73,189  $75,938  $76,465  $74,894  $96,810  $102,275  $107,546 
   
Interest coverage ratio
  2.99x  3.16x  2.98x  2.75x  2.82x  2.83x  2.81x
 
                            
Adjusted EBITDA
 $75,953  $77,026  $77,554  $77,933  $99,987  $103,551  $108,847 
   
Interest coverage ratio-adjusted
  3.11x  3.21x  3.02x  2.86x  2.91x  2.86x  2.85x
 
                            
Fixed Charge Coverage Ratio:
                            
Total interest
 $24,440  $23,996  $25,658  $27,211  $34,326  $36,194  $38,244 
Secured debt principal amortization
  643   768   773   849   1,894   1,894   2,022 
Preferred dividends
  5,333   5,333   5,333   5,464   6,317   6,317   6,317 
   
Total fixed charges
  30,416   30,097   31,764   33,524   42,537   44,405   46,583 
EBITDA
 $73,189  $75,938  $76,465  $74,894  $96,810  $102,275  $107,546 
   
Fixed charge coverage ratio
  2.41x  2.52x  2.41x  2.23x  2.28x  2.30x  2.31x
 
                            
EBITDA — adjusted
 $75,953  $77,026  $77,554  $77,933  $99,987  $103,551  $108,847 
   
Fixed charge coverage ratio-adjusted
  2.50x  2.56x  2.44x  2.32x  2.35x  2.33x  2.34x
         
  Nine Months Ended
  September 30, September 30,
  2006 2007
   
EBITDA Reconciliation:
        
Net income
 $79,791  $92,456 
Interest expense
  71,599   100,708 
Tax expense (benefit)
  82   (81)
Depreciation and amortization
  71,917   109,545 
Amortization of deferred loan expenses
  2,199   4,006 
   
EBITDA
  225,588   306,634 
Stock-based compensation expense
  4,191   5,753 
Provision for loan losses
  750   0 
   
Adjusted EBITDA
 $230,529  $312,387 
 
        
Interest Coverage Ratio:
        
Interest expense
 $71,599  $100,708 
Capitalized interest
  2,494   8,058 
   
Total interest
  74,093   108,766 
EBITDA
 $225,588  $306,634 
   
Interest coverage ratio
  3.04x  2.82x
 
        
Adjusted EBITDA
 $230,529  $312,387 
   
Interest coverage ratio-adjusted
  3.11x  2.87x
 
        
Fixed Charge Coverage Ratio:
        
Total interest
 $74,093  $108,766 
Secured debt principal amortization
  2,184   5,816 
Preferred dividends
  15,998   18,952 
   
Total fixed charges
  92,275   133,534 
EBITDA
 $225,588  $306,634 
   
Fixed charge coverage ratio
  2.44x  2.30x
 
        
EBITDA — adjusted
 $230,529  $312,387 
   
Fixed charge coverage ratio-adjusted
  2.50x  2.34x

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Critical Accounting Policies
     Our consolidated financial statements are prepared in accordance with U.S. GAAP, which requires us to make estimates and assumptions. Management considers an accounting estimate or assumption critical if:
  the nature of the estimates or assumptions is material due to the levels of subjectivity and judgment necessary to account for highly uncertain matters or the susceptibility of such matters to change; and
 
  the impact of the estimates and assumptions on financial condition or operating performance is material.
     Management has discussed the development and selection of its critical accounting policies with the Audit Committee of the Board of Directors and the Audit Committee has reviewed the disclosure presented below relating to them. Management believes the current assumptions and other considerations used to estimate amounts reflected in our consolidated financial statements are appropriate and are not reasonably likely to change in the future. However, since these estimates require assumptions to be made that were uncertain at the time the estimate was made, they bear the risk of change. If actual experience differs from the assumptions and other considerations used in estimating amounts reflected in our consolidated financial statements, the resulting changes could have a material adverse effect on our consolidated results of operations, liquidity and/or financial condition. Please refer to our Annual Report on Form 10-K/A for the year ended December 31, 2006 for further information regarding significant accounting policies that impact us. There have been no material changes to these policies in 2007. See Note M to our unaudited consolidated financial statements for the impact of new accounting pronouncements.
     The following table presents information about our critical accounting policies, as well as the material assumptions used to develop each estimate:
   
