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Brookdale Senior Living

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Industry Medical - Care Facilities
Employees 10,000+
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FY2012 Annual Report · Brookdale Senior Living
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THAN A COMPANY.

A CALLING.

2 0 1 2   A N N u A L   r e p o r t

A L L   t H e   p L A C e S   L I F e   C A N   G o ™

OUR
	 MISSION.

	Enriching	the	lives	of	those	we	serve	with	compassion,	respect,	excellence	and	integrity.	

MORE	THAN	A	JOB.		A
	 PASSION.

	Serving	seniors	is	our	calling.		We	exceed	expectations,	have	fun	and	celebrate	life	every	day.

DOING	THE	RIGHT	THING	TAKES	
	 COURAGE.

	 We	do	what	is	right,	even	when	no	one	is	watching.

WE	SUCCEED	THROUGH	
	 PARTNERSHIP.

	We	are	all	connected.		We	work	and	learn	together	–	and	we	treat	one	another	with	respect.	

A	FOUNDATION	BUILT	ON	
	 TRUST.

	 We	earn	trust	when	we	listen,	understand,	partner	and	solve.		

	
	
	
LETTER TO SHAREHOLDERS

Fellow Shareholders:

2012 was another year of growth and accomplishment for Brookdale.  

I  am  excited  and  honored  to  share  some  highlights  of  the  year  in  my 

first  report  to  you  since  I  took  on  the  role  of  CEO  for  Brookdale  in 

late February.  I have big shoes to fill after many years of Bill Sheriff’s 

leadership  and  commitment.    I  want  to  assure  you  that  Brookdale’s 

unwavering priority will remain providing the best care and services to 

our residents.  Every hour of every day our associates will continue to 

fulfill our mission: enriching the lives of our residents and their families.

Solid 2012 Performance – Our operating results improved throughout 

the year on several fronts.  Following are a few highlights of our 2012 

T. Andrew Smith
Chief Executive Officer

achievements:

•  Brookdale’s operating team produced solid year-over-year top line growth in key revenue generators – 

increasing occupancy by 70 basis points and average revenue per unit by nearly 2%.  Also, net entrance 

fee cash flow was a record $55 million for 2012, an increase of 31% over the previous year.

•  We made significant progress in growing our ancillary services platform with the introduction of hospice 

care in four markets, the expansion of our therapy and home health services into more than 10,000 

additional units, and the addition of 40 new private duty home care programs.  These services not only 

generate revenue for Brookdale, but also provide our residents with seamless, fully-integrated care.

•  We made substantial capital investments in our portfolio, including $87 million to renovate (in whole or 

in part) 126 communities, keeping the assets fresh, attractive and competitive.  We also invested nearly 

$47  million  to  complete  ten  Program  Max  projects.    Program  Max  is  our  initiative  to  redevelop  and 

reposition our communities to meet the evolving needs of our residents and their families.  In addition, 

we invested $27 million to further develop our industry-leading technology and systems infrastructure, 

including electronic medical records.

ALL THE PLACES LIFE CAN GO™  |  1

 
 
•  Last year, as in previous years, Brookdale continued to have access to substantial capital for acquisitions, 

refinancings and other corporate activities.  During 2012, we completed approximately $295 million in 

acquisitions and $350 million in financing and refinancing transactions. 

Expanding Opportunities for Growth – Over the near and long term, I see a wealth of opportunity in the 

senior living sector, and of course for Brookdale.  Favorable industry dynamics will increase demand for our 

products and services. As the U.S. population ages, demographic forces inevitably increase the size of our 

market.  The 85+ cohort is the fastest growing segment of the population; nearly 50% of these seniors live 

within 10 miles of a Brookdale community and could benefit from the services we provide.  Our customers 

are also benefiting from an improving economic environment, marked by better employment levels and a 

stabilized existing home resale market.  The impact of these economic improvements showed themselves 

in our positive 2012 performance. 

Meanwhile, Brookdale continues to benefit from the fact that construction of new senior living inventory 

has been constrained over the last five years.  With limited construction financing available, the industry has 

seen construction starts average less than 2% of inventory over the last five years, less than the estimated 

growth in future demand.  In addition, our communities and the services that we provide will increasingly be 

recognized to be part of the solution in this country’s search for lower cost healthcare alternatives.   

We expect to take advantage of the favorable industry dynamics through several initiatives, including:

•  We are embarking on an exciting new multi-level branding initiative this spring.  This initiative is the 

product of several years of study, and reflects the fact that there is currently no clear national senior 

living  brand.  With  Brookdale’s  comprehensive  services  continuum  and  national  presence,  we  are 

singularly positioned to create that brand. We expect our brand, marketing and sales efforts to increase 

awareness  and  preferences  for  Brookdale’s  products,  generate  more  leads,  improve  occupancy  and 

pricing, and add economic value to Brookdale.  

•  In  2013,  we  will  again  make  significant  investments  in  our  portfolio  to  improve  our  communities’ 

competitive position and drive operating results.  We estimate that we will invest $110 million to $120 

million  during  the  year  on  community  renovations.    In  addition,  we  will  continue  to  reposition  our 

assets through our Program Max initiative, with an anticipated $75 million to $85 million of equity to be 

2  |  2012 Annual Report 

invested in 2013.  We have historically produced mid-teen returns on this type of investment and expect 

similar returns on these new investments.

•  We will continue to expand our ancillary services platform, both in the range of services we provide and 

the populations we serve.  We believe these services are increasingly important to our ability to provide 

comprehensive solutions for our residents and that they serve as a key competitive differentiator.   As 

an example, at the end of the first quarter of 2013, we were providing hospice services in six markets 

and  plan  to  open  three  more  markets  by  the  end  of  the  year.    Additionally,  we  have  initiated  pilot 

programs to offer our ancillary suite of services to seniors living outside our communities in markets 

where Brookdale has a strong geographic concentration.  

In  addition  to  pursuing  our  organic  growth  opportunities,  we  continue  to  evaluate  acquisition 

opportunities.  We have a demonstrated ability to complete attractive, accretive acquisitions and to quickly 

integrate acquired operations.  Our scale and value-added services support our ability to complete accretive 

acquisitions.  Although we are not dependent on acquisitions to meet our objectives, we are confident that 

we have the experience and resources to pursue and successfully effect appropriate opportunities.

Unique  Strategic  Position  –  We  stand  alone  in  the  industry  in  terms  of  our  geographic  scope  and 

diversity,  and  in  our  ability  to  operate  at  scale  across  the  senior  living  service  continuum.    Brookdale  is 

the country’s largest provider of senior living services with the most diversified service continuum and the 

broadest geographic footprint in the industry.  We currently provide our services in 650 communities in 

36  states  with  a  capacity  to  serve  approximately  67,000  residents.  With  over  48,000  caring  associates, 

our  communities  offer  our  residents  independent  living,  assisted  living,  memory  care  and  skilled  nursing 

services.  We also deliver a fully-integrated set of ancillary (home health and therapy) services in most of 

our communities.  As a result, we are strongly positioned to expand in the growing, yet fragmented and 

supply-constrained, senior living industry.

We believe that the strength and depth of our platform – by which we mean our capital assets, technology 

infrastructure, systems, procedures, operating philosophy, multiple service offerings and culture – favorably 

differentiates Brookdale in the marketplace.  Each year we directly engage with nearly 60,000 residents, and 

by extension, millions of their family members and friends, as well as hundreds of thousands of prospective 

ALL THE PLACES LIFE CAN GO™  |  3

residents.  We understand the challenges of aging because we are there every day providing solutions for 

our residents and their families.  We see first-hand how the needs of our residents are evolving. We also see 

a tremendous opportunity in evolving our platform to better serve those needs.

In  closing,  we  recognize  the  importance  of  Brookdale’s  culture  of  service  and  performance.  The 

compassion, empathy, patience and skill of our associates reflect what is truly for them a calling to enrich 

the lives of others.  We depend greatly on the strength of our culture, and, simply put, we believe nurturing 

the right culture is a strategic priority.  It enables us to deliver value to our residents and their families and, 

therefore, to our shareholders.  

We thank all our associates who work with passion, courage, partnership, and trust to enable our residents 

to celebrate life each day. We also thank our residents and their families, many of whom are shareholders.  

It  is  a  privilege  to  serve  them,  and  we  look  forward  to  remaining  their  trusted  partner  as,  together,  we 

experience All The Places Life Can Go.

Finally, we thank our fellow shareholders for their investment in Brookdale.  We are enthusiastic about 

our prospects in 2013, and we remain intently focused on creating shareholder value.

Sincerely,

T. Andrew Smith
Chief Executive Officer

4  |  2012 Annual Report 

FINANCIAL HIGHLIGHTS
(In thousands, except per share data) 

As of and for the years ended
December 31,

2012          

  2011

Selected Operating Data
Total revenue  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $  2,770,085 
Income from operations  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 
      82,286 
Net loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $      (65,645) 
Net loss per share, basic and diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $          (0.54)      
Adjusted EBITDA(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $      409,940 
   238,958 
Cash From Facility Operations(2)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 
   758,843 
Facility Operating Income(3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 

Selected Balance Sheet Data
Property, plant and equipment and leasehold intangibles, net . . . . . . . . . . . . . . . . . $  3,879,977 
69,240 
Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 
Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $  4,665,978 
Debt obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $  2,679,369 
Stockholders’ equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 
1,002,717 
Weighted average shares used in computing basic 
    and diluted loss per share  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  

121,991 

Stock Performance Data
Closing share price on December 31, 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $              25.32
Closing share price on December 31, 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  

$ 
$ 
$ 
$ 
$ 
$ 
$ 

2,457,918
90,180
(68,175)
(0.56)
402,665
239,923
757,785

$  3,694,064
30,836
$ 
$  4,466,061
$  2,463,625
1,040,208
$ 

121,161

$ 

17.39

(1)  Adjusted  EBITDA  is  a  measure  of  operating  performance  that  is  not  calculated  in  accordance  with  U.S.  generally 
accepted accounting principles (“GAAP”).  Adjusted EBITDA should not be considered in isolation or as a substitute for net 
income, income from operations or cash flows provided by or used in operations, as determined in accordance with GAAP.  
Adjusted EBITDA is a key measure of the Company’s operating performance used by management to focus on operating 
performance and management without mixing in items of income and expense that relate to long-term contracts and the 
financing and capitalization of the business.  We define Adjusted EBITDA as net income (loss) before provision (benefit) 
for income taxes, non-operating (income) expense items, (gain) loss on sale or acquisition of communities (including gain 
(loss)  on  facility  lease  termination),  depreciation  and  amortization  (including  non-cash  impairment  charges),  straight-
line  lease  expense  (income),  amortization  of  deferred  gain,  amortization  of  deferred  entrance  fees,  non-cash  stock-
based compensation expense, and change in future service obligation and including entrance fee receipts and refunds 
(excluding (i) first generation entrance fee receipts from the sale of units at a recently opened entrance fee CCRC prior 
to stabilization and (ii) first generation entrance fee refunds not replaced by second generation entrance fee receipts at 
the recently opened community prior to stabilization).

(2) Cash From Facility Operations (CFFO) is a measurement of liquidity that is not calculated in accordance with GAAP 
and should not be considered in isolation as a substitute for cash flows provided by or used in operations, as determined 
in accordance with GAAP.  We define CFFO as net cash provided by (used in) operating activities adjusted for changes 
in operating assets and liabilities, deferred interest and fees added to principal, refundable entrance fees received, first 
generation  entrance  fee  receipts  at  a  recently  opened  entrance  fee  CCRC  prior  to  stabilization,  entrance  fee  refunds 
disbursed adjusted for first generation entrance fee refunds not replaced by second generation entrance fee receipts at the 
recently opened community prior to stabilization, lease financing debt amortization with fair market value or no purchase 
options, gain (loss) on facility lease termination, recurring capital expenditures (net), distributions from unconsolidated 
ventures  from  cumulative  share  of  net  earnings,  CFFO  from  unconsolidated  ventures,  and  other.    Recurring  capital 
expenditures include routine expenditures capitalized in accordance with GAAP that are funded from current operations.  
Amounts  excluded  from  recurring  capital  expenditures  consist  primarily  of  major  projects,  renovations,  community 
repositionings, expansions, systems projects or other non-recurring or unusual capital items (including integration capital 
expenditures) or community purchases that are funded using lease or financing proceeds, available cash and/or proceeds 
from the sale of communities that are held for sale.

(3) Facility Operating Income is not a measurement of operating performance calculated in accordance with GAAP and 
should  not  be  considered  in  isolation  as  a  substitute  for  net  income,  income  from  operations,  or  cash  flows  provided 
by or used in operations, as determined in accordance with GAAP.  We define Facility Operating Income as net income 
(loss)  before  provision  (benefit)  for  income  taxes,  non-operating  (income)  expense  items,  (gain)  loss  on  sale  or 
acquisition of communities (including gain (loss) on facility lease termination), depreciation and amortization (including 
non-cash  impairment  charges),  facility  lease  expense,  general  and  administrative  expense,  including  non-cash  stock-
based  compensation  expense,  change  in  future  service  obligation,  amortization  of  deferred  entrance  fee  revenue  and 
management fees.

Note: See enclosed Form 10-K for non-GAAP reconciliations.

ALL THE PLACES LIFE CAN GO™  |  5

 
 
 
 
 
 
 
 
CORPORATE DATA

Corporate Office
111 Westwood Place, 
Suite 400
Brentwood, TN 37027
615.221.2250
www.brookdaleliving.com

Transfer Agent
American Stock Transfer & 
  Trust Company
59 Maiden Lane
Plaza Level
New York, NY 10038
800.937.5449

Governance 

Stock Listing
NYSE: BKD

Approximate Number
of Record Holders 
(as of April 16, 2013): 
438 

Investor Relations Contact
Ross Roadman
Brookdale Senior Living
111 Westwood Place, 
Suite 400
Brentwood, TN 37027
615.564.8104

Independent Auditors 
Ernst & Young LLP
155 N. Wacker Drive
Chicago, IL 60606

2013 Annual Meeting 
June 13, 2013 • 10:00 a.m. CDT
Brookdale Senior Living
111 Westwood Place
Brentwood, TN 37027
615.221.2250 

Brookdale’s corporate governance guidelines, code of business conduct and ethics, the charters of 

the principal board committees and other governance information can be accessed through the Investor 

Relations portion of our website, www.brookdaleliving.com.

Forward-Looking Statements

Certain statements in this Annual Report are “forward-looking statements” within the meaning of the Private Securities Litigation 
Reform Act of 1995, including, but not limited to, statements relating to our operational initiatives and our expectations regarding 
their effect on our results; our expectations regarding the economy, occupancy, revenue, cash flow, expenses, capital expenditures, 
Program  Max  opportunities,  cost  savings,  the  demand  for  senior  housing,  the  home  resale  market,  expansion  and  development 
activity, acquisition opportunities, asset dispositions, capital deployment, returns on invested capital and taxes; our expectations 
regarding  returns  to  shareholders  and  our  growth  prospects;  our  expectations  concerning  the  future  performance  of  recently 
acquired communities  and the effects of acquisitions on our financial results; our ability to secure financing or repay, replace or 
extend existing debt at or prior to maturity; our ability to remain in compliance with all of our debt and lease agreements (including the 
financial covenants contained therein); our expectations regarding liquidity and leverage; our expectations regarding financings and 
refinancings of assets (including the timing thereof) and their effect on our results; our expectations regarding changes in government 
reimbursement programs and their effect on our results; our plans to generate growth organically through occupancy improvements, 
increases in annual rental rates and the achievement of operating efficiencies and cost savings; our plans to expand our offering of 
ancillary services (therapy, home health and hospice); our plans to expand, redevelop and reposition existing communities; our plans 
to  acquire  additional  communities,  asset  portfolios,  operating  companies  and  home  health  agencies;  the  expected  project  costs 
for our expansion, redevelopment and repositioning program; our expected levels of expenditures and reimbursements (and the 
timing thereof); our expectations regarding our sales, marketing and branding initiatives; our expectations for the performance of our 
entrance fee communities; our ability to anticipate, manage and address industry trends and their effect on our business; and our ability 
to increase revenues, earnings, Adjusted EBITDA, Cash From Facility Operations, and/or Facility Operating Income. Words such as 
“anticipate(s),” “expect(s),” “intend(s),” “plan(s),” “target(s),” project(s),” “believe(s),” “will,” “would,” “seek(s),” “estimate(s)” and similar 
expressions are intended to identify such forward looking statements. We can give no assurance that our expectations will be attained. 
These statements are subject to a number of risks and uncertainties that could lead to actual results materially different from our 
expectations, which include, but are not limited to, the risk associated with the current global economic situation and its impact upon 
capital markets and liquidity; changes in governmental reimbursement programs; our inability to extend (or refinance) debt (including 
our credit and letter of credit facilities) as it matures; the risk that we may not be able to satisfy the conditions precedent to exercising 
the extension options associated with certain of our debt agreements; events which adversely affect the ability of seniors to afford our 
monthly resident fees or entrance fees; the conditions of housing markets in certain geographic areas; our ability to generate sufficient 
cash flow to cover required interest and long-term operating lease payments; the effect of our indebtedness and long-term operating 
leases on our liquidity; the risk of loss of property pursuant to our mortgage debt and long-term lease obligations; the possibilities that 
changes in the capital markets, including changes in interest rates and/or credit spreads, or other factors could make financing more 
expensive or unavailable to us; our ability to effectively manage our growth; our ability to maintain consistent quality control; delays in 
obtaining regulatory approvals; the risk that we may not be able to expand, redevelop and reposition our communities in accordance 
with our plans; our ability to complete acquisitions and integrate them into our operations; competition for the acquisition of assets; 
our ability to obtain additional capital on terms acceptable to us; a decrease in the overall demand for senior housing; our vulnerability 
to economic downturns; and the other risks detailed from time to time in our filings with the SEC, including those listed under “Risk 
Factors” in the accompanying Annual Report on Form 10-K. Such forward-looking statements speak only as of the date of this Annual 
Report. We expressly disclaim any obligation to release publicly any updates or revisions to any such statements.

6  |  2012 Annual Report 

BOARD OF DIRECTORS

Jeffrey R. Leeds 1,3,4, Chairman;
Former Chief Financial Officer, 
GreenPoint Financial Corporation

Frank M. Bumstead 2,3, Director;
Chairman and Principal Shareholder,
 Flood, Bumstead, McCready & McCarthy, Inc.

Jackie M. Clegg 1,2,4, Director;
Managing Partner,
Clegg International Consultants, LLC 

Wesley R. Edens, Director; 
Founding Principal &
    Co-Chairman of the Board,
Fortress Investment Group LLC

Randal A. Nardone, Director;
Co-Founder, Principal & Interim Chief Executive Officer,
Fortress Investment Group LLC

Mark J. Schulte 3, Director;
Former Co-Chief Executive Officer,
Brookdale Senior Living Inc.

James R. Seward 1, Director;
Private Investor

W.E. Sheriff, Director; 
Former Chief Executive Officer,
Brookdale Senior Living Inc.

Dr. Samuel Waxman 2,4, Director;
Distinguished Service Professor, 
Mount Sinai School of Medicine

(1) Audit Committee

(2) Compensation Committee

(3) Investment Committee

(4)  Nominating and Corporate Governance Committee

EXECUTIVE OFFICERS

T. Andrew Smith 
Chief Executive Officer

Kristin A. Ferge 
Executive Vice President & Treasurer

Mark W. Ohlendorf 
Co-President and Chief Financial Officer

George T. Hicks 
Executive Vice President – Finance

John P. Rijos   
Co-President and Chief Operating Officer

H. Todd Kaestner 
Executive Vice President – Corporate Development

Bryan D. Richardson   
Executive Vice President & Chief Administrative Officer 

Edward A. Fenoglio   
Division President

Gregory B. Richard 
Executive Vice President – Field Operations 

Mary Sue Patchett 
Division President

Glenn O. Maul 
Executive Vice President & Chief People Officer

Kari L. Schmidt 
Division President

ALL THE PLACES LIFE CAN GO™  |  7

 
 
 
 
 
 
 
 
 
 
 
PERFORMANCE GRAPH 

Comparison of Cumulative Return since December 

of Emeritus Corporation, Sunrise Senior Living, Inc., 

31, 2007 through December 31, 2012 for Brookdale, 

Capital Senior Living Corporation, Five Star Quality 

the Russell 2000 Index and a Peer Group. 

Care,  Inc.,  HCP,  Inc.,  and  Ventas,  Inc.  The  graph 

      The  graph  below  compares  the  cumulative 

assumes $100 invested on December 31, 2007 and 

total return for Brookdale common stock with the 

$100 invested at that same time in each of the Russell 

comparable cumulative return of the Russell 2000 

2000  Index  and  the  peer  group.  The  comparison 

Index  and  a  peer  group  of  companies  composed 

assumes that all dividends are reinvested.  

COMPARISON OF FIVE YEAR CUMULATIVE TOTAL RETURN
Among Brookdale Senior Living Inc., the Russell 2000 Index, and a Peer Group

$160

$140

$120

$100

$80

$60

$40

$20

$0

12/07

12/08

12/09

12/10

12/11

12/12

Brookdale Senior Living Inc.

Russell 2000

Peer Group

12/31/07	 12/31/08	

12/31/09	 12/31/10	

12/31/11	 12/31/12

BKD 

$100.00 

$20.39 

$66.47 

$78.23  $63.54 

$92.52

Russell 2000  $100.00 

$66.21 

$84.20  $106.82  $102.36  $119.09

Peer Group  $100.00 

$69.47 

$90.17 

$114.25  $129.77  $156.66

8  |  2012 Annual Report 

	
A L L   t H e   p L A C e S   L I F e   C A N   G o ™

THAN A COMPANY.

A CALLING.

Brookdale  has  been  many  places. 

  We  have 

experienced  the  coming  together  of  four  companies 

into  one.    We  have  assumed  a  position  of  industry 

leadership offering a number of remarkable advantages 

to  our  residents  and  partners,  including  the  greatest 

penetration  of  senior  living  communities  nationally; 

the  most  comprehensive  service  offering  across  the 

continuum  of  care;  and  the  most  talented,  committed 

people in our industry. 

Now, we are presenting our brand to the marketplace. 

It is a brand which truly reflects the inner voice of our 

company.  With a continuing commitment to enrich the 

lives of those we serve, it is our people who comprise 

the  backbone  of  our  brand.    And  represented  by  our 

people,  it  is  our  brand  that  will  guide  Brookdale  in 

delivering  senior  living  solutions  for  All  the  places  life 

can go.TM

A L L   t H e   p L A C e S   L I F e   C A N   G o ™

CorporAte HeAdquArterS

111 Westwood place  |  Suite 400  |  Brentwood, tN 37027  |  (615) 221-2250

For more information, visit our website: brookdaleliving.com

Brookdale, optimum Life, Innovative Senior Care, All the places Life Can Go and other trademarks and service marks 

herein are the registered and unregistered trademarks and service marks of Brookdale Senior Living Inc.  

      
UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
Washington, D.C. 20549 

Form 10-K 

[X]

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2012 

or 

[   ]

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

Commission File Number 001-32641 

BROOKDALE SENIOR LIVING INC. 
(Exact name of registrant as specified in its charter) 

Delaware 
(State or Other Jurisdiction of 
Incorporation or Organization) 

20-3068069 
(I.R.S. Employer 
 Identification No.) 

111 Westwood Place, Suite 400 
Brentwood, Tennessee 37027 
(Address of Principal Executive Offices) 

(Registrant's telephone number including area code) 

(615) 221-2250 

SECURITIES REGISTERED PURSUANT TO SECTION 12(b) OF THE ACT: 

Title of Each Class 
Common Stock, $0.01 Par Value Per Share 

Name of Each Exchange on Which Registered 
New York Stock Exchange 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes [X] No [  ] 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.   Yes [  ] No [X] 

SECURITIES REGISTERED PURSUANT TO SECTION 12(g) OF THE ACT: 
None 

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter 

period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes [X] No [  ] 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of 

Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).  Yes [X] No [  ] 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter) is not contained herein, and will not be contained, to the best of registrant's 

knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K.   [  ] 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of "large accelerated filer," "accelerated 

filer" and "smaller reporting company" in Rule 12b-2 of the Exchange Act. (Check one): 

Large accelerated filer   [X ] 

Accelerated filer   [  ] 

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
  
  
  
  
Non-accelerated filer   [   ] (Do not check if a smaller reporting company) 

Smaller reporting company   [   ] 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).  Yes [  ] No [X] 

The aggregate market value of common stock held by non-affiliates of the registrant on June 29, 2012, the last business day of the registrant's most recently completed second fiscal quarter, was approximately 

$1.50 billion. The market value calculation was determined using a per share price of $17.74, the price at which the registrant's common stock was last sold on the New York Stock Exchange on such date. For 
purposes of this calculation, shares held by non-affiliates excludes only those shares beneficially owned by the registrant's executive officers, directors, and stockholders owning 10% or more of the outstanding 
common stock (and, in each case, their immediate family members and affiliates). 

As of February 14, 2013, 122,737,924 shares of the registrant's common stock, $0.01 par value, were outstanding (excluding unvested restricted shares). 

DOCUMENTS INCORPORATED BY REFERENCE 

Certain sections of the registrant's Definitive Proxy Statement relating to its 2013 Annual Meeting of Stockholders are incorporated by reference into Part III of this Annual Report on Form 10-K. 

  
  
 
 
 
 
 
 
  
  
TABLE OF CONTENTS 
BROOKDALE SENIOR LIVING INC. 

FORM 10-K 

FOR THE YEAR ENDED DECEMBER 31, 2012 

PART I 

Item 1 
Item 1A 
Item 1B 
Item 2 
Item 3 
Item 4 

PART II 

Item 5 
Item 6 
Item 7 
Item 7A 
Item 8 
Item 9 
Item 9A 
Item 9B 

PART III 

Item 10 
Item 11 
Item 12 
Item 13 
Item 14 

PART IV 

Business 
Risk Factors 
Unresolved Staff Comments 
Properties 
Legal Proceedings 
(Removed and Reserved) 

Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities 
Selected Financial Data 
Management's Discussion and Analysis of Financial Condition and Results of Operations 
Quantitative and Qualitative Disclosures About Market Risk 
Financial Statements and Supplementary Data 
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 
Controls and Procedures 
Other Information 

Directors, Executive Officers and Corporate Governance 
Executive Compensation 
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters 
Certain Relationships and Related Transactions, and Director Independence 
Principal Accounting Fees and Services 

Item 15 

Exhibits and Financial Statement Schedules 

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Table of Contents 

SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995 

Certain statements in this Annual Report on Form 10-K and other information we provide from time to time may constitute forward-looking statements within the meaning of the Private 
Securities Litigation Reform Act of 1995. Those forward-looking statements include all statements that are not historical statements of fact and those regarding our intent, belief or 
expectations, including, but not limited to, statements relating to the consummation of the restructuring of the management agreements with Chartwell Seniors Housing Real Estate 
Investment Trust; statements relating to our operational initiatives and our expectations regarding their effect on our results; our expectations regarding the economy, occupancy, 
revenue, cash flow, expenses, capital expenditures, Program Max opportunities, cost savings, the demand for senior housing, the home resale market, expansion and development 
activity, acquisition opportunities, asset dispositions, our share repurchase program, capital deployment, returns on invested capital and taxes; our expectations regarding returns to 
shareholders and our growth prospects; our expectations concerning the future performance of recently acquired communities and the effects of acquisitions on our financial results; 
our ability to secure financing or repay, replace or extend existing debt at or prior to maturity; our ability to remain in compliance with all of our debt and lease agreements (including the 
financial covenants contained therein); our expectations regarding liquidity and leverage; our expectations regarding financings and refinancings of assets (including the timing thereof) 
and their effect on our results; our expectations regarding changes in government reimbursement programs and their effect on our results; our plans to generate growth organically 
through occupancy improvements, increases in annual rental rates and the achievement of operating efficiencies and cost savings; our plans to expand our offering of ancillary services 
(therapy, home health and hospice); our plans to expand, redevelop and reposition existing communities; our plans to acquire additional communities, asset portfolios, operating 
companies and home health agencies; the expected project costs for our expansion, redevelopment and repositioning program; our expected levels of expenditures and reimbursements 
(and the timing thereof); our expectations regarding our sales, marketing and branding initiatives; our expectations for the performance of our entrance fee communities; our ability to 
anticipate, manage and address industry trends and their effect on our business; our expectations regarding the payment of dividends; and our ability to increase revenues, earnings, 
Adjusted EBITDA, Cash From Facility Operations, and/or Facility Operating Income (as such terms are defined herein). Words such as "anticipate(s)", "expect(s)", "intend(s)", "plan
(s)", "target(s)", "project(s)", "predict(s)", "believe(s)", "may", "will", "would", "could", "should", "seek(s)", "estimate(s)" and similar expressions are intended to identify such 
forward-looking statements. These statements are based on management's current expectations and beliefs and are subject to a number of risks and uncertainties that could lead to 
actual results differing materially from those projected, forecasted or expected. Although we believe that the assumptions underlying the forward-looking statements are reasonable, we 
can give no assurance that our expectations will be attained. Factors which could have a material adverse effect on our operations and future prospects or which could cause actual 
results to differ materially from our expectations include, but are not limited to, the risk that we may not be able to satisfy the conditions and successfully complete the Chartwell 
management agreement restructuring; the risk associated with the current global economic situtation and its impact upon capital markets and liquidity; changes in governmental 
reimbursement programs; our inability to extend (or refinance) debt (including our credit and letter of credit facilities) as it matures; the risk that we may not be able to satisfy the 
conditions precedent to exercising the extension options associated with certain of our debt agreements; events which adversely affect the ability of seniors to afford our monthly 
resident fees or entrance fees; the conditions of housing markets in certain geographic areas; our ability to generate sufficient cash flow to cover required interest and long-term 
operating lease payments; the effect of our indebtedness and long-term operating leases on our liquidity; the risk of loss of property pursuant to our mortgage debt and long-term lease 
obligations; the possibilities that changes in the capital markets, including changes in interest rates and/or credit spreads, or other factors could make financing more expensive or 
unavailable to us; our determination from time to time to purchase any shares under the repurchase program; our ability to fund any repurchases; our ability to effectively manage our 
growth; our ability to maintain consistent quality control; delays in obtaining regulatory approvals; the risk that we may not be able to expand, redevelop and reposition our 
communities in accordance with our plans; our ability to complete acquisitions and integrate them into our operations; competition for the acquisition of assets; our ability to obtain 
additional capital on terms acceptable to us; a decrease in the overall demand for senior housing; our vulnerability to economic downturns; acts of nature in certain geographic areas; 
terminations of our resident agreements and vacancies in the living spaces we lease; early terminations or non-renewal of management agreements; increased competition for skilled 
personnel; increased union activity; departure of our key officers; increases in market interest rates; environmental contamination at any of our facilities; failure to comply with existing 
environmental laws; an adverse determination or resolution of complaints filed against us; the cost and difficulty of complying with increasing and evolving regulation; and other risks 
detailed from time to time in our filings with the Securities and Exchange Commission, press releases and other communications, including those set forth under "Risk Factors" included 
elsewhere in this 

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Annual Report on Form 10-K.  Such forward-looking statements speak only as of the date of this Annual Report. We expressly disclaim any obligation to release publicly any updates 
or revisions to any forward-looking statements contained herein to reflect any change in our expectations with regard thereto or change in events, conditions or circumstances on which 
any statement is based. 

PART I 

Item 1.                Business. 

Overview 

As of December 31, 2012, we are the largest operator of senior living communities in the United States based on total capacity, with 647 communities in 36 states and the ability to serve 
approximately 66,700 residents. We offer our residents access to a full continuum of services across the most attractive sectors of the senior living industry.  As of December 31, 2012, 
we operated in six business segments:  retirement centers, assisted living, continuing care retirement communities ("CCRCs") – rental, CCRCs – entry fee, Innovative Senior Care ("ISC") 
and management services. 

As of December 31, 2012, we operated 76 retirement center communities with 14,528 units, 433 assisted living communities with 21,594 units, 27 rental CCRC communities with 6,748 
units, 14 entry fee CCRC communities with 5,866 units and 97 communities with 17,998 units where we provide management services for third parties or joint ventures in which we have 
an ownership interest. We offer therapy services to approximately 51,000 of our units and home health services to approximately 46,000 of our units (approximately 38,000 and 32,000 of 
these units, respectively, are in our consolidated portfolio).  The majority of our units are located in campus settings or communities containing multiple services, including CCRCs.  For 
the year ended December 31, 2012, the weighted average occupancy rate for our owned/leased communities was 88.0%.  We generate approximately 80.1% of our resident fee revenues 
from private pay customers. For the year ended December 31, 2012, 40.8% of our resident and management fee revenues were generated from owned communities, 48.7% from leased 
communities, 9.2% from our Innovative Senior Care business and 1.3% from management fees from communities we operate on behalf of third parties or joint ventures. 

The table below presents a summary of our operating results and certain other financial metrics for each of the years ended December 31, 2012, 2011 and 2010 (dollars in millions): 

Total revenues 
Net loss(1) 
Adjusted EBITDA(2) 
Cash From Facility Operations(3) 
Facility Operating Income(2) 

2012 

For the Years Ended December 31, 
2011 

2010 

  $ 
  $ 
  $ 
  $ 
  $ 

2,770.1  

  $ 
(65.6 )    $ 
  $ 
409.9  
  $ 
239.0  
  $ 
758.8  

2,457.9  

  $ 
(68.2 )    $ 
  $ 
402.7  
  $ 
239.9  
  $ 
757.8  

2,280.5  
(48.9 ) 
408.5  
240.7  
744.3  

(1) Net loss for 2012, 2011 and 2010 include non-cash impairment charges of $27.7 million, $16.9 million and $13.1 million, respectively.

(2) Adjusted EBITDA and Facility Operating Income are non-GAAP financial measures we use in evaluating our operating performance. See "Item 7. Management's Discussion and 

Analysis of Financial Condition and Results of Operations — Non-GAAP Financial Measures" for an explanation of how we define each of these measures, a detailed description 
of why we believe such measures are useful and the limitations of each measure, and a reconciliation of net loss to each of these measures.

(3) Cash From Facility Operations is a non-GAAP financial measure we use in evaluating our liquidity. See "Item 7. Management's Discussion and Analysis of Financial Condition and 

Results of Operations — Non-GAAP Financial Measures" for an explanation of how we define this measure, a detailed description of why we believe such measure is useful and 
the limitations of such measure, and a reconciliation of net cash provided by operating activities to such measure.

Our operating results for the year ended December 31, 2012 were favorably impacted by an increase in our total revenues, primarily due to the addition of leased and managed 
communities from the Horizon Bay and HCP 

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transactions in the third quarter of 2011, along with increases in occupancy and average monthly revenue per unit, including an increase in our ancillary services revenue.  The 
increases in occupancy rates were a result of improving fundamentals, execution by our field organization and sales and marketing team and the benefit of the capital we have invested 
and continue to spend on our communities. 

During 2012, we increased our owned property portfolio by acquiring the underlying real estate associated with 21 Retirement Center and Assisted Living communities with a total of 
approximately 2,250 units for an aggregate purchase price of $283.4 million.  The communities had previously been operated by us under long-term leases.  During the period, we also 
acquired four home health agencies and an existing skilled nursing facility for an aggregate purchase price of approximately $7.0 million. 

During the year, we also made additional progress on our Program Max initiative.  For the year ended December 31, 2012, we invested $42.8 million on the expansion, redevelopment and 
repositioning of our existing communities.  We have completed 10 Program Max projects in 2012, which have resulted in 57 net new units.  We currently have 22 additional Program Max 
projects that have been approved, most of which have begun construction. 

Beginning October 1, 2011, we were impacted by a reduction in the reimbursement rates for Medicare skilled nursing patients and home health patients, as well as a negative change in 
the allowable method for delivering therapy services to skilled nursing patients (resulting in increased therapy labor expense).  The cumulative negative financial impact of these 
changes increased our expense and decreased our revenue, Facility Operating Income, Adjusted EBITDA and Cash From Facility Operations for the year. 

During the second quarter of 2012, we changed the composition of our operating segments from four reportable segments to six reportable segments (Retirement Centers, Assisted 
Living, CCRCs - Rental, CCRCs - Entry Fee, ISC and Management Services).  This change was made to align operating segments with the basis that the chief operating decision maker 
uses to review financial information to make operating decisions, assess performance, develop strategy and allocate capital resources.  All prior period disclosures below have been 
recast to present results on a comparable basis. 

We believe that we are positioned to take advantage of favorable demographic trends and future supply-demand dynamics in the senior living industry.  We also believe that we 
operate in the most attractive sectors of the senior living industry with significant opportunities to increase our revenues through providing a combination of housing, hospitality 
services, ancillary services and health care services. Our senior living communities offer residents a supportive "home-like" setting, assistance with activities of daily living ("ADLs") 
(such as eating, bathing, dressing, toileting and transferring/walking) and, in several communities, licensed skilled nursing services. We also provide ancillary services, including 
therapy and home health services, to our residents. Our strategy is to be the leading provider of health, wellness and lifestyle solutions for seniors and their families.  By providing 
residents with a range of service options as their needs change, we provide greater continuity of care, enabling seniors to "age-in-place" and thereby maintain residency with us for a 
longer period of time. The ability of residents to age-in-place is also beneficial to our residents and their families who are concerned with care decisions for their elderly relatives. 

We believe that there are substantial organic growth opportunities inherent in our existing portfolio. We intend to take advantage of those opportunities by growing revenues, while 
maintaining expense control, at our existing communities, continuing the expansion and maturation of our ancillary services programs, expanding, redeveloping and repositioning our 
existing communities, and acquiring additional operating companies and communities. 

Growth Strategy 

Our primary growth objectives are to grow our revenues, Adjusted EBITDA, Cash From Facility Operations and Facility Operating Income.  Key elements of our strategy to achieve 
these objectives include: 

• Organic growth in our core business, including expense control and the realization of economies of scale.  We plan to grow our existing operations by increasing revenues 
through a combination of occupancy growth and monthly service fee increases as a result of our competitive strength and growing demand for senior living communities. In 
addition, we intend to take advantage of our sophisticated operating and marketing expertise to retain existing residents and attract new residents to our communities.  We 
intend to focus on organic growth by continually improving our operational, sales and marketing execution.  We have recently taken steps to centralize and enhance our 
marketing function and programs

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and intend to broaden our market and increase our market share through our Brookdale branding initiative.  We also plan to continue our efforts to achieve cost savings 
through the realization of additional economies of scale and initiatives designed to improve operational effectiveness.  The size of our business has allowed us to achieve 
savings in the procurement of goods and services and increased efficiencies with respect to various corporate functions, and we expect that we can achieve additional savings 
and efficiencies. 

• Growth through the expansion, redevelopment and repositioning of existing communities.  Through our Program Max initiative, we intend to grow our revenues and cash 
flows through the expansion, redevelopment and repositioning of certain of our existing communities where economically advantageous.  Certain of our communities with 
stabilized occupancies and excess demand in their respective markets may benefit from additions and expansions (which additions and expansions may be subject to landlord, 
lender and other third party consents) offering increased capacity.  Additionally, the community, as well as our presence in the market, may benefit from adding a new level of 
service for residents.  Through Program Max, we may also reposition certain communities to meet the evolving needs of our customers.  This may include converting space 
from one level of care to another, reconfiguration of existing units, or the addition of services that are not currently present.

•  Growth through the acquisition and consolidation of asset portfolios and other senior living companies.  As opportunities arise, we plan to continue to take advantage of 
the fragmented continuing care, independent living and assisted living sectors by selectively purchasing existing operating companies, asset portfolios, home health agencies 
and senior living communities.  We may also seek to acquire the fee interest in communities that we currently lease or manage.  Our acquisition strategy will continue to focus 
primarily on communities where we can improve service delivery, occupancy rates and cash flow. 

•  Growth through the continued expansion of our ancillary services programs (including therapy, home health and hospice services). We plan to grow our revenues by 
further expanding our Innovative Senior Care program throughout our retirement centers, assisted living, CCRCs – rental, CCRCs – entry fee and management services 
segments. This expansion includes expanding the scope of services provided at the communities currently served, the continuing rollout of ancillary services programs to 
communities not currently serviced, and the implementation of programs at communities that we may acquire or manage in the future.  In addition, we plan to grow our 
revenues from ancillary services through the maturation of existing clinics.  Through the Innovative Senior Care program, we currently provide therapy, home health and other 
ancillary services, as well as education and wellness programs, to residents of many of our communities.  These programs are focused on wellness and physical fitness to allow 
residents to maintain maximum independence. These services provide many continuing education opportunities for residents and their families through health fairs, seminars, 
and other consultative interactions. The therapy services we provide include physical, occupational, speech and other specialized therapy and home health services. The home 
health services we provide include skilled nursing, physical therapy, occupational therapy, speech language pathology, home health aide services, and social services as 
needed.  In addition to providing these in-house therapy and wellness services at our communities, we also provide these services to other senior living communities that we 
do not own or operate and to seniors living outside of our communities. These services may be reimbursed under the Medicare program or paid directly by residents from 
private pay sources and revenues are recognized as services are provided.  We have also begun offering hospice services in certain locations.  We believe that our Innovative 
Senior Care program is unique in the senior living industry and that we have a significant advantage over our competitors with respect to providing ancillary services because 
of our established infrastructure and experience. 

The Senior Living Industry 

The senior living industry is highly fragmented and characterized by numerous local and regional operators.  We are one of a limited number of national operators that provide a broad 
range of community locations and service level offerings at varying price levels.  The industry has seen significant growth in recent years and has been marked by the emergence of the 
assisted living segment in the mid-1990's. 

Since the beginning of 2007, the industry has been affected by the downturn in the housing market and by the economic environment in general.  In spite of these factors, over the past 
year, industry occupancy has continued its slow recovery that has been underway since the beginning of 2010 according to the National Investment Center for the Seniors Housing & 
Care Industry ("NIC").  According to NIC, occupancy has increased 90 basis points to 89.5% 

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in the independent living sector, has increased 60 basis points to 89.5% in the assisted living sector and has remained relatively flat in the CCRC sector at 89.7% in the three months 
ended December 31, 2012, as compared to the three months ended December 31, 2011.  Industry occupancy rates have been increasing after reaching a cyclic low in early 2010 of 87.0% 
according to NIC.  Over the past year, occupancy has been rising modestly, as the pace of absorption has been outpacing inventory growth.    

Despite current economic conditions, we believe that a number of trends will contribute to the continued growth of the senior living industry in coming years.  The primary market for 
senior living services is individuals age 75 and older.  According to U.S. Census data, that group is expected to grow by 1.1 million through 2015.  As a result of these demographic 
trends, we expect the demand for senior living services to continue to increase in future years. 

We believe the senior living industry has been and will continue to be impacted by several other trends.  The use of long-term care insurance is increasing among current and future 
seniors as a means of planning for the costs of senior living services.  In addition, as a result of increased mobility in society, a reduction of average family size and increased number of 
two-wage earner couples, more seniors are looking for alternatives outside of their family for their care.  Growing consumer awareness among seniors and their families concerning the 
types of services provided by independent and assisted living operators has further contributed to the opportunities in the senior living industry. Also, seniors currently possess 
greater financial resources than in the past, which makes it more likely that they are able to afford to live in market-rate senior housing. Seniors in the geographic areas in which we 
operate tend to have a significant amount of assets generated from savings, pensions and, despite weakening in national housing markets, equity from the sale of private homes. 

Challenges in our industry include increased state and local regulation of the assisted living and skilled nursing sectors, which has led to an increase in the cost of doing business. The 
regulatory environment continues to intensify in the number and types of laws and regulations affecting us, accompanied by increased enforcement activity by state and local officials. 
In addition, like other companies, our financial results may be negatively impacted by increasing employment costs including salaries, wages and benefits, such as health care, for our 
employees. Increases in the costs of utilities, insurance, and real estate taxes may also have a negative impact on our financial results. 

Beginning October 1, 2011, we were impacted by a reduction in the reimbursement rates for Medicare skilled nursing patients and home health patients, as well as a negative change in 
the allowable method for delivering therapy services to skilled nursing patients (resulting in increased therapy labor expense).  In addition, certain per person annual limits on Medicare 
reimbursement for therapy services became effective in 2006, subject to certain exceptions. These exceptions are currently scheduled to expire on December 31, 2013. If these exceptions 
are modified or not extended beyond that date, our revenues and net operating income relating to our outpatient therapy services could be materially adversely impacted. 

Effective October 1, 2012, certain Medicare Part B therapy services exceeding a specified threshold are subject to a pre-payment manual medical review process.  The review process has 
had an adverse effect on the provision and billing of services for patients and could negatively impact therapist productivity.  These new Medicare Part B therapy cap exception 
requirements, including the applicable pre-approval requirements, could also negatively impact the revenues and net operating income relating to our outpatient therapy services 
business. 

In addition, there continue to be various federal and state legislative and regulatory proposals to implement cost containment measures that would limit payments to healthcare 
providers in the future. For example, based on current federal law, an automatic 2% reduction in Medicare spending will be imposed beginning on March 1, 2013 unless Congress takes 
further action to stay the automatic reduction or authorizes spending increases.  In addition, payments for our outpatient therapy services are tied to Medicare's physician payment fee 
schedule.  By statute, the physician fee schedule is subject to annual automatic adjustment by a sustainable growth rate ("SGR") formula that has resulted in reductions in 
reimbursement rates every year since 2002. However, in each case, Congress has acted to suspend or postpone the effect of these automatic reimbursement reductions. If Congress 
does not extend this relief, as it has done since 2002, or permanently modify the SGR formula by January 1, 2014, payment levels for outpatient therapy services under the physician fee 
schedule will be reduced at that point by approximately 25%.  We cannot predict what action, if any, Congress will take on the physician fee schedule or what future rule changes the 
Centers for Medicare and Medicaid Services ("CMS") will implement. Changes in the reimbursement policies of the Medicare program could have an adverse effect on our results of 
operations and cash flow. 

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Our History 

We were formed as a Delaware corporation in June 2005 for the purpose of combining two leading senior living operating companies, Brookdale Living Communities, Inc. ("BLC) and 
Alterra Healthcare Corporation ("Alterra"). BLC and Alterra had been operating independently since 1986 and 1981, respectively.  On November 22, 2005, we completed our initial public 
offering of common stock, and on July 25, 2006, we acquired American Retirement Corporation ("ARC"), another leading senior living provider which had been operating independently 
since 1978.  On September 1, 2011, we completed the acquisition of Horizon Bay, the ninth largest operator of senior living communities in the United States.  

Our Product Offerings 

We offer a variety of senior living housing and service alternatives in communities located across the United States. Our primary product offerings consist of (i) retirement center 
communities; (ii) assisted living communities; (iii) CCRCs – rental; (iv) CCRCs – entry fee; (v) Innovative Senior Care; and (vi) management services. 

Retirement Centers.  Our retirement center communities are primarily designed for middle to upper income seniors generally age 75 and older who desire an upscale residential 
environment providing the highest quality of service. 

The majority of our retirement center communities consist of both independent and assisted living units in a single community, which allows residents to "age-in-place" by providing 
them with a continuum of senior independent and assisted living services. While the number varies depending upon the particular community, approximately 76.1% of all of the units at 
our retirement center communities are independent living units, with the balance of units licensed for assisted living. 

Our retirement center communities are large multi-story buildings containing on average 191 units with extensive common areas and amenities. Residents may choose from studio, one-
bedroom and two-bedroom units, depending upon the specific community. 

Each retirement center community provides residents with basic services such as meal service, 24-hour emergency response, housekeeping, concierge services, transportation and 
recreational activities. Most of these communities also offer custom tailored supplemental care services at an additional charge, which may include medication reminders, check-in 
services and escort and companion services. 

In addition to the basic services, our retirement center communities that include assisted living also provide residents with supplemental care service options to provide assistance with 
ADLs. The levels of care provided to residents vary from community to community depending, among other things, upon the licensing requirements and healthcare regulations of the 
state in which the community is located. 

Residents in our retirement center communities are able to maintain their residency for an extended period of time due to the range of service options available to residents (not 
including skilled nursing) as their needs change. Residents with cognitive or physical frailties and higher level service needs are accommodated with supplemental services in their own 
units or, in certain communities, are cared for in a more structured and supervised environment on a separate wing or floor. These communities also generally have a dedicated assisted 
living staff, including nurses at the majority of communities, and separate assisted living dining rooms and activity areas. 

The communities in our Retirement Centers segment represent approximately 21.8% of our total senior living capacity. 

Assisted Living.  Our assisted living communities offer housing and 24-hour assistance with ADLs to mid-acuity frail and elderly residents.  Our assisted living communities include 
both freestanding, multi-story communities with more than 50 beds and smaller, freestanding single story communities with less than 50 beds. Depending upon the specific location, the 
community may include (i) private studio, one-bedroom and one-bedroom deluxe apartments, or (ii) individual rooms for one or two residents in wings or "neighborhoods" scaled to a 
single-family home, which includes a living room, dining room, patio or enclosed porch, laundry room and personal care area, as well as a caregiver work station. 

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Under our Clare Bridge brand, we also operate 86 memory care communities, which are freestanding assisted living communities specially designed for residents with Alzheimer's 
disease and other dementias requiring the attention, personal care and services needed to help cognitively impaired residents maintain a higher quality of life. Our memory care 
communities have from 19 to 60 beds and some are part of a campus setting which includes a freestanding assisted living community. 

