Welltower Annual Report 2009

Plain-text annual report

2009 Annual Report Contents Proﬁle 2 Letter to Stockholders 3 Portfolio Map 11 Portfolio Photos 13 Form 10-K 19 Stockholder Information (Inside Back Cover) On The Cover Our 2010 Investment in Life Sciences: 40 Landsdowne Cambridge, Massachusetts Life Sciences Facility 214,638 Square Feet Proﬁle Health Care REIT, Inc., an S&P 500 Company with headquarters in Toledo, Ohio, is a real estate investment trust that invests across the full spectrum of senior housing and health care real estate. The Company also provides an extensive array of property management and development services. As of December 31, 2009, the Company’s broadly diversiﬁed portfolio consisted of 590 properties in 39 states. 2009 Portfolio Concentration 2 Letter to Stockholders In last year’s letter to stockholders, I discussed the effects of the worldwide credit crunch and recession that began in 2007 and extended into 2009. During that period, the focus shifted from investment to capital preservation. In 2009, we repositioned every aspect of the Company, preparing for the capital markets to reopen. Even during this difﬁcult period, we had access to reasonably priced equity and secured debt. This capital allowed selective investment in anticipation of the continued evolution of senior housing and health facility platforms. We have methodically repositioned our portfolio and corporate infrastructure to meet the challenges of this environment and to take George L. Chapman Chairman, Chief Executive Ofﬁcer and President advantage of opportunities that are arising as the economy and markets improve. Our portfolio has beneﬁted from our efforts to strengthen existing, and develop new, operator and health system relationships. While others chose to cut infrastructure muscle, we were able to dramatically bolster our capabilities through several key hires that are providing signiﬁcant competitive advantages. To date in 2010, we have been beneﬁting from those efforts as we have announced over $568 million of new investments. Before elaborating on my introductory themes, let me review 2009 highlights: 3 2009 Highlights 1. In light of the difﬁcult economic times, we were quite pleased with the one and three-year total stockholder returns of 12% and 21%, respectively. Our inclusion in the S&P 500 Index in January 2009 and our ranking as one of the top 10 performers for the decade in the Morgan Stanley REIT index were also gratifying to management. Company Performance 2. Capital 3. Investments 4. Portfolio Performance 5. Dividends Although the unsecured debt markets remained effectively closed through the ﬁrst half of 2009, we were able to raise over $700 million of equity capital opportunistically. We also issued $266 million of Freddie Mac secured debt at an average rate of 6%. In addition, we received $328 million of proceeds through non-core asset sales. We completed gross investments of $717 million, of which 85% related to our primary investment focus of combination senior housing facilities and customer-focused medical facilities. Our portfolio has proven to be quite resilient through these challenging economic times as our payment coverage at the property level remained at 2.0 to 1.0 across our senior housing and hospital facilities. We are also pleased with the performance of our medical ofﬁce portfolio that ﬁnished the year over 91% occupied with an average 2009 tenant retention rate of 78%. We continued to emphasize portfolio diversiﬁcation as our top 5 and 10 operators comprised only 24% and 37% of the portfolio, respectively. Our February 2010 dividend payment was our 155th consecutive dividend. We maintained our annual cash dividend at $2.72 per share through the recent economic turmoil. 4 Letter to Stockholders Health Care Reform Due to the national debate on health care reform, I thought it appropriate to comment brieﬂy on the reform debate and the implications for our operators and health systems. At this writing, there is uncertainty as to the form or effect of any health care reform. However, most proposals seek to 1) expand the insured population by making coverage more affordable and accessible and 2) move towards more value-based purchasing and away from fee for service arrangements. Reform efforts are intended to lead to more cost-effective care and should beneﬁt the most efﬁcient, quality-conscious providers. Regardless of legislative action, we expect to see continued provider integration and alignment, movement to lower cost settings, and pressure on providers to reduce the cost of care. Over the years, we have partnered with high quality, top-performing health systems, operators, tenants and physicians with strong community reputations and large referral networks and system afﬁliations. All focus on delivering quality care cost effectively and using “best practices.” Accordingly, we believe our operators and health system partners are better prepared to respond to future reform initiatives and market forces. Regardless of the scope and nature of health care reform, we expect to see an increase in health care service utilization in newer, more efﬁcient, patient-centric facilities, with the fundamentals of health care real estate remaining strong. Our Goal In previous stockholder letters, we discussed changes occurring in senior housing and health care. The drivers of change include technological and pharmacological advances that have profoundly improved treatment modalities. Change is also being driven by the customer who is demanding the best care in the most appropriate setting. The real estate platforms in which services are delivered are evolving to address these changes. Our goal as a management team is to understand these drivers of change and to anticipate the resulting needs of the operators and health systems for value-added services and state-of-the-art real estate platforms. To understand and anticipate change, and then to implement and execute a business plan to capitalize on opportunities, requires a seasoned team with a full complement of skill sets and capabilities. We have continuously upgraded our infrastructure over the last several years. While we are very well positioned, we will continue to be vigilant in evaluating ongoing market and political changes and responding appropriately. Generally, we believe that our ability to invest knowledgeably across the full spectrum of senior housing and health care offers large competitive advantages. The ability to provide a comprehensive range of services such as strategic consulting, development and property management in addition to being a capital partner is equally important. Those advantages can only be leveraged fully by a team of dedicated, seasoned professionals who understand the need to “partner” with operators and health systems. 5 Letter to Stockholders Full Spectrum Investing We invest in a wide swath of senior housing and health care, ranging from early stage senior housing to the highest acuity health care. Apart from the inherent beneﬁt of appropriate portfolio diversiﬁcation, the obvious beneﬁt of full spectrum investing is the expanded scope of the investment opportunity. The following chart depicts the relative market value of various segments of senior housing and health care real estate. By being able to invest responsibly in each of these segments, we can pursue the best risk-reward opportunities as market segments change, while expanding the scope of services and development capabilities to our clients. $832 Billion Health Care Real Estate Asset Value Senior Housing Medical Facilities ACH H ASC Ambulatory Surgery Centers IRF Inpatient Rehabilitation Facilities LTAC Long-Term Acute Care Centers ACH Acute Care Hospitals MOB Medical Ofﬁce Buildings CCRC Continuing Care Retirement Communities ILF Independent Living Facilities SNF Skilled Nursing Facilities ALF Assisted Living Facilities Source: CMS, Medpac, NIC, Company Estimates. Although the chart depicts a large senior housing and health care market, many of us believe that this data understates the investment opportunity in light of the need to develop new real estate platforms that address the needs of the changing environment. Throughout our history, we have invested in new facilities that were needed as senior housing and health care evolved. In the ’70s, we invested in new purpose-built skilled nursing homes that replaced the older, mansion-style facilities. In the ’80s, we invested in independent living facilities that provided a “well” environment for healthy seniors. A limitation of that platform was the inability of the resident to age in place and receive needed additional services. In the ’90s, we were a leader in the emerging assisted living sector that ﬁlled the gap between skilled nursing and independent living. During the last decade, we have been developing and investing in combinations of the above as we believe that the ability to age in place is a signiﬁcant beneﬁt to seniors and a competitive advantage to operators. We have also witnessed the demand for larger living units, more common space and additional activities. We believe similar, profound changes are occurring in the medical arena, including medical ofﬁce buildings, hospitals and other types of health care facilities. Increasingly, health systems are renovating existing facilities to 6 Letter to Stockholders improve customer satisfaction and improve treatment efﬁcacy. Many systems are building smaller hospitals in newer, high growth suburban areas with private rooms, easy access, and attractive light and water features. Others are building larger medical ofﬁce buildings that provide more medical services, provide one-stop shop for testing and, at the same time, provide an attractive, environmentally-friendly space. These facilities also are expected to expand the reach of the health systems to new customers. Complicating the picture is the overlap of types of facilities. In the ’70s, skilled nursing facilities had residents that today would likely reside in assisted living and dementia units. The more frail skilled nursing residents of today would have been cared for as hospital inpatients 10 to 20 years ago. As customers/patients gravitate to the lowest cost appropriate setting, the facilities themselves have changed. Investing across the spectrum allows us to adjust more readily to inevitable change. Full Service Platform We offer solutions to operators and health systems as a development, property management and capital partner. We believe that this full service platform provides a tremendous competitive advantage. In the health system world, the best systems are adjusting their offerings and platforms to reﬂect the changing environment. They need the assistance of sophisticated partners who bring an array of capabilities and ideas to the table. In the acute care space, the need for consultative development services is clear. Health systems need partners who can assist them in understanding their market, evaluate the growth prospects and opportunities, and then design the platform necessary to execute their ultimate game plans. A development partner that can also manage medical ofﬁce buildings and provide the necessary capital is a value-add, as is a capital partner focused on the needs of the health system, physicians, tenants and customers. Even in senior housing, we are using our capital and planning and development capabilities to enhance our operators’ real estate platforms, services, delivery processes and the facility environment. Value engineering for larger combination facilities is becoming particularly important. As senior housing and health care continue to evolve, there will be developments that include acute care facilities, medical ofﬁce buildings and senior housing facilities. They may be part of a planned community that includes retail and housing. Either on our own or through partnerships we need to be able to do it all --- and do it well. 7 Letter to Stockholders Recent Events In February 2010 we announced the purchase of a 49% interest in a portfolio of life sciences assets located in Cambridge, Massachusetts. The portfolio, located in the University Park area adjacent to the Massachusetts Institute of Technology (“MIT”), is comprised of six fully leased life sciences, laboratory, research and ofﬁce buildings and one mixed-use ofﬁce building totaling 1.2 million rentable square feet. The 40 Landsdowne building is pictured on the front cover of this Annual Report. The portfolio also includes two parking garages with 1,709 spaces. University Park is a 27-acre mixed-use urban renewal project that includes a 210-room hotel, 674 residential units, a grocery store, restaurants and retail. This investment constitutes a “best-in-class” opportunity in a leading life sciences market in the United States. Tenants include investment grade and subsidiaries of investment grade rated publicly traded pharmaceutical/ biological companies: Novartis, Genzyme, Takeda/Millennium and Brigham and Women’s Hospital, among others. This purchase is consistent with the Company’s strategy of investing in high quality real estate that supports leading health care providers. From an investment perspective, University Park is akin to a medical ofﬁce building on the campus of a leading hospital due to its strategic proximity to the MIT campus. Life sciences tenants seek lab, clinical trial and ofﬁce space on the campus of leading academic medical centers to promote research, scientiﬁc collaboration and access to clinicians and patients for clinical trials and FDA approvals. Our partner in this venture is Forest City Enterprises, a publicly traded real estate operating company (NYSE: FCE) headquartered in Cleveland, Ohio. FCE’s $12 billion portfolio includes interests in institutional quality retail centers, apartment communities, ofﬁce buildings and hotels throughout the United States. FCE owns other life sciences properties adjacent to Johns Hopkins University and the University of Pennsylvania. FCE also has life sciences facilities with the University of Colorado in the mixed-use urban renewal development of the old Stapleton airport facility in Denver, and the Illinois Science and Technology Park with ties to Northwestern University and a leading Chicago north shore medical institution. We are very pleased with this investment as it provides added portfolio diversiﬁcation and expands our service offerings to our academic medical center clients. John Thomas, who joined us in January 2009 as our head of medical facilities, has signiﬁcant experience in this area. We hope that our venture with FCE will expand to other life sciences, senior housing and health care opportunities. 8 Letter to Stockholders Conclusion During the last several years we have positioned the Company to be the premier investor, developer, property manager and innovator in senior housing and health care real estate. Our investment reach extends across the full spectrum of senior housing and health care. Our team can be a total partner to all operators and systems, delivering capital and an array of services. While others have cut back during these tough economic times, we have added talent and elevated our capabilities and expectations. Those efforts are paying off thus far in 2010 as we have announced new investments of over $568 million in senior housing, medical ofﬁce buildings and life sciences facilities. We will continue to be a “thought leader” within the senior housing and health care sectors as they evolve so that we can anticipate and drive necessary changes that affect our portfolio and operators. We believe in the last analysis that the combination of experience, capabilities, ideas and capital is a formidable advantage. I would like to extend my profound thank you to our employees whose capabilities and hard work produce the stockholder value. As always, I thank our stockholders who have entrusted us with their capital and will always be the focus of our efforts. George L. Chapman Chairman, Chief Executive Ofﬁcer and President March 8, 2010 9 experience + capabilities + ideas & capital = performance 10 Portfolio Map Medical Facilities Combination/CCRC Freestanding Nursing Freestanding IL/AL/DEM Other 11 12 Portfolio Photos shjhsdkhsdkjhskdjhskjdsh sdskjdhskjdhskjdhskjdhskdhskj sdhksjhsjhsdkjhskjdhskjhskj djhsddkjshkjshsjhskjshk sjhskjhskjhskjhskjdhsdkjhsdjhs sdjhskjhsjdhskjhkshdsjkh shskjdhskjhksjdhskjhsdjhskds Glendale Memorial Medical Pavilion Glendale, California Medical Ofﬁce Building 57,600 Square Feet 13 Brightwater at Myrtle Beach Myrtle Beach, South Carolina Continuing Care Retirement Community Cottages: 13 Independent Living Apartments: 96 Assisted Living Units: 24 Skilled Nursing Beds: 24 14 Portfolio Photos Cascade of the Sierra Sparks, Nevada Combination Senior Housing Independent Living Apartments: 120 Assisted Living Units: 96 Memory Care Units: 15 15 Saint Elizabeth Medical Arts Building Covington, Kentucky Outpatient Center with Emergency, Cardiac Diagnostics, Imaging, Rehabilitation, Dialysis, and Lab Services 59,011 Square Feet 16 Portfolio Photos Summit Medical Ofﬁce Building and Cancer Center Oconomowoc, Wisconsin Outpatient Center with Radiation Oncology and Chemotherapy Services 293,629 Square Feet 17 Merrill Gardens at Naples Naples, Florida Combination Senior Housing Independent Living Apartments: 76 Assisted Living Units: 55 18 Form 10-K 19 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31, 2009 Commission File No. 1-8923 HEALTH CARE REIT, INC. (Exact name of registrant as specified in its charter) Delaware (State or other jurisdiction of incorporation or organization) One SeaGate, Suite 1500, Toledo, Ohio (Address of principal executive office) 34-1096634 (I.R.S. Employer Identification Number) 43604 (Zip Code) (419) 247-2800 (Registrant’s telephone number, including area code) Securities registered pursuant to Section 12(b) of the Act: Title of Each Class Common Stock, $1.00 par value 7.875% Series D Cumulative Redeemable Preferred Stock, $1.00 par value 7.625% Series F Cumulative Redeemable Preferred Stock, $1.00 par value 7.5% Series G Cumulative Convertible Preferred Stock, $1.00 par value Name of Each Exchange on Which Registered New York Stock Exchange New York Stock Exchange New York Stock Exchange New York Stock Exchange Indicate by check mark if Act. Yes ¥ No n Securities registered pursuant to Section 12(g) of the Act: None the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities No ¥ Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act. Yes n 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 to such filing requirements for the past Exchange Act of 1934 during the preceding 12 months; and (2) has been subject 90 days. Yes ¥ No n 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 n No n Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment of this Form 10-K. ¥ 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 ¥ Smaller reporting company n Accelerated filer n Non-accelerated filer n (Do not check if a smaller reporting company) Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes n The aggregate market value of the shares of voting common stock held by non-affiliates of the registrant, computed by reference to the closing sales price of such shares on the New York Stock Exchange as of the last business day of the registrant’s most recently completed second fiscal quarter was $3,811,648,657. No ¥ As of February 12, 2010, there were 123,687,306 shares of common stock outstanding. DOCUMENTS INCORPORATED BY REFERENCE Portions of the registrant’s definitive proxy statement for the annual stockholders’ meeting to be held May 6, 2010, are incorporated by reference into Part III. HEALTH CARE REIT, INC. 2009 FORM 10-K ANNUAL REPORT TABLE OF CONTENTS PART I Item 1. Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 1A. Risk Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 1B. Unresolved Staff Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 2. Legal Proceedings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 3. Submission of Matters to a Vote of Security Holders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 4. PART II Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 6. Selected Financial Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations . . . Item 7A. Quantitative and Qualitative Disclosures About Market Risk . . . . . . . . . . . . . . . . . . . . . . . . . Financial Statements and Supplementary Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 8. Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure . . . Item 9A. Controls and Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 9B. Other Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PART III Item 10. Directors, Executive Officers and Corporate Governance . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 11. Executive Compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Item 12. Matters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 13. Certain Relationships and Related Transactions and Director Independence . . . . . . . . . . . . . . Principal Accounting Fees and Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Item 14. Page 3 28 35 36 39 39 40 42 44 70 72 109 109 111 111 111 111 111 111 Item 15. Exhibits and Financial Statement Schedules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 PART IV Item 1. Business General PART I Health Care REIT, Inc., an S&P 500 company with headquarters in Toledo, Ohio, is a real estate investment trust (“REIT”) that invests in senior housing and health care real estate. We also provide an extensive array of property management and development services. As of December 31, 2009, our broadly diversified portfolio consisted of 590 properties in 39 states. Founded in 1970, we were the first real estate investment trust to invest exclusively in health care facilities. More information is available on the Internet at www.hcreit.com. Our primary objectives are to protect stockholder capital and enhance stockholder value. We seek to pay consistent cash dividends to stockholders and create opportunities to increase dividend payments to stockholders as a result of annual increases in rental and interest income and portfolio growth. To meet these objectives, we invest in the full spectrum of senior housing and health care real estate and diversify our investment portfolio by property type, operator/tenant and geographic location. Depending upon the availability and cost of external capital, we believe our liquidity is sufficient to fund operations, meet debt service obligations (both principal and interest), make dividend distributions and complete construction projects in process. We also continue to evaluate opportunities to finance future investments. New investments are generally funded from temporary borrowings under our unsecured line of credit arrangement, internally generated cash and the proceeds from sales of real property. Our investments generate internal cash from rent and interest receipts and principal payments on loans receivable. Permanent financing for future investments, which replaces funds drawn under the unsecured line of credit arrangement, has historically been provided through a combination of public and private offerings of debt and equity securities and the incurrence or assumption of secured debt. References herein to “we,” “us,” “our” or the “Company” refer to Health Care REIT, Inc. and its subsidiaries unless specifically noted otherwise. Portfolio of Properties The following table summarizes our portfolio as of December 31, 2009: Type of Property Independent Investments (In thousands) Percentage of Investments Number of Properties # Beds/Units or Sq. Ft. Investment per metric (1) States living/CCRCs . . . . . . $1,210,005 19.8% Assisted living facilities . . . . . . . . . . 1,312,167 21.6% Skilled nursing facilities . . . . . . . . . . Hospitals . . . . . . . . . . . . Medical office 1,496,360 639,930 24.6% 10.5% buildings . . . . . . . . . . 1,427,341 23.5% Totals . . . . . . . . . . . . . . $6,085,803 100.0% 50 179 214 29 118 590 7,046 units $174,552 per unit 11,116 units 119,273 per unit 28,692 beds 1,716 beds 52,153 per bed 461,084 per bed 5,634,181 sq. ft. 259 per sq. ft. 19 30 26 13 23 39 (1) Investment per metric was computed by using the total investment amount of $6,299,748,000 which includes real estate investments and unfunded construction commitments for which initial funding has commenced which amounted to $6,085,803,000 and $213,945,000, respectively. Property Types Our property types include investment properties and medical office buildings. Under the investment property segment, we invest in senior housing and health care real estate through acquisition and financing of primarily single tenant properties. Properties acquired are typically leased under triple-net leases. We are not involved in the management of our investment properties. Our primary investment property types include independent living/ 3 continuing care retirement communities, assisted living facilities, skilled nursing facilities and hospitals. The medical office building segment is primarily self-managed and consists of health care related properties acquired or developed for the medical profession. The medical office building leases have lease terms that typically include fixed increasers and operating expense reimbursement. Our properties include stand-alone facilities that provide one level of service, combination facilities that provide multiple levels of service, and communities or campuses that provide a wide range of services. The following is a summary of our various property types. Independent Living/Continuing Care Retirement Communities These communities may include one or more of the following property types. Independent Living Facilities. Independent living facilities are age-restricted, multifamily properties with central dining facilities that provide residents access to meals and other services such as housekeeping, linen service, transportation and social and recreational activities. Continuing Care Retirement Communities. Continuing care retirement communities include a combination of detached homes, an independent living facility, an assisted living facility and/or a skilled nursing facility on one campus. These communities are appealing to residents because there is no need for relocating when health and medical needs change. Resident payment plans vary, but can include entrance fees, condominium fees and rental fees. Many of these communities also charge monthly maintenance fees in exchange for a living unit, meals and some health services. Early Stage Senior Housing. Early stage senior housing communities contain primarily for-sale single- family homes, townhomes, cluster homes, mobile homes and/or condominiums with no specialized services. These communities are typically restricted or targeted to adults at least 55 years of age or older. Residents generally lead an independent lifestyle. Communities may include amenities such as a clubhouse, golf course and recreational spaces. Assisted Living Facilities Assisted living facilities are state regulated rental properties that provide the same services as independent living facilities, but also provide supportive care from trained employees to residents who require assistance with activities of daily living, including management of medications, bathing, dressing, toileting, ambulating and eating. Alzheimer’s/Dementia Care Facilities. Certain assisted living facilities may include state licensed settings that specialize in caring for those afflicted with Alzheimer’s disease and/or similar forms of dementia. Skilled Nursing Facilities Skilled nursing facilities are licensed daily rate or rental properties where the majority of individuals require 24-hour nursing and/or medical care. Generally, these properties are licensed for Medicaid and/or Medicare reimbursement. Hospitals Our hospitals generally include acute care hospitals, inpatient rehabilitation hospitals, and long-term acute care hospitals. Acute care hospitals provide a wide range of inpatient and outpatient services, including, but not limited to, surgery, rehabilitation, therapy and clinical laboratories. Inpatient rehabilitation hospitals provide inpatient services for patients with intensive rehabilitation needs. Long-term acute care hospitals provide inpatient services for patients with complex medical conditions that require more intensive care, monitoring or emergency support than is available in most skilled nursing facilities. Medical Office Buildings The medical office building portfolio consists of health care related buildings that include physician offices, ambulatory surgery centers, diagnostic facilities or labs. Our portfolio has a strong affiliation with health systems: 4 approximately 75% of the buildings are either located on campus or affiliated with hospitals through a satellite location. Investments We invest in senior housing and health care real estate. We diversify our investment portfolio by property type, operator/tenant and geographic location. In determining whether to invest in a property, we focus on the following: (1) the experience of the obligor’s management team; (2) the historical and projected financial and operational performance of the property; (3) the credit of the obligor; (4) the security for the lease or loan; and (5) the capital committed to the property by the obligor. We conduct market research and analysis for all potential investments. In addition, we review the value of all properties, the interest rates and covenant requirements of any debt to be assumed and the anticipated sources of repayment of any existing debt that is not to be assumed. We monitor our investments through a variety of methods determined by the type of property. Our asset management process for investment properties generally includes review of monthly financial statements and other operating data for each property, periodic review of obligor creditworthiness, periodic property inspections and review of covenant compliance relating to licensure, real estate taxes, letters of credit and other collateral. Our internal property management division actively manages and monitors the medical office building portfolio with a comprehensive process including tenant relations, tenant lease expirations, the mix of health service providers, hospital/health system relationships, property performance, capital improvement needs and market conditions among other things. In monitoring our portfolio, our personnel use a proprietary database to collect and analyze property-specific data. Additionally, we conduct extensive research to ascertain industry trends and risks. Through asset management and research, we evaluate the operating environment in each property’s market to determine whether payment risk is likely to increase. When we identify unacceptable levels of payment risk, we seek to mitigate, eliminate or transfer the risk. We categorize the risk as obligor, property or market risk. For obligor risk, we typically find a substitute operator/tenant to run the property. For property risk, we usually work with the operator/tenant to institute property-level management changes to address the risk. Finally, for market risk, we often encourage an obligor to change its capital structure, including refinancing the property or raising additional equity. Through these asset management and research efforts, we are generally able to intervene at an early stage to address payment risk, and in so doing, support both the collectability of revenue and the value of our investment. Depending upon market conditions, we believe that new investments will be available in the future with spreads over our cost of capital that will generate appropriate returns to our stockholders. Segment Reporting Our business consists of two business segments — investment properties and medical office buildings. For additional information regarding business segments, see Note 18 to our audited consolidated financial statements. Investment Properties Real Property. Our investment properties are those in which we do not participate in the management of the property and are primarily land, building, improvements and related rights that are leased to operators under long- term operating leases. The net value of our investment properties (excluding construction in progress) aggregated approximately $3,795,765,000 at December 31, 2009. The leases generally have a fixed contractual term of 12 to 15 years and contain one or more five to 15-year renewal options. Most of our rents are received under triple-net leases requiring the operator to pay rent and all additional charges incurred in the operation of the leased property. The tenants are required to repair, rebuild and maintain the leased properties. Substantially all of these operating leases are designed with either fixed or contingent escalating rent structures. Leases with fixed annual rental escalators are generally recognized on a straight-line basis over the initial lease period, subject to a collectability assessment. Rental income related to leases with contingent rental escalators is generally recorded based on the contractual cash rental payments due for the period. At December 31, 2009, 84% of our investment properties was subject to master leases. A master lease is a lease of multiple properties to one tenant entity under a single lease agreement. From time to time, we may acquire 5 additional properties that are then leased to the tenant under the master lease. The tenant is required to make one monthly payment that represents rent on all the properties that are subject to the master lease. Typically, the master lease tenant can exercise its right to purchase the properties or to renew the master lease only with respect to all leased properties at the same time. This bundling feature benefits us because the tenant cannot limit the purchase or renewal to the better performing properties and terminate the leasing arrangement with respect to the poorer performing properties. This spreads our risk among the entire group of properties within the master lease. The bundling feature may provide a similar advantage if the master lease tenant is in bankruptcy. Subject to certain restrictions, a debtor in bankruptcy has the right to assume or reject each of its leases. It is our intent that a tenant in bankruptcy would be required to assume or reject the master lease as a whole, rather than deciding on a property by property basis. Construction. We currently provide for the construction of properties for tenants as part of long-term operating leases. We capitalize certain interest costs associated with funds used to pay for the construction of properties owned by us. The amount capitalized is based upon the amount advanced during the construction period using the rate of interest that approximates our cost of financing. Our interest expense is reduced by the amount capitalized. We also typically charge a transaction fee at the commencement of construction which we defer and amortize to income over the term of the resulting