Nature of Critical Assumptions/Approach
Accounting Estimate Used
 
  
Allowance for Loan Losses
  
 
  
We maintain an allowance for loan losses in accordance with Statement of Financial Accounting Standards No. 114, Accounting by Creditors for Impairment of a Loan, as amended, and SEC Staff Accounting Bulletin No. 102, Selected Loan Loss Allowance Methodology and Documentation Issues. The allowance for loan losses is maintained at a level believed adequate to absorb potential losses in our loans receivable. The determination of the allowance is based on a quarterly evaluation of all outstanding loans. If this evaluation indicates that there is a greater risk of loan charge-offs, additional allowances or placement on non-accrual status may be required. A loan is impaired when, based on current information and events, it is probable that we will be unable to collect all amounts due as scheduled according to the contractual terms of the original loan agreement. Consistent with this definition, all loans on non-accrual are deemed impaired. To the extent circumstances improve and the risk of collectibility is diminished, we will return these loans to full accrual status.
 The determination of the allowance is based on a quarterly evaluation of all outstanding loans, including general economic conditions and estimated collectibility of loan payments and principal. We evaluate the collectibility of our loans receivable based on a combination of factors, including, but not limited to, delinquency status, historical loan charge-offs, financial strength of the borrower and guarantors and value of the underlying property.

As a result of our quarterly evaluation, we concluded that the allowance for loan losses at December 31, 2006 remained appropriate as of September 30, 2007, resulting in an allowance for loan losses of $7,406,000 relating to loans with outstanding balances of $111,499,000. Also at September 30, 2007, we had a loan with an outstanding balance of $799,000 on non-accrual status.

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Nature of Critical Assumptions/Approach
Accounting Estimate Used
 
  
Business Combinations
  
 
  
Substantially all of the properties owned by us are leased under operating leases and are recorded at cost. The cost of our real property is allocated to land, buildings, improvements and intangibles in accordance with Statement of Financial Accounting Standards No. 141, Business Combinations. The allocation of the acquisition costs of properties is based on appraisals commissioned from independent real estate appraisal firms.
 We compute depreciation and amortization on our properties using the straight-line method based on their estimated useful lives which range from 15 to 40 years for buildings and five to 15 years for improvements. Lives for intangibles are based on the remaining term of the underlying leases.

For the nine months ended September 30, 2007, we recorded $87,259,000, $12,333,000 and $9,953,000 as provisions for depreciation and amortization relating to buildings, improvements and intangibles, respectively, including amounts reclassified as discontinued operations. The average useful life of our buildings, improvements and intangibles was 32.1 years, 11.9 years and 4.8 years, respectively, for the nine months ended September 30, 2007.
 
  
Impairment of Long-Lived Assets
  
 
  
We review our long-lived assets for potential impairment in accordance with Statement of Financial Accounting Standards No. 144, Accounting for the Impairment and Disposal of Long-Lived Assets. An impairment charge must be recognized when the carrying value of a long-lived asset is not recoverable. The carrying value is not recoverable if it exceeds the sum of the undiscounted cash flows expected to result from the use and eventual disposition of the asset. If it is determined that a permanent impairment of a long-lived asset has occurred, the carrying value of the asset is reduced to its fair value and an impairment charge is recognized for the difference between the carrying value and the fair value.
 The net book value of long-lived assets is reviewed quarterly on a property by property basis to determine if there are indicators of impairment. These indicators may include anticipated operating losses at the property level, the tenant’s inability to make rent payments, a decision to dispose of an asset before the end of its estimated useful life and changes in the market that may permanently reduce the value of the property. If indicators of impairment exist, then the undiscounted future cash flows from the most likely use of the property are compared to the current net book value. This analysis requires us to determine if indicators of impairment exist and to estimate the most likely stream of cash flows to be generated from the property during the period the property is expected to be held.

We did not record any impairment charges for the nine months ended September 30, 2007.
 