All residents at our assisted living and memory care communities receive the basic care level, which includes ongoing health assessments, three meals per day and snacks, coordination 
of special diets planned by a registered dietitian, assistance with coordination of physician care, social and recreational activities, housekeeping and personal laundry services. In some 
locations we offer our residents exercise programs and programs designed to address issues associated with early stages of Alzheimer's and other forms of dementia. In addition, we 
offer at additional cost, higher levels of personal care services to residents at these communities who are very physically frail or experiencing early stages of Alzheimer's disease or other 
dementia and who require more frequent or intensive physical assistance or increased personal care and supervision due to cognitive impairments. 

As a result of their progressive decline in cognitive abilities, residents at our memory care communities typically require higher levels of personal care and services and therefore pay 
higher monthly service fees. Specialized services include assistance with ADLs, behavior management and an activities program, the goal of which is to provide a normalized 
environment that supports residents' remaining functional abilities. Whenever possible, residents participate in all facets of daily life at the residence, such as assisting with meals, 
laundry and housekeeping. 

The communities in our Assisted Living segment (including our memory care communities) represent approximately 32.3% of our total senior living capacity. 

CCRCs - Rental.  Our CCRCs are large communities that offer a variety of living arrangements and services to accommodate all levels of physical ability and health. Most of our CCRCs 
have independent living, assisted living and skilled nursing available on one campus or within the immediate market, and some also include memory care/Alzheimer's service areas. 

The communities in our CCRCs – Rental segment represent approximately 10.1% of our total senior living capacity. 

CCRCs – Entry Fee.  The communities in our CCRCs – Entry Fee segment are similar to those in our CCRCs – Rental segment but allow for residents in the independent living apartment 
units to pay a one-time upfront entrance fee, typically $100,000 to $400,000 or more, which is partially refundable in certain circumstances. The amount of the entrance fee varies 
depending upon the type and size of the dwelling unit, the type of contract plan selected, whether the contract contains a lifecare benefit (i.e., a healthcare discount) for the resident, the 
amount and timing of the refund, and other variables. These agreements are subject to regulations in various states. In addition to their initial entrance fee, residents under all of our 
entrance fee agreements also pay a monthly service fee, which entitles them to the use of certain amenities and services. Since we receive entrance fees upon initial occupancy, the 
monthly fees are generally less than fees at a comparable rental community.  Eleven of our communities that we own or lease are entry fee communities. 

The refundable portion of a resident's entrance fee is generally refundable within a certain number of months or days following contract termination or upon the sale of the unit, or in 
some agreements, upon the resale of a comparable unit or 12 months after the resident vacates the unit. In addition, some entrance fee agreements entitle the resident to a refund of the 
original entrance fee paid plus a percentage of the appreciation of the unit upon resale. 

The communities in our CCRCs – Entry Fee segment represent approximately 8.8% of our total senior living capacity.  The independent living units at our entrance fee communities 
(those units on which entry fees are paid) represent 4.8% of our total senior living capacity.  Excluding managed communities and equity homes (which are residences located on certain 
of our CCRC campuses that we do not generally own), entrance fee communities represent 9.9% of our total senior living capacity. 

Innovative Senior Care ("ISC"). Our ISC segment includes the outpatient therapy, home health and hospice services provided to residents of many of our communities, to other senior 
living communities that we do not own or operate and to seniors living outside of our communities.  The ISC segment does not include the therapy services provided in our skilled 
nursing units, which are included in the CCRCs - Rental and CCRCs - Entry Fee segments. 

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Management Services.    We operate certain of our communities pursuant to management agreements.  In some of these cases, the community is owned by third parties and, in other 
cases, the community is owned in a joint venture structure in which we have an ownership interest.  Under the management agreements for these communities, we receive management 
fees as well as reimbursed expenses, which represent the reimbursement of certain expenses we incur on behalf of the owners. 

The communities in our Management Services segment represent 27.0% of our total senior living capacity.  As of December 31, 2012, we managed a total of 97 communities with a total 
of 17,998 units on behalf of third parties or joint ventures in which we have an ownership interest.  There are a total of 60 retirement centers, 25 assisted living communities and 12 CCRC 
communities (of which six are entrance fee communities) in our Management Services segment. 

Competitive Strengths 

We believe our nationwide network of senior living communities is well positioned to benefit from the growth and increasing demand in the industry. Some of our most significant 
competitive strengths are: 

• Skilled management team with extensive experience.  Our senior management team has extensive experience in acquiring, operating and managing a broad range of senior 

living assets, including experience in the senior living, healthcare, hospitality and real estate industries.

• Geographically diverse, high-quality, purpose-built communities.  As of December 31, 2012, we operate a nationwide base of 647 purpose-built communities in 36 states, 

including 108 communities in the ten most populous standard metropolitan statistical areas.

• Ability to provide a broad spectrum of care.  Given our diverse mix of retirement centers, assisted living communities and CCRCs, we are able to meet a wide range of our 

customers' needs. We believe that we are one of the few companies in the senior living industry with this capability and the only company that does so at scale on a national 
basis. We believe that our multiple product offerings create marketing synergies and cross-selling opportunities.

• The size of our business allows us to realize cost and operating efficiencies.  We are the largest operator of senior living communities in the United States based on total 
capacity. The size of our business allows us to realize cost savings and economies of scale in the procurement of goods and services.  Our scale also allows us to achieve 
increased efficiencies with respect to various corporate functions. We intend to utilize our expertise and size to capitalize on economies of scale resulting from our national 
platform. Our geographic footprint and centralized infrastructure provide us with a significant operational advantage over local and regional operators of senior living 
communities. In connection with our formation transactions and our acquisitions, we negotiated new contracts for food, insurance and other goods and services. In addition, 
we have and will continue to consolidate corporate functions such as accounting, finance, human resources, legal, information technology and marketing.

• Significant experience in providing ancillary services.  Through our Innovative Senior Care program, we provide a range of education, wellness, therapy, home health and 
other ancillary services to residents of certain of our retirement centers, assisted living, and CCRC communities.  Having therapy clinics and home health agencies located in 
our senior living communities to provide needed services to our residents is a distinct competitive difference.  We have significant experience in providing these ancillary 
services and expect to receive additional revenues as we expand our ancillary service offerings to additional communities and to seniors outside of our communities.

Segments 

As of December 31, 2012, we had six reportable segments: retirement centers; assisted living; CCRCs – rental; CCRCs – entry fee; Innovative Senior Care; and management services. 
These segments were determined based on the way that our chief operating decision maker organizes our business activities for making operating decisions, assessing performance, 
developing strategy and allocating capital resources. 

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Operating results from our six business segments are discussed further in "Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations" and Note 
22 to our consolidated financial statements included in this Annual Report on Form 10-K. 

Operations 

Operations Overview 

We believe that successful senior living operators must effectively combine the expertise and business disciplines of housing, hospitality, health care, marketing, finance and real 
estate. 

We continually review opportunities to expand the types of services we provide to our residents. To date, we have been able to increase our average monthly revenue per unit each 
year and we have generally experienced increasing facility operating margins through a combination of the implementation of efficient operating procedures and the economies of scale 
associated with the size and number of our communities. Our operating procedures include securing national vendor contracts to obtain the lowest possible pricing for certain services 
such as food, energy and insurance, implementing effective budgeting and financial controls at each community, and establishing standardized training and operations procedures. 

We have implemented intensive standards, policies and procedures and systems, including detailed staff manuals, which we believe have contributed to high levels of customer service 
and to improved facility operating margins. We have centralized accounting, finance and other operating functions in our support centers so that, consistent with our operating 
philosophy, community-based personnel can focus on resident care and efficient operations. We have established company-wide policies and procedures relating to, among other 
things: resident care; community design and community operations; billings and collections; accounts payable; finance and accounting; risk management; development of employee 
training materials and programs; marketing activities; the hiring and training of management and other community-based personnel; compliance with applicable local and state 
regulatory requirements; and implementation of our acquisition, development and leasing plans. 

Consolidated Corporate Operations Support 

We have developed a centralized infrastructure and services platform, which provides us with a significant operational advantage over local and regional operators of senior living 
communities. The size of our business also allows us to achieve increased efficiencies with respect to various corporate functions such as human resources, finance, accounting, legal, 
information technology and marketing. We are also able to realize cost efficiencies in the purchasing of food, supplies, insurance, benefits, and other goods and services. In addition, 
we have established centralized operations groups to support all of our product lines and communities in areas such as training, regulatory affairs, asset management, dining and 
procurement. 

Community Staffing and Training 

Each community has an Executive Director responsible for the overall day-to-day operations of the community, including quality of service, social services and financial performance. 
Each Executive Director receives specialized training from us. In addition, a portion of each Executive Director's compensation is directly tied to the operating performance of the 
community and key service quality measures. We believe that the quality of our communities, coupled with our competitive compensation philosophy, has enabled us to attract high-
quality, professional community Executive Directors. 

Depending upon the size of the community, each Executive Director is supported by a community staff member who is directly responsible for day-to-day care of the residents and 
either community staff or regional support to oversee the community's marketing and community outreach programs. Other key positions supporting each community may include 
individuals responsible for food service, activities, housekeeping, and engineering. 

We believe that quality of care and operating efficiency can be maximized by direct resident and staff contact. Employees involved in resident care, including the administrative staff, are 
trained in the support and care needs of the residents and emergency response techniques. We have adopted formal training and evaluation procedures to help ensure quality care for 
our residents. We have extensive policy and procedure manuals and hold frequent training sessions for management and staff at each site. 

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Quality Assurance 

We maintain quality assurance programs at each of our communities through our corporate and regional staff. Our quality assurance program is designed to achieve a high degree of 
resident and family member satisfaction with the care and services that we provide. Our quality control measures include, among other things, community inspections conducted by 
corporate staff on a regular basis. These inspections cover the appearance of the exterior and grounds; the appearance and cleanliness of the interior; the professionalism and 
friendliness of staff; quality of resident care (including assisted living services, nursing care, therapy and home health programs); the quality of activities and the dining program; 
observance of residents in their daily living activities; and compliance with government regulations. Our quality control measures also include the survey of residents and family 
members on a regular basis to monitor their perception of the quality of services provided to residents. 

In order to foster a sense of community as well as to respond to residents' needs and desires, at many of our communities, we have established a resident council or other resident 
advisory committee that meets monthly with the Executive Director of the community. Separate resident committees also exist at many of these communities for food service, activities, 
marketing and hospitality. These committees promote resident involvement and satisfaction and enable community management to be more responsive to the residents' needs and 
desires. 

Marketing and Sales 

Our marketing strategy is intended to create awareness of our Brookdale brand, our communities, our products and our services among potential residents and their family members and 
among referral sources, including hospital discharge planners, physicians, clergy, area agencies for the elderly, skilled nursing facilities, home health agencies and social workers. Our 
marketing staff develops overall strategies for promoting our communities and monitors the success of our marketing efforts, including outreach programs. In addition to direct contacts 
with prospective referral sources, we also rely on internet inquiries, print advertising, yellow pages advertising, direct mail, signage and special events, health fairs and community 
receptions. Certain resident referral programs have been established and promoted within the limitations of federal and state laws at many communities. 

In order to mitigate the impact of weakness in the housing market, we have implemented several sales and marketing initiatives designed to increase our entrance fee sales results. 
 These include the acceptance of short-term promissory notes in satisfaction of a resident's required entrance fee from certain pre-qualified, prospective residents who are waiting for 
their homes to sell.  In addition, we have implemented the MyChoice program, which allows new and existing residents in certain communities the option to pay additional refundable 
entrance fee amounts in return for a reduced monthly service fee, thereby offering choices to residents desiring a more affordable ongoing monthly service fee. 

Competition 

The senior living industry is highly competitive. We compete with numerous organizations that provide similar senior living alternatives, such as home health care agencies, community-
based service programs, retirement communities, convalescent centers and other senior living providers. In general, regulatory and other barriers to competitive entry in the retirement 
center and assisted living sectors of the senior living industry are not substantial, except in the skilled nursing area.  Although new construction of senior living communities has 
declined in recent years, we have experienced and expect to continue to experience competition in our efforts to acquire and operate senior living communities. Some of our present and 
potential senior living competitors have, or may obtain, greater financial resources than us and may have a lower cost of capital. Consequently, we may encounter competition that 
could limit our ability to attract residents or expand our business, which could have a material adverse effect on our revenues and earnings. Our major publicly-traded competitors which 
operate senior living communities are Emeritus Corporation and Capital Senior Living Corporation and our major private competitors include Sunrise Senior Living, Inc., Life Care 
Services, LLC and Atria Senior Living Group, as well as a large number of not-for-profit entities.  Partially as a result of tax law changes enacted through RIDEA, we now compete more 
directly with the various publicly-traded healthcare REITs for the acquisition of senior housing properties.  The largest three of these publicly-traded healthcare REITs measured on 
equity market capitalization include HCP, Inc., Ventas, Inc. and Health Care REIT, Inc. 

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Customers 

Our target retirement center residents are senior citizens age 75 and older who desire or need a more supportive living environment. The average retirement center resident resides in a 
retirement center community for approximately 36 months. A number of our retirement center residents relocate to one of our communities in order to be in a metropolitan area that is 
closer to their adult children. 

Our target assisted living residents are predominantly senior citizens age 80 and older who require daily assistance with two or three ADLs. The average assisted living resident resides 
in an assisted living community for approximately 20 months. Residents typically enter an assisted living community due to a relatively immediate need for services that might have been 
triggered by a medical event or need. 

Our target CCRC residents are senior citizens who are seeking a community that offers a variety of services and a continuum of care so that they can "age in place." These residents 
generally first enter the community as a resident of an independent living unit and may later move into an assisted living or skilled nursing area as their needs change. 

We believe our combination of retirement center and assisted living operating expertise and the broad base of customers that this enables us to target creates a unique opportunity for 
us to invest in a broad spectrum of assets in the senior living industry, including retirement center, assisted living, CCRC and skilled nursing communities. 

Employees 

As of December 31, 2012, we had approximately 30,000 full-time employees and approximately 17,900 part-time employees, of which 426 work in our Nashville headquarters office, 433 
work in our Milwaukee office, 36 work in our Chicago office and 186 work in a variety of field-based management positions.  We currently consider our relationship with our employees 
to be good. 

Government Regulation 

The regulatory environment surrounding the senior living industry continues to intensify in the number and type of laws and regulations affecting it. In addition, federal, state and local 
officials are increasingly focusing their efforts on enforcement of these laws and regulations. This is particularly true for large for-profit, multi-community providers like us. Some of the 
laws and regulations that impact our industry include: state and local laws impacting licensure, protecting consumers against deceptive practices, and generally affecting the 
communities' management of property and equipment and how we otherwise conduct our operations, such as fire, health and safety laws and regulations and privacy laws; federal and 
state laws designed to protect Medicare and Medicaid, which mandate what are allowable costs, pricing, quality of services, quality of care, food service, resident rights (including 
abuse and neglect) and fraud; federal and state residents' rights statutes and regulations; Anti-Kickback and physicians referral ("Stark") laws; and safety and health standards set by 
the Occupational Safety and Health Administration. We are unable to predict the future course of federal, state and local legislation or regulation. Changes in the regulatory framework 
could have a material adverse effect on our business. 

Many senior living communities are also subject to regulation and licensing by state and local health and social service agencies and other regulatory authorities. Although 
requirements vary from state to state, these requirements may address, among others, the following: personnel education, training and records; community services, including 
administration of medication, assistance with self-administration of medication and the provision of nursing, home health and therapy services; staffing levels; monitoring of resident 
wellness; physical plant specifications; furnishing of resident units; food and housekeeping services; emergency evacuation plans; professional licensing and certification of staff prior 
to beginning employment; and resident rights and responsibilities, including in some states the right to receive health care services from providers of a resident's choice that are not our 
employees. In several of the states in which we operate or may operate, we are prohibited from providing certain higher levels of senior care services without first obtaining the 
appropriate licenses. In addition, in several of the states in which we operate or intend to operate, assisted living communities, home health agencies and/or skilled nursing facilities 
require a certificate of need before the community can be opened or the services at an existing community can be expanded. Senior living communities may also be subject to state 
and/or local building, zoning, fire and food service codes and must be in compliance with these local codes before licensing or certification may be granted. These laws and regulatory 
requirements could affect our ability to expand into new markets and to expand our services and 

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communities in existing markets. In addition, if any of our presently licensed communities operates outside of its licensing authority, it may be subject to penalties, including closure of 
the community. 

The intensified regulatory and enforcement environment impacts providers like us because of the increase in the number of inspections or surveys by governmental authorities and 
consequent citations for failure to comply with regulatory requirements. Unannounced surveys or inspections may occur annually or bi-annually, or following a regulator's receipt of a 
complaint about the community. From time to time in the ordinary course of business, we receive deficiency reports from state regulatory bodies resulting from such inspections or 
surveys. Most inspection deficiencies are resolved through an agreed-to plan of corrective action relating to the community's operations, but the reviewing agency typically has the 
authority to take further action against a licensed or certified community, which could result in the imposition of fines, imposition of a provisional or conditional license, suspension or 
revocation of a license, suspension or denial of admissions, loss of certification as a provider under federal health care programs or imposition of other sanctions, including criminal 
penalties. Loss, suspension or modification of a license may also cause us to default under our loan or lease agreements and/or trigger cross-defaults. Sanctions may be taken against 
providers or facilities without regard to the providers' or facilities' history of compliance. We may also expend considerable resources to respond to federal and state investigations or 
other enforcement action under applicable laws or regulations. To date, none of the deficiency reports received by us has resulted in a suspension, fine or other disposition that has had 
a material adverse effect on our revenues. However, any future substantial failure to comply with any applicable legal and regulatory requirements could result in a material adverse 
effect to our business as a whole. In addition, states Attorneys General vigorously enforce consumer protection laws as those laws relate to the senior living industry. State Medicaid 
Fraud and Abuse Units may also investigate assisted living communities even if the community or any of its residents do not receive federal or state funds. 

Regulation of the senior living industry is evolving at least partly because of the growing interests of a variety of advocacy organizations and political movements attempting to 
standardize regulations for certain segments of the industry, particularly assisted living. Our operations could suffer if future regulatory developments, such as federal assisted living 
laws and regulations, as well as mandatory increases in the scope and severity of deficiencies determined by survey or inspection officials or increase the number of citations that can 
result in civil or criminal penalties. Certain current state laws and regulations allow enforcement officials to make determinations on whether the care provided by one or more of our 
communities exceeds the level of care for which the community is licensed. A finding that a community is delivering care beyond its license might result in the immediate transfer and 
discharge of residents, which may create market instability and other adverse consequences. Furthermore, certain states may allow citations in one community to impact other 
communities in the state. Revocation or suspension of a license, or a citation, at a given community could therefore impact our ability to obtain new licenses or to renew existing 
licenses at other communities, which may also cause us to be in default under our loan or lease agreements and trigger cross-defaults or may also trigger defaults under certain of our 
credit agreements, or adversely affect our ability to operate and/or obtain financing in the future. If a state were to find that one community's citation will impact another of our 
communities, this will also increase costs and result in increased surveillance by the state survey agency. If regulatory requirements increase, whether through enactment of new laws or 
regulations or changes in the enforcement of existing rules, including increased enforcement brought about by advocacy groups, in addition to federal and state regulators, our 
operations could be adversely affected. In addition, any adverse finding by survey and inspection officials may serve as the basis for false claims lawsuits by private plaintiffs and may 
lead to investigations under federal and state laws, which may result in civil and/or criminal penalties against the community or individual. 

There are various extremely complex federal and state laws governing a wide array of referrals, relationships and arrangements and prohibiting fraud by health care providers, including 
those in the senior living industry, and governmental agencies are devoting increasing attention and resources to such anti-fraud initiatives. The Health Insurance Portability and 
Accountability Act of 1996, or HIPAA, and the Balanced Budget Act of 1997 expanded the penalties for health care fraud. In addition, with respect to our participation in federal health 
care reimbursement programs, the government or private individuals acting on behalf of the government may bring an action under the False Claims Act alleging that a health care 
provider has defrauded the government and seek treble damages for false claims and the payment of additional monetary civil penalties. Recently, other health care providers have faced 
enforcement action under the False Claims Act. The False Claims Act allows a private individual with knowledge of fraud to bring a claim on behalf of the federal government and earn a 
percentage of the federal government's recovery. Because of these incentives, so-called "whistleblower" suits have become more frequent. Also, if any of our communities exceeds its 
level of care, we may be subject to private lawsuits alleging "transfer trauma" by residents. Such allegations could also lead to investigations by enforcement officials, which could 
result in penalties, 

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including the closure of communities. The violation of any of these regulations may result in the imposition of fines or other penalties that could jeopardize our business. 

Additionally, we operate communities that participate in federal and/or state health care reimbursement programs, including state Medicaid waiver programs for assisted living 
communities, the Medicare skilled nursing facility benefit program and other healthcare programs such as therapy and home health services, or other federal and/or state health care 
programs. Consequently, we are subject to federal and state laws that prohibit anyone from presenting, or causing to be presented, claims for reimbursement which are false, fraudulent 
or are for items or services that were not provided as claimed. Similar state laws vary from state to state and we cannot be sure that these laws will be interpreted consistently or in 
keeping with past practices. Violation of any of these laws can result in loss of licensure, claims for recoupment, civil or criminal penalties and exclusion of health care providers or 
suppliers from furnishing covered items or services to beneficiaries of the applicable federal and/or state health care reimbursement program. Loss of licensure may also cause us to 
default under our leases and loan agreements and/or trigger cross-defaults. 

We are also subject to certain federal and state laws that regulate financial arrangements by health care providers, such as the Federal Anti-Kickback Law, the Stark laws and certain 
state referral laws. The Federal Anti-Kickback Law makes it unlawful for any person to offer or pay (or to solicit or receive) "any remuneration ... directly or indirectly, overtly or covertly, 
in cash or in kind" for referring or recommending for purchase any item or service which is eligible for payment under the Medicare and/or Medicaid programs. Authorities have 
interpreted this statute very broadly to apply to many practices and relationships between health care providers and sources of patient referral. If we were to violate the Federal Anti-
Kickback Law, we may face criminal penalties and civil sanctions, including fines and possible exclusion from government programs such as Medicare and Medicaid, which may also 
cause us to default under our leases and loan agreements and/or trigger cross-defaults. Adverse consequences may also result if we violate federal Stark laws related to certain 
Medicare and Medicaid physician referrals. While we endeavor to comply with all laws that regulate the licensure and operation of our senior living communities, it is difficult to predict 
how our revenues could be affected if we were subject to an action alleging such violations. We are also subject to federal and state laws designed to protect the confidentiality of 
patient health information. The U.S. Department of Health and Human Services, or HHS, has issued rules pursuant to HIPAA relating to the privacy of such information. Rules that 
became effective April 14, 2003 govern our use and disclosure of health information at certain HIPAA covered communities. We established procedures to comply with HIPAA privacy 
requirements at these communities. We were required to be in compliance with the HIPAA rule establishing administrative, physical and technical security standards for health 
information by April 2005. To the best of our knowledge, we are in compliance with these rules. 

Environmental Matters 

Under various federal, state and local environmental laws, a current or previous owner or operator of real property, such as us, may be held liable in certain circumstances for the costs 
of investigation, removal or remediation of certain hazardous or toxic substances, including, among others, petroleum and materials containing asbestos, that could be located on, in, at 
or under a property, regardless of how such materials came to be located there. Additionally, such an owner or operator of real property may incur costs relating to the release of 
hazardous or toxic substances, including government fines and payments for personal injuries or damage to adjacent property. The cost of any required investigation, remediation, 
removal, mitigation, compliance, fines or personal or property damages and our liability therefore could exceed the property's value and/or our assets' value. In addition, the presence of 
such substances, or the failure to properly dispose of or remediate the damage caused by such substances, may adversely affect our ability to sell such property, to attract additional 
residents and retain existing residents, to borrow using such property as collateral or to develop or redevelop such property. In addition, such laws impose liability for investigation, 
remediation, removal and mitigation costs on persons who disposed of or arranged for the disposal of hazardous substances at third-party sites. Such laws and regulations often 
impose liability without regard to whether the owner or operator knew of, or was responsible for, the presence, release or disposal of such substances as well as without regard to 
whether such release or disposal was in compliance with law at the time it occurred. Moreover, the imposition of such liability upon us could be joint and several, which means we could 
be required to pay for the cost of cleaning up contamination caused by others who have become insolvent or otherwise judgment proof. 

We do not believe that we have incurred such liabilities that would have a material adverse effect on our business, financial condition and results of operations. 

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Our operations are subject to regulation under various federal, state and local environmental laws, including those relating to: the handling, storage, transportation, treatment and 
disposal of medical waste products generated at our communities; identification and warning of the presence of asbestos-containing materials in buildings, as well as removal of such 
materials; the presence of other substances in the indoor environment; and protection of the environment and natural resources in connection with development or construction of our 
properties. 

Some of our communities generate infectious or other hazardous medical waste due to the illness or physical condition of the residents, including, for example, blood-contaminated 
bandages, swabs and other medical waste products and incontinence products of those residents diagnosed with an infectious disease. The management of infectious medical waste, 
including its handling, storage, transportation, treatment and disposal, is subject to regulation under various federal, state and local environmental laws. These environmental laws set 
forth the management requirements for such waste, as well as related permit, record-keeping, notice and reporting obligations. Each of our communities has an agreement with a waste 
management company for the proper disposal of all infectious medical waste. The use of such waste management companies does not immunize us from alleged violations of such 
medical waste laws for operations for which we are responsible even if carried out by such waste management companies, nor does it immunize us from third-party claims for the cost to 
cleanup disposal sites at which such wastes have been disposed. Any finding that we are not in compliance with environmental laws could adversely affect our business operations 
and financial condition. 

Federal regulations require building owners and those exercising control over a building's management to identify and warn, via signs and labels, their employees and certain other 
employers operating in the building of potential hazards posed by workplace exposure to installed asbestos-containing materials and potential asbestos-containing materials in their 
buildings. The regulations also set forth employee training, record-keeping requirements and sampling protocols pertaining to asbestos-containing materials and potential asbestos-
containing materials. Significant fines can be assessed for violation of these regulations. Building owners and those exercising control over a building's management may be subject to 
an increased risk of personal injury lawsuits by workers and others exposed to asbestos-containing materials and potential asbestos-containing materials. The regulations may affect 
the value of a building containing asbestos-containing materials and potential asbestos-containing materials in which we have invested. Federal, state and local laws and regulations 
also govern the removal, encapsulation, disturbance, handling and/or disposal of asbestos-containing materials and potential asbestos-containing materials when such materials are in 
poor condition or in the event of construction, remodeling, renovation or demolition of a building. Such laws may impose liability for improper handling or a release to the environment 
of asbestos-containing materials and potential asbestos-containing materials and may provide for fines to, and for third parties to seek recovery from, owners or operators of real 
properties for personal injury or improper work exposure associated with asbestos-containing materials and potential asbestos-containing materials. 

The presence of mold, lead-based paint, contaminants in drinking water, radon and/or other substances at any of the communities we own or may acquire may lead to the incurrence of 
costs for remediation, mitigation or the implementation of an operations and maintenance plan. Furthermore, the presence of mold, lead-based paint, contaminants in drinking water, 
radon and/or other substances at any of the communities we own or may acquire may present a risk that third parties will seek recovery from the owners, operators or tenants of such 
properties for personal injury or property damage. In some circumstances, areas affected by mold may be unusable for periods of time for repairs, and even after successful remediation, 
the known prior presence of extensive mold could adversely affect the ability of a community to retain or attract residents and could adversely affect a community's market value. 

We believe that we are in material compliance with applicable environmental laws. 

We are unable to predict the future course of federal, state and local environmental regulation and legislation. Changes in the environmental regulatory framework (including legislative 
or regulatory efforts designed to address climate change, such as the proposed "cap and trade" legislation) could have a material adverse effect on our business. In addition, because 
environmental laws vary from state to state, expansion of our operations to states where we do not currently operate may subject us to additional restrictions on the manner in which we 
operate our communities. 

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Available Information 

Our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, and amendments to these reports, are available free of charge through our web site as 
soon as reasonably practicable after we electronically file such material with, or furnish it to, the Securities and Exchange Commission, at the following address: 
www.brookdaleliving.com. The information within, or that can be accessed through, the web site is not part of this report. 

We have posted our Corporate Governance Guidelines, Code of Business Conduct and Ethics and the charters of our Audit, Compensation, Investment and Nominating and Corporate 
Governance Committees on our web site at www.brookdaleliving.com. In addition, our Code of Ethics for Chief Executive and Senior Financial Officers, which applies to our Chief 
Executive Officer, Co-Presidents, Chief Financial Officer, Treasurer and Controller, is also available on our website. Our corporate governance materials are available in print free of 
charge to any stockholder upon request to our Corporate Secretary, Brookdale Senior Living Inc., 111 Westwood Place, Suite 400, Brentwood, Tennessee 37027. 

Item 1A.                          Risk Factors. 

Risks Related to Our Business 

Disruptions in the financial markets could affect our ability to obtain financing or to extend or refinance debt as it matures, which could negatively impact our liquidity, financial 
condition and the market price of our common stock. 

In recent years, the United States stock and credit markets have experienced significant price volatility, dislocations and liquidity disruptions, which caused market prices of many 
stocks to fluctuate substantially and the spreads on prospective debt financings to widen considerably. These circumstances materially impacted liquidity in the financial markets, 
making terms for certain financings less attractive, and in some cases resulted in the unavailability of financing. Continued uncertainty in the stock and credit markets may negatively 
impact our ability to access additional financing (including any refinancing or extension of our existing debt) on reasonable terms, which may negatively affect our business. 

As of December 31, 2012, we had three principal corporate-level debt obligations:  our $230.0 million revolving credit facility, our $316.3 million convertible senior notes due 2018 and 
separate secured and unsecured letter of credit facilities providing for up to $92.5 million of letters of credit in the aggregate.  If we are unable to extend (or refinance, as applicable) any 
of our debt or credit or letter of credit facilities prior to their scheduled maturity dates, our liquidity and financial condition could be adversely impacted. In addition, even if we are able 
to extend or refinance our other maturing debt or credit or letter of credit facilities, the terms of the new financing may not be as favorable to us as the terms of the existing financing. 

A prolonged downturn in the financial markets may cause us to seek alternative sources of potentially less attractive financing, and may require us to further adjust our business plan 
accordingly. These events also may make it more difficult or costly for us to raise capital, including through the issuance of common stock. Disruptions in the financial markets could 
have an adverse effect on us and our business.  If we are not able to obtain additional financing on favorable terms, we also may have to delay or abandon some or all of our growth 
strategies, which could adversely affect our revenues and results of operations. 

We rely on reimbursement from governmental programs for a portion of our revenues, and will be subject to changes in reimbursement levels, which could adversely affect our 
results of operations and cash flow. 

We rely on reimbursement from governmental programs for a portion of our revenues, and we cannot assure you that reimbursement levels will not decrease in the future, which could 
adversely affect our results of operations and cash flow. Beginning October 1, 2011, we were impacted by a reduction in the reimbursement rates for Medicare skilled nursing patients 
and home health patients, as well as a negative change in the allowable method for delivering therapy services to skilled nursing patients (resulting in increased therapy labor expense). 
 In addition, certain per person annual limits on Medicare reimbursement for therapy services became effective in 2006, subject to certain exceptions. These exceptions are currently 
scheduled to expire on December 31, 2013. If these exceptions are modified or not extended beyond that date, our revenues and net operating income relating to our outpatient 

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therapy services could be materially adversely impacted. 

Effective October 1, 2012, certain Medicare Part B therapy services exceeding a specified threshold are subject to a pre-payment manual medical review process.  The review process has 
had an adverse effect on the provision and billing of services for patients and could negatively impact therapist productivity.  These new Medicare Part B therapy cap exception 
requirements, including the applicable pre-approval requirements, could also negatively impact the revenues and net operating income relating to our outpatient therapy services 
business. 

In addition, there continue to be various federal and state legislative and regulatory proposals to implement cost containment measures that would limit payments to healthcare 
providers in the future. For example, based on current federal law, an automatic 2% reduction in Medicare spending will be imposed beginning on March 1, 2013 unless Congress takes 
further action to stay the automatic reduction or authorizes spending increases.  In addition, payments for our outpatient therapy services are tied to Medicare's physician payment fee 
schedule.  By statute, the physician fee schedule is subject to annual automatic adjustment by a sustainable growth rate ("SGR") formula that has resulted in reductions in 
reimbursement rates every year since 2002. However, in each case, Congress has acted to suspend or postpone the effect of these automatic reimbursement reductions. If Congress 
does not extend this relief, as it has done since 2002, or permanently modify the SGR formula by January 1, 2014, payment levels for outpatient therapy services under the physician fee 
schedule will be reduced at that point by approximately 25%.  We cannot predict what action, if any, Congress will take on the physician fee schedule or what future rule changes the 
Centers for Medicare and Medicaid Services ("CMS") will implement. Changes in the reimbursement policies of the Medicare program could have an adverse effect on our results of 
operations and cash flow. 

Due to the dependency of our revenues on private pay sources, events which adversely affect the ability of seniors to afford our monthly resident fees or entrance fees (including 
downturns in the economy, housing market, consumer confidence or the equity markets and unemployment among resident family members) could cause our occupancy rates, 
revenues and results of operations to decline. 

Costs to seniors associated with independent and assisted living services are not generally reimbursable under government reimbursement programs such as Medicare and Medicaid. 
Only seniors with income or assets meeting or exceeding the comparable median in the regions where our communities are located typically can afford to pay our monthly resident fees. 
Economic downturns, softness in the housing market, higher levels of unemployment among resident family members, lower levels of consumer confidence, stock market volatility 
and/or changes in demographics could adversely affect the ability of seniors to afford our resident fees or entrance fees. If we are unable to retain and/or attract seniors with sufficient 
income, assets or other resources required to pay the fees associated with independent and assisted living services and other service offerings, our occupancy rates, revenues and 
results of operations could decline. 

The impact of recently enacted and ongoing health care reform efforts on our business cannot accurately be predicted. 

The health care industry in the United States is subject to fundamental changes due to ongoing health care reform efforts and related political, economic and regulatory influences. 
 Notably, in March 2010, President Obama signed into law the Patient Protection and Affordable Care Act, along with the Health Care and Education Reconciliation Act of 2010 
(collectively, the "Affordable Care Act"). The passage of the Affordable Care Act has resulted in comprehensive reform legislation that is expected to expand health care coverage to 
millions of currently uninsured people beginning in 2014 and provide for significant changes to the U.S. health care system over the next ten years. To help fund this expansion, the 
Affordable Care Act outlines certain reductions in Medicare reimbursements for various health care providers, including skilled nursing facilities, as well as certain other changes to 
Medicare payment methodologies. This comprehensive health care legislation provides for extensive future rulemaking by regulatory authorities, and also may be altered or amended. 

It is difficult to predict the full impact of the Affordable Care Act due to the law's complexity and current lack of implementing regulations or interpretive guidance, as well our inability to 
foresee how CMS and other participants in the health care industry will respond to the choices available to them under the law. We also cannot accurately predict whether any pending 
legislative proposals will be adopted or, if adopted, what effect, if any, these proposals would have on our business. Similarly, while we can anticipate that some of the rulemaking that 
will be promulgated by regulatory authorities will affect us and the manner in which we are reimbursed by the federal health care 

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programs, we cannot accurately predict today the impact of those regulations on our business. The provisions of the legislation and other regulations implementing the provisions of 
the Affordable Care Act may increase our costs, decrease our revenues, expose us to expanded liability or require us to revise the ways in which we conduct our business. 

The Supreme Court's decision upholding the constitutionality of the individual mandate while striking down the provisions linking federal funding of state Medicaid programs with a 
federally mandated expansion of those programs has not reduced the uncertain impact that the law will have on health care delivery systems over the next decade. We can expect that 
the federal authorities will continue to implement the law, but, because of the Court's mixed ruling, the implementation will likely take longer than originally expected, with a 
commensurate increase in the period of uncertainty regarding the law's full long term financial impact on the delivery of and payment for health care. 

In addition to its impact on the delivery and payment for health care, the Affordable Care Act and the implementing regulations may result in an increase in our costs to provide health 
care benefits to our employees.  We also may be required to make additional employee-related changes to our business as a result of provisions in the Affordable Care Act impacting 
the provision of health insurance by employers, which could result in additional expense and adversely affect our results of operations. 

The inability of seniors to sell real estate may delay their moving into our communities, which could negatively impact our occupancy rates, revenues, cash flows and results of 
operations. 

Downturns in the housing markets, such as the one we have recently experienced, could adversely affect the ability (or perceived ability) of seniors to afford our entrance fees and 
resident fees as our customers frequently use the proceeds from the sale of their homes to cover the cost of our fees. Specifically, if seniors have a difficult time selling their homes, 
these difficulties could impact their ability to relocate into our communities or finance their stays at our communities with private resources.  If the recent volatility in the housing market 
continues for a protracted period, our occupancy rates, revenues, cash flows and results of operations could be negatively impacted. 

General economic factors could adversely affect our financial performance and other aspects of our business. 

General economic conditions, such as inflation, commodity costs, fuel and other energy costs, costs of labor, insurance and healthcare, interest rates, and tax rates, affect our 
community operating and general and administrative expenses, and we have no control or limited ability to control such factors.  In addition, current global economic conditions and 
uncertainties, the potential for failures or realignments of financial institutions, and the related impact on available credit may affect us and our business partners, landlords, 
counterparties and residents or prospective residents in an adverse manner including, but not limited to, reducing access to liquid funds or credit, increasing the cost of credit, limiting 
our ability to manage interest rate risk, increasing the risk that certain of our business partners, landlords or counterparties would be unable to fulfill their obligations to us, and other 
impacts which we are unable to fully anticipate. 

If we are unable to generate sufficient cash flow to cover required interest and lease payments, this would result in defaults of the related debt or leases and cross-defaults under 
other debt or leases, which would adversely affect our ability to continue to generate income. 

We have significant indebtedness and lease obligations, and we intend to continue financing our communities through mortgage financing, long-term leases and other types of 
financing, including borrowings under our line of credit and future credit facilities we may obtain. We cannot give any assurance that we will generate sufficient cash flow from 
operations to cover required interest, principal and lease payments. Any non-payment or other default under our financing arrangements could, subject to cure provisions, cause the 
lender to foreclose upon the community or communities securing such indebtedness or, in the case of a lease, cause the lessor to terminate the lease, each with a consequent loss of 
income and asset value to us. Furthermore, in some cases, indebtedness is secured by both a mortgage on a community (or communities) and a guaranty by us and/or one or more of 
our subsidiaries. In the event of a default under one of these scenarios, the lender could avoid judicial procedures required to foreclose on real property by declaring all amounts 
outstanding under the guaranty immediately due and payable, and requiring the respective guarantor to fulfill its obligations to make such payments. The realization of any of these 
scenarios would have an adverse effect on our financial condition and capital structure. Additionally, a foreclosure on any of our properties could cause us to recognize taxable income, 
even if we did not receive any cash 

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proceeds in connection with such foreclosure. Further, because our mortgages and leases generally contain cross-default and cross-collateralization provisions, a default by us related 
to one community could affect a significant number of our communities and their corresponding financing arrangements and leases. 

Our indebtedness and long-term leases could adversely affect our liquidity and our ability to operate our business and our ability to execute our growth strategy. 

Our level of indebtedness and our long-term leases could adversely affect our future operations and/or impact our stockholders for several reasons, including, without limitation: 

•  We may have little or no cash flow apart from cash flow that is dedicated to the payment of any interest, principal or amortization required with respect to outstanding 

indebtedness and lease payments with respect to our long-term leases; 

• 

• 

Increases in our outstanding indebtedness, leverage and long-term leases will increase our vulnerability to adverse changes in general economic and industry conditions, as 
well as to competitive pressure; 

Increases in our outstanding indebtedness may limit our ability to obtain additional financing for working capital, capital expenditures, expansions, repositionings, new 
developments, acquisitions, general corporate and other purposes; and 

•  Our ability to pay dividends to our stockholders may be limited. 

Our ability to make payments of principal and interest on our indebtedness and to make lease payments on our leases depends upon our future performance, which will be subject to 
general economic conditions, industry cycles and financial, business and other factors affecting our operations, many of which are beyond our control. Our business might not 
continue to generate cash flow at or above current levels. If we are unable to generate sufficient cash flow from operations in the future to service our debt or to make lease payments on 
our leases, we may be required, among other things, to seek additional financing in the debt or equity markets, refinance or restructure all or a portion of our indebtedness, sell selected 
assets, reduce or delay planned capital expenditures or delay or abandon desirable acquisitions. These measures might not be sufficient to enable us to service our debt or to make lease 
payments on our leases. The failure to make required payments on our debt or leases or the delay or abandonment of our planned growth strategy could result in an adverse effect on 
our future ability to generate revenues and sustain profitability.  Any contemplated financing, refinancing or sale of assets might not be available on economically favorable terms to us. 
 In addition, certain of our debt agreements contain extension options.  If we are not able to satisfy the conditions precedent to exercising these extension options our liquidity and 
financial condition could be negatively impacted. 

Our existing credit facilities, mortgage loans and lease arrangements contain covenants that restrict our operations and any default under such facilities, loans or arrangements 
could result in the acceleration of indebtedness, termination of the leases or cross-defaults, any of which would negatively impact our liquidity and inhibit our ability to grow our 
business and increase revenues. 

Our outstanding indebtedness and leases contain restrictions and covenants and require us to maintain or satisfy specified financial ratios and coverage tests, including maintaining 
prescribed net worth levels, leverage ratios and debt service and lease coverage ratios on a consolidated basis, and on a community or communities basis based on the debt or lease 
securing the communities. In addition, certain of our leases require us to maintain lease coverage ratios on a lease portfolio basis (each as defined in the leases) and maintain 
stockholders' equity or tangible net worth amounts. The debt service coverage ratios are generally calculated as revenues less operating expenses, including an implied management fee 
and a reserve for capital expenditures, divided by the debt (principal and interest) or lease payment. Net worth is generally calculated as stockholders' equity as calculated in accordance 
with GAAP, and in certain circumstances, reduced by intangible assets or liabilities or increased by deferred gains from sale-leaseback transactions and deferred entrance fee revenue. 
These restrictions and covenants may interfere with our ability to obtain financing or to engage in other business activities, which may inhibit our ability to grow our business and 
increase revenues. If we fail to comply with any of these requirements, then the related indebtedness could become immediately due and payable. We cannot assure you that we could 
pay this debt if it became due. 

Our credit facilities, mortgage loans and leases are secured by our communities and, in certain cases, a guaranty by 

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us and/or one or more of our subsidiaries. Therefore, an event of default under the outstanding indebtedness or leases, subject to cure provisions in certain instances, would give the 
respective lenders or lessors, as applicable, the right to declare all amounts outstanding to be immediately due and payable, terminate the lease, foreclose on collateral securing the 
outstanding indebtedness and leases, and restrict our ability to make additional borrowings under the outstanding indebtedness or continue to operate the properties subject to the 
lease. Certain of our outstanding indebtedness and leases contain cross-default provisions so that a default under certain outstanding indebtedness would cause a default under 
certain of our leases. Certain of our outstanding indebtedness and leases also restrict, among other things, our ability to incur additional debt.  

The substantial majority of our lease arrangements are structured as master leases. Under a master lease, we may lease a large number of geographically dispersed properties through an 
indivisible lease. As a result, it is difficult to restructure the composition of the portfolio or economic terms of the lease without the consent of the landlord. Failure to comply with 
Medicare or Medicaid provider requirements is a default under several of our master lease and debt financing instruments. In addition, potential defaults related to an individual 
property may cause a default of an entire master lease portfolio and could trigger cross-default provisions in our outstanding indebtedness and other leases, which would have a 
negative impact on our capital structure and our ability to generate future revenues, and could interfere with our ability to pursue our growth strategy. 

Certain of our master leases and management agreements also contain radius restrictions, which limit our ability to own, develop or acquire new communities within a specified distance 
from certain existing communities covered by such agreements. These radius restrictions could negatively affect our expansion, development and acquisition plans. 

Mortgage debt and lease obligations expose us to increased risk of loss of property, which could harm our ability to generate future revenues and could have an adverse tax effect. 

Mortgage debt and lease obligations increase our risk of loss because defaults on indebtedness secured by properties or pursuant to the terms of the lease may result in foreclosure 
actions initiated by lenders or lessors and ultimately our loss of the property securing any loans for which we are in default or cause the lessor to terminate the lease. For tax purposes, a 
foreclosure of any of our properties would be treated as a sale of the property for a purchase price equal to the outstanding balance of the debt secured by the mortgage. If the 
outstanding balance of the debt secured by the mortgage exceeds our tax basis in the property, we would recognize taxable income on foreclosure, but would not receive any cash 
proceeds, which could negatively impact our earnings and liquidity. Further, our mortgage debt and leases generally contain cross-default and cross-collateralization provisions and a 
default on one community could affect a significant number of our communities, financing arrangements and leases. 

In addition, our leases generally provide for renewal or extension options and, in certain cases, purchase options.  These options generally are based upon prescribed formulas but, in 
certain cases, may be at fair market value.  We expect to renew, extend or exercise purchase options with respect to our leases in the normal course of business; however, there can be 
no assurance that these rights will be exercised in the future or that we will be able to satisfy the conditions precedent to exercising any such renewal, extension or purchase 
options.  Furthermore, the terms of any such options that are based on fair market value are inherently uncertain and could be unacceptable or unfavorable to us depending on the 
circumstances at the time of exercise.  If we are not able to renew or extend our existing leases, or purchase the communities subject to such leases, at or prior to the end of the existing 
lease terms, or if the terms of such options are unfavorable or unacceptable to us, our business, financial condition and results of operation could be adversely affected. 

Increases in market interest rates could significantly increase the costs of our unhedged debt and lease obligations, which could adversely affect our liquidity and earnings. 

Our unhedged floating-rate debt and lease payment obligations and any unhedged floating-rate debt incurred in the future, exposes us to interest rate risk. Therefore, increases in 
prevailing interest rates could increase our payment obligations, which would negatively impact our liquidity and earnings. 

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We have a history of losses and we may not be able to achieve profitability. 

We have incurred net losses in every quarter since our formation in June 2005. Given our history of losses, there can be no assurance that we will be able to achieve and/or maintain 
profitability in the future. If we do not effectively manage our cash flow and combined business operations going forward or otherwise achieve profitability, our stock price would be 
adversely affected. 

If we do not effectively manage our growth and successfully integrate new or recently-acquired or initiated operations into our existing operations, our business and financial 
results could be adversely affected. 

Our growth has and will continue to place significant demands on our current management resources. Our ability to manage our growth effectively and to successfully integrate new or 
recently-acquired or initiated operations (including expansions, developments, acquisitions and the expansion of our ancillary services program) into our existing business will require 
us to continue to expand our operational, financial and management information systems and to continue to retain, attract, train, motivate and manage key employees. There can be no 
assurance that we will be successful in attracting qualified individuals to the extent necessary, and management may expend significant time and energy attracting the appropriate 
personnel to manage assets we purchase in the future and our expansion and development activities. Also, the additional communities and expansion activities will require us to 
maintain consistent quality control measures that allow our management to effectively identify deviations that result in delivering care and services that are substandard, which may 
result in litigation and/or loss of licensure or certification. If we are unable to manage our growth effectively, successfully integrate new or recently-acquired or initiated operations into 
our existing business, or maintain consistent quality control measures, our business, financial condition and results of operations could be adversely affected. 

Delays in obtaining regulatory approvals could hinder our plans to expand our ancillary services program, which could negatively impact our anticipated revenues, results of 
operations and cash flows. 

We plan to continue to expand our offering of ancillary services (including therapy, home health and hospice) to additional communities.  In the current environment, it is difficult to 
obtain certain required regulatory approvals.  Delays in obtaining required regulatory approvals could impede our ability to expand to additional communities in accordance with our 
plans, which could negatively impact our anticipated revenues, results of operations and cash flows. 

If we are unable to expand or redevelop our communities in accordance with our plans, our anticipated revenues and results of operations could be adversely affected. 

We are currently working on projects that will expand, reposition or redevelop a number of our existing senior living communities over the next several years.  These projects are in 
various stages of development and are subject to a number of factors over which we have little or no control. These factors include the necessity of arranging separate leases, mortgage 
loans or other financings to provide the capital required to complete these projects; difficulties or delays in obtaining zoning, land use, building, occupancy, licensing, certificate of 
need and other required governmental permits and approvals; failure to complete construction of the projects on budget and on schedule; failure of third-party contractors and 
subcontractors to perform under their contracts; shortages of labor or materials that could delay projects or make them more expensive; adverse weather conditions that could delay 
completion of projects; increased costs resulting from general economic conditions or increases in the cost of materials; and increased costs as a result of changes in laws and 
regulations. We cannot assure you that we will elect to undertake or complete all of our proposed expansion, repositioning and development projects, or that we will not experience 
delays in completing those projects. In addition, we may incur substantial costs prior to achieving stabilized occupancy for each such project and cannot assure you that these costs 
will not be greater than we have anticipated. We also cannot assure you that any of our expansion, repositioning or development projects will be economically successful. Our failure to 
achieve our expansion and development plans could adversely impact our growth objectives, and our anticipated revenues and results of operations. 

We may encounter difficulties in acquiring communities at attractive prices or integrating acquisitions with our operations, which may adversely affect our operations and 
financial condition. 