lease. The construction period commences upon funding and terminates upon the earlier of the completion of the applicable property or the end of a specified period. During the construction period, we advance funds to the tenants in accordance with agreed upon terms and conditions which require, among other things, periodic site visits by a Company representative. During the construction period, we generally require an additional credit enhancement in the form of payment and performance bonds and/or completion guaranties. At December 31, 2009, we had outstanding construction investments of $435,334,000 and were committed to providing additional funds of approximately $184,848,000 to complete construction for investment properties. Real Estate Loans. Our real estate loans are typically structured to provide us with interest income, principal amortization and transaction fees and are generally secured by a first, second or third mortgage lien, leasehold mortgage, corporate guaranties and/or personal guaranties. At December 31, 2009, we had outstanding real estate loans of $427,363,000. The interest yield averaged approximately 7.96% per annum on our outstanding real estate loan balances. Our yield on real estate loans depends upon a number of factors, including the stated interest rate, average principal amount outstanding during the term of the loan and any interest rate adjustments. The real estate loans outstanding at December 31, 2009 are generally subject to three to 20-year terms with principal amortization schedules and/or balloon payments of the outstanding principal balances at the end of the term. Typically, real estate loans are cross-defaulted and cross-collateralized with other real estate loans, operating leases or agreements between us and the obligor and its affiliates. Medical Office Buildings Our medical office building portfolio is primarily self-managed and consists principally of multi-tenant properties leased to health care providers. Our leases have favorable lease terms that typically include fixed increasers and some form of operating expense reimbursement by the tenant. As of December 31, 2009 87% of our portfolio included leases with full pass thru, 10% with a partial expense reimbursement (modified gross) and 3% with no expense reimbursement (gross). Our medical office building leases are non-cancellable operating leases that have a weighted average remaining term of six years at December 31, 2009 and are normally credit enhanced by guaranties and/or letters of credit. The net value of our medical office buildings (excluding construction in progress) aggregated approximately $1,405,843,000 at December 31, 2009. We also had outstanding construction invest- ments of $21,498,000 and expected to provide additional funds of approximately $29,097,000 to complete construction for medical office buildings. Development Services Group Through our subsidiary, HCN Development Services Group, Inc. (“DSG”), we provide services such as property development, facility and medical equipment planning and implementation services to health care systems, physician groups and third party medical property owners. Formerly known as Hospital Affiliates Development Corporation or “HADC,” DSG develops and constructs new “build-to-suit” and multi-tenant facilities 6 for us, and in some instances, for third parties who are expected to develop long-term relationships with the Company. Equity Investments Equity investments at December 31, 2009 and 2008 include an investment in a public company that has a readily determinable fair market value. We classify this equity investment as available-for-sale and, accordingly, record this investment at its fair market value with unrealized gains and losses included in accumulated other comprehensive income, a separate component of stockholders’ equity. Equity investments at December 31, 2009 and 2008 also include an investment in a private company. We do not have the ability to exercise influence over the company, so the investment is accounted for under the cost method. Under the cost method of accounting, investments in private companies are carried at cost and are adjusted only for other-than-temporary declines in fair value, return of capital and additional investments. These equity investments represented a minimal ownership interest in these companies. Additionally, equity investments at December 31, 2009 include an investment in an unconsolidated joint venture. Investments in Unconsolidated Joint Ventures. Investments in entities which we do not consolidate but for which we have the ability to exercise significant influence over operating and financial policies are reported under the equity method of accounting. Under the equity method of accounting, our share of the investee’s earnings or losses is included in our consolidated results of operations. The initial carrying value of investments in uncon- solidated joint ventures is based on the amount paid to purchase the joint venture interest or the estimated fair value of the assets prior to the sale of interests in the joint venture. We evaluate our equity method investments for impairment based upon a comparison of the estimated fair value of the equity method investment to its carrying value. When we determine a decline in the estimated fair value of such an investment below its carrying value is other-than-temporary, an impairment is recorded. Borrowing Policies We utilize a combination of debt and equity to fund the purchase of new properties and to provide loan financing. Our debt and equity levels are determined by management to maintain a conservative credit profile. Generally, we intend to issue unsecured, fixed rate public debt with long-term maturities to approximate the maturities on our leases and loans. For short-term purposes, we may borrow on our unsecured line of credit arrangement. We replace these borrowings with long-term capital such as senior unsecured notes, common stock or preferred stock. When terms are deemed favorable, we may invest in properties subject to existing mortgage indebtedness. In addition, we may obtain secured financing for unleveraged properties in which we have invested or may refinance properties acquired on a leveraged basis. It is our intent to limit secured indebtedness. In our agreements with our lenders, we are subject to restrictions with respect to secured and unsecured indebtedness. Competition We compete with other real estate investment trusts, real estate partnerships, private equity and hedge fund investors, banks, insurance companies, finance/investment companies, government-sponsored agencies, taxable and tax-exempt bond funds, health care operators, developers and other investors in the acquisition, development, leasing and financing of health care and senior housing properties. Some of our competitors are larger with greater resources and lower costs of capital than us. Increased competition inhibits our ability to identify and successfully complete investments. We compete for investments based on a number of factors including rates, financings offered, underwriting criteria and reputation. Our ability to successfully compete is also impacted by economic and population trends, availability of acceptable investment opportunities, our ability to negotiate beneficial investment terms, availability and cost of capital, construction and renovation costs and new and existing laws and regulations. The operators/tenants of our properties compete on a local and regional basis with operators/tenants of properties that provide comparable services. Operators/tenants compete for patients and residents based on a number of factors including quality of care, reputation, physical appearance of properties, services offered, family preferences, physicians, staff and price. We also face competition from other health care facilities for tenants, such as physicians and other health care providers that provide comparable facilities and services. 7 For additional information on the risks associated with our business, please see “Item 1A — Risk Factors” of this Annual Report on Form 10-K. Employees As of December 31, 2009, we had 217 employees. Customer Concentrations The following table summarizes certain information about our customer concentrations as of December 31, 2009 (dollars in thousands): Number of Properties Total Investment Percent of Investment(1) Concentration by investment: Senior Living Communities, LLC . . . . . . . . . . . . . . . . . . Brookdale Senior Living, Inc . . . . . . . . . . . . . . . . . . . . . Signature Healthcare LLC . . . . . . . . . . . . . . . . . . . . . . . Emeritus Corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . Life Care Centers of America, Inc. . . . . . . . . . . . . . . . . Remaining portfolio . . . . . . . . . . . . . . . . . . . . . . . . . . . . Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 86 32 21 18 423 590 $ 419,406 310,126 270,775 241,288 204,558 4,639,650 7% 5% 5% 4% 3% 76% $6,085,803 100% (1) Investments with our top five customers comprised 25% of total investments at December 31, 2008. Certain Government Regulations Health Law Matters — Generally Typically, operators of assisted living and independent living facilities do not receive significant funding from governmental programs and are regulated by the applicable state, not the federal government. Operators of skilled nursing facilities and hospitals do receive significant funding from governmental programs and are subject to federal and state laws that regulate the type and quality of the medical and/or nursing care provided, ancillary services (e.g., respiratory, occupational, physical and infusion therapies), qualifications of the administrative personnel and nursing staff, the adequacy of the physical plant and equipment, reimbursement and rate setting and operating policies. In addition, as described below, operators are subject to extensive laws and regulations pertaining to health care fraud and abuse, including kickbacks, physician self-referrals and false claims. Hospitals, physician group practice clinics, and other health care providers that operate in our portfolio are subject to extensive federal, state and local licensure, certification, and inspection laws and regulations. Our tenants’ failure to comply with any of these laws could result in loss of accreditation, denial of reimbursement, imposition of fines, suspension or decertification or exclusion from federal and state health care programs, loss of license or closure of the facility. Licensing and Certification The primary regulations that affect assisted living facilities are state licensing laws. In granting and renewing these licenses, the regulatory authorities consider numerous factors relating to a property’s physical plant and operations including, but not limited to, admission and discharge standards and staffing and training. A decision to grant or renew a license is also affected by a property’s record with respect to patient and consumer rights and medication guidelines and rules. Certain of the senior housing facilities mortgaged to or owned by us may require the resident to pay an entrance or upfront fee, a portion of which may be refundable. These entrance fee communities are subject to significant state regulatory oversight, including, for example, oversight of each facility’s financial condition, establishment and monitoring of reserve requirements and other financial restrictions, the right of residents to cancel their contracts within a specified period of time, lien rights in favor of residents, restrictions on change of ownership and similar matters. Such oversight and the rights of residents within these 8 entrance fee communities may have an effect on the revenue or operations of the operators of such facilities and therefore may adversely affect us. Skilled nursing facilities are subject to a variety of licensure and certificate of need (“CON”) laws and regulations. CON laws in those states that have them generally require a facility to demonstrate the need for constructing a new facility, adding beds or expanding an existing facility, investing in major capital equipment or adding new services, changing the ownership or control of an existing licensed facility, or terminating services that have been previously approved through the CON process. The CON laws and regulations may restrict the ability of operators to add new properties or expand an existing facility’s size or services. In addition, CON laws may constrain the ability of an operator to transfer responsibility for operating a particular facility to a new operator. If we have to replace a barred property operator (as discussed below), our ability to replace the operator may be affected by CON rules and policies governing changes in control. With respect to licensure, generally our skilled nursing facilities and hospitals are required to be licensed and certified for participation in the Medicare, Medicaid, and other federal health care programs. This generally requires license renewals and compliance surveys on an annual or bi-annual basis. The failure of our operators to maintain or renew any required license or regulatory approval or the failure to correct serious survey deficiencies identified in compliance surveys could prevent them from continuing operations at a property. In addition, if a property is found out of compliance with the conditions of participation in Medicare, Medicaid or other health care programs, the property may be barred from participation in government reimbursement programs. Any of these occurrences may impair the ability of our operators to meet their obligations to us. If we have to replace a barred property operator, our ability to replace the operator may be affected by federal and state rules and policies governing changes in control. This may result in payment delays, an inability to find a replacement operator, a significant working capital commitment from us to a new operator or other difficulties. Reimbursement Assisted Living Facilities. Approximately 21% of our rental revenues for the year ended December 31, 2009 were attributable to assisted living facilities. The majority of the revenues received by the operators of our assisted living facilities are from private pay sources. The remaining revenue source is primarily Medicaid under certain waiver programs. As a part of the Omnibus Budget Reconciliation Act (“OBRA”) of 1981, Congress established a waiver program enabling some states to offer Medicaid reimbursement to assisted living facilities as an alternative to institutional long-term care services. The provisions of OBRA and the subsequent OBRA Acts of 1987 and 1990 permit states to seek a waiver from typical Medicaid requirements to develop cost-effective alternatives to long- term care, including Medicaid payments for assisted living and home health. At December 31, 2009, four of our 22 assisted living operators received Medicaid reimbursement pursuant to Medicaid waiver programs. For the twelve months ended September 30, 2009, approximately 9% of the revenues at our assisted living facilities were from Medicaid reimbursement. There can be no guarantee that a state Medicaid program operating pursuant to a waiver will be able to maintain its waiver status. Rates paid by self-pay residents are set by the facilities and are largely determined by local market conditions and operating costs. Generally, facilities receive a higher payment per day for a private pay resident than for a Medicaid beneficiary who requires a comparable level of care. The level of Medicaid reimbursement varies from state to state. Thus, the revenues generated by operators of our assisted living facilities may be adversely affected by payor mix, acuity level and changes in Medicaid eligibility and reimbursement levels. In addition, a state could lose its Medicaid waiver and no longer be permitted to utilize Medicaid dollars to reimburse for assisted living services. Changes in revenues could in turn have a material adverse effect on an operator’s ability to meet its obligations to us. Skilled Nursing Facilities and Hospitals. Skilled nursing facilities and hospitals typically receive most of their revenues from Medicare and Medicaid, with the balance representing private pay, including private insurance. Consequently, changes in federal or state reimbursement policies may also adversely affect an operator’s ability to cover its expenses, including our rent or debt service. Skilled nursing facilities and hospitals are subject to periodic pre- and post-payment reviews and other audits by federal and state authorities. A review or audit of claims of a property operator could result in recoupments, denials or delays of payments in the future, which could have a material adverse effect on the operator’s ability to meet its obligations to us. Due to the significant judgments and 9 estimates inherent in payor settlement accounting, no assurance can be given as to the adequacy of any reserves maintained by our property operators for potential adjustments to reimbursements for payor settlements. Due to budgetary constraints, governmental payors may limit or reduce payments to skilled nursing facilities and hospitals. As a result of government reimbursement programs being subject to such budgetary pressures and legislative and administrative actions, an operator’s ability to meet its obligations to us may be significantly impaired. Medicare Reimbursement and Skilled Nursing Facilities. For the twelve months ended September 30, 2009, approximately 30% of the revenues at our skilled nursing facilities (which comprised 31% of our rental revenues for the year ended December 31, 2009) were from Medicare reimbursement. Skilled nursing facilities are reimbursed under the skilled nursing facility prospective payment system. This type of reimbursement program puts facilities at risk to the extent that their costs exceed the fixed payments under the prospective payment system. In addition, there is a risk that payments under the prospective payment system may be set too low, which could result in immediate financial difficulties for skilled nursing facilities and cause operators to seek bankruptcy protection. Skilled nursing facilities have had these types of difficulties since the implementation of the prospective payment system. Skilled nursing facilities received a full Medicare market basket update of 3.4% for federal fiscal year 2009. The Centers for Medicare & Medicaid Services (“CMS”), an agency of the U.S. Department of Health and Human Services, has announced that skilled nursing facilities will receive an additional 1.1% net decrease in Medicare payments for fiscal year 2010. This 1.1% net decrease is the result of a 3.3% decrease in payments due to recalibration of the case-mix indexes combined with a 2.2% increase in payments through “market basket” changes for fiscal year 2010. Section 5008 of the Deficit Reduction Act of 2005 directs the Secretary (as defined in that statute) to conduct a demonstration program beginning January 1, 2008 assessing the costs and outcomes of patients discharged from hospitals in a variety of post-acute care settings, including skilled nursing facilities. The outcome of that demonstration program could lead to changes in Medicare coverage and reimbursement for post-acute care. It is not known how either the demonstration program, or any other changes in Medicare reimbursement or regulatory obligations that might be proposed, might impact tenants of the Company’s properties. The Balanced Budget Act of 1997 mandated caps on Medicare reimbursement for certain therapy services. However, Congress imposed various moratoriums on the implementation of those caps. For 2010, the annual payment cap of $1,860 per patient applies to occupational therapy and a separate $1,860 cap applies to speech and physical therapy. Congress has permitted patients exceeding the cap to obtain additional Medicare coverage through a waiver program if the therapy is deemed medically necessary. The waiver program was historically extended, most recently by the Medicare Improvements for Patients and Providers Act of 2008 through December 31, 2009. Health care reform bills considered by Congress in 2009 would have extended this waiver program through at least 2010, but due to Congressional inactivity these provisions were not passed before the waiver expired on December 31, 2009. Patients will therefore need to use private funds to pay for the cost of therapy above the caps. If patients are unable to satisfy their out-of-pocket cost responsibility to reimburse an operator for services rendered, the operator’s ability to meet its obligations to us could be adversely impacted. Medicare Reimbursement and Hospitals. For the twelve months ended September 30, 2009, approximately 53% of the revenues at our hospitals (which comprised 8% of our rental revenues for the year ended December 31, 2009) were from Medicare. Hospitals generally are reimbursed by Medicare under the diagnosis related group prospective payment system reimbursement methodology for inpatient hospitals, the long-term acute care hospital prospective payment system for long-term acute care hospitals or the inpatient rehabilitation facility prospective payment system. Acute care hospitals provide a wide range of inpatient and outpatient services including, but not limited to, surgery, rehabilitation, therapy and clinical laboratories. Long-term acute care hospitals provide inpatient services for patients with complex medical conditions that require more intensive care, monitoring or emergency support than that available in most skilled nursing facilities. Inpatient rehabilitation facilities provide intensive rehabilitation services in an inpatient setting for patients requiring at least three hours of rehabilitation services a day. With respect to Medicare’s diagnosis related group/outpatient prospective payment system methodology for regular hospitals, reimbursement for inpatient services is made on the basis of a fixed, prospective rate based on the principal diagnosis of the patient. Hospitals are at risk to the extent that their costs in treating a specific case exceed the fixed payment. The diagnosis related group reimbursement system was changed in 2008, with the expansion of 10 diagnosis groups from 538 to 745 diagnosis related groups to greater reflect severity. One additional diagnosis related group was added in 2009, for a new total of 746. It is possible that this change in the DRG system will adversely impact reimbursement for some of our hospitals. In some cases, a hospital might be able to qualify for an outlier payment if the hospital’s losses exceed a threshold. Medicaid Reimbursement. Medicaid is a major payor source for residents in our skilled nursing facilities and hospitals. For the twelve months ended September 30, 2009, approximately 50% of the revenues of our skilled nursing facilities and 3% of the revenues of our hospitals were attributable to Medicaid payments. The federal government and the states share responsibility for financing Medicaid. The federal matching rate, known as the Federal Medical Assistance Percentage, varies by state based on relative per capita income, but is at least 50% in all states. On average, Medicaid is the largest component of total state spending, representing approximately 21% of total state spending. The percentage of Medicaid dollars used for long-term care varies from state to state due in part to different ratios of elderly population and eligibility requirements. Within certain federal guidelines, states have a wide range of discretion to determine eligibility and reimbursement methodology. Many states reimburse long-term care facilities using fixed daily rates, which are applied prospectively based on patient acuity and the historical costs incurred in providing patient care. Reasonable costs typically include allowances for staffing, administrative and general, and property and equipment (e.g., real estate taxes, depreciation and fair rental). In most states, Medicaid does not fully reimburse the cost of providing skilled nursing services. Certain states are attempting to slow the rate of growth in Medicaid expenditures by freezing rates or restricting eligibility and benefits. At the beginning of state fiscal year 2010, states in which we have skilled nursing property investments held rates flat on average for fiscal year 2010. Our skilled nursing portfolio’s average Medicaid rate will likely vary throughout the year as states continue to make interim changes to their budgets and Medicaid funding. In addition, Medicaid rates may decline if revenues in a particular state are not sufficient to fund budgeted expenditures. The Medicare Part D drug benefit became effective January 1, 2006. Nursing home residents dually eligible for Medicare (and enrolled in one of the new Part D plans) and Medicaid may now enroll and receive reimbursement for drugs through Medicare Part D rather than through Medicaid. Part D will result in increased administrative responsibilities for nursing home operators because enrollment in Part D is voluntary and residents have the choice of multiple prescription drug plans. Operators may also experience increased expenses to the extent that patients’ specific prescribed drugs may not be on the Part D drug plan formulary for the plan in which specific patients are enrolled. The reimbursement methodologies applied to health care facilities continue to evolve. Federal and state authorities have considered and may seek to implement new or modified reimbursement methodologies that may negatively impact health care property operations. The impact of any such change, if implemented, may result in a material adverse effect on our skilled nursing and hospital property operations. No assurance can be given that current revenue sources or levels will be maintained. Accordingly, there can be no assurance that payments under a government reimbursement program are currently, or will be in the future, sufficient to fully reimburse the property operators for their operating and capital expenses. As a result, an operator’s ability to meet its obligations to us could be adversely impacted. Finally, federal legislative efforts to reform the health care industry may have a significant impact on Medicare, Medicaid, and private insurance coverage and reimbursement for services provided by skilled nursing facilities and other health care providers. Any such health care reform could have a substantial and material adverse effect on all parties directly or indirectly involved in the health care system. Other Related Laws Skilled nursing facilities and hospitals (and assisted living or CCRC facilities that receive Medicaid payments) are subject to federal, state and local laws and regulations that govern the operations and financial and other arrangements that may be entered into by health care providers. Certain of these laws prohibit direct or indirect payments of any kind for the purpose of inducing or encouraging the referral of patients for medical products or services reimbursable by governmental programs. Other laws require providers to furnish only medically necessary services and submit to the government valid and accurate statements for each service. Still other laws require providers to comply with a variety of safety, health and other requirements relating to the condition of the licensed 11 property and the quality of care provided. Sanctions for violations of these laws and regulations may include, but are not limited to, criminal and/or civil penalties and fines and a loss of licensure, immediate termination of governmental payments, and exclusion from eligibility for any governmental reimbursement. In certain circum- stances, violation of these rules (such as those prohibiting abusive and fraudulent behavior) with respect to one property may subject other facilities under common control or ownership to sanctions, including exclusion from participation in the Medicare and Medicaid programs. In the ordinary course of its business, a property operator is regularly subjected to inquiries, investigations and audits by federal and state agencies that oversee these laws and regulations. Each skilled nursing and hospital property (and any assisted living or CCRC property that receives Medicaid payments) is subject to the federal anti-kickback statute that generally prohibits persons from offering, providing, soliciting or receiving remuneration to induce either the referral of an individual or the furnishing of a good or service for which payment may be made under a federal health care program such as the Medicare and Medicaid programs. Skilled nursing facilities and hospitals are also subject to the federal Ethics in Patient Referral Act of 1989, commonly referred to as the Stark Law. The Stark Law generally prohibits the submission of claims to Medicare for payment if the claim results from a physician referral for certain designated services and the physician has a financial relationship with the health service provider that does not qualify under one of the exceptions for a financial relationship under the Stark Law. Similar prohibitions on physician self-referrals and submission of claims apply to state Medicaid programs. Further, skilled nursing facilities and hospitals (and assisted living or CCRC facilities that receive Medicaid payments) are subject to substantial financial penalties under the Civil Monetary Penalties Act and the False Claims Act and, in particular, actions under the False Claims Act’s “whistleblower” provisions. Private enforcement of health care fraud has increased due in large part to amendments to the False Claims Act that encourage private individuals to sue on behalf of the government. These whistleblower suits by private individuals, known as qui tam actions, may be filed by almost anyone, including present and former patients, nurses and other employees. Some cases have been brought under the federal False Claims Act asserting claims for treble damages and up to $11,000 per claim on the basis of the alleged failure of a nursing facility to meet applicable regulations relating to the operation of the nursing facility. Prosecutions, investigations or whistleblower actions could have a material adverse effect on a property operator’s liquidity, financial condition and results of operations which could adversely affect the ability of the operator to meet its obligations to us. Finally, various state false claim and anti-kickback laws also may apply to each property operator. Violation of any of the foregoing statutes can result in criminal and/or civil penalties that could have a material adverse effect on the ability of an operator to meet its obligations to us. Other legislative developments over the past several years, including the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), have greatly expanded the definition of health care fraud and related offenses and broadened its scope to include private health care plans in addition to government payors. Congress also has greatly increased funding for the Department of Justice, Federal Bureau of Investigation and the Office of the Inspector General of the Department of Health and Human Services to audit, investigate and prosecute suspected health care fraud. Moreover, a significant portion of the billions in health care fraud recoveries over the past several years has also been returned to government agencies to further fund their fraud investigation and prosecution efforts. Additionally, other HIPAA provisions and regulations provide for communication of health information through standard electronic transaction formats and for the privacy and security of health information. In order to comply with the regulations, health care providers must undergo significant operational and technical changes. Operators also face significant financial exposure if they fail to maintain the privacy and security of medical records and personal, identifiable health information about individuals. The Health Information Technology for Economic and Clinical Health (“HITECH”) Act, passed in February 2009, modified the Secretary of Health and Human Services’ authority to impose civil money penalties for HIPAA violations occurring after February 18, 2009. HITECH directs the HHS Secretary to provide for periodic audits to ensure covered entities and their business associates (as that term is defined under HIPAA) comply with applicable HITECH requirements, increasing the likelihood that a HIPAA violation will result in an enforcement action. CMS issued an interim Final Rule effective November 2009 which conforms HIPAA enforcement regulations to the HITECH Act, increasing the maximum penalty to $1.5 million for certain types of violations. 