  
Fair Value of Derivative Instruments
  
 
  
The valuation of derivative instruments is accounted for in accordance with Statement of Financial Accounting Standards No. 133, Accounting for Derivative Instruments and Hedging Activities (“SFAS133”), as amended by Statement of Financial Accounting Standards No. 138, Accounting for Certain Derivative Instruments and Certain Hedging Activities. SFAS133, as amended, requires companies to record derivatives at fair market value on the balance sheet as assets or liabilities.
 The valuation of derivative instruments requires us to make estimates and judgments that affect the fair value of the instruments. Fair values for our derivatives are estimated by a third party consultant, which utilizes pricing models that consider forward yield curves and discount rates. Such amounts and the recognition of such amounts are subject to significant estimates which may change in the future. At September 30, 2007, we participated in two forward-starting interest rate swap agreements. At September 30, 2007, the swaps were reported at their fair value of $2,684,000 and are included in other assets and accumulated other comprehensive income.

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Nature of Critical Assumptions/Approach
Accounting Estimate Used
 
  
Revenue Recognition
  
 
  
Revenue is recorded in accordance with Statement of Financial Accounting Standards No. 13, Accounting for Leases, and SEC Staff Accounting Bulletin No. 104, Revenue Recognition in Financial Statements, as amended (“SAB104”). SAB104 requires that revenue be recognized after four basic criteria are met. These four criteria include persuasive evidence of an arrangement, the rendering of service, fixed and determinable income and reasonably assured collectibility. If the collectibility of revenue is determined incorrectly, the amount and timing of our reported revenue could be significantly affected. Interest income on loans is recognized as earned based upon the principal amount outstanding subject to an evaluation of collectibility risk. Substantially all of our operating leases contain fixed and/or contingent escalating rent structures. Leases with fixed annual rental escalators are generally recognized on a straight-line basis over the initial lease period, subject to a collectibility assessment. Rental income related to leases with contingent rental escalators is generally recorded based on the contractual cash rental payments due for the period.
 We evaluate the collectibility of our revenues and related receivables on an on-going basis. We evaluate collectibility based on assumptions and other considerations including, but not limited to, the certainty of payment, payment history, the financial strength of the investment’s underlying operations as measured by cash flows and payment coverages, the value of the underlying collateral and guaranties and current economic conditions.

If our evaluation indicates that collectibility is not reasonably assured, we may place an investment on non-accrual or reserve against all or a portion of current income as an offset to revenue.

For the nine months ended September 30, 2007, we recognized $17,673,000 of interest income and $337,294,000 of rental income, including discontinued operations. Cash receipts on leases with deferred revenue provisions were $10,791,000 as compared to gross straight-line rental income recognized of $12,664,000 for the nine months ended September 30, 2007. At September 30, 2007, our straight-line receivable balance was $55,093,000, net of reserves totaling $1,152,000. Also at September 30, 2007, we had a loan with an outstanding balance of $799,000 on non-accrual status.
Forward-Looking Statements and Risk Factors
     This Quarterly Report on Form 10-Q may contain “forward-looking” statements as defined in the Private Securities Litigation Reform Act of 1995. These forward-looking statements concern and are based upon, among other things, the possible expansion of the company’s portfolio; the sale of properties; the performance of its operators/tenants and properties; its occupancy rates; its ability to acquire or develop properties; its ability to manage properties; its ability to enter into agreements with new viable tenants for vacant space or for properties that the company takes back from financially troubled tenants, if any; its ability to make distributions; its policies and plans regarding investments, financings and other matters; its tax status as a real estate investment trust; its ability to appropriately balance the use of debt and equity; its ability to access capital markets or other sources of funds; its critical accounting policies; and its ability to meet its earnings guidance. When the company uses words such as “may,” “will,” “intend,” “should,” “believe,” “expect,” “anticipate,” “project,” “estimate” or similar expressions, it is making forward-looking statements. Forward-looking statements are not guarantees of future performance and involve risks and uncertainties. The company’s expected results may not be achieved, and actual results may differ materially from expectations. This may be a result of various factors, including, but not limited to: the status of the economy; the status of capital markets, including prevailing interest rates; issues facing the health care industry, including compliance with, and changes to, regulations and payment policies and operators’/tenants’ difficulty in cost-effectively obtaining and maintaining adequate liability and other insurance; changes in financing terms; competition within the health care and senior housing industries; negative developments in the operating results or financial condition of operators/tenants, including, but not limited to, their ability to pay rent and repay loans; the company’s ability to transition or sell facilities with a profitable result; the failure of closings to occur as and when anticipated; acts of God affecting the company’s properties; the company’s ability to timely reinvest sale proceeds at similar rates to assets sold; the company’s ability to re-lease space at similar rates as vacancies occur; operator/tenant bankruptcies or insolvencies; government regulations affecting Medicare and Medicaid reimbursement rates; liability or contract claims by or against operators and tenants; unanticipated difficulties and/or expenditures relating to future acquisitions and the integration of multi-property acquisitions; environmental laws affecting the company’s properties; changes in rules or practices governing the company’s financial reporting; and legal and operational matters, including real estate investment trust qualification and key management personnel recruitment and retention. Other important factors are identified in our Annual Report on Form 10-K/A for the year ended December 31, 2006, including factors identified under the headings “Business,” “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.” Finally, we assume no obligation to update or revise any forward-looking statements or to update the reasons why actual results could differ from those projected in any forward-looking statements.