We will continue to selectively target strategic acquisitions as opportunities arise. The process of identifying potential acquisition candidates, completing acquisition transactions and 
integrating acquired communities into our 

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existing operations may result in unforeseen operating difficulties, divert managerial attention or require significant financial or other resources. These acquisitions and other future 
acquisitions may require us to incur additional indebtedness and contingent liabilities, and may result in unforeseen expenses or compliance issues, which may limit our revenue growth, 
cash flows, and our ability to achieve profitability. Moreover, any future acquisitions may not generate any additional income for us or provide any benefit to our business. In addition, 
we cannot assure you that we will be able to locate and acquire communities at attractive prices in locations that are compatible with our strategy or that competition for the acquisition 
of communities will not increase. Finally, when we are able to locate communities and enter into definitive agreements to acquire or lease them, we cannot assure you that the 
transactions will be completed. Failure to complete transactions after we have entered into definitive agreements may result in significant expenses to us. 

Unforeseen costs associated with the acquisition of communities could reduce our future profitability. 

Our growth strategy contemplates selected future acquisitions of existing senior living operating companies and communities. Despite our extensive underwriting and due diligence 
procedures, communities that we have previously acquired or may acquire in the future may generate unexpectedly low or no returns or may not meet a risk profile that our investors 
find acceptable. In addition, we might encounter unanticipated difficulties and expenditures relating to any of the acquired communities, including contingent liabilities, or newly 
acquired communities might require significant management attention that would otherwise be devoted to our ongoing business. For example, a community may require capital 
expenditures in excess of budgeted amounts, or it may experience management turnover that is higher than we project. These costs may negatively affect our future profitability. 

Competition for the acquisition of strategic assets from buyers with lower costs of capital than us or that have lower return expectations than we do could limit our ability to 
compete for strategic acquisitions and therefore to grow our business effectively. 

Several real estate investment trusts, or REITs, have similar asset acquisition objectives as we do, along with greater financial resources and lower costs of capital than we are able to 
obtain. This may increase competition for acquisitions that would be suitable to us, making it more difficult for us to compete and successfully implement our growth strategy. There is 
significant competition among potential acquirers in the senior living industry, including REITs, and there can be no assurance that we will be able to successfully implement our growth 
strategy or complete acquisitions, which could limit our ability to grow our business effectively.  Partially as a result of tax law changes enacted through RIDEA, we now compete more 
directly with the various publicly-traded healthcare REITs for the acquisition of senior housing properties. 

We may need additional capital to fund our operations and finance our growth, and we may not be able to obtain it on terms acceptable to us, or at all, which may limit our ability 
to grow. 

Continued expansion of our business through the expansion, redevelopment and repositioning of our existing communities, the development of new communities and the acquisition of 
existing senior living operating companies and communities will require additional capital, particularly if we were to accelerate our expansion and acquisition plans. Financing may not be 
available to us or may be available to us only on terms that are not favorable. In addition, certain of our outstanding indebtedness and long-term leases restrict, among other things, our 
ability to incur additional debt. If we are unable to raise additional funds or obtain them on terms acceptable to us, we may have to delay or abandon some or all of our growth strategies. 
Further, if additional funds are raised through the issuance of additional equity securities, the percentage ownership of our stockholders would be diluted. Any newly issued equity 
securities may have rights, preferences or privileges senior to those of our common stock. 

In addition, we are heavily dependent on mortgage financing provided by Federal National Mortgage Association ("Fannie Mae") and Federal Home Loan Mortgage Corporation 
("Freddie Mac") (collectively, the "Agency Lenders").  The Agency Lenders are currently operating under a conservatorship begun in 2008, conducting business under the direction of 
the Federal Housing Finance Agency.  Reform efforts related to the Agency Lenders may make such financing sources less available or unavailable in the future and may cause us to 
seek alternative sources of potentially less attractive financing. There can be no assurance that such alternative sources will be available. 

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We are susceptible to risks associated with the lifecare benefits that we offer the residents of our lifecare entrance fee communities. 

As of December 31, 2012, we owned or leased 11 lifecare entrance fee communities that offer residents a limited lifecare benefit. Residents of these communities pay an upfront entrance 
fee upon occupancy, of which a portion is generally refundable, with an additional monthly service fee while living in the community. This limited lifecare benefit is typically (a) a certain 
number of free days in the community's health center during the resident's lifetime, (b) a discounted rate for such services, or (c) a combination of the two. The lifecare benefit varies 
based upon the extent to which the resident's entrance fee is refundable. The pricing of entrance fees, refundability provisions, monthly service fees, and lifecare benefits are determined 
utilizing actuarial projections of the expected morbidity and mortality of the resident population. In the event the entrance fees and monthly service payments established for our 
communities are not sufficient to cover the cost of lifecare benefits granted to residents, the results of operations and financial condition of these communities could be adversely 
affected. 

Residents of these entrance fee communities are guaranteed a living unit and nursing care at the community during their lifetime, even if the resident exhausts his or her financial 
resources and becomes unable to satisfy his or her obligations to the community. In addition, in the event a resident requires nursing care and there is insufficient capacity for the 
resident in the nursing facility at the community where the resident lives, the community must contract with a third party to provide such care.  Although we screen potential residents 
to ensure that they have adequate assets, income, and reimbursements from government programs and third parties to pay their obligations to our communities during their lifetime, we 
cannot assure you that such assets, income, and reimbursements will be sufficient in all cases. If insufficient, we have rights of set-off against the refundable portions of the residents' 
deposits, and would also seek available reimbursement under Medicaid or other available programs. To the extent that the financial resources of some of the residents are not sufficient 
to pay for the cost of facilities and services provided to them, or in the event that our communities must pay third parties to provide nursing care to residents of our communities, our 
results of operations and financial condition would be adversely affected. 

The geographic concentration of our communities could leave us vulnerable to an economic downturn, regulatory changes or acts of nature in those areas, resulting in a decrease 
in our revenues or an increase in our costs, or otherwise negatively impacting our results of operations. 

We have a high concentration of communities in various geographic areas, including the states of Florida, Texas, North Carolina, California, Colorado, Ohio and Arizona. As a result of 
this concentration, the conditions of local economies and real estate markets, changes in governmental rules and regulations, particularly with respect to assisted living communities, 
acts of nature and other factors that may result in a decrease in demand for senior living services in these states could have an adverse effect on our revenues, costs and results of 
operations. In addition, given the location of our communities, we are particularly susceptible to revenue loss, cost increase or damage caused by other severe weather conditions or 
natural disasters such as hurricanes, earthquakes or tornados. Any significant loss due to a natural disaster may not be covered by insurance and may lead to an increase in the cost of 
insurance. 

Termination of our resident agreements and vacancies in the living spaces we lease could adversely affect our revenues, earnings and occupancy levels. 

State regulations governing assisted living communities require written resident agreements with each resident. Several of these regulations also require that each resident have the 
right to terminate the resident agreement for any reason on reasonable notice. Consistent with these regulations, many of our assisted living resident agreements allow residents to 
terminate their agreements upon 0 to 30 days' notice. Unlike typical apartment leasing or independent living arrangements that involve lease agreements with specified leasing periods of 
up to a year or longer, in many instances we cannot contract with our assisted living residents to stay in those living spaces for longer periods of time. Our retirement center resident 
agreements generally provide for termination of the lease upon death or allow a resident to terminate his or her lease upon the need for a higher level of care not provided at the 
community.  If multiple residents terminate their resident agreements at or around the same time, our revenues, earnings and occupancy levels could be adversely affected. In addition, 
because of the demographics of our typical residents, including age and health, resident turnover rates in our communities are difficult to predict. As a result, the living spaces we lease 
may be unoccupied for a period of time, which could adversely affect our revenues and earnings. 

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Early termination or non-renewal of our management agreements could cause a loss in revenues. 

We operate certain of our communities pursuant to management agreements.  In some of these cases, the controlling financial interest in the community is held by third parties and, in 
other cases, the community is owned in a joint venture structure in which we have an ownership interest.  At December 31, 2012, approximately 15.0% of our communities were managed 
for third parties or unconsolidated ventures. We obtained a significant portion of our management agreements as a result of our acquisition of Horizon Bay in 2011.  The majority of our 
management agreements are long-term agreements. In most cases, either party to the agreements may terminate upon the occurrence of an event of default caused by the other party. In 
addition, in some cases, subject to our rights, if any, to cure deficiencies, community owners may terminate us as manager if any licenses or certificates necessary for operation are 
revoked, if we do not satisfy certain designated performance thresholds or if the community is sold to an unrelated third party (in which case we may be entitled to receive a contractual 
termination fee). Also, in some instances, a community owner may terminate the management agreement relating to a particular community if we are in default under other management 
agreements relating to other communities owned by the same owner or its affiliates. Certain of our management agreements, both with joint ventures and with entities owned by third 
parties, provide that an event of default under the debt instruments applicable to the ventures or the entities owned by third parties that is caused by us may also be considered an 
event of default by us under the relevant management agreement, giving the non-Brookdale party to the management agreement the right to pursue the remedies provided for in the 
management agreement, potentially including termination of the management agreement.  Further, in the event of default on a loan, the lender may have the ability to terminate us as 
manager.  With respect to communities held in ventures, in some cases, the management agreement can be terminated in connection with the sale by the venture partner of its interest in 
the venture or the sale of properties by the venture. Early termination of our management agreements or non-renewal or renewal on less-favorable terms could cause a loss in revenues 
and could negatively impact our results of operations and cash flows. 

Increases in the cost and availability of labor, including increased competition for or a shortage of skilled personnel or increased union activity, would have an adverse effect on 
our profitability and/or our ability to conduct our business operations. 

Our success depends on our ability to retain and attract skilled management personnel who are responsible for the day-to-day operations of each of our communities. Each community 
has an Executive Director responsible for the overall day-to-day operations of the community, including quality of care, social services and financial performance. Depending upon the 
size of the community, each Executive Director is supported by a community staff member who is directly responsible for day-to-day care of the residents and either community staff or 
regional support to oversee the community's marketing and community outreach programs. Other key positions supporting each community may include individuals responsible for 
food service, healthcare services, therapy services, activities, housekeeping and engineering. We compete with various health care service providers, including other senior living 
providers, in retaining and attracting qualified and skilled personnel. Increased competition for or a shortage of nurses, therapists or other trained personnel, or general inflationary 
pressures may require that we enhance our pay and benefits package to compete effectively for such personnel. We may not be able to offset such added costs by increasing the rates 
we charge to our residents or our service charges, which would negatively impact our results of operations. Turnover rates and the magnitude of the shortage of nurses, therapists or 
other trained personnel varies substantially from market to market. Although reliable industry-wide data on key employee retention does not exist, we believe that our employee 
retention rates are consistent with those of other national senior housing operators. If we fail to attract and retain qualified and skilled personnel, our ability to conduct our business 
operations effectively, our ability to implement our growth strategy, and our overall operating results could be harmed. 

In addition, efforts by labor unions to unionize any of our community personnel could divert management attention, lead to increases in our labor costs and/or reduce our flexibility with 
respect to certain workplace rules.  Recently proposed legislation known as the Employee Free Choice Act, or card check, and/or related regulatory proposals could make it significantly 
easier for union organizing drives to be successful, leading to increased organizational activity, and could give third-party arbitrators the ability to impose terms of collective bargaining 
agreements upon us and a labor union if we and such union are unable to agree to the terms of a collective bargaining agreement.  If we experience an increase in organizing activity, if 
onerous collective bargaining agreement terms are imposed upon us, or if we otherwise experience an increase in our staffing and labor costs, our profitability and cash flows from 
operations would be negatively affected. 

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Departure of our key officers could harm our business. 

We are dependent on the efforts of our executive officers. The unforeseen loss or limited availability of the services of any of our executive officers, or our inability to recruit and retain 
qualified personnel in the future, could, at least temporarily, have an adverse effect on our business, results of operations and financial condition and be negatively perceived in the 
capital markets. 

Environmental contamination at any of our communities could result in substantial liabilities to us, which may exceed the value of the underlying assets and which could 
materially and adversely effect our liquidity and earnings. 

Under various federal, state and local environmental laws, a current or previous owner or operator of real property, such as us, may be held liable in certain circumstances for the costs 
of investigation, removal or remediation of, or related to the release of, certain hazardous or toxic substances, that could be located on, in, at or under a property, regardless of how such 
materials came to be located there. The cost of any required investigation, remediation, removal, mitigation, compliance, fines or personal or property damages and our liability therefore 
could exceed the property's value and/or our assets' value. In addition, the presence of such substances, or the failure to properly dispose of or remediate the damage caused by such 
substances, may adversely affect our ability to sell such property, to attract additional residents and retain existing residents, to borrow using such property as collateral or to develop 
or redevelop such property. In addition, such laws impose liability, which may be joint and several, for investigation, remediation, removal and mitigation costs on persons who 
disposed of or arranged for the disposal of hazardous substances at third party sites. Such laws and regulations often impose liability without regard to whether the owner or operator 
knew of, or was responsible for, the presence, release or disposal of such substances as well as without regard to whether such release or disposal was in compliance with law at the 
time it occurred. Although we do not believe that we have incurred such liabilities as would have a material adverse effect on our business, financial condition and results of operations, 
we could be subject to substantial future liability for environmental contamination that we have no knowledge about as of the date of this report and/or for which we may not be at fault. 

Failure to comply with existing environmental laws could result in increased expenditures, litigation and potential loss to our business and in our asset value, which would have 
an adverse effect on our earnings and financial condition. 

Our operations are subject to regulation under various federal, state and local environmental laws, including those relating to: the handling, storage, transportation, treatment and 
disposal of medical waste products generated at our communities; identification and warning of the presence of asbestos-containing materials in buildings, as well as removal of such 
materials; the presence of other substances in the indoor environment; and protection of the environment and natural resources in connection with development or construction of our 
properties. 

Some of our communities generate infectious or other hazardous medical waste due to the illness or physical condition of the residents. Each of our communities has an agreement with 
a waste management company for the proper disposal of all infectious medical waste, but the use of such waste management companies does not immunize us from alleged violations of 
such laws for operations for which we are responsible even if carried out by such waste management companies, nor does it immunize us from third-party claims for the cost to cleanup 
disposal sites at which such wastes have been disposed. 

Federal regulations require building owners and those exercising control over a building's management to identify and warn their employees and certain other employers operating in the 
building of potential hazards posed by workplace exposure to installed asbestos-containing materials and potential asbestos-containing materials in their buildings. Significant fines can 
be assessed for violation of these regulations. Building owners and those exercising control over a building's management may be subject to an increased risk of personal injury 
lawsuits. Federal, state and local laws and regulations also govern the removal, encapsulation, disturbance, handling and/or disposal of asbestos-containing materials and potential 
asbestos-containing materials when such materials are in poor condition or in the event of construction, remodeling, renovation or demolition of a building. Such laws may impose 
liability for improper handling or a release to the environment of asbestos-containing materials and potential asbestos-containing materials and may provide for fines to, and for third 
parties to seek recovery from, owners or operators of real properties for personal injury or improper work exposure associated with asbestos-containing materials and potential 
asbestos-containing materials. 

The presence of mold, lead-based paint, contaminants in drinking water, radon and/or other substances at any of the communities we own or may acquire may lead to the incurrence of 
costs for remediation, mitigation or the 

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implementation of an operations and maintenance plan and may result in third party litigation for personal injury or property damage. Furthermore, in some circumstances, areas affected 
by mold may be unusable for periods of time for repairs, and even after successful remediation, the known prior presence of extensive mold could adversely affect the ability of a 
community to retain or attract residents and could adversely affect a community's market value. 

Although we believe that we are currently in material compliance with applicable environmental laws, if we fail to comply with such laws in the future, we would face increased 
expenditures both in terms of fines and remediation of the underlying problem(s), potential litigation relating to exposure to such materials, and potential decrease in value to our 
business and in the value of our underlying assets. Therefore, our failure to comply with existing environmental laws would have an adverse effect on our earnings, our financial 
condition and our ability to pursue our growth strategy. 

We are unable to predict the future course of federal, state and local environmental regulation and legislation. Changes in the environmental regulatory framework (including legislative 
or regulatory efforts designed to address climate change, such as the proposed "cap and trade" legislation) could have a material adverse effect on our business. In addition, because 
environmental laws vary from state to state, expansion of our operations to states where we do not currently operate may subject us to additional restrictions on the manner in which we 
operate our communities. 

We are subject to risks associated with complying with Section 404 of the Sarbanes-Oxley Act of 2002. 

We are subject to various regulatory requirements, including the Sarbanes-Oxley Act of 2002. Under Section 404 of the Sarbanes-Oxley Act of 2002, our management is required to 
include a report with each Annual Report on Form 10-K regarding our internal control over financial reporting. We have implemented processes documenting and evaluating our system 
of internal controls. Complying with these requirements is expensive, time consuming and subject to changes in regulatory requirements. The existence of one or more material 
weaknesses, management's conclusion that its internal control over financial reporting is not effective, or the inability of our auditors to express an opinion that our internal control over 
financial reporting is effective, could result in a loss of investor confidence in our financial reports, adversely affect our stock price and/or subject us to sanctions or investigation by 
regulatory authorities. 

Risks Related to Pending Litigation 

Complaints filed against us could, if adversely determined, subject us to a material loss. 

We have been and are currently involved in litigation and claims incidental to the conduct of our business which are comparable to other companies in the senior living and healthcare 
industries. Certain claims and lawsuits allege large damage amounts and may require significant costs to defend and resolve. Similarly, the senior living and healthcare industries are 
continuously subject to scrutiny by governmental regulators, which could result in litigation related to regulatory compliance matters. As a result, we maintain general liability and 
professional liability insurance policies in amounts and with coverage and deductibles we believe are adequate, based on the nature and risks of our business, historical experience and 
industry standards.  Our current policies are written on a claims-made basis and provide for deductibles for each claim.  Accordingly, we are, in effect, self-insured for claims that are less 
than the deductible amounts.  If we experience a greater number of losses than we anticipate, or if certain claims are not ultimately covered by insurance, our results of operation and 
financial condition could be adversely affected. 

Risks Related to Our Industry 

The cost and difficulty of complying with increasing and evolving regulation and enforcement could have an adverse effect on our business operations and profits. 

The regulatory environment surrounding the senior living industry continues to evolve and intensify in the amount and type of laws and regulations affecting it, many of which vary 
from state to state. In addition, many senior living communities are subject to regulation and licensing by state and local health and social service agencies and other regulatory 
authorities. In several of the states in which we operate or may operate, we are prohibited from providing certain higher levels of senior care services without first obtaining the 
appropriate licenses. Also, in several of the 

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states in which we operate or intend to operate, assisted living communities and/or skilled nursing facilities require a certificate of need before the community can be opened or the 
services at an existing community can be expanded. Furthermore, federal, state and local officials are increasingly focusing their efforts on enforcement of these laws, particularly with 
respect to large for-profit, multi-community providers like us. These requirements and the increased enforcement thereof, could affect our ability to expand into new markets, to expand 
our services and communities in existing markets and, if any of our presently licensed communities were to operate outside of its licensing authority, may subject us to penalties 
including closure of the community. Future regulatory developments as well as mandatory increases in the scope and severity of deficiencies determined by survey or inspection 
officials could cause our operations to suffer. We are unable to predict the future course of federal, state and local legislation or regulation. If regulatory requirements increase, whether 
through enactment of new laws or regulations or changes in the enforcement of existing rules, our earnings and operations could be adversely affected. 

The intensified regulatory and enforcement environment impacts providers like us because of the increase in the number of inspections or surveys by governmental authorities and 
consequent citations for failure to comply with regulatory requirements. We also expend considerable resources to respond to federal and state investigations or other enforcement 
action. From time to time in the ordinary course of business, we receive deficiency reports from state and federal regulatory bodies resulting from such inspections or surveys. Although 
most inspection deficiencies are resolved through an agreed-to plan of corrective action, the reviewing agency typically has the authority to take further action against a licensed or 
certified facility, which could result in the imposition of fines, imposition of a provisional or conditional license, suspension or revocation of a license, suspension or denial of 
admissions, loss of certification as a provider under federal health care programs or imposition of other sanctions, including criminal penalties. Furthermore, certain states may allow 
citations in one community to impact other communities in the state. Revocation of a license at a given community could therefore impact our ability to obtain new licenses or to renew 
existing licenses at other communities, which may also cause us to be in default under our leases, trigger cross-defaults, trigger defaults under certain of our credit agreements or 
adversely affect our ability to operate and/or obtain financing in the future. If a state were to find that one community's citation would impact another of our communities, this would 
also increase costs and result in increased surveillance by the state survey agency. To date, none of the deficiency reports received by us has resulted in a suspension, fine or other 
disposition that has had a material adverse effect on our revenues. However, the failure to comply with applicable legal and regulatory requirements in the future could result in a 
material adverse effect to our business as a whole. 

There are various extremely complex federal and state laws governing a wide array of referral relationships and arrangements and prohibiting fraud by health care providers, including 
those in the senior living industry, and governmental agencies are devoting increasing attention and resources to such anti-fraud initiatives. Some examples are the Health Insurance 
Portability and Accountability Act of 1996, or HIPAA, the Balanced Budget Act of 1997, and the False Claims Act, which gives private individuals the ability to bring an action on 
behalf of the federal government. The violation of any of these laws or regulations may result in the imposition of fines or other penalties that could increase our costs and otherwise 
jeopardize our business. Under the Deficit Reduction Act of 2005, or DRA 2005, every entity that receives at least $5.0 million annually in Medicaid payments must have established 
written policies for all employees, contractors or agents, providing detailed information about false claims, false statements and whistleblower protections under certain federal laws, 
including the federal False Claims Act, and similar state laws. Failure to comply with this new compliance requirement may potentially give rise to potential liability. DRA 2005 also 
creates an incentive for states to enact false claims laws that are comparable to the federal False Claims Act. 

Additionally, we provide services and operate communities that participate in federal and/or state health care reimbursement programs, which makes us subject to federal and state laws 
that prohibit anyone from presenting, or causing to be presented, claims for reimbursement which are false, fraudulent or are for items or services that were not provided as claimed. 
Similar state laws vary from state to state and we cannot be sure that these laws will be interpreted consistently or in keeping with past practice. Violation of any of these laws can result 
in loss of licensure, civil or criminal penalties and exclusion of health care providers or suppliers from furnishing covered items or services to beneficiaries of the applicable federal 
and/or state health care reimbursement program. Loss of licensure may also cause us to default under our leases and/or trigger cross-defaults. 

We are also subject to certain federal and state laws that regulate financial arrangements by health care providers, such as the Federal Anti-Kickback Law, the Stark laws and certain 
state referral laws. Authorities have interpreted the Federal Anti-Kickback Law very broadly to apply to many practices and relationships between health care providers and sources of 
patient referral. This could result in criminal penalties and civil sanctions, including fines 

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and possible exclusion from government programs such as Medicare and Medicaid, which may also cause us to default under our leases and/or trigger cross-defaults. Adverse 
consequences may also result if we violate federal Stark laws related to certain Medicare and Medicaid physician referrals. While we endeavor to comply with all laws that regulate the 
licensure and operation of our business, it is difficult to predict how our revenues could be affected if we were subject to an action alleging such violations. 

We face periodic and routine reviews, audits and investigations under our contracts with government agencies, and these audits could have adverse findings that may negatively 
impact our business. 

As a result of our participation in the Medicare and Medicaid programs, we are subject to various governmental reviews, audits and investigations to verify our compliance with these 
programs and applicable laws and regulations. We also are subject to audits under various government programs, including but not limited to the RAC and ZPIC programs, in which 
third party firms engaged by CMS conduct extensive reviews of claims data and medical and other records to identify potential improper payments under the Medicare program.  Our 
costs to respond to and defend reviews, audits and investigations may be significant and could have a material adverse effect on our business and consolidated financial condition, 
results of operations and cash flows. Moreover, an adverse review, audit or investigation could result in: 

• 

• 

• 

• 

required refunding or retroactive adjustment of amounts we have been paid pursuant to the federal or state programs; 

state or federal agencies imposing fines, penalties and other sanctions on us; 

loss of our right to participate in the Medicare program or state programs; or 

damage to our business and reputation in various markets. 

These results could have a material adverse effect on our business and consolidated financial condition, results of operations and cash flows. 

Compliance with the Americans with Disabilities Act (especially as recently amended), Fair Housing Act and fire, safety and other regulations may require us to make 
unanticipated expenditures, which could increase our costs and therefore adversely affect our earnings and financial condition. 

All of our communities are required to comply with the Americans with Disabilities Act, or ADA. The ADA has separate compliance requirements for "public accommodations" and 
"commercial properties," but generally requires that buildings be made accessible to people with disabilities. Compliance with ADA requirements could require removal of access 
barriers and non-compliance could result in imposition of government fines or an award of damages to private litigants. 

We must also comply with the Fair Housing Act, which prohibits us from discriminating against individuals on certain bases in any of our practices if it would cause such individuals to 
face barriers in gaining residency in any of our communities. Additionally, the Fair Housing Act and other state laws require that we advertise our services in such a way that we 
promote diversity and not limit it. We may be required, among other things, to change our marketing techniques to comply with these requirements. 

In addition, we are required to operate our communities in compliance with applicable fire and safety regulations, building codes and other land use regulations and food licensing or 
certification requirements as they may be adopted by governmental agencies and bodies from time to time. Like other health care facilities, senior living communities are subject to 
periodic survey or inspection by governmental authorities to assess and assure compliance with regulatory requirements. Surveys occur on a regular (often annual or bi-annual) 
schedule, and special surveys may result from a specific complaint filed by a resident, a family member or one of our competitors. We may be required to make substantial capital 
expenditures to comply with those requirements. 

Capital expenditures we have made to comply with any of the above to date have been immaterial, however, the increased costs and capital expenditures that we may incur in order to 
comply with any of the above would result in a negative effect on our earnings, and financial condition. 

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Significant legal actions and liability claims against us in excess of insurance limits could subject us to increased operating costs and substantial uninsured liabilities, which may 
adversely affect our financial condition and operating results. 

The senior living and healthcare services businesses entails an inherent risk of liability, particularly given the demographics of our residents, including age and health, and the services 
we provide. In recent years, we, as well as other participants in our industry, have been subject to an increasing number of claims and lawsuits alleging that our services have resulted in 
resident injury or other adverse effects. Many of these lawsuits involve large damage claims and significant legal costs. Many states continue to consider tort reform and how it will 
apply to the senior living industry. We may continue to be faced with the threat of large jury verdicts in jurisdictions that do not find favor with large senior living or healthcare 
providers. We maintain liability insurance policies in amounts and with the coverage and deductibles we believe are adequate based on the nature and risks of our business, historical 
experience and industry standards. We have formed a wholly-owned "captive" insurance company for the purpose of insuring certain portions of our risk retention under our general 
and professional liability insurance programs.  There can be no guarantee that we will not have any claims that exceed our policy limits in the future. 

If a successful claim is made against us and it is not covered by our insurance or exceeds the policy limits, our financial condition and results of operations could be materially and 
adversely affected. In some states, state law may prohibit or limit insurance coverage for the risk of punitive damages arising from professional liability and general liability claims and/or 
litigation. As a result, we may be liable for punitive damage awards in these states that either are not covered or are in excess of our insurance policy limits. Also, the above deductibles, 
or self-insured retention, are accrued based on an actuarial projection of future liabilities. If these projections are inaccurate and if there are an unexpectedly large number of successful 
claims that result in liabilities in excess of our self-insured retention, our operating results could be negatively affected. Claims against us, regardless of their merit or eventual outcome, 
also could have a material adverse effect on our ability to attract residents or expand our business and could require our management to devote time to matters unrelated to the day-to-
day operation of our business. We also have to renew our policies every year and negotiate acceptable terms for coverage, exposing us to the volatility of the insurance markets, 
including the possibility of rate increases. There can be no assurance that we will be able to obtain liability insurance in the future or, if available, that such coverage will be available on 
acceptable terms. 

Overbuilding and increased competition may adversely affect our ability to generate and increase our revenues and profits and to pursue our business strategy. 

The senior living industry is highly competitive, and we expect that it may become more competitive in the future. We compete with numerous other companies that provide long-term 
care alternatives such as home healthcare agencies, therapy services, life care at home, community-based service programs, retirement communities, convalescent centers and other 
independent living, assisted living and skilled nursing providers, including not-for-profit entities. In general, regulatory and other barriers to competitive entry in the independent living 
and assisted living sectors of the senior living industry are not substantial. We have experienced and expect to continue to experience increased competition in our efforts to acquire 
and operate senior living communities. Consequently, we may encounter increased competition that could limit our ability to attract new residents, raise resident fees or expand our 
business, which could have a material adverse effect on our revenues and earnings. 

In addition, overbuilding in the late 1990's in the senior living industry reduced the occupancy rates of many newly constructed buildings and, in some cases, reduced the monthly rate 
that some newly built and previously existing communities were able to obtain for their services. This resulted in lower revenues for certain of our communities during that time. While 
we believe that overbuilt markets have stabilized and should continue to be stabilized for the immediate future, we cannot be certain that the effects of this period of overbuilding will 
not affect our occupancy and resident fee rate levels in the future, nor can we be certain that another period of overbuilding in the future will not have the same effects. Moreover, while 
we believe that the new construction dynamics and the competitive environments in the states in which we operate are substantially similar to the national market, taken as a whole, if 
the dynamics or environment were to be significantly adverse in one or more of those states, it would have a disproportionate effect on our revenues (due to the large portion of our 
revenues that are generated in those states). 

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Risks Related to Our Organization and Structure 

If the ownership of our common stock continues to be highly concentrated, it may prevent you and other stockholders from influencing significant corporate decisions and may 
result in conflicts of interest. 

As of December 31, 2012, funds managed by affiliates of Fortress Investment Group LLC ("Fortress") and various principals of Fortress, in the aggregate, beneficially own 19,338,184 
shares, or approximately 15.8% of our outstanding common stock (excluding unvested restricted shares). In addition, two of our directors are associated with Fortress and, pursuant to 
our Stockholders Agreement, Fortress currently has the ability to require us to nominate two individuals designated by Fortress for election as members of our nine-member Board of 
Directors (subject to their election by our stockholders).  As a result, Fortress may be able to influence fundamental and significant corporate matters and transactions, including: the 
election of directors; mergers, consolidations or acquisitions; the sale of all or substantially all of our assets and other decisions affecting our capital structure; the amendment of our 
amended and restated certificate of incorporation and our amended and restated by-laws; and the dissolution of the Company. Fortress's interests, including its ownership of the North 
American operations of Holiday Retirement Corp., one of our competitors, may conflict with your interests. Their influence over the Company could delay, deter or prevent acts that may 
be favored by our other stockholders such as hostile takeovers, changes in control of the Company and changes in management. As a result of such actions, the market price of our 
common stock could decline or stockholders might not receive a premium for their shares in connection with a change of control of the Company. 

Anti-takeover provisions in our amended and restated certificate of incorporation and our amended and restated by-laws may discourage, delay or prevent a merger or 
acquisition that you may consider favorable or prevent the removal of our current board of directors and management. 

Certain provisions of our amended and restated certificate of incorporation and our amended and restated by-laws may discourage, delay or prevent a merger or acquisition that you 
may consider favorable or prevent the removal of our current board of directors and management. We have a number of anti-takeover devices in place that will hinder takeover attempts, 
including: 

• 

• 

• 

• 

• 

• 

a staggered board of directors consisting of three classes of directors, each of whom serve three-year terms; 

removal of directors only for cause, and only with the affirmative vote of at least 80% of the voting interest of stockholders entitled to vote; 

blank-check preferred stock; 

provisions in our amended and restated certificate of incorporation and amended and restated by-laws preventing stockholders from calling special meetings; 

advance notice requirements for stockholders with respect to director nominations and actions to be taken at annual meetings; and 

no provision in our amended and restated certificate of incorporation for cumulative voting in the election of directors, which means that the holders of a majority of the 
outstanding shares of our common stock can elect all the directors standing for election. 

Additionally, our amended and restated certificate of incorporation provides that Section 203 of the Delaware General Corporation Law, which restricts certain business combinations 
with interested stockholders in certain situations, will not apply to us. 

We are a holding company with no operations and rely on our operating subsidiaries to provide us with funds necessary to meet our financial obligations. 

We are a holding company with no material direct operations. Our principal assets are the equity interests we directly or indirectly hold in our operating subsidiaries. As a result, we are 
dependent on loans, dividends and other payments from our subsidiaries to generate the funds necessary to meet our financial obligations. Our subsidiaries are legally distinct from us 
and have no obligation to make funds available to us. 

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Risks Related to Our Common Stock 

The market price and trading volume of our common stock may be volatile, which could result in rapid and substantial losses for our stockholders. 

The market price of our common stock may be highly volatile and could be subject to wide fluctuations. In addition, the trading volume in our common stock may fluctuate and cause 
significant price variations to occur. If the market price of our common stock declines significantly, you may be unable to resell your shares at or above your purchase price. We cannot 
assure you that the market price of our common stock will not fluctuate or decline significantly in the future. Some of the factors that could negatively affect our share price or result in 
fluctuations in the price or trading volume of our common stock include: 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

variations in our quarterly operating results; 

changes in our earnings estimates; 

the contents of published research reports about us or the senior living industry or the failure of securities analysts to cover our common stock; 

additions or departures of key management personnel; 

any increased indebtedness we may incur or lease obligations we may enter into in the future; 

actions by institutional stockholders; 

changes in market valuations of similar companies; 

announcements by us or our competitors of significant contracts, acquisitions, strategic partnerships, joint ventures or capital commitments; 

speculation or reports by the press or investment community with respect to the Company or the senior living industry in general; 

increases in market interest rates that may lead purchasers of our shares to demand a higher yield; 

changes or proposed changes in laws or regulations affecting the senior living industry or enforcement of these laws and regulations, or announcements relating to these 
matters; and 

• 

general market and economic conditions. 

Future offerings of debt or equity securities by us may adversely affect the market price of our common stock. 

In the future, we may attempt to increase our capital resources by offering additional debt or equity securities, including commercial paper, medium-term notes, senior or subordinated 
notes, convertible securities, series of preferred shares or shares of our common stock. Upon liquidation, holders of our debt securities and preferred stock, and lenders with respect to 
other borrowings, would receive a distribution of our available assets prior to the holders of our common stock. Additional equity offerings may dilute the economic and voting rights of 
our existing stockholders or reduce the market price of our common stock, or both.  Shares of our preferred stock, if issued, could have a preference with respect to liquidating 
distributions or a preference with respect to dividend payments that could limit our ability to pay dividends to the holders of our common stock. Because our decision to issue securities 
in any future offering will depend on market conditions and other factors beyond our control, we cannot predict or estimate the amount, timing or nature of our future offerings. Thus, 
holders of our common stock bear the risk of our future offerings reducing the market price of our common stock and diluting their share holdings in us. 

We may issue all of the shares of our common stock that are authorized but unissued (and not otherwise reserved for issuance under our stock incentive or purchase plans or pursuant 
to the conversion or exercise features of our convertible senior notes and warrants) without any action or approval by our stockholders. We intend to continue to pursue selected 
acquisitions of senior living communities and may issue shares of common stock in connection with these acquisitions. Any shares issued in connection with our acquisitions or 
otherwise would dilute the holdings of our current stockholders. 

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The market price of our common stock could be negatively affected by sales of substantial amounts of our common stock in the public markets. 

At December 31, 2012, 122,737,595 shares of our common stock were outstanding (excluding unvested restricted shares). All of the shares of our common stock are freely transferable, 
except for any shares held by our "affiliates," as that term is defined in Rule 144 under the Securities Act of 1933, as amended, or the Securities Act, or any shares otherwise subject to 
the limitations of Rule 144. 

Pursuant to our Stockholders Agreement, Fortress and certain of its affiliates and permitted third-party transferees have the right, in certain circumstances, to require us to register their 
shares of our common stock under the Securities Act for sale into the public markets.  In connection with our obligations under the Stockholders Agreement, we have on file with the 
SEC an effective registration statement permitting the resale, from time to time, of shares of common stock owned by certain affiliates and various principals of Fortress. The shares 
covered by the registration statement are freely transferable pursuant to the registration statement and by subsequent purchasers that are not our affiliates. 

In addition, as of February 19, 2013, we had registered under the Securities Act an aggregate of 13,300,000 shares for issuance under our Omnibus Stock Incentive Plan, an aggregate of 
1,000,000 shares for issuance under our Associate Stock Purchase Plan and an aggregate of 100,000 shares for issuance under our Director Stock Purchase Plan. In accordance with the 
terms of the Omnibus Stock Incentive Plan, the number of shares available for issuance automatically increases by 400,000 shares on January 1 of each year. Pursuant to the terms of the 
Associate Stock Purchase Plan, the number of shares available for purchase under the plan automatically increases by 200,000 shares on the first day of each calendar year beginning 
January 1, 2010. 

Subject to any restrictions imposed on the shares and options granted under our stock incentive programs, shares registered under these registration statements will be available for 
sale into the public markets. 

Our ability to use net operating loss carryovers to reduce future tax payments will be limited. 

Section 382 of the Internal Revenue code contains rules that limit the ability of a company that undergoes an ownership change, which is generally any change in ownership of 50% of 
its stock over a three-year period, to utilize its net operating loss carryforward and certain built-in losses recognized in years after the ownership change.  These rules generally operate 
by focusing on ownership changes involving stockholders owning directly or indirectly 5% or more of the stock of a company and any change in ownership arising from a new 
issuance of stock by the company.  We have determined that an ownership change occurred within the second quarter of 2010, and, therefore, losses carried into the change period will 
be limited on a go forward basis.  The annual limitation is equal to the product of the applicable long term tax exempt rate and the value of our stock immediately before the ownership 
change, adjusted for certain items.  The annual limitation may be increased by certain built-in gains existing at the time of change.  In addition to the 2010 ownership change, we have 
had previous ownership changes. 

Item 1B.                          Unresolved Staff Comments. 

None. 

Item 2.                Properties. 

Facilities 

At December 31, 2012, we operated 647 communities across 36 states, with the capacity to serve approximately 66,700 residents. Of the communities we operated at December 31, 2012, 
we owned 221, we leased 329 pursuant to operating and capital leases, and 97 were managed by us and fully or majority owned by third parties. 

The following table sets forth certain information regarding our communities at December 31, 2012: 

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State 

Florida 
Texas 
Colorado 
Ohio 
California 
Illinois 
North Carolina 
Michigan 
Arizona 
Tennessee 
Virginia 
Kansas 
Oklahoma 
Alabama 
Indiana 
Rhode Island 
New York 
Washington 
Missouri 
Pennsylvania 
Georgia 
Oregon 
Minnesota 
South Carolina 
Kentucky 
Wisconsin 
New Jersey 
New Mexico 
Connecticut 
Massachusetts 
Idaho 
Nevada 
Louisiana 
Maryland 
Delaware 
Mississippi 
Total 

Occupancy 

Ownership Status 

Units 

Rate(1)(2) 

Owned 

Leased 

Managed 

Total 

13,825  
10,288  
3,674  
3,320  
3,284  
3,234  
3,209  
2,933  
2,548  
1,629  
1,612  
1,463  
1,416  
1,373  
1,301  
1,183  
1,157  
1,044  
1,008  
936  
848  
765  
723  
624  
582  
504  
494  
429  
424  
280  
228  
142  
84  
79  
54  
37  
66,734  

86.0 %  
86.2 %  
92.4 %  
86.9 %  
88.3 %  
90.1 %  
92.5 %  
88.5 %  
87.3 %  
94.5 %  
85.0 %  
91.8 %  
86.8 %  
93.2 %  
84.0 %  
86.5 %  
88.1 %  
87.4 %  
87.9 %  
85.1 %  
87.9 %  
96.7 %  
89.1 %  
86.5 %  
92.3 %  
90.9 %  
81.9 %  
86.4 %  
79.2 %  
84.2 %  
100.0 %  
88.8 %  
98.6 %  
22.0 %  
100.0 %  
100.0 %  
87.9 %  

37  
23  
6  
23  
12  
1  
4  
9  
3  
14  
4  
10  
10  
5  
9  
1  
6  
4  
3  
6  
4  
7  
2  
4  
—  
5  
2  
2  
2  
—  
2  
—  
—  
—  
1  
—  
221  

36  
33  
17  
16  
6  
9  
51  
24  
11  
8  
2  
11  
16  
3  
8  
4  
10  
8  
—  
2  
—  
5  
14  
8  
2  
11  
6  
1  
2  
1  
1  
2  
—  
—  
—  
1  
329  

27  
23  
8  
3  
3  
4  
—  
3  
5  
2  
1  
2  
3  
1  
—  
4  
—  
—  
1  
—  
4  
—  
1  
—  
—  
—  
—  
—  
—  
—  
—  
—  
1  
1  
—  
—  
97  

100  
79  
31  
42  
21  
14  
55  
36  
19  
24  
7  
23  
29  
9  
17  
9  
16  
12  
4  
8  
8  
12  
17  
12  
2  
16  
8  
3  
4  
1  
3  
2  
1  
1  
1  
1  
647  

(1)  Includes the impact of managed properties. 

(2)  Represents occupancy at the end of the period. 

Substantially all of our owned properties are subject to mortgages. 

Corporate Offices 

Our main corporate offices are all leased, including our 74,593 square foot facility in Nashville, Tennessee, our 117,609 square foot facility in Milwaukee, Wisconsin, and our 10,655 
square foot facility in Chicago, Illinois. 

Item 3.                Legal Proceedings. 

The information contained in Note 21 to the consolidated financial statements contained in Part II, Item 8 of this Annual Report on Form 10-K is incorporated herein by reference. 

Item 4.                (Removed and Reserved). 

35 

  
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
Table of Contents 

Executive Officers of the Registrant 

The following table sets forth certain information concerning our executive officers as of February 19, 2013: 

Name 
W.E. Sheriff 
Mark W. Ohlendorf 
John P. Rijos 
T. Andrew Smith 
Bryan D. Richardson 
Gregory B. Richard 
Kristin A. Ferge 
George T. Hicks 
H. Todd Kaestner 
Edward A. Fenoglio
Mary Sue Patchett
Kari L. Schmidt

Age 
70 
52 
60 
52 
54 
58 
39 
55 
57 
42
50
46

Position 
Chief Executive Officer 
Co-President and Chief Financial Officer 
Co-President and Chief Operating Officer 
Executive Vice President, General Counsel and Secretary 
Executive Vice President and Chief Administrative Officer 
Executive Vice President – Field Operations 
Executive Vice President and Treasurer 
Executive Vice President – Finance 
Executive Vice President – Corporate Development 
Division President
Division President
Division President

W.E. Sheriff has served as our Chief Executive Officer since February 2008 and as a member of our Board of Directors since January 2010.  He previously served as our Co-Chief 
Executive Officer from July 2006 until February 2008. Previously, Mr. Sheriff served as Chairman and Chief Executive Officer of ARC and its predecessors since April 1984 and as its 
President since November 2003. From 1973 to 1984, Mr. Sheriff served in various capacities for Ryder System, Inc., including as President and Chief Executive Officer of its Truckstops 
of America division. Mr. Sheriff also serves on the boards of various educational and charitable organizations and in varying capacities with several trade organizations.  As previously 
reported, Mr. Sheriff will retire as Chief Executive Officer effective as of the first business day following the filing of this Annual Report on Form 10-K.  Mr. Sheriff will continue to serve 
the Company as a member of the Company's Board of Directors and as a consultant pursuant to the terms of his existing employment agreement. 

Mark W. Ohlendorf became our Co-President in August 2005 and our Chief Financial Officer in March 2007. Mr. Ohlendorf previously served as Chief Executive Officer and President 
of Alterra from December 2003 until August 2005. From January 2003 through December 2003, Mr. Ohlendorf served as Chief Financial Officer and President of Alterra, and from 1999 
through 2002 he served as Senior Vice President and Chief Financial Officer of Alterra. Mr. Ohlendorf has over 30 years of experience in the health care and long-term care industries, 
having held leadership positions with such companies as Sterling House Corporation, Vitas Healthcare Corporation and Horizon/CMS Healthcare Corporation. He currently serves as 
the chairman of the board of directors of the Assisted Living Federation of America. 

John P. Rijos became our Co-President in August 2005 and our Chief Operating Officer in January 2008. Previously, Mr. Rijos served as President and Chief Operating Officer and as a 
director of BLC since August 2000. Prior to joining BLC in August 2000, Mr. Rijos spent 16 years with Lane Hospitality Group, owners and operators of over 40 hotels and resorts, as its 
President and Chief Operating Officer. From 1981 to 1985 he served as President of High Country Corporation, a Denver-based hotel development and management company. Prior to 
that time, Mr. Rijos was Vice President of Operations and Development of several large real estate trusts specializing in hotels. Mr. Rijos has over 25 years of experience in the 
acquisition, development and operation of hotels and resorts. He serves on many tourist-related operating boards and committees, as well as advisory committees for Holiday Inns, 
Sheraton Hotels and the City of Chicago and the Board of Trustees for Columbia College. Mr. Rijos is a certified hospitality administrator. 

T. Andrew Smith became our Executive Vice President, General Counsel and Secretary in October 2006.  In addition to his role in managing the Company's legal affairs, Mr. Smith has 
been responsible for management and oversight of the Company's corporate development functions (including acquisitions and expansion and development activity); corporate finance 
activities (including capital structure, debt and lease transactions and lender/lessor relations); strategic planning; and risk management.  Previously, Mr. Smith was with Bass, Berry & 
Sims PLC in Nashville, Tennessee from 1985 to 2006, where he was a member of the firm's corporate and securities group and served as the chair of the firm's healthcare group. While at 
Bass, Berry & Sims, Mr. Smith served American Retirement Corporation (a predecessor company to Brookdale) as outside General Counsel.  As previously reported, Mr. Smith will 
succeed Mr. Sheriff as Chief Executive Officer on the first business day following the filing of this Annual Report on Form 10-K. 

36 

  
 
 
 
 
 
 
  
Table of Contents 

Bryan D. Richardson became our Executive Vice President in July 2006 and our Chief Administrative Officer in January 2008.  Mr. Richardson also served as our Chief Accounting 
Officer from September 2006 through April 2008.  Previously, Mr. Richardson served as Executive Vice President – Finance and Chief Financial Officer of ARC since April 2003 and 
previously served as its Senior Vice President – Finance since April 2000. Mr. Richardson was formerly with a national graphic arts company from 1984 to 1999 serving in various 
capacities, including Senior Vice President of Finance of a digital prepress division from May 1994 to October 1999, and Senior Vice President of Finance and Chief Financial Officer from 
1989 to 1994. Mr. Richardson was previously with the national public accounting firm PricewaterhouseCoopers. 

Gregory B. Richard has served as our Executive Vice President – Field Operations since January 2008.  He previously served as our Executive Vice President – Operations from July 
2006 through December 2007. Previously, Mr. Richard served as Executive Vice President and Chief Operating Officer of ARC since January 2003 and previously served as its Executive 
Vice President-Community Operations since January 2000. Mr. Richard was formerly with a pediatric practice management company from May 1997 to May 1999, serving as President 
and Chief Executive Officer from October 1997 to May 1999. Prior to this, Mr. Richard was with Rehability Corporation, a publicly traded outpatient physical rehabilitation service 
provider, from July 1986 to October 1996, serving as Senior Vice President of Operations and Chief Operating Officer from September 1992 to October 1996. 

Kristin A. Ferge became our Executive Vice President and Treasurer in August 2005.  Ms. Ferge also served as our Chief Administrative Officer from March 2007 through December 
2007. She previously served as Vice President, Chief Financial Officer and Treasurer of Alterra from December 2003 until August 2005. From April 2000 through December 2003, Ms. 
Ferge served as Alterra's Vice President of Finance and Treasurer. Prior to joining Alterra, she worked in the audit division of KPMG LLP. Ms. Ferge is a certified public accountant. 

George T. Hicks became our Executive Vice President – Finance in July 2006. Previously, Mr. Hicks served as Executive Vice President – Finance and Internal Audit, Secretary and 
Treasurer of ARC since September 1993. Mr. Hicks had served in various capacities for ARC's predecessors since 1985, including Chief Financial Officer from September 1993 to April 
2003 and Vice President – Finance and Treasurer from November 1989 to September 1993. 

H. Todd Kaestner became our Executive Vice President – Corporate Development in July 2006. Previously, Mr. Kaestner served as Executive Vice President – Corporate Development of 
ARC since September 1993. Mr. Kaestner served in various capacities for ARC's predecessors since 1985, including Vice President – Development from 1988 to 1993 and Chief Financial 
Officer from 1985 to 1988. 

Edward A. Fenoglio became our Division President in February 2013. Previously, Mr. Fenoglio served as Divisional Vice President since 2007 and has served in various capacities since 
joining ARC in 1997. 

Mary Sue Patchett became our Division President in February 2013. Previously, Ms. Patchett served as Divisional Vice President since joining Brookdale in 2011 in connection with the 
Horizon Bay acquisition. Previously, Ms. Patchett served as Chief Operating Officer of Horizon Bay from 2007 to 2011. 

Kari L. Schmidt became our Division President in February 2013. Previously, Ms. Schmidt served as Divisional Vice President since 2007 and has served in various other capacities 
since joining Brookdale in 1998. 

Item 5. Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities.

Market Information 

PART II 

Our common stock is traded on the New York Stock Exchange, or the NYSE, under the symbol "BKD".  The following table sets forth the range of high and low sales prices of our 
common stock for each quarter for the last two fiscal years. 