12 In November 2002, CMS began a national Nursing Home Quality Initiative (NHQI). Under this initiative, historical survey information, the NHQI Pilot Evaluation Report and the NHQI Overview is made available to the public on-line. The NHQI website provides consumer and provider information regarding the quality of care in nursing homes. The data allows consumers, providers, states and researchers to compare quality information that shows how well nursing homes are caring for their residents’ physical and clinical needs. The posted nursing home quality measures come from resident assessment data that nursing homes routinely collect on the residents at specified intervals during their stay. If the operators of nursing facilities are unable to achieve quality of care ratings that are comparable or superior to those of their competitors, they may lose market share to other facilities, reducing their revenues and adversely impacting their ability to make rental payments. Finally, government investigation and enforcement of health care laws has increased dramatically over the past several years and is expected to continue. Some of these enforcement actions represent novel legal theories and expansions in the application of false claims laws. The costs for an operator of a health care property associated with both defending such enforcement actions and the undertakings in settlement agreements can be substantial and could have a material adverse effect on the ability of an operator to meet its obligations to us. Environmental Laws A wide variety of federal, state and local environmental and occupational health and safety laws and regulations affect health care facility operations or special medical properties. Under various federal, state and local environmental laws, ordinances and regulations, an owner of real property or a secured lender (such as the Company) may be liable for the costs of removal or remediation of hazardous or toxic substances at, under or disposed of in connection with such property, as well as other potential costs relating to hazardous or toxic substances (including government fines and damages for injuries to persons and adjacent property). The cost of any required remediation, removal, fines or personal or property damages and the owner’s or secured lender’s liability for such costs could exceed the value of the property, and/or the assets of the owner or secured lender. In addition, the presence of such substances, or the failure to properly dispose of or remediate such substances, may adversely affect the owner’s ability to sell or rent such property or to borrow using such property as collateral which, in turn, would reduce revenues. Taxation Federal Income Tax Considerations The following summary of the taxation of the Company and the material federal tax consequences to the holders of our debt and equity securities is for general information only and is not tax advice. This summary does not address all aspects of taxation that may be relevant to certain types of holders of stock or securities (including, but not limited to, insurance companies, tax-exempt entities, financial institutions or broker-dealers, persons holding shares of common stock as part of a hedging, integrated conversion, or constructive sale transaction or a straddle, traders in securities that use a mark-to-market method of accounting for their securities, investors in pass- through entities and foreign corporations and persons who are not citizens or residents of the United States). This summary does not discuss all of the aspects of U.S. federal income taxation that may be relevant to you in light of your particular investment or other circumstances. In addition, this summary does not discuss any state or local income taxation or foreign income taxation or other tax consequences. This summary is based on current U.S. federal income tax law. Subsequent developments in U.S. federal income tax law, including changes in law or differing interpretations, which may be applied retroactively, could have a material effect on the U.S. federal income tax consequences of purchasing, owning and disposing of our securities as set forth in this summary. Before you purchase our securities, you should consult your own tax advisor regarding the particular U.S. federal, state, local, foreign and other tax consequences of acquiring, owning and selling our securities. General We elected to be taxed as a real estate investment trust (a “REIT”) commencing with our first taxable year. We intend to continue to operate in such a manner as to qualify as a REIT, but there is no guarantee that we will qualify or remain qualified as a REIT for subsequent years. Qualification and taxation as a REIT depends upon our ability to 13 meet a variety of qualification tests imposed under federal income tax law with respect to income, assets, distribution level and diversity of share ownership as discussed below under “— Qualification as a REIT.” There can be no assurance that we will be owned and organized and will operate in a manner so as to qualify or remain qualified. In any year in which we qualify as a REIT, in general, we will not be subject to federal income tax on that portion of our REIT taxable income or capital gain that is distributed to stockholders. We may, however, be subject to tax at normal corporate rates on any taxable income or capital gain not distributed. If we elect to retain and pay income tax on our net long-term capital gain, stockholders are required to include their proportionate share of our undistributed long-term capital gain in income, but they will receive a refundable credit for their share of any taxes paid by us on such gain. Despite the REIT election, we may be subject to federal income and excise tax as follows: • To the extent that we do not distribute all of our net capital gain or distribute at least 90%, but less than 100%, of our “REIT taxable income,” as adjusted, we will be subject to tax on the undistributed amount at regular corporate tax rates; • We may be subject to the “alternative minimum tax” (the “AMT”) on certain tax preference items to the extent that the AMT exceeds our regular tax; • If we have net income from the sale or other disposition of “foreclosure property” that is held primarily for sale to customers in the ordinary course of business or other non-qualifying income from foreclosure property, such income will be taxed at the highest corporate rate; • Any net income from prohibited transactions (which are, in general, sales or other dispositions of property held primarily for sale to customers in the ordinary course of business, other than dispositions of foreclosure property and dispositions of property due to an involuntary conversion) will be subject to a 100% tax; • If we fail to satisfy either the 75% or 95% gross income tests (as discussed below), but nonetheless maintain our qualification as a REIT because certain other requirements are met, we will be subject to a 100% tax on an amount equal to (1) the gross income attributable to the greater of (i) 75% of our gross income over the amount of qualifying gross income for purposes of the 75% gross income test (discussed below) or (ii) 95% of our gross income (90% of our gross income for taxable years beginning on or before October 22, 2004) over the amount of qualifying gross income for purposes of the 95% gross income test (discussed below) multiplied by (2) a fraction intended to reflect our profitability; • If we fail to distribute during each year at least the sum of (1) 85% of our REIT ordinary income for the year, (2) 95% of our REIT capital gain net income for such year (other than capital gain that we elect to retain and pay tax on) and (3) any undistributed taxable income from preceding periods, we will be subject to a 4% excise tax on the excess of such required distribution over amounts actually distributed; and • We will be subject to a 100% tax on the amount of any rents from real property, deductions or excess interest paid to us by any of our “taxable REIT subsidiaries” that would be reduced through reallocation under certain federal income tax principles in order to more clearly reflect income of the taxable REIT subsidiary. See “— Qualification as a REIT — Investments in Taxable REIT Subsidiaries.” If we acquire any assets from a corporation, which is or has been a “C” corporation, in a carryover basis transaction, we could be liable for specified liabilities that are inherited from the “C” corporation. A “C” corporation is generally defined as a corporation that is required to pay full corporate level federal income tax. If we recognize gain on the disposition of the assets during the ten-year period beginning on the date on which the assets were acquired by us, then, to the extent of the assets’ “built-in gain” (i.e., the excess of the fair market value of the asset over the adjusted tax basis in the asset, in each case determined as of the beginning of the ten-year period), we will be subject to tax on the gain at the highest regular corporate rate applicable. The results described in this paragraph with respect to the recognition of built-in gain assume that the built-in gain assets, at the time the built-in gain assets were subject to a conversion transaction (either where a “C” corporation elected REIT status or a REIT acquired the assets from a “C” corporation), were not treated as sold to an unrelated party and gain recognized. 14 Qualification as a REIT A REIT is defined as a corporation, trust or association: (1) which is managed by one or more trustees or directors; (2) the beneficial ownership of which is evidenced by transferable shares or by transferable certificates of beneficial interest; (3) which would be taxable as a domestic corporation but for the federal income tax law relating to REITs; (4) which is neither a financial institution nor an insurance company; (5) the beneficial ownership of which is held by 100 or more persons in each taxable year of the REIT except for its first taxable year; (6) not more than 50% in value of the outstanding stock of which is owned during the last half of each taxable year, excluding its first taxable year, directly or indirectly, by or for five or fewer individuals (which includes certain entities) (the “Five or Fewer Requirement”); and (7) which meets certain income and asset tests described below. Conditions (1) to (4), inclusive, must be met during the entire taxable year and condition (5) must be met during at least 335 days of a taxable year of 12 months or during a proportionate part of a taxable year of less than 12 months. For purposes of conditions (5) and (6), pension funds and certain other tax-exempt entities are treated as individuals, subject to a “look-through” exception in the case of condition (6). Based on publicly available information, we believe we have satisfied the share ownership requirements set forth in (5) and (6) above. In addition, Article VI of our Amended and Restated By-Laws provides for restrictions regarding ownership and transfer of shares. These restrictions are intended to assist us in continuing to satisfy the share ownership requirements described in (5) and (6) above. These restrictions, however, may not ensure that we will, in all cases, be able to satisfy the share ownership requirements described in (5) and (6) above. We have complied with, and will continue to comply with, regulatory rules to send annual letters to certain of our stockholders requesting information regarding the actual ownership of our stock. If, despite sending the annual letters, we do not know, or after exercising reasonable diligence would not have known, whether we failed to meet the Five or Fewer Requirement, we will be treated as having met the Five or Fewer Requirement. If we fail to comply with these regulatory rules, we will be subject to a monetary penalty. If our failure to comply was due to intentional disregard of the requirement, the penalty would be increased. However, if our failure to comply were due to reasonable cause and not willful neglect, no penalty would be imposed. We may own a number of properties through wholly owned subsidiaries. A corporation will qualify as a “qualified REIT subsidiary” if 100% of its stock is owned by a REIT, and the REIT does not elect to treat the subsidiary as a taxable REIT subsidiary. A “qualified REIT subsidiary” will not be treated as a separate corporation, and all assets, liabilities and items of income, deductions and credits of a “qualified REIT subsidiary” will be treated as assets, liabilities and items (as the case may be) of the REIT. A “qualified REIT subsidiary” is not subject to federal income tax, and our ownership of the voting stock of a qualified REIT subsidiary will not violate the restrictions against ownership of securities of any one issuer which constitute more than 10% of the value or total voting power of such issuer or more than 5% of the value of our total assets, as described below under “— Asset Tests.” If we invest in a partnership, a limited liability company or a trust taxed as a partnership or as a disregarded entity, we will be deemed to own a proportionate share of the partnership’s, limited liability company’s or trust’s assets. Likewise, we will be treated as receiving our share of the income and loss of the partnership, limited liability company or trust, and the gross income will retain the same character in our hands as it has in the hands of the 15 partnership, limited liability company or trust. These “look-through” rules apply for purposes of the income tests and assets tests described below. Income Tests. There are two separate percentage tests relating to our sources of gross income that we must satisfy for each taxable year. • At least 75% of our gross income (excluding gross income from certain sales of property held primarily for sale) must be directly or indirectly derived each taxable year from “rents from real property,” other income from investments relating to real property or mortgages on real property or certain income from qualified temporary investments. • At least 95% of our gross income (excluding gross income from certain sales of property held primarily for sale) must be directly or indirectly derived each taxable year from any of the sources qualifying for the 75% gross income test and from dividends (including dividends from taxable REIT subsidiaries) and interest. For taxable years beginning on or before October 22, 2004, (1) payments to us under an interest rate swap or cap agreement, option, futures contract, forward rate agreement or any similar financial instrument entered into by us to reduce interest rate risk on indebtedness incurred or to be incurred and (2) gain from the sale or other disposition of any such investment are treated as income qualifying under the 95% gross income test. As to transactions entered into in taxable years beginning after October 22, 2004, any of our income from a “clearly identified” hedging transaction that is entered into by us in the normal course of business, directly or indirectly, to manage the risk of interest rate movements, price changes or currency fluctuations with respect to borrowings or obligations incurred or to be incurred by us, or such other risks that are prescribed by the Internal Revenue Service, is excluded from the 95% gross income test. For transactions entered into after July 30, 2008, any of our income from a “clearly identified” hedging transaction that is entered into by us in the normal course of business, directly or indirectly, to manage the risk of interest rate movements, price changes or currency fluctuations with respect to borrowings or obligations incurred or to be incurred by us is excluded from the 95% and 75% gross income tests. For transactions entered into after July 30, 2008, any of our income from a “clearly identified” hedging transaction entered into by us primarily to manage risk of currency fluctuations with respect to any item of income or gain that is included in gross income in the 95% and 75% gross income tests is excluded from the 95% and 75% gross income tests. In general, a hedging transaction is “clearly identified” if (1) the transaction is identified as a hedging transaction before the end of the day on which it is entered into and (2) the items or risks being hedged are identified “substantially contemporaneously” with the hedging transaction. An identification is not substantially contem- poraneous if it is made more than 35 days after entering into the hedging transaction. As to gains and items of income recognized after July 30, 2008, “passive foreign exchange gain” for any taxable year will not constitute gross income for purposes of the 95% gross income test and “real estate foreign exchange gain” for any taxable year will not constitute gross income for purposes of the 75% gross income test. Real estate foreign exchange gain is foreign currency gain (as defined in Internal Revenue Code section 988(b)(1)) which is attributable to: (i) any qualifying item of income or gain for purposes of the 75% gross income test; (ii) the acquisition or ownership of obligations secured by mortgages on real property or interests in real property; or (iii) becoming or being the obligor under obligations secured by mortgages on real property or on interests in real property. Real estate foreign exchange gain also includes Internal Revenue Code section 987 gain attributable to a qualified business unit (a “QBU”) of a REIT if the QBU itself meets the 75% income test for the taxable year and the 75% asset test at the close of each quarter that the REIT has directly or indirectly held the QBU. Real estate foreign exchange gain also includes any other foreign currency gain as determined by the Secretary of the Treasury. Passive foreign exchange gain includes all real estate foreign exchange gain and foreign currency gain which is attributable to: (i) any qualifying item of income or gain for purposes of the 95% gross income test; (ii) the acquisition or ownership of obligations; (iii) becoming or being the obligor under obligations; and (iv) any other foreign currency gain as determined by the Secretary of the Treasury. 16 Generally, other than income from “clearly identified” hedging transactions entered into by us in the normal course of business, any foreign currency gain derived by us from dealing, or engaging in substantial and regular trading, in securities will constitute gross income which does not qualify under the 95% or 75% gross income tests. Rents received by us will qualify as “rents from real property” for purposes of satisfying the gross income tests for a REIT only if several conditions are met: • The amount of rent must not be based in whole or in part on the income or profits of any person, although rents generally will not be excluded merely because they are based on a fixed percentage or percentages of receipts or sales. • Rents received from a tenant will not qualify as rents from real property if the REIT, or an owner of 10% or more of the REIT, also directly or constructively owns 10% or more of the tenant, unless the tenant is our taxable REIT subsidiary and certain other requirements are met with respect to the real property being rented. • If rent attributable to personal property leased in connection with a lease of real property is greater than 15% of the total rent received under the lease, then the portion of rent attributable to such personal property will not qualify as “rents from real property.” • For rents to qualify as rents from real property, we generally must not furnish or render services to tenants, other than through a taxable REIT subsidiary or an “independent contractor” from whom we derive no income, except that we may directly provide services that are “usually or customarily rendered” in the geographic area in which the property is located in connection with the rental of real property for occupancy only, or are not otherwise considered “rendered to the occupant for his convenience.” • For taxable years beginning after July 30, 2008, the REIT may lease qualified health care property (as defined in Internal Revenue Code section 856(e)(6)(D)) on an arm’s-length basis to a taxable REIT subsidiary if the property is operated on behalf of such subsidiary by a person who is an eligible independent contractor (as defined in Internal Revenue Code section 856(d)(9)(A)). Generally, the rent that the REIT receives from the taxable REIT subsidiary will be treated as “rents from real property.” For taxable years beginning after August 5, 1997, a REIT has been permitted to render a de minimis amount of impermissible services to tenants and still treat amounts received with respect to that property as rent from real property. The amount received or accrued by the REIT during the taxable year for the impermissible services with respect to a property may not exceed 1% of all amounts received or accrued by the REIT directly or indirectly from the property. The amount received for any service or management operation for this purpose shall be deemed to be not less than 150% of the direct cost of the REIT in furnishing or rendering the service or providing the management or operation. Furthermore, impermissible services may be furnished to tenants by a taxable REIT subsidiary subject to certain conditions, and we may still treat rents received with respect to the property as rent from real property. The term “interest” generally does not include any amount if the determination of the amount depends in whole or in part on the income or profits of any person, although an amount generally will not be excluded from the term “interest” solely by reason of being based on a fixed percentage of receipts or sales. If we fail to satisfy one or both of the 75% or 95% gross income tests for any taxable year, we may nevertheless qualify as a REIT for such year if we are eligible for relief. For taxable years beginning on or before October 22, 2004, these relief provisions generally will be available if: (1) our failure to meet such tests was due to reasonable cause and not due to willful neglect; (2) we attach a schedule of the sources of our income to our return; and (3) any incorrect information on the schedule was not due to fraud with intent to evade tax. For taxable years beginning after October 22, 2004, these relief provisions generally will be available if (1) following our identification of the failure, we file a schedule for such taxable year describing each item of our gross income, and (2) the failure to meet such tests was due to reasonable cause and not due to willful neglect. It is not now possible to determine the circumstances under which we may be entitled to the benefit of these relief provisions. If these relief provisions apply, a 100% tax is imposed on an amount equal to (a) the gross income attributable to (1) 75% of our gross income over the amount of qualifying gross income for purposes of the 75% income test and (2) 95% of our gross income (90% of our gross income for taxable years beginning on or before 17 October 22, 2004) over the amount of qualifying gross income for purposes of the 95% income test, multiplied by (b) a fraction intended to reflect our profitability. The Secretary of the Treasury is given broad authority to determine whether particular items of income or gain qualify or not under the 75% and 95% gross income tests, or are to be excluded from the measure of gross income for such purposes. Asset Tests. Within 30 days after the close of each quarter of our taxable year, we must also satisfy several tests relating to the nature and diversification of our assets determined in accordance with generally accepted accounting principles. At least 75% of the value of our total assets must be represented by real estate assets, cash, cash items (including receivables arising in the ordinary course of our operation), government securities and qualified temporary investments. Although the remaining 25% of our assets generally may be invested without restriction, we are prohibited from owning securities representing more than 10% of either the vote (the “10% vote test”) or value (the “10% value test”) of the outstanding securities of any issuer other than a qualified REIT subsidiary, another REIT or a taxable REIT subsidiary. Further, no more than 25% of the total assets may be represented by securities of one or more taxable REIT subsidiaries (the “25% asset test”) and no more than 5% of the value of our total assets may be represented by securities of any non-governmental issuer other than a qualified REIT subsidiary (the “5% asset test”), another REIT or a taxable REIT subsidiary. Each of the 10% vote test, the 10% value test and the 25% and 5% asset tests must be satisfied at the end of each quarter. There are special rules which provide relief if the value related tests are not satisfied due to changes in the value of the assets of a REIT. For taxable years beginning after December 31, 2000, certain items are excluded from the 10% value test, including: (1) straight debt securities of an issuer (including straight debt that provides certain contingent payments); (2) any loan to an individual or an estate; (3) any rental agreement described in Section 467 of the Internal Revenue Code, other than with a “related person”; (4) any obligation to pay rents from real property; (5) certain securities issued by a state or any subdivision thereof, the District of Columbia, a foreign government, or any political subdivision thereof, or the Commonwealth of Puerto Rico; (6) any security issued by a REIT; and (7) any other arrangement that, as determined by the Secretary of the Treasury, is excepted from the definition of security (“excluded securities”). Special rules apply to straight debt securities issued by corporations and entities taxable as partnerships for federal income tax purposes. If a REIT, or its taxable REIT subsidiary, holds (1) straight debt securities of a corporate or partnership issuer and (2) securities of such issuer that are not excluded securities and have an aggregate value greater than 1% of such issuer’s outstanding securities, the straight debt securities will be included in the 10% value test. For taxable years beginning after December 31, 2000, a REIT’s interest as a partner in a partnership is not treated as a security for purposes of applying the 10% value test to securities issued by the partnership. Further, any debt instrument issued by a partnership will not be a security for purposes of applying the 10% value test (1) to the extent of the REIT’s interest as a partner in the partnership and (2) if at least 75% of the partnership’s gross income (excluding gross income from prohibited transactions) would qualify for the 75% gross income test. For taxable years beginning after October 22, 2004, for purposes of the 10% value test, a REIT’s interest in a partnership’s assets is determined by the REIT’s proportionate interest in any securities issued by the partnership (other than the excluded securities described in the preceding paragraph). For taxable years beginning after July 30, 2008, if the REIT or its QBU uses a foreign currency as its functional currency, the term “cash” includes such foreign currency, but only to the extent such foreign currency is (i) held for use in the normal course of the activities of the REIT or QBU which give rise to items of income or gain that are included in the 95% and 75% gross income tests or are directly related to acquiring or holding assets qualifying under the 75% asset test, and (ii) not held in connection with dealing or engaging in substantial and regular trading in securities. With respect to corrections of failures for which the requirements for corrections are satisfied after October 22, 2004, regardless of whether such failures occurred in taxable years beginning on, before or after such date, as to violations of the 10% vote test, the 10% value test or the 5% asset test, a REIT may avoid disqualification as a REIT by disposing of sufficient assets to cure a violation that does not exceed the lesser of 1% of the REIT’s assets at the end of the relevant quarter or $10,000,000, provided that the disposition occurs within six months following the last day of the quarter in which the REIT first identified the assets. For violations of any of the REIT asset tests due to 18 reasonable cause and not willful neglect that exceed the thresholds described in the preceding sentence, a REIT can avoid disqualification as a REIT after the close of a taxable quarter by taking certain steps, including disposition of sufficient assets within the six month period described above to meet the applicable asset test, paying a tax equal to the greater of $50,000 or the highest corporate tax rate multiplied by the net income generated by the non-qualifying assets during the period of time that the assets were held as non-qualifying assets and filing a schedule with the Internal Revenue Service that describes the non-qualifying assets. Investments in Taxable REIT Subsidiaries. For taxable years beginning after December 31, 2000, REITs may own more than 10% of the voting power and value of securities in taxable REIT subsidiaries. We and any taxable corporate entity in which we own an interest are allowed to jointly elect to treat such entity as a “taxable REIT subsidiary.” Certain of our subsidiaries have elected to be treated as a taxable REIT subsidiary. Taxable REIT subsidiaries are subject to full corporate level federal taxation on their earnings but are permitted to engage in certain types of activities that cannot be performed directly by REITs without jeopardizing their REIT status. Our taxable REIT subsidiaries will attempt to minimize the amount of these taxes, but there can be no assurance whether or the extent to which measures taken to minimize taxes will be successful. To the extent our taxable REIT subsidiaries are required to pay federal, state or local taxes, the cash available for distribution as dividends to us from our taxable REIT subsidiaries will be reduced. The amount of interest on related-party debt that a taxable REIT subsidiary may deduct is limited. Further, a 100% tax applies to any interest payments by a taxable REIT subsidiary to its affiliated REIT to the extent the interest rate is not commercially reasonable. A taxable REIT subsidiary is permitted to deduct interest payments to unrelated parties without any of these restrictions. The Internal Revenue Service may reallocate costs between a REIT and its taxable REIT subsidiary where there is a lack of arm’s-length dealing between the parties. Any deductible expenses allocated away from a taxable REIT subsidiary would increase its tax liability. Further, any amount by which a REIT understates its deductions and overstates those of its taxable REIT subsidiary will, subject to certain exceptions, be subject to a 100% tax. Additional taxable REIT subsidiary elections may be made in the future for additional entities in which we own an interest. Annual Distribution Requirements. In order to avoid being taxed as a regular corporation, we are required to make distributions (other than capital gain distributions) to our stockholders which qualify for the dividends paid deduction in an amount at least equal to (1) the sum of (i) 90% of our “REIT taxable income” (computed without regard to the dividends paid deduction and our net capital gain) and (ii) 90% of the after-tax net income, if any, from foreclosure property, minus (2) a portion of certain items of non-cash income. These distributions must be paid in the taxable year to which they relate, or in the following taxable year if declared before we timely file our tax return for that year and if paid on or before the first regular distribution payment after such declaration. The amount distributed must not be preferential. This means that every stockholder of the class of stock to which a distribution is made must be treated the same as every other stockholder of that class, and no class of stock may be treated otherwise than in accordance with its dividend rights as a class. To the extent that we do not distribute all of our net capital gain or distribute at least 90%, but less than 100%, of our “REIT taxable income,” as adjusted, we will be subject to tax on the undistributed amount at regular corporate tax rates. Finally, as discussed above, we may be subject to an excise tax if we fail to meet certain other distribution requirements. We intend to make timely distributions sufficient to satisfy these annual distribution requirements. It is possible that, from time to time, we may not have sufficient cash or other liquid assets to meet the 90% distribution requirement, or to distribute such greater amount as may be necessary to avoid income and excise taxation, due to, among other things, (1) timing differences between (i) the actual receipt of income and actual payment of deductible expenses and (ii) the inclusion of income and deduction of expenses in arriving at our taxable income, or (2) the payment of severance benefits that may not be deductible to us. In the event that timing differences occur, we may find it necessary to arrange for borrowings or, if possible, pay dividends in the form of taxable stock dividends in order to meet the distribution requirement. 19 Under certain circumstances, in the event of a deficiency determined by the Internal Revenue Service, we may be able to rectify a resulting failure to meet the distribution requirement for a year by paying “deficiency dividends” to stockholders in a later year, which may be included in our deduction for distributions paid for the earlier year. Thus, we may be able to avoid being taxed on amounts distributed as deficiency dividends; however, we will be required to pay applicable penalties and interest based upon the amount of any deduction taken for deficiency dividend distributions. The Internal Revenue Service issued Revenue Procedure 2008-68, which provided temporary relief to publicly traded REITs seeking to preserve liquidity by electing cash/stock dividends. Under Revenue Procedure 2008-68, a REIT may treat the entire dividend, including the stock portion, as a taxable dividend distribution, thereby qualifying for the dividends-paid deduction, provided certain requirements are satisfied. The cash portion of the dividend may be as low as 10%. The Revenue Procedure, as amplified by Revenue Procedure 2010-12, applies to dividends declared on or before December 31, 2012, and with respect to a taxable year ending on or before December 31, 2011. Failure to Qualify as a REIT If we fail to qualify for taxation as a REIT in any taxable year, we will be subject to federal income tax, including any applicable alternative minimum tax, on our taxable income at regular corporate rates. Distributions to stockholders in any year in which we fail to qualify as a REIT will not be deductible nor will any particular amount of distributions be required to be made in any year. All distributions to stockholders will be taxable as ordinary income to the extent of current and accumulated earnings and profits allocable to these distributions and, subject to certain limitations, will be eligible for the dividends received deduction for corporate stockholders. Unless entitled to relief under specific statutory provisions, we also will be disqualified from taxation as a REIT for the four taxable years following the year during which qualification was lost. It is not possible to state whether in all circumstances we would be entitled to statutory relief. Failure to qualify for even one year could result in our need to incur indebtedness or liquidate investments in order to pay potentially significant resulting tax liabilities. In addition to the relief described above under “— Income Tests” and “— Asset Tests,” relief is available in the event that we violate a provision of the Internal Revenue Code that would result in our failure to qualify as a REIT if: (1) the violation is due to reasonable cause and not due to willful neglect; (2) we pay a penalty of $50,000 for each failure to satisfy the provision; and (3) the violation does not include a violation described under “— Income Tests” or “— Asset Tests” above. It is not now possible to determine the circumstances under which we may be entitled to the benefit of these relief provisions. Federal Income Taxation of Holders of Our Stock Treatment of Taxable U.S. Stockholders. The following summary applies to you only if you are a “U.S. stockholder.” A “U.S. stockholder” is a holder of shares of stock who, for United States federal income tax purposes, is: • a citizen or resident of the United States; • a corporation, partnership or other entity classified as a corporation or partnership for these purposes, created or organized in or under the laws of the United States or of any political subdivision of the United States, including any state; • an estate, the income of which is subject to United States federal income taxation regardless of its source; or • a trust, if, in general, a U.S. court is able to exercise primary supervision over the trust’s administration and one or more U.S. persons, within the meaning of the Internal Revenue Code, has the authority to control all of the trust’s substantial decisions. So long as we qualify for taxation as a REIT, distributions on shares of our stock made out of the current or accumulated earnings and profits allocable to these distributions (and not designated as capital gain dividends) will be includable as ordinary income for federal income tax purposes. None of these distributions will be eligible for the dividends received deduction for U.S. corporate stockholders. 