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Item 3. Quantitative and Qualitative Disclosures about Market Risk
     We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates. We seek to mitigate the effects of fluctuations in interest rates by matching the terms of new investments with new long-term fixed rate borrowings to the extent possible. We may or may not elect to use financial derivative instruments to hedge interest rate exposure. These decisions are principally based on our policy to match our variable rate investments with comparable borrowings, but are also based on the general trend in interest rates at the applicable dates and our perception of the future volatility of interest rates. This section is presented to provide a discussion of the risks associated with potential fluctuations in interest rates.
     We historically borrow on our unsecured lines of credit arrangements to acquire, construct or make loans relating to health care and senior housing properties. Then, as market conditions dictate, we will issue equity or long-term fixed rate debt to repay the borrowings under the unsecured lines of credit arrangements.
     A change in interest rates will not affect the interest expense associated with our fixed rate debt. Interest rate changes, however, will affect the fair value of our fixed rate debt. Changes in the interest rate environment upon maturity of this fixed rate debt could have an effect on our future cash flows and earnings, depending on whether the debt is replaced with other fixed rate debt, variable rate debt, or equity or repaid by the sale of assets. The following table illustrates the impact of a 1% increase in interest rates on the fair value of our fixed rate debt as of the dates indicated (in thousands):
                 
  September 30, 2007  September 30, 2006 
  Principal  Change in  Principal  Change in 
  balance  fair value  balance  fair value 
 
                
Senior unsecured notes
 $1,887,330  $(96,359) $1,194,830  $(33,301)
Secured debt
  512,036   (24,422)  130,405   (5,445)
Liability to a subsidiary trust issuing preferred securities(1)
  51,000   (1,618)        
 
            
Totals
 $2,450,366  $(122,399) $1,325,235  $(38,746)
 
            
 
(1) At September 30, 2007, we had $51,000,000 of trust preferred liability principal outstanding with a fixed annual interest rate of 7.22%. On November 6, 2007, we purchased all $50,000,000 of the outstanding trust preferred securities at par for the purpose of unwinding this financing arrangement and extinguishing the liability of an operating partnership to a subsidiary trust. Please see Note N to our unaudited consolidated financial statements for additional information.
     On September 12, 2007, we entered into two forward-starting interest rate swaps (“the 2007 Swaps”) for a total notional amount of $250,000,000 to hedge 10 years of interest payments associated with a long-term borrowing that is expected to occur in 2008. The 2007 Swaps each have an effective date of September 12, 2008 and a maturity date of September 12, 2018. We expect to settle the 2007 Swaps when the debt is priced. The 2007 Swaps have the economic effect of fixing $250,000,000 of our future debt at 4.469% for 10 years. The 2007 Swaps have been designated as cash flow hedges and we expect the 2007 Swaps to be highly effective at offsetting changes in cash flows of interest payments on $250,000,000 of our future debt due to changes in the LIBOR swap rate. Therefore, effective changes in the fair value of the 2007 Swaps will be recorded in accumulated other comprehensive income and reclassified to interest expense when the hedged forecasted transactions affect earnings (as interest payments are made on the expected debt issuance). The ineffective portion of the changes in fair value will be recorded directly in earnings. At September 30, 2007, the 2007 Swaps were reported at their fair value of $2,684,000 and are included in other assets and accumulated other comprehensive income. A 1% increase in interest rates would result in an increase in fair value of our 2007 Swaps by approximately $17,463,000 at September 30, 2007.
     Our variable rate debt, including our unsecured lines of credit arrangements, is reflected at fair value. At September 30, 2007, we had $145,000,000 outstanding related to our variable rate debt and assuming no changes in outstanding balances, a 1% increase in interest rates would result in increased annual interest expense of $1,450,000. At September 30, 2006, we had $276,000,000 outstanding related to our variable rate debt and assuming no changes in outstanding balances, a 1% increase in interest rates would have resulted in increased annual interest expense of $2,760,000.
     We are subject to risks associated with debt financing, including the risk that existing indebtedness may not be refinanced or that the terms of refinancing may not be as favorable as the terms of current indebtedness. The majority of our borrowings were completed under indentures or contractual agreements that limit the amount of indebtedness we may incur. Accordingly, in the event that we are unable to raise additional equity or borrow money because of these limitations, our ability to acquire additional properties may be limited.