37 

  
 
 
 
 
  
  
  
  
 
 
 
  
Table of Contents 

First Quarter 
Second Quarter 
Third Quarter 
Fourth Quarter 

First Quarter 
Second Quarter 
Third Quarter 
Fourth Quarter 

Fiscal 2012 

High 

Low 

19.96  
19.78  
23.97  
26.11  

  $ 
  $ 
  $ 
  $ 

Fiscal 2011 

High 

Low 

28.23  
28.30  
25.51  
17.54  

  $ 
  $ 
  $ 
  $ 

15.43  
14.99  
15.62  
21.28  

20.90  
21.97  
12.27  
10.98  

  $ 
  $ 
  $ 
  $ 

  $ 
  $ 
  $ 
  $ 

The closing sale price of our common stock as reported on the NYSE on February 14, 2013 was $28.53 per share.  As of that date, there were approximately 441 holders of record of our 
common stock. 

Dividend Policy 

On December 30, 2008, our Board of Directors voted to suspend our quarterly cash dividend indefinitely and no dividends were declared during the last two fiscal years. Although we 
anticipate that, over the longer-term, we may pay regular quarterly dividends to the holders of our common stock, over the near term we are focused on preserving liquidity and 
deploying capital in the growth of our business. Accordingly, we do not expect to pay cash dividends on our common stock for the foreseeable future. 

Our ability to pay and maintain cash dividends in the future will be based on many factors, including then-existing contractual restrictions or limitations, our ability to execute our 
growth strategy, our ability to negotiate favorable lease and other contractual terms, anticipated operating expense levels, the level of demand for our units, occupancy rates, entrance 
fee sales results, the rates we charge, our liquidity position and actual results that may vary substantially from estimates. Some of the factors are beyond our control and a change in 
any such factor could affect our ability to pay or maintain dividends. We can give no assurance as to our ability to pay or maintain dividends in the future. We also cannot assure you 
that the level of dividends will be maintained or increase over time or that increases in demand for our units and monthly resident fees will increase our actual cash available for 
dividends to stockholders. As we have done in the past, we may also pay dividends in the future that exceed our net income for the relevant period as calculated in accordance with 
U.S. GAAP. 

Recent Sales of Unregistered Securities 

None. 

Purchases of Equity Securities by the Issuer and Affiliated Purchasers 

None. 

Item 6.                Selected Financial Data. 

The selected financial data should be read in conjunction with the sections entitled "Management's Discussion and Analysis of Financial Condition and Results of Operations," 
"Business" and our historical consolidated financial statements and the related notes included elsewhere herein.  Our historical statement of operations data and balance sheet data as 
of and for each of the years in the five-year period ended December 31, 2012 have been derived from our audited financial statements. 

38 

  
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents 

2012 

For the Years Ended December 31, 
2010 

2009 

2011 

2008 

Fiscal Year ended December 31, 
(in thousands, except per share and other operating data) 
Total revenue 
Facility operating expense 
General and administrative expense 
Facility lease expense 
Depreciation and amortization 
(Gain) loss on facility lease termination 
(Gain) loss on sale of communities, net 
Loss (gain) on acquisition 
Goodwill and asset impairment 
Costs incurred on behalf  of managed communities 

Total operating expense 
Income (loss) from operations 
Interest income 
Interest expense: 

Debt 
Amortization of deferred financing costs and debt discount 
Change in fair value of derivatives and amortization 

Loss on extinguishment of debt, net 
Equity in (loss) earnings of unconsolidated ventures 
Other non-operating income (expense) 
Loss before income taxes 
(Provision) benefit for income taxes 
Net loss 

Basic and diluted net loss per share 
Weighted average shares of common stock used in computing basic and 

diluted loss per share 

Dividends declared per share of common stock 

  $ 

  $ 

  $ 

  $ 

  $ 

2,770,085  
1,630,919  
178,829  
284,025  
252,281  
(11,584 )   

―  
636  
27,677  
325,016  
2,687,799  
82,286  
4,012  

(128,338 )   
(18,081 )   
(364 )   
(221 )   
(3,488 )   
593  
(63,601 )   
(2,044 )   
(65,645 )    $ 

  $ 

2,457,918  
1,508,571  
148,327  
274,858  
268,506  
―  
―  
(1,982 )   
16,892  
152,566  
2,367,738  
90,180  
3,538  

(124,873 )   
(13,427 )   
(3,878 )   
(18,863 )   
1,432  
56  

(65,835 )   
(2,340 )   
(68,175 )    $ 

  $ 

2,280,535  
1,437,930  
131,709  
270,905  
292,341  
4,608  
(3,298 )   
―  
13,075  
67,271  
2,214,541  
65,994  
2,238  

(132,641 )   
(8,963 )   
(4,118 )   
(1,557 )   
168  
(1,454 )   
(80,333 )   
31,432  
(48,901 )    $ 

  $ 

2,100,274  
1,302,277  
134,864  
272,096  
271,935  
―  
2,043  
―  
10,073  
77,206  
2,070,494  
29,780  
2,354  

(128,869 )   
(9,505 )   
3,765  
(1,292 )   
440  
4,146  
(99,181 )   
32,926  
(66,255 )    $ 

2,001,304  
1,261,581  
140,919  
269,469  
276,202  
―  
―  
―  
220,026  
73,250  
2,241,447  
(240,143 ) 
7,618  

(147,389 ) 
(9,707 ) 
(68,146 ) 
(3,052 ) 
(861 ) 
1,708  
(459,972 ) 
86,731  
(373,241 ) 

(0.54 )    $ 

(0.56 )    $ 

(0.41 )    $ 

(0.60 )    $ 

(3.67 ) 

121,991  
―  

  $ 

121,161  
―  

  $ 

120,010  
―  

  $ 

111,288  
―  

  $ 

101,667  
0.75  

Other Operating Data: 
Total number of communities (at end of period) 
Total units operated(1) 

Period end 
Weighted average 

Owned/leased communities occupancy rate (weighted average) 
Senior Housing average monthly revenue per unit(2) 

  $ 

647  

65,936  
66,102  

88.0 %  
4,271  

  $ 

39 

647  

66,183  
55,548  

559  

50,521  
50,870  

565  

51,021  
49,536  

87.3 %  
4,193  

  $ 

87.1 %  
4,053  

  $ 

86.5 %  
3,946  

  $ 

548  

49,145  
49,165  

87.6 % 
3,823  

 
  
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents 

(in thousands) 
Cash and cash equivalents 
Total assets 
Total debt 
Total stockholders' equity 

2012 

2011 

As of December 31, 
2010 

2009 

2008 

  $ 
  $ 
  $ 
  $ 

69,240  
4,665,978  
2,679,369  
1,002,717  

  $ 
  $ 
  $ 
  $ 

30,836  
4,466,061  
2,463,625  
1,040,208  

  $ 
  $ 
  $ 
  $ 

81,827  
4,530,470  
2,570,296  
1,059,997  

  $ 
  $ 
  $ 
  $ 

66,370  
4,649,879  
2,625,526  
1,086,582  

  $ 
  $ 
  $ 
  $ 

53,973  
4,449,258  
2,552,929  
960,601  

(1)  Period end units operated excludes equity homes.  Weighted average units operated represents the average units operated during the period, excluding equity homes. 

(2)  Senior Housing average monthly revenue per unit represents the average of the total monthly resident fee revenues, excluding amortization of entrance fees and ISC segment 

revenue, divided by average occupied units. 

Item 7.                          Management's Discussion and Analysis of Financial Condition and Results of Operations. 

The following information should be read in conjunction with our "Selected Financial Data" and our consolidated  financial statements and related notes, included elsewhere in 
this Annual Report on Form 10-K.   In addition to historical information, this discussion and analysis may contain forward-looking statements that involve risks, uncertainties and 
assumptions, which could cause actual results to differ materially from management's expectations.  Please see additional risks and uncertainties described in "Safe Harbor 
Statement Under the Private Securities Litigation Reform Act of 1995" for more information. Factors that could cause such differences include those described in "Risk Factors" 
which appears elsewhere in this Annual Report on Form 10-K. 

Executive Overview 

During 2012, we continued to make progress in implementing our long-term growth strategy, integrating previous acquisitions, and building a platform for future growth.  Our primary 
long-term growth objectives are to grow our revenues, Adjusted EBITDA, Cash From Facility Operations and Facility Operating Income primarily through a combination of: (i) organic 
growth in our core business, including expense control and the realization of economies of scale; (ii) expansion, redevelopment and repositioning of existing communities; (iii) 
acquisition and consolidation of asset portfolios and other senior living companies; and (iv) continued expansion of our ancillary services programs (including therapy, home health 
and hospice services). 

The table below presents a summary of our operating results and certain other financial metrics for the years ended December 31, 2012 and 2011 and the amount and percentage of 
increase or decrease of each applicable item (dollars in millions). 

Total revenue 
Net loss(1) 
Adjusted EBITDA 
Cash From Facility Operations 
Facility Operating Income 

Years Ended 
December 31, 

Increase 
(Decrease) 

2012 

2011 

Amount 

Percent 

  $ 
  $ 
  $ 
  $ 
  $ 

2,770.1  

  $ 
(65.6 )    $ 
  $ 
409.9  
  $ 
239.0  
  $ 
758.8  

2,457.9  

  $ 
(68.2 )    $ 
  $ 
402.7  
  $ 
239.9  
  $ 
757.8  

312.2  

(2.6 )   
7.2  
(0.9 )   
1.0  

12.7 % 
(3.8 )% 
1.8 % 
(0.4 )% 
0.1 % 

(1) Net loss for 2012 and 2011 includes non-cash impairment charges of $27.7 million and $16.9 million, respectively. 

Adjusted EBITDA and Facility Operating Income are non-GAAP financial measures we use in evaluating our operating performance. Cash From Facility Operations is a non-GAAP 
financial measure we use in evaluating our liquidity. See "Non-GAAP Financial Measures" below for an explanation of how we define each of these measures, a detailed description of 
why we believe such measures are useful and the limitations of each measure, a reconciliation of net loss to each of Adjusted EBITDA and Facility Operating Income and a 
reconciliation of net cash provided by operating activities to Cash From Facility Operations. 

40 

  
  
 
  
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents 

During the year ended December 31, 2012, we experienced an increase in our total revenues, primarily due to the addition of leased and managed communities from the Horizon Bay and 
HCP transactions in the third quarter of 2011, along with increases in occupancy and average monthly revenue per unit, including an increase in our ancillary services revenue.  Total 
revenues for the year ended December 31, 2012 increased to $2.8 billion, an increase of $312.2 million, or 12.7%, over our total revenues for the year ended December 31, 2011.  Resident 
fees for the year ended December 31, 2012, increased $122.5 million, or 5.3% from the prior year, and management fees, net of costs incurred on behalf of managed communities, 
increased $17.2 million.  Total management fees increased $189.6 million, of which $172.4 million consisted of reimbursed costs incurred on behalf of managed communities.   The 
increase was primarily due to the management agreements entered into or acquired in conjunction with the Horizon Bay and HCP transactions during the third quarter of 2011.  In 
connection with these transactions, we added to our portfolio 12 leased communities and 78 managed communities (after giving effect to our subsequent acquisition of one of the 
managed communities in the fourth quarter of 2011). 

The increase in resident fees during the year ended December 31, 2012 was primarily a result of a 1.9% increase in the average monthly revenue per unit compared to the prior year, 
including growing revenues from our ancillary services programs, a 70 basis points increase in average occupancy and a 2.2% increase in consolidated units operated.  Our weighted 
average occupancy rate for the year ended December 31, 2012 and 2011 was 88.0% and 87.3%, respectively.  The increases in occupancy rates were a result of improving fundamentals, 
execution by our field organization and sales and marketing team and the benefit of the capital we have invested and continue to spend on our communities. 

Beginning October 1, 2011, we were impacted by a reduction in the reimbursement rates for Medicare skilled nursing patients and home health patients, as well as a negative change in 
the allowable method for delivering therapy services to skilled nursing patients (resulting in increased therapy labor expense).  The cumulative negative financial impact of these 
changes increased our expense and decreased our revenue, Facility Operating Income, Adjusted EBITDA and Cash From Facility Operations for the year ended December 31, 2012. 

During the year ended December 31, 2012, our Adjusted EBITDA and Facility Operating Income increased by 1.8% and 0.1%, respectively, and Cash From Facility Operations decreased 
by 0.4%, when compared to the prior year. 

During the second quarter of 2012, we changed the composition of our operating segments from four reportable segments to six reportable segments (Retirement Centers, Assisted 
Living, CCRCs - Rental, CCRCs - Entry Fee, ISC and Management Services) (Note 22).  This change was made to align operating segments with the basis that the chief operating 
decision maker uses to review financial information to make operating decisions, assess performance, develop strategy and allocate capital resources.  All prior period disclosures below 
have been recast to present results on a comparable basis. 

During the year ended December 31, 2012, we acquired the underlying real estate associated with 21 Retirement Center and Assisted Living communities that were previously leased for 
an aggregate purchase price of $283.4 million.  During the year, we also acquired four home health agencies and an existing skilled nursing facility for an aggregate purchase price of 
approximately $7.0 million. 

During the year ended December 31, 2012, we continued to expand our ancillary services offerings.  As of December 31, 2012, we offered therapy services to approximately 51,000 of our 
units and home health services to over 46,000 of our units (approximately 38,000 and 32,000 of these units, respectively, are in our consolidated portfolio).   We expect to continue to 
expand our ancillary services programs to additional units and to open or acquire additional home health agencies. 

Consolidated Results of Operations 

Year Ended December 31, 2012 and 2011 

The following table sets forth, for the periods indicated, statement of operations items and the amount and percentage of change of these items. The results of operations for any 
particular period are not necessarily indicative of results for any future period. The following data should be read in conjunction with our consolidated financial statements and the 
notes thereto, which are included herein. Our results reflect the inclusion of acquisitions that occurred during the respective reporting periods. 

41 

  
 
 
 
 
 
 
 
 
 
  
Table of Contents 

Certain prior period amounts have been reclassified to conform to the current year presentation. 

(dollars in thousands, except average monthly revenue per unit) 

Years Ended 
December 31, 

Increase 
(Decrease) 

2012 

2011 

Amount 

Percent 

Statement of Operations Data: 
Revenue 
Resident fees 

Retirement Centers 
Assisted Living 
CCRCs - Rental 
CCRCs - Entry Fee 
ISC 

Total resident fees 
Management services(1) 

Total revenue 

Expense 
Facility operating expense 
Retirement Centers 
Assisted Living 
CCRCs - Rental 
CCRCs - Entry Fee 
ISC 

Total facility operating expense 
General and administrative expense 
Facility lease expense 
Depreciation and amortization 
Asset impairment 
Loss (gain) on acquisition 
Gain on facility lease termination 
Costs incurred on behalf of managed communities 

Total operating expense 
Income from operations 

Interest income 
Interest expense: 

Debt 
Amortization of deferred financing costs and debt discount 
Change in fair value of derivatives and amortization 

Loss on extinguishment of debt, net 
Equity in (loss) earnings of unconsolidated ventures 
Other non-operating income 
Loss before income taxes 
Provision for income taxes 

Net loss 

Selected Operating and Other Data: 
Total number of communities (period end) 
Total units operated(2) 

Period end 
Weighted average 

Owned/leased communities units(2) 

Period end 
Weighted average 

Owned/leased communities occupancy rate (weighted average) 
Senior Housing average monthly revenue per unit(3) 

  $ 

  $ 

503,902  
1,013,337  
385,479  
287,048  
224,517  
2,414,283  
355,802  
2,770,085  

  $ 

473,842  
964,585  
364,095  
283,455  
205,780  
2,291,757  
166,161  
2,457,918  

298,317  
652,153  
279,416  
224,296  
176,737  
1,630,919  
178,829  
284,025  
252,281  
27,677  
636  
(11,584 )   
325,016  
2,687,799  
82,286  
4,012  

(128,338 )   
(18,081 )   
(364 )   
(221 )   
(3,488 )   
593  
(63,601 )   
(2,044 )   
(65,645 )    $ 

647  

65,936  
66,102  

47,938  
47,947  

275,403  
624,657  
247,246  
213,470  
147,795  
1,508,571  
148,327  
274,858  
268,506  
16,892  
(1,982 )   
—  
152,566  
2,367,738  
90,180  
3,538  

(124,873 )   
(13,427 )   
(3,878 )   
(18,863 )   
1,432  
56  

(65,835 )   
(2,340 )   
(68,175 )    $ 

647  

66,183  
55,548  

47,895  
46,912  

88.0 %  
4,271  

  $ 

87.3 %  
4,193  

  $ 

  $ 

  $ 

42 

30,060  
48,752  
21,384  
3,593  
18,737  
122,526  
189,641  
312,167  

22,914  
27,496  
32,170  
10,826  
28,942  
122,348  
30,502  
9,167  
(16,225 )   
10,785  
2,618  
11,584  
172,450  
320,061  

(7,894 )   
474  

3,465  
4,654  
(3,514 )   
(18,642 )   
4,920  
537  
(2,234 )   
(296 )   
(2,530 )   

―  

(247 )   

10,554  

43  
1,035  

0.7 %  
78  

6.3 % 
5.1 % 
5.9 % 
1.3 % 
9.1 % 
5.3 % 
114.1 % 
12.7 % 

8.3 % 
4.4 % 
13.0 % 
5.1 % 
19.6 % 
8.1 % 
20.6 % 
3.3 % 
(6.0 %) 
63.8 % 
132.1 % 
100.0 % 
113.0 % 
13.5 % 
(8.8 %) 
13.4 % 

2.8 % 
34.7 % 
(90.6 %) 
(98.8 %) 
343.6 % 
958.9 % 
(3.4 %) 
(12.6 %) 
(3.7 %) 

―  

(0.4 %) 
19.0 % 

0.1 % 
2.2 % 
0.8 % 
1.9 % 

 
 
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents 

Selected Segment Operating and Other Data: 

Retirement Centers 

Number of communities (period end) 
Total units(2) 

Period end 
Weighted average 

Occupancy rate (weighted average) 
Senior Housing average monthly revenue per unit(3) 

Assisted Living 

Number of communities (period end) 
Total units(2) 

Period end 
Weighted average 

Occupancy rate (weighted average) 
Senior Housing average monthly revenue per unit(3) 

CCRCs - Rental 

Number of communities (period end) 
Total units(2) 

Period end 
Weighted average 

Occupancy rate (weighted average) 
Senior Housing average monthly revenue per unit(3) 

CCRCs - Entry Fee 

Number of communities (period end) 
Total units(2) 

Period end 
Weighted average 

Occupancy rate (weighted average) 
Senior Housing average monthly revenue per unit(3) 
Other Entry Fee Data 

Non-refundable entrance fees sales 
Refundable entrance fees sales(4) 
Total entrance fee receipts 
Refunds 
Net entrance fees(5) 

Management Services 

Number of communities (period end) 
Total units(2) 

Period end 
Weighted average 

Occupancy rate (weighted average) 

ISC 

Outpatient Therapy treatment codes 
Home Health average census 

__________ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

76  

14,433  
14,445  

76  

14,468  
14,188  

89.1 %  
3,263  

  $ 

88.0 %  
3,163  

  $ 

433  

21,551  
21,625  

434  

21,630  
21,323  

88.9 %  
4,390  

  $ 

88.2 %  
4,275  

  $ 

27  

26  

6,691  
6,667  
86.3 %  
5,588  

  $ 

6,634  
6,253  
86.5 %  
5,612  

  $ 

14  

14  

5,263  
5,210  
83.7 %  
4,978  

  $ 

5,163  
5,148  
82.7 %  
5,052  

  $ 

40,105  
42,600  
82,705  
(27,356 )   
55,349  

  $ 

  $ 

38,378  
29,611  
67,989  
(25,754 )   
42,235  

  $ 

  $ 

97  

17,998  
18,155  

84.5 %  

97  

18,288  
8,636  
84.5 %  

―  

(35 ) 
257  
1.1 %  
100  

(1 ) 

(79 ) 
302  
0.7 %  
115  

1  

57  
414  
(0.2 %)  
(24 ) 

―  

100  
62  
1.0 %  
(74 ) 

1,727  
12,989  
14,716  
1,602  
13,114  

―  

(290 ) 
9,519  

0.0 %  

3,566,654  
3,710  

3,349,854  
3,330  

216,800  
380  

43 

―  

(0.2 %) 
1.8 % 
1.3 % 
3.2 % 

(0.2 %) 

(0.4 %) 
1.4 % 
0.8 % 
2.7 % 

3.8 % 

0.9 % 
6.6 % 
(0.2 %) 
(0.4 %) 

―  

1.9 % 
1.2 % 
1.2 % 
(1.5 %) 

4.5 % 
43.9 % 
21.6 % 
6.2 % 
31.1 % 

―  

(1.6 %) 
110.2 % 
―  

6.5 % 
11.4 % 

  
  
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents 

(1) Management services segment revenue includes reimbursements for which we are the primary obligor of costs incurred on behalf of managed communities.

(2) Period end units operated excludes equity homes.  Weighted average units operated represents the average units operated during the period, excluding equity homes.

(3) Senior Housing average monthly revenue per unit represents the average of the total monthly resident fee revenues, excluding amortization of entrance fees and ISC segment 

revenue, divided by average occupied units.

(4) Refundable entrance fee sales for the years ended December 31, 2012 and 2011 include amounts received from residents participating in the MyChoice program, which allows new 

and existing residents the option to pay additional refundable entrance fee amounts in return for a reduced monthly service fee.  MyChoice amounts received from residents totaled 
$13.3 million and $9.0 million for the years ended December 31, 2012 and 2011.

(5)

Includes $3.6 million and $12.6 million of first generation net entrance fee receipts (which represent initial entrance fees received from the sale of units, net of first generation 
entrance fee refunds not replaced by second generation entrance fee receipts, at a recently opened entrance fee CCRC) during the year ended December 31, 2012 and 2011, 
respectively.

As of December 31, 2012, our total operations included 647 communities with a capacity to serve 66,734 residents. 

Resident Fees 

Resident fees increased over the prior year primarily as a result of an increase in the average monthly revenue per unit compared to the prior year period, including growing revenues 
from our ancillary services programs, an increase in occupancy and a 2.2% increase in consolidated units operated.  During the current year, revenues grew 2.4% at the 531 communities 
we operated during both periods with a 1.6% increase in the average monthly revenue per unit (excluding amortization of entrance fees in both instances).  Occupancy increased 0.7% in 
these communities period over period. 

Retirement Centers revenue increased $30.1 million, or 6.3%, primarily due to the inclusion of revenue from communities acquired during the prior year and increases in occupancy and 
average monthly revenue per unit at the communities we operated during both years. 

Assisted Living revenue increased $48.8 million, or 5.1%, primarily due to the inclusion of revenue from communities acquired during the prior year and increases in occupancy and 
average monthly revenue per unit at the communities we operated during both years. 

CCRCs - Rental revenue increased $21.4 million, or 5.9%, primarily due to the inclusion of revenue from communities acquired during the prior year. The increase was partially offset by 
decreases in the average monthly revenue per unit and occupancy at the communities we operated during both years. Revenue for the CCRCs – Rental segment was also impacted by a 
reduction in the reimbursement rate for Medicare skilled nursing patients. 

CCRCs - Entry Fee revenue increased $3.6 million, or 1.3%, primarily due to an increase in occupancy at the communities we operated during both periods. The increase was partially 
offset by a decrease in the average monthly revenue per unit at the communities we operated during both years. Revenue for the CCRCs – Entry Fee segment was also impacted by a 
reduction in the reimbursement rate for Medicare skilled nursing patients. 

ISC revenue increased $18.7 million, or 9.1%, primarily due to the roll-out of our ancillary services programs to additional units subsequent to the prior year end.  The increase was 
partially offset by a reduction in Medicare reimbursement rates. 

44 

 
 
 
 
 
 
 
  
Table of Contents 

Management Services 

Total management services revenue increased $189.6 million, or 114.1%, over the prior year.  Approximately $172.4 million of this increase is attributable to the increase in revenue from 
reimbursed costs incurred on behalf of managed communities and is primarily due to the management agreements entered into or acquired in conjunction with the Horizon Bay and HCP 
transactions that occurred during third quarter of 2011. 

Facility Operating Expense 

Facility operating expense increased over the prior-year primarily due to an increase in salaries and wages, additional current year expense incurred in connection with the continued 
expansion of our ancillary services programs during 2011 and 2012, increased payroll taxes and workers compensation expense, as well as the inclusion of expenses from communities 
acquired during the current year.  These increases were partially offset by decreases in utilities expense as a result of milder weather in the current year period and bad debt expense. 

Retirement Centers operating expenses increased $22.9 million, or 8.3%, primarily due to the inclusion of expenses from communities acquired during the prior year, as well as increases 
in salaries and wages due to wage rate increases and an increase in hours worked year over year. These increases were partially offset by a decrease in utilities expense as a result of 
milder weather in the current year.  

Assisted Living operating expenses increased $27.5 million, or 4.4%, primarily due to the inclusion of expenses from communities acquired during the prior year, as well as an increase in 
salaries and wages due to wage rate increases and an increase in hours worked year over year. These increases were partially offset by a decrease in utilities expense as a result of 
milder weather in the current year. 

CCRCs - Rental operating expenses increased $32.2 million, or 13.0%, primarily due to the inclusion of expenses from communities acquired during the prior year, an increase in salaries 
and wages due to wage rate increases and an increase in hours worked year over year, and an increase in skilled therapy services expense due to an adverse change in the allowable 
method for delivering therapy services to skilled nursing patients. 

CCRCs - Entry Fee operating expenses increased $10.8 million, or 5.1%, primarily due to an increase in salaries and wages due to wage rate increases and an increase in hours worked 
year over year, as well as an increase in skilled therapy services expense due to an adverse change in the allowable method for delivering therapy services to skilled nursing patients. 
These increases were partially offset by a decrease in bad debt expense. 

ISC operating expenses increased $28.9 million, or 19.6%, primarily due to an increase in expenses incurred in connection with the continued expansion of our ancillary services 
programs and an increase in therapy direct labor expenses. 

General and Administrative Expense 

General and administrative expense increased $30.5 million, or 20.6%, primarily as the result of an increase in the number of employees in connection with the Horizon Bay and HCP 
transactions that occurred during the third quarter of 2011, an increase in integration, transaction-related  and electronic medical records ("EMR") roll-out costs, and an increase in non-
cash stock-based compensation expense. General and administrative expense as a percentage of total revenue, including revenue generated by the communities we manage and 
excluding non-cash stock-based compensation expense and integration, transaction-related and EMR roll-out costs, was 4.3% and 4.4% for the years ended December 31, 2012 and 
2011, respectively, calculated as follows (dollars in thousands): 

Resident fee revenues 

Resident fee revenues under management 

Total 

Year Ended December 31, 

2012 

2011 

  $ 

2,414,283  

623,613  

  $ 

3,037,896  

79.5 %   $ 
20.5 %  

100.0 %   $ 

2,291,757  
304,717  

2,596,474  

88.3 % 

11.7 % 

100.0 % 

45 

 
 
 
 
 
 
 
 
 
 
 
 
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents 

General and administrative expenses (excluding non-cash stock-based compensation 

expense and integration, transaction-related and EMR roll-out costs) 

  $ 

Non-cash stock-based compensation expense 

Integration, transaction-related and EMR roll-out costs 
General and administrative expenses (including non-cash stock-based compensation 

129,844  

25,520  

23,465  

4.3 %   $ 
0.8 %  
0.8 %  

114,083  
19,856  
14,388  

expense and integration, transaction-related and EMR roll-out costs) 

  $ 

178,829  

5.9 %   $ 

148,327  

4.4 % 

0.8 % 

0.6 % 

5.7 % 

Facility Lease Expense 

Facility lease expense increased $9.2 million, or 3.3%, primarily as a result of the acquisition of 12 leased communities in connection with the Horizon Bay and HCP transactions that 
occurred in the third quarter of 2011, as well as increases due to normal rent escalators. These increases were partially offset by decreased lease expense as a result of the purchase of 
twelve previously leased communities in the current year period. 

Depreciation and Amortization 

Depreciation and amortization expense decreased by $16.2 million, or 6.0%, primarily as a result of the management contract and therapy services intangibles related to a 2006 acquisition 
reaching full amortization during 2011. 

Asset Impairment 

During 2012, we recognized $27.7 million of impairment charges related to asset impairments for property, plant and equipment and leasehold intangibles for certain communities within 
the Retirement Centers and Assisted Living segments primarily due to lower than expected performance of the underlying business and the amount by which the carrying values of the 
assets exceed the estimated fair value or estimated selling prices.  During 2011, we recognized $16.9 million of impairment charges related to asset impairments for property, plant and 
equipment and leasehold intangibles for certain communities within the Assisted Living and Retirement Center segments.  We compared the estimated fair value of the assets to their 
carrying value and recorded an impairment charge for the excess of carrying value over estimated fair value. 

Loss (Gain) on Acquisition 

During 2011, we recognized $2.0 million as a gain on acquisition related to the acquisition of Horizon Bay.  The loss on acquisition recognized during the year ended December 31, 2012 
relates to the reduction of the prior-year gain for adjustments to pre-acquisition self-insurance reserves.  See Note 4 to the consolidated financial statements contained in Part II, Item 8 
of this Annual Report on Form 10-K, which is incorporated herein by reference, for further detail. 

Gain on Facility Lease Termination 

During 2012, we recognized an $11.6 million net gain on facility lease termination from the reversal of deferred lease liabilities associated with twelve previously-leased communities that 
were acquired during the current year. 

Costs Incurred on Behalf of Managed Communities 

Costs incurred on behalf of managed communities increased $172.4 million, or 113.0%, primarily due to a full year of results related to management agreements entered into or acquired in 
conjunction with the Horizon Bay and HCP transactions in September 2011.  We added 78 new managed communities in connection with these transactions. 

Interest Income 

Interest income increased $0.5 million, or 13.4%, primarily due to realized gains from the liquidation of the marketable securities – restricted in the current year. 

46 

  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents 

Interest Expense 

Interest expense increased $4.6 million, or 3.2%, primarily due to increased interest expense from the amortization of our debt discount on our convertible notes issued during 2011 and 
increased interest expense on our line of credit, which had a higher average outstanding balance drawn year over year. These increases were partially offset by a decrease in interest 
expense recorded from the change in fair value of interest rate swaps due to fewer instruments in place during the current year. 

Loss on Extinguishment of Debt, net 

During 2011, we recognized an $18.9 million as a loss on extinguishment of debt, related to costs incurred in connection with the early repayment of first and second mortgage notes. 

Income Taxes 

The increase in the effective tax rate to (3.2)% in 2012 from (3.6)% in 2011 is primarily due to a decrease in our loss before income taxes in 2012.  We recorded a valuation allowance 
against deferred tax benefits generated during the current year. 

Year Ended December 31, 2011 and 2010 

The following table sets forth, for the periods indicated, statement of operations items and the amount and percentage of change of these items. The results of operations for any 
particular period are not necessarily indicative of results for any future period. The following data should be read in conjunction with our consolidated financial statements and the 
notes thereto, which are included herein. Our results reflect the inclusion of acquisitions that occurred during the respective reporting periods. 

Certain prior period amounts have been reclassified to conform to the current year presentation. 

(dollars in thousands, except average monthly revenue per unit) 

Years Ended 
December 31, 

Increase 
(Decrease) 

2011 

2010 

Amount 

Percent 

Statement of Operations Data: 
Revenue 
Resident fees 

Retirement Centers 
Assisted Living 
CCRCs – Rental 
CCRCs – Entry Fee 
ISC 

Total resident fees 
Management services(1) 

Total revenue 

Expense 
Facility operating expense 
Retirement Centers 
Assisted Living 
CCRCs - Rental 
CCRCs - Entry Fee 
ISC 

Total facility operating expense 
General and administrative expense 
Facility lease expense 
Depreciation and amortization 
Gain on sale of communities, net 
Asset impairment 
Gain on acquisition 
Facility lease termination expense 

  $ 

473,842  
964,585  
364,095  
283,455  
205,780  
2,291,757  
166,161  
2,457,918  

275,403  
624,657  
247,246  
213,470  
147,795  
1,508,571  
148,327  
274,858  
268,506  
—  
16,892  
(1,982 )   
—  

  $ 

463,260  
945,469  
339,920  
269,056  
189,968  
2,207,673  
72,862  
2,280,535  

266,613  
614,249  
230,991  
202,971  
123,106  
1,437,930  
131,709  
270,905  
292,341  

(3,298 )   
13,075  
―  
4,608  

10,582  
19,116  
24,175  
14,399  
15,812  
84,084  
93,299  
177,383  

8,790  
10,408  
16,255  
10,499  
24,689  
70,641  
16,618  
3,953  
(23,835 )   
3,298  
3,817  
1,982  
(4,608 )   

  $ 

47 

2.3 % 
2.0 % 
7.1 % 
5.4 % 
8.3 % 
3.8 % 
128.0 % 
7.8 % 

3.3 % 
1.7 % 
7.0 % 
5.2 % 
20.1 % 
4.9 % 
12.6 % 
1.5 % 
(8.2 %) 
100.0 % 
29.2 % 
100.0 % 
(100.0 %) 

 
 
 
 
 
 
 
 
 
 
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Table of Contents 

Costs incurred on behalf of managed communities 

Total operating expense 
Income from operations 

Interest income 
Interest expense: 

Debt 
Amortization of deferred financing costs and debt discount 
Change in fair value of derivatives and amortization 

Loss on extinguishment of debt, net 
Equity in earnings of unconsolidated ventures 
Other non-operating income (expense) 
Loss before income taxes 
(Provision) benefit for income taxes 

Net loss 

Selected Operating and Other Data: 
Total number of communities (period end) 
Total units operated(2) 

Period end 
Weighted average 

Owned/leased communities units(2) 

Period end 
Weighted average 

Owned/leased communities occupancy rate (weighted average) 
Senior Housing average monthly revenue per unit(3) 
Selected Segment Operating and Other Data: 

Retirement Centers 

Number of communities (period end) 
Total units(2) 

Period end 
Weighted average 

Occupancy rate (weighted average) 
Senior Housing average monthly revenue per unit(3) 

Assisted Living 

Number of communities (period end) 
Total units(2) 

Period end 
Weighted average 

Occupancy rate (weighted average) 
Senior Housing average monthly revenue per unit(3) 

CCRCs - Rental 

Number of communities (period end) 
Total units(2) 

Period end 
Weighted average 

Occupancy rate (weighted average) 
Senior Housing average monthly revenue per unit(3) 

CCRCs - Entry Fee 

Number of communities (period end) 
Total units(2) 

152,566  
2,367,738  
90,180  
3,538  

(124,873 )   
(13,427 )   
(3,878 )   
(18,863 )   
1,432  
56  

(65,835 )   
(2,340 )   
(68,175 )    $ 

647  

66,183  
55,548  

47,895  
46,912  

67,271  
2,214,541  
65,994  
2,238  

(132,641 )   
(8,963 )   
(4,118 )   
(1,557 )   
168  
(1,454 )   
(80,333 )   
31,432  
(48,901 )    $ 

559  

50,521  
50,870  

46,735  
47,083  

87.3 %  
4,193  

  $ 

87.1 %  
4,053  

  $ 

76  

14,468  
14,188  

75  

14,104  
14,277  

88.0 %  
3,163  

  $ 

87.3 %  
3,096  

  $ 

434  

21,630  
21,323  

429  

21,277  
21,445  

88.2 %  
4,275  

  $ 

88.2 %  
4,163  

  $ 

26  

22  

6,634  
6,253  
86.5 %  
5,612  

  $ 

6,212  
6,215  
86.2 %  
5,276  

  $ 

14  

14  

85,295  
153,197  
24,186  
1,300  

(7,768 )   
4,464  
(240 )   

17,306  
1,264  
1,510  
(14,498 )   
(33,772 )   
19,274  

88  

15,662  
4,678  

1,160  
(171 )   
0.2 %  
140  

1  

364  
(89 )   
0.7 %  
67  

5  

353  
(122 )   
―  
112  

4  

422  
38  
0.3 %  
336  

―  

126.8 % 
6.9 % 
36.6 % 
58.1 % 

(5.9 %) 
49.8 % 
(5.8 %) 
NM  
752.4 % 
103.9 % 
(18.0 %) 
(107.4 %) 
39.4 % 

15.7 % 

31.0 % 
9.2 % 

2.5 % 
(0.4 %) 
0.2 % 
3.5 % 

1.3 % 

2.6 % 
(0.6 %) 
0.8 % 
2.2 % 

1.2 % 

1.7 % 
(0.6 %) 
―  
2.7 % 

18.2 % 

6.8 % 
0.6 % 
0.3 % 
6.4 % 

―  

  $ 

  $ 

  $ 

  $ 

  $ 

48 

  
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
Table of Contents 

Period end 
Weighted average 

Occupancy rate (weighted average) 
Senior Housing average monthly revenue per unit(3) 
Other Entry Fee Data 

Non-refundable entrance fees sales 
Refundable entrance fees sales(4) 
Total entrance fee receipts 
Refunds 
Net entrance fees(5) 

Management Services 

Number of communities (period end) 
Total units(2) 

Period end 
Weighted average 

Occupancy rate (weighted average) 

ISC 

Outpatient Therapy treatment codes 
Home Health average census 

__________ 

  $ 

  $ 

  $ 

5,163  
5,148  
82.7 %  
5,052  

  $ 

5,142  
5,146  
82.3 %  
4,830  

  $ 

38,378  
29,611  
67,989  
(25,754 )   
42,235  

  $ 

  $ 

37,486  
36,420  
73,906  
(21,060 )   
52,846  

  $ 

  $ 

97  

18,288  
8,636  
84.5 %  

19  

3,786  
3,787  
83.8 %  

3,349,854  
3,330  

3,255,850  
2,420  

21  
2  
0.4 %  
222  

892  
(6,809 )   
(5,917 )   
4,694  
(10,611 )   

78  

14,502  
4,849  

0.7 %  

94,004  
910  

0.4 % 
―  
0.5 % 
4.6 % 

2.4 % 
(18.7 %) 
(8.0 %) 
22.3 % 
(20.1 %) 

410.5 % 

383.0 % 
128.0 % 
0.8 % 

2.9 % 
37.6 % 

(1) Management services segment revenue includes reimbursements for which we are the primary obligor of costs incurred on behalf of managed communities.

(2) Period end units operated excludes equity homes.  Weighted average units operated represents the average units operated during the period, excluding equity homes.

(3) Senior Housing average monthly revenue per unit represents the average of the total monthly resident fee revenues, excluding amortization of entrance fees and ISC segment 

revenue, divided by average occupied units.

(4) Refundable entrance fee sales for the years ended December 31, 2011 and 2010 include amounts received from residents participating in the MyChoice program, which allows new 

and existing residents the option to pay additional refundable entrance fee amounts in return for a reduced monthly service fee.  MyChoice amounts received from residents totaled 
$9.0 million and $10.6 million for the years ended December 31, 2011 and 2010.

(5)

Includes $12.6 million and $18.5 million of first generation net entrance fee receipts (which represent initial entrance fees received from the sale of units, net of first generation 
entrance fee refunds not replaced by second generation entrance fee receipts, at a recently opened entrance fee CCRC) during the year ended December 31, 2011 and 2010, 
respectively.

As of December 31, 2011, our total operations included 647 communities with a capacity to serve 67,107 residents. 

Resident Fees 

Resident fees increased over the prior-year principally due to an increase in average monthly revenue per unit during the current year, including an increase in our ancillary services 
revenue as we continued to roll out therapy and home health services to many of our communities, as well as the inclusion of revenue from recent acquisitions.  During the current year, 
revenues grew 3.1% at the 531 consolidated communities we operated during both periods with a 3.3% increase in the average monthly revenue per unit (excluding amortization of 
entrance fees in both instances).  Occupancy decreased 0.2% in these communities year over year. 

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Retirement Centers revenue increased $10.6 million, or 2.3%, primarily due to increases in average monthly revenue per unit and occupancy at the communities we operated during both 
years, as well as the inclusion of revenue from three communities acquired in the current year.  The increase in revenue was partially offset by the sale of two communities during the 
current year. 

Assisted Living revenue increased $19.1 million, or 2.0%, primarily due to an increase in the average monthly revenue per unit and the inclusion of revenue from seven communities 
acquired in the current year.  This increase was partially offset by a decrease in occupancy at the communities we operated during both years and the impact of the disposition of two 
communities during the current year. 

CCRCs - Rental revenue increased $24.2 million, or 7.1%, primarily due to an increase in the average monthly revenue per unit and occupancy at the communities we operated during 
both years, as well as the inclusion of revenue from four communities acquired in the current year. 

CCRCs - Entry Fee revenue increased $14.4 million, or 5.4%, primarily due to an increase in the average monthly revenue per unit and additional revenue from a community opened late 
in the third quarter of 2009. 

ISC revenue increased $15.8 million, or 8.3%, primarily due to the roll-out of our ancillary services programs to additional units subsequent to the prior year period.  The increase was 
partially offset by a reduction in Medicare reimbursement rates. 

Management Services 

Management services revenue, including reimbursed costs incurred on behalf of managed communities, increased $93.3 million, or 128.0%, primarily due to the management agreements 
entered into or acquired in conjunction with the Horizon Bay and HCP transactions.  In the current year, we added 78 new managed communities in connection with these transactions. 

Facility Operating Expense 

Facility operating expense increased over the prior-year primarily due to an increase in salaries and wages, additional current year expense incurred in connection with the continued 
expansion of our ancillary services programs during 2010 and 2011, increased payroll taxes and workers compensation expense, as well as the inclusion of expenses from communities 
acquired during the current year.  These increases were partially offset by decreases in real estate tax expense related to changes in estimates, bad debt expense and lighting retrofit 
costs. 

Retirement Centers operating expenses increased $8.8 million, or 3.3%, primarily due to increases in salaries and wages due to wage rate increases and an increase in hours worked year 
over year, the inclusion of expenses from communities acquired in the current year, and increases in food expenses.  These increases were partially offset by a decrease in lighting 
retrofit costs and decreases in real estate taxes related to changes in estimates. 

Assisted Living operating expenses increased $10.4 million, or 1.7%, primarily due to increases in salaries and wages due to wage rate increases and an increase in hours worked year 
over year, as well as increases in payroll taxes and workers compensation.  These increases were partially offset by decreases in real estate tax expense. 

CCRCs - Rental operating expenses increased $16.3 million, or 7.0%, primarily due to the inclusion of expenses from communities acquired in the current year, an increase in salaries and 
wages due to wage rate increases and an increase in hours worked year over year, and an increase in skilled therapy services expense.  These increases were partially offset by 
decreases in bad debt expense and lighting retrofit costs. 

CCRCs - Entry Fee operating expenses increased $10.5 million, or 5.2%, primarily due to an increase in salaries and wages due to wage rate increases and an increase in hours worked 
year over year, additional expenses from a community opened late in the third quarter of 2009, and an increase in skilled therapy expenses.  These increases were partially offset by 
reduced deferred community fee expense recognition during the year. 

ISC operating expenses increased $24.7 million, or 20.1%, primarily due to an increase in expenses incurred in connection with the continued expansion of our ancillary services 
programs, an increase in home health management salaries, and increases in therapy and home health direct labor. 

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General and Administrative Expense 

General and administrative expense increased $16.6 million, or 12.6%, primarily as a result of increased salaries and wages, payroll taxes, employee benefits, travel expenses and 
integration and transaction-related costs, partially offset by a decrease in corporate expense allocations.  General and administrative expense as a percentage of total revenue, including 
revenue generated by the communities we manage and excluding non-cash stock-based compensation expense and integration and transaction-related costs, was 4.4% and 4.7% for the 
years ended December 31, 2011 and 2010, respectively, calculated as follows (dollars in thousands): 

Resident fee revenues 

Resident fee revenues under management 

Total 

General and administrative expenses (excluding non-cash stock-based compensation 

expense and integration and transaction-related costs) 

Non-cash stock-based compensation expense 

Integration and transaction-related costs 
General and administrative expenses (including non-cash stock-based compensation 

Year Ended December 31, 

2011 

2010 

  $ 

2,291,757  

  $ 

  $ 

304,717  

2,596,474  

114,083  

19,856  

14,388  

88.3 %   $ 
11.7 %  
100 %   $ 

4.4 %   $ 
0.8 %  
0.5 %  

2,207,673  
139,478  
2,347,151  

110,950  
20,759  
―  

expense and integration and transaction-related costs) 

  $ 

148,327  

5.7 %   $ 

131,709  

Facility Lease Expense 

94.1 % 

5.9 % 

100 % 

4.7 % 

0.9 % 

0.0 % 

5.6 % 

Facility lease expense increased $4.0 million, or 1.5%, primarily due to normal operating lease expense escalations and the acquisition of 12 leased properties in conjunction with the 
Horizon Bay and HCP transactions.  The increase was partially offset by the purchase of four leased communities and the non-renewal of two leased communities that occurred late in 
the prior year. 

Depreciation and Amortization 

Depreciation and amortization expense decreased by $23.8 million, or 8.2%, primarily as a result of the management contract and therapy services intangibles related to a 2006 acquisition 
becoming fully amortized during the current year, as well as in-place lease intangibles from prior acquisitions and furniture and equipment becoming fully amortized during the current 
year. 

Asset Impairment 

During 2011 and 2010, we recognized $16.9 million and $13.1 million, respectively, of impairment charges related to asset impairments for property, plant and equipment and leasehold 
intangibles for certain communities within the Assisted Living and Retirement Center segments.  We compared the estimated fair value of the assets to their carrying value and recorded 
an impairment charge for the excess of carrying value over estimated fair value. 

Gain on Acquisition 

During 2011, we recognized $2.0 million as a gain on acquisition related to the acquisition of Horizon Bay.  See Note 4 to the consolidated financial statements contained in Part II, Item 8 
of this Annual Report on Form 10-K, which is incorporated herein by reference, for further detail. 

Costs Incurred on Behalf of Managed Communities 

Costs incurred on behalf of managed communities increased $85.3 million, or 126.8%, primarily due to management agreements entered into or acquired in conjunction with the Horizon 
Bay and HCP transactions.  We added 78 new 

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managed communities in connection with these transactions. 

Interest Income 

Interest income increased $1.3 million, or 58.1%, primarily due to increased interest income earned on our restricted marketable securities. 

Interest Expense 

Interest expense decreased $3.5 million, or 2.4%, primarily due to a decrease in interest expense on our mortgage debt due to lower average outstanding debt year over year.  The 
decrease was partially offset by additional expense from the amortization of our debt discount primarily on our convertible notes issued during 2011 and higher interest cost related to 
our line of credit which had a higher average outstanding balance drawn year over year. 

Loss on Extinguishment of Debt, net 

During 2011, we recognized $18.9 million as a loss on extinguishment of debt, related to costs incurred in connection with the early repayment of first and second mortgage notes. 

Income Taxes 

The reduction in the income tax benefit over the prior year is due to a decrease in the effective tax rate from 39.1% in 2010 to (3.6)% in 2011.  This decrease is primarily due to the impact 
of our decision to record a valuation allowance against the deferred tax benefit generated during 2011. 

Critical Accounting Policies and Estimates 

The preparation of our financial statements in conformity with accounting principles generally accepted in the United States, or GAAP, requires us to make estimates and judgments 
that affect our reported amounts of assets and liabilities, revenues and expenses. We consider an accounting estimate to be critical if it requires assumptions to be made that were 
uncertain at the time the estimate was made and changes in the estimate, or different estimates that could have been selected, could have a material impact on our consolidated results of 
operations or financial condition. We have identified the following critical accounting policies that affect significant estimates and judgments. 

Revenue Recognition and Assumptions at Entrance Fee Communities 

Our entrance fee communities provide housing and healthcare services through entrance fee agreements with residents. Under certain of these agreements, residents pay an entrance 
fee upon entering into the contract and are contractually guaranteed certain limited lifecare benefits in the form of healthcare discounts. The recognition of entrance fee income requires 
the use of various actuarial estimates. We recognize this revenue by recording the non-refundable portion of the residents' entrance fees as deferred entrance fee income and amortizing 
it into revenue using the straight-line method over the estimated remaining life expectancy of each resident or couple, adjusted annually.  In addition, certain entrance fee agreements 
entitle the resident to a refund of the original entrance fee paid plus a percentage of the appreciation of the unit contingent upon resale.  We estimate the portion of such entrance fees 
that will be repaid to the resident from other contingently refundable entrance fees received or non-refundable entrance fees received and record that portion as deferred revenue with 
the remainder classified as refundable entrance fees.  The portion recorded as deferred revenue is amortized over the life of the entrance fee building.  We periodically assess the 
reasonableness of these mortality tables and other actuarial assumptions, and measurement of future service obligations. 

Self-Insurance Liability Accruals 

We are subject to various legal proceedings and claims that arise in the ordinary course of our business. Although we maintain general liability and professional liability insurance 
policies for our owned, leased and managed communities under a master insurance program, our current policies provide for deductibles for each and every claim.   

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As a result, we are effectively self-insured for claims that are less than the deductible amounts.  In addition, we maintain a large-deductible workers compensation program and a self-
insured employee medical program. We have secured our obligations related to general liability, professional liability and workers compensation programs with cash aggregating $16.1 
million and letters of credit aggregating $40.7 million as of December 31, 2012.  We operate a wholly-owned captive insurance company, Senior Services Insurance Limited ("SSIL") for 
the purpose of insuring certain portions of the risk retention under our general liability and professional liability insurance program, but SSIL's coverage is currently limited to claims 
made prior to 2010.  Third-party insurers are responsible for claim costs above program deductibles and retentions. 