20 Generally, for taxable years ending after May 6, 2003 through December 31, 2010, the maximum marginal rate of tax payable by individuals on dividends received from corporations that are subject to a corporate level of tax is 15%. Except in limited circumstances, this tax rate will not apply to dividends paid to you by us on our shares, because generally we are not subject to federal income tax on the portion of our REIT taxable income or capital gains distributed to our stockholders. The reduced maximum federal income tax rate will apply to that portion, if any, of dividends received by you with respect to our shares that are attributable to: (1) dividends received by us from non-REIT corporations or other taxable REIT subsidiaries; (2) income from the prior year with respect to which we were required to pay federal corporate income tax during the prior year (if, for example, we did not distribute 100% of our REIT taxable income for the prior year); or (3) the amount of any earnings and profits that were distributed by us and accumulated in a non-REIT year. Distributions that are designated as capital gain dividends will be taxed as long-term capital gains (to the extent they do not exceed our actual net capital gain for the taxable year), without regard to the period for which you held our stock. However, if you are a corporation, you may be required to treat a portion of some capital gain dividends as ordinary income. If we elect to retain and pay income tax on any net long-term capital gain, you would include in income, as long-term capital gain, your proportionate share of this net long-term capital gain. You would also receive a refundable tax credit for your proportionate share of the tax paid by us on such retained capital gains, and you would have an increase in the basis of your shares of our stock in an amount equal to your includable capital gains less your share of the tax deemed paid. You may not include in your federal income tax return any of our net operating losses or capital losses. Federal income tax rules may also require that certain minimum tax adjustments and preferences be apportioned to you. In addition, any distribution declared by us in October, November or December of any year on a specified date in any such month shall be treated as both paid by us and received by you on December 31 of that year, provided that the distribution is actually paid by us no later than January 31 of the following year. We will be treated as having sufficient earnings and profits to treat as a dividend any distribution up to the amount required to be distributed in order to avoid imposition of the 4% excise tax discussed under “— General” and “— Qualification as a REIT — Annual Distribution Requirements” above. As a result, you may be required to treat as taxable dividends certain distributions that would otherwise result in a tax-free return of capital. Moreover, any “deficiency dividend” will be treated as a dividend (an ordinary dividend or a capital gain dividend, as the case may be), regardless of our earnings and profits. Any other distributions in excess of current or accumulated earnings and profits will not be taxable to you to the extent these distributions do not exceed the adjusted tax basis of your shares of our stock. You will be required to reduce the tax basis of your shares of our stock by the amount of these distributions until the basis has been reduced to zero, after which these distributions will be taxable as capital gain, if the shares of our stock are held as capital assets. The tax basis as so reduced will be used in computing the capital gain or loss, if any, realized upon sale of the shares of our stock. Any loss upon a sale or exchange of shares of our stock which were held for six months or less (after application of certain holding period rules) will generally be treated as a long-term capital loss to the extent you previously received capital gain distributions with respect to these shares of our stock. Upon the sale or exchange of any shares of our stock to or with a person other than us or a sale or exchange of all shares of our stock (whether actually or constructively owned) with us, you will generally recognize capital gain or loss equal to the difference between the amount realized on the sale or exchange and your adjusted tax basis in these shares of our stock. This gain will be capital gain if you held these shares of our stock as a capital asset. If we redeem any of your shares in us, the treatment can only be determined on the basis of particular facts at the time of redemption. In general, you will recognize gain or loss (as opposed to dividend income) equal to the difference between the amount received by you in the redemption and your adjusted tax basis in your shares redeemed if such redemption: (1) results in a “complete termination” of your interest in all classes of our equity securities; (2) is a “substantially disproportionate redemption”; or (3) is “not essentially equivalent to a dividend” with respect to you. In applying these tests, you must take into account your ownership of all classes of our equity securities (e.g., common stock, preferred stock, depositary shares and warrants). You also must take into account any equity securities that are considered to be constructively owned by you. 21 If, as a result of a redemption by us of your shares, you no longer own (either actually or constructively) any of our equity securities or only own (actually and constructively) an insubstantial percentage of our equity securities, then it is probable that the redemption of your shares would be considered “not essentially equivalent to a dividend” and, thus, would result in gain or loss to you. However, whether a distribution is “not essentially equivalent to a dividend” depends on all of the facts and circumstances, and if you rely on any of these tests at the time of redemption, you should consult your tax advisor to determine their application to the particular situation. Generally, if the redemption does not meet the tests described above, then the proceeds received by you from the redemption of your shares will be treated as a distribution taxable as a dividend to the extent of the allocable portion of current or accumulated earnings and profits. If the redemption is taxed as a dividend, your adjusted tax basis in the redeemed shares will be transferred to any other shareholdings in us that you own. If you own no other shareholdings in us, under certain circumstances, such basis may be transferred to a related person, or it may be lost entirely. Gain from the sale or exchange of our shares held for more than one year is taxed at a maximum long-term capital gain rate, which is currently 15%. Pursuant to Internal Revenue Service guidance, we may classify portions of our capital gain dividends as gains eligible for the long-term capital gains rate or as gain taxable to individual stockholders at a maximum rate of 25%. Treatment of Tax-Exempt U.S. Stockholders. Tax-exempt entities, including qualified employee pension and profit sharing trusts and individual retirement accounts (“Exempt Organizations”), generally are exempt from federal income taxation. However, they are subject to taxation on their unrelated business taxable income (“UBTI”). The Internal Revenue Service has issued a published revenue ruling that dividend distributions from a REIT to an exempt employee pension trust do not constitute UBTI, provided that the shares of the REIT are not otherwise used in an unrelated trade or business of the exempt employee pension trust. Based on this ruling, amounts distributed by us to Exempt Organizations generally should not constitute UBTI. However, if an Exempt Organization finances its acquisition of the shares of our stock with debt, a portion of its income from us will constitute UBTI pursuant to the “debt financed property” rules. Likewise, a portion of the Exempt Organization’s income from us would constitute UBTI if we held a residual interest in a real estate mortgage investment conduit. In addition, in certain circumstances, a pension trust that owns more than 10% of our stock is required to treat a percentage of our dividends as UBTI. This rule applies to a pension trust holding more than 10% of our stock only if: (1) the percentage of our income that is UBTI (determined as if we were a pension trust) is at least 5%; (2) we qualify as a REIT by reason of the modification of the Five or Fewer Requirement that allows beneficiaries of the pension trust to be treated as holding shares in proportion to their actuarial interests in the pension trust; and (3) either (i) one pension trust owns more than 25% of the value of our stock, or (ii) a group of pension trusts individually holding more than 10% of the value of our stock collectively own more than 50% of the value of our stock. Backup Withholding and Information Reporting. Under certain circumstances, you may be subject to backup withholding at applicable rates on payments made with respect to, or cash proceeds of a sale or exchange of, shares of our stock. Backup withholding will apply only if you: (1) fail to provide a correct taxpayer identification number, which if you are an individual, is ordinarily your social security number; (2) furnish an incorrect taxpayer identification number; (3) are notified by the Internal Revenue Service that you have failed to properly report payments of interest or dividends; or (4) fail to certify, under penalties of perjury, that you have furnished a correct taxpayer identification number and that the Internal Revenue Service has not notified you that you are subject to backup withholding. Backup withholding will not apply with respect to payments made to certain exempt recipients, such as corporations and tax-exempt organizations. You should consult with a tax advisor regarding qualification for exemption from backup withholding, and the procedure for obtaining an exemption. Backup withholding is not an additional tax. Rather, the amount of any backup withholding with respect to a payment to a stockholder will be allowed as a credit against such stockholder’s United States federal income tax liability and may entitle such stockholder to a refund, provided that the required information is provided to the Internal Revenue Service. In addition, withholding a portion of capital gain distributions made to stockholders may be required for stockholders who fail to certify their non-foreign status. 22 Taxation of Foreign Stockholders. The following summary applies to you only if you are a foreign person. The federal taxation of foreign persons is a highly complex matter that may be affected by many considerations. Except as discussed below, distributions to you of cash generated by our real estate operations in the form of ordinary dividends, but not by the sale or exchange of our capital assets, generally will be subject to U.S. with- holding tax at a rate of 30%, unless an applicable tax treaty reduces that tax and you file with us the required form evidencing the lower rate. In general, you will be subject to United States federal income tax on a graduated rate basis rather than withholding with respect to your investment in our stock if such investment is “effectively connected” with your conduct of a trade or business in the United States. A corporate foreign stockholder that receives income that is, or is treated as, effectively connected with a United States trade or business may also be subject to the branch profits tax, which is payable in addition to regular United States corporate income tax. The following discussion will apply to foreign stockholders whose investment in us is not so effectively connected. We expect to withhold United States income tax, as described below, on the gross amount of any distributions paid to you unless (1) you file an Internal Revenue Service Form W-8ECI with us claiming that the distribution is “effectively connected” or (2) certain other exceptions apply. Distributions by us that are attributable to gain from the sale or exchange of a United States real property interest will be taxed to you under the Foreign Investment in Real Property Tax Act of 1980 (“FIRPTA”) as if these distributions were gains “effectively connected” with a United States trade or business. Accordingly, you will be taxed at the normal capital gain rates applicable to a U.S. stockholder on these amounts, subject to any applicable alternative minimum tax and a special alternative minimum tax in the case of nonresident alien individuals. Distributions subject to FIRPTA may also be subject to a branch profits tax in the hands of a corporate foreign stockholder that is not entitled to treaty exemption. We will be required to withhold from distributions subject to FIRPTA, and remit to the Internal Revenue Service, 35% of designated capital gain dividends, or, if greater, 35% of the amount of any distributions that could be designated as capital gain dividends. In addition, if we designate prior distributions as capital gain dividends, subsequent distributions, up to the amount of the prior distributions not withheld against, will be treated as capital gain dividends for purposes of withholding. For taxable years beginning after October 22, 2004, any capital gain dividend with respect to any class of stock that is “regularly traded” on an established securities market will be treated as an ordinary dividend if the foreign stockholder did not own more than 5% of such class of stock at any time during the taxable year. Once this provision takes effect, foreign stockholders generally will not be required to report distributions received from us on U.S. federal income tax returns and all distributions treated as dividends for U.S. federal income tax purposes including any capital gain dividend will be subject to a 30% U.S. withholding tax (unless reduced under an applicable income tax treaty) as discussed above. In addition, the branch profits tax will no longer apply to such distributions. Unless our shares constitute a “United States real property interest” within the meaning of FIRPTA or are effectively connected with a U.S. trade or business, a sale of our shares by you generally will not be subject to United States taxation. Our shares will not constitute a United States real property interest if we qualify as a “domestically controlled REIT.” We believe that we, and expect to continue to, qualify as a domestically controlled REIT. A domestically controlled REIT is a REIT in which at all times during a specified testing period less than 50% in value of its shares is held directly or indirectly by foreign stockholders. However, if you are a nonresident alien individual who is present in the United States for 183 days or more during the taxable year and certain other conditions apply, you will be subject to a 30% tax on such capital gains. In any event, a purchaser of our shares from you will not be required under FIRPTA to withhold on the purchase price if the purchased shares are “regularly traded” on an established securities market or if we are a domestically controlled REIT. Otherwise, under FIRPTA, the purchaser may be required to withhold 10% of the purchase price and remit such amount to the Internal Revenue Service. Backup withholding tax and information reporting will generally not apply to distributions paid to you outside the United States that are treated as: (1) dividends to which the 30% or lower treaty rate withholding tax discussed 23 above applies; (2) capital gains dividends; or (3) distributions attributable to gain from the sale or exchange by us of U.S. real property interests. Payment of the proceeds of a sale of stock within the United States or conducted through certain U.S. related financial intermediaries is subject to both backup withholding and information reporting unless the beneficial owner certifies under penalties of perjury that he or she is not a U.S. person (and the payor does not have actual knowledge that the beneficial owner is a U.S. person) or otherwise established an exemption. You may obtain a refund of any amounts withheld under the backup withholding rules by filing the appropriate claim for refund with the Internal Revenue Service. U.S. Federal Income Taxation of Holders of Depositary Shares Owners of our depositary shares will be treated as if you were owners of the series of preferred stock represented by the depositary shares. Thus, you will be required to take into account the income and deductions to which you would be entitled if you were a holder of the underlying series of preferred stock. Conversion or Exchange of Shares for Preferred Stock. No gain or loss will be recognized upon the withdrawal of preferred stock in exchange for depositary shares and the tax basis of each share of preferred stock will, upon exchange, be the same as the aggregate tax basis of the depositary shares exchanged. If you held your depositary shares as a capital asset at the time of the exchange for shares of preferred stock, the holding period for your shares of preferred stock will include the period during which you owned the depositary shares. U.S. Federal Income and Estate Taxation of Holders of Our Debt Securities The following is a general summary of the United States federal income tax consequences and, in the case that you are a holder that is a non-U.S. holder, as defined below, the United States federal estate tax consequences, of purchasing, owning and disposing of debt securities periodically offered under one or more indentures (the “notes”). This summary assumes that you hold the notes as capital assets. This summary applies to you only if you are the initial holder of the notes and you acquire the notes for a price equal to the issue price of the notes. The issue price of the notes is the first price at which a substantial amount of the notes is sold other than to bond houses, brokers or similar persons or organizations acting in the capacity of underwriters, placement agents or wholesalers. In addition, this summary does not consider any foreign, state, local or other tax laws that may be applicable to us or a purchaser of the notes. U.S. Holders The following summary applies to you only if you are a U.S. holder, as defined below. Definition of a U.S. Holder. A “U.S. holder” is a beneficial owner of a note or notes that is for United States federal income tax purposes: • a citizen or resident of the United States; • a corporation, partnership or other entity classified as a corporation or partnership for these purposes, created or organized in or under the laws of the United States or of any political subdivision of the United States, including any state; • an estate, the income of which is subject to United States federal income taxation regardless of its source; or • a trust, if, in general, a U.S. court is able to exercise primary supervision over the trust’s administration and one or more U.S. persons, within the meaning of the Internal Revenue Code, has the authority to control all of the trust’s substantial decisions. Payments of Interest. Stated interest on the notes generally will be taxed as ordinary interest income from domestic sources at the time it is paid or accrues in accordance with your method of accounting for tax purposes. 24 Sale, Exchange or Other Disposition of Notes. The adjusted tax basis in your note acquired at a premium will generally be your cost. You generally will recognize taxable gain or loss when you sell or otherwise dispose of your notes equal to the difference, if any, between: • the amount realized on the sale or other disposition, less any amount attributable to any accrued interest, which will be taxable in the manner described under “— Payments of Interest” above; and • your adjusted tax basis in the notes. Your gain or loss generally will be capital gain or loss. This capital gain or loss will be long-term capital gain or loss if at the time of the sale or other disposition you have held the notes for more than one year. Subject to limited exceptions, your capital losses cannot be used to offset your ordinary income. Backup Withholding and Information Reporting. In general, “backup withholding” may apply to any payments made to you of principal and interest on your note, and to payment of the proceeds of a sale or other disposition of your note before maturity, if you are a non-corporate U.S. holder and: (1) fail to provide a correct taxpayer identification number, which if you are an individual, is ordinarily your social security number; (2) furnish an incorrect taxpayer identification number; (3) are notified by the Internal Revenue Service that you have failed to properly report payments of interest or dividends; or (4) fail to certify, under penalties of perjury, that you have furnished a correct taxpayer identification number and that the Internal Revenue Service has not notified you that you are subject to backup withholding. The amount of any reportable payments, including interest, made to you (unless you are an exempt recipient) and the amount of tax withheld, if any, with respect to such payments will be reported to you and to the Internal Revenue Service for each calendar year. You should consult your tax advisor regarding your qualification for an exemption from backup withholding and the procedures for obtaining such an exemption, if applicable. The backup withholding tax is not an additional tax and will be credited against your U.S. federal income tax liability, provided that correct information is provided to the Internal Revenue Service. Non-U.S. Holders The following summary applies to you if you are a beneficial owner of a note and are not a U.S. holder, as defined above (a “non-U.S. holder”). Special rules may apply to certain non-U.S. holders such as “controlled foreign corporations,” “passive foreign investment companies” and “foreign personal holding companies.” Such entities are encouraged to consult their tax advisors to determine the United States federal, state, local and other tax consequences that may be relevant to them. U.S. Federal Withholding Tax. Subject to the discussion below, U.S. federal withholding tax will not apply to payments by us or our paying agent, in its capacity as such, of principal and interest on your notes under the “portfolio interest” exception of the Internal Revenue Code, provided that: • you do not, directly or indirectly, actually or constructively, own 10% or more of the total combined voting power of all classes of our stock entitled to vote; • you are not (1) a controlled foreign corporation for U.S. federal income tax purposes that is related, directly or indirectly, to us through sufficient stock ownership, as provided in the Internal Revenue Code, or (2) a bank receiving interest described in Section 881(c)(3)(A) of the Internal Revenue Code; • such interest is not effectively connected with your conduct of a U.S. trade or business; and • you provide a signed written statement, under penalties of perjury, which can reliably be related to you, certifying that you are not a U.S. person within the meaning of the Internal Revenue Code and providing your name and address to: • us or our paying agent; or • a securities clearing organization, bank or other financial institution that holds customers’ securities in the ordinary course of its trade or business and holds your notes on your behalf and that certifies to us or our paying agent under penalties of perjury that it, or the bank or financial institution between it and you, has 25 received from you your signed, written statement and provides us or our paying agent with a copy of such statement. Treasury regulations provide that: • if you are a foreign partnership, the certification requirement will generally apply to your partners, and you will be required to provide certain information; • if you are a foreign trust, the certification requirement will generally be applied to you or your beneficial owners depending on whether you are a “foreign complex trust,” “foreign simple trust,” or “foreign grantor trust” as defined in the Treasury regulations; and • look-through rules will apply for tiered partnerships, foreign simple trusts and foreign grantor trusts. If you are a foreign partnership or a foreign trust, you should consult your own tax advisor regarding your status under these Treasury regulations and the certification requirements applicable to you. If you cannot satisfy the portfolio interest requirements described above, payments of interest will be subject to the 30% United States withholding tax, unless you provide us with a properly executed (1) Internal Revenue Service Form W-8BEN claiming an exemption from or reduction in withholding under the benefit of an applicable treaty or (2) Internal Revenue Service Form W-8ECI stating that interest paid on the note is not subject to withholding tax because it is effectively connected with your conduct of a trade or business in the United States. Alternative documentation may be applicable in certain circumstances. If you are engaged in a trade or business in the United States and interest on a note is effectively connected with the conduct of that trade or business, you will be required to pay United States federal income tax on that interest on a net income basis (although you will be exempt from the 30% withholding tax provided the certification requirement described above is met) in the same manner as if you were a U.S. person, except as otherwise provided by an applicable tax treaty. If you are a foreign corporation, you may be required to pay a branch profits tax on the earnings and profits that are effectively connected to the conduct of your trade or business in the United States. Sale, Exchange or other Disposition of Notes. You generally will not have to pay U.S. federal income tax on any gain or income realized from the sale, redemption, retirement at maturity or other disposition of your notes, unless: • in the case of gain, you are an individual who is present in the United States for 183 days or more during the taxable year of the sale or other disposition of your notes, and specific other conditions are met; • you are subject to tax provisions applicable to certain United States expatriates; or • the gain is effectively connected with your conduct of a U.S. trade or business. If you are engaged in a trade or business in the United States, and gain with respect to your notes is effectively connected with the conduct of that trade or business, you generally will be subject to U.S. income tax on a net basis on the gain. In addition, if you are a foreign corporation, you may be subject to a branch profits tax on your effectively connected earnings and profits for the taxable year, as adjusted for certain items. U.S. Federal Estate Tax. If you are an individual and are not a U.S. citizen or a resident of the United States, as specially defined for U.S. federal estate tax purposes, at the time of your death, your notes will generally not be subject to the U.S. federal estate tax, unless, at the time of your death (1) you owned actually or constructively 10% or more of the total combined voting power of all our classes of stock entitled to vote, or (2) interest on the notes is effectively connected with your conduct of a U.S. trade or business. Backup Withholding and Information Reporting. Backup withholding will not apply to payments of principal or interest made by us or our paying agent, in its capacity as such, to you if you have provided the required certification that you are a non-U.S. holder as described in “— U.S. Federal Withholding Tax” above, and provided that neither we nor our paying agent have actual knowledge that you are a U.S. holder, as described in “— U.S. Holders” above. We or our paying agent may, however, report payments of interest on the notes. 26 The gross proceeds from the disposition of your notes may be subject to information reporting and backup withholding tax. If you sell your notes outside the United States through a non-U.S. office of a non-U.S. broker and the sales proceeds are paid to you outside the United States, then the U.S. backup withholding and information reporting requirements generally will not apply to that payment. However, U.S. information reporting, but not backup withholding, will apply to a payment of sales proceeds, even if that payment is made outside the United States, if you sell your notes through a non-U.S. office of a broker that: • is a U.S. person, as defined in the Internal Revenue Code; • derives 50% or more of its gross income in specific periods from the conduct of a trade or business in the United States; • is a “controlled foreign corporation” for U.S. federal income tax purposes; or • is a foreign partnership, if at any time during its tax year, one or more of its partners are U.S. persons who in the aggregate hold more than 50% of the income or capital interests in the partnership, or the foreign partnership is engaged in a U.S. trade or business, unless the broker has documentary evidence in its files that you are a non-U.S. person and certain other conditions are met or you otherwise establish an exemption. If you receive payments of the proceeds of a sale of your notes to or through a U.S. office of a broker, the payment is subject to both U.S. backup withholding and information reporting unless you provide a Form W-8BEN certifying that you are a non-U.S. person or you otherwise establish an exemption. You should consult your own tax advisor regarding application of backup withholding in your particular circumstance and the availability of and procedure for obtaining an exemption from backup withholding. Any amounts withheld under the backup withholding rules from a payment to you will be allowed as a refund or credit against your U.S. federal income tax liability, provided the required information is furnished to the Internal Revenue Service. U.S. Federal Income and Estate Taxation of Holders of Our Warrants Exercise of Warrants. You will not generally recognize gain or loss upon the exercise of a warrant. Your basis in the debt securities, preferred stock, depositary shares or common stock, as the case may be, received upon the exercise of the warrant will be equal to the sum of your adjusted tax basis in the warrant and the exercise price paid. Your holding period in the debt securities, preferred stock, depositary shares or common stock, as the case may be, received upon the exercise of the warrant will not include the period during which the warrant was held by you. Expiration of Warrants. Upon the expiration of a warrant, you will recognize a capital loss in an amount equal to your adjusted tax basis in the warrant. Sale or Exchange of Warrants. Upon the sale or exchange of a warrant to a person other than us, you will recognize gain or loss in an amount equal to the difference between the amount realized on the sale or exchange and your adjusted tax basis in the warrant. Such gain or loss will be capital gain or loss and will be long-term capital gain or loss if the warrant was held for more than one year. Upon the sale of the warrant to us, the Internal Revenue Service may argue that you should recognize ordinary income on the sale. You are advised to consult your own tax advisors as to the consequences of a sale of a warrant to us. Potential Legislation or Other Actions Affecting Tax Consequences Current and prospective securities holders should recognize that the present federal income tax treatment of an investment in us may be modified by legislative, judicial or administrative action at any time and that any such action may affect investments and commitments previously made. The rules dealing with federal income taxation are constantly under review by persons involved in the legislative process and by the Internal Revenue Service and the Treasury Department, resulting in revisions of regulations and revised interpretations of established concepts as well as statutory changes. Revisions in federal tax laws and interpretations of these laws could adversely affect the tax consequences of an investment in us. 27 Internet Access to Our SEC Filings Our annual reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K and amendments to those reports, as well as our proxy statements and other materials that are filed with, or furnished to, the Securities and Exchange Commission are made available, free of charge, on the Internet at www.hcreit.com, as soon as reasonably practicable after they are filed with, or furnished to, the Securities and Exchange Commission. Item 1A. Risk Factors Forward-Looking Statements and Risk Factors This section discusses the most significant factors that affect our business, operations and financial condition. It does not describe all risks and uncertainties applicable to us, our industry or ownership of our securities. If any of the following risks, as well as other risks and uncertainties that are not yet identified or that we currently think are not material, actually occur, we could be materially adversely affected. In that event, the value of our securities could decline. This Annual Report on Form 10-K and the documents incorporated by reference contain statements that constitute “forward-looking statements” as that term is defined in the federal securities laws. These forward- looking statements include, but are not limited to, those regarding: • the possible expansion of our portfolio; • the sale of properties; • the performance of our operators/tenants and properties; • our ability to enter into agreements with new viable tenants for vacant space or for properties that we take back from financially troubled tenants, if any; • our occupancy rates; • our ability to acquire, develop and/or manage properties; • our ability to make distributions to stockholders; • our policies and plans regarding investments, financings and other matters; • our tax status as a real estate investment trust; • our critical accounting policies; • our ability to appropriately balance the use of debt and equity; • our ability to access capital markets or other sources of funds; and • our ability to meet our earnings guidance. When we use words such as “may,” “will,” “intend,” “should,” “believe,” “expect,” “anticipate,” “project,” “estimate” or similar expressions, we are making forward-looking statements. Forward-looking statements are not guarantees of future performance and involve risks and uncertainties. Our expected results may not be achieved, and actual results may differ materially from our expectations. This may be a result of various factors, including, but not limited to: • the status of the economy; • the status of capital markets, including availability and cost of capital; • issues facing the health care industry, including compliance with, and changes to, regulations