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Item 4. Controls and Procedures
     Our management, under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on that evaluation, the Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures are effective in providing reasonable assurance that information required to be disclosed by us in the reports we file with or submit to the Securities and Exchange Commission (“SEC”) under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. No changes in our internal control over financial reporting (as defined in Rule 13a-15(f) under the Exchange Act) occurred during the fiscal quarter covered by this Quarterly Report on Form 10-Q that have materially affected, or are reasonably likely to materially affect our internal control over financial reporting.
PART II. OTHER INFORMATION
Item 1A. Risk Factors
     Except as provided in “Item 2 — Management’s Discussion and Analysis of Financial Condition and Results of Operations — Forward Looking Statements and Risk Factors,” there have been no material changes from the risk factors identified under the heading “Risk Factors” in our Annual Report on Form 10-K/A for the year ended December 31, 2006.
Item 6. Exhibits
    
 
4.1
 Indenture, dated as of November 20, 2006, between Health Care REIT, Inc. and The Bank of New York Trust Company, N.A. (filed with the SEC as Exhibit 4.1 to Health Care REIT, Inc.’s Form 8-K filed November 20, 2006, and incorporated herein by reference thereto).
 
 
  
 
4.2
 Supplemental Indenture No. 1, dated as of November 20, 2006, between Health Care REIT, Inc. and The Bank of New York Trust Company, N.A. (filed with the SEC as Exhibit 4.2 to Health Care REIT, Inc.’s Form 8-K filed November 20, 2006, and incorporated herein by reference thereto).
 
 
  
 
4.3
 Supplemental Indenture No. 2, dated as of July 20, 2007, between Health Care REIT, Inc. and The Bank of New York Trust Company, N.A. (filed with the SEC as Exhibit 4.1 to Health Care REIT, Inc.’s Form 8-K filed July 20, 2007, and incorporated herein by reference thereto).
 
 
  
 
10.1
 Fourth Amended and Restated Loan Agreement, dated as of August 6, 2007, by and among Health Care REIT, Inc. and certain of its subsidiaries, the banks signatory thereto, KeyBank National Association, as administrative agent, Deutsche Bank Securities Inc., as syndication agent, and UBS Securities LLC, Bank of America, N.A., JPMorgan Chase Bank, N.A., Barclays Bank PLC, Calyon New York Branch and Fifth Third Bank, as documentation agents (filed with the SEC as Exhibit 10.2 to Health Care REIT, Inc.’s Form 10-Q filed August 9, 2007, and incorporated herein by reference thereto).
 
 
  
 
31.1
 Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer.
 
 
  
 
31.2
 Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer.
 
  
 
32.1
 Certification pursuant to 18 U.S.C. Section 1350 by Chief Executive Officer.
 
 
  
 
32.2
 Certification pursuant to 18 U.S.C. Section 1350 by Chief Financial Officer.
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.
HEALTH CARE REIT, INC.
     
   
Date: November 7, 2007 By:  /s/ George L. Chapman  
  George L. Chapman,  
  Chairman and Chief Executive Officer
(Principal Executive Officer) 
 
 
   
Date: November 7, 2007 By:  /s/ Scott A. Estes  
  Scott A. Estes,  
  Senior Vice President and Chief Financial Officer (Principal Financial Officer)  
 
   
Date: November 7, 2007 By:  /s/ Paul D. Nungester, Jr.  
  Paul D. Nungester, Jr.,  
  Vice President and Controller (Principal Accounting Officer)  
 

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