The cost of our employee health and dental benefits, net of employee contributions, is shared by us and our communities based on the respective number of participants working 
directly either at our corporate offices or at the communities. Cash received is used to pay the actual costs of administering the program which include paid claims, third-party 
administrative fees, network provider fees, communication costs, and other related administrative costs incurred by us.  Claims are paid as they are submitted to the plan administrator. 

Outstanding losses and expenses for general liability and professional liability and workers compensation are estimated based on the recommendations of independent actuaries and 
management's estimates.  Outstanding losses and expenses for our self-insured medical program are estimated based on the recommendation of our third party administrator. 

We review the adequacy of our accruals related to these liabilities on an ongoing basis, using historical claims, actuarial valuations, third-party administrator estimates, consultants, 
advice from legal counsel and industry data, and adjust accruals periodically. Estimated costs related to these self-insurance programs are accrued based on known claims and projected 
claims incurred but not yet reported. Subsequent changes in actual experience are monitored and estimates are updated as information is available. 

Income Taxes 

We account for income taxes under the provisions of ASC 740 Income Taxes. Under this method, deferred tax assets and liabilities are determined based on the difference between the 
financial statement and tax bases of assets and liabilities using tax rates in effect for the year in which the differences are expected to affect taxable income. Valuation allowances are 
established when necessary to reduce deferred tax assets to the amounts that are expected to be realized. As of December 31, 2012 and 2011, we have a valuation allowance against 
deferred tax assets of approximately $65.3 million and $40.8 million, respectively. When we determine that it is more likely than not that we will be able to realize our deferred tax assets in 
the future in excess of our net recorded amount, an adjustment to the deferred tax asset would be made and reflected in income.  This determination will be made by considering various 
factors, including the reversal of existing temporary differences, tax planning strategies and estimates of future taxable income exclusive of the reversal of temporary differences. 

We have elected the "with-and-without approach" regarding ordering of windfall tax benefits to determine whether the windfall tax benefit did reduce taxes payable in the current year.  
Under this approach, the windfall tax benefits would be recognized in additional paid-in capital only if an incremental tax benefit is realized after considering all other tax benefits 
presently available to us. 

Lease Accounting 

We determine whether to account for our leases as either operating or capital leases depending on the underlying terms. As of December 31, 2012, we operated 329 communities under 
long-term leases with operating, capital and financing lease obligations. The determination of this classification is complex and in certain situations requires a significant level of 
judgment. Our classification criteria is based on estimates regarding the fair value of the leased communities, minimum lease payments, effective cost of funds, the economic life of the 
community and certain other terms in the lease agreements as stated in our consolidated financial statements included elsewhere in this Annual Report on Form 10-K. Communities 
under operating leases are accounted for in our consolidated statements of operations as lease expenses for actual rent paid plus or minus straight-line adjustments for fixed or 
estimated minimum lease escalators and amortization of deferred gains. For communities under capital lease and lease 

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financing obligation arrangements, a liability is established on our balance sheets and a corresponding long-term asset is recorded. Lease payments are allocated between principal and 
interest on the remaining base lease obligations and the lease asset is depreciated over the shorter of its useful life or the term of the lease. In addition, we amortize leasehold 
improvements purchased during the term of the lease over the shorter of their economic life or the lease term. Sale-leaseback transactions are recorded as lease financing obligations 
when the transactions include a form of continuing involvement, such as purchase options. 

One of our leases provides for various additional lease payments based on changes in the interest rates on the debt underlying the lease. All of our leases contain fixed or formula 
based rent escalators. To the extent that the escalator increases are tied to a fixed index or rate, lease payments are accounted for on a straight-line basis over the life of the lease. In 
addition, we recognize all rent-free or rent holiday periods in operating leases on a straight-line basis over the lease term, including the rent holiday period. 

For leases in which we are involved with the construction of the building, we account for the lease during the construction period under the provisions of ASC 840.  If we conclude that 
we have substantively all of the risks of ownership during construction of a leased property and therefore we are deemed the owner of the project for accounting purposes, we record 
an asset and related financing obligation for the amount of total project costs related to construction in progress and the pre-existing asset.  Once construction is complete, we consider 
the requirements under ASC 840-40 – Leases – Sale-Leaseback Transactions.  If the arrangement does not qualify for sale-leaseback accounting, we continue to amortize the financing 
obligation and depreciate the building over the lease term. 

Allowance for Doubtful Accounts and Contractual Adjustments 

Accounts receivable are reported net of an allowance for doubtful accounts, and represent our estimate of the amount that ultimately will be realized in cash. The allowance for doubtful 
accounts was $15.3 million and $17.0 million as of December 31, 2012 and 2011, respectively.  The adequacy of our allowance for doubtful accounts is reviewed on an ongoing basis, 
using historical payment trends, write-off experience, analyses of receivable portfolios by payor source and aging of receivables, as well as a review of specific accounts, and 
adjustments are made to the allowance as necessary. Recent changes in legislation are not expected to have a material impact on the collectability of our accounts receivable; however, 
changes in economic conditions could have an impact on the collection of existing receivable balances or future allowance calculations. 

Approximately 80.1% and 79.5% of our resident fee revenues for the years ended December 31, 2012 and 2011, respectively, were derived from private pay customers and 19.9% and 
20.5% of our resident fee revenues for the years ended December 31, 2012 and 2011, respectively, were derived from services covered by various third-party payor programs, including 
Medicare and Medicaid.  Billings for services under third-party payor programs are recorded net of estimated retroactive adjustments, if any, under reimbursement programs. Revenue 
related to these billings is recorded on an estimated basis in the period the related services are rendered and adjusted in future periods or as final settlements are determined. We accrue 
contractual or cost related adjustments from Medicare or Medicaid when assessed (without regard to when the assessment is paid or withheld), even if we have not agreed to or are 
appealing the assessment. Subsequent positive or negative adjustments to these accrued amounts are recorded in net revenues when known. 

Long-Lived Assets, Goodwill and Purchase Accounting 

As of December 31, 2012 and 2011, our long-lived assets were comprised primarily of $3.9 billion and $3.7 billion, respectively, of net property, plant and equipment and leasehold 
intangibles. In accounting for our long-lived assets, other than goodwill, we apply the provisions of ASC 360 Property, Plant and Equipment.  In connection with our formation 
transactions, for financial reporting purposes we recorded the non-controlling stockholders' interest at fair value. Acquisitions are accounted for using the purchase method of 
accounting and the purchase prices are allocated to acquired assets and liabilities based on their estimated fair values. Goodwill associated with our acquisition of ARC and our 
formation transactions was allocated to the respective reporting unit and included in our application of the provisions of ASC 350 Intangibles – Goodwill and Other ("ASC 350").  We 
account for goodwill under the provisions of ASC 350.  As of December 31, 2012 and 2011, we had $109.6 million of goodwill. 

We test long-lived assets other than goodwill and indefinite-lived intangible assets for recoverability annually during our fourth quarter or whenever changes in circumstances indicate 
the carrying value may not be recoverable. Recoverability of an asset (group) is estimated by comparing its carrying value to the future net undiscounted cash 

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flows expected to be generated by the asset (group). If this comparison indicates that the carrying value of an asset (group) is not recoverable, we are required to recognize an 
impairment loss. The impairment loss is measured by the amount by which the carrying amount of the asset (group) exceeds its estimated fair value. When an impairment loss is 
recognized for assets to be held and used, the carrying amount of those assets is permanently adjusted and depreciated over its remaining useful life.  During the years ended December 
31, 2012 and 2011, we evaluated long-lived depreciable assets and determined that the undiscounted cash flows exceeded the carrying value of these assets for all except a small number 
of communities.  Estimated fair values were determined and non-cash asset impairment charges of $27.7 million and $16.9 million were taken for the years ended December 31, 2012 and 
2011, respectively.  These impairment charges are primarily due to lower than expected performance of the underlying communities and the amount by which the carrying values of the 
assets exceed the estimated fair value or estimated selling prices. 

Goodwill is not amortized, but is subject to annual or more frequent impairment testing.  We test goodwill for impairment annually during our fourth quarter, or whenever indicators exist 
that our goodwill may not be recoverable.  The recoverability of goodwill is required to be assessed using a two-step process. The first step requires a comparison of the estimated fair 
value of a reporting unit with its carrying value. If the carrying value of the reporting unit exceeds its estimated fair value, the second step requires a comparison of the implied fair value 
of goodwill (based on a putative purchase price allocation methodology) with its carrying value. If the carrying value of the reporting unit's goodwill exceeds the implied fair value of 
that goodwill, an impairment loss is recognized in an amount equal to the excess. 

In 2012, we adopted the guidance within Accounting Standards Update  2011-08, Intangibles — Goodwill and Other ("ASU 2011-08"), which allows us to first assess qualitative factors 
to determine whether it is necessary to perform the two-step quantitative goodwill impairment test.  Under this amendment, an entity would not be required to calculate the fair value of a 
reporting unit unless the entity determines, based on a qualitative assessment, that it is more likely than not that its fair value is less than its carrying amount.  In 2012, we assessed 
qualitative factors and determined that it was not necessary to perform the two-step quantitative goodwill impairment test. 

Indefinite-lived intangible assets are tested for impairment annually during our fourth quarter or more frequently as required.  The impairment test consists of a comparison of the 
estimated fair value of the indefinite-lived intangible asset with its carrying value.  If the carrying amount exceeds its fair value, an impairment loss is recognized for that difference. 

In estimating the fair value of long-lived assets (groups) and reporting units for purposes of our goodwill impairment test, we generally use the income approach.  The income approach 
utilizes future cash flow projections that are developed internally.  Any estimates of future cash flow projections necessarily involve predicting an unknown future and require 
significant management judgments and estimates.   In arriving at our cash flow projections, we consider our historic operating results, approved budgets and business plans, future 
demographic factors, expected growth rates, and other factors.  Future events may indicate differences from management's current judgments and estimates, which could, in turn, result 
in future impairments.  Future events that may result in impairment charges include increases in interest rates, which could impact discount rates, differences in the projected occupancy 
rates and changes in the cost structure of existing communities. 

In using the income approach to estimate the fair value of long-lived assets (groups) and reporting units for purposes of our goodwill impairment test, we make certain key assumptions. 
 Those assumptions include future revenues and future facility operating expenses, and future cash flows that we would receive upon a sale of the communities using estimated 
capitalization rates. We corroborate the capitalization rates we use in these calculations with capitalization rates observable from recent market transactions. 

Where required, future cash flows are discounted at a rate that is consistent with a weighted average cost of capital from a market participant perspective. The weighted average cost of 
capital is an estimate of the overall after-tax rate of return required by equity and debt holders of a business enterprise. 

Although we make every reasonable effort to ensure the accuracy of our estimate of the fair value of our reporting units, future changes in the assumptions used to make these 
estimates could result in the recording of an impairment loss. 

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Stock-Based Compensation 

We adopted ASC 718 Compensation – Stock Compensation ("ASC 718") in connection with initial grants of restricted stock effective August 2005, which were converted into shares 
of our restricted stock on September 30, 2005 in connection with our formation transaction. ASC 718 requires measurement of the cost of employee services received in exchange for 
stock compensation based on the grant-date fair value of the employee stock awards. Incremental compensation costs arising from subsequent modifications of awards after the grant 
date must be recognized when incurred. 

Certain of our employee stock awards vest only upon the achievement of performance targets.  ASC 718 requires recognition of compensation cost only when achievement of 
performance conditions is considered probable. Consequently, our determination of the amount of stock compensation expense requires a significant level of judgment in estimating the 
probability of achievement of these performance targets. Additionally, we must make estimates regarding employee forfeitures in determining compensation expense. Subsequent 
changes in actual experience are monitored and estimates are updated as information is available. 

Litigation 

Litigation is inherently uncertain and the outcome of individual litigation matters is not predictable with assurance.  As described in Note 21 to the consolidated financial statements, we 
are involved in various legal actions and claims incidental to the conduct of our business which are comparable to other companies in the senior living and healthcare industries.  We 
have established loss provisions for matters in which losses are probable and can be reasonably estimated. In other instances, we may not be able to make a reasonable estimate of any 
liability because of uncertainties related to the outcome and/or the amount or range of losses. Changes in our current estimates, due to unanticipated events or otherwise, could have a 
material impact on our financial condition and results of operations. 

New Accounting Pronouncements 

The information required by this Item is provided in Note 2 of the notes to the consolidated financial statements contained in "Item 8. Financial Statements and Supplementary Data". 

Liquidity and Capital Resources 

The following is a summary of cash flows from operating, investing and financing activities, as reflected in the Consolidated Statements of Cash Flows (dollars in thousands): 

Year Ended 
December 31, 

2012 

2011 

Cash provided by operating activities 
Cash used in investing activities 
Cash provided by (used in) financing activities 
Net increase (decrease) in cash and cash equivalents 
Cash and cash equivalents at beginning of year 
Cash and cash equivalents at end of year 

  $ 

  $ 

  $ 

290,969  
(455,334 )   
202,769  
38,404  
30,836  
69,240  

  $ 

268,427  
(203,899 ) 
(115,519 ) 
(50,991 ) 
81,827  
30,836  

The increase in cash provided by operating activities was attributable primarily to increased cash provided by changes in working capital and, to a lesser extent, improved operating 
results. 

The increase in cash used in investing activities was primarily attributable to an increase in cash paid for acquisitions and spending on property, plant, equipment, and leasehold 
intangibles. The increase was partially offset by the sale of restricted marketable securities. Additionally, the prior year includes cash received from restricted cash and escrow deposits 
related to the release of escrows on a recently opened entrance fee CCRC and from the sale of assets. 

The change in cash related to financing activities year over year was primarily attributable to an increase in the proceeds from debt related to the financing of current year acquisitions 
and a decrease in repayments of debt, as the prior year included both the repayment of debt on a recently opened entrance fee CCRC when entrance fees 

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originally escrowed were released in accordance with state regulations, as well as repayments of debt from proceeds received in connection with the convertible debt offering in June 
2011.  Additionally, there was an increase in the cash portion of the loss on extinguishment of debt and we repurchased 1,217,100 shares of our common stock at an aggregate cost of 
$17.6 million in the prior year. 

Our principal sources of liquidity have historically been from: 

cash balances on hand;
cash flows from operations;
proceeds from our credit facilities;
proceeds from mortgage financing or refinancing of various assets;
funds generated through joint venture arrangements or sale-leaseback transactions; and

•
•
•
•
•
• with somewhat lesser frequency, funds raised in the debt or equity markets and proceeds from the selective disposition of underperforming and/or non-core assets.

Over the longer-term, we expect to continue to fund our business through these principal sources of liquidity. 

Our liquidity requirements have historically arisen from: 

• working capital;
•
•
•
•
•
•
•
•

operating costs such as employee compensation and related benefits, general and administrative expense and supply costs;
debt service and lease payments;
acquisition consideration and transaction costs;
cash collateral required to be posted in connection with our interest rate swaps and related financial instruments;
capital expenditures and improvements, including the expansion of our current communities and the development of new communities;
dividend payments;
purchases of common stock under our share repurchase authorizations; and
other corporate initiatives (including integration and branding).

Over the near-term, we expect that our liquidity requirements will primarily arise from: 

• working capital;
•
•
•
•
• 
• 

operating costs such as employee compensation and related benefits, general and administrative expense and supply costs;
debt service and lease payments;
capital expenditures and improvements, including the expansion, redevelopment and repositioning of our current communities and the development of new communities;
other corporate initiatives (including information systems and branding);
acquisition consideration and transaction costs; and 
purchases of common stock under our share repurchase authorization.

We are highly leveraged and have significant debt and lease obligations.  As of December 31, 2012, we have three principal corporate-level debt obligations:  our $230.0 million 
revolving credit facility, our $316.3 million convertible senior notes due 2018 and separate secured and unsecured letter of credit facilities providing for up to $92.5 million of letters of 
credit in the aggregate.  The remainder of our indebtedness is generally comprised of non-recourse property-level mortgage financings. 

At December 31, 2012, we had $2.3 billion of debt outstanding, excluding capital lease obligations and our line of credit, at a weighted-average interest rate of 4.52% (calculated using an 
imputed interest rate of 7.5% for our $316.3 million convertible senior notes due 2018).  At December 31, 2012, we had $319.7 million of capital and financing lease obligations, $80.0 
million was drawn on our revolving credit facility, and $78.1 million of letters of credit had been issued under our letter of credit facilities.  Approximately $509.5 million of our debt and 
capital lease obligations are due on or before December 31, 2013.  We also have substantial operating lease obligations and 

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capital expenditure requirements.  For the year ending December 31, 2013, we will be required to make approximately $277.7 million of payments in connection with our existing operating 
leases. 

We had $69.2 million of cash and cash equivalents at December 31, 2012, excluding cash and escrow deposits-restricted and lease security deposits of $144.4 million in the aggregate. 
 As of that date, we also had $191.4 million of availability on our revolving credit facility (of which $80.0 million had been drawn as of December 31, 2012). 

At December 31, 2012, we had $812.5 million of negative working capital, which includes the classification of $465.6 million of mortgage notes payable and $260.9 million of refundable 
entrance fees as current liabilities.  Although the mortgage notes payable are scheduled to mature on or prior to December 31, 2013, we have the option, subject to the satisfaction of 
customary conditions (such as the absence of a material adverse change), to extend the maturity of approximately $205.5 million of certain mortgages payable included in such debt until 
2018 or later, as the instruments associated with such mortgages payable provide that we can extend the respective maturity dates for terms of five to seven years from the existing 
maturity dates. We presently anticipate that we will either satisfy the conditions precedent for extending these obligations and will exercise the extension options or we will refinance or 
repay the $465.6 million of mortgage notes payable at or prior to maturity.  Based upon our historical operating experience, we anticipate that only 9.0% to 12.0% of the refundable 
entrance fee liabilities will actually come due, and be required to be settled in cash, during the next 12 months. We expect that any entrance fee liabilities due within the next 12 months 
will be fully offset by the proceeds generated by subsequent entrance fee sales.  Entrance fee sales, net of refunds paid, provided $55.3 million of cash for the year ended December 31, 
2012. 

For the year ending December 31, 2013, we anticipate that we will make investments of approximately $150.0 million to $165.0 million for net capital expenditures (excluding expenditures 
related to our Program Max initiative discussed below), comprised of approximately $40.0 million to $45.0 million of net recurring capital expenditures and approximately $110.0 million to 
$120.0 million of expenditures relating to other major projects (including corporate initiatives).  These major projects include unusual or non-recurring capital projects, projects which 
create new or enhanced economics, such as major renovations or repositioning projects at our communities, integration related expenditures (including the cost of developing 
information systems), and expenditures supporting the expansion of our ancillary services programs.  For the year ended December 31, 2012, we spent approximately $38.3 million for net 
recurring capital expenditures and approximately $110.5 million for expenditures relating to other major projects and corporate initiatives.  

In addition, we have increased our efforts with respect to the expansion, redevelopment and repositioning of our communities through our Program Max initiative.  We anticipate making 
net investments of approximately $75.0 million to $85.0 million over the next 12 months in connection with recently initiated or currently planned projects.  For the year ended December 
31, 2012, we spent approximately $42.8 million in connection with our Program Max initiative. 

During 2013, we anticipate that our capital expenditures will be funded from cash on hand, cash flows from operations, lessor reimbursement and amounts drawn on our credit facility. 

As opportunities arise, we plan to continue to take advantage of the fragmented senior housing and care sectors by selectively purchasing existing operating companies, asset 
portfolios, home health agencies and communities. We may also seek to acquire the fee interest in communities that we currently lease or manage. 

We expect to continue to assess our financing alternatives periodically and access the capital markets opportunistically.  If our existing resources are insufficient to satisfy our liquidity 
requirements, or if we enter into an acquisition or strategic arrangement with another company, we may need to sell additional equity or debt securities. Any such sale of additional 
equity securities will dilute the interests of our existing stockholders, and we cannot be certain that additional public or private financing will be available in amounts or on terms 
acceptable to us, if at all (particularly given current market conditions). If we are unable to obtain this additional financing, we may be required to delay, reduce the scope of, or eliminate 
one or more aspects of our business development activities, any of which could reduce the growth of our business. 

We currently estimate that our existing cash flows from operations, together with existing working capital, amounts available under our credit facility and, to a lesser extent, proceeds 
from anticipated financings and refinancings of various assets, will be sufficient to fund our liquidity needs for at least the next 12 months, assuming that the overall 

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economy does not substantially deteriorate. 

Our actual liquidity and capital funding requirements depend on numerous factors, including our operating results, the actual level of capital expenditures, our expansion, development 
and acquisition activity, general economic conditions and the cost of capital.  Shortfalls in cash flows from operating results or other principal sources of liquidity may have an adverse 
impact on our ability to execute our business and growth strategies.  The current volatility in the credit and financial markets may also have an adverse impact on our liquidity by making 
it more difficult for us to obtain financing or refinancing.  As a result, this may impact our ability to grow our business, maintain capital spending levels, expand certain communities, or 
execute other aspects of our business strategy.  In order to continue some of these activities at historical or planned levels, we may incur additional indebtedness or lease financing to 
provide additional funding.  There can be no assurance that any such additional financing will be available or on terms that are acceptable to us. 

As of December 31, 2012, we are in compliance with the financial covenants of our outstanding debt and lease agreements. 

Credit Facilities 

On January 31, 2011, we entered into an amended and restated credit agreement with General Electric Capital Corporation, as administrative agent and lender, and the other lenders from 
time to time parties thereto. The amended credit agreement amended and restated in its entirety our existing credit agreement dated as of February 23, 2010, as previously amended.  The 
amended credit agreement increased the commitment under the credit facility from $120.0 million to $200.0 million and extended the maturity date to January 31, 2016.  Effective February 
23, 2011, the commitment under the amended and restated credit agreement was further increased to $230.0 million. 

The revolving line of credit can be used to finance acquisitions and fund working capital and capital expenditures and for other general corporate purposes. 

The facility is secured by a first priority lien on certain of our communities. The availability under the line will vary from time to time as it is based on borrowing base calculations related 
to the value and performance of the communities securing the facility. 

Amounts drawn under the facility bear interest at 90-day LIBOR plus an applicable margin, as described below. For purposes of determining the interest rate, in no event will LIBOR be 
less than 2%. The applicable margin varies with the percentage of total commitment drawn, with a 4.5% margin at 35% or lower utilization, a 5.0% margin at utilization greater than 35% 
but less than or equal to 50% and a 5.5% margin at greater than 50% utilization. We are also required to pay a quarterly commitment fee of 1.0% per annum on the unused portion of the 
facility. 

The credit agreement contains typical affirmative and negative covenants, including financial covenants with respect to minimum consolidated fixed charge coverage and minimum 
consolidated tangible net worth. A violation of any of these covenants could result in a default under the credit agreement, which would result in termination of all commitments under 
the credit agreement and all amounts owing under the credit agreement and certain other loan agreements becoming immediately due and payable. 

As of December 31, 2012, we had an available secured line of credit with a $230.0 million commitment and $191.4 million of availability (of which $80.0 million had been drawn as of that 
date).  We also had secured and unsecured letter of credit facilities of up to $92.5 million in the aggregate as of December 31, 2012.  Letters of credit totaling $78.1 million had been 
issued under these facilities as of that date. 

Convertible Debt Offering 

In June 2011, we completed a registered offering of $316.3 million aggregate principal amount of 2.75% convertible senior notes (the "Notes"). We received net proceeds of 
approximately $308.2 million after the deduction of underwriting commissions and offering expenses.  We used a portion of the net proceeds to pay our cost of the convertible note 
hedge transactions described below, taking into account our proceeds from the warrant transactions described below, and used the balance of the net proceeds to repay existing 
outstanding debt. 

The Notes are senior unsecured obligations and rank equally in right of payment to all of our other senior unsecured 

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debt, if any. The Notes will be senior in right of payment to any of our debt which is subordinated by its terms to the Notes (if any). The Notes are also structurally subordinated to all 
debt and other liabilities and commitments (including trade payables) of our subsidiaries. The Notes are also effectively subordinated to our secured debt to the extent of the assets 
securing such debt. 

The Notes bear interest at 2.75% per annum, payable semi-annually in cash.  The Notes are convertible at an initial conversion rate of 34.1006 shares of our common stock per $1,000 
principal amount of Notes (equivalent to an initial conversion price of approximately $29.325 per share), subject to adjustment. Holders may convert their Notes at their option prior to 
the close of business on the second trading day immediately preceding the stated maturity date only under the following circumstances:  (i) during any fiscal quarter commencing after 
the fiscal quarter ending September 30, 2011, if the last reported sale price of our common stock for at least 20 trading days (whether or not consecutive) during a period of 30 
consecutive trading days ending on the last trading day of the preceding fiscal quarter is greater than or equal to 130% of the applicable conversion price on each applicable trading 
day; (ii) during the five business day period after any five consecutive trading day period (the "measurement period"), in which the trading price per $1,000 principal amount of notes for 
each trading day of that measurement period was less than 98% of the product of the last reported sale price of our common stock and the applicable conversion rate on each such day; 
or (iii) upon the occurrence of specified corporate events.  On and after March 15, 2018, until the close of business on the second scheduled trading day immediately preceding the 
maturity date, holders may convert their Notes at any time, regardless of the foregoing circumstances.  Unconverted Notes mature at par in June 2018. 

Upon conversion, we will satisfy our conversion obligation by paying or delivering, as the case may be, cash, shares of our common stock or a combination of cash and shares of our 
common stock at our election.  It is our current intent and policy to settle the principal amount of the Notes (or, if less, the amount of the conversion obligation) in cash upon 
conversion. 

In addition, following certain corporate transactions, we will increase the conversion rate for a holder who elects to convert in connection with such transaction by a number of 
additional shares of common stock as set forth in the supplemental indenture governing the Notes. 

In connection with the offering of the Notes, in June 2011, we entered into convertible note hedge transactions (the "Convertible Note Hedges") with certain financial institutions (the 
"Hedge Counterparties"). The Convertible Note Hedges cover, subject to customary anti-dilution adjustments, 10,784,315 shares of common stock.  We also entered into warrant 
transactions with the Hedge Counterparties whereby the Company sold to the Hedge Counterparties warrants to acquire, subject to customary anti-dilution adjustments, up to 
10,784,315 shares of common stock (the "Sold Warrant Transactions").  The warrants have a strike price of $40.25 per share, subject to customary anti-dilution adjustments. 

The Convertible Note Hedges are expected to reduce the potential dilution with respect to common stock upon conversion of the Notes in the event that the price per share of common 
stock at the time of exercise is greater than the strike price of the Convertible Note Hedges, which corresponds to the initial conversion price of the Notes and is similarly subject to 
customary anti-dilution adjustments. If, however, the price per share of common stock exceeds the strike price of the Sold Warrant Transactions when they expire, there would be 
additional dilution from the issuance of common stock pursuant to the warrants. 

The Convertible Note Hedges and Sold Warrant Transactions are separate transactions (in each case entered into by us and the Hedge Counterparties), are not part of the terms of the 
Notes and will not affect the holders' rights under the Notes. Holders of the Notes do not have any rights with respect to the Convertible Note Hedges or the Sold Warrant 
Transactions. 

These hedging transactions had a net cost of approximately $31.9 million, which was paid from the proceeds of the Notes and recorded as a reduction of additional paid-in capital. 

Contractual Commitments 

The following table presents a summary of our material indebtedness, including the related interest payments, lease and other contractual commitments, as of December 31, 2012. 

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Total 

2013 

2014 

2015 

2016 

2017 

Thereafter 

Payments Due by Twelve Months Ending December 31, 

(dollars in thousands) 

Contractual Obligations: 
Long-term debt obligations(1) 
Capital lease obligations(1) 
Operating lease obligations(2) 
Refundable entrance fee obligations(3) 
Total contractual obligations 

  $ 

  $ 

2,883,406  
483,150  
1,978,916  
260,895  
5,606,367  

  $ 

  $ 

579,272  
55,828  
277,684  
28,745  
941,529  

  $ 

  $ 

251,953  
55,065  
268,164  
28,745  
603,927  

  $ 

  $ 

126,911  
53,401  
259,624  
28,745  
468,681  

  $ 

  $ 

194,803  
46,957  
256,463  
28,745  
526,968  

  $ 

  $ 

396,680  
60,494  
232,445  
28,745  
718,364  

  $ 

  $ 

1,333,787  
211,405  
684,536  
117,170  
2,346,898  

Total commercial construction commitments 

  $ 

41,480  

  $ 

41,480  

  $ 

—  

  $ 

—  

  $ 

—  

  $ 

—  

  $ 

—  

(1)

Includes contractual interest for all fixed-rate obligations and assumes interest on variable rate instruments at the December 31, 2012 rate after giving effect to in-place interest rate 
swaps.

(2) Reflects future cash payments after giving effect to non-contingent lease escalators and assumes payments on variable rate instruments at the December 31, 2012 rate.

(3) Future refunds of entrance fees are estimated based on historical payment trends. These refund obligations are generally offset by proceeds received from resale of the vacated 

apartment units. Historically, proceeds from resales of entrance fee units each year generally offset refunds paid and generate excess cash to us.

The foregoing amounts exclude outstanding letters of credit of $78.1 million as of December 31, 2012. 

Company Indebtedness, Long-term Leases and Hedging Agreements 

Indebtedness 

As of December 31, 2012, we have three principal corporate-level debt obligations: our $230.0 million revolving credit facility, our $316.3 million convertible senior notes due 2018 and 
separate secured and unsecured letter of credit facilities providing for up to $92.5 million of letters of credit in the aggregate.  The remainder of our indebtedness is generally comprised 
of non-recourse property-level mortgage financings. 

As of December 31, 2012 and 2011, our outstanding property-level secured debt and capital leases were $2.3 billion and $2.2 billion, respectively. In accordance with applicable 
accounting pronouncements, as of December 31, 2012, the current portion of long-term debt within our consolidated financial statements reflects approximately $465.6 million and $30.1 
million of our mortgage notes payable and capital lease obligations, respectively, due within the next 12 months. Although the mortgage notes payable are scheduled to mature on or 
prior to December 31, 2013, we have the option, subject to the satisfaction of customary conditions (such as the absence of a material adverse change), to extend the maturity of 
approximately $205.5 million of certain mortgages payable included in such debt until 2018 or later, as the instruments associated with such mortgages payable provide that we can 
extend the respective maturity dates for terms of five to seven years from the existing maturity dates. We presently anticipate that we will either satisfy the conditions precedent 
for extending these obligations and will exercise the extension options or we will refinance or repay the $465.6 million of mortgage notes payable at or prior to maturity. 

During 2012, we incurred $394.9 million of property-level debt primarily related to the financing of acquisitions, the expansion of certain communities, the refinancing of existing debt and 
the releveraging of certain assets.  Approximately $303.8 million of the new debt was issued at a variable interest rate and the remaining $91.1 million was issued at a fixed interest rate. 
 Refer to the notes to the consolidated financial statements for a detailed discussion of the new debt and related terms. 

We have secured self-insured retention risk under workers' compensation and general liability and professional liability programs with cash and letters of credit.  Cash securing the 
programs aggregated $16.1 million and $17.3 million as of December 31, 2012 and 2011, respectively.  Letters of credit securing the programs aggregated $40.7 million as of December 31, 
2012 and 2011. 

As of December 31, 2012, we are in compliance with the financial covenants of our outstanding debt agreements. 

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Long-Term Leases 

As of December 31, 2012, we have 329 communities operated under long-term leases. The leases relating to these communities are generally fixed rate leases with annual escalators that 
are either fixed or tied to changes in leased property revenue or the consumer price index. 

One portfolio lease has a floating-rate debt component built into the lease payments.  The lease includes $74.0 million of variable rate mortgages and/or tax exempt debt that is credit 
enhanced. 

For the year ended December 31, 2012, our minimum annual cash lease payments for our capital/financing leases and operating leases were $56.6 million and $280.0 million, respectively. 

As of December 31, 2012, we are in compliance with the financial covenants of our capital and operating leases. 

Hedging 

In the normal course of business, we use a variety of financial instruments to mitigate interest rate risk.  We have entered into certain interest rate protection and swap agreements to 
effectively cap or convert floating rate debt to a fixed rate basis.  As of December 31, 2012, we have $589.6 million in aggregate notional amount of interest rate caps, $27.4 million in 
aggregate notional amount of swaps and $236.5 million of variable rate debt, excluding our secured line of credit and capital lease obligations, that is not subject to any cap or swap 
agreements. 

All derivative instruments are recognized as either assets or liabilities in the consolidated balance sheet at fair value. 

The following table summarizes the Company's swap instruments at December 31, 2012 (dollars in thousands): 

Current notional balance 
Highest possible notional 
Lowest interest rate 
Highest interest rate 
Average fixed rate 
Earliest maturity date 
Latest maturity date 
Weighted average original maturity 
Estimated liability fair value (included in other liabilities at December 31, 2012) 
Estimated liability fair value (included in other liabilities at December 31, 2011) 

The following table summarizes the Company's cap instruments at December 31, 2012 (dollars in thousands): 

Current notional balance 
Highest possible notional 
Lowest interest cap rate 
Highest interest cap rate 
Average fixed cap rate 
Earliest maturity date 
Latest maturity date 
Weighted average original maturity 
Estimated asset fair value (included in other assets at December 31, 2012) 
Estimated asset fair value (included in other assets at December 31, 2011) 

Impacts of Inflation 

  $ 
  $ 

  $ 
  $ 

  $ 
  $ 

  $ 
  $ 

27,373  
27,373  

5.49 % 
5.49 % 
5.49 % 
2016  
2016  
5.0 years  
(1,833 ) 
(2,809 ) 

589,568  
589,568  

5.00 % 
6.06 % 
5.43 % 
2013  
2018  
3.5 years  
495  
—  

Resident fees from the communities we own or lease and management fees from communities we manage for third parties are our primary sources of revenue. These revenues are 
affected by the amount of monthly resident fee rates 

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and community occupancy rates. The rates charged are highly dependent on local market conditions and the competitive environment in which our communities operate. Substantially 
all of our retirement center, assisted living, and CCRC residency agreements allow for adjustments in the monthly fee payable not less frequently than every 12 or 13 months which 
enables us to seek increases in monthly fees due to inflation, increased levels of care or other factors. Any pricing increase would be subject to market and competitive conditions and 
could result in a decrease in occupancy in the communities. We believe, however, that our ability to periodically adjust the monthly fee serves to reduce the adverse effect of inflation. 
In addition, employee compensation expense is a principal element of facility operating costs and is also dependent upon local market conditions. There can be no assurance that 
resident fees will increase or that costs will not increase due to inflation or other causes. 

At December 31, 2012, approximately $841.5 million of our indebtedness, excluding our line of credit, bears interest at floating rates. We have mitigated our exposure to floating rates by 
using interest rate swaps and interest rate caps under our debt/lease arrangements. Inflation, and its impact on floating interest rates, could affect the amount of interest payments due 
on our line of credit. 

Off-Balance Sheet Arrangements 

The equity method of accounting has been applied in the accompanying financial statements with respect to our investment in unconsolidated ventures that are not considered VIEs as 
we do not possess a controlling financial interest. We do not believe these off-balance sheet arrangements have or are reasonably likely to have a current or future effect on our 
financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources that is material to investors. 

Non-GAAP Financial Measures 

A non-GAAP financial measure is generally defined as one that purports to measure historical or future financial performance, financial position or cash flows, but excludes or includes 
amounts that would not be so adjusted in the most comparable GAAP measure. In this report, we define and use the non-GAAP financial measures Adjusted EBITDA, Cash From 
Facility Operations and Facility Operating Income, as set forth below. 

Adjusted EBITDA 

Definition of Adjusted EBITDA 

We define Adjusted EBITDA as follows: 

Net income (loss) before: 

• provision (benefit) for income taxes;

• non-operating (income) expense items;

• 

(gain) loss on sale or acquisition of communities (including gain (loss) on facility lease termination);

• depreciation and amortization (including non-cash impairment charges);

•

•

•

straight-line lease expense (income);

amortization of deferred gain;

amortization of deferred entrance fees;

• non-cash stock-based compensation expense; and

•  change in future service obligation; 

and including: 

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•

entrance fee receipts and refunds (excluding (i) first generation entrance fee receipts from the sale of units at a recently opened entrance fee CCRC prior to stabilization and (ii) 
first generation entrance fee refunds not replaced by second generation entrance fee receipts at the recently opened community prior to stabilization).

In the first quarter of 2012, we revised the definition of Adjusted EBITDA to clarify the point at which first generation entrance fee receipts and refunds at recently opened entrance fee 
CCRCs will be included.  We determine the stabilization date of recently opened entrance fee communities to be the first day of the first full fiscal quarter occurring two years 
subsequent to the community's opening date for occupancy of all levels of care on the campus. 

As a result of this change, beginning in the first quarter of 2012, we include all net entrance fee activity from a recently opened entrance fee CCRC in our non-GAAP financial measures. 
 For the year ended December 31, 2012, first generation net entrance fee receipts which would have been excluded under the previous definition of Adjusted EBITDA were $3.6 million. 

Management's Use of Adjusted EBITDA 

We use Adjusted EBITDA to assess our overall financial and operating performance.  We believe this non-GAAP measure, as we have defined it, is helpful in identifying trends in our 
day-to-day performance because the items excluded have little or no significance on our day-to-day operations.  This measure provides an assessment of controllable expenses and 
affords management the ability to make decisions which are expected to facilitate meeting current financial goals as well as achieve optimal financial performance.  It provides an 
indicator for management to determine if adjustments to current spending decisions are needed. 

Adjusted EBITDA provides us with a measure of financial performance, independent of items that are beyond the control of management in the short-term, such as the change in the 
liability for the obligation to provide future services under existing lifecare contracts, depreciation and amortization (including non-cash impairment charges), straight-line lease expense 
(income), taxation and interest expense associated with our capital structure.  This metric measures our financial performance based on operational factors that management can impact 
in the short-term, namely the cost structure or expenses of the organization.  Adjusted EBITDA is one of the metrics used by senior management and the board of directors to review 
the financial performance of the business on a monthly basis.  Adjusted EBITDA is also used by research analysts and investors to evaluate the performance of and value companies in 
our industry. 

Limitations of Adjusted EBITDA 

Adjusted EBITDA has limitations as an analytical tool.  It should not be viewed in isolation or as a substitute for GAAP measures of earnings.  Material limitations in making the 
adjustments to our earnings to calculate Adjusted EBITDA, and using this non-GAAP financial measure as compared to GAAP net income (loss), include: 

•

•

the cash portion of interest expense, income tax (benefit) provision and non-recurring charges related to gain (loss) on sale of communities and extinguishment of debt 
activities generally represent charges (gains), which may significantly affect our financial results; and

depreciation and amortization, though not directly affecting our current cash position, represent the wear and tear and/or reduction in value of our communities, which 
affects the services we provide to our residents and may be indicative of future needs for capital expenditures.

An investor or potential investor may find this item important in evaluating our performance, results of operations and financial position.  We use non-GAAP financial measures to 
supplement our GAAP results in order to provide a more complete understanding of the factors and trends affecting our business. 

Adjusted EBITDA is not an alternative to net income, income from operations or cash flows provided by or used in operations as calculated and presented in accordance with GAAP. 
 You should not rely on Adjusted EBITDA as a substitute for any such GAAP financial measure.  We strongly urge you to review the reconciliation of Adjusted EBITDA to GAAP net 
income (loss), along with our consolidated financial statements included herein.  We also strongly urge you to not rely on any single financial measure to evaluate our business.  In 
addition, because Adjusted EBITDA is not a measure of financial performance under GAAP and is susceptible to varying calculations, the 

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Adjusted EBITDA measure, as presented in this report, may differ from and may not be comparable to similarly titled measures used by other companies. 

The table below shows the reconciliation of our net loss to Adjusted EBITDA for the years ended December 31, 2012, 2011, and 2010 (dollars in thousands): 

Net loss 
Provision (benefit) for income taxes 
Other non-operating (income) expense 
Equity in loss (earnings) of unconsolidated ventures 
Loss on extinguishment of debt, net 
Interest expense:

Debt 
Capitalized lease obligation 
Amortization of deferred financing costs and debt discount 
Change in fair value of derivatives and amortization 

Interest income 
Income from operations 
(Gain) loss on facility lease termination 
Loss on sale of communities, net 
Loss (gain) on acquisition 
Depreciation and amortization 
Asset impairment 
Straight-line lease expense 
Amortization of deferred gain 
Amortization of entrance fees 
Non-cash stock-based compensation expense 
Change in future service obligation 
Entrance fee receipts(2) 
First generation entrance fees received(3) 
Entrance fee disbursements(4) 
Adjusted EBITDA 

2012 

Years Ended December 31(1), 
2011 

2010 

  $ 

(65,645 )    $ 

(68,175 )    $ 

2,044  
(593 )   
3,488  
221  

98,183  
30,155  
18,081  
364  
(4,012 )   
82,286  
(11,584 )   

—  
636  
252,281  
27,677  
6,668  
(4,372 )   
(26,709 )   
25,520  
2,188  
82,705  
—  

  $ 

(27,356 )   
409,940  

  $ 

2,340  

(56 )   
(1,432 )   
18,863  

93,229  
31,644  
13,427  
3,878  
(3,538 )   
90,180  
—  
—  
(1,982 )   

268,506  
16,892  
8,608  
(4,373 )   
(25,401 )   
19,856  
—  
67,989  
(12,617 )   
(24,993 )   
402,665  

  $ 

(48,901 ) 
(31,432 ) 
1,454  
(168 ) 
1,557  

102,245  
30,396  
8,963  
4,118  
(2,238 ) 
65,994  
4,608  
(3,298 ) 
—  
292,341  
13,075  
10,521  
(4,343 ) 
(24,397 ) 
20,759  
(1,064 ) 
73,906  
(18,548 ) 
(21,060 ) 
408,494  

(1) The calculation of Adjusted EBITDA includes integration, transaction-related and EMR roll-out costs of $23.5 million and $14.4 million for the years ended December 31, 2012 and 

2011, respectively. There were no such costs in 2010.     
Includes the receipt of refundable and non-refundable entrance fees.

(2)
(3) First generation entrance fees received represents initial entrance fees received from the sale of units at a recently opened entrance fee CCRC prior to stabilization.
(4) Entrance fee refunds disbursed excludes $0.8 million of first generation entrance fee refunds not replaced by second generation entrance fee receipts at a recently opened entrance 

fee CCRC prior to stabilization for the year ended December 31, 2011.

Cash From Facility Operations 

Definition of Cash From Facility Operations 

We define Cash From Facility Operations (CFFO) as follows: 

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Net cash provided by (used in) operating activities adjusted for: 

•

•

•

•

•

•

•

•

•

•

•

changes in operating assets and liabilities;

deferred interest and fees added to principal;

refundable entrance fees received;

first generation entrance fee receipts at a recently opened entrance fee CCRC prior to stabilization;

entrance fee refunds disbursed adjusted for first generation entrance fee refunds not replaced by second generation entrance fee receipts at the recently opened community 
prior to stabilization;

lease financing debt amortization with fair market value or no purchase options;

gain (loss) on facility lease termination;

recurring capital expenditures, net;

distributions from unconsolidated ventures from cumulative share of net earnings;

CFFO from unconsolidated ventures; and

other.

Recurring capital expenditures include routine expenditures capitalized in accordance with GAAP that are funded from current operations. Amounts excluded from recurring capital 
expenditures consist primarily of major projects, renovations, community repositionings, expansions, systems projects or other non-recurring or unusual capital items (including 
integration capital expenditures) or community purchases that are funded using lease or financing proceeds, available cash and/or proceeds from the sale of communities that are held 
for sale. 

In the first quarter of 2012, we revised the definition of CFFO to clarify the point at which first generation entrance fee receipts and refunds at recently opened entrance fee CCRCs will 
be included.  We determine the stabilization date of recently opened entrance fee communities to be the first day of the first full fiscal quarter occurring two years subsequent to the 
community's opening date for occupancy of all levels of care on the campus. 

As a result of this change, beginning in the first quarter of 2012, we include all net entrance fee activity from a recently opened entrance fee CCRC in our non-GAAP financial measures. 
 For the year ended December 31, 2012, first generation net entrance fee receipts which would have been excluded under the previous definition of CFFO were $3.6 million. 

Management's Use of Cash From Facility Operations 

We use CFFO to assess our overall liquidity.  This measure provides an assessment of controllable expenses and affords management the ability to make decisions which are expected 
to facilitate meeting current financial and liquidity goals as well as to achieve optimal financial performance.  It provides an indicator for management to determine if adjustments to 
current spending decisions are needed. 

This metric measures our liquidity based on operational factors that management can impact in the short-term, namely the cost structure or expenses of the organization.  CFFO is one of 
the metrics used by our senior management and board of directors (i) to review our ability to service our outstanding indebtedness (including our credit facilities and long-term leases), 
(ii) to review our ability to pay dividends to stockholders, (iii) to review our ability to make regular recurring capital expenditures to maintain and improve our communities on a period-
to-period basis, (iv) for planning purposes, including preparation of our annual budget, (v) in making compensation determinations for certain of our associates (including our named 
executive officers) and (vi) in setting various covenants in our credit agreements.  These agreements generally require us to escrow or spend a minimum of between $250 and $450 per 
unit per year.  Historically, we have spent in excess of these per unit amounts; however, there is no assurance that we will have funds available to escrow or spend these per unit 
amounts in the future.  If we do not escrow or spend the required minimum annual amounts, we would be in default of the applicable debt or lease agreement which could trigger cross 
default provisions in our outstanding indebtedness and lease arrangements. 

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Limitations of Cash From Facility Operations 

CFFO has limitations as an analytical tool.  It should not be viewed in isolation or as a substitute for GAAP measures of cash flow from operations.  CFFO does not represent cash 
available for dividends or discretionary expenditures, since we may have mandatory debt service requirements or other non-discretionary expenditures not reflected in the measure. 
 Material limitations in making the adjustment to our cash flow from operations to calculate CFFO, and using this non-GAAP financial measure as compared to GAAP operating cash 
flows, include: 

•

•

the cash portion of interest expense, income tax (benefit) provision and non-recurring charges related to gain (loss) on sale of communities and extinguishment of debt 
activities generally represent charges (gains), which may significantly affect our financial results; and

depreciation and amortization, though not directly affecting our current cash position, represent the wear and tear and/or reduction in value of our communities, which affects 
the services we provide to our residents and may be indicative of future needs for capital expenditures.

We believe CFFO is useful to investors because it assists their ability to meaningfully evaluate (1) our ability to service our outstanding indebtedness, including our credit facilities and 
capital and financing leases, (2) our ability to pay dividends to stockholders and (3) our ability to make regular recurring capital expenditures to maintain and improve our communities. 

CFFO is not an alternative to cash flows provided by or used in operations as calculated and presented in accordance with GAAP.  You should not rely on CFFO as a substitute for any 
such GAAP financial measure.  We strongly urge you to review the reconciliation of CFFO to GAAP net cash provided by (used in) operating activities, along with our consolidated 
financial statements included herein.  We also strongly urge you to not rely on any single financial measure to evaluate our business.  In addition, because CFFO is not a measure of 
financial performance under GAAP and is susceptible to varying calculations, the CFFO measure, as presented in this report, may differ from and may not be comparable to similarly 
titled measures used by other companies. 

The table below shows the reconciliation of net cash provided by operating activities to CFFO for the years ended December 31, 2012, 2011 and 2010 (dollars in thousands): 

Net cash provided by operating activities 
Changes in operating assets and liabilities 
Refundable entrance fees received (2)(3) 
First generation entrance fees received(4) 
Entrance fee refunds disbursed(5) 
Recurring capital expenditures, net 
Lease financing debt amortization with fair market value or no purchase options 
Loss on facility lease termination 
Distributions from unconsolidated ventures from cumulative share of net earnings 
CFFO from unconsolidated ventures 
Cash From Facility Operations 

2012 

  $ 

  $ 

Years Ended December 31(1), 
2011 

2010 

  $ 

290,969  
(20,698 )   
42,600  
—  

(27,356 )   
(38,306 )   
(12,120 )   

—  
(1,507 )   
5,376  
238,958  

  $ 

  $ 

268,427  
20,914  
29,611  
(12,617 )   
(24,993 )   
(33,661 )   
(10,465 )   

—  
(582 )   
3,289  
239,923  

  $ 

228,244  
46,674  
36,420  
(18,548 ) 
(21,060 ) 
(27,969 ) 
(8,972 ) 
4,608  
(775 ) 
2,050  
240,672  

(1) The calculation of Cash From Facility Operations includes integration, transaction-related and EMR roll-out costs of $23.5 million and $14.4 million for the years ended December 31, 

2012 and 2011, respectively.  There were no such costs in 2010.     

(2) Entrance fee receipts include promissory notes issued to the Company by the resident in lieu of a portion of the entrance fees due.  Notes issued (net of collections) for the years 

ended December 31, 2012, 2011 and 2010 were $0.2 million, $3.3 million and $1.7 million, respectively.

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(3) Total entrance fee receipts for the year ended December 31, 2012, 2011 and 2010 were $82.7 million, $68.0 million, and $73.9 million, respectively, including $40.1 million, $38.4 million 

and $37.5 million, respectively, of non-refundable entrance fee receipts included in net cash provided by operating activities.

(4) First generation entrance fees received represents initial entrance fees received from the sale of units at a recently opened entrance fee CCRC prior to stabilization.
(5) Entrance fee refunds disbursed excludes $0.8 million of first generation entrance fee refunds not replaced by second generation entrance fee receipts at a recently opened entrance 

fee CCRC prior to stabilization for the year ended December 31, 2011.