and payment policies, responding to government investigations and punitive settlements and operators’/tenants’ difficulty in cost-effectively obtaining and maintaining adequate liability and other insurance; • changes in financing terms; 28 • competition within the health care and senior housing industries; • negative developments in the operating results or financial condition of operators/tenants, including, but not limited to, their ability to pay rent and repay loans; • our ability to transition or sell facilities with profitable results; • the failure to make new investments as and when anticipated; • acts of God affecting our properties; • our ability to re-lease space at similar rates as vacancies occur; • our ability to timely reinvest sale proceeds at similar rates to assets sold; • operator/tenant bankruptcies or insolvencies; • government regulations affecting Medicare and Medicaid reimbursement rates and operational requirements; • liability or contract claims by or against operators/tenants; • unanticipated difficulties and/or expenditures relating to future acquisitions; • environmental laws affecting our properties; • changes in rules or practices governing our financial reporting; • other legal and operational matters, including REIT qualification and key management personnel recruit- ment and retention; and • the risks described below: Risk factors related to our operators’ revenues and expenses Our investment property operators’ revenues are primarily driven by occupancy, Medicare and Medicaid reimbursement, if applicable, and private pay rates. Expenses for these facilities are primarily driven by the costs of labor, food, utilities, taxes, insurance and rent or debt service. Revenues from government reimbursement have, and may continue to, come under pressure due to reimbursement cuts and state budget shortfalls. Liability insurance and staffing costs continue to increase for our operators. To the extent that any decrease in revenues and/or any increase in operating expenses result in a property not generating enough cash to make payments to us, the credit of our operator and the value of other collateral would have to be relied upon. The ongoing credit and liquidity crisis, and the weakening economy, may have an adverse effect on our operators and tenants, including their ability to access credit or maintain occupancy rates. If the operations, cash flows or financial condition of our operators are materially adversely impacted by the current economic conditions, our revenue and operations may be adversely affected. Increased competition may affect our operators’ ability to meet their obligations to us The operators of our properties compete on a local and regional basis with operators of properties and other health care providers that provide comparable services. We cannot be certain that the operators of all of our facilities will be able to achieve and maintain occupancy and rate levels that will enable them to meet all of their obligations to us. Our operators are expected to encounter increased competition in the future that could limit their ability to attract residents or expand their businesses. Risk factors related to obligor bankruptcies We are exposed to the risk that our obligors may not be able to meet the rent, principal and interest or other payments due us, which may result in an obligor bankruptcy or insolvency, or that an obligor might become subject to bankruptcy or insolvency proceedings for other reasons. Although our operating lease agreements provide us with the right to evict a tenant, demand immediate payment of rent and exercise other remedies, and our loans 29 provide us with the right to terminate any funding obligation, demand immediate repayment of principal and unpaid interest, foreclose on the collateral and exercise other remedies, the bankruptcy and insolvency laws afford certain rights to a party that has filed for bankruptcy or reorganization. An obligor in bankruptcy or subject to insolvency proceedings may be able to limit or delay our ability to collect unpaid rent in the case of a lease or to receive unpaid principal and interest in the case of a loan, and to exercise other rights and remedies. We may be required to fund certain expenses (e.g., real estate taxes and maintenance) to preserve the value of an investment property, avoid the imposition of liens on a property and/or transition a property to a new tenant. In some instances, we have terminated our lease with a tenant and relet the property to another tenant. In some of those situations, we have provided working capital loans to and limited indemnification of the new obligor. If we cannot transition a leased property to a new tenant, we may take possession of that property, which may expose us to certain successor liabilities. Should such events occur, our revenue and operating cash flow may be adversely affected. Transfers of health care facilities may require regulatory approvals and these facilities may not have efficient alternative uses Transfers of health care facilities to successor operators frequently are subject to regulatory approvals, including change of ownership approvals under certificate of need (“CON”) laws, state licensure laws and Medicare and Medicaid provider arrangements, that are not required for transfers of other types of real estate. The replacement of an operator could be delayed by the approval process of any federal, state or local agency necessary for the transfer of the facility or the replacement of the operator licensed to manage the facility. Alternatively, given the specialized nature of our facilities, we may be required to spend substantial time and funds to adapt these properties to other uses. If we are unable to timely transfer properties to successor operators or find efficient alternative uses, our revenue and operations may be adversely affected. Risk factors related to government regulations Our obligors’ businesses are affected by government reimbursement and private payor rates. To the extent that an operator/tenant receives a significant portion of its revenues from governmental payors, primarily Medicare and Medicaid, such revenues may be subject to statutory and regulatory changes, retroactive rate adjustments, recovery of program overpayments or set-offs, administrative rulings, policy interpretations, payment or other delays by fiscal intermediaries or carriers, government funding restrictions (at a program level or with respect to specific facilities) and interruption or delays in payments due to any ongoing governmental investigations and audits at such property. In recent years, governmental payors have frozen or reduced payments to health care providers due to budgetary pressures. Health care reimbursement will likely continue to be of paramount importance to federal and state authorities. We cannot make any assessment as to the ultimate timing or effect any future legislative reforms may have on the financial condition of our obligors and properties. There can be no assurance that adequate reimbursement levels will be available for services provided by any property operator, whether the property receives reimbursement from Medicare, Medicaid or private payors. Significant limits on the scope of services reimbursed and on reimbursement rates and fees could have a material adverse effect on an obligor’s liquidity, financial condition and results of operations, which could adversely affect the ability of an obligor to meet its obligations to us. See “Item 1 — Business — Certain Government Regulations — Reimbursement” above. Our operators and tenants generally are subject to extensive federal, state and local licensure, certification and inspection laws and regulations. Our operators’ or tenants’ failure to comply with any of these laws could result in loss of accreditation, denial of reimbursement, imposition of fines, suspension or decertification from federal and state health care programs, loss of license or closure of the facility. Such actions may have an effect on our operators’ or tenants’ ability to make lease payments to us and, therefore, adversely impact us. See “Item 1 — Business — Certain Government Regulations — Other Related Laws” above. Many of our properties may require a license and/or CON to operate. Failure to obtain a license or CON, or loss of a required license or CON would prevent a facility from operating in the manner intended by the operators or tenants. These events could materially adversely affect our operators’ or tenants’ ability to make rent payments to us. State and local laws also may regulate expansion, including the addition of new beds or services or acquisition of 30 medical equipment, and the construction of health care facilities, by requiring a CON or other similar approval. See “Item 1 — Business — Certain Government Regulations — Licensing and Certification” above. The American Reinvestment and Recovery Act of 2009, which was signed into law on February 17, 2009, provides $87 billion in additional federal Medicaid funding for states’ Medicaid expenditures between October 1, 2008 and December 31, 2010. Under this Act, states meeting certain eligibility requirements will temporarily receive additional money in the form of an increase in the federal medical assistance percentage (FMAP). Thus, for a limited period of time, the share of Medicaid costs that are paid for by the federal government will go up, and each state’s share will go down. We cannot predict whether states are, or will remain, eligible to receive the additional federal Medicaid funding, or whether the states will have sufficient funds for their Medicaid programs. We also cannot predict the impact that this broad-based, far-reaching legislation will have on the U.S. economy or our business. Risk factors related to liability claims and insurance costs In recent years, skilled nursing and seniors housing operators have experienced substantial increases in both the number and size of patient care liability claims. As a result, general and professional liability costs have increased in some markets. However, a recent report and state survey found that the liability insurance market is beginning to stabilize in most markets. In 2008, national average liability loss costs were stable for the first time in nearly a decade. State-led tort reform efforts have greatly contributed to decreasing costs. In some markets general and professional liability insurance coverage continues to be restricted or very costly, which may adversely affect the property operators’ future operations, cash flows and financial condition, and may have a material adverse effect on the property operators’ ability to meet their obligations to us. Risk factors related to acquisitions We are exposed to the risk that some of our acquisitions may not prove to be successful. We could encounter unanticipated difficulties and expenditures relating to any acquired properties, including contingent liabilities, and acquired properties might require significant management attention that would otherwise be devoted to our ongoing business. If we agree to provide construction funding to an operator/tenant and the project is not completed, we may need to take steps to ensure completion of the project. Moreover, if we issue equity securities or incur additional debt, or both, to finance future acquisitions, it may reduce our per share financial results. These costs may negatively affect our results of operations. Risk factors related to joint ventures We have entered into, and may continue in the future to enter into, partnerships or joint ventures with other persons or entities. Joint venture investments involve risks, including the possibility that our partner might become insolvent or otherwise refuse to make capital contributions when due; that our partner might at any time have investment goals which are inconsistent with ours; that we could become engaged in a dispute with our partner, which could require us to expend additional resources to resolve such disputes; and that our partner may be in a position to take action or withhold consent contrary to our instructions or requests. In addition, our ability to transfer our interest in a joint venture to a third party may be restricted. In some instances, we and our partner may each have the right to trigger a buy-sell arrangement, which could cause us to sell our interest, or acquire our partner’s interest, at a time when we otherwise would not have initiated such a transaction. Joint ventures require us to share decision- making authority with our partners, which limits our ability to control the properties in the joint ventures. Even when we have a controlling interest, certain major decisions may require partner approval. Risk factors related to life sciences facilities Our tenants in the life sciences industry face high levels of regulation, expense and uncertainty that may adversely affect their ability to make payments to us. Research, development and clinical testing of products and technologies can be very expensive and sources of funds may not be available to our life sciences tenants in the future. The products and technologies that are developed and manufactured by our life sciences tenants may require regulatory approval prior to being made, marketed, sold and used. The regulatory process can be costly, long and 31 unpredictable. Even after a tenant gains regulatory approval and market acceptance, the product still presents regulatory and liability risks, such as safety concerns, competition from new products and eventually the expiration of patent protection. These factors may affect the ability of our life sciences tenants to make timely payments to us, which may adversely affect our revenue and operations. Risk factors related to indebtedness Permanent financing for our investments is typically provided through a combination of public and private offerings of debt and equity securities and the incurrence or assumption of secured debt. The incurrence or assumption of indebtedness may cause us to become more leveraged, which could (1) require us to dedicate a greater portion of our cash flow to the payment of debt service, (2) make us more vulnerable to a downturn in the economy, (3) limit our ability to obtain additional financing, or (4) negatively affect our credit ratings or outlook by one or more of the noted rating agencies. Our debt agreements contain various covenants, restrictions and events of default. Among other things, these provisions require us to maintain certain financial ratios and minimum net worth and impose certain limits on our ability to incur indebtedness, create liens and make investments or acquisitions. Breaches of these covenants could result in defaults under the instruments governing the applicable indebtedness, in addition to any other indebtedness cross-defaulted against such instruments. These defaults could have a material adverse impact on our business, results of operations and financial condition. Risk factors related to our credit ratings As of February 12, 2010, our senior unsecured notes were rated Baa2 (stable), BBB- (positive) and BBB (stable) by Moody’s Investors Service, Standard & Poor’s Ratings Services and Fitch Ratings, respectively. We plan to manage the Company to maintain investment grade status with a capital structure consistent with our current profile, but there can be no assurance that we will be able to maintain our current credit ratings. Any downgrades in terms of ratings or outlook by any or all of the noted rating agencies could have a material adverse impact on our cost and availability of capital, which could in turn have a material adverse impact on our consolidated results of operations, liquidity and/or financial condition. Risk factors related to interest rate swaps We enter into interest rate swap agreements from time to time to manage some of our exposure to interest rate volatility. These swap agreements involve risks, such as the risk that counterparties may fail to honor their obligations under these arrangements. In addition, these arrangements may not be effective in reducing our exposure to changes in interest rates. When we use forward-starting interest rate swaps, there is a risk that we will not complete the long-term borrowing against which the swap is intended to hedge. If such events occur, our results of operations may be adversely affected. Risk factors related to environmental laws Under various federal and state laws, owners or operators of real estate may be required to respond to the presence or release of hazardous substances on the property and may be held liable for property damage, personal injuries or penalties that result from environmental contamination or exposure to hazardous substances. We may become liable to reimburse the government for damages and costs it incurs in connection with the contamination. Generally, such liability attaches to a person based on the person’s relationship to the property. Our tenants or borrowers are primarily responsible for the condition of the property. Moreover, we review environmental site assessments of the properties that we own or encumber prior to taking an interest in them. Those assessments are designed to meet the “all appropriate inquiry” standard, which we believe qualifies us for the innocent purchaser defense if environmental liabilities arise. Based upon such assessments, we do not believe that any of our properties are subject to material environmental contamination. However, environmental liabilities may be present in our properties and we may incur costs to remediate contamination, which could have a material adverse effect on our business or financial condition or the business or financial condition of our obligors. 32 Risk factors related to facilities that require entrance fees Certain of our senior housing facilities require the payment of an upfront entrance fee by the resident, a portion of which may be refundable by the operator. Some of these facilities are subject to substantial oversight by state regulators relating to these funds. As a result of this oversight, residents of these facilities may have a variety of rights, including, for example, the right to cancel their contracts within a specified period of time and certain lien rights. The oversight and rights of residents within these facilities may have an effect on the revenue or operations of the operators of such facilities and therefore may negatively impact us. Risk factors related to facilities under construction or development At any given time, we may be in the process of constructing one or more new facilities that ultimately will require a CON and license before they can be utilized by the operator for their intended use. The operator also may need to obtain Medicare and Medicaid certification and enter into Medicare and Medicaid provider agreements and/or third party payor contracts. In the event that the operator is unable to obtain the necessary CON, licensure, certification, provider agreements or contracts after the completion of construction, there is a risk that we will not be able to earn any revenues on the facility until either the initial operator obtains a license or certification to operate the new facility and the necessary provider agreements or contracts or we can find and contract with a new operator that is able to obtain a license to operate the facility for its intended use and the necessary provider agreements or contracts. In connection with our renovation, redevelopment, development and related construction activities, we may be unable to obtain, or suffer delays in obtaining, necessary zoning, land-use, building, occupancy and other required governmental permits and authorizations. These factors could result in increased costs or our abandonment of these projects. In addition, we may not be able to obtain financing on favorable terms, which may render us unable to proceed with our development activities, and we may not be able to complete construction and lease-up of a property on schedule, which could result in increased debt service expense or construction costs. Additionally, the time frame required for development, construction and lease-up of these properties means that we may have to wait years for significant cash returns. Because we are required to make cash distributions to our stockholders, if the cash flow from operations or refinancing is not sufficient, we may be forced to borrow additional money to fund such distributions. Newly developed and acquired properties may not produce the cash flow that we expect, which could adversely affect our overall financial performance. In deciding whether to acquire or develop a particular property, we make assumptions regarding the expected future performance of that property. In particular, we estimate the return on our investment based on expected occupancy and rental rates. If our financial projections with respect to a new property are inaccurate, and the property is unable to achieve the expected occupancy and rental rates, it may fail to perform as we expected in analyzing our investment. Our estimate of the costs of repositioning or redeveloping an acquired property may prove to be inaccurate, which may result in our failure to meet our profitability goals. Additionally, we may acquire new properties that are not fully leased, and the cash flow from existing operations may be insufficient to pay the operating expenses and debt service associated with that property. We do not know if our tenants will renew their existing leases, and if they do not, we may be unable to lease the properties on as favorable terms, or at all We cannot predict whether our tenants will renew existing leases at the end of their lease terms, which expire at various times through 2079. If these leases are not renewed, we would be required to find other tenants to occupy those properties or sell them. There can be no assurance that we would be able to identify suitable replacement tenants or enter into leases with new tenants on terms as favorable to us as the current leases or that we would be able to lease those properties at all. Our ownership of properties through ground leases exposes us to the loss of such properties upon breach or termination of the ground leases We have acquired an interest in certain of our properties by acquiring a leasehold interest in the property on which the building is located, and we may acquire additional properties in the future through the purchase of interests in ground leases. As the lessee under a ground lease, we are exposed to the possibility of losing the property upon termination of the ground lease or an earlier breach of the ground lease by us. 33 Illiquidity of real estate investments could significantly impede our ability to respond to adverse changes in the performance of our properties Real estate investments are relatively illiquid. Our ability to quickly sell or exchange any of our properties in response to changes in economic and other conditions will be limited. No assurances can be given that we will recognize full value for any property that we are required to sell for liquidity reasons. Our inability to respond rapidly to changes in the performance of our investments could adversely affect our financial condition and results of operations. In addition, we are exposed to the risks inherent in concentrating investments in real estate, and in particular, the seniors housing and health care industries. A downturn in the real estate industry could adversely affect the value of our properties and our ability to sell properties for a price or on terms acceptable to us. Risk factors related to reinvestment of sale proceeds From time to time, we will have cash available from (1) the proceeds of sales of our securities, (2) principal payments on our loans receivable and (3) the sale of properties, including non-elective dispositions, under the terms of master leases or similar financial support arrangements. In order to maintain current revenues and continue generating attractive returns, we expect to re-invest these proceeds in a timely manner. We compete for real estate investments with a broad variety of potential investors. This competition for attractive investments may negatively affect our ability to make timely investments on terms acceptable to us. Failure to properly manage our rapid growth could distract our management or increase our expenses We have experienced rapid growth and development in a relatively short period of time and expect to continue this rapid growth in the future. This growth has resulted in increased levels of responsibility for our management. Future property acquisitions could place significant additional demands on, and require us to expand, our management, resources and personnel. Our failure to manage any such rapid growth effectively could harm our business and, in particular, our financial condition, results of operations and cash flows, which could negatively affect our ability to make distributions to stockholders. Our growth could also increase our capital requirements, which may require us to issue potentially dilutive equity securities and incur additional debt. We might fail to qualify or remain qualified as a REIT We intend to operate as a REIT under the Internal Revenue Code and believe we have and will continue to operate in such a manner. If we lose our status as a REIT, we will face serious tax consequences that will substantially reduce the funds available for satisfying our obligations and for distribution to our stockholders for each of the years involved because: • we would not be allowed a deduction for distributions to stockholders in computing our taxable income and would be subject to federal income tax at regular corporate rates; • we could be subject to the federal alternative minimum tax and possibly increased state and local taxes; and • unless we are entitled to relief under statutory provisions, we could not elect to be subject to tax as a REIT for four taxable years following the year during which we were disqualified. Since REIT qualification requires us to meet a number of complex requirements, it is possible that we may fail to fulfill them, and if we do, our earnings will be reduced by the amount of federal taxes owed. A reduction in our earnings would affect the amount we could distribute to our stockholders. If we do not qualify as a REIT, we would not be required to make distributions to stockholders since a non-REIT is not required, in order to maintain REIT status or avoid an excise tax, to pay dividends to stockholders. See “Item 1 — Business — Federal Income Tax Considerations” for a discussion of the provisions of the Internal Revenue Code that apply to us and the effects of non-qualification. In addition, if we fail to qualify as a REIT, all distributions to stockholders would continue to be treated as dividends to the extent of our current and accumulated earnings and profits, although corporate stockholders may be eligible for the dividends received deduction, and individual stockholders may be eligible for taxation at the rates generally applicable to long-term capital gains (currently at a maximum rate of 15%) with respect to distributions. As a result of all these factors, our failure to qualify as a REIT also could impair our ability to implement our business strategy and would adversely affect the value of our common stock. 34 Qualification as a REIT involves the application of highly technical and complex Internal Revenue Code provisions for which there are only limited judicial and administrative interpretations. The determination of various factual matters and circumstances not entirely within our control may affect our ability to remain qualified as a REIT. Although we believe that we qualify as a REIT, we cannot assure you that we will continue to qualify or remain qualified as a REIT for tax purposes. See “Item 1 — Business — Taxation — Federal Income Tax Considerations” included in this Annual Report on Form 10-K. The 90% annual distribution requirement will decrease our liquidity and may limit our ability to engage in otherwise beneficial transactions To comply with the 90% distribution requirement applicable to REITs and to avoid the nondeductible excise tax, we must make distributions to our stockholders. See “Item 1 — Business — Taxation — Federal Income Tax Considerations — Qualification as a REIT — Annual Distribution Requirements” included in this Annual Report on Form 10-K. Although we anticipate that we generally will have sufficient cash or liquid assets to enable us to satisfy the REIT distribution requirement, it is possible that, from time to time, we may not have sufficient cash or other liquid assets to meet the 90% distribution requirement, or we may decide to retain cash or distribute such greater amount as may be necessary to avoid income and excise taxation. This may be due to timing differences between the actual receipt of income and actual payment of deductible expenses, on the one hand, and the inclusion of that income and deduction of those expenses in arriving at our taxable income, on the other hand. In addition, non-deductible expenses such as principal amortization or repayments or capital expenditures in excess of non-cash deductions may cause us to fail to have sufficient cash or liquid assets to enable us to satisfy the 90% distribution requirement. In the event that timing differences occur, or we deem it appropriate to retain cash, we may borrow funds, issue additional equity securities (although we cannot assure you that we will be able to do so), pay taxable stock dividends, if possible, distribute other property or securities or engage in a transaction intended to enable us to meet the REIT distribution requirements. This may require us to raise additional capital to meet our obligations. The amount of additional indebtedness we may incur is limited by the terms of our line of credit arrangement and the indentures governing our senior unsecured notes. In addition, adverse economic conditions may impact the availability of additional funds or could cause the terms on which we are able to borrow additional funds to become unfavorable. In those circumstances, we may be required to raise additional equity in the capital markets. Our access to capital depends upon a number of factors over which we have little or no control, including rising interest rates, inflation and other general market conditions and the market’s perception of our growth potential and our current and potential future earnings and cash distributions and the market price of the shares of our capital stock. We cannot assure you that we will be able to raise the capital necessary to make future investments or to meet our obligations and commitments as they mature. Other risk factors We are also subject to other risks. First, our Second Restated Certificate of Incorporation and Second Amended and Restated By-Laws contain anti-takeover provisions (staggered board provisions, restrictions on share own- ership and transfer and super majority stockholder approval requirements for business combinations) that could make it more difficult for or even prevent a third party from acquiring us without the approval of our incumbent Board of Directors. Provisions and agreements that inhibit or discourage takeover attempts could reduce the market value of our common stock. Additionally, we are dependent on key personnel. Although we have entered into employment agreements with our executive officers, losing any one of them could, at least temporarily, have an adverse impact on our operations. We believe that losing more than one could have a material adverse impact on our business. Item 1B. Unresolved Staff Comments None. 35 Item 2. Properties We lease our corporate headquarters located at One SeaGate, Suite 1500, Toledo, Ohio 43604. We also own corporate offices in Ohio and Tennessee, lease corporate offices in Florida and have ground leases relating to certain of our investment properties and medical office buildings. The following table sets forth certain information regarding the properties that comprise our investments as of December 31, 2009 (dollars in thousands): Property Location Independent Living Facilities/CCRCs: Arizona . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . California . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Colorado . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Georgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Idaho . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Maryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Missouri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nevada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . North Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . South Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Texas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Washington . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Independent Living Facilities/CCRCs . . . . . . . . Assisted Living Facilities: Arizona . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . California . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Colorado . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Connecticut . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Delaware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Georgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Illinois . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Iowa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Louisiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mississippi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Montana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nevada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Jersey. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New York. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . North Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Number of Properties Number of Units Total Investment Annualized Income(1) 2 8 2 5 4 1 2 1 1 5 1 1 3 1 4 6 1 1 1 50 3 8 1 5 1 11 1 7 2 1 1 1 5 1 3 4 2 4 40 7 105 1,310 582 842 417 254 597 120 0 219 65 93 345 288 0 1,198 403 70 138 7,046 132 609 46 530 97 682 45 688 78 236 119 123 397 78 205 494 90 284 1,866 481 $ 11,825 162,858 78,420 218,924 74,977 12,360 98,556 11,555 800 76,600 5,570 6,240 46,191 99,749 28,778 235,883 10,134 4,881 25,704 1,210,005 $ 13,255 64,008 3,845 38,682 18,880 59,916 1,521 130,017 4,429 37,215 9,717 6,183 117,027 6,899 13,344 73,852 6,576 52,814 157,337 40,631 $ 935 18,462 8,297 11,347 6,310 1,760 7,610 1,375 0 5,580 570 1,176 2,262 0 0 16,149 1,427 543 2,264 86,067 $ 1,636 7,937 583 5,508 2,439 5,097 210 6,648 718 1,075 1,253 1,302 13,122 992 1,917 7,791 1,025 4,511 22,392 4,636 Property Location Number of Properties Number of Units Total Investment Annualized Income(1) Oklahoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oregon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . South Carolina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tennessee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Texas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Utah. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Washington . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 1 4 2 3 24 1 4 5 10 644 46 302 124 194 1,254 81 225 342 624 32,279 4,041 45,641 6,424 37,130 106,407 6,099 30,334 97,345 90,319 4,657 703 4,456 928 3,246 10,812 791 3,903 8,928 9,044 Total Assisted Living Facilities . . . . . . . . . . . . . . . . . 179 11,116 1,312,167 138,260 Number of Properties Number of Beds Total Investment Annualized Income(1) Skilled Nursing Facilities: Alabama. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Arizona . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Colorado . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Connecticut . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Georgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Idaho . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Illinois . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kentucky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Louisiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Maryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Michigan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mississippi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Missouri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Hampshire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Jersey. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oklahoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oregon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tennessee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Texas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 1 3 6 37 3 3 4 6 2 10 7 2 22 1 11 3 1 1 20 3 1 2 22 26 10 1,013 162 474 728 4,724 500 393 406 643 343 1,265 854 240 3,086 97 1,527 407 68 176 2,746 668 114 341 3,008 3,470 1,239 $ 33,580 12,790 20,763 19,145 223,493 14,764 28,586 26,122 29,746 39,279 57,855 30,852 14,072 218,453 4,273 40,922 15,483 4,143 4,273 175,784 18,654 3,667 12,101 203,188 182,959 61,413 $ 4,797 1,348 2,598 1,881 27,868 2,041 3,769 3,115 3,943 3,406 7,721 3,300 1,474 26,445 455 5,996 1,642 518 530 19,758 2,596 645 1,497 26,258 19,356 6,191 Total Skilled Nursing Facilities . . . . . . . . . . . . . . . . . 214 28,692 1,496,360 179,148 37 Number of Properties Number of Beds Total Investment Annualized Income(1) Hospitals: California . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Idaho . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Illinois . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kentucky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Louisiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nebraska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Jersey. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oklahoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Texas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 1 1 2 1 1 2 1 1 2 2 9 1 569 60 72 90 60 50 0 60 76 102 91 424 62 $ 168,420 23,446 5,550 30,759 29,456 11,211 11,120 80,686 36,783 34,069 11,553 173,058 23,819 $ 7,298 2,460 0 3,440 2,843 744 450 0 3,570 3,583 1,092 16,612 2,632 Total Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 1,716 639,930 44,724 Number of Properties Sq. Ft. Total Investment Annualized Income(1) Medical Office Buildings: Alabama . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Alaska . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Arizona . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . California . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Colorado . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Georgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Illinois . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kentucky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Missouri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nevada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Jersey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New York . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . North Carolina. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oklahoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . South Carolina. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tennessee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Texas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 1 5 9 1 26 7 3 1 1 2 9 5 7 10 1 1 1 1 5 15 1 1 303,908 63,164 339,205 534,333 36,386 918,153 286,151 71,345 90,403 59,011 170,373 324,992 406,985 276,388 156,398 20,106 44,803 98,132 47,114 247,417 787,643 58,142 293,629 $ 40,981 27,609 86,817 163,156 6,887 255,033 64,923 10,080 21,232 9,383 28,600 109,974 106,787 58,352 23,983 7,013 11,852 20,982 16,564 62,467 192,444 11,244 90,978 $ 3,972 2,525 5,564 11,066 585 18,009 5,843 1,323 1,913 171 1,412 7,904 9,108 5,219 1,550 696 1,097 2,016 921 5,764 14,685 1,165 7,567 Total Medical Office Buildings . . . . . . . . . . . . . . . . . Total All Properties . . . . . . . . . . . . . . . . . . . . . . . . . . 118 590 5,634,181 1,427,341 110,075 $6,085,803 $558,274 (1) Reflects contract rate of interest for loans, annual straight-line rent for leases with fixed escalators or annual cash rent for leases with contingent escalators, net of collectability reserves if applicable. 38 The following table sets forth occupancy and average annualized income for these property types: Medical office buildings . . . . . . . . . . . . . . . . . . . . . . . Investment properties: Occupancy(1) 2009 2008 Average Annualized Income (2) 2009 2008 91.3% 90.4% $ 20 $18 per sq ft Independent living/CCRCs . . . . . . . . . . . . . . . . . . . Assisted living facilities . . . . . . . . . . . . . . . . . . . . . Skilled nursing facilities . . . . . . . . . . . . . . . . . . . . . Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89.6% 90.6% $12,215 89.0% 88.8% $12,438 84.2% 83.9% $ 6,244 56.5% 49.5% $26,063 $11,701 per unit $10,805 per unit $5,972 per bed $28,107 per bed (1) Medical office building occupancy represents the percentage of total rentable square feet leased and occupied (including month-to-month and holdover leases and excluding terminations and discontinued operations) as of December 31, 2009 and 2008. Occupancy for investment properties represents average quarterly operating occupancy based on the quarters ended September 30, 2009 and 2008 and excludes properties that are unstabilized, closed or for which data is not available or meaningful. The Company uses unaudited, periodic financial information provided solely by tenants/borrowers to calculate occupancy for investment properties and has not independently verified the information. (2) Average annualized income represents annualized income divided by total beds, units or square feet. The following table sets forth information regarding lease expirations as of December 31, 2009 (dollars in thousands): Year 2010 . . . . . . . . . . . . 2011 . . . . . . . . . . . . 2012 . . . . . . . . . . . . 2013 . . . . . . . . . . . . 2014 . . . . . . . . . . . . 2015 . . . . . . . . . . . . 2016 . . . . . . . . . . . . 2017 . . . . . . . . . . . . 2018 . . . . . . . . . . . . 2019 . . . . . . . . . . . . Thereafter . . . . . . . . Independent Living/ CCRCs Assisted Living Facilities Skilled Nursing Facilities $ 0 0 1,760 6,932 0 0 0 0 3,997 0 71,170 $ 0 988 3,741 1,516 2,859 0 0 14,742 33,873 18,636 45,071 $ 2,937 0 6,887 0 6,230 1,934 6,374 3,632 16,705 17,851 101,820 Hospitals $ 0 0 0 0 0 0 0 2,350 0 0 40,304 Total Investment Properties $ 2,937 988 12,388 8,448 9,089 1,934 6,374 20,724 54,575 36,487 258,365 Medical Office Buildings $ 6,756 10,137 10,655 8,465 10,928 8,822 13,497 5,860 2,399 9,461 22,343 Total Rental Income(1) $ 9,693 11,125 23,043 16,913 20,017 10,756 19,871 26,584 56,974 45,948 280,708 Total . . . . . . . . . . . . $83,859 $121,426 $164,370 $42,654 $412,309 $109,323 $521,632 (1) Rental income represents annualized base rent for effective lease agreements. The amounts are derived from the current contracted monthly base rent including straight-line for leases with fixed escalators or annual cash rent for leases with contingent escalators, net of collectability reserves, if applicable. Rental income does not include common area maintenance charges or the amortization of above/below market lease intangibles. Item 3. Legal Proceedings From time to time, there are various legal proceedings pending to which we are a party or to which some of our properties are subject arising in the normal course of business. We do not believe that the ultimate resolution of these proceedings will have a material adverse effect on our consolidated financial position or results of operations. Item 4. Submission of Matters to a Vote of Security Holders None. 39 PART II Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities There were 5,071 stockholders of record as of February 12, 2010. The following table sets forth, for the periods indicated, the high and low prices of our common stock on the New York Stock Exchange, as reported on the Composite Tape, and common dividends paid per share: 2009 First Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Second Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Third Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fourth Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2008 First Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Second Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Third Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fourth Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sales Price High Low Dividends Paid $42.32 36.41 44.40 46.74 $46.45 50.49 53.98 53.50 $25.86 29.62 32.64 40.53 $39.26 44.00 42.54 30.14 $0.68 0.68 0.68 0.68 $0.66 0.68 0.68 0.68 Our Board of Directors has approved a quarterly dividend rate of $0.68 per share of common stock per quarter. Our dividend policy is reviewed annually by the Board of Directors. The declaration and payment of quarterly dividends remains subject to the review and approval of the Board of Directors. 40 Stockholder Return Performance Presentation Set forth below is a line graph comparing the yearly percentage change and the cumulative total stockholder return on our shares of common stock against the cumulative total return of the S & P Composite-500 Stock Index and the FTSE NAREIT Equity Index. As of December 31, 2009, 106 companies comprised the FTSE NAREIT Equity Index. The Index consists of REITs identified by NAREIT as equity (those REITs which have at least 75% of their investments in real property). Upon written request sent to the Senior Vice President-Administration and Corporate Secretary, Health Care REIT, Inc., One SeaGate, Suite 1500, P.O. Box 1475, Toledo, Ohio, 43603-1475, we will provide stockholders with the names of the component issuers. The data are based on the closing prices as of December 31 for each of the five years. 2004 equals $100 and dividends are assumed to be reinvested. 250 S&P 500 Health Care REIT, Inc. 200 FTSE NAREIT Equity s r a l l o D 150 100 50 0 2004 2005 2006 2007 2008 2009 S & P 500 Health Care REIT, Inc. FTSE NAREIT Equity 12/31/04 12/31/05 12/31/06 12/31/07 12/31/08 12/31/09 100.0 104.91 121.48 128.15 80.74 102.11 100.0 95.33 130.59 143.19 143.62 162.08 100.0 112.17 151.49 127.72 79.54 101.80 Except to the extent that we specifically incorporate this information by reference, the foregoing Stockholder Return Performance Presentation shall not be deemed incorporated by reference by any general statement incorporating by reference this Annual Report on Form 10-K into any filing under the Securities Act of 1933, as amended, or under the Securities Exchange Act of 1934, as amended. This information shall not otherwise be deemed filed under such acts. 41 Item 6. Selected Financial Data The following selected financial data for the five years ended December 31, 2009 are derived from our audited consolidated financial statements (in thousands, except per share data): 2005 Operating Data Revenues(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . $220,948 Expenses: Interest expense(1) . . . . . . . . . . . . . . . . . . . . Depreciation and amortization(1) . . . . . . . . . . Property operating expenses(1) . . . . . . . . . . . General and administrative(1) . . . . . . . . . . . . Provision for loan losses . . . . . . . . . . . . . . . . Realized loss on derivatives. . . . . . . . . . . . . . Loss (gain) on extinguishment of debt . . . . . . 65,522 55,517 0 15,881 1,200 0 21,484 Year Ended December 31, 2007 2008 2006 2009 $267,609 $429,486 $526,406 $568,973 82,718 71,897 1,003 25,922 1,000 0 0 131,271 124,232 33,410 37,465 0 0 (1,081) 130,153 144,361 42,634 47,193 94 23,393 (2,094) 106,231 157,049 45,896 49,691 23,261 0 25,107 Total expenses . . . . . . . . . . . . . . . . . . . . . . . . . 159,604 182,540 325,297 385,734 407,235 Income from continuing operations before income taxes. . . . . . . . . . . . . . . . . . . . . . . . . Income tax expense . . . . . . . . . . . . . . . . . . . . . Income from continuing operations . . . . . . . . . . Income from discontinued operations, net(1) . . . Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . Preferred stock dividends . . . . . . . . . . . . . . . . . Net income attributable to noncontrolling interests . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net income attributable to common 61,344 (282) 61,062 23,224 84,286 21,594 85,069 (82) 84,987 17,669 102,656 21,463 104,189 (188) 140,672 (1,306) 161,738 (168) 104,001 34,592 138,593 25,130 139,366 144,059 283,425 23,201 161,570 31,357 192,927 22,079 0 13 238 126 (342) stockholders . . . . . . . . . . . . . . . . . . . . . . . . . $ 62,692 $ 81,180 $113,225 $260,098 $171,190 Other Data Average number of common shares outstanding: Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Per Share Data Basic: Income from continuing operations attributable to common stockholders . . . . . . . . . . . . . . . . $ Discontinued operations, net . . . . . . . . . . . . . . . Net income attributable to common stockholders*. . $ Diluted: Income from continuing operations attributable to common stockholders . . . . . . . . . . . . . . . . $ Discontinued operations, net . . . . . . . . . . . . . . . Net income attributable to common stockholders* . . . . . . . . . . . . . . . . . . . . . . . . $ Cash distributions per common share . . . . . . . . $ * Amounts may not sum due to rounding 54,110 54,499 61,661 62,045 78,861 79,409 93,732 94,309 114,207 114,612 $ $ $ $ $ $ 1.03 0.29 1.32 1.02 0.28 1.00 0.44 1.44 0.99 0.44 $ 1.31 $ 1.43 $ 2.8809 $ 2.2791 $ $ $ $ $ 1.24 1.54 2.77 1.23 1.53 2.76 2.70 $ $ $ $ $ 1.22 0.27 1.50 1.22 0.27 1.49 2.72 0.73 0.43 1.16 0.72 0.43 1.15 2.46 42 (1) We have reclassified the income and expenses attributable to the properties sold prior to or held for sale at December 31, 2009, to discontinued operations for all periods presented. See Note 3 to our audited consolidated financial statements. 2005 2006 December 31, 2007 2008 2009 Balance Sheet Data Net real estate investments . . . . . . . . . Total assets . . . . . . . . . . . . . . . . . . . . . Total long-term obligations . . . . . . . . . Total liabilities . . . . . . . . . . . . . . . . . . Total redeemable preferred stock . . . . . Total stockholders’ equity . . . . . . . . . . $2,849,518 2,972,164 1,500,818 1,541,408 276,875 1,430,756 $4,122,893 4,282,885 2,191,698 2,295,561 338,993 1,987,324 $5,012,620 5,219,240 2,683,760 2,784,289 330,243 2,434,951 $5,854,179 6,215,031 2,847,676 2,976,746 289,929 3,238,285 $6,080,620 6,367,186 2,414,022 2,559,735 288,683 3,807,451 43 Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations The following discussion and analysis is based primarily on the consolidated financial statements of Health Care REIT, Inc. for the periods presented and should be read together with the notes thereto contained in this Annual Report on Form 10-K. Other important factors are identified in “Item 1 — Business” and “Item 1A — Risk Factors” above. Executive Overview Company Overview Health Care REIT, Inc., an S&P 500 company, is a real estate investment trust that invests in senior housing and health care real estate. Founded in 1970, we were the first REIT to invest exclusively in health care properties. The following table summarizes our portfolio as of December 31, 2009: Type of Property Investments (in thousands) Percentage of Investments Number of Properties # Beds/Units or Sq. Ft. Investment per metric(1) States Independent living/CCRCs . . . $1,210,005 1,312,167 Assisted living facilities . . . . . 1,496,360 Skilled nursing facilities . . . . 639,930 Hospitals . . . . . . . . . . . . . . . . 1,427,341 Medical office buildings . . . . 19.8% 21.6% 24.6% 10.5% 23.5% Totals . . . . . . . . . . . . . . . . . . $6,085,803 100.0% 50 179 214 29 118 590 7,046 units $174,552 per unit 119,273 per unit 11,116 units 52,153 per bed 28,692 beds 461,084 per bed 1,716 beds 259 per sq. ft. 5,634,181sq. ft. 19 30 26 13 23 39 (1) Investment per metric was computed by using the total investment amount of $6,299,748,000 which includes real estate investments and unfunded construction commitments for which initial funding has commenced which amounted to $6,085,803,000 and $213,945,000, respectively. Health Care Industry The demand for health care services, and consequently health care properties, is projected to reach unprec- edented levels in the near future. The Centers for Medicare and Medicaid Services projects that national health expenditures will rise to $3.4 trillion in 2015 or 17.7% of gross domestic product (“GDP”). This is up from $2 trillion or 15.9% of GDP in 2005. Health expenditures per capita are projected to rise approximately 4.7% per year from 2005 to 2015. While demographics are the primary driver of demand, economic conditions and availability of services contribute to health care service utilization rates. We believe the health care property market is less susceptible to fluctuations and economic downturns relative to other property sectors. Investor interest in the market remains strong, especially in specific sectors such as medical office buildings, regardless of the current stringent lending environment. As a REIT, we believe we are situated to benefit from any turbulence in the capital markets due to our access to capital. The total U.S. population is projected to increase by 16.4% through 2030. The elderly are an important component of health care utilization, especially independent living services, assisted living services, skilled nursing services, inpatient and outpatient hospital services and physician ambulatory care. The elderly population aged 65 and over is projected to increase by 76.6% through 2030. Most health care services are provided within a health care facility such as a hospital, a physician’s office or a senior housing facility. Therefore, we believe there will be continued demand for companies such as ours with expertise in health care real estate. 44 The following chart illustrates the projected increase in the elderly population aged 65 and over: 65+ Population and % of Total s n o i l l i M n i l n o i t a u p o P 90 80 70 60 50 40 30 22% 20% 18% 16% 14% 12% 10% % o f T o t a l P o p u a t i o n l 2000 2010 2020 2030 2040 2050 65+ Population % of Total Source: U.S. Census Bureau Health care real estate investment opportunities tend to increase as demand for health care services increases. We recognize the need for health care real estate as it correlates to health care service demand. Health care providers require real estate to house their businesses and expand their services. We believe that investment opportunities in health care real estate will continue to be present due to the: • Specialized nature of the industry which enhances the credibility and experience of our company; • Projected population growth combined with stable or increasing health care utilization rates which ensures demand; and • On-going merger and acquisition activity. Recent Developments. Both the Senate and House of Representatives have passed legislation to reform the U.S. health care system. By the time this report is released, final reform legislation may already have been passed. The legislation involves the expansion of insurance coverage primarily through reform of the private insurance market, as well as changes to existing government programs. The reform efforts are intended to lead to more efficient, effective care, reduce waste, and benefit the most efficient, quality-conscious providers. As a company, we are well-situated to respond to any changes in health care delivery and organization resulting from this legislation. Future reform, broadened insurance coverage, changes in Medicare and Medicaid, changes in provider reim- bursement, and changes in health care sector funding could have a significant impact on our operators’ financial situation and strategy, which we will continue to monitor. Economic Outlook Beginning in late 2007, the U.S. and global economy entered a serious recession. The current economic environment is characterized by a severe residential housing slump, depressed commercial real estate valuations, weakened consumer confidence, rising unemployment and concerns regarding inflation, deflation and stagflation. Numerous financial systems around the globe have become illiquid and banks have become less willing to lend to other banks and borrowers. Further, capital markets have become and remain volatile as risk is repriced and investments are revalued. Uncertainty remains in terms of the depth and duration of these adverse economic conditions. The conditions described above have created an environment of limited capital availability and increasing capital costs. This was most evident in the credit markets, where lending institutions cut back on loans, tightened credit standards and significantly increased interest rate spreads. The equity markets were characterized by sporadic accessibility until late 2008, when share prices in most sectors declined significantly. Continued volatility in the capital markets could limit our ability to access debt or equity funds which, in turn, could impact our ability to finance future investments and react to changing economic and business conditions. This difficult operating environment also may make it more difficult for some of our operators/tenants to meet their obligations to us. 45 During 2008, our focus gradually shifted from investment to capital preservation. To that end, our efforts in 2009 were directed towards: liquidity, portfolio management and investment strategy. • Liquidity. Liquidity has become increasingly important and we have concentrated our efforts on further strengthening our balance sheet. We raised over $1 billion in funds during each of 2008 and 2009 from a combination of common stock offerings, our dividend reinvestment plan, our equity shelf program, property sales and loan payoffs. As always, we will continue to closely monitor the credit and capital markets for opportunities to raise reasonably priced capital. • Portfolio Management. Our investment approach has produced a portfolio that is very diverse with strong property level payment coverages. Yet, today’s adverse economic conditions can negatively impact even the strongest portfolio. Our portfolio management program is designed to maintain our portfolio’s strength through a combination of extensive industry research, stringent origination and underwriting protocols and a rigorous asset management process. • Investment Strategy. For the short-term, we expect to fund our ongoing development projects and will evaluate new investments selectively and only when funding sources are clearly identified. However, we will continue to strengthen our existing customer relationships and begin to cultivate new relationships. We remain focused on preserving liquidity, but we intend to take advantage of what we believe will be increasingly attractive investment opportunities over time. Business Strategy Our primary objectives are to protect stockholder capital and enhance stockholder value. We seek to pay consistent cash dividends to stockholders and create opportunities to increase dividend payments to stockholders as a result of annual increases in rental and interest income and portfolio growth. To meet these objectives, we invest across the full spectrum of senior housing and health care real estate and diversify our investment portfolio by property type, operator/tenant and geographic location. Substantially all of our revenues and sources of cash flows from operations are derived from operating lease rentals and interest earned on outstanding loans receivable. These items represent our primary source of liquidity to fund distributions and are dependent upon our obligors’ continued ability to make contractual rent and interest payments to us. To the extent that our obligors experience operating difficulties and are unable to generate sufficient cash to make payments to us, there could be a material adverse impact on our consolidated results of operations, liquidity and/or financial condition. To mitigate this risk, we monitor our investments through a variety of methods determined by the type of property and operator/tenant. Our asset management process includes review of monthly financial statements for each property, periodic review of obligor credit, periodic property inspections and review of covenant compliance relating to licensure, real estate taxes, letters of credit and other collateral. In monitoring our portfolio, our personnel use a proprietary database to collect and analyze property-specific data. Additionally, we conduct extensive research to ascertain industry trends and risks. Through these asset management and research efforts, we are typically able to intervene at an early stage to address payment risk, and in so doing, support both the collectability of revenue and the value of our investment. In addition to our asset management and research efforts, we also structure our investments to help mitigate payment risk. Operating leases and loans are normally credit enhanced by guaranties and/or letters of credit. In addition, operating leases are typically structured as master leases and loans are generally cross-defaulted and cross- collateralized with other loans, operating leases or agreements between us and the obligor and its affiliates. For the year ended December 31, 2009, rental income and interest income represented 90% and 7%, respectively, of total gross revenues (including discontinued operations). Substantially all of our operating leases are designed with either fixed or contingent escalating rent structures. Leases with fixed annual rental escalators are generally recognized on a straight-line basis over the initial lease period, subject to a collectability assessment. Rental income related to leases with contingent rental escalators is generally recorded based on the contractual cash rental payments due for the period. Our yield on loans receivable depends upon a number of factors, including the stated interest rate, the average principal amount outstanding during the term of the loan and any interest rate adjustments. 46 Depending upon the availability and cost of external capital, we believe our liquidity is sufficient to fund operations, meet debt service obligations (both principal and interest), make dividend distributions and complete construction projects in process. We also anticipate evaluating opportunities to finance future investments. New investments are generally funded from temporary borrowings under our unsecured line of credit arrangement, internally generated cash and the proceeds from sales of real property. Our investments generate internal cash from rent and interest receipts and principal payments on loans receivable. Permanent financing for future investments, which replaces funds drawn under the unsecured line of credit arrangement, has historically been provided through a combination of public and private offerings of debt and equity securities and the incurrence or assumption of secured debt. Depending upon market conditions, we believe that new investments will be available in the future with spreads over our cost of capital that will generate appropriate returns to our stockholders. We expect to complete gross new investments of $1.0 to $1.2 billion in 2010, comprised of new investments totaling $700,000,000 to $800,000,000 and funded new development of $300,000,000 to $400,000,000. We anticipate the sale of real property and the repayment of loans receivable totaling approximately $300,000,000 during 2010. It is possible that additional loan repayments or sales of real property may occur in the future. To the extent that loan repayments and real property sales exceed new investments, our revenues and cash flows from operations could be adversely affected. We expect to reinvest the proceeds from any loan repayments and real property sales in new investments. To the extent that new investment requirements exceed our available cash on-hand, we expect to borrow under our unsecured line of credit arrangement. At December 31, 2009, we had $35,476,000 of cash and cash equivalents, $23,237,000 of restricted cash and $1,010,000,000 of available borrowing capacity under our unsecured line of credit arrangement. Our investment activity may exceed our borrowing capacity under our unsecured line of credit. To the extent that we are unable to issue equity or debt securities to provide additional capital, we may not be able to fund all of our potential investments, which could have an adverse effect on our revenues and cash flows from operations. Key Transactions in 2009 We completed the following key transactions during the year ended December 31, 2009: • we completed $716,649,000 of gross investments offset by $280,569,000 of investment payoffs; • we were added to the S&P 500 Index in January 2009; • we completed a public offering of 5,816,870 shares of common stock with net proceeds of approximately $210,880,000 in February 2009; • we completed $265,527,000 of first mortgage loans secured by 31 senior housing properties with multiple levels of service. The debt has terms ranging from seven to ten years. The debt had weighted average initial interest rates of 5.98% after giving effect to certain interest rate swap agreements. KeyBank Capital Markets, Inc. originated the loans and sold them to Freddie Mac; • we extinguished $81,715,000 of secured debt with weighted average interest rates of 7.21% prior to maturity; • we extinguished $183,147,000 of unsecured senior notes with weighted average interest rates of 7.82%; and • we completed a public offering of 9,200,000 shares of common stock with net proceeds of approximately $356,554,000 in September 2009. Recent Events We completed the following investments in February 2010: • We completed the acquisition of a portfolio of 17 medical office buildings located in Wisconsin totaling 1.15 million square feet through a joint venture with Hammes Company. Our $192 million investment includes the assumption of $106 million in secured debt at an average rate of 7.35%. The assets will be 100% 47 master leased to Aurora Health Care, an investment grade rated, non-profit health system based in Wisconsin. Our initial cash yield is 9.1% and the leases have an average remaining term of 13 years. • We formed a $668 million joint venture with Forest City Enterprises (NYSE:FCE.A and FCE.B). We acquired a 49% interest in a seven-building life sciences campus with 1.2 million square feet located in University Park in Cambridge, MA. The value of our investment is $327 million. We invested $170 million of cash and the joint venture assumed $320 million of non-recourse secured debt with a weighted average interest rate of 7.1%. Projected 2010 cash net operating income for the portfolio is approximately $51 million. Key Performance Indicators, Trends and Uncertainties We utilize several key performance indicators to evaluate the various aspects of our business. These indicators are discussed below and relate to operating performance, credit strength and concentration risk. Management uses these key performance indicators to facilitate internal and external comparisons to our historical operating results and in making operating decisions. Operating Performance. We believe that net income attributable to common stockholders (“NICS”) is the most appropriate earnings measure. Other useful supplemental measures of our operating performance include funds from operations (“FFO”) and net operating income (“NOI”); however, these supplemental measures are not defined by U.S. generally accepted accounting principles (“U.S. GAAP”). Please refer to the section entitled “Non- GAAP Financial Measures” for further discussion of FFO and NOI and for reconciliations of FFO and NOI. These earnings measures and their relative per share amounts are widely used by investors and analysts in the valuation, comparison and investment recommendations of REITs. The following table reflects the recent historical trends of our operating performance measures (in thousands, except per share data): Net income attributable to common stockholders . . . . . . Funds from operations . . . . . . . . . . . . . . . . . . . . . . . . . . Net operating income . . . . . . . . . . . . . . . . . . . . . . . . . . Per share data (fully diluted): December 31, 2007 $113,225 248,070 455,680 Year Ended December 31, 2008 $260,098 258,868 526,136 December 31, 2009 $171,190 289,521 547,678 Net income attributable to common stockholders . . . . Funds from operations . . . . . . . . . . . . . . . . . . . . . . . . $ 1.43 3.12 $ 2.76 2.74 $ 1.49 2.53 Credit Strength. We measure our credit strength both in terms of leverage ratios and coverage ratios. Our leverage ratios include debt to book capitalization, debt to undepreciated book capitalization and debt to market capitalization. The leverage ratios indicate how much of our balance sheet capitalization is related to total debt. Our coverage ratios include interest coverage ratio and fixed charge coverage ratio. The coverage ratios indicate our ability to service interest and fixed charges (interest plus preferred dividends and secured debt principal amor- tizations). We expect to maintain capitalization ratios and coverage ratios sufficient to maintain investment grade ratings with Moody’s Investors Service, Standard & Poor’s Ratings Services and Fitch Ratings. The coverage ratios are based on adjusted earnings before interest, taxes, depreciation and amortization (“Adjusted EBITDA”) which is discussed in further detail, and reconciled to net income, below in “Non-GAAP Financial Measures.” Leverage ratios and coverage ratios are widely used by investors, analysts and rating agencies in the valuation, comparison, 48 investment recommendations and rating of companies. The following table reflects the recent historical trends for our credit strength measures: December 31, 2007 Year Ended December 31, 2008 December 31, 2009 Debt to book capitalization ratio . . . . . . . . . . . . . . . . . . Debt to undepreciated book capitalization ratio. . . . . . . . Debt to market capitalization ratio . . . . . . . . . . . . . . . . . Adjusted interest coverage ratio . . . . . . . . . . . . . . . . . . . Adjusted fixed charge coverage ratio . . . . . . . . . . . . . . . 