Facility Operating Income 

Definition of Facility Operating Income 

We define Facility Operating Income as follows: 

Net income (loss) before: 

•

•

provision (benefit) for income taxes;

non-operating (income) expense items;

• 

(gain) loss on sale or acquisition of communities (including gain (loss) on facility lease termination); 

•

•

•

depreciation and amortization (including non-cash impairment charges);

facility lease expense;

general and administrative expense, including non-cash stock-based compensation expense;

• 

change in future service obligation; 

•

amortization of deferred entrance fee revenue; and

• management fees.

Management's Use of Facility Operating Income 

We use Facility Operating Income to assess our facility operating performance.  We believe this non-GAAP measure, as we have defined it, is helpful in identifying trends in our day-to-
day facility performance because the items excluded have little or no significance on our day-to-day facility operations.  This measure provides an assessment of revenue generation 
and expense management and affords management the ability to make decisions which are expected to facilitate meeting current financial goals as well as to achieve optimal facility 
financial performance.  It provides an indicator for management to determine if adjustments to current spending decisions are needed. 

Facility Operating Income provides us with a measure of facility financial performance, independent of items that are beyond the control of management in the short-term, such as the 
change in the liability for the obligation to provide future services under existing lifecare contracts, depreciation and amortization (including non-cash impairment charges), straight-line 
lease expense (income), taxation and interest expense associated with our capital structure.  This metric measures our facility financial performance based on operational factors that 
management can impact in the short-term, namely the cost structure or expenses of the organization.  Facility Operating Income is one of the metrics used by our senior management and 
board of directors to review the financial performance of the business on a monthly basis.  Facility Operating Income is also used by research analysts and investors to evaluate the 
performance of and value companies in our industry by investors, lenders and lessors.  In addition, Facility Operating Income is a common measure used in the industry to value the 
acquisition or sales price of communities and is used as a measure of the returns expected to be generated by a community. 

A number of our debt and lease agreements contain covenants measuring Facility Operating Income to gauge debt or 

68 

  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
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lease coverages.  The debt or lease coverage covenants are generally calculated as facility net operating income (defined as total operating revenue less operating expenses, all as 
determined on an accrual basis in accordance with GAAP).  For purposes of the coverage calculation, the lender or lessor will further require a pro forma adjustment to facility operating 
income to include a management fee (generally 4% to 5% of operating revenue) and an annual capital reserve (generally $250 to $450 per unit).  An investor or potential investor may 
find this item important in evaluating our performance, results of operations and financial position, particularly on a facility-by-facility basis. 

Limitations of Facility Operating Income 

Facility Operating Income has limitations as an analytical tool.  It should not be viewed in isolation or as a substitute for GAAP measures of earnings.  Material limitations in making the 
adjustments to our earnings to calculate Facility Operating Income, and using this non-GAAP financial measure as compared to GAAP net income (loss), include: 

•

•

interest expense, income tax (benefit) provision and non-recurring charges related to gain (loss) on sale of communities and extinguishment of debt activities generally 
represent charges (gains), which may significantly affect our financial results; and

depreciation and amortization, though not directly affecting our current cash position, represent the wear and tear and/or reduction in value of our communities, which affects 
the services we provide to our residents and may be indicative of future needs for capital expenditures.

An investor or potential investor may find this item important in evaluating our performance, results of operations and financial position on a facility-by-facility basis.  We use non-
GAAP financial measures to supplement our GAAP results in order to provide a more complete understanding of the factors and trends affecting our business. 

Facility Operating Income is not an alternative to net income, income from operations or cash flows provided by or used in operations as calculated and presented in accordance with 
GAAP.  You should not rely on Facility Operating Income as a substitute for any such GAAP financial measure.  We strongly urge you to review the reconciliation of Facility Operating 
Income to GAAP net income (loss), along with our consolidated financial statements included herein.  We also strongly urge you to not rely on any single financial measure to evaluate 
our business.  In addition, because Facility Operating Income is not a measure of financial performance under GAAP and is susceptible to varying calculations, the Facility Operating 
Income measure, as presented in this report, may differ from and may not be comparable to similarly titled measures used by other companies. 

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The table below shows the reconciliation of net loss to Facility Operating Income for the years ended December 31, 2012, 2011 and 2010 (dollars in thousands): 

Net loss 
Provision (benefit) for income taxes 
Other non-operating (income) expense 
Equity in loss (earnings) of unconsolidated ventures 
Loss on extinguishment of debt, net 
Interest expense: 

Debt 
Capitalized lease obligation 
Amortization of deferred financing costs and debt discount 
Change in fair value of derivatives and amortization 

Interest income 
Income from operations 
(Gain) loss on facility lease termination 
Loss on sale of communities, net 
Depreciation and amortization 
Asset impairment 
Loss (gain) on acquisition 
Facility lease expense 
General and administrative (including non-cash stock-based compensation expense) 
Change in future service obligation 
Amortization of entrance fees 
Management fees 
Facility Operating Income 

Item 7A.                          Quantitative and Qualitative Disclosures About Market Risk. 

2012 

Years Ended December 31, 
2011 

2010 

  $ 

(65,645 )    $ 

(68,175 )    $ 

2,044  
(593 )   
3,488  
221  

98,183  
30,155  
18,081  
364  
(4,012 )   
82,286  
(11,584 )   

—  
252,281  
27,677  
636  
284,025  
178,829  
2,188  
(26,709 )   
(30,786 )   
758,843  

  $ 

2,340  

(56 )   
(1,432 )   
18,863  

93,229  
31,644  
13,427  
3,878  
(3,538 )   
90,180  
—  
—  
268,506  
16,892  
(1,982 )   

274,858  
148,327  
—  

(25,401 )   
(13,595 )   
757,785  

  $ 

  $ 

(48,901 ) 
(31,432 ) 
1,454  
(168 ) 
1,557  

102,245  
30,396  
8,963  
4,118  
(2,238 ) 
65,994  
4,608  
(3,298 ) 
292,341  
13,075  
—  
270,905  
131,709  
(1,064 ) 
(24,397 ) 
(5,591 ) 
744,282  

We are subject to market risks from changes in interest rates charged on our credit facilities, other floating-rate indebtedness and lease payments subject to floating rates. The impact on 
earnings and the value of our long-term debt and lease payments are subject to change as a result of movements in market rates and prices. As of December 31, 2012, we had 
approximately $1.4 billion of long-term fixed rate debt, $0.8 billion of long-term variable rate debt, excluding our line of credit, and $319.7 million of capital and financing lease obligations. 
As of December 31, 2012, our total fixed-rate debt and variable-rate debt outstanding had a weighted-average interest rate of 4.52% (calculated using an imputed interest rate of 7.50% 
for our $316.3 million convertible senior notes due 2018). 

We enter into certain interest rate swap agreements with major financial institutions to manage our risk on variable rate debt.  Additionally, we have entered into certain cap agreements 
to effectively manage our risk above certain interest rates.  As of December 31, 2012, $1.5 billion, or 64.3%, of our debt, excluding our line of credit and capital and financing lease 
obligations, either has fixed rates or variable rates that are subject to swap agreements.  As of December 31, 2012, $577.6 million, or 25.3%, of our debt, excluding our line of credit and 
capital and financing lease obligations, is subject to cap agreements.   The remaining $236.5 million, or 10.4%, of our debt is variable rate debt, not subject to any cap or swap 
agreements.   A change in interest rates would have impacted our interest rate expense related to all outstanding variable rate debt, excluding our line of credit and capital and financing 
lease obligations, as follows: a one, five and ten percent change in interest rates would have an impact of $8.0 million, $40.7 million and $54.4 million, respectively. 

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Item 8.                Financial Statements and Supplementary Data. 

BROOKDALE SENIOR LIVING INC. 

INDEX TO FINANCIAL STATEMENTS 

Report of Independent Registered Public Accounting Firm 
Report of Independent Registered Public Accounting Firm 
Consolidated Balance Sheets as of December 31, 2012 and 2011 
Consolidated Statements of Operations for the Years Ended December 31, 2012, 2011 and 2010 
Consolidated Statements of Comprehensive Income for the Years Ended December 31, 2012, 2011 and 2010 
Consolidated Statements of Equity for the Years Ended December 31, 2012, 2011 and 2010 
Consolidated Statements of Cash Flows for the Years Ended December 31, 2012, 2011 and 2010 
Notes to Consolidated Financial Statements 
Schedule II — Valuation and Qualifying Accounts 

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77 
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The Board of Directors and Shareholders of Brookdale Senior Living Inc. 

Report of Independent Registered Public Accounting Firm 

We have audited the accompanying consolidated balance sheets of Brookdale Senior Living Inc. (the "Company") as of December 31, 2012 and 2011, and the related consolidated 
statements of operations, comprehensive income, equity, and cash flows for each of the three years in the period ended December 31, 2012. Our audits also included the financial 
statement schedule listed in the accompanying index to the financial statements.  These financial statements and schedule are the responsibility of the Company's management. Our 
responsibility is to express an opinion on these financial statements and schedule based on our audits. 

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States).  Those standards require that we plan and perform the 
audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the 
amounts  and  disclosures  in  the  financial  statements.  An  audit  also  includes  assessing  the  accounting  principles  used  and  significant  estimates  made  by  management,  as  well  as 
evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. 

In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of the Company at December 31, 2012 and 2011, and 
the consolidated results of its operations and its cash flows for each of the three years in the period ended December 31, 2012, in conformity with U.S. generally accepted accounting 
principles.  Also, in our opinion, the related financial statement schedule, when considered in relation to the basic financial statements taken as a whole, presents fairly, in all material 
respects, the information set forth therein. 

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the Company's internal control over financial reporting as 
of December 31, 2012, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission and 
our report dated February 19, 2013 expressed an unqualified opinion thereon. 

Chicago, Illinois 
19 February 2013 

/s/ Ernst & Young LLP 

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Report of Independent Registered Public Accounting Firm 

The Board of Directors and Shareholders of Brookdale Senior Living Inc. 

We have audited Brookdale Senior Living Inc.'s (the "Company") internal control over financial reporting as of December 31, 2012, based on criteria established in Internal Control—
Integrated  Framework  issued  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission  (the  "COSO  criteria").  The  Company's  management  is  responsible  for 
maintaining  effective  internal  control  over  financial  reporting,  and  for  its  assessment  of  the  effectiveness  of  internal  control  over  financial  reporting  included  in  the  accompanying 
Management's Assessment of Internal Control over Financial Reporting. Our responsibility is to express an opinion on the Company's internal control over financial reporting based on 
our audit. 

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the 
audit  to  obtain  reasonable  assurance  about  whether  effective  internal  control  over  financial  reporting  was  maintained  in  all  material  respects.  Our  audit  included  obtaining  an 
understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal 
control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for 
our opinion. 

A  company's  internal  control  over  financial  reporting  is  a  process  designed  to  provide  reasonable  assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of 
financial statements for external purposes in accordance with generally accepted accounting principles. A company's internal control over financial reporting includes those policies and 
procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) 
provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and 
that  receipts  and  expenditures  of  the  company  are  being  made  only  in  accordance  with  authorizations  of  management  and  directors  of  the  company;  and  (3)  provide  reasonable 
assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the company's assets that could have a material effect on the financial statements. 

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future 
periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. 

In our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2012, based on the COSO criteria. 

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheets of the Company as of 
December 31, 2012 and 2011 and the related consolidated statements of operations, comprehensive income, equity, and cash flows for each of the three years in the period ended 
December 31, 2012, and our report dated February 19, 2013 expressed an unqualified opinion thereon. 

Chicago, Illinois 
19 February 2013 

/s/ Ernst & Young LLP 

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Assets 
Current assets 

Cash and cash equivalents 
Cash and escrow deposits – restricted 
Accounts receivable, net 
Deferred tax asset 
Prepaid expenses and other current assets, net 

Total current assets 

Property, plant and equipment and leasehold intangibles, net 
Cash and escrow deposits – restricted 
Marketable securities — restricted 
Investment in unconsolidated ventures 
Goodwill 
Other intangible assets, net 
Other assets, net 
Total assets 

Liabilities and Stockholders' Equity 
Current liabilities 

Current portion of long-term debt 
Trade accounts payable 
Accrued expenses 
Refundable entrance fees and deferred revenue 
Tenant security deposits 
Total current liabilities 
Long-term debt, less current portion 
Line of credit 
Deferred entrance fee revenue 
Deferred liabilities 
Deferred tax liability 
Other liabilities 

Total liabilities 

BROOKDALE SENIOR LIVING INC. 
CONSOLIDATED BALANCE SHEETS 
(In thousands, except stock amounts) 

December 31, 

2012 

2011 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

69,240  
43,096  
100,401  
13,377  
82,924  
309,038  
3,879,977  
62,767  
—  
31,386  
109,553  
159,942  
113,315  
4,665,978  

509,543  
43,184  
200,895  
361,360  
6,521  
1,121,503  
2,089,826  
80,000  
79,010  
150,788  
99,851  
42,283  
3,663,261  

—  

1,267  
1,997,946  

(46,800 )   
(949,696 )   

—  
1,002,717  
4,665,978  

  $ 

30,836  
45,903  
98,697  
11,776  
93,663  
280,875  
3,694,064  
52,980  
31,721  
32,798  
109,553  
154,136  
109,934  
4,466,061  

47,654  
54,134  
183,634  
327,808  
7,720  
620,950  
2,350,971  
65,000  
72,485  
161,185  
112,736  
42,526  
3,425,853  

—  

1,254  
1,970,820  
(46,800 ) 
(884,051 ) 
(1,015 ) 
1,040,208  
4,466,061  

Stockholders' Equity 
Preferred stock, $0.01 par value, 50,000,000 shares authorized at December 31, 2012 and 2011; no shares issued and outstanding 
Common stock, $0.01 par value, 200,000,000 shares authorized at December 31, 2012 and 2011; 129,117,946 and 127,782,538 shares issued 

and 126,689,545 and 125,354,137 shares outstanding (including 3,951,950 and 4,221,598 unvested restricted shares), respectively 

Additional paid-in-capital 
Treasury stock, at cost; 2,428,401 shares at December 31, 2012 and 2011 
Accumulated deficit 
Accumulated other comprehensive loss 
Total stockholders' equity 
Total liabilities and stockholders' equity 

See accompanying notes to consolidated financial statements. 

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BROOKDALE SENIOR LIVING INC. 
CONSOLIDATED STATEMENTS OF OPERATIONS 
(In thousands, except per share data) 

2012 

For the Years Ended 
December 31, 
2011 

2010 

Revenue 

Resident fees 
Management fees 
Reimbursed costs incurred on behalf of managed communities 

Total revenue 

Expense 

  $ 

  $ 

2,414,283  
30,786  
325,016  
2,770,085  

  $ 

2,291,757  
13,595  
152,566  
2,457,918  

Facility operating expense (excluding depreciation and amortization of $229,072, $230,414 and 

$242,050, respectively) 

General and administrative expense (including non-cash stock-based compensation expense of 

1,630,919  

1,508,571  

$25,520, $19,856 and $20,759 , respectively) 

Facility lease expense 
Depreciation and amortization 
Gain on sale of communities, net 
Asset impairment 
Loss (gain) on acquisition 
Costs incurred on behalf of managed communities 
(Gain) loss on facility lease termination 

Total operating expense 
Income from operations 

Interest income 
Interest expense: 

Debt 
Amortization of deferred financing costs  and debt discount 
Change in fair value of derivatives and amortization 

Loss on extinguishment of debt, net 
Equity in (loss) earnings of unconsolidated ventures 
Other non-operating income (expense) 
Loss before income taxes 
(Provision) benefit for income taxes 
Net loss 

Basic and diluted net loss per share 
Weighted average shares used in computing basic and diluted net loss per share 

178,829  
284,025  
252,281  
—  
27,677  
636  
325,016  
(11,584 )   

2,687,799  
82,286  

4,012  

(128,338 )   
(18,081 )   
(364 )   
(221 )   
(3,488 )   
593  
(63,601 )   
(2,044 )   
(65,645 )    $ 

(0.54 )    $ 

121,991  

148,327  
274,858  
268,506  
—  
16,892  
(1,982 )   

152,566  
—  
2,367,738  
90,180  

3,538  

(124,873 )   
(13,427 )   
(3,878 )   
(18,863 )   
1,432  
56  

(65,835 )   
(2,340 )   
(68,175 )    $ 

(0.56 )    $ 

121,161  

  $ 

  $ 

2,207,673  
5,591  
67,271  
2,280,535  

1,437,930  

131,709  
270,905  
292,341  
(3,298 ) 
13,075  
—  
67,271  
4,608  
2,214,541  
65,994  

2,238  

(132,641 ) 
(8,963 ) 
(4,118 ) 
(1,557 ) 
168  
(1,454 ) 
(80,333 ) 
31,432  
(48,901 ) 

(0.41 ) 
120,010  

See accompanying notes to consolidated financial statements. 

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BROOKDALE SENIOR LIVING INC. 
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME 
(In thousands) 

Net loss 
Other comprehensive income (loss): 
Unrealized gain (loss) on marketable securities - restricted 
Reclassification of realized gain on marketable securities – restricted into earnings 
Reclassification of net (gains) loss on derivatives into earnings 
Amortization of payments from settlement of forward interest rate swaps 
Other 
Total other comprehensive income (loss), net of tax 

Comprehensive loss 

$ 

$ 

2012 

For the Years Ended 
December 31, 
2011 

2010 

(65,645 ) 

$ 

(68,175 ) 

$ 

1,846 
(848 ) 
(79 ) 
179 
(83 ) 
1,015 
(64,630 ) 

$ 

(998 ) 
— 
134 
376 
(200 ) 
(688 ) 
(68,863 ) 

$ 

(48,901 ) 

— 
— 
505 
376 
(343 ) 
538 
(48,363 ) 

See accompanying notes to consolidated financial statements. 

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Balances at January 1, 2010 
Compensation expense related to 

restricted stock grants 

Net loss 
Issuance of common stock under 
Associate Stock Purchase Plan 

Restricted stock, net 
Reclassification of net loss on derivatives 

into earnings 

Amortization of payments from 

settlement of forward interest rate 
swaps 

Other 

Balances at December 31, 2010 
Compensation expense related to 

restricted stock grants 

Net loss 
Common stock issued in connection with 

an acquisition 

Equity component of convertible notes, 

net 

Purchase of bond hedge 
Issuance of warrants 
Issuance of common stock under 
Associate Stock Purchase Plan 

Restricted stock, net 
Unrealized loss on marketable securities - 

restricted 

Reclassification of net loss on derivatives 

into earnings 

Purchase of treasury stock 
Amortization of payments from 

settlement of forward interest rate 
swaps 

Other 

Balances at December 31, 2011 
Compensation expense related to 

restricted stock grants 

Net loss 
Issuance of common stock under 
Associate Stock Purchase Plan 

Restricted stock, net 
Unrealized gain on marketable securities - 

restricted 

Reclassification of realized gain on 

marketable securities – restricted into 
earnings 

Reclassification of net gains on derivatives 

into earnings 

Amortization of payments from 

settlement of forward interest rate 
swaps 

Other 

Balances at December 31, 2012 

BROOKDALE SENIOR LIVING INC. 
CONSOLIDATED STATEMENTS OF EQUITY 
 For the Years Ended December 31, 2012, 2011 and 2010 
(In thousands) 

Common Stock 

Shares 

Amount 

Additional 
Paid-In- 
Capital 

Treasury 
Stock 

Accumulated 
Deficit 

Accumulated 
Other 
Comprehensive 
Loss 

Total 

123,206  

  $ 

1,232  

  $ 

1,882,377  

  $ 

(29,187 )    $ 

(766,975 )    $ 

(865 )    $ 

1,086,582  

—  
—  

63  
1,048  

—  

—  
—  
124,317  

—  
—  

97  

—  
—  
—  

68  
2,089  

—  

—  
(1,217 )   

—  
—  
125,354  

—  
—  

74  
1,261  

—  

—  

—  

—  
—  

1  
10  

—  

—  
—  
1,243  

—  
—  

1  

—  
—  
—  

—  
10  

—  

—  
—  

—  
—  
1,254  

—  
—  

—  
13  

—  

—  

—  

20,759  
—  

1,019  

(10 )   

—  

—  
(1 )   

—  
—  

—  
—  

—  

—  
—  

—  

(48,901 )   

—  
—  

—  

—  
—  

1,904,144  

(29,187 )   

(815,876 )   

19,856  
—  

1,537  

76,801  
(77,007 )   
45,066  

1,258  

(10 )   

—  

—  
—  

—  
(825 )   

1,970,820  

25,520  
—  

1,401  
(100 )   

—  

—  

—  

—  
—  

—  

—  
—  
—  

—  
—  

—  

—  

(17,613 )   

—  
—  

—  

(68,175 )   

—  

—  
—  
—  

—  
—  

—  

—  
—  

—  
—  

(46,800 )   

(884,051 )   

—  
—  

—  
—  

—  

—  

—  

—  

(65,645 )   

—  
—  

—  

—  

—  

—  
—  

—  
—  

505  

376  
(343 )   
(327 )   

—  
—  

—  

—  
—  
—  

—  
—  

(998 )   

134  
—  

376  
(200 )   
(1,015 )   

—  
—  

—  
—  

1,846  

(848 )   

(79 )   

20,759  
(48,901 ) 

1,020  
—  

505  

376  
(344 ) 
1,059,997  

19,856  
(68,175 ) 

1,538  

76,801  
(77,007 ) 
45,066  

1,258  
—  

(998 ) 

134  
(17,613 ) 

376  
(1,025 ) 
1,040,208  

25,520  
(65,645 ) 

1,401  
(87 ) 

1,846  

(848 ) 

(79 ) 

—  
—  
126,689  

  $ 

—  
—  
1,267  

  $ 

—  
305  
1,997,946  

  $ 

—  
—  
(46,800 )    $ 

—  
—  
(949,696 )    $ 

179  
(83 )   
—  

  $ 

179  
222  
1,002,717  

See accompanying notes to consolidated financial statements. 

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Table of Contents 

BROOKDALE SENIOR LIVING INC. 
CONSOLIDATED STATEMENTS OF CASH FLOWS 
(In thousands) 

Cash Flows from Operating Activities 
Net loss 
Adjustments to reconcile net loss to net cash provided by 

operating activities: 
Loss on extinguishment of debt 
Depreciation and amortization 
Asset impairment 
Equity in loss (earnings) of unconsolidated ventures 
Distributions from unconsolidated ventures from cumulative share of net earnings 
Amortization of deferred gain 
Amortization of entrance fees 
Proceeds from deferred entrance fee revenue 
Deferred income tax provision (benefit) 
Change in deferred lease liability 
Change in fair value of derivatives and amortization 
Loss (gain) on sale of assets and unconsolidated ventures 
Loss (gain) on acquisition 
Gain on facility lease termination 
Lessor cash reimbursement for tenant incentive 
Change in future service obligation 
Non-cash stock-based compensation 
Other 

Changes in operating assets and liabilities: 

Accounts receivable, net 
Prepaid expenses and other assets, net 
Accounts payable and accrued expenses 
Tenant refundable fees and security deposits 
Deferred revenue 

Net cash provided by operating activities 

Cash Flows from Investing Activities 

Increase in lease security deposits and lease acquisition deposits, net 
(Increase) decrease in cash and escrow deposits – restricted 
Purchase of marketable securities — restricted 
Sale of marketable securities — restricted 
Additions to property, plant and equipment, and leasehold intangibles, net of related payables 
Acquisition of assets, net of related payables and cash received 
Purchase of Horizon Bay Realty, L.L.C., net of cash acquired 
Payments on notes receivable, net 
Investment in unconsolidated ventures 
Distributions received from unconsolidated ventures 
Proceeds from sale of unconsolidated venture 
Proceeds from sale of assets, net 
Other 

Net cash used in investing activities 

Cash Flows from Financing Activities 

Proceeds from debt 
Repayment of debt and capital lease obligations 
Proceeds from line of credit 
Repayment of line of credit 
Proceeds from issuance of convertible notes, net 
Issuance of warrants 
Purchase of bond hedge 
Payment of financing costs, net of related payables 
Other 
Refundable entrance fees: 

Proceeds from refundable entrance fees 
Refunds of entrance fees 

Cash portion of loss on extinguishment of debt 
Recouponing and payment of swap termination 
Purchase of treasury stock 

Net cash provided by (used in) financing activities 

Net increase (decrease) in cash and cash equivalents 
Cash and cash equivalents at beginning of year 
Cash and cash equivalents at end of year 

For the Years Ended 
December 31, 
2011 

2012 

2010 

  $ 

(65,645 )    $ 

(68,175 )    $ 

(48,901 ) 

221  
270,362  
27,677  
3,488  
1,507  
(4,372 )   
(26,709 )   
40,105  
—  
6,668  
364  
332  
636  
(11,584 )   

—  
2,188  
25,520  

(487 )   

(3,415 )   
8,687  
4,854  
(1,547 )   
12,119  
290,969  

(7,999 )   
(4,810 )   
(1,557 )   
35,124  
(208,412 )   
(272,523 )   

―  
131  
(5,368 )   
350  
—  
9,243  
487  

(455,334 )   

372,291  
(191,835 )   
375,000  
(360,000 )   

―  
―  
―  
(5,563 )   
(342 )   

18,863  
281,933  
16,892  
(1,432 )   
1,282  
(4,373 )   
(25,401 )   
38,378  
943  
8,608  
3,878  
(1,180 )   
(1,982 )   
—  
1,251  
—  
19,856  
—  

(5,367 )   
(22,934 )   
13,721  
(2,186 )   
(4,148 )   

268,427  

(3,088 )   
56,176  
(32,724 )   
1,431  
(160,131 )   
(88,682 )   
5,516  
1,484  
(13,990 )   
206  
—  
30,817  

(914 )   
(203,899 )   

482,669  
(898,565 )   
225,000  
(160,000 )   
308,212  
45,066  
(77,007 )   
(8,712 )   
(1,287 )   

42,600  
(27,356 )   
(118 )   
(1,908 )   
―  
202,769  
38,404  
30,836  
69,240  

  $ 

29,611  
(25,754 )   
(17,040 )   
(99 )   
(17,613 )   
(115,519 )   
(50,991 )   
81,827  
30,836  

  $ 

  $ 

1,557  
301,304  
13,075  
(168 ) 
775  
(4,343 ) 
(24,397 ) 
37,486  
(33,295 ) 
10,521  
4,118  
(2,509 ) 
―  
—  
—  
(1,064 ) 
20,759  
—  

(7,956 ) 
(22,050 ) 
(11,775 ) 
(3,158 ) 
(1,735 ) 
228,244  

(2,175 ) 
4,705  
―  
―  
(93,681 ) 
(57,948 ) 
―  
1,079  
(660 ) 
97  
675  
12,079  
(676 ) 
(136,505 ) 

414,795  
(476,527 ) 
60,000  
(60,000 ) 
―  
―  
―  
(8,541 ) 
(763 ) 

36,420  
(21,060 ) 
(179 ) 
(20,427 ) 
―  
(76,282 ) 
15,457  
66,370  
81,827  

See accompanying notes to consolidated financial statements. 

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Table of Contents 

1.      Description of Business and Organization 

BROOKDALE SENIOR LIVING INC. 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 

Brookdale Senior Living Inc. ("Brookdale", "BSL" or the "Company") is a leading owner and operator of senior living communities throughout the United States.  The Company 
provides an exceptional living experience through properties that are designed, purpose-built and operated to provide the highest quality service, care and living accommodations for 
residents.  The Company owns, leases and operates retirement centers, assisted living and dementia-care communities and continuing care retirement centers ("CCRCs").  Through its 
Innovative Senior Care ("ISC") program, the Company also offers a range of outpatient therapy, home health and hospice services, primarily to residents of its communities. 

The Company was formed as a Delaware corporation on June 28, 2005. Under its Certificate of Incorporation, the Company was initially authorized to issue up to 5,000,000 shares of 
common stock and 5,000,000 shares of preferred stock. On September 30, 2005, the Company's Certificate of Incorporation was amended and restated to authorize up to 200,000,000 
shares of common stock and 50,000,000 shares of preferred stock. 

2.      Summary of Significant Accounting Policies 

The consolidated financial statements have been prepared on the accrual basis of accounting in accordance with U.S. generally accepted accounting principles ("GAAP").  The 
significant accounting policies are summarized below: 

Principles of Consolidation 

The consolidated financial statements include BSL and its wholly-owned subsidiaries Brookdale Living Communities, Inc., Brookdale Senior Living Communities, Inc. (formerly known 
as Alterra Healthcare Corporation) ("Alterra"), Fortress CCRC Acquisition LLC, American Retirement Corporation ("ARC") and BKD HB Acquisition Sub, Inc. In December 2003, the 
Financial Accounting Standards Board ("FASB") issued Accounting Standards Codification ("ASC") 810 - Consolidation of Variable Interest Entities ("ASC 810").  ASC 810 
addresses the identification of variable interest entities ("VIE") consolidation by business enterprises deemed to be primary beneficiaries in the VIE.  The Company identifies the primary 
beneficiary of a VIE as the enterprise that has both of the following characteristics: (i) the power to direct the activities of the VIE that most significantly impact the entity's economic 
performance; and (ii) the obligation to absorb losses or receive benefits of the VIE that could potentially be significant to the entity. The Company performs this analysis on an ongoing 
basis. At December 31, 2012, the Company did not have any unconsolidated VIEs.  Investments in affiliated companies that the Company does not control, but has the ability to exercise 
significant influence over governance and operation, are accounted for by the equity method. 

The results of facilities and companies acquired are included in the consolidated financial statements from the effective date of the respective acquisition. All significant intercompany 
balances and transactions have been eliminated. 

Use of Estimates 

The preparation of the financial statements and related disclosures in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported 
in the consolidated financial statements and accompanying notes.  Estimates are used for, but not limited to, revenue, goodwill and asset impairments, future service obligations, self-
insurance reserves, performance-based compensation, the allowance for doubtful accounts, depreciation and amortization, income taxes and other contingencies.  Although these 
estimates are based on management's best knowledge of current events and actions that the Company may undertake in the future, actual results may differ from the original estimates. 

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Revenue Recognition 

Resident Fees 

Resident fee revenue is recorded when services are rendered and consists of fees for basic housing, support services and fees associated with additional services such as personalized 
health and assisted living care. Residency agreements are generally for a term of 30 days to one year, with resident fees billed monthly in advance. Revenue for certain skilled nursing 
services and ancillary charges is recognized as services are provided and is billed monthly in arrears. 

Entrance Fees 

Certain of the Company's communities have residency agreements which require the resident to pay an upfront fee prior to occupying the community.  In addition, in connection with 
the Company's MyChoice program, new and existing residents are allowed to pay additional entrance fee amounts in return for a reduced monthly service fee.  The non-refundable 
portion of the entrance fee is recorded as deferred revenue and amortized over the estimated stay of the resident based on an actuarial valuation.  The refundable portion of a resident's 
entrance fee is generally refundable within a certain number of months or days following contract termination or upon the sale of the unit, or in certain agreements, upon the resale of a 
comparable unit or 12 months after the resident vacates the unit.  In such instances the refundable portion of the fee is not amortized and included in refundable entrance fees and 
deferred revenue. 

Certain contracts require the refundable portion of the entrance fee plus a percentage of the appreciation of the unit, if any, to be refunded only upon resale of a comparable unit 
("contingently refundable").  Upon resale the Company may receive reoccupancy proceeds in the form of additional contingently refundable fees, refundable fees, or non-refundable 
fees.  The Company estimates the amount of reoccupancy proceeds to be received from additional contingently refundable fees or non-refundable fees and records such amount as 
deferred revenue.  The deferred revenue was approximately $46.8 million and $48.1 million at December 31, 2012 and 2011, respectively, and is amortized over the life of the community. 
 All remaining contingently refundable fees not recorded as deferred revenue and amortized are included in refundable entrance fees and deferred revenue. 

All refundable amounts due to residents at any time in the future, including those recorded as deferred revenue, are classified as current liabilities. 

The non-refundable portion of entrance fees expected to be earned and recognized in revenue in one year is recorded as a current liability.  The balance of the non-refundable portion is 
recorded as a long-term liability. 

Community Fees 

Substantially all community fees received are non-refundable and are recorded initially as deferred revenue.  The deferred amounts, including both the deferred revenue and the related 
direct resident lease origination costs, are amortized over the estimated stay of the resident which is consistent with the implied contractual terms of the resident lease. 

Management Fees 

Management fee revenue is recorded as services are provided to the owners of the communities. Revenues are determined by an agreed upon percentage of gross revenues (as 
defined).  Incentives and penalties receivable or payable under management contracts containing these provisions (other than contractual termination fees) are recorded based on the 
amounts that would be due pursuant to the contractual arrangements if the contracts were terminated on the reporting date. 

Reimbursed Costs Incurred on Behalf of Managed Communities 

The Company manages certain communities under contracts which provide for payment to the Company of a monthly management fee plus reimbursement of certain operating 
expenses.  Where the Company is the primary 

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obligor with respect to any managed community operating expenses, the Company recognizes revenue when the goods have been delivered or the service has been rendered and the 
Company is due reimbursement.  This reimbursement revenue is included in "reimbursed costs incurred on behalf of managed communities" on the consolidated statements of 
operations.  The related costs are included in "costs incurred on behalf of managed communities" on the consolidated statements of operations. 

Purchase Accounting 

In determining the allocation of the purchase price of companies and communities to net tangible and identified intangible assets acquired and liabilities assumed, the Company makes 
estimates of fair value using information obtained as a result of pre-acquisition due diligence, marketing, leasing activities and/or independent appraisals. The Company allocates the 
purchase price of communities based on their fair values in accordance with the provisions of ASC 805 - Business Combinations ("ASC 805").  The determination of fair value involves 
the use of significant judgment and estimation. The Company determines fair values as follows: 

Current assets and current liabilities assumed are valued at carryover basis which approximates fair value. 

Property, plant and equipment are valued utilizing discounted cash flow projections of future revenue and costs, and capitalization and discount rates using current market conditions. 

The Company allocates a portion of the purchase price to the value of resident leases acquired based on the difference between the communities valued with existing in-place leases 
adjusted to market rental rates and the communities valued with current leases in place based on current contractual terms. Factors management considers in its analysis include an 
estimate of carrying costs during the expected lease-up periods considering current market conditions and costs to execute similar resident leases. In estimating carrying costs, 
management includes estimates of lost rentals during the lease-up period and estimated costs to execute similar leases. The value of in-place leases is amortized to expense over the 
remaining initial term of the respective leases. 

Leasehold operating intangibles are valued utilizing discounted cash flow projections that assume certain future revenues and costs over the remaining lease term. The value assigned 
to leasehold operating intangibles is amortized on a straight-line basis over the lease term. 

Community purchase options are valued at the estimated value of the underlying community less the cost of the option payment discounted at current market rates.  Management 
contracts and other acquired contracts are valued at a multiple of management fees and operating income or are valued utilizing discounted cash flow projections that assume certain 
future revenues and costs over the remaining contract.  The assets are then amortized over the estimated term of the agreement. 

Long-term debt assumed is recorded at fair market value based on the current market rates and collateral securing the indebtedness.  Any debt premium or discount recorded is 
amortized over the related debt maturity period. 

Capital lease obligations are valued based on the present value of the minimum lease payments applying a discount rate equal to the Company's estimated incremental borrowing rate at 
the date of acquisition. 

Deferred entrance fee revenue is valued at the estimated cost of providing services to residents over the terms of the current contracts to provide such services. Refundable entrance 
fees are valued at cost pursuant to the resident lease plus the resident's share of any appreciation of the community unit at the date of acquisition, if applicable. 

A deferred tax liability is recognized at statutory rates for the difference between the book and tax bases of the acquired assets and liabilities. 

The excess of the fair value of liabilities assumed and cash paid over the fair value of assets acquired is allocated to goodwill. 

Contingent consideration is valued using a probability-weighted discounted cash flow model. 

81 

  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
  
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Deferred Costs 

Deferred financing and lease costs are recorded in other assets and amortized on a straight-line basis, which approximates the effective yield method, over the term of the related debt or 
lease. 

Income Taxes 

Income taxes are accounted for under the asset and liability approach which requires recognition of deferred tax assets and liabilities for the differences between the financial reporting 
and tax bases of assets and liabilities. A valuation allowance reduces deferred tax assets when it is more likely than not that some portion or all of the deferred tax assets will not be 
realized. 

The Company has elected the "with-and-without approach" regarding ordering of windfall tax benefits to determine whether the windfall tax benefit did reduce taxes payable in the 
current year.  Under this approach, the windfall tax benefits would be recognized in additional paid-in capital only if an incremental tax benefit is realized after considering all other tax 
benefits presently available. 

Fair Value of Financial Instruments 

Cash and cash equivalents, cash and escrow deposits-restricted, derivative financial instruments and marketable securities - restricted are reflected in the accompanying consolidated 
balance sheets at amounts considered by management to reasonably approximate fair value.  Management estimates the fair value of its long-term debt using a discounted cash flow 
analysis based upon the Company's current borrowing rate for debt with similar maturities and collateral securing the indebtedness.  The Company had outstanding debt with a carrying 
value of approximately $2.7 billion and $2.5 billion as of December 31, 2012 and 2011, respectively.  Fair value approximated carrying value in both years. 

ASC 820 - Fair Value Measurement ("ASC 820") establishes a three-level valuation hierarchy for disclosure of fair value measurements. The valuation hierarchy is based upon the 
transparency of inputs to the valuation of an asset or liability as of the measurement date. A financial instrument's categorization within the valuation hierarchy is based upon the 
lowest level of input that is significant to the fair value measurement. The three levels are defined as follows: 

Level 1 – Inputs to the valuation methodology are quoted prices (unadjusted) for identical assets or liabilities in active markets. 
Level 2 – Inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for the asset or liability, either 
directly or indirectly, for substantially the full term of the financial instrument. 
Level 3 – Inputs to the valuation methodology are unobservable and significant to the fair value measurement. 

The Company's cash and cash equivalents and cash and escrow deposits-restricted reported on its consolidated balance sheets approximate fair value due to the short maturity. 

The Company's marketable securities - restricted include marketable securities that are recorded in the financial statements at fair value.  The fair value is based primarily on quoted 
market prices and is classified within Level 1 of the valuation hierarchy.  Changes in fair value are recorded, net of tax, as other comprehensive income and included as a component of 
stockholders' equity. 

The Company's derivative assets and liabilities include interest rate swaps and caps that effectively convert a portion of the Company's variable rate debt to fixed rate debt.  The 
derivative positions are valued using models developed internally by the respective counterparty that use as their basis readily observable market parameters (such as forward yield 
curves) and are classified within Level 2 of the valuation hierarchy. 

The Company considers its own credit risk as well as the credit risk of its counterparties when evaluating the fair value of its derivatives. Any adjustments resulting from credit risk are 
recorded as a change in fair value of derivatives and amortization in the current period statement of operations. 

The Company's fair value of debt disclosure is determined based primarily on market interest rate assumptions of similar debt applied to future cash flows under the debt agreements 
and is classified within Level 2 of the valuation hierarchy. 

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Cash and Cash Equivalents 

The Company defines cash and cash equivalents as cash and investments with maturities of 90 days or less when purchased. 

Cash and Escrow Deposits - Restricted 

Cash and escrow deposits - restricted consist principally of deposits required by certain lenders and lessors pursuant to the applicable agreement and consist of the following (dollars 
in thousands): 

Current: 

Real estate taxes 
Tenant security deposits 
Insurance reserves 
Entrance fees 
Replacement reserve and other 
Subtotal 
Long term: 

Insurance reserves 
Debt service and other deposits 
Subtotal 
Total 

December 31, 

2012 

2011 

  $ 

  $ 

11,502     $ 
2,015      
12,892      
4,159      
12,528      
43,096      

5,188      
57,579      
62,767      
105,863     $ 

12,541  
4,374  
12,904  
4,891  
11,193  
45,903  

5,412  
47,568  
52,980  
98,883  

As of December 31, 2012 and 2011, ten communities located in Illinois are required to make escrow deposits under the Illinois Life Care Facility Act.  As of December 31, 2012 and 2011, 
required deposits were $19.6 million, all of which were made in the form of letters of credit. 

Accounts Receivable 

Accounts receivable are reported net of an allowance for doubtful accounts, to represent the Company's estimate of the amount that ultimately will be realized in cash. The allowance for 
doubtful accounts was $15.3 million and $17.0 million as of December 31, 2012 and 2011, respectively.  The adequacy of the Company's allowance for doubtful accounts is reviewed on 
an ongoing basis, using historical payment trends, write-off experience, analyses of receivable portfolios by payor source and aging of receivables, as well as a review of specific 
accounts, and adjustments are made to the allowance as necessary. 

Billings for services under third-party payor programs are recorded net of estimated retroactive adjustments, if any, under reimbursement programs. Retroactive adjustments are accrued 
on an estimated basis in the period the related services are rendered and adjusted in future periods or as final settlements are determined. Contractual or cost related adjustments from 
Medicare or Medicaid are accrued when assessed (without regard to when the assessment is paid or withheld).  Subsequent positive or negative adjustments to these accrued amounts 
are recorded in net revenues when known. 

Property, Plant and Equipment and Leasehold Intangibles 

Property, plant and equipment and leasehold intangibles, which include amounts recorded under capital leases, are recorded at cost.  Depreciation and amortization is computed using 
the straight-line method over the estimated useful lives of the assets, which are as follows: 

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Asset Category 
Buildings and improvements 
Furniture and equipment 
Resident lease intangibles 
Leasehold improvements 
Leasehold operating intangibles 
Assets under capital and financing leases 

Estimated 
Useful Life 
(in years) 
40 
3 – 7 
1 – 4 
Shorter of the lease term or asset useful life 
Shorter of the lease term or asset useful life 
Shorter of the lease term or asset useful life 

Expenditures for ordinary maintenance and repairs are expensed to operations as incurred. Renovations and improvements, which improve and/or extend the useful life of the asset, are 
capitalized and depreciated over their estimated useful life, or if the renovations or improvements are made with respect to communities subject to an operating lease, over the shorter of 
the estimated useful life of the renovations or improvements, or the term of the operating lease. Facility operating expense excludes depreciation and amortization directly attributable to 
the operation of the facility. 

Long-lived assets (groups) are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. 
 Recoverability of long-lived assets held for use are assessed by a comparison of the carrying amount of the asset to the estimated future undiscounted net cash flows expected to be 
generated by the asset.  If estimated future undiscounted net cash flows are less than the carrying amount of the asset then the fair value of the asset is estimated.  The impairment 
expense is determined by comparing the estimated fair value of the asset to its carrying value, with any amount in excess of fair value recognized as an expense in the current period. 
 Undiscounted cash flow projections and estimates of fair value amounts are based on a number of assumptions such as revenue and expense growth rates, estimated holding periods 
and estimated capitalization rates and discount rates. 

Marketable Securities – Restricted 

Marketable securities - restricted include amounts required to be held in reserve related to the Company's entrance fee CCRCs pursuant to various state insurance regulations and 
consist of mutual funds holding equities and fixed-income securities. The Company classifies its marketable securities - restricted as available-for-sale.  Accordingly, these investments 
are carried at their estimated fair value with the unrealized gain and losses, net of tax, reported in other comprehensive income.  Realized gains and losses from the available-for-sale 
securities are determined on the specific identification method and are included in interest income on the trade date. 

A decline in the market value of any security below cost that is deemed to be other than temporary results in a reduction in the carrying amount of the security to fair market value. The 
impairment is charged to earnings and a new cost basis for the security is established. Premiums and discounts are amortized or accreted over the life of the related security as an 
adjustment to yield using the effective interest method. Dividend and interest income are recognized when earned. 

During the year ended December 31, 2012, the Company liquidated the marketable securities – restricted investments and recognized $0.8 million of realized gains from the transaction, 
included within interest income in the consolidated statements of operations. 

The amortized cost basis of the marketable securities – restricted as of December 31, 2011 was $32.7 million. 

Goodwill and Intangible Assets 

The Company follows ASC 350 - Goodwill and Other Intangible Assets, and tests goodwill for impairment annually or whenever indicators of impairment arise.  The evaluation is based 
upon a comparison of the estimated fair value of the reporting unit to which the goodwill has been assigned with the reporting unit's carrying value.  The fair values used in this 
evaluation are estimated based upon discounted future cash flow projections for the reporting 

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unit.  These cash flow projections are based upon a number of estimates and assumptions such as revenue and expense growth rates, capitalization rates and discount rates. 

In 2012, the Company adopted the guidance within Accounting Standards Update 2011-08, Intangibles — Goodwill and Other ("ASU 2011-08"), which allows the Company to first 
assess qualitative factors to determine whether it is necessary to perform the two-step quantitative goodwill impairment test.  Under this amendment, an entity would not be required to 
calculate the fair value of a reporting unit unless the entity determines, based on a qualitative assessment, that it is more likely than not that its fair value is less than its carrying amount. 
 In 2012, the Company assessed qualitative factors and determined that it was not necessary to perform the two-step quantitative goodwill impairment test. 

Acquired intangible assets are initially valued at fair market value using generally accepted valuation methods appropriate for the type of intangible asset.  Intangible assets with 
definite lives are amortized over their estimated useful lives and all intangible assets are reviewed for impairment if indicators of impairment arise.  The evaluation of impairment for 
definite-lived intangibles is based upon a comparison of the carrying amount of the asset to the estimated future undiscounted net cash flows expected to be generated by the asset.  If 
estimated future undiscounted net cash flows are less than the carrying amount of the asset, then the fair value of the asset is estimated.  The impairment expense is determined by 
comparing the estimated fair value of the intangible asset to its carrying value, with any shortfall from fair value recognized as an expense in the current period. 

Indefinite-lived intangible assets are not amortized but are tested for impairment annually during the fourth quarter or more frequently as required.  The impairment test consists of a 
comparison of the estimated fair value of the indefinite-lived intangible asset with its carrying value.  If the carrying amount exceeds its fair value, an impairment loss is recognized for 
that difference. 

During 2012, 2011 and 2010, the Company performed its annual impairment review of goodwill and intangible assets and determined that no impairment charge was necessary. 

Amortization of the Company's definite lived intangible assets is computed using the straight-line method over the estimated useful lives of the assets, which are as follows: 

Asset Category 
Community purchase options 
Management contracts and other 

Stock-Based Compensation 

Estimated 
Useful Life 
(in years) 
40 
3 – 5 

The Company follows ASC 718 - Stock Compensation ("ASC 718") in accounting for its share-based payments. This guidance requires measurement of the cost of employee services 
received in exchange for stock compensation based on the grant-date fair value of the employee stock awards. This cost is recognized as compensation expense ratably over the 
employee's requisite service period.  Incremental compensation costs arising from subsequent modifications of awards after the grant date must be recognized when incurred. 

Certain of the Company's employee stock awards vest only upon the achievement of performance targets. ASC 718 requires recognition of compensation cost only when achievement 
of performance conditions is considered probable. Consequently, the Company's determination of the amount of stock compensation expense requires a significant level of judgment in 
estimating the probability of achievement of these performance targets. Additionally, the Company must make estimates regarding employee forfeitures in determining compensation 
expense. Subsequent changes in actual experience are monitored and estimates are updated as information is available. 

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Convertible Debt Instruments 

Convertible debt instruments are accounted for under FASB ASC Topic 470-20, Debt – Debt with Conversion and Other Options.  This guidance requires the issuer of certain 
convertible debt instruments that may be settled in cash (or other assets) on conversion, including partial cash settlement, to separately account for the liability (debt) and equity 
(conversion option) components of the instruments in a manner that reflects the issuer's estimated non-convertible debt borrowing rate. 

Derivative Financial Instruments 

In the normal course of business, a variety of financial instruments are used to manage or hedge interest rate risk. The Company has entered into certain interest rate protection and 
swap agreements to effectively cap or convert floating rate debt to a fixed rate basis. All derivative instruments are recognized as either assets or liabilities in the consolidated balance 
sheets at fair value. The change in mark-to-market of the value of the derivative is recorded as an adjustment to income. 

Derivative contracts are not entered into for trading or speculative purposes. Furthermore, the Company has a policy of only entering into contracts with major financial institutions 
based upon their credit rating and other factors.  Under certain circumstances, the Company may be required to replace a counterparty in the event that the counterparty does not 
maintain a specified credit rating. 

Obligation to Provide Future Services 

Annually, the Company calculates the present value of the net cost of future services and the use of communities to be provided to current residents of certain of its CCRCs and 
compares that amount with the balance of non-refundable deferred revenue from entrance fees received. If the present value of the net cost of future services and the use of 
communities exceeds the related anticipated revenues including non-refundable deferred revenue from entrance fees, a liability is recorded (obligation to provide future services and use 
of communities) with a corresponding charge to income. 

Self-Insurance Liability Accruals 

The Company is subject to various legal proceedings and claims that arise in the ordinary course of its business. Although the Company maintains general liability and professional 
liability insurance policies for its owned, leased and managed communities under a master insurance program, the Company's current policies provide for deductibles for each and every 
claim.  As a result, the Company is, in effect, self-insured for claims that are less than the deductible amounts.  In addition, the Company maintains a large-deductible workers 
compensation program and a self-insured employee medical program. The Company reviews the adequacy of its accruals related to these liabilities on an ongoing basis, using historical 
claims, actuarial valuations, third party administrator estimates, consultants, advice from legal counsel and industry data, and adjusts accruals periodically. Estimated costs related to 
these self-insurance programs are accrued based on known claims and projected claims incurred but not yet reported. Subsequent changes in actual experience are monitored and 
estimates are updated as information is available. 

Investment in Unconsolidated Ventures 

In accordance with ASC 810, the general partner or managing member of a venture consolidates the venture unless the limited partners or other members have either (1) the substantive 
ability to dissolve the venture or otherwise remove the general partner or managing member without cause or (2) substantive participating rights in significant decisions of the venture, 
including authorizing operating and capital decisions of the venture, including budgets, in the ordinary course of business. The Company has reviewed all ventures where it is the 
general partner or managing member and has determined that in all cases the limited partners or other members have substantive participating rights such as those set forth above and, 
therefore, no ventures are consolidated. 

The Company's reported share of earnings is adjusted for the impact, if any, of basis differences between its carrying value of the equity investment and its share of the venture's 
underlying assets. The Company generally does not have future requirements to contribute additional capital over and above the original capital commitments, and therefore, the 
Company discontinues applying the equity method of accounting when its investment is reduced 

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to zero barring an expectation of an imminent return to profitability. If the venture subsequently reports net income, the equity method of accounting is resumed only after the 
Company's share of that net income equals the share of net losses not recognized during the period the equity method was suspended. 

When the majority equity partner in one of the Company's ventures sells its equity interest to a third party, the venture frequently refinances its senior debt and distributes the net 
proceeds to the equity partners. All distributions received by the Company are first recorded as a reduction of the Company's investment. Next, the Company records a liability for any 
contractual or implied future financial support to the venture including obligations in its role as a general partner. Any remaining distributions are recorded as the Company's share of 
earnings and return on investment in unconsolidated ventures in the consolidated statements of operations. 

The Company evaluates realization of its investment in ventures accounted for using the equity method if circumstances indicate that the Company's investment is other than 
temporarily impaired. 

Community Leases 

The Company, as lessee, makes a determination with respect to each of the community leases whether each should be accounted for as an operating lease or capital lease. The 
classification criteria is based on estimates regarding the fair value of the leased community, minimum lease payments, effective cost of funds, the economic life of the community and 
certain other terms in the lease agreements. In a business combination, the Company assumes the lease classification previously determined by the prior lessee absent a modification, as 
determined by ASC 840 – Leases ("ASC 840"), in the assumed lease agreement. Payments made under operating leases are accounted for in the Company's consolidated statements of 
operations as lease expense for actual rent paid plus or minus a straight-line adjustment for estimated minimum lease escalators and amortization of deferred gains in situations where 
sale-leaseback transactions have occurred. For communities under capital lease and lease financing obligation arrangements, a liability is established on the Company's consolidated 
balance sheets representing the present value of the future minimum lease payments and a corresponding long-term asset is recorded in property, plant and equipment and leasehold 
intangibles in the consolidated balance sheets. The asset is depreciated over the remaining lease term unless there is a bargain purchase option in which case the asset is depreciated 
over the useful life. Leasehold improvements purchased during the term of the lease are amortized over the shorter of their economic life or the lease term. 

All of the Company's leases contain fixed or formula-based rent escalators. To the extent that the escalator increases are tied to a fixed index or rate, lease payments are accounted for on 
a straight-line basis over the life of the lease. In addition, all rent-free or rent holiday periods are recognized in lease expense on a straight-line basis over the lease term, including the 
rent holiday period. 

Sale-leaseback accounting is applied to transactions in which an owned community is sold and leased back from the buyer. Under sale-leaseback accounting, the Company removes the 
community and related liabilities from the consolidated balance sheets. Gain on the sale is deferred and recognized as a reduction of facility lease expense for operating leases and a 
reduction of interest expense for capital leases. 

For leases in which the Company is involved with the construction of the building, the Company accounts for the lease during the construction period under the provisions of ASC 840. 
 If the Company concludes that it has substantively all of the risks of ownership during construction of a leased property and therefore is deemed the owner of the project for 
accounting purposes, it records an asset and related financing obligation for the amount of total project costs related to construction in progress.  Once construction is complete, the 
Company considers the requirements under ASC 840-40 – Leases – Sale-Leaseback Transactions.  If the arrangement does not qualify for sale-leaseback accounting, the Company 
continues to amortize the financing obligation and depreciate the building over the lease term. 

Treasury Stock 

The Company accounts for treasury stock under the cost method and includes treasury stock as a component of stockholders' equity. 

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New Accounting Pronouncements 

In June 2011, the FASB issued Accounting Standards Update ("ASU") 2011-05, Presentation of Comprehensive Income ("ASU 2011-05").  The guidance in ASU 2011-05 is effective for 
public companies for fiscal years, and interim periods within those years, beginning after December 15, 2011 and requires the components of net income and other comprehensive 
income and total comprehensive income for each interim period. The Company adopted the provisions of this update as of January 1, 2012 and incorporated the provisions of this 
update to its consolidated financial statements upon adoption. The adoption of this update did not have an impact on the Company's financial condition or results of operations. 

In September 2011, the FASB issued ASU 2011-08, Intangibles — Goodwill and Other ("ASU 2011-08").  ASU 2011-08 amends current guidance to allow an entity to first assess 
qualitative factors to determine whether it is necessary to perform the two-step quantitative goodwill impairment test.  Under this amendment, an entity would not be required to 
calculate the fair value of a reporting unit unless the entity determines, based on a qualitative assessment, that it is more likely than not that its fair value is less than its carrying amount. 
 ASU 2011-08 applies to all companies that have goodwill reported in their financial statements.  The provisions of ASU 2011-08 are effective for the Company in 2012.  The adoption of 
this update did not have an impact on the Company's financial condition or results of operations. 

In July 2012, the FASB issued ASU 2012-01, Continuing Care Retirement Communities — Refundable Advance Fees ("ASU 2012-01").  ASU 2012-01 amends the situations in which 
recognition of deferred revenue for refundable advance fees is appropriate.  Under this amendment, refundable advance fees that are contingent upon reoccupancy by a subsequent 
resident but are not limited to the proceeds of reoccupancy should be accounted for and reported as a liability.  The guidance in ASU 2012-01 is effective for public companies for fiscal 
years, and interim periods within those years, beginning after December 15, 2012.  The Company is currently evaluating the impact this provision will have on its consolidated financial 
statements. 

In July 2012, the FASB issued ASU 2012-02, Intangibles — Goodwill and Other ("ASU 2012-02").  ASU 2012-02 amends current guidance to allow an entity to first assess qualitative 
factors to determine whether it is necessary to perform the annual quantitative indefinite-lived intangible asset impairment test.  Under this amendment, an entity would not be required 
to calculate the fair value of an indefinite-lived intangible asset unless the entity determines, based on a qualitative assessment, that it is more likely than not that its fair value is less 
than its carrying amount.  ASU 2012-02 applies to all companies that have indefinite-lived intangible assets reported in their financial statements.  The provisions of ASU 2012-02 are 
effective for annual reporting periods beginning after September 15, 2012.  The Company has not yet adopted this pronouncement, but does not believe it will have an impact on the 
Company's consolidated financial statements. 

Reclassifications 

Certain prior period amounts have been reclassified to conform to the current financial statement presentation, with no effect on the Company's consolidated financial position or results 
of operations. 

3.      Earnings Per Share 

Basic earnings per share ("EPS") is calculated by dividing net income by the weighted average number of shares of common stock outstanding.  Diluted EPS includes the components 
of basic EPS and also gives effect to dilutive common stock equivalents.  For purposes of calculating basic and diluted earnings per share, vested restricted stock awards are considered 
outstanding.  Under the treasury stock method, diluted EPS reflects the potential dilution that could occur if securities or other instruments that are convertible into common stock were 
exercised or could result in the issuance of common stock.  Potentially dilutive common stock equivalents include unvested restricted stock, restricted stock units and convertible debt 
instruments and warrants (Note 9). 

During fiscal 2012, 2011 and 2010, the Company reported a consolidated net loss.  As a result of the net loss, unvested restricted stock, restricted stock unit awards and convertible debt 
instruments and warrants were antidilutive for the year and were not included in the computation of diluted weighted average shares.  The weighted average unrestricted restricted 
stock grants and restricted stock units excluded from the calculations of diluted net 

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loss per share were 1.2 million, 1.3 million and 1.5 million for the years ended December 31, 2012, 2011 and 2010, respectively. 

4.      Acquisitions and Dispositions 

2012 Acquisitions and Dispositions 

Effective February 2, 2012, the Company acquired the underlying real estate associated with nine communities that were previously leased for an aggregate purchase price of $121.3 
million. The results of operations of these communities, prior and subsequent to the acquisition, are reported in the Retirement Centers segment. The Company financed the transaction 
with $77.9 million of first mortgage financing secured by seven of the communities and $15.0 million of seller-financing secured by two of the communities (Note 9).  The purchase price 
of the acquisitions has primarily been ascribed to the basis of the buildings acquired and recorded on the consolidated balance sheet under property, plant and equipment and 
leasehold intangibles, net. 

During the month ended December 31, 2012, the Company acquired the underlying real estate interest in 12 communities that the Company previously leased for an aggregate purchase 
price of $162.1 million.  The results of operations of the previously leased communities are included in the consolidated financial statements from the effective dates of the 
respective lease agreements and are reported in the Assisted Living and Retirement Centers segments.  The purchase price of the acquisitions has primarily been ascribed to the basis 
of the buildings acquired and recorded on the consolidated balance sheet under property, plant and equipment and leasehold intangibles, net. 

During the year ended December 31, 2012, the Company recognized an $11.6 million net gain on facility lease termination from the reversal of deferred lease liabilities associated with the 
termination of operating lease contracts in connection with the acquisition of the underlying real estate of the previously leased communities. 

During the year ended December 31, 2012, the Company purchased four home health agencies and an existing skilled nursing facility as part of its growth strategy for an aggregate 
purchase price of approximately $7.0 million.  The purchase price of the acquisitions has primarily been ascribed to an indefinite useful life intangible asset and recorded on the 
consolidated balance sheet under other intangible assets, net. 

During the year ended December 31, 2012, the Company sold one community for an aggregate selling price of $8.9 million.  The results of operations of the community were previously 
reported in the Assisted Living segment. 

2011 Acquisitions and Dispositions 

Effective January 13, 2011, the Company acquired the underlying real estate interest in 12 assisted living communities that the Company previously leased for an aggregate purchase 
price of $31.3 million, which was paid from cash on hand.  The results of operations of the previously leased communities are included in the consolidated financial statements from the 
effective date of the lease agreement and are reported in the Assisted Living segment. 

Effective February 1, 2011, the Company acquired the underlying real estate interest in one assisted living community that the Company previously leased for an aggregate purchase 
price of $9.8 million, which was paid from cash on hand.  The results of operations of the previously leased community are included in the consolidated financial statements from the 
effective date of the lease agreement and are reported in the Assisted Living segment. 

Effective February 1, 2011, the Company acquired one assisted living community for an aggregate purchase price of $9.2 million, which was paid from cash on hand.  The results of 
operations of the acquired community are included in the consolidated financial statements from the effective date of the acquisition and are reported in the Assisted Living segment. 

Effective November 1, 2011, the Company acquired one assisted living community that the Company previously managed for an aggregate purchase price of $30.2 million, which was 
paid from cash on hand.  A former executive officer of the Company had an ownership interest in the community prior to the acquisition.  The results of operations of the acquired 
community are included in the consolidated financial statements from the effective date of the acquisition and are reported in the Assisted Living segment. 

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During the year ended December 31, 2011, the Company purchased three home health agencies as part of its growth strategy for an aggregate purchase price of approximately $4.2 
million.  The entire purchase price of the acquisitions has been ascribed to an indefinite useful life intangible asset and recorded on the consolidated balance sheet under other 
intangible assets, net. 

During the year ended December 31, 2011, the Company sold four communities for an aggregate selling price of $30.8 million.  The results of operations of the communities were 
previously reported in the Retirement Centers and Assisted Living segments. 

Horizon Bay/HCP Transactions 

On September 1, 2011, the Company acquired 100% of the equity and voting interests in Horizon Bay Realty, L.L.C. ("Horizon Bay").  The results of Horizon Bay's operations have been 
included in the consolidated financial statements since that date.  Horizon Bay is a seniors housing management company primarily focused on managing large portfolios of retirement 
communities across the United States for institutional real estate investors.  In connection with the acquisition, the Company also restructured Horizon Bay's existing relationship with 
HCP, Inc. ("HCP") relating to 33 communities that Horizon Bay leased from HCP. In particular, the Company (i) formed a joint venture with HCP to own and operate 21 communities (the 
"HCP RIDEA JV"), and (ii) leased the remaining 12 communities from HCP under long-term, triple net leases. Of these 12 communities, the Company assumed the pre-existing lease for 
eight communities and entered into a new lease for the remaining four communities.  The joint venture with HCP utilizes a RIDEA structure with the Company having acquired a 10% 
non-controlling interest in the joint venture. The Company also manages the communities under a ten-year management agreement with four five-year renewal options and retains all 
ancillary services operations. 

As part of the transactions, the Company entered into an agreement to restructure Horizon Bay's management arrangements with Chartwell Seniors Housing Real Estate Investment 
Trust ("Chartwell").  Certain elements of the Chartwell management arrangement restructuring are subject to lender and other third party approvals. Until such approvals are received, 
the Company will operate Chartwell's properties under the existing management contracts. 

The aggregate acquisition-date fair value of the purchase consideration transferred for the acquisition of Horizon Bay was approximately $10.7 million which consisted of the following 
(dollars in thousands): 

Fair value of consideration transferred 
Cash 
Common stock (96,862 shares) 
Contingent consideration 
Total 

  $ 

  $ 

6,500  
1,538  
2,708  
10,746  

The fair value of the 96,862 common shares issued was determined based on the closing market price of the Company's common shares on the acquisition date. 

The aggregate acquisition-date fair value of the purchase consideration transferred for the acquisition of Horizon Bay included $2.7 million of contingent consideration. The contingent 
consideration arrangement requires the Company to pay up to a maximum of approximately $3.4 million to Horizon Bay's former members.  The Company estimated the fair value of the 
contingent consideration using a probability-weighted discounted cash flow model.  This fair value measurement is based on significant inputs not observable in the market and thus 
represents a Level 3 measurement as defined in ASC 820. The key assumption in applying the income approach was the assignment of probabilities to the various possible outcomes. 
 During the year ended December 31, 2012, the Company paid approximately $1.2 million in contingent consideration.  As of December 31, 2012, there were no significant changes in the 
range of outcomes for the contingent consideration recognized as a result of the acquisition of 

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Horizon Bay. 

The following table summarizes the estimated fair values of the assets acquired and liabilities assumed at the acquisition date (dollars in thousands): 

   Purchase price allocation 
   Current assets 
   Property and equipment 
   Acquired lease intangibles 
   Current liabilities 
   Long-term debt 
   Other liabilities 
   Deferred tax liability 
   Gain on acquisition 

   Total 

  $ 

  $ 

24,064  
2,167  
5,965  
(15,979 ) 
(1,821 ) 
(1,482 ) 
(822 ) 
(1,346 ) 
10,746  

The Company purchased 100% of Horizon Bay in a transaction that involved the restructuring of certain leases and other elements of Horizon Bay's capital structure.  The fair value of 
identifiable assets acquired and liabilities assumed exceeded the fair value of the consideration transferred.  Consequently, the Company reassessed the recognition and measurement of 
identifiable assets acquired and liabilities assumed and concluded that all acquired assets and assumed liabilities were recognized and that the valuation procedures and resulting 
measures were appropriate.  As a result, the Company recognized a net non-cash gain of $2.0 million during the year ended December 31, 2011 which was subsequently reduced by 
approximately $0.6 million during the year ended December 31, 2012 due to adjustments related to pre-acquisition self-insurance reserves. 

The Company recognized $14.4 million of integration and transaction-related costs that were expensed in 2011.  These costs are included in the consolidated statements of operations in 
the line item entitled "general and administrative expenses." 

In connection with the formation of the HCP RIDEA JV, the Company contributed cash of $13.7 million for a 10% interest in the joint venture.  The Company has accounted for this 
interest under the equity method of accounting. 

5.      Investment in Unconsolidated Ventures 

The Company had investments in unconsolidated joint ventures of 20% and 10% in ventures owning 13 and 21 communities, respectively, at December 31, 2012 and 2011. 

Combined summarized financial information of the unconsolidated joint ventures accounted for using the equity method as of December 31, and for the years then ended are as follows 
(dollars in thousands): 

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Statement of Operations Data 

Total revenue 
Expense 

Facility operating expense 
Depreciation and amortization 
Interest expense 
Other expense 

Total expense 
Interest income 
Net loss 

Balance Sheet Data 

Cash and cash equivalents 
Property, plant and equipment, net 
Other 

Total assets 

Accounts payable and accrued expenses 
Long-term debt 
Members' equity 

Total liabilities and members' equity 

Members' equity consists of: 

Invested capital 
Cumulative net loss 
Cumulative distributions 

Members' equity 

2012 

2011 

2010 

  $ 

295,539  

  $ 

154,964  

  $ 

202,855  
49,142  
50,825  
28,112  
330,934  
123  
(35,272 )    $ 

103,611  
23,923  
27,072  
6,885  
161,491  
108  
(6,419 )    $ 

  $ 

84,689  

54,766  
12,730  
13,153  
4,585  
85,234  
24  
(521 ) 

  $ 

  $ 
  $ 

  $ 

  $ 

  $ 

2012 

2011 

16,578     $ 

1,073,610    
148,960    
1,239,148     $ 
66,841     $ 
892,463    
279,844    
1,239,148     $ 

582,360     $ 
(55,942 )  
(246,574 )  
279,844     $ 

15,255  
1,012,941  
184,052  
1,212,248  
61,199  
900,091  
250,958  
1,212,248  

403,625  
(25,810 ) 
(126,857 ) 
250,958  

6.      Property, Plant and Equipment and Leasehold Intangibles, Net 

As of December 31, 2012 and 2011, net property, plant and equipment and leasehold intangibles, which include assets under capital leases, consisted of the following (dollars in 
thousands): 

Land 
Buildings and improvements 
Leasehold improvements 
Furniture and equipment 
Resident and leasehold operating intangibles 
Construction in progress 
Assets under capital and financing leases 

Accumulated depreciation and amortization 
Property, plant and equipment and leasehold intangibles, net 

2012 

2011 

  $ 

  $ 

296,314     $ 

3,391,667    
60,186    
541,585    
441,603    
75,419    
674,492    
5,481,266    
(1,601,289 )  
3,879,977     $ 

275,277  
3,083,316  
62,494  
450,179  
527,571  
39,600  
667,239  
5,105,676  
(1,411,612 ) 
3,694,064  

Long-lived assets with definite useful lives are depreciated or amortized on a straight-line basis over their estimated useful lives (or, in certain cases, the shorter of their estimated useful 
lives or the lease term) and are tested for impairment whenever indicators of impairment arise. 

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During the years ended December 31, 2012, 2011 and 2010, the Company evaluated property, plant and equipment and leasehold intangibles for impairment.  The Company compared the 
estimated fair value of the assets to their carrying value for properties with impairment indicators and recorded an impairment charge for the excess of carrying value over fair value.  For 
the years ended December 31, 2012, 2011 and 2010, $27.7 million primarily within the Retirement Centers and Assisted Living segments, $16.9 million within the Retirement Centers and 
Assisted Living segments and $13.1 million within the Retirement Centers and Assisted Living segments, respectively, of non-cash charges were recorded in the Company's operating 
results.  These impairment charges are primarily due to the amount by which the carrying values of the assets exceed the estimated fair value or estimated selling prices. 

For the years ended December 31, 2012, 2011 and 2010, the Company recognized depreciation and amortization expense on its property, plant and equipment and leasehold intangibles 
of $248.5 million, $247.1 million and $258.0 million, respectively. 

Future amortization expense for resident and leasehold operating intangibles is estimated to be as follows (dollars in thousands): 

Year Ending December 31, 
2013 
2014 
2015 
2016 
2017 
Thereafter 
Total 

7.      Goodwill and Other Intangible Assets, Net 

Future 
Amortization 

  $ 

  $ 

26,900  
22,248  
20,613  
19,137  
12,272  
14,083  
115,253  

The following is a summary of changes in the carrying amount of goodwill for the years ended December 31, 2012 and 2011 presented on an operating segment basis (dollars in 
thousands): 

December 31, 2012 

December 31, 2011 

Gross 
Carrying 
Amount 

Adjustment 

Accumulated 
Impairment 
and Other 
Charges 

Retirement Centers 
Assisted Living 
CCRCs – Rental 
CCRCs – Entry Fee 
Total 

  $ 

  $ 

7,642  
102,680  
56,281  
158,718  
325,321  

  $ 

  $ 

(34 )    $ 
(106 )   
—  
—  

(140 )    $ 

(487 )    $ 
(142 )   
(56,281 )   
(158,718 )   
(215,628 )    $ 

Gross 
Carrying 
Amount 

Adjustment 

Accumulated 
Impairment 
and Other 
Charges 

7,642  
102,680  
56,281  
158,718  
325,321  

  $ 

  $ 

(34 )    $ 
(106 )   
—  
—  

(140 )    $ 

(487 )    $ 
(142 )   
(56,281 )   
(158,718 )   
(215,628 )    $ 

Net 

7,121  
102,432  
—  
—  
109,553  

  $ 

  $ 

Net 

7,121  
102,432  
—  
—  
109,553  

The following is a summary of other intangible assets at December 31, 2012 and 2011 (dollars in thousands): 

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December 31, 2012 

Gross 
Carrying 
Amount 

Accumulated 
Amortization 

Net 

Gross 
Carrying 
Amount 

December 31, 2011 

Accumulated 
Amortization 

Community purchase options 
Health care licenses 
Management contracts and other 
Total 

  $ 

  $ 

147,610  
31,082  
160,626  
339,318  

  $ 

  $ 

(21,263 )    $ 
—  

(158,113 )   
(179,376 )    $ 

126,347  
31,082  
2,513  
159,942  

  $ 

  $ 

147,610  
24,092  
158,041  
329,743  

  $ 

  $ 

(17,566 )    $ 
—  

(158,041 )   
(175,607 )    $ 

Net 

130,044  
24,092  
—  
154,136  

Amortization expense related to definite-lived intangible assets for the years ended December 31, 2012, 2011 and 2010 was $3.8 million, $21.3 million and $34.8 million, respectively. 

Estimated amortization expense related to intangible assets with definite lives at December 31, 2012, for each of the years in the five-year period ending December 31, 2017 and thereafter 
is as follows (dollars in thousands): 

Year Ending December 31, 
2013 
2014 
2015 
2016 
2017 
Thereafter 
Total 

Future 
Amortization 

$ 

$ 

4,560  
4,560  
4,488  
3,698  
3,698  
107,856  
128,860  

8.      Other Assets 

Other assets consist of the following components as of December 31, (dollars in thousands): 

Notes receivable 
Deferred costs, net 
Lease security deposits 
Other 

Total 

9.      Debt 

Long-term Debt, Capital Leases and Financing Obligations 

Long-term debt, capital leases and financing obligations consist of the following (dollars in thousands): 

2012 

2011 

34,968     $ 
24,517      
38,544      
15,286      
113,315     $ 

32,844  
26,032  
36,748  
14,310  
109,934  

  $ 

  $ 

December 31, 

2012 

2011 

Mortgage notes payable due 2013 through 2022; weighted average interest rate of 4.62% in 2012, net of debt discount of $0.3 

million (weighted average interest rate of 5.04% in 2011) 

  $ 

1,701,515  

  $ 

1,470,462  

$150,000 Series A notes payable, secured by five communities and by a $3.0 million cash collateral deposit, bearing interest at 

LIBOR plus 0.88%, payable in monthly installments of interest only until August 2011 and payable in monthly installments of 
principal and interest through maturity in August 2013 

144,384  

148,601  

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Discount mortgage note payable due June 2013, weighted average interest rate of 2.56% in 2012, net of debt discount of $1.0 

million and $3.0 million in 2012 and 2011, respectively (weighted average interest rate of 2.52% in 2011) 

80,533  

79,911  

December 31, 

2012 

2011 

Variable rate tax-exempt bonds credit-enhanced by Fannie Mae (weighted average interest rates of 1.65% at December 31, 2012 
and 2011), due 2032, payable in monthly installments of principal and interest through maturity, secured by the underlying 
assets of the portfolio 

Capital and financing lease obligations payable through 2026; weighted average interest rate of 8.16% in 2012 (weighted average 

interest rate of 8.61% in 2011) 

Convertible notes payable in aggregate principal amount of $316.3 million, less debt discount of $65.0 million and $74.4 million in 

2012 and 2011, respectively, interest at 2.75% per annum, due June 2018 

Construction financing due 2017 through 2024; weighted average interest rate of 8.0% in 2012 (weighted average interest rate of 

7.0% in 2011) 

Notes payable issued to finance insurance premiums, weighted average interest rate of 2.81% in 2012 (weighted average interest 

rate of 3.11% in 2011), due 2013 

Total debt 

Less current portion 

Total long-term debt 

99,847  

319,745  

251,312  

1,280  

753  

2,599,369  

509,543  

100,423  

348,195  

241,897  

6,591  

2,545  

2,398,625  

47,654  

  $ 

2,089,826  

  $ 

2,350,971  

As of December 31, 2012, the current portion of long-term debt within the Company's consolidated financial statements reflects approximately $465.6 million of mortgage notes payable 
due within the next 12 months.  Although these debt obligations are scheduled to mature on or prior to December 31, 2013, the Company has the option, subject to the satisfaction of 
customary conditions (such as the absence of a material adverse change), to extend the maturity of approximately $205.5 million of certain mortgages payable included in such debt until 
2018 or later, as the instruments associated with such mortgages payable provide that the Company can extend the respective maturity dates for terms of five to seven years from the 
existing maturity dates. 

The annual aggregate scheduled maturities of long-term debt obligations outstanding as of December 31, 2012 are as follows (dollars in thousands): 

Year Ending December 31, 
2013 
2014 
2015 
2016 
2017 
Thereafter 
Total obligations 
Less amount representing debt discount 
Less amount representing interest (8.16%) 
Total 

Credit Facilities 

Long-term 
Debt 

Capital and 
Financing 
Lease 
Obligations 

Total Debt 

  $ 

  $ 

  $ 

490,666  
170,705  
54,442  
50,643  
341,983  
1,237,452  
2,345,891  

(66,267 )   

—  
2,279,624  

  $ 

  $ 

55,828  
55,065  
53,401  
46,957  
60,494  
211,405  
483,150  
—  

(163,405 )   
319,745  

  $ 

546,494  
225,770  
107,843  
97,600  
402,477  
1,448,857  
2,829,041  
(66,267 ) 
(163,405 ) 
2,599,369  

On January 31, 2011, the Company entered into an amended and restated credit agreement with General Electric Capital Corporation, as administrative agent and lender, and the other 
lenders from time to time parties thereto. The amended credit agreement amended and restated in its entirety the Company's existing credit agreement dated as of February 

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23, 2010, as previously amended.  The amended credit agreement increased the commitment under the credit facility from $120.0 million to $200.0 million and extended the maturity date to 
January 31, 2016.  Effective February 23, 2011, the commitment under the amended and restated credit agreement was further increased to $230.0 million. 

The revolving line of credit can be used to finance acquisitions and fund working capital and capital expenditures and for other general corporate purposes. 

The facility is secured by a first priority lien on certain of the Company's communities. The availability under the line will vary from time to time as it is based on borrowing base 
calculations related to the value and performance of the communities securing the facility. 

Amounts drawn under the facility bear interest at 90-day LIBOR plus an applicable margin, as described below. For purposes of determining the interest rate, in no event will LIBOR be 
less than 2%. The applicable margin varies with the percentage of total commitment drawn, with a 4.5% margin at 35% or lower utilization, a 5.0% margin at utilization greater than 35% 
but less than or equal to 50% and a 5.5% margin at greater than 50% utilization. The Company is also required to pay a quarterly commitment fee of 1.0% per annum on the unused 
portion of the facility. 

The credit agreement contains typical affirmative and negative covenants, including financial covenants with respect to minimum consolidated fixed charge coverage and minimum 
consolidated tangible net worth. A violation of any of these covenants could result in a default under the credit agreement, which would result in termination of all commitments under 
the credit agreement and all amounts owing under the credit agreement and certain other loan agreements becoming immediately due and payable. 

As of December 31, 2012, the Company had an available secured line of credit with a $230.0 million commitment and $191.4 million of availability (of which $80.0 million had been drawn 
as of that date).  The Company also had secured and unsecured letter of credit facilities of up to $92.5 million in the aggregate as of December 31, 2012.  Letters of credit totaling $78.1 
million had been issued under these facilities as of that date. 

Convertible Debt Offering 

In June 2011, the Company completed a registered offering of $316.3 million aggregate principal amount of 2.75% convertible senior notes (the "Notes"). The Company received net 
proceeds of approximately $308.2 million after the deduction of underwriting commissions and offering expenses.  The Company used a portion of the net proceeds to pay the 
Company's cost of the convertible note hedge transactions described below, taking into account the proceeds to the Company of the warrant transactions described below, and used 
the balance of the net proceeds to repay existing outstanding debt. 

The Notes are senior unsecured obligations and rank equally in right of payment to all of the Company's other senior unsecured debt, if any. The Notes will be senior in right of 
payment to any of the Company's debt which is subordinated by its terms to the Notes (if any). The Notes are also structurally subordinated to all debt and other liabilities and 
commitments (including trade payables) of the Company's subsidiaries. The Notes are also effectively subordinated to the Company's secured debt to the extent of the assets securing 
the debt. 

The Notes bear interest at 2.75% per annum, payable semi-annually in cash.  The Notes are convertible at an initial conversion rate of 34.1006 shares of Company common stock per 
$1,000 principal amount of Notes (equivalent to an initial conversion price of approximately $29.325 per share), subject to adjustment. Holders may convert their Notes at their option 
prior to the close of business on the second trading day immediately preceding the stated maturity date only under the following circumstances:  (i) during any fiscal quarter 
commencing after the fiscal quarter ending September 30, 2011, if the last reported sale price of the Company's common stock for at least 20 trading days (whether or not consecutive) 
during a period of 30 consecutive trading days ending on the last trading day of the preceding fiscal quarter is greater than or equal to 130% of the applicable conversion price on each 
applicable trading day; (ii) during the five business day period after any five consecutive trading day period (the 

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"measurement period"), in which the trading price per $1,000 principal amount of notes for each trading day of that measurement period was less than 98% of the product of the last 
reported sale price of the Company's common stock and the applicable conversion rate on each such day; or (iii) upon the occurrence of specified corporate events.  On and after 
March 15, 2018, until the close of business on the second scheduled trading day immediately preceding the maturity date, holders may convert their Notes at any time, regardless of the 
foregoing circumstances.  Unconverted Notes mature at par in June 2018. 

Upon conversion, the Company will satisfy its conversion obligation by paying or delivering, as the case may be, cash, shares of the Company's common stock or a combination of 
cash and shares of the Company's common stock at the Company's election.  It is the Company's current intent and policy to settle the principal amount of the Notes (or, if less, the 
amount of the conversion obligation) in cash upon conversion. 

In addition, following certain corporate transactions, the Company will increase the conversion rate for a holder who elects to convert in connection with such transaction by a number 
of additional shares of common stock as set forth in the supplemental indenture governing the Notes. 

The Notes were issued in an offering registered under the Securities Act of 1933, as amended (Securities Act). 

In accordance with FASB guidance on the accounting for convertible debt instruments that may be settled in cash upon conversion (including partial settlement), the liability and 
equity components are separated in a manner that will reflect the entity's non-convertible debt borrowing rate when interest expense is recognized in subsequent periods. 

The Company is accreting the carrying value to the principal amount at maturity using an imputed interest rate of 7.5% (the estimated effective borrowing rate for nonconvertible debt at 
the time of issuance, Level 2) over its expected life of seven years. 

As of December 31, 2012, the "if converted" value of the Notes does not exceed its principal amount. 

The interest expense associated with the Notes (excluding amortization of the associated deferred financing costs) was as follows (dollars in thousands): 

Coupon interest 
Amortization of discount 
Interest expense related to convertible notes 

For the Years Ended December 31, 

2012 

2011 

  $ 

  $ 

8,697     $ 
9,415      
18,112     $ 

4,759  
4,456  
9,215  

In connection with the offering of the Notes, in June 2011, the Company entered into convertible note hedge transactions (the "Convertible Note Hedges") with certain financial 
institutions (the "Hedge Counterparties"). The Convertible Note Hedges cover, subject to customary anti-dilution adjustments, 10,784,315 shares of common stock.  The Company also 
entered into warrant transactions with the Hedge Counterparties whereby the Company sold to the Hedge Counterparties warrants to acquire, subject to customary anti-dilution 
adjustments, up to 10,784,315 shares of common stock (the "Sold Warrant Transactions").  The warrants have a strike price of $40.25 per share, subject to customary anti-dilution 
adjustments. 

The Convertible Note Hedges are expected to reduce the potential dilution with respect to common stock upon conversion of the Notes in the event that the price per share of common 
stock at the time of exercise is greater than the strike price of the Convertible Note Hedges, which corresponds to the initial conversion price of the Notes and is similarly subject to 
customary anti-dilution adjustments. If, however, the price per share of common stock exceeds the strike price of the Sold Warrant Transactions when they expire, there would be 
additional dilution from the issuance of common stock pursuant to the warrants. 

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The Convertible Note Hedges and Sold Warrant Transactions are separate transactions (in each case entered into by the Company and Hedge Counterparties), are not part of the terms 
of the Notes and will not affect the holders' rights under the Notes. Holders of the Notes do not have any rights with respect to the Convertible Note Hedges or the Sold Warrant 
Transactions. 

These hedging transactions had a net cost of approximately $31.9 million, which was paid from the proceeds of the Notes and recorded as a reduction of additional paid-in capital.  The 
Company has contractual rights, and, at execution of the related agreements, had the ability to settle its obligations under the conversion feature of the Notes, the Convertible Note 
Hedges and Sold Warrant Transactions, with the Company's common stock. Accordingly, these transactions are accounted for as equity, with no subsequent adjustment for changes in 
the value of these obligations. 

2012 Financings 

On January 5, 2012, the Company obtained a $63.0 million first mortgage loan, secured by the underlying community.  The loan bears interest at a variable rate equal to 30-day LIBOR 
plus a margin of 300 basis points and matures in January 2017.  In connection with the transaction, the Company repaid $62.8 million of existing variable rate debt. 

On February 29, 2012, the Company obtained a $20.0 million first mortgage loan, secured by the underlying community.  The loan bears interest at a variable rate equal to 30-day LIBOR 
plus a margin of 275 basis points and matures in February 2017. 

As discussed in Note 4, the Company financed a current year acquisition with a $77.9 million first mortgage.  The first mortgage facility has a ten year term and 75% of it bears interest at 
a fixed rate of 4.2% and the remaining 25% bears interest at a variable rate of 30-day LIBOR plus a margin of 276 basis points.  The $15.0 million mortgage loan used to partially finance 
the acquisition had a two year term and bore interest at a fixed rate of 7.0%. 

On June 29, 2012, the Company obtained a $15.0 million first mortgage loan, secured by two communities that the Company acquired in February 2012.  The loan bears interest at a 
variable rate equal to 30-day LIBOR plus a margin of 425 basis points and matures in June 2017.  In connection with the transaction, the Company repaid $15.0 million of seller-financed 
debt that had been obtained at the time of closing of the acquisition (Note 4). 

On December 28, 2012, the Company obtained a $171.3 million first mortgage loan secured by nine of the Company's communities, including eight recently-acquired communities.  The 
loan has a ten-year term and bears interest at a variable rate equal to 30-day LIBOR plus a margin of 259 basis points.  In connection with the transaction, the Company repaid $37.4 
million of mortgage loans scheduled to mature in 2013. 

2011 Financings 

On March 29, 2011, the Company obtained a $28.0 million first mortgage loan, secured by the underlying community.  The loan bears interest at a rate that has been effectively fixed at 
5.49% by means of a swap instrument issued by the lender and matures in March 2016.  In connection with the transaction, the Company repaid $28.0 million of existing variable rate 
debt. 

During the year ended December 31, 2011, the Company repaid approximately $37.9 million of mortgage debt in connection with the release of entrance fee escrows at a recently opened 
entrance fee CCRC.  Additionally, during the year ended December 31, 2011, the Company repaid $48.7 million of mortgage debt and moved the related assets into the credit line 
borrowing base and repaid $274.9 million of mortgage debt from the net proceeds of the convertible debt offering.  The Company recognized a loss on extinguishment of debt of $18.9 
million for the year ended December 31, 2011 in connection with the early repayment of first and second mortgage notes. 

On July 29, 2011, the Company obtained $437.8 million in loans pursuant to the terms of a Master Credit Facility Agreement.  The loans are secured by first mortgages on 44 
communities, and 75% of the loans bear interest at a fixed rate of 4.25% while the remaining 25% of the loans bear interest at a variable rate equal to the 30-day LIBOR plus a margin of 
182 basis points.  The loans mature on August 1, 2018 and require amortization of principal over a 

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30 year period.  Proceeds of the loans, together with cash on hand, were used to refinance or prepay $445.2 million of mortgage debt which was scheduled to mature in February and 
August 2012. 

The Master Credit Facility Agreement permits additional loans and substitution or release of mortgaged communities subject to loan-to-value and debt service coverage requirements. 
The Master Credit Facility Agreement also provides flexibility for expansion of, and repositioning of services provided at, the mortgaged communities subject to lender approval. 

On December 21, 2011, the Company repaid $5.0 million of mortgage debt related to two communities.  The partial repayments were allowed under the loan agreements and did not incur 
any prepayment penalties. 

As of December 31, 2012, the Company is in compliance with the financial covenants of its outstanding debt and lease agreements. 

Interest Rate Swaps and Caps 

In the normal course of business, a variety of financial instruments are used to manage or hedge interest rate risk. Interest rate protection and swap agreements were entered into to 
effectively cap or convert floating rate debt to a fixed rate basis, as well as to hedge anticipated future financing transactions. 

The following table summarizes the Company's swap instruments at December 31, 2012 (dollars in thousands): 

Current notional balance 
Highest possible notional 
Lowest interest rate 
Highest interest rate 
Average fixed rate 
Earliest maturity date 
Latest maturity date 
Weighted average original maturity 
Estimated liability fair value (included in other liabilities at December 31, 2012) 
Estimated liability fair value (included in other liabilities at December 31, 2011) 

The following table summarizes the Company's cap instruments at December 31, 2012 (dollars in thousands): 

Current notional balance 
Highest possible notional 
Lowest interest cap rate 
Highest interest cap rate 
Average fixed cap rate 
Earliest maturity date 
Latest maturity date 
Weighted average original maturity 
Estimated asset fair value (included in other assets at December 31, 2012) 
Estimated asset fair value (included in other assets at December 31, 2011) 

  $ 
  $ 

  $ 
  $ 

  $ 
  $ 

  $ 
  $ 

27,373  
27,373  

5.49 % 
5.49 % 
5.49 % 
2016  
2016  
5.0 years  
(1,833 ) 
(2,809 ) 

589,568  
589,568  

5.00 % 
6.06 % 
5.43 % 
2013  
2018  
3.5 years  
495  
—  

During the year ended December 31, 2012, the Company terminated one swap agreement with a total notional amount of $150.0 million. In conjunction with this transaction, $1.2 million 
was paid to the counterparty, which had been previously deposited as collateral. The Company also entered into three new cap agreements with an aggregate notional amount of $340.8 
million and extended the maturity of five cap agreements with an aggregate notional amount of $100.8 million. 

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10.            Accrued Expenses 

Accrued expenses consist of the following components as of December 31, (dollars in thousands): 

Salaries and wages 
Insurance reserves 
Vacation 
Real estate taxes 
Lease payable 
Interest 
Income taxes 
Other 

Total 

11.      Facility Operating Leases 

2012 

2011 

71,567     $ 
37,717      
24,697      
22,178      
8,915      
7,644      
2,469      
25,708      
200,895     $ 

52,268  
35,066  
23,565  
22,690  
9,017  
7,782  
1,919  
31,327  
183,634  

  $ 

  $ 

The Company has entered into sale leaseback and lease agreements with certain real estate investment trusts (REITs). Under these agreements communities are either sold to the REIT 
and leased back or a long-term lease agreement is entered into for the communities. The initial lease terms vary from 10 to 20 years and include renewal options ranging from 5 to 30 
years.  The Company is responsible for all operating costs, including repairs, property taxes and insurance. The substantial majority of the Company's lease arrangements are structured 
as master leases. Under a master lease, numerous communities are leased through an indivisible lease.  The Company typically guarantees its performance and the lease payments under 
the master lease and the lease may include performance covenants, such as net worth, minimum capital expenditure requirements per community per annum and minimum lease coverage 
ratios.  Failure to comply with these covenants could result in an event of default.  Certain leases contain cure provisions generally requiring the posting of an additional lease security 
deposit if the required covenant is not met. 

As of December 31, 2012 and 2011, the Company operated 329 and 350 communities, respectively, under long-term leases (275 operating leases and 54 capital and financing leases at 
December 31, 2012).  The remaining base lease terms vary from one year to 14 years and generally provide for renewal, extension and purchase options. The Company expects to renew, 
extend or exercise purchase options in the normal course of business; however, there can be no assurance that these rights will be exercised in the future. 

One lease required posting of a lease security deposit in an interest bearing account at closing.  The lease security deposit will be released upon achieving certain lease coverage ratios. 
 The Company agreed to spend a minimum of $450 per unit per year on capital improvements of which the lessor will reduce the security deposit by the same amount up to $600 per unit, 
or $2.7 million per year. For the years ended December 31, 2012, 2011 and 2010, a release of $0.1 million, $2.6 million and $2.7 million, respectively, was received related to this lease 
security deposit. 

A summary of facility lease expense and the impact of straight-line adjustment and amortization of deferred gains are as follows (dollars in thousands): 

Cash basis payment 
Straight-line expense 
Amortization of deferred gain 

Facility lease expense 

2012 

For the Years Ended 
December 31, 
2011 

  $ 

  $ 

  $ 

281,729  
6,668  
(4,372 )   

284,025  

  $ 

  $ 

270,623  
8,608  
(4,373 )   

274,858  

  $ 

2010 

264,727  
10,521  
(4,343 ) 
270,905  

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12.      Self-Insurance 

The Company obtains various insurance coverages from commercial carriers at stated amounts as defined in the applicable policy. Losses related to deductible amounts are accrued 
based on the Company's estimate of expected losses plus incurred but not reported claims. As of December 31, 2012 and 2011, the Company accrued $77.7 million and $72.8 million, 
respectively, for the self-insured portions of these programs, of which $40.0 million and $37.7 million is classified as long-term as of December 31, 2012 and 2011, respectively. 

The Company has secured self-insured retention risk under workers' compensation and general liability and professional liability programs with cash and letters of credit.  Cash securing 
the programs aggregated $16.1 million and $17.3 million as of December 31, 2012 and 2011, respectively. Letters of credit securing the programs aggregated $40.7 million as of December 
31, 2012 and 2011. 

13.      Retirement Plans 

The Company maintains a 401(k) Retirement Savings Plan for all employees that meet minimum employment criteria. The plan provides that the participants may defer eligible 
compensation on a pre-tax basis subject to certain Internal Revenue Code maximum amounts.  Effective January 1, 2010, the Company began making matching contributions in amounts 
equal to 12.5% of the employee's contribution to the plan, up to a maximum of 4.0% of contributed compensation and, effective January 1, 2011, the Company's matching contribution 
was raised to 25% of the employee's contribution to the plan subject to the same limit.  An additional matching contribution of 12.5%, subject to the same limit on contributed 
compensation, may be made at the discretion of the Company, based upon the Company's performance.  For the years ended December 31, 2012, 2011 and 2010, the Company's expense 
to the plan was $4.8 million, $3.1 million and $2.3 million, respectively. 

14.      Related Party Transactions 

Under the terms of the registration rights provisions of the Company's Stockholders Agreement, the Company is generally obligated to pay all fees and expenses incurred in connection 
with certain public offerings by affiliates of Fortress Investment Group LLC ("Fortress") (other than underwriting discounts, commissions and transfer taxes).  In connection with the 
Company's obligations thereunder, the Company incurred approximately $0.6 million of expenses in 2010 related to the public equity offerings of Company shares by Fortress affiliates. 

15.      Stock-Based Compensation 

The Company follows ASC 718 in accounting for its share-based payments. This guidance requires measurement of the cost of employee services received in exchange for stock 
compensation based on the grant-date fair value of the employee stock awards. This cost is recognized as compensation expense ratably over the employee's requisite service period. 
 Incremental compensation costs arising from subsequent modifications of awards after the grant date must be recognized when incurred. 

For all awards with graded vesting other than awards with performance-based vesting conditions, the Company records compensation expense for the entire award on a straight-line 
basis (or, if applicable, on the accelerated method) over the requisite service period.  For graded-vesting awards with performance-based vesting conditions, total compensation expense 
is recognized over the requisite service period for each separately vesting tranche of the award as if the award is, in substance, multiple awards once the performance target is deemed 
probable of achievement.  Performance goals are evaluated quarterly.  If such goals are not ultimately met or it is not probable the goals will be achieved, no compensation expense is 
recognized and any previously recognized compensation expense is reversed. 

The Company has issued restricted stock units to its Chief Executive Officer.  Under the terms of the award agreement, upon vesting, each restricted stock unit represents the right to 
receive one share of the Company's common stock. 

The following table sets forth information about the Company's restricted stock awards (excluding restricted stock units) (amounts in thousands): 

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Outstanding on January 1, 2010 
Granted 
Vested 
Cancelled/forfeited 
Outstanding on December 31, 2010 
Granted 
Vested 
Cancelled/forfeited 
Outstanding on December 31, 2011 
Granted 
Vested 
Cancelled/forfeited 
Outstanding on December 31, 2012 

Number of 
Shares 

Weighted 
Average 
Grant Date 
Fair Value 

3,915     $ 
1,341     $ 
(1,423 )   $ 
(293 )   $ 
3,540     $ 
2,091     $ 
(1,207 )   $ 
(202 )   $ 
4,222     $ 
1,592     $ 
(1,435 )   $ 
(427 )   $ 
3,952     $ 

14.62  
16.92  
16.90  
15.93  
14.76  
16.20  
16.43  
15.34  
14.93  
19.20  
14.28  
15.62  
16.67  

As of December 31, 2012, there was $44.2 million of total unrecognized compensation cost related to nonvested share-based compensation arrangements granted.  That cost is expected 
to be recognized over a weighted-average period of 2.4 years and is based on grant date fair value, net of forfeiture estimates. The compensation cost reflects an initial estimated 
cumulative forfeiture rate from 0% to 10% over the requisite service period of the awards. That estimate is revised if subsequent information indicates that the actual number of awards 
expected to vest is likely to differ from previous estimates. 

Current year grants of restricted shares under the Company's Omnibus Stock Incentive Plan were as follows (amounts in thousands except for value per share): 

Three months ended March 31, 2012 
Three months ended June 30, 2012 
Three months ended September 30, 2012 
Three months ended December 31, 2012 

  Shares Granted   
1,286 
85 
128 
93 

Value Per Share 
$17.39 – $19.07 
$18.72 − $19.55 
$16.66 − $17.74 
$23.31 − $23.99 

Total Value 
$ 
$ 
$ 
$ 

24,524            
 1,666             
 2,135             
2,231            

The Company has an employee stock purchase plan for all eligible employees.  The plan became effective on October 1, 2008.  Under the plan, eligible employees of the Company can 
purchase shares of the Company's common stock on a quarterly basis at a discounted price through accumulated payroll deductions.  Each eligible employee may elect to deduct up to 
15% of his or her base pay each quarter.  Subject to certain limitations specified in the plan, on the last trading date of each calendar quarter, the amount deducted from each 
participant's pay over the course of the quarter will be used to purchase whole shares of the Company's common stock at a purchase price equal to 90% of the closing market price on 
the New York Stock Exchange on that date.  Initially, the Company reserved 1,000,000 shares of common stock for issuance under the plan.  The employee stock purchase plan also 
contains an "evergreen" provision that automatically increases the number of shares reserved for issuance under the plan by 200,000 shares on the first day of each calendar year 
beginning January 1, 2010.  The impact on the Company's current year consolidated financial statements is not material. 

16.      Fair Value Measurements 

The following table provides the Company's derivative assets and liabilities carried at fair value as measured on a 

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recurring basis as of December 31, 2012 (dollars in thousands): 

Derivative assets 
Derivative liabilities 

17.      Share Repurchase Program 

Total Carrying 
Value at 
December 31, 
2012 

Quoted prices 
in active 
markets 
(Level 1) 

Significant 
Other 
Observable 
inputs 
(Level 2) 

Significant 
Unobservable 
inputs 
(Level 3) 

  $ 

  $ 

  $ 

495  
(1,833 )   
(1,338 )    $ 

—     $ 
—    
—     $ 

  $ 

495  
(1,833 )   
(1,338 )    $ 

—  
—  
—  

On August 11, 2011, the Company's board of directors approved a share repurchase program that authorizes the Company to purchase up to $100.0 million in the aggregate of the 
Company's common stock.  Purchases may be made from time to time using a variety of methods, which may include open market purchases, privately negotiated transactions or block 
trades, or by any combination of these methods, in accordance with applicable insider trading and other securities laws and regulations.  The size, scope and timing of any purchases 
will be based on business, market and other conditions and factors, including price, regulatory and contractual requirements or consents, and capital availability.  The repurchase 
program does not obligate the Company to acquire any particular amount of common stock and the program may be suspended, modified or discontinued at any time at the Company's 
discretion without prior notice. Shares of stock repurchased under the program will be held as treasury shares. 