52% 48% 39% 2.94x 2.41x 47% 43% 38% 3.84x 3.20x 39% 35% 30% 3.78x 3.09x Concentration Risk. We evaluate our concentration risk in terms of asset mix, investment mix, customer mix and geographic mix. Concentration risk is a valuable measure in understanding what portion of our investments could be at risk if certain sectors were to experience downturns. Asset mix measures the portion of our investments that are real property. In order to qualify as an equity REIT, at least 75% of our real estate investments must be real property whereby each property, which includes the land, buildings, improvements, intangibles and related rights, is owned by us and leased to an operator pursuant to a long-term operating lease. Investment mix measures the portion of our investments that relate to our various property types. Customer mix measures the portion of our investments that relate to our top five customers. Geographic mix measures the portion of our investments that relate to our top five states. The following table reflects our recent historical trends of concentration risk: December 31, 2007 December 31, 2008 December 31, 2009 Asset mix: Real property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loans receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment mix: Assisted living facilities . . . . . . . . . . . . . . . . . . . . . . . Skilled nursing facilities . . . . . . . . . . . . . . . . . . . . . . . Independent/CCRC . . . . . . . . . . . . . . . . . . . . . . . . . . Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Medical office buildings. . . . . . . . . . . . . . . . . . . . . . . Customer mix: Senior Living Communities, LLC . . . . . . . . . . . . . . . . Brookdale Senior Living Inc . . . . . . . . . . . . . . . . . . . Signature Healthcare LLC . . . . . . . . . . . . . . . . . . . . . Emeritus Corporation . . . . . . . . . . . . . . . . . . . . . . . . . Life Care Centers of America, Inc. . . . . . . . . . . . . . . Remaining portfolio . . . . . . . . . . . . . . . . . . . . . . . . . . Geographic mix: Florida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Texas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . California . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tennessee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remaining portfolio . . . . . . . . . . . . . . . . . . . . . . . . . . 92% 8% 21% 32% 15% 7% 25% 4% 5% 6% 7% 5% 73% 15% 13% 7% 7% 6% 52% 92% 8% 20% 27% 19% 11% 23% 6% 5% 5% 4% 5% 75% 14% 11% 8% 7% 6% 54% 93% 7% 22% 25% 20% 10% 23% 7% 5% 5% 4% 3% 76% 12% 11% 9% 7% 6% 55% We evaluate our key performance indicators in conjunction with current expectations to determine if historical trends are indicative of future results. Our expected results may not be achieved and actual results may differ 49 materially from our expectations. Management regularly monitors various economic and other factors to develop strategic and tactical plans designed to improve performance and maximize our competitive position. Our ability to achieve our financial objectives is dependent upon our ability to effectively execute these plans and to appropriately respond to emerging economic and company-specific trends. Please refer to “Item 1A — Risk Factors” above for further discussion. Portfolio Update Net operating income. The primary performance measure for our properties is net operating income (“NOI”) as discussed below in “Non-GAAP Financial Measures.” The following table summarizes our net operating income for the periods indicated (in thousands): December 31, 2007 Year Ended December 31, 2008 December 31, 2009 Net operating income: Investment properties . . . . . . . . . . . . . . . . . . . . . . . . . Medical office buildings. . . . . . . . . . . . . . . . . . . . . . . Non-segment/corporate . . . . . . . . . . . . . . . . . . . . . . . $379,516 74,636 1,528 $436,811 87,633 1,692 $457,690 88,818 1,170 Net operating income . . . . . . . . . . . . . . . . . . . . . . . $455,680 $526,136 $547,678 Payment coverage. Payment coverage of the operators in our investment property portfolio has stabilized. Our overall payment coverage is at 2.01 times and represents an increase of two basis points from 2007 and an increase of five basis points from 2008. The following table reflects our recent historical trends of portfolio coverage. Coverage data reflects the 12 months ended for the periods presented. CBMF represents the ratio of facilities’ earnings before interest, taxes, depreciation, amortization, rent and management fees to contractual rent or interest due us. CAMF represents the ratio of earnings before interest, taxes, depreciation, amortization, and rent (but after imputed management fees) to contractual rent or interest due us. September 30, 2007 CBMF CAMF September 30, 2008 CBMF CAMF September 30, 2009 CBMF CAMF Independent living/CCRCs . . . . . . . . . . Assisted living facilities . . . . . . . . . . . . Skilled nursing facilities. . . . . . . . . . . . Hospitals . . . . . . . . . . . . . . . . . . . . . . . 1.47x 1.57x 2.25x 2.72x Weighted averages . . . . . . . . . . . . . . . . 1.99x 1.26x 1.35x 1.65x 2.16x 1.55x 1.31x 1.55x 2.26x 2.26x 1.96x 1.11x 1.32x 1.66x 1.83x 1.52x 1.27x 1.58x 2.29x 2.47x 2.01x 1.08x 1.36x 1.69x 2.14x 1.59x Corporate Governance Maintaining investor confidence and trust has become increasingly important in today’s business environment. Our Board of Directors and management are strongly committed to policies and procedures that reflect the highest level of ethical business practices. Our corporate governance guidelines provide the framework for our business operations and emphasize our commitment to increase stockholder value while meeting all applicable legal requirements. The Board of Directors adopted and annually reviews its Corporate Governance Guidelines. These guidelines meet the listing standards adopted by the New York Stock Exchange and are available on the Internet at www.hcreit.com and from us upon written request sent to the Senior Vice President — Administration and Corporate Secretary, Health Care REIT, Inc., One SeaGate, Suite 1500, P.O. Box 1475, Toledo, Ohio, 43603-1475. Liquidity and Capital Resources Sources and Uses of Cash Our primary sources of cash include rent and interest receipts, borrowings under our unsecured line of credit arrangement, public and private offerings of debt and equity securities, proceeds from the sales of real property and principal payments on loans receivable. Our primary uses of cash include dividend distributions, debt service 50 payments (including principal and interest), real property acquisitions, loan advances and general and adminis- trative expenses. These sources and uses of cash are reflected in our Consolidated Statements of Cash Flows and are discussed in further detail below. The following is a summary of our sources and uses of cash flows (dollars in thousands): Year Ended Dec. 31, 2007 Dec. 31, 2008 One Year Change $ Year Ended % Dec. 31, 2009 One Year Change $ % Two Year Change $ % Cash and cash equivalents at beginning of period . . . $ 36,216 $ 30,269 $ (5,947) (16)% $ 23,370 $ (6,899) (23)% $ (12,846) (35)% Cash provided from operating activities . . . . . 283,987 360,683 76,696 27% 381,259 20,576 6% 97,272 34% Cash used in investing activities . . . . . . . . . . . . (905,440) (1,035,525) (130,085) 14% (270,060) 765,465 (74)% 635,380 (70)% Cash provided from (used in) financing activities . . 615,506 667,943 52,437 9% (99,093) (767,036) n/a (714,599) n/a Cash and cash equivalents at end of period . . . . . . . $ 30,269 $ 23,370 $ (6,899) (23)% $ 35,476 $ 12,106 52% $ 5,207 17% Operating Activities. The increases in net cash provided from operating activities are primarily attributable to net income excluding gains/losses on sales of real property and impairments. See the discussion of investing activities and results of operations below for additional details. To the extent that we acquire or dispose of additional properties in the future, our results of operations will change accordingly. The following is a summary of our straight-line rent (dollars in thousands): Year Ended Dec. 31, 2007 Dec. 31, 2008 One Year Change $ Year Ended % Dec. 31, 2009 One Year Change $ % Two Year Change $ % Gross straight-line rental income . . . . . . . . . . . . . . . $ 17,029 $ 20,489 $ 3,460 20% $ 19,415 $(1,074) (5)% $ 2,386 14% Cash receipts due to real property sales . . . . . . . . . . . Prepaid rent receipts . . . . . . . . Amortization related to above/ (below) market leases, net . . (4,527) (12,942) (2,187) (26,095) 2,340 (52)% (4,422) (13,153) 102% (26,252) (2,235) 102% 105 (2)% 1% (13,310) 103% (157) 792 352 $ 1,039 247 31% 1,713 674 65% 921 116% $ (6,754) $ (7,106) n/a $ (9,546) $(2,792) 41% $ (9,898) n/a Gross straight-line rental income represents the non-cash difference between contractual cash rent due and the average rent recognized pursuant to U.S. GAAP for leases with fixed rental escalators, net of collectability reserves, if any. This amount is positive in the first half of a lease term (but declining every year due to annual increases in cash rent due) and is negative in the second half of a lease term. The fluctuation in cash receipts due to real property sales is attributable to a decline in straight-line rent receivable balances on properties sold. The change in prepaid rent cash receipts is due to the mix of real property acquisitions during the periods presented. We typically receive prepaid rent in connection with investment property acquisitions. 51 Investing Activities. The changes in net cash used in investing activities are primarily attributable to changes in loans receivable and real property investments. The following is a summary of our investment and disposition activities (dollars in thousands): December 31, 2007(1) Facilities Amount Year Ended December 31, 2008 Amount Facilities December 31, 2009 Amount Facilities Real property acquisitions: Independent living/CCRCs . . . . . . . . . . . . . Assisted living facilities . . . . . . . . . . . . . . . Skilled nursing facilities . . . . . . . . . . . . . . . Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . Medical office buildings . . . . . . . . . . . . . . . Land parcels . . . . . . . . . . . . . . . . . . . . . . . Total acquisitions . . . . . . . . . . . . . . . . . . . . Less: Assumed debt . . . . . . . . . . . . . . . . . . . . Assumed other assets/(liabilities), net . . . . . Cash disbursed for acquisitions . . . . . . . . . . . Construction in progress additions . . . . . . . . . Capital improvements to existing properties . . Total cash invested in real property . . . . . . . . Real property dispositions: Independent living/CCRCs . . . . . . . . . . . . . Assisted living facilities . . . . . . . . . . . . . . . Skilled nursing facilities . . . . . . . . . . . . . . . Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . Medical office buildings . . . . . . . . . . . . . . . Land parcels . . . . . . . . . . . . . . . . . . . . . . . Total dispositions . . . . . . . . . . . . . . . . . . . . Less: Gains on sales of real property . . . . . . . LandAmerica settlement . . . . . . . . . . . . . . . Extinguishment of other assets/(liabilities) . . . . . . . . . . . . . . . . . . Seller financing on sales of real property . . Proceeds from real property sales . . . . . . . . . . Net cash investments in real property . . . . . . . Advances on real estate loans receivable: Investments in new loans . . . . . . . . . . . . . . Draws on existing loans . . . . . . . . . . . . . . . Total gross investments in real estate loans . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: Seller financing on sales of real property . . . . . . . . . . . . . . . . . . . . . . . . . . . Net cash advances on real estate loans receivable. . . . . . . . . . . . . . . . . . . . . . . . Receipts on real estate loans receivable: Loan payoffs . . . . . . . . . . . . . . . . . . . . . . . Principal payments on loans . . . . . . . . . . . . Total principal receipts on real estate loans . . . . . . . . . . . . . . . . . . . . . . . . . . . Net cash advances/(receipts) on real estate loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (1) 2007 includes the Rendina/Paramount acquisition. $ 43,000 36,233 122,875 11,923 381,134 8,928 604,093 (166,188) (2,432) 435,473 295,102 39,976 770,551 5,346 57,351 18,107 0 0 3,073 83,877 14,437 0 0 0 98,314 $ 672,237 $ 205,770 30,124 235,894 235,894 42,028 10,318 52,346 2 3 1 7 7 1 21 2 30 4 1 1 38 (17) $ 68,300 45,490 11,360 196,303 121,809 10,000 453,262 0 (1,899) 451,363 595,452 25,561 1,072,376 15,547 148,075 6,290 8,735 6,781 73 185,501 163,933 2,500 (116) (64,771) 287,047 $ 785,329 $ 121,493 21,265 142,758 (59,649) 83,109 8,815 9,354 18,169 1 1 1 3 1 11 9 2 13 36 (33) $ 11,650 20,500 35,523 0 67,673 0 0 67,673 492,897 38,389 598,959 24,342 30,978 45,835 40,841 44,717 0 186,713 43,394 0 0 (6,100) 224,007 $374,952 $ 20,036 54,381 74,417 0 74,417 93,856 17,923 111,779 $ 183,548 $ 64,940 $ (37,362) 1 4 8 1 28 42 1 10 7 18 24 52 The investment in Rendina/Paramount primarily represented cash consideration of $141,967,000 offset by $4,000 of cash assumed from Paramount. Financing Activities. The changes in net cash provided from or used in financing activities are primarily attributable to changes related to our debt, common stock issuances, and cash distributions to stockholders. The changes in our senior unsecured notes include: (i) the issuance $400,000,000 of our 4.75% convertible senior unsecured notes in July 2007; (ii) the extinguishment of $52,500,000 of 7.5% senior unsecured notes in August 2007; (iii) the extinguishment of $42,330,000 of 7.625% senior unsecured notes in March 2008; and (iv) the extinguishment of $183,147,000 of senior unsecured notes with a weighted-average interest rate of 7.82% in 2009 and recognized extinguishment losses of $19,269,000. During the year ended December 31, 2009, we extinguished 20 secured debt loans totaling $81,715,000 with a weighted-average interest rate of 7.21% and recognized extinguishment losses of $5,838,000. During the year ended December 31, 2008, we extinguished eight secured debt loans totaling $50,475,000 with a weighted-average interest rate of 6.67% and recognized extinguishment gains of $2,094,000. During the year ended December 31, 2007, we extinguished five secured debt loans totaling $29,797,000 with a weighted-average interest rate of 7.34%. In November 2007, we repurchased $50,000,000 liquidation amount of preferred securities of a subsidiary trust and, in December 2007, obtained the satisfaction and discharge of a related $51,000,000 liability of an operating partnership and recorded a $1,081,000 gain on extinguishment of debt. The change in common stock is primarily attributable to public issuances and issuances under our dividend reinvestment and stock purchase plan (“DRIP”) and our equity shelf program. The remaining difference in common stock issuances is primarily due to issuances pursuant to stock incentive plans. The following is a summary of our common stock issuances for the years presented (dollars in thousands, except per share amounts): Date Issued Shares Issued Average Price Gross Proceeds Net Proceeds April 2007 public issuance . . . . . . . . . . . . . . . . . . December 2007 public issuance . . . . . . . . . . . . . . 2007 Dividend reinvestment plan issuances. . . . . . 2007 Option exercises . . . . . . . . . . . . . . . . . . . . . 6,325,000 3,500,000 1,626,000 401,630 2007 Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,852,630 March 2008 public issuance . . . . . . . . . . . . . . . . . July 2008 public issuance . . . . . . . . . . . . . . . . . . September 2008 public issuance . . . . . . . . . . . . . . 2008 Dividend reinvestment plan issuances. . . . . . 2008 Equity shelf program issuances . . . . . . . . . . 2008 Option exercises . . . . . . . . . . . . . . . . . . . . . 3,000,000 4,600,000 8,050,000 1,546,074 794,221 118,895 2008 Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,109,190 February 2009 public issuance . . . . . . . . . . . . . . . September 2009 public issuance . . . . . . . . . . . . . . 2009 Dividend reinvestment plan issuances. . . . . . 2009 Equity shelf program issuances . . . . . . . . . . 2009 Option exercises . . . . . . . . . . . . . . . . . . . . . 5,816,870 9,200,000 1,499,497 1,952,600 96,166 2009 Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,565,133 $44.01 42.14 41.81 27.82 $41.44 44.50 48.00 43.37 39.28 29.83 $36.85 40.40 37.22 40.69 38.23 $278,363 147,490 67,985 11,175 $505,013 $124,320 204,700 386,400 67,055 31,196 3,547 $817,218 $214,352 371,680 55,818 79,447 3,676 $724,973 $265,294 147,139 67,985 11,175 $491,593 $118,555 193,157 369,699 67,055 30,272 3,547 $782,285 $210,880 356,554 55,818 77,605 3,676 $704,533 In order to qualify as a REIT for federal income tax purposes, we must distribute at least 90% of our taxable income (including 100% of capital gains) to our stockholders. The increases in dividends are primarily attributable to increases in the number of outstanding common and preferred shares as discussed above, increases in our annual 53 common stock dividend per share and the payment of a prorated dividend of $0.2991 in February 2007 as a result of the $0.3409 prorated dividend paid in December 2006 in conjunction with the Windrose merger. The following is a summary of our dividend payments (in thousands, except per share amounts): December 31, 2007 Year Ended December 31, 2008 December 31, 2009 Per Share Amount Per Share Amount Per Share Amount Common Stock . . . . . . . . . . . . . . . $ 2.2791 1.96875 Series D Preferred Stock . . . . . . . . 1.50 Series E Preferred Stock . . . . . . . . 1.90625 Series F Preferred Stock . . . . . . . . 1.875 Series G Preferred Stock . . . . . . . . Totals . . . . . . . . . . . . . . . . . . . . . . $182,969 7,875 112 13,344 3,799 $208,099 $ 2.70 1.96875 1.50 1.90625 1.875 $253,659 7,875 112 13,344 1,870 $276,860 $ 2.72 1.96875 1.50 1.90625 1.875 $311,760 7,875 112 13,344 748 $333,839 Off-Balance Sheet Arrangements At December 31, 2009, we had three outstanding letter of credit obligations totaling $3,579,000 and expiring between 2010 and 2013. Please see Note 10 to our consolidated financial statements for additional information. We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates. We may or may not elect to use financial derivative instruments to hedge interest rate exposure. These decisions are principally based on the general trend in interest rates at the applicable dates, our perception of the future volatility of interest rates and our relative levels of variable rate debt and variable rate investments. Please see Note 9 to our audited consolidated financial statements for additional information. Contractual Obligations The following table summarizes our payment requirements under contractual obligations as of December 31, 2009 (in thousands): Contractual Obligations Unsecured line of credit arrangement . . . . . . Senior unsecured notes(1) . . . . . . . . . . . . . . Secured debt(1) . . . . . . . . . . . . . . . . . . . . . . Contractual interest obligations . . . . . . . . . . Capital lease obligations . . . . . . . . . . . . . . . Operating lease obligations . . . . . . . . . . . . . Purchase obligations . . . . . . . . . . . . . . . . . . Other long-term liabilities . . . . . . . . . . . . . . Total $ 140,000 1,661,853 623,046 1,108,235 0 182,040 224,265 5,283 Payments Due by Period 2011-2012 2013-2014 2010 $ 0 0 12,204 126,204 0 4,603 95,237 412 $140,000 76,853 31,904 248,331 0 9,018 129,028 1,065 $ 0 300,000 196,019 206,646 0 8,744 0 1,903 Thereafter $ 0 1,285,000 382,919 527,054 0 159,675 0 1,903 Total contractual obligations . . . . . . . . . . . . $3,944,722 $238,660 $636,199 $713,312 $2,356,551 (1) Amounts represent principal amounts due and do not reflect unamortized premiums/discounts or other fair value adjustments as reflected on the balance sheet. At December 31, 2009, we had an unsecured credit arrangement with a consortium of sixteen banks providing for a revolving line of credit in the amount of $1,150,000,000, which is scheduled to expire on August 5, 2011 (with the ability to extend for one year at our discretion if we are in compliance with all covenants). Borrowings under the agreement are subject to interest payable in periods no longer than three months at either the agent bank’s prime rate of interest or the applicable margin over LIBOR interest rate, at our option (0.84% at December 31, 2009). The applicable margin is based on our ratings with Moody’s Investors Service and Standard & Poor’s Ratings Services and was 0.6% at December 31, 2009. In addition, we pay a facility fee annually to each bank based on the bank’s 54 commitment under the revolving credit facility. The facility fee depends on our ratings with Moody’s Investors Service and Standard & Poor’s Ratings Services and was 0.15% at December 31, 2009. We also pay an annual agent’s fee of $50,000. Principal is due upon expiration of the agreement. At December 31, 2009, we had $140,000,000 outstanding under the unsecured line of credit arrangement and estimated total contractual interest obligations of $2,196,000. Contractual interest obligations are estimated based on the assumption that the balance of $140,000,000 at December 31, 2009 is constant until maturity at interest rates in effect at December 31, 2009. We have $1,661,853,000 of senior unsecured notes principal outstanding with fixed annual interest rates ranging from 4.75% to 8.0%, payable semi-annually. Total contractual interest obligations on senior unsecured notes totaled $904,406,000 at December 31, 2009. $735,000,000 of our senior unsecured notes are convertible notes that also contain put features. Please see Note 8 to our consolidated financial statements for additional information. Additionally, we have secured debt with total outstanding principal of $623,046,000, collateralized by owned properties, with annual interest rates ranging from 4.89% to 6.99%, payable monthly. The carrying values of the properties securing the mortgage loans totaled $901,013,000 at December 31, 2009. Total contractual interest obligations on mortgage loans totaled $201,633,000 at December 31, 2009. At December 31, 2009, we had operating lease obligations of $182,040,000 relating primarily to ground leases at certain of our properties and office space leases. Purchase obligations are comprised of unfunded construction commitments and contingent purchase obli- gations. At December 31, 2009, we had outstanding construction financings of $456,832,000 for leased properties and were committed to providing additional financing of approximately $213,945,000 to complete construction. At December 31, 2009, we had contingent purchase obligations totaling $10,320,000. These contingent purchase obligations primarily relate to deferred acquisition fundings and capital improvements. Deferred acquisition fundings are contingent upon a tenant satisfying certain conditions in the lease. Upon funding, amounts due from the tenant are increased to reflect the additional investment in the property. Other long-term liabilities relate to our Supplemental Executive Retirement Plan (“SERP”) and certain non- compete agreements. We have a SERP, a non-qualified defined benefit pension plan, which provides one executive officer with supplemental deferred retirement benefits. The SERP provides an opportunity for participants to receive retirement benefits that cannot be paid under our tax-qualified plans because of the restrictions imposed by ERISA and the Internal Revenue Code of 1986, as amended. Benefits are based on compensation and length of service and the SERP is unfunded. No contributions by the Company are anticipated for the 2010 fiscal year. Benefit payments are expected to total $4,758,000 during the next five fiscal years and no benefit payments are expected to occur during the succeeding five fiscal years. We use a December 31 measurement date for the SERP. The accrued liability on our balance sheet for the SERP was $3,287,000 at December 31, 2009 ($3,109,000 at December 31, 2008). In connection with the Windrose merger, we entered into consulting agreements with Fred S. Klipsch and Frederick L. Farrar, which expired in December 2008. We entered into a new consulting agreement with Mr. Farrar in December 2008, which expired in December 2009. Each consultant has agreed not to compete with the Company for a period of two years following termination or expiration of the agreement. In exchange for complying with the covenant not to compete, Messers. Klipsch and Farrar are entitled to receive eight quarterly payments of $75,000 and $37,500, respectively, with the first payment to be made on the date of termination or expiration of the agreement. The first payment to Mr. Klipsch was made in December 2008. The first payment to Mr. Farrar was made in January 2010. Capital Structure As of December 31, 2009, we had stockholders’ equity of $3,807,451,000 and a total outstanding debt balance of $2,414,022,000, which represents a debt to total book capitalization ratio of 39%. Our ratio of debt to market capitalization was 30% at December 31, 2009. For the twelve months ended December 31, 2009, our adjusted interest coverage ratio was 3.78 to 1.00. For the twelve months ended December 31, 2009, our adjusted fixed charge coverage ratio was 3.09 to 1.00. Also, at December 31, 2009, we had $35,476,000 of cash and cash equivalents, 55 $23,237,000 of restricted cash and $1,010,000,000 of available borrowing capacity under our unsecured line of credit arrangement. Our debt agreements contain various covenants, restrictions and events of default. Among other things, these provisions require us to maintain certain financial ratios and minimum net worth and impose certain limits on our ability to incur indebtedness, create liens and make investments or acquisitions. As of December 31, 2009, we were in compliance with all of the covenants under our debt agreements. None of our debt agreements contain provisions for acceleration which could be triggered by our debt ratings with Moody’s Investors Service and Standard & Poor’s Ratings Services. However, under our unsecured line of credit arrangement, these ratings on our senior unsecured notes are used to determine the fees and interest payable. As of February 12, 2010, our senior unsecured notes were rated Baa2 (stable), BBB- (positive) and BBB (stable) by Moody’s Investors Service, Standard & Poor’s Ratings Services and Fitch Ratings, respectively. We plan to manage the company to maintain investment grade status with a capital structure consistent with our current profile. Any downgrades in terms of ratings or outlook by any or all of the noted rating agencies could have a material adverse impact on our cost and availability of capital, which could in turn have a material adverse impact on our consolidated results of operations, liquidity and/or financial condition. On May 7, 2009, we filed an open-ended automatic or “universal” shelf registration statement with the Securities and Exchange Commission covering an indeterminate amount of future offerings of debt securities, common stock, preferred stock, depositary shares, warrants and units. As of February 12, 2010, we had an effective registration statement on file in connection with our enhanced DRIP program under which we may issue up to 10,760,247 shares of common stock. As of February 12, 2010, 6,402,507 shares of common stock remained available for issuance under this registration statement. In November 2008, we entered into an Equity Distribution Agreement with UBS Securities LLC relating to the offer and sale from time to time of up to $250,000,000 aggregate amount of our common stock (“Equity Shelf Program”). As of February 12, 2010, we had $139,356,000 of remaining capacity under the Equity Shelf Program. Depending upon market conditions, we anticipate issuing securities under our registration statements to invest in additional properties and to repay borrowings under our unsecured line of credit arrangement. Results of Operations Our primary sources of revenue include rent and interest. Our primary expenses include interest expense, depreciation and amortization, property operating expenses and general and administrative expenses. These revenues and expenses are reflected in our Consolidated Statements of Income and are discussed in further detail below. The following is a summary of our results of operations (dollars in thousands except per share amounts): Year Ended Dec. 31, 2007 Dec. 31, 2008 One Year Change $ Year Ended % Dec. 31, 2009 One Year Change $ % Two Year Change $ % Net income attributable to common stockholders . . . Funds from operations . . . . . Net operating income . . . . . Adjusted EBITDA. . . . . . . . $113,225 248,070 455,680 439,702 $260,098 258,868 526,136 595,365 $146,873 130% $171,190 4% 289,521 15% 547,678 35% 525,791 10,798 70,456 155,663 $(88,908) (34)%$57,965 51% 12% 41,451 17% 30,653 21,542 4% 91,998 20% (69,574) (12)% 86,089 20% The components of the changes in revenues, expenses and other items are discussed in detail below. The following is a summary of certain items that impact the results of operations for the year ended December 31, 2009: • $3,909,000 ($0.03 per diluted share) of non-recurring general and administrative expenses; • $25,107,000 ($0.22 per diluted share) of net losses on extinguishments of debt; • $25,223,000 ($0.22 per diluted share) of impairment charges; • $23,261,000 ($0.20 per diluted share) of provisions for loan losses; • $8,059,000 ($0.07 per diluted share) of additional other income related to a lease termination; 56 • $2,400,000 ($0.02 per diluted share) of prepayment fees; and • $43,394,000 ($0.38 per diluted share) of gains on the sales of real property. The following is a summary of certain items that impact the results of operations for the year ended December 31, 2008: • $2,291,000 ($0.02 per diluted share) of non-recurring terminated transaction costs; • $1,325,000 ($0.01 per diluted share) of non-recurring income tax expense; • $23,393,000 ($0.25 per diluted share) of realized loss on derivatives; • $32,648,000 ($0.35 per diluted share) of impairment charges; • $2,094,000 ($0.02 per diluted share) of net gains on extinguishments of debt; • $2,500,000 ($0.03 per diluted share) of additional other income related to a lease termination; and • $163,933,000 ($1.74 per diluted share) of gains on the sales of real property. The following is a summary of certain items that impact the results of operations for the year ended December 31, 2007: • $1,750,000 ($0.02 per diluted share) of one-time acquisition finders’ fees; • $1,081,000 ($0.01 per diluted share) of net gains on extinguishments of debt; • $3,900,000 ($0.05 per diluted share) of additional other income related to the payoff of a warrant equity investment; and • $14,437,000 ($0.18 per diluted share) of gains on the sales of real property. The increase in fully diluted average common shares outstanding is primarily the result of public common stock offerings and common stock issuances pursuant to our DRIP and equity shelf program (“ESP”). The following table represents the changes in outstanding common stock for the period from January 1, 2007 to December 31, 2009 (in thousands): Dec. 31, 2007 Year Ended Dec. 31, 2008 Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73,192 9,825 Public offerings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,626 DRIP issuances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 ESP issuances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212 Preferred stock conversions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 402 Option exercises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239 Other, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85,496 15,650 1,546 794 975 119 124 Dec. 31, 2009 104,704 15,017 1,499 1,953 30 96 86 Totals 73,192 40,492 4,671 2,747 1,217 617 449 Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85,496 104,704 123,385 123,385 Average number of common shares outstanding: Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78,861 Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79,409 93,732 94,309 114,207 114,612 We evaluate our business and make resource allocations on our two business segments — investment properties and medical office buildings. Under the investment property segment, properties are primarily leased under triple-net leases and we are not involved in the management of the property. Under the medical office building segment, our properties are typically leased under gross leases, modified gross leases or triple-net leases, to multiple tenants, and generally require a certain level of property management. There are no intersegment sales or transfers. Non-segment revenue consists mainly of interest income on non-real estate investments and other income. Non- 57 property specific revenues and expenses are not allocated to individual segments in determining net operating income. Please see Note 18 to our consolidated financial statements for additional information. Investment Properties The following is a summary of our results of operations for the investment properties segment (dollars in thousands): Revenues: Year Ended Dec. 31, 2007 Dec. 31, 2008 One Year Change $ % Year Ended Dec. 31, 2009 One Year Change $ % Two Year Change $ % Rental income . . . . . . . . . . $291,471 $349,782 $ 58,311 14,240 Interest income . . . . . . . . . (111) Other income . . . . . . . . . . 0 Prepayment fees . . . . . . . . 40,063 7,899 0 25,823 8,010 0 20% $388,260 40,885 55% 3,269 (1)% 2,400 n/a $ 38,478 822 (4,630) 2,400 11% $ 96,789 2% 15,062 33% 58% (59)% (4,741) (59)% 2,400 n/a n/a Expenses: Interest expense. . . . . . . . . Depreciation and 325,304 397,744 72,440 22% 434,814 37,070 9% 109,510 34% (3,422) (1,467) 1,955 (57)% 9,644 11,111 n/a 13,066 n/a amortization . . . . . . . . . 83,134 97,108 13,974 17% 107,998 10,890 11% 24,864 30% Loss/(gain) on extinguishment of debt . . Provision for loan losses. . . Income from continuing operations before income taxes . . . . . . . . . . . . . . . . Income tax (expense) 0 0 (808) 94 (808) 94 n/a n/a 2,057 23,261 2,865 23,167 24646% n/a 2,057 23,261 n/a n/a 79,712 94,927 15,215 19% 142,960 48,033 51% 63,248 79% 245,592 302,817 57,225 23% 291,854 (10,963) (4)% 46,262 19% benefit . . . . . . . . . . . . . . . 293 (1,693) (1,986) n/a (607) 1,086 (64)% (900) n/a Income from continuing operations . . . . . . . . . . . . . 245,885 301,124 55,239 22% 291,247 (9,877) (3)% 45,362 18% Discontinued operations: Gain on sales of properties . . . . . . . . . . . Impairment of assets . . . . . Income from discontinued 14,437 0 164,998 0 150,561 1043% 0 n/a 46,439 (10,266) (118,559) (10,266) (72)% 32,002 222% n/a (10,266) n/a operations, net . . . . . . . . 