Pursuant to this authorization, during the year ended December 31, 2011, the Company purchased 1,217,100 shares at a cost of approximately $17.6 million.  No shares were purchased 
pursuant to this authorization during the year ended December 31, 2012. As of December 30, 2012, approximately $82.4 million remains available under this share repurchase 
authorization. 

18.      Income Taxes 

The (provision) benefit for income taxes is comprised of the following (dollars in thousands): 

Federal: 

Current 
Deferred 

Total Federal 

State: 

Current 
Deferred (included in Federal above) 

Total State 

Total 

For the Years Ended December 31, 
2011 

2010 

2012 

  $ 

  $ 

193     $ 
(178 )    
15      

(2,059 )    
―      
(2,059 )    
(2,044 )   $ 

631     $ 
(943 )    
(312 )    

(2,028 )    
―      
(2,028 )    
(2,340 )   $ 

626  
33,235  
33,861  

(2,429 ) 
―  
(2,429 ) 
31,432  

A reconciliation of the (provision) benefit for income taxes to the amount computed at the U.S. Federal statutory rate of 35% is as follows (dollars in thousands): 

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Tax benefit at U.S. statutory rate 
State taxes, net of federal income tax 
Unrecognized tax benefits 
Other, net 
Credits 
Valuation allowance 
Officer's compensation 
Meals and entertainment 
Gain on acquisition 
Return to provision 
Stock compensation 

Total 

For the Years Ended December 31, 
2011 

2010 

2012 

  $ 

  $ 

22,474     $ 
1,204      
193      
122      
—      
(24,138 )    
(922 )    
(486 )    
(266 )    
(225 )    
—      
(2,044 )   $ 

23,042     $ 
1,316      
630      
59      
4,803      
(30,489 )    
(760 )    
(430 )    
791      
(1,302 )    
—      
(2,340 )   $ 

28,117  
1,634  
626  
(124 ) 
3,354  
(137 ) 
(2,197 ) 
(383 ) 
—  
679  
(137 ) 
31,432  

Significant components of the Company's deferred tax assets and liabilities at December 31 are as follows (dollars in thousands): 

Deferred income tax assets: 

Operating loss carryforwards 
Capital lease obligations 
Prepaid revenue 
Accrued expenses 
Deferred lease liability 
Tax credits 
Deferred gain on sale leaseback 
Fair value of interest rate swaps 
Total gross deferred income tax asset 
Valuation allowance 
Net deferred income tax assets 

Deferred income tax liabilities: 

Property, plant and equipment 
Other 
Total gross deferred income tax liability 

Net deferred tax liability 

2012 

2011 

169,792     $ 
52,720      
51,722      
50,602      
46,541      
20,551      
10,127      
522      
402,577      
(65,269 )    
337,308      

(415,354 )    
(8,428 )    
(423,782 )    
(86,474 )   $ 

174,433  
62,136  
48,587  
40,422  
48,916  
20,158  
11,581  
152  
406,385  
(40,820 ) 
365,565  

(454,985 ) 
(11,540 ) 
(466,525 ) 
(100,960 ) 

  $ 

  $ 

A reconciliation of the net deferred tax liability to the consolidated balance sheets at December 31 is as follows (dollars in thousands): 

Deferred tax asset – current 
Deferred tax liability – noncurrent 
Net deferred tax liability 

2012 

2011 

  $ 

  $ 

13,377     $ 
(99,851 )    
(86,474 )   $ 

11,776  
(112,736 ) 
(100,960 ) 

As of December 31, 2012 and 2011, the Company had net federal operating loss carryforwards of approximately $454.6 million and $461.5 million, respectively, which are available to 
offset future taxable income through 2032.  The Company concluded that the additional benefits generated during 2012 and 2011 did not meet the more likely 

104 

 
 
 
 
 
 
 
  
 
 
 
   
   
 
   
   
   
   
   
   
   
   
   
   
 
   
 
 
   
 
   
   
   
   
   
   
   
   
   
   
   
      
  
   
   
   
  
 
   
 
   
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than not criteria for realization.  The conclusion was determined solely based on the reversal of current timing differences and did not consider future taxable income to be generated by 
the Company. Therefore, the Company has recorded a valuation allowance of $49.6 million against federal net operating losses at December 31, 2012.  The Company continues to 
maintain that the deferred tax assets recorded as of December 31, 2012, primarily related to net operating losses generated prior to December 31, 2010, are more likely than not to be 
realized based on the reversal of deferred tax liabilities recorded. 

The Company has recorded valuation allowances of $7.2 million and $9.7 million at December 31, 2012 and 2011, respectively, against its state net operating losses, as the Company 
anticipates these losses will not be utilized prior to expiration.  The carryforward period for some states is considerably shorter than the period which is allowed for federal purposes. 
 The Company also recorded a valuation allowance against federal and state credits of $8.5 million and $8.1 million as of December 31, 2012 and 2011, respectively.  As of December 31, 
2012 and 2011, the Company had $31.9 million and $26.9 million, respectively, included in its net operating loss carryforward relating to restricted stock grants. Under ASC 718-10, this 
loss will be recorded in additional paid-in capital in the period in which the loss is effectively used to reduce taxes payable. 

The formation of BSL, reorganization of Alterra, and the acquisitions of ARC and SALI constitute ownership changes under Section 382 of the Internal Revenue Code, as amended. As 
a result, BSL's ability to utilize the net operating loss carryforward to offset future taxable income is subject to certain limitations and restrictions.  Furthermore, the Company had an 
ownership change under Section 382 in May 2010 which resulted in an additional annual limitation to the utilization of the net operating loss in an amount of $92 million.  The Company 
expects the net operating loss to be fully released before expiration and therefore does not anticipate a financial statement impact as a result of the limitation. 

At December 31, 2012, the Company had gross tax affected unrecognized tax benefits of $1.2 million, which, if recognized, would result in an income tax benefit in accordance with ASC 
805.  Interest and penalties related to these tax positions are classified as tax expense in the Company's financial statements.  Total interest and penalties reserved is $0.5 million at 
December 31, 2012.  Tax returns for years 2008 through 2011 are subject to future examination by tax authorities. In addition, certain tax returns are open from 2000 through 2007 to the 
extent of the net operating losses generated during those periods.  The Company does not expect that unrecognized tax benefits for tax positions taken with respect to 2011 and prior 
years will significantly change in 2013. 

A reconciliation of the unrecognized tax benefits for the year 2012 is as follows (dollars in thousands): 

Balance at January 1, 2012 
Additions for tax positions related to the current year 
Additions for tax positions related to prior years 
Reductions for tax positions related to prior years 
Balance at December 31, 2012 

  $ 

  $ 

1,439  
48  
201  
(443 ) 
1,245  

19.      Supplemental Disclosure of Cash Flow Information 

(dollars in thousands) 

Interest paid 
Income taxes paid 
Write-off of deferred financing costs 

Acquisitions of assets, net of related payables and cash received, net: 

Cash and escrow deposits-restricted 
Prepaid expenses and other current assets 

2012 

For the Years Ended 
December 31, 
2011 

2010 

130,009  
2,658  
744  

  $ 
  $ 
  $ 

  $ 

2,169  
(2,817 )   

125,047  
2,431  
2,080  

  $ 
  $ 
  $ 

  $ 

—  
—  

132,425  
2,223  
2,878  

—  
—  

  $ 
  $ 
  $ 

  $ 

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Property, plant and equipment and leasehold intangibles 

Other intangible assets, net 
Other assets, net 
Accrued expenses 
Other liabilities 
Long-term debt and capital and financing lease obligations 

Net 

Purchase of Horizon Bay Realty, L.L.C., net of cash acquired: 

Property, plant and equipment and leasehold intangibles, net 
Cash and escrow deposits—restricted 
Accounts receivable, net 
Long-term debt, less current portion 
Accrued expenses 
Other liabilities 
Common Stock 
Additional paid-in-capital 
Accumulated earnings 

Net 

Reinvested income on marketable securities - restricted 

Supplemental Schedule of Noncash Operating, Investing and Financing Activities: 

Capital leases: 

Property, plant and equipment and leasehold intangibles, net 
Long-term debt 

Net 

20.      Commitments and Contingencies 

257,772  
9,575  
(7,327 )   
(573 )   
3,601  
10,123  
272,523  

  $ 

—  
—  
—  
—  
—  
—  
—  
—  
—  
—  

  $ 

  $ 

80,514  
4,244  
3,955  

(31 )   
—  
—  
88,682  

  $ 

  $ 

8,132  
10,702  
2,479  
(1,821 )   
(15,141 )   
(6,347 )   
(1 )   
(1,537 )   
(1,982 )   
(5,516 )    $ 

1,156  

  $ 

$1,426  

  $ 

52,900  
7,963  
(2,870 ) 
(45 ) 
—  
—  
57,948  

—  
—  
—  
—  
—  
—  
—  
—  
—  
—  

—  

  $ 

13,852  
(13,852 )   

—  

  $ 

―  
―  
—  

  $ 

  $ 

5,791  
(5,791 ) 
—  

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

The Company has three operating lease agreements for 10,655, 74,593 and 117,609 square feet (unaudited) of corporate office space that extend through 2015, 2019 and 2024, 
respectively. The leases require the payment of base rent which escalates annually, plus operating expenses (as defined).  The Company incurred facility lease expense of $4.1 million, 
$3.7 million and $2.9 million for the years ended December 31, 2012, 2011 and 2010, respectively, under the corporate office leases. 

The aggregate amounts of all future minimum operating lease payments, including community and office leases, as of December 31, 2012, are as follows (dollars in thousands): 

Year Ending December 31, 
2013 
2014 
2015 
2016 
2017 
Thereafter 
Total 

106 

Operating 
Leases 

277,684  
268,164  
259,624  
256,463  
232,445  
684,536  
1,978,916  

  $ 

  $ 

  
  
  
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
   
   
   
   
   
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The Company has employment or letter agreements with certain officers of the Company that grant these employees the right to receive their base salary and continuation of certain 
benefits, for a defined period of time, in the event of certain terminations of the officers' employment, as described in those agreements. 

21.      Litigation 

The Company has been and is currently involved in litigation and claims incidental to the conduct of its business which are comparable to other companies in the senior living industry. 
Certain claims and lawsuits allege large damage amounts and may require significant costs to defend and resolve. Similarly, the senior living industry is continuously subject to scrutiny 
by governmental regulators, which could result in litigation related to regulatory compliance matters. As a result, the Company maintains general liability and professional liability 
insurance policies in amounts and with coverage and deductibles the Company believes are adequate, based on the nature and risks of its business, historical experience and industry 
standards.  The Company's current policies provide for deductibles for each claim.  Accordingly, the Company is, in effect, self-insured for claims that are less than the deductible 
amounts. 

22.      Segment Information 

Operating segments are defined as components of an enterprise that engage in business activities from which it may earn revenues and incur expenses; for which separate financial 
information is available; and whose operating results are regularly reviewed by the chief operating decision maker to assess the performance of the individual segment and make 
decisions about resources to be allocated to the segment. 

During the year ended December 31, 2012, the Company changed the composition of its operating segments from four reportable segments to six reportable segments.  This change was 
made to align operating segments with the basis that the chief operating decision maker uses to review financial information to make operating decisions, assess performance, develop 
strategy and allocate capital resources.  All prior period disclosures below have been recast to present results on a comparable basis. 

Retirement Centers.  The Company's Retirement Centers segment includes owned or leased communities that are primarily designed for middle to upper income senior citizens age 75 
and older who desire an upscale residential environment providing the highest quality of service.  The majority of the Company's retirement center communities consist of both 
independent living and assisted living units in a single community, which allows residents to "age-in-place" by providing them with a continuum of senior independent and assisted 
living services. 

Assisted Living.  The Company's Assisted Living segment includes owned or leased communities that offer housing and 24-hour assistance with activities of daily life to mid-acuity frail 
and elderly residents.  Assisted living communities include both freestanding, multi-story communities and freestanding single story communities.  The Company also operates memory 
care communities, which are freestanding assisted living communities specially designed for residents with Alzheimer's disease and other dementias. 

CCRCs - Rental.  The Company's CCRCs - Rental segment includes large owned or leased communities that offer a variety of living arrangements and services to accommodate all levels 
of physical ability and health.  Most of the Company's CCRCs have independent living, assisted living and skilled nursing available on one campus or within the immediate market, and 
some also include memory care/Alzheimer's units. 

CCRCs - Entry Fee.  The communities in the Company's CCRCs - Entry Fee segment are similar to those in the Company's CCRCs - Rental segment but allow for residents in the 
independent living apartment units to pay a one-time upfront entrance fee, which is partially refundable in certain circumstances.  The amount of the entrance fee varies depending upon 
the type and size of the dwelling unit, the type of contract plan selected, whether the contract contains a lifecare benefit for the resident, the amount and timing of refund, and other 
variables.  In addition to the initial entrance fee, residents under all entrance fee agreements also pay a monthly service fee, which entitles them to the use of certain amenities and 
services.  Since entrance fees are received upon initial occupancy, the monthly fees are generally less than fees at a comparable rental community. 

ISC.  The Company's ISC segment includes the outpatient therapy, home health and hospice services provided to 

107 

 
 
 
 
 
 
 
 
 
 
 
  
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residents of many of the Company's communities, to other senior living communities that the Company does not own or operate and to seniors living outside of the Company's 
communities.  The ISC segment does not include the therapy services provided in the Company's skilled nursing units, which are included in the Company's CCRCs - Rental and CCRCs 
- Entry Fee segments. 

Management Services.  The Company's management services segment includes communities operated by the Company pursuant to management agreements.  In some of the cases, the 
controlling financial interest in the community is held by third parties and, in other cases, the community is owned in a joint venture structure in which the Company has an ownership 
interest.  Under the management agreements for these communities, the Company receives management fees as well as reimbursed expenses, which represent the reimbursement of 
expenses it incurs on behalf of the owners. 

The accounting policies of the Company's reportable segments are the same as those described in the summary of significant accounting policies. 

The following table sets forth selected segment financial and operating data (dollars in thousands): 

Revenue(1): 

Retirement Centers 
Assisted Living 
CCRCs - Rental 
CCRCs - Entry Fee 
ISC 
Management Services(2) 

Segment Operating Income(3): 

Retirement Centers 
Assisted Living 
CCRCs - Rental 
CCRCs - Entry Fee 
ISC 
Management Services 

General and administrative (including non-cash stock-based compensation expense) 
Facility lease expense 
Depreciation and amortization: 

Retirement Centers 
Assisted Living 
CCRCs - Rental 
CCRCs - Entry Fee 
ISC 

108 

  $ 

  $ 

  $ 

2012 

For the Years Ended December 31, 
2011 

2010 

  $ 

  $ 

  $ 

503,902  
1,013,337  
385,479  
287,048  
224,517  
355,802  
2,770,085  

205,585  
361,184  
106,063  
62,752  
47,780  
30,786  
814,150  

178,829  
284,025  

61,060  
81,801  
31,205  
52,840  
2,220  

  $ 

  $ 

  $ 

473,842  
964,585  
364,095  
283,455  
205,780  
166,161  
2,457,918  

198,439  
339,928  
116,849  
69,985  
57,985  
13,595  
796,781  

148,327  
274,858  

60,275  
82,843  
30,776  
54,794  
1,699  

463,260  
945,469  
339,920  
269,056  
189,968  
72,862  
2,280,535  

196,647  
331,220  
108,929  
66,085  
66,862  
5,591  
775,334  

131,709  
270,905  

60,869  
93,066  
30,655  
56,006  
1,169  

 
 
 
 
 
 
  
  
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Corporate and Management Services 

Gain on sale of communities, net 
Asset impairment 
Loss (gain) on acquisition 
(Gain) loss on facility lease termination 
Income from operations 

Total interest income: 
Retirement Centers 
Assisted Living 
CCRCs - Rental 
CCRCs - Entry Fee 
ISC 
Corporate and Management Services 

Total interest expense: 
Retirement Centers 
Assisted Living 
CCRCs - Rental 
CCRCs - Entry Fee 
ISC 
Corporate and Management Services 

Total expenditures for property, plant and equipment, and leasehold intangibles: 
Retirement Centers 
Assisted Living 
CCRCs - Rental 
CCRCs - Entry Fee 
ISC 
Corporate and Management Services 

Total assets: 
Retirement Centers 
Assisted Living 
CCRCs - Rental 
CCRCs - Entry Fee 
ISC 
Corporate and Management Services 

23,155  
—  
27,677  
636  
(11,584 )   
82,286  

  $ 

38,119  
—  
16,892  
(1,982 )   
—  
90,180  

  $ 

184  
9  
28  
3,378  
—  
413  
4,012  

29,025  
57,634  
17,336  
13,792  
—  
28,996  
146,783  

58,876  
68,675  
21,916  
24,890  
6,037  
28,018  
208,412  

2012 

1,256,497  
1,438,934  
534,220  
951,584  
90,357  
394,386  
4,665,978  

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

311  
18  
35  
2,263  
—  
911  
3,538  

28,444  
58,453  
15,324  
20,316  
—  
19,641  
142,178  

45,891  
43,955  
20,615  
16,255  
2,715  
30,700  
160,131  

As of December 31, 
2011 

1,047,388  
1,451,612  
518,993  
1,021,938  
78,137  
347,993  
4,466,061  

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

50,576  
(3,298 ) 
13,075  
―  
4,608  
65,994  

19  
17  
29  
941  
—  
1,232  
2,238  

33,298  
65,086  
15,433  
23,867  
—  
8,038  
145,722  

22,760  
24,687  
12,077  
16,314  
4,260  
13,583  
93,681  

2010 

1,080,410  
1,448,029  
529,428  
1,096,714  
67,845  
308,044  
4,530,470  

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

(1)  All revenue is earned from external third parties in the United States. 

(2)  Management services segment revenue includes reimbursements for which the Company is the primary obligor of costs incurred on behalf of managed communities. 

(3)  Segment operating income is defined as segment revenues less segment operating expenses (excluding depreciation and amortization). 

109 

  
  
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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23.      Quarterly Results of Operations (Unaudited) 

The following is a summary of quarterly results of operations for each of the fiscal quarters in 2012 and 2011 (in thousands, except per share amounts): 

Revenues 
Income from operations(1) 
Loss before income taxes 
Net loss 
Weighted average basic and diluted loss per share 
Weighted average shares used in computing basic and diluted loss per share 

Revenues 
Income from operations(1) 
Loss before income taxes 
Net loss 
Weighted average basic and diluted loss per share 
Weighted average shares used in computing basic and diluted loss per share 

For the Quarters Ended 

March 31, 
2012 

June 30, 
2012 

September 30, 
2012 

December 31, 
2012 

  $ 

683,045  
26,860  
(9,277 )   
(10,338 )   

(0.09 )    $ 

121,145  

  $ 

690,810  
18,865  
(17,796 )   
(18,810 )   

(0.15 )    $ 

121,708  

  $ 

696,482  
24,606  
(11,132 )   
(12,010 )   

(0.10 )    $ 

122,493  

699,748  
11,955  
(25,396 ) 
(24,487 ) 
(0.20 ) 
122,608  

For the Quarters Ended 

March 31, 
2011 

June 30, 
2011 

September 30, 
2011 

December 31, 
2011 

  $ 

586,920  
12,000  
(23,459 )   
(12,305 )   

(0.10 )    $ 

120,792  

  $ 

583,299  
28,863  
(21,231 )   
(33,959 )   

(0.28 )    $ 

121,280  

  $ 

615,728  
29,505  
(6,523 )   
(7,036 )   
(0.06 )    $ 

121,616  

671,971  
19,812  
(14,622 ) 
(14,875 ) 
(0.12 ) 
120,951  

  $ 

  $ 

  $ 

  $ 

(1) Fourth quarter 2012 and 2011 results include non-cash impairment charges of $19.3 million and $2.0 million, respectively. Second quarter 2012 results include non-cash impairment 

charges of $7.2 million. First quarter 2012 and 2011 results include non-cash impairment charges of $1.1 million and $14.8 million, respectively.

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Description 

Allowance for Doubtful Accounts: 
Year ended December 31, 2010 
Year ended December 31, 2011 
Year ended December 31, 2012 

Deferred Tax Valuation Allowance: Account: 

Year ended December 31, 2010 
Year ended December 31, 2011 
Year ended December 31, 2012 

SCHEDULE II 
VALUATION AND QUALIFYING ACCOUNTS 
December 31, 2012 
(In thousands) 

Balance at 
beginning of 
period 

Charged to 
costs and 
expenses 

Charged 
to other 
accounts 

Additions 

Deductions 

Balance at 
end of 
period 

  $ 
  $ 
  $ 

  $ 
  $ 
  $ 

13,907  
14,464  
16,972  

  $ 
  $ 
  $ 

10,708  
10,845  
40,820  

  $ 
  $ 
  $ 

13,816  
16,796  
15,683  

  $ 
  $ 
  $ 

  $ 
―  
29,348 (2)    $ 
26,989 (5)    $ 

179  
1,817  
660  

  $ 
  $ 
  $ 

(13,438 ) 
(16,105 ) 
(18,053 ) 

  $ 
  $ 
  $ 

137 (1)    $ 
1,141 (3)    $ 
(2,540 )(6)   $ 

—  

  $ 
(514 )(4)   $ 
  $ 

—  

14,464  
16,972  
15,262  

10,845  
40,820  
65,269  

(1) Adjustment to valuation allowance for state net operating losses of $137.
(2) Adjustment to valuation allowance for federal net operating losses and federal credits of $22,940 and $6,408, respectively.
(3) Adjustment to valuation allowance for state net operating losses of $1,141.
(4) Adjustment to valuation allowance for state credits of $514.
(5) Adjustment to valuation allowance for federal net operating losses and federal credits of $26,589, and $400, respectively.
(6) Adjustment to valuation allowance for state net operating losses of $(2,540).

See accompanying report of independent registered public accounting firm 

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Item 9.

Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.

None. 

Item 9A.                  Controls and Procedures. 

Management's Assessment of Internal Control over Financial Reporting 

Our management is responsible for establishing and maintaining adequate internal control over financial reporting, as defined in Exchange Act Rule 13a-15(f).  Management conducted 
an evaluation of the effectiveness of our internal control over financial reporting based on the framework in Internal Control—Integrated Framework issued by the Committee of 
Sponsoring Organizations of the Treadway Commission. Based on this evaluation, management concluded that our internal control over financial reporting was effective as of 
December 31, 2012.  Management reviewed the results of their assessment with our Audit Committee. The effectiveness of our internal control over financial reporting as of 
December 31, 2012 has been audited by Ernst & Young LLP, the independent registered public accounting firm that audited our consolidated financial statements included in this 
Annual Report on Form 10-K, as stated in their report which is included in Item 8 of this Annual Report on Form 10-K and incorporated herein by reference. 

Disclosure Controls and Procedures 

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as such 
term is defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of the end of the period covered by this report.  Based on such evaluation, our Chief Executive Officer and 
Chief Financial Officer each concluded that, as of December 31, 2012, our disclosure controls and procedures were effective. 

Internal Control Over Financial Reporting 

There has not been any change in our internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the fiscal quarter 
ended December 31, 2012 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting. 

Item 9B.                  Other Information. 

None. 

Item 10.                  Directors, Executive Officers and Corporate Governance. 

PART III 

The information required by this item is incorporated by reference from the discussions under the headings "Proposal Number One - Election of Directors" and "Section 16(a) Beneficial 
Ownership Reporting Compliance" in our Definitive Proxy Statement for the 2013 Annual Meeting of Stockholders. Pursuant to General Instruction G(3), certain information concerning 
our executive officers is contained in the discussion entitled "Executive Officers of the Registrant" under Item 4 of Part I of this report. 

We have adopted a Code of Business Conduct and Ethics that applies to all employees, directors and officers, including our principal executive officer, our principal financial officer, our 
principal accounting officer or controller, or persons performing similar functions, as well as a Code of Ethics for Chief Executive and Senior Financial Officers, which applies to our Chief 
Executive Officer, Co-Presidents, Chief Financial Officer, Treasurer and Controller, both of which are available on our website at www.brookdaleliving.com. Any amendment to, or waiver 
from, a provision of such codes of ethics granted to a principal executive officer, principal financial officer, principal accounting officer or controller, or person performing similar 
functions, will be posted on our website. 

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Item 11.                  Executive Compensation. 

The information required by this item is incorporated by reference from the discussions under the headings "Compensation of Directors" and "Compensation of Executive Officers" in 
our Definitive Proxy Statement for the 2013 Annual Meeting of Stockholders. 

Item 12.

Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters.

The information required by this item regarding security ownership of certain beneficial owners and management is incorporated by reference from the discussion under the heading 
"Security Ownership of Certain Beneficial Owners and Management" in our Definitive Proxy Statement for the 2013 Annual Meeting of Stockholders. 

The following table provides certain information as of December 31, 2012 with respect to our equity compensation plans (after giving effect to shares issued and/or vesting on such 
date): 

Plan category 
Equity compensation plans approved by security holders(3) 
Equity compensation plans not approved by security holders(4) 
Total 

Equity Compensation Plan Information 

Number of securities 
to be issued upon 
exercise of outstanding 
options, warrants and 
rights 
(a)(1) 

Weighted-average 
exercise price of 
outstanding 
options, warrants 
and rights 
(b) 

— 
— 
— 

Number of securities 
remaining available for 
future issuance under 
equity compensation plans 
(excluding securities 
reflected in column (a)) 
(c)(2) 

— 
— 
— 

3,563,431 
85,185 
3,648,616 

(1)

In addition to options, warrants, and rights, our Omnibus Stock Incentive Plan allows awards to be made in the form of shares of restricted stock, restricted stock units or other 
forms of equity-based compensation. As of December 31, 2012, 3,951,950 shares of unvested restricted stock and 103,254 restricted stock units issued under our Omnibus Stock 
Incentive Plan were outstanding.  Such shares and restricted stock units are not reflected in the table above.

(2) The number of shares remaining available for future issuance under equity compensation plans approved by security holders consists of 2,317,953 shares remaining available for 

future issuance under our Omnibus Stock Incentive Plan and 1,245,478 shares remaining available for future issuance under our Associate Stock Purchase Plan.

(3) Under the terms of our Omnibus Stock Incentive Plan, the number of shares reserved and available for issuance will increase annually each January 1 by an amount equal to the 
lesser of (1) 400,000 shares or (2) 2% of the number of outstanding shares of our common stock on the last day of the immediately preceding fiscal year.  Under the terms of our 
Associate Stock Purchase Plan, the number of shares reserved and available for issuance will automatically increase by 200,000 shares on the first day of each calendar year 
beginning January 1, 2010.

(4) Represents shares remaining available for future issuance under our Director Stock Purchase Plan.  Under the existing compensation program for the members of our Board of 

Directors, each non-affiliated director has the opportunity to elect to receive either immediately vested shares or restricted stock units in lieu of up to 50% of his or her quarterly 
cash compensation.  Any immediately vested shares that are elected to be received will be issued pursuant to the Director Stock Purchase Plan.  Under the director compensation 
program, all cash amounts are payable quarterly in arrears, with payments to be made on April 1, July 1,

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October 1 and January 1.  Any immediately vested shares that a director elects to receive under the Director Stock Purchase Plan will be issued at the same time that cash 
payments are made.  The number of shares to be issued will be based on the closing price of our common stock on the date of issuance (i.e., April 1, July 1, October 1 and January 
1), or if such date is not a trading date, on the previous trading day's closing price.  Fractional amounts will be paid in cash.  The Board of Directors initially reserved 100,000 
shares of our common stock for issuance under the Director Stock Purchase Plan. 

Item 13.

Certain Relationships and Related Transactions, and Director Independence.

The information required by this item is incorporated by reference from the discussions under the headings "Certain Relationships and Related Transactions" and "Director 
Independence" in our Definitive Proxy Statement for the 2013 Annual Meeting of Stockholders. 

Item 14.

Principal Accounting Fees and Services.

The information required by this item is incorporated by reference from the discussion under the heading "Proposal Number Two – Ratification of Appointment of Ernst & Young LLP 
as Independent Registered Public Accounting Firm" in our Definitive Proxy Statement for the 2013 Annual Meeting of Stockholders. 

PART IV 

Item 15.

Exhibits and Financial Statement Schedules.

The following documents are filed as part of this report: 

1)

Our Audited Consolidated Financial Statements

Balance Sheets as of December 31, 2012 and 2011 

Statements of Operations for the Years Ended December 31, 2012, 2011 and 2010 

Statements of Comprehensive Income for the Years Ended December 31, 2012, 2011 and 2010 

Statements of Equity for the Years Ended December 31, 2012, 2011 and 2010 

Statements of Cash Flows for the Years Ended December 31, 2012, 2011 and 2010 

Notes to Consolidated Financial Statements 

Schedule II – Valuation and Qualifying Accounts 

2)

Exhibits – See Exhibit Index immediately following the signature page hereto, which Exhibit Index is incorporated by reference as if fully set forth herein.

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SIGNATURES 

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, 
thereunto duly authorized. 

BROOKDALE SENIOR LIVING INC. 

By: 
Name: 
Title: 
Date: 

 /s/ W.E. Sheriff 
W.E. Sheriff 
Chief Executive Officer 
February 19, 2013 

Pursuant to the requirements of the Securities Exchange Act of 1934, this Report has been signed below by the following persons on behalf of the registrant and in the capacities and on 
the dates indicated. 

Title 

Date 

Signature 

/s/  Jeffrey R. Leeds 
Jeffrey R. Leeds 

   Non-Executive Chairman of the Board 

/s/  W.E. Sheriff 
W.E. Sheriff 

   Chief Executive Officer and Director 
(Principal Executive Officer) 

/s/ Mark W. Ohlendorf 
Mark W. Ohlendorf 

   Co-President and Chief Financial Officer 

(Principal Financial and Accounting Officer) 

 /s/ Frank M. Bumstead 
Frank M. Bumstead 

 /s/ Jackie M. Clegg 
Jackie M. Clegg 

/s/ Wesley R. Edens 
Wesley R. Edens 

/s/ Randal A. Nardone 
Randal A. Nardone 

/s/ Mark J. Schulte 
Mark J. Schulte 

/s/ James R. Seward 
James R. Seward 

/s/ Samuel Waxman 
Samuel Waxman 

   Director 

   Director 

   Director 

   Director 

   Director 

   Director 

   Director 

115 

February 19, 2013 

February 19, 2013 

February 19, 2013 

February 19, 2013 

February 19, 2013 

February 19, 2013 

February 19, 2013 

February 19, 2013 

February 19, 2013 

February 19, 2013 

  
 
 
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
    
  
   
  
  
    
  
  
  
    
  
  
  
    
  
   
  
  
    
  
   
  
  
    
  
   
  
  
    
  
   
  
  
    
  
   
  
  
    
  
   
  
  
    
  
   
Table of Contents 

Exhibit No. 

3.1 

3.2 
4.1 

4.2 

4.3 

4.4 

4.5 

4.6 

4.7 
10.1 

10.2 

10.3.1 

10.3.2 

10.3.3 

10.3.4 

10.4 

EXHIBIT INDEX 

Description 
Amended and Restated Certificate of Incorporation of the Company (incorporated by reference to Exhibit 3.1 to the Company's Annual Report on Form 10-K 
filed on February 26, 2010). 
Amended and Restated Bylaws of the Company (incorporated by reference to Exhibit 3.1 to the Company's Current Report on Form 8-K filed on July 3, 2012). 
Form of Certificate for common stock (incorporated by reference to Exhibit 4.1 to the Company's Registration Statement on Form S-1 (Amendment No. 3) (No. 
333-127372) filed on November 7, 2005). 
Stockholders Agreement, dated as of November 28, 2005, by and among Brookdale Senior Living Inc., FIT-ALT Investor LLC, Fortress Brookdale Acquisition 
LLC, Fortress Investment Trust II and Health Partners (incorporated by reference to Exhibit 4.2 to the Company's Annual Report on Form 10-K filed on March 31, 
2006). 
Amendment No. 1 to Stockholders Agreement, dated as of July 25, 2006, by and among Brookdale Senior Living Inc., FIT-ALT Investor LLC, Fortress Registered 
Investment Trust, Fortress Brookdale Investment Fund LLC, FRIT Holdings LLC, and FIT Holdings LLC (incorporated by reference to Exhibit 4.3 to the 
Company's Quarterly Report on Form 10-Q filed on August 14, 2006). 
Amendment Number Two to Stockholders Agreement, dated as of November 4, 2009 (incorporated by reference to Exhibit 4.4 to the Company's Quarterly Report 
on Form 10-Q filed on November 4, 2009). 
Indenture, dated as of June 14, 2011, between the Company and American Stock Transfer & Trust Company, LLC, as Trustee (incorporated by reference to 
Exhibit 4.1 to the Company's Current Report on Form 8-K filed on June 14, 2011). 
Supplemental Indenture, dated as of June 14, 2011, between the Company and American Stock Transfer & Trust Company, LLC, as Trustee (incorporated by 
reference to Exhibit 4.2 to the Company's Current Report on Form 8-K filed on June 14, 2011). 
Form of 2.75% Convertible Senior Note due 2018 (included as part of Exhibit 4.6). 
Consent to Change of Control and Third Amendment to Master Lease, dated April 1, 2006, by and between Health Care Property Investors, Inc., Texas HCP 
Holding, L.P., ARC Richmond Place Real Estate Holdings, LLC, ARC Holland Real Estate Holdings, LLC, ARC Sun City Center Real Estate Holdings, LLC, and 
ARC LaBarc Real Estate Holdings, LLC, on the one hand, and Fort Austin Limited Partnership, ARC Santa Catalina, Inc., ARC Richmond Place, Inc., Freedom 
Village of Holland, Michigan, Freedom Village of Sun City Center, Ltd., LaBarc, L.P. and Park Place Investments, LLC, on the other hand, and ARCPI Holdings, 
Inc. and American Retirement Corporation (incorporated by reference to Exhibit 10.7 to the Company's Quarterly Report on Form 10-Q filed on August 14, 2006). 
Second Amended and Restated Master Lease Agreement, dated as of April 7, 2006, among Health Care REIT, Inc., HCRI North Carolina Properties III, Limited 
Partnership, HCRI Tennessee Properties, Inc., HCRI Indiana Properties, LLC, HCRI Wisconsin Properties, LLC, and HCRI Texas Properties, Ltd., and Alterra 
Healthcare Corporation (incorporated by reference to Exhibit 10.32 to the Company's Registration Statement on Form S-1 (No. 333-135030) filed on June 14, 2006). 
Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (Time-Vesting; No Dividends) (incorporated by 
reference to Exhibit 10.2 to the Company's Quarterly Report on Form 10-Q filed on August 8, 2007).* 
Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (Time-Vesting; With Dividends) (incorporated by 
reference to Exhibit 10.3 to the Company's Quarterly Report on Form 10-Q filed on August 8, 2007).* 
Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (Performance/Time-Vesting; With Dividends) 
(incorporated by reference to Exhibit 10.4 to the Company's Quarterly Report on Form 10-Q filed on August 8, 2007).* 
Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (Performance/Time-Vesting; No Dividends) 
(incorporated by reference to Exhibit 10.5 to the Company's Quarterly Report on Form 10-Q filed on August 8, 2007).* 
Separation Agreement and General Release, dated February 7, 2008, between Brookdale Senior Living Inc. and Mark J. Schulte (incorporated by reference to 
Exhibit 10.1 to the Company's Current Report on Form 8-K filed on February 11, 2008).* 

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10.5 

10.6 

10.7 

10.8 

10.9 

10.10 

10.11.1 

10.11.2 

10.12 

10.13 

10.14 

10.15 

10.16 

10.17 

10.18 

10.19 

10.20 

Brookdale Senior Living Inc. Associate Stock Purchase Plan (incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on 
June 11, 2008).* 
Brookdale Senior Living Inc. Omnibus Stock Incentive Plan, as amended and restated effective June 23, 2009 (incorporated by reference to Exhibit 10.1 to the 
Company's Current Report on Form 8-K filed on June 23, 2009).* 
Employment Agreement, dated as of June 23, 2009, by and between Brookdale Senior Living Inc. and W.E. Sheriff (incorporated by reference to Exhibit 10.1 to 
the Company's Current Report on Form 8-K filed on June 26, 2009).* 
Restricted Stock Unit Agreement, dated as of June 23, 2009, by and between Brookdale Senior Living Inc. and W.E. Sheriff (incorporated by reference to Exhibit 
10.2 to the Company's Current Report on Form 8-K filed on June 26, 2009).* 
Summary of Brookdale Senior Living Inc. Director Stock Purchase Plan (incorporated by reference to Exhibit 99.1 to the Company's Registration Statement on 
Form S-8 (No. 333-160354) filed on June 30, 2009).* 
First Amendment to Brookdale Senior Living Inc. Omnibus Stock Incentive Plan, as amended and restated, effective as of October 30, 2009 (incorporated by 
reference to Exhibit 10.1 to the Company's Quarterly Report on Form 10-Q filed on November 4, 2009).* 
Credit Agreement, dated as of February 23, 2010, among certain subsidiaries of Brookdale Senior Living Inc., General Electric Capital Corporation, as 
administrative agent and lender, and the other lenders from time to time parties thereto (incorporated by reference to Exhibit 10.29 to the Company's Annual 
Report on Form 10-K filed on February 26, 2010). 
First Amendment, dated as of May 5, 2010, to the Credit Agreement, dated as of February 23, 2010, among certain subsidiaries of Brookdale Senior Living Inc., 
General Electric Capital Corporation, as administrative agent and lender, and the other lenders from time to time parties thereto (incorporated by reference to 
Exhibit 10.1 to the Company's Quarterly Report on Form 10-Q filed on August 6, 2010). 
Form of Severance Letter and Brookdale Senior Living Inc. Severance Pay Policy, Tier I (incorporated by reference to Exhibit 10.2 to the Company's Quarterly 
Report on Form 10-Q filed on August 6, 2010).* 
Amended and Restated Credit Agreement, dated as of January 31, 2011, among certain subsidiaries of Brookdale Senior Living Inc., General Electric Capital 
Corporation, as administrative agent and lender, and the other lenders from time to time parties thereto (incorporated by reference to Exhibit 10.1 to the 
Company's Current Report on Form 8-K filed on February 4, 2011). 
First Amendment, dated as of February 23, 2011, to Amended and Restated Credit Agreement, dated as of January 31, 2011, among certain subsidiaries of 
Brookdale Senior Living Inc., General Electric Capital Corporation, as administrative agent and lender, and the other lenders from time to time parties thereto 
(incorporated by reference to Exhibit 10.15 to the Company's Annual Report on Form 10-K filed on February 28, 2011). 
Form of Indemnification Agreement for Directors and Officers (incorporated by reference to Exhibit 10.16 to the Company's Annual Report on Form 10-K filed on 
February 28, 2011).* 
Convertible Bond Hedge Transaction Confirmation between the Company and Bank of America, N.A., dated as of June 8, 2011 (incorporated by reference to 
Exhibit 10.1 to the Company's Quarterly Report on Form 10-Q filed on August 9, 2011). 
Issuer Warrant Transaction Confirmation between the Company and Bank of America, N.A., dated as of June 8, 2011 (incorporated by reference to Exhibit 10.2 to 
the Company's Quarterly Report on Form 10-Q filed on August 9, 2011). 
Convertible Bond Hedge Transaction Confirmation between the Company and JPMorgan Chase Bank, National Association, dated as of June 8, 2011 
(incorporated by reference to Exhibit 10.3 to the Company's Quarterly Report on Form 10-Q filed on August 9, 2011). 
Issuer Warrant Transaction Confirmation between the Company and JPMorgan Chase Bank, National Association, dated as of June 8, 2011 (incorporated by 
reference to Exhibit 10.4 to the Company's Quarterly Report on Form 10-Q filed on August 9, 2011). 
Convertible Bond Hedge Transaction Confirmation between the Company and Royal Bank of Canada, dated as of June 8, 2011 (incorporated by reference to 
Exhibit 10.5 to the Company's Quarterly Report on Form 10-Q filed on August 9, 2011). 

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Table of Contents 

10.21 

10.22 

10.23 

10.24 

10.25 

10.26 

10.27 

10.28 

10.29 

10.30 

10.31 

10.32 

10.33 

10.34 

10.35 

10.36 

10.37 

10.38 

10.39 

Issuer Warrant Transaction Confirmation between the Company and Royal Bank of Canada, dated as of June 8, 2011 (incorporated by reference to Exhibit 10.6 to 
the Company's Quarterly Report on Form 10-Q filed on August 9, 2011). 
Additional Convertible Bond Hedge Transaction Confirmation between the Company and Bank of America, N.A., dated as of June 15, 2011 (incorporated by 
reference to Exhibit 10.7 to the Company's Quarterly Report on Form 10-Q filed on August 9, 2011). 
Additional Issuer Warrant Transaction Confirmation between the Company and Bank of America, N.A., dated as of June 15, 2011 (incorporated by reference to 
Exhibit 10.8 to the Company's Quarterly Report on Form 10-Q filed on August 9, 2011). 
Additional Convertible Bond Hedge Transaction Confirmation between the Company and JPMorgan Chase Bank, National Association, dated as of June 15, 
2011 (incorporated by reference to Exhibit 10.9 to the Company's Quarterly Report on Form 10-Q filed on August 9, 2011). 
Additional Issuer Warrant Transaction Confirmation between the Company and JPMorgan Chase Bank, National Association, dated as of June 15, 2011 
(incorporated by reference to Exhibit 10.10 to the Company's Quarterly Report on Form 10-Q filed on August 9, 2011). 
Additional Convertible Bond Hedge Transaction Confirmation between the Company and Royal Bank of Canada, dated as of June 15, 2011 (incorporated by 
reference to Exhibit 10.11 to the Company's Quarterly Report on Form 10-Q filed on August 9, 2011). 
Additional Issuer Warrant Transaction Confirmation between the Company and Royal Bank of Canada, dated as of June 15, 2011 (incorporated by reference to 
Exhibit 10.12 to the Company's Quarterly Report on Form 10-Q filed on August 9, 2011). 
Master Credit Facility Agreement, dated as of July 29, 2011, by and among various subsidiaries of Brookdale Senior Living Inc. and Oak Grove Commercial 
Mortgage, LLC (incorporated by reference to Exhibit 10.1 to the Company's Current Report on Form 8-K filed on August 4, 2011). 
Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (Time-Vesting Form for Executive Committee 
Members) (incorporated by reference to Exhibit 10.2 to the Company's Current Report on Form 8-K filed on November 9, 2011).* 
Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (Time-Vesting Form for Executive Vice Presidents) 
(incorporated by reference to Exhibit 10.3 to the Company's Current Report on Form 8-K filed on November 9, 2011).* 
Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (2011 Performance-Vesting Form for Executive 
Committee Members) (incorporated by reference to Exhibit 10.4 to the Company's Current Report on Form 8-K filed on November 9, 2011).* 
Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (2011 Performance-Vesting Form for Executive Vice 
Presidents) (incorporated by reference to Exhibit 10.5 to the Company's Current Report on Form 8-K filed on November 9, 2011).* 
Form of Outside Director Restricted Stock Unit Agreement (incorporated by reference to Exhibit 10.1 to the Company's Quarterly Report on Form 10-Q filed on 
August 9, 2012).* 
Amendment to Employment Agreement, effective as of November 5, 2012, by and between Brookdale Senior Living Inc. and W.E. Sheriff (incorporated by 
reference to Exhibit 10.1 to the Company's Quarterly Report on Form 10-Q filed on November 9, 2012).* 
Amendment to Restricted Stock Unit Agreement, effective as of November 5, 2012, by and between Brookdale Senior Living Inc. and W.E. Sheriff (incorporated 
by reference to Exhibit 10.2 to the Company's Quarterly Report on Form 10-Q filed on November 9, 2012).* 
Employment Agreement, dated as of February 11, 2013, by and between Brookdale Senior Living Inc. and T. Andrew Smith (incorporated by reference to Exhibit 
10.1 to the Company's Current Report on Form 8-K filed on February 12, 2013).* 
Restricted Share Agreement (Time-Vesting), dated as of February 11, 2013, by and between Brookdale Senior Living Inc. and T. Andrew Smith (incorporated by 
reference to Exhibit 10.2 to the Company's Current Report on Form 8-K filed on February 12, 2013).* 
Restricted Share Agreement (Performance-Vesting), dated as of February 11, 2013, by and between Brookdale Senior Living Inc. and T. Andrew Smith 
(incorporated by reference to Exhibit 10.3 to the Company's Current Report on Form 8-K filed on February 12, 2013).* 
Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (2013 Time-Vesting Form for Executive Committee 
Members).* 

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10.40 

10.41 

10.42 

21 
23 
31.1 
31.2 
32 

101.INS 
101.SCH 
101.CAL 
101.DEF 
101.LAB 
101.PRE 

Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (2013 Time-Vesting Form for Executive Vice 
Presidents).* 
Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (2013 Performance-Vesting Form for Executive 
Committee Members).* 
Form of Restricted Share Agreement under the Brookdale Senior Living Inc. Omnibus Stock Incentive Plan (2013 Performance-Vesting Form for Executive Vice 
Presidents).* 
Subsidiaries of the Registrant. 
Consent of Ernst & Young LLP. 
Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 
Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 
Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley 
Act of 2002. 
XBRL Instance Document. 
XBRL Taxonomy Extension Schema Document. 
XBRL Taxonomy Extension Calculation Linkbase Document. 
XBRL Taxonomy Extension Definition Linkbase Document. 
XBRL Taxonomy Extension Label Linkbase Document. 
XBRL Taxonomy Extension Presentation Linkbase Document. 

* Management Contract or Compensatory Plan

119 

  
  
 
 
 
 
    
EXHIBIT 31.1 

CERTIFICATION OF CHIEF EXECUTIVE OFFICER 

PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 

I, W.E. Sheriff, certify that: 

1. 

I have reviewed this Annual Report on Form 10-K of Brookdale Senior Living Inc.; 

2.  Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the 

circumstances under which such statements were made, not misleading with respect to the period covered by this report; 

3.  Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of 

operations and cash flows of the registrant as of, and for, the periods presented in this report; 

4.  The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) 

and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: 

(a)  Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and  procedures  to  be  designed  under  our  supervision,  to  ensure  that  material 
information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this 
report is being prepared; 

(b)  Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable 
assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting 
principles; 

(c)  Evaluated  the  effectiveness  of  the  registrant's  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the  effectiveness  of  the  disclosure 

controls and procedures, as of the end of the period covered by this report based on such evaluation; and 

(d)  Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's 
fourth  fiscal  quarter  in  the  case  of  an  annual  report)  that  has  materially  affected,  or  is  reasonably  likely  to  materially  affect,  the  registrant's  internal  control  over  financial 
reporting; and 

5.  The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the 

audit committee of the registrant's board of directors (or persons performing the equivalent functions): 

(a)  All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the 

registrant's ability to record, process, summarize and report financial information; and 

(b)  Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting. 

Date:  February 19, 2013 

/s/ W.E. Sheriff 
W.E. Sheriff 
Chief Executive Officer 

  
  
 
 
 
 
 
 
 
 
  
  
  
  
  
EXHIBIT 31.2 

CERTIFICATION OF CHIEF FINANCIAL OFFICER 

PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 

I, Mark W. Ohlendorf, certify that: 

1. 

I have reviewed this Annual Report on Form 10-K of Brookdale Senior Living Inc.; 

2.  Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the 

circumstances under which such statements were made, not misleading with respect to the period covered by this report; 

3.  Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of 

operations and cash flows of the registrant as of, and for, the periods presented in this report; 

4.  The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) 

and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: 

(a)  Designed  such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and  procedures  to  be  designed  under  our  supervision,  to  ensure  that  material 
information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this 
report is being prepared; 

(b)  Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable 
assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting 
principles; 

(c)  Evaluated  the  effectiveness  of  the  registrant's  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the  effectiveness  of  the  disclosure 

controls and procedures, as of the end of the period covered by this report based on such evaluation; and 

(d)  Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant's 
fourth  fiscal  quarter  in  the  case  of  an  annual  report)  that  has  materially  affected,  or  is  reasonably  likely  to  materially  affect,  the  registrant's  internal  control  over  financial 
reporting; and 

5.  The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the 

audit committee of the registrant's board of directors (or persons performing the equivalent functions): 

(a)  All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the 

registrant's ability to record, process, summarize and report financial information; and 

(b)  Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting. 

Date:  February 19, 2013 

/s/ Mark W. Ohlendorf 
Mark W. Ohlendorf 
Chief Financial Officer 

  
  
 
 
 
 
 
 
 
 
  
  
  
  
  
EXHIBIT 32 

CERTIFICATION OF CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL 
OFFICER PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED 
PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 

In connection with the Annual Report on Form 10-K of Brookdale Senior Living Inc. (the "Company") for the fiscal year ended December 31, 2012, as filed with the Securities and 
Exchange Commission on the date hereof (the "Report"), W.E. Sheriff, as Chief Executive Officer of the Company, and Mark W. Ohlendorf, as Chief Financial Officer of the Company, 
each hereby certifies, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that: 

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and 

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company. 

/s/ W.E. Sheriff 
Name: 
Title: 
Date: 

W.E. Sheriff 
Chief Executive Officer 
February 19, 2013 

/s/ Mark W. Ohlendorf 
Name: 
Title: 
Date: 

Mark W. Ohlendorf 
Chief Financial Officer 
February 19, 2013