21,925 15,598 (6,327) (29)% 13,424 (2,174) (14)% (8,501) (39)% 36,362 180,596 144,234 397% 49,597 (130,999) (73)% 13,235 36% Net income attributable to common stockholders. . . . . $282,247 $481,720 $199,473 71% $340,844 $(140,876) (29)% $ 58,597 21% The increase in rental income is primarily attributable to the acquisitions of new investment properties from which we receive rent. See the discussion of investing activities in “Liquidity and Capital Resources” above for further information. Certain of our leases contain annual rental escalators that are contingent upon changes in the Consumer Price Index and/or changes in the gross operating revenues of the tenant’s properties. These escalators are not fixed, so no straight-line rent is recorded; however, rental income is recorded based on the contractual cash rental payments due for the period. If gross operating revenues at our facilities and/or the Consumer Price Index do not increase, a portion of our revenues may not continue to increase. Sales of real property would offset revenue increases and, to the extent that they exceed new acquisitions, could result in decreased revenues. Our leases could renew above or below current rent rates, resulting in an increase or decrease in rental income. Interest income increased from 2007 primarily due to an increase in the balance of outstanding loans. 58 Interest expense for the years ended December 31, 2009, 2008 and 2007 represents $12,229,000, $7,176,000 and $8,763,000, respectively, of secured debt interest expense offset by interest allocated to discontinued oper- ations. The change in secured debt interest expense is due to the net effect and timing of assumptions, extinguishments and principal amortizations. During the year ended December 31, 2009, we extinguished 12 investment property secured debt loans and recognized extinguishment losses of $2,057,000. During the year ended December 31, 2008, we extinguished four investment property secured debt loans and recognized extinguishment gains of $808,000. The following is a summary of our investment property secured debt principal activity (dollars in thousands): Year Ended December 31, 2007 Year Ended December 31, 2008 Year Ended December 31, 2009 Weighted Average Interest Rate Weighted Average Interest Rate Weighted Average Interest Rate Amount Amount Amount Beginning balance. . . . $129,617 Debt issued . . . . . . . . . Debt extinguished . . . . Principal payments . . . (12,083) (2,991) Ending balance . . . . . . $114,543 7.134% $114,543 7.000% 8.421% 7.085% 7.000% (17,821) (2,488) $ 94,234 7.022% 6.974% 6.996% $ 94,234 265,527 (47,502) (13,767) $298,492 Monthly averages . . . . $121,562 7.065% $103,927 6.996% $205,549 6.996% 5.982% 7.414% 7.640% 5.998% 6.309% Depreciation and amortization increased primarily as a result of additional investments in properties owned directly by us. See the discussion of investing activities in “Liquidity and Capital Resources” above for additional details. To the extent that we acquire or dispose of additional properties in the future, our provision for depreciation and amortization will change accordingly. At December 31, 2009, we had two skilled nursing facilities and one hospital that satisfied the requirements for held for sale treatment. We did not recognize an impairment loss on the skilled nursing facilities as the fair value less estimated costs to sell exceeded our carrying value. In determining the fair value of the hospital, we used a combination of third party appraisals based on market comparable transactions, other market listings and asset quality. Management’s estimates projected that the carrying value of the asset was more than the estimated fair value and an impairment charge of $10,266,000 was recorded to reduce the property to its estimated fair value less costs to sell. During the year ended December 31, 2009, we sold 23 investment properties with carrying values of $141,996,000 for net gains of $46,439,000. The following illustrates the reclassification impact as a result of classifying investment properties as discontinued operations for the periods presented. Please refer to Note 3 to our consolidated financial statements for further discussion. Year Ended December 31, 2008 2009 2007 Revenues: Rental Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $54,212 0 $39,067 0 $14,817 8,059 Expenses: Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation and amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,185 20,102 8,643 14,826 2,585 6,867 Income (loss) from discontinued operations, net . . . . . . . . . . . . . . . . . . . . . . $21,925 $15,598 $13,424 During the three months ended December 31, 2007, we recognized $3,900,000 of additional other income related to the payoff of a warrant equity investment. During the three months ended March 31, 2008, we determined that $1,325,000 of income taxes were due in connection with that investment gain. During the three months ended December 31, 2008, we recognized $2,500,000 of additional other income related to a lease termination. During the three months ended December 31, 2009, we recognized $8,059,000 of additional other income related to a lease termination, which is included in discontinued operations, and $2,400,000 of prepayment fees. 59 As a result of our quarterly evaluations, we recorded $23,261,000 of provision for loan losses during the year ended December 31, 2009. This amount includes the write-off of loans totaling $25,578,000 primarily relating to certain early stage senior housing operators offset by a net reduction in the allowance for loan losses of $2,457,000. The provision for loan losses is related to our critical accounting estimate for the allowance for loan losses and is discussed below in “Critical Accounting Policies.” Medical Office Buildings The following is a summary of our results of operations for the medical office building segment (dollars in thousands): Revenues: Year Ended Dec. 31, 2007 Dec. 31, 2008 One Year Change $ % Year Ended Dec. 31, 2009 One Year Change $ % Two Year Change $ % Rental income . . . . . . . . . . . . . . $102,157 $126,040 $ 23,883 433 Other income . . . . . . . . . . . . . . 497 930 23% $132,040 $ 6,000 19 949 87% 5% $ 29,883 452 2% 102,654 126,970 24,316 24% 132,989 6,019 5% 30,335 29% 91% 30% Expenses: Interest expense . . . . . . . . . . . . . Property operating expenses . . . . Depreciation and amortization . . . Loss/(gain) on extinguishment of . . . . . . . . . . . . . . . . . . . debt Income from continuing operations before income taxes . . . . . . . . . . . . . . . Income tax (expense) benefit Income from continuing 21,408 33,410 41,098 19,565 42,634 47,253 (1,843) 9,224 6,155 (9)% 19,628 28% 45,896 15% 49,051 63 3,262 1,798 0% 8% 4% (1,780) 12,486 7,953 (8)% 37% 19% (1,081) (1,286) (205) 19% 3,781 5,067 n/a 4,862 n/a 94,835 108,166 13,331 14% 118,356 10,190 9% 23,521 25% 7,819 12 18,804 (51) 10,985 (63) 140% 14,633 (233) n/a (4,171) (22)% (182) 357% 87% 6,814 (245) n/a operations . . . . . . . . . . . . . . . . . 7,831 18,753 10,922 139% 14,400 (4,353) (23)% 6,569 84% Discontinued operations: Loss on sales of properties . . . . . Impairment of assets . . . . . . . . . Income from discontinued 0 0 (1,065) (32,648) (1,065) (32,648) n/a n/a (3,045) (14,957) (1,980) 186% (3,045) n/a 17,691 (54)% (14,957) n/a operations, net . . . . . . . . . . . . (1,770) (2,824) (1,054) 60% (238) 2,586 (92)% 1,532 (87)% Net income (loss) . . . . . . . . . . . . . Net income (loss) attributable to noncontrolling interests . . . . . . . . Net income (loss) attributable to (1,770) (36,537) (34,767) 1964% (18,240) 18,297 (50)% (16,470) 931% 6,061 (17,784) (23,845) n/a (3,840) 13,944 (78)% (9,901) n/a 238 126 (112) (47)% (342) (468) n/a (580) n/a common stockholders . . . . . . . . . $ 5,823 $ (17,910) $(23,733) n/a $ (3,498) $14,412 (80)% $ (9,321) n/a In May 2007, we completed the acquisition of 17 medical office buildings and Paramount Real Estate Services, a property management company, from affiliates of Rendina Companies. The results of operations for these properties and Paramount have been included in our consolidated results of operations from the date of acquisition and represent the primary component of change in results of operations for this segment from 2007 to 2008. The increase in rental income is primarily attributable to the acquisitions of medical office buildings from which we receive rent. See the discussion of investing activities in “Liquidity and Capital Resources” above for further information. Certain of our leases contain annual rental escalators that are contingent upon changes in the Consumer Price Index. These escalators are not fixed, so no straight-line rent is recorded; however, rental income is recorded based on the contractual cash rental payments due for the period. If the Consumer Price Index does not increase, a portion of our revenues may not continue to increase. Sales of real property would offset revenue 60 increases and, to the extent that they exceed new acquisitions, could result in decreased revenues. Our leases could renew above or below current rent rates, resulting in an increase or decrease in rental income. The increase in other income is attributable to third party management fee income. Interest expense for the years ended December 31, 2009, 2008 and 2007 represents $20,584,000, $21,828,000, and $20,174,000, respectively, of secured debt interest expense offset by interest allocated to discontinued operations. Interest expense for the year ended December 31, 2007 also includes $3,104,000 of interest expense related to the trust preferred liability. The change in secured debt interest expense is primarily due to the net effect and timing of assumptions, extinguishments and principal amortizations. During the year ended December 31, 2009, we extinguished eight medical office building secured debt loans and recognized extinguishment losses of $3,781,000. During the year ended December 31, 2008, we extinguished four medical office building secured debt loans and recognized extinguishment gains of $1,286,000. The following is a summary of our medical office building secured debt principal activity (dollars in thousands): Year Ended December 31, 2007 Year Ended December 31, 2008 Year Ended December 31, 2009 Weighted Average Interest Rate Weighted Average Interest Rate Weighted Average Interest Rate Amount Amount Amount Beginning balance. . . . $248,783 166,331 Debt assumed . . . . . . . (17,713) Debt extinguished . . . . (4,971) Principal payments . . . Ending balance . . . . . . $392,430 5.939% 5.808% 6.599% 5.881% 5.854% $392,430 5.854% $354,146 5.799% (32,653) (5,631) $354,146 6.473% 5.741% 5.799% (34,213) (5,868) $314,065 6.933% 5.721% 5.677% 5.764% Monthly averages . . . . $335,234 5.892% $365,661 5.802% $341,103 At January 1, 2007, we had $51,000,000 of trust preferred liability principal outstanding with a fixed annual interest rate of 7.22%. On November 6, 2007, we purchased all $50,000,000 of the outstanding trust preferred securities at par for the purpose of unwinding this financing arrangement and extinguishing the liability of the operating partnership to the subsidiary trust and recorded a $1,081,000 gain on extinguishment of debt. The increase in property operating expenses is primarily attributable to the acquisition of new medical office buildings for which we incur certain property operating expenses offset by property operating expenses associated with discontinued operations. Depreciation and amortization increased primarily as a result of additional investments in properties owned directly by us. See the discussion of investing activities in “Liquidity and Capital Resources” above for additional details. To the extent that we acquire or dispose of additional properties in the future, our provision for depreciation and amortization will change accordingly. Income tax expense is related to third party management fee income. At December 31, 2009, we had seven medical office buildings that satisfied the requirements for held for sale treatment. In determining the fair value of the assets, we used a combination of third party appraisals based on market comparable transactions, other market listings and asset quality as well as management calculations based on projected net operating income and published capitalization rates. Management’s estimates projected that the carrying value of the assets was more than the estimated fair value and an impairment charge of $14,957,000 was recorded to reduce the properties to their estimated fair value. During the year ended December 31, 2009, we sold 13 medical office buildings with carrying values of $44,717,000 for a loss of $3,045,000. The following illustrates the 61 reclassification impact as a result of classifying these medical office buildings as discontinued operations for the periods presented. Please refer to Note 3 to our consolidated financial statements for further discussion. Year Ended December 31, 2008 2007 2009 Revenues: Rental Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,457 $ 7,292 $4,794 Expenses: Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Property operating expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation and amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,870 4,065 5,292 2,263 3,995 3,858 956 3,069 1,007 Income (loss) from discontinued operations, net . . . . . . . . . . . . . . . . . . . . . . . . $(1,770) $(2,824) $ (238) Non-Segment/Corporate The following is a summary of our results of operations for the non-segment/corporate activities (dollars in thousands): Revenues: Year Ended Dec. 31, 2007 Dec. 31, 2008 One Year Change $ % Year Ended Dec. 31, 2009 One Year Change $ % Two Year Change $ % Other income . . . . . . . . . . . . $ 1,528 $ 1,692 $ 164 11% $ 1,170 $ (522) (31)% $ (358) (23)% Expenses: Interest expense . . . . . . . . . . General and administrative . . . Realized loss on derivatives . . Loss on extinguishment of debt . . . . . . . . . . . . . . . . . Loss from continuing operations before income taxes . . . . . . . Income tax (expense) benefit . . . Loss from continuing 113,285 37,465 0 112,055 47,193 23,393 (1,230) (1)% 9,728 26% 23,393 n/a 76,959 49,691 0 (35,096) 2,498 (31)% (36,326) (32)% 33% 5% 12,226 (23,393) (100)% 0 n/a 0 0 0 n/a 19,269 19,269 n/a 19,269 n/a 150,750 182,641 31,891 21% 145,919 (36,722) (20)% (4,831) (3)% (149,222) (493) (180,949) 438 (31,727) 21% (144,749) 672 931 n/a 36,200 234 (20)% 53% (3)% 4,473 1,165 n/a operations . . . . . . . . . . . . . . Preferred stock dividends. . . . . . (149,715) 25,130 (180,511) 23,201 (30,796) 21% (144,077) 22,079 (8)% (1,929) 36,434 (1,122) (20)% (4)% 5,638 (5)% (3,051) (12)% Loss attributable to common stockholders . . . . . . . . . . . . . $(174,845) $(203,712) $(28,867) 17% $(166,156) $ 37,556 (18)% $ 8,689 (5)% Other income primarily represents income from non-real estate activities such as interest earned on temporary investments of cash reserves. 62 The following is a summary of our non-segment/corporate interest expense (dollars in thousands): Senior unsecured notes . . . Secured debt . . . . . . . . . . . Unsecured lines of credit . . Capitalized interest . . . . . . SWAP losses (savings) . . . Loan expense . . . . . . . . . . Year Ended Dec. 31, 2007 Dec. 31, 2008 $104,665 0 15,653 (12,526) (89) 5,582 $111,544 0 18,878 (25,029) (161) 6,823 One Year Change $ % Year Ended Dec. 31, 2009 One Year Change $ % Two Year Change $ % $ 6,879 0 3,225 n/a 21% (12,503) 100% (72) 81% 22% 1,241 7% $106,347 265 4,629 (41,170) (161) 7,049 $ (5,197) (5)% $ 1,682 265 2% n/a 265 n/a (14,249) (75)% (11,024) (70)% (16,141) 64% (28,644) 229% (72) 81% 26% 0 226 0% 3% 1,467 Totals . . . . . . . . . . . . . . . . $113,285 $112,055 $ (1,230) (1)% $ 76,959 $(35,096) (31)% $(36,326) (32)% The change in interest expense on senior unsecured notes is due to the net effect and timing of issuances and extinguishments. The following is a summary of our senior unsecured notes activity (dollars in thousands): Year Ended December 31, 2007 Weighted Average Interest Rate Amount Year Ended December 31, 2008 Weighted Average Interest Rate Amount Year Ended December 31, 2009 Weighted Average Interest Rate Amount $1,887,330 5.823% $1,845,000 5.782% Beginning balance . . Debt issued . . . . . . . Debt extinguished . . $1,539,830 400,000 (52,500) 6.159% 4.750% 7.500% Ending balance . . . . $1,887,330 5.823% $1,845,000 5.782% $1,661,853 (42,330) 7.625% (183,147) 7.823% 5.557% Monthly averages . . $1,704,253 5.991% $1,854,768 5.792% $1,778,621 5.713% The change in interest expense on unsecured lines of credit arrangements is due primarily to changes in average amounts outstanding and fluctuating variable interest rates. The following is a summary of our unsecured lines of credit arrangements (dollars in thousands): Year Ended December 31, 2008 2009 2007 Balance outstanding at December 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . $307,000 Maximum amount outstanding at any month end . . . . . . . . . . . . . . . . . . . 434,000 Average amount outstanding (total of daily principal balances divided by days in year) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Weighted average interest rate (actual interest expense divided by average borrowings outstanding) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234,392 6.68% $570,000 744,000 $140,000 559,000 500,561 241,463 3.77% 1.92% We capitalize certain interest costs associated with funds used to finance the construction of properties owned directly by us. The amount capitalized is based upon the borrowings outstanding during the construction period using the rate of interest that approximates our cost of financing. Our interest expense is reduced by the amount capitalized. Capitalized interest for the years ended December 31, 2007, 2008 and 2009 totaled $12,526,000, $25,029,000 and $41,170,000, respectively. Please see Note 9 to our unaudited consolidated financial statements for a discussion of our interest rate swap agreements and their impact on interest expense. Loan expense represents the amortization of deferred loan costs incurred in connection with the issuance and amendments of debt. The change in loan expense is primarily due to costs associated with the issuance of $400,000,000 of senior unsecured convertible notes in July 2007 and costs associated with the extension and expansion of our unsecured line of credit in August 2007. General and administrative expenses as a percentage of consolidated revenues (including revenues from discontinued operations) for the year ended December 31, 2009 were 8.33%, as compared with 8.24% and 7.64% for the same periods in 2008 and 2007. During the year ended December 31, 2007, we recorded $1,750,000 of one- 63 time acquisition finders’ fees paid to former Windrose management in connection with the closing of the Rendina/ Paramount transaction. These fees relate to services rendered prior to the consummation of the Windrose merger in December 2006. Due to the recipients’ then current employment status with the company, the fees were expensed as compensation rather than included in the purchase price of the acquisition, as is typical with such fees. The increase from 2007 to 2008 is primarily due to $2,291,000 of non-recurring terminated transaction costs and costs associated with our initiatives to attract and retain appropriate personnel to achieve our business objectives. The terminated transaction costs primarily related to the termination of the Arcapita/Sunrise agreement. The increase from 2008 to 2009 is primarily due to $3,909,000 of non-recurring expenses recognized in connection with the departure of Raymond W. Braun who formerly served as president of the company. The change in preferred dividends is primarily due to the change in average outstanding preferred shares. The following is a summary of our preferred stock activity: Year Ended December 31, 2007 Weighted Average Dividend Rate Shares Year Ended December 31, 2008 Weighted Average Dividend Rate Shares Year Ended December 31, 2009 Weighted Average Dividend Rate Shares Beginning balance . . Shares converted . . . 13,174,989 (295,800) 7.672% 7.500% 12,879,189 (1,362,887) 7.676% 7.500% 11,516,302 (42,209) Ending balance . . . . 12,879,189 7.676% 11,516,302 7.696% 11,474,093 7.696% 7.478% 7.697% Monthly averages . . 13,129,481 7.672% 12,138,161 7.686% 11,482,557 7.697% Non-GAAP Financial Measures We believe that net income attributable to common stockholders, as defined by U.S. GAAP, is the most appropriate earnings measurement. However, we consider FFO to be a useful supplemental measure of our operating performance. Historical cost accounting for real estate assets in accordance with U.S. GAAP implicitly assumes that the value of real estate assets diminishes predictably over time as evidenced by the provision for depreciation. However, since real estate values have historically risen or fallen with market conditions, many industry investors and analysts have considered presentations of operating results for real estate companies that use historical cost accounting to be insufficient. In response, the National Association of Real Estate Investment Trusts (“NAREIT”) created FFO as a supplemental measure of operating performance for REITs that excludes historical cost depreciation from net income attributable to common stockholders. FFO, as defined by NAREIT, means net income attributable to common stockholders, computed in accordance with U.S. GAAP, excluding gains (or losses) from sales of real estate, plus depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. Net operating income (“NOI”) is used to evaluate the operating performance of our properties. We define NOI as total revenues, including tenant reimbursements, less property operating expenses, which exclude depreciation and amortization, general and administrative expenses, impairments and interest expense. We believe NOI provides investors relevant and useful information because it measures the operating performance of our properties at the property level on an unleveraged basis. We use NOI to make decisions about resource allocations and to assess the property level performance of our properties. EBITDA stands for earnings before interest, taxes, depreciation and amortization. A covenant in our line of credit arrangement contains a financial ratio based on a definition of EBITDA that is specific to that agreement. Failure to satisfy this covenant could result in an event of default that could have a material adverse impact on our cost and availability of capital, which could in turn have a material adverse impact on our consolidated results of operations, liquidity and/or financial condition. Due to the materiality of this debt agreement and the financial covenant, we have disclosed Adjusted EBITDA, which represents EBITDA as defined above and adjusted for stock- based compensation expense, provision for loan losses and gain/loss on extinguishment of debt. We use Adjusted EBITDA to measure our adjusted fixed charge coverage ratio, which represents Adjusted EBITDA divided by fixed charges on a trailing twelve months basis. Fixed charges include total interest (excluding capitalized interest), secured debt principal amortization and preferred dividends. Our covenant requires an adjusted fixed charge ratio of at least 1.75 times. 64 Other than Adjusted EBITDA, our supplemental reporting measures and similarly entitled financial measures are widely used by investors, equity and debt analysts and rating agencies in the valuation, comparison, rating and investment recommendations of companies. Management uses these financial measures to facilitate internal and external comparisons to our historical operating results and in making operating decisions. Additionally, these measures are utilized by the Board of Directors to evaluate management. Adjusted EBITDA is used solely to determine our compliance with a financial covenant of our line of credit arrangement and is not being presented for use by investors for any other purpose. None of our supplemental measures represent net income or cash flow provided from operating activities as determined in accordance with U.S. GAAP and should not be considered as alternative measures of profitability or liquidity. Finally, the supplemental reporting measures, as defined by us, may not be comparable to similarly entitled items reported by other real estate investment trusts or other companies. Multi-period amounts may not equal the sum of the individual quarterly amounts due to rounding. The table below reflects the reconciliation of FFO to net income attributable to common stockholders, the most directly comparable U.S. GAAP measure, for the periods presented. The provisions for depreciation and amor- tization include provisions for depreciation and amortization from discontinued operations. Amounts are in thousands except for per share data. December 31, 2007 Year Ended December 31, 2008 December 31, 2009 FFO Reconciliation: Net income attributable to common stockholders . . . . . . Depreciation and amortization . . . . . . . . . . . . . . . . . . . . Loss (gain) on sales of properties . . . . . . . . . . . . . . . . . . Noncontrolling interests . . . . . . . . . . . . . . . . . . . . . . . . . Prepayment fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Funds from operations . . . . . . . . . . . . . . . . . . . . . . . . . . Average common shares outstanding: Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Per share data: Net income attributable to common stockholders Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Funds from operations Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $113,225 149,626 (14,437) (344) 0 $248,070 78,861 79,409 $ $ 1.44 1.43 3.15 3.12 $ 260,098 163,045 (163,933) (342) 0 $ 258,868 $171,190 164,923 (43,394) (798) (2,400) $289,521 93,732 94,309 114,207 114,612 $ $ 2.77 2.76 2.76 2.74 $ $ 1.50 1.49 2.54 2.53 65 The table below reflects the reconciliation of NOI for the periods presented. All amounts include amounts from discontinued operations, if applicable. Amounts are in thousands. December 31, 2007 Year Ended December 31, 2008 December 31, 2009 NOI Reconciliation: Total revenues: Investment properties: Rental income: Independent living/CCRCs . . . . . . . . . . . . . . . . . Assisted living facilities . . . . . . . . . . . . . . . . . . . Skilled nursing facilities . . . . . . . . . . . . . . . . . . . Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment property rental income . . . . . . . . . . Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . Other income/prepayment fees . . . . . . . . . . . . . . . . Total investment property revenues . . . . . . . . . . . Medical office buildings: Rental income . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total medical office building revenues. . . . . . . . . Corporate other income . . . . . . . . . . . . . . . . . . . . . . . Total revenues. . . . . . . . . . . . . . . . . . . . . . . . . Property operating expenses: Investment properties . . . . . . . . . . . . . . . . . . . . . . . . . Medical office buildings. . . . . . . . . . . . . . . . . . . . . . . Non-segment/corporate . . . . . . . . . . . . . . . . . . . . . . . Total property operating expenses . . . . . . . . . . Net operating income: $ 43,072 108,475 167,718 26,418 345,683 25,823 8,010 379,516 111,614 497 112,111 1,528 493,155 0 37,475 0 37,475 Investment properties . . . . . . . . . . . . . . . . . . . . . . . . . Medical office buildings. . . . . . . . . . . . . . . . . . . . . . . Non-segment/corporate . . . . . . . . . . . . . . . . . . . . . . . Net operating income . . . . . . . . . . . . . . . . . . . . . 379,516 74,636 1,528 $455,680 $ 66,402 117,009 161,642 43,796 388,849 40,063 7,899 436,811 133,332 930 134,262 1,692 572,765 0 46,629 0 46,629 436,811 87,633 1,692 $526,136 $ 77,673 113,011 167,425 44,968 403,077 40,885 13,728 457,690 136,834 949 137,783 1,170 596,643 0 48,965 0 48,965 457,690 88,818 1,170 $547,678 66 The table below reflects the reconciliation of Adjusted EBITDA to net income, the most directly comparable U.S. GAAP measure, for the periods presented. Interest expense and the provisions for depreciation and amor- tization include discontinued operations. Dollars are in thousands. Adjusted EBITDA Reconciliation: Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation and amortization . . . . . . . . . . . . . . . . . . . . Stock-based compensation expense . . . . . . . . . . . . . . . . Provision for loan losses . . . . . . . . . . . . . . . . . . . . . . . . Loss/(gain) on extinguishment of debt, net . . . . . . . . . . . Adjusted EBITDA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest Coverage Ratio: Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Non-cash interest expense . . . . . . . . . . . . . . . . . . . . . . . Capitalized interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . December 31, 2007 Year Ended December 31, 2008 December 31, 2009 $138,593 145,326 188 149,626 7,050 0 (1,081) $283,425 141,059 1,306 163,045 8,530 94 (2,094) $192,927 109,772 168 164,923 9,633 23,261 25,107 $439,702 $595,365 $525,791 $145,326 (8,413) 12,526 $141,059 (11,231) 25,029 154,857 $595,365 $109,772 (11,898) 41,170 139,044 $525,791 Total interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Adjusted EBITDA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149,439 $439,702 Adjusted interest coverage ratio . . . . . . . . . . . . . . . . . 2.94x 3.84x 3.78x Fixed Charge Coverage Ratio: Total interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Secured debt prinicipal amortization . . . . . . . . . . . . . . . Preferred dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total fixed charges. . . . . . . . . . . . . . . . . . . . . . . . . . . Adjusted EBITDA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $149,439 7,950 25,130 182,519 $439,702 $154,857 8,119 23,201 186,177 $595,365 $139,044 9,292 22,079 170,415 $525,791 Adjusted fixed charge coverage ratio . . . . . . . . . . . . . 2.41x 3.20x 3.09x Critical Accounting Policies Our consolidated financial statements are prepared in accordance with U.S. GAAP, which requires us to make estimates and assumptions. Management considers accounting estimates or assumptions critical if: • the nature of the estimates or assumptions is material due to the levels of subjectivity and judgment necessary to account for highly uncertain matters or the susceptibility of such matters to change; and • the impact of the estimates and assumptions on financial condition or operating performance is material. Management has discussed the development and selection of its critical accounting policies with the Audit Committee of the Board of Directors and the Audit Committee has reviewed the disclosure presented below relating to them. Management believes the current assumptions and other considerations used to estimate amounts reflected in our consolidated financial statements are appropriate and are not reasonably likely to change in the future. However, since these estimates require assumptions to be made that were uncertain at the time the estimate was made, they bear the risk of change. If actual experience differs from the assumptions and other considerations used in estimating amounts reflected in our consolidated financial statements, the resulting changes could have a material adverse effect on our consolidated results of operations, liquidity and/or financial condition. Please refer to Note 1 of our audited consolidated financial statements for further information on significant accounting policies that impact us. There were no material changes to these policies in 2009. 67 The following table presents information about our critical accounting policies, as well as the material assumptions used to develop each estimate: Nature of Critical Accounting Estimate Allowance for Losses on Loans Receivable The allowance for loan losses is maintained at a level believed adequate to absorb potential losses in our loans receivable. The determination of the allowance is based on a quarterly evaluation of all outstanding loans. If this evaluation indicates that there is a greater risk of loan charge-offs, additional allowances or placement on non- accrual status may be required. A loan is impaired when, based on current information and events, it is probable that we will be unable to collect all amounts due as scheduled according to the contractual terms of the original loan agreement. Consistent with this definition, all loans on non-accrual are deemed impaired. To the extent circumstances improve and the risk of collectability is diminished, we will return these loans to full accrual status. Business Combinations Substantially all of the properties owned by us are leased under operating leases and are recorded at cost. The cost of our real property is allocated to land, buildings, improvements and intangibles. Assumptions/ Approach Used The determination of the allowance is based on a quarterly evaluation of all outstanding loans, including general economic conditions and estimated collectability of loan payments and principal. We evaluate the collectability of our loans receivable based on a combination of factors, including, but not limited to, delinquency status, historical loan charge-offs, financial strength of the borrower and guarantors and value of the underlying property. As a result of our quarterly evaluations, we recorded $23,261,000 of provisions for loan losses during the year ended December 31, 2009. This amount includes the write-off of loans totaling $25,578,000 primarily relating to certain early stage senior housing operators offset by a reduction in the allowance for loan losses of $2,457,000. This results in an allowance for loan losses of $5,183,000 relating to loans with outstanding balances of $82,353,000 at December 31, 2009. Also at December 31, 2009, we had real estate loans with outstanding balances of $67,126,000 on non-accrual status. We compute depreciation and amortization on our properties using the straight-line method based on their estimated useful lives which range from 15 to 40 years for buildings and five to 15 years for improvements. Lives for intangibles are based on the remaining term of the underlying leases. For the year ended December 31, 2009, we recorded $121,510,000, $33,690,000 and $9,722,000 as provisions for depreciation and amortization relating to buildings, improvements and intangibles, respectively, discontinued operations. The average useful life of our buildings, improvements and intangibles was 36.7 years, 10.9 years and 8.4 years, respectively, for the year ended December 31, 2009. reclassified including amounts as 68 Nature of Critical Accounting Estimate Assumptions/ Approach Used is not Impairment of Long-Lived Assets We periodically review our long-lived assets for potential impairment. An impairment charge must be recognized when the carrying value of a long-lived asset recoverable. The carrying value is not recoverable if it exceeds the sum of the undiscounted cash flows expected to result from the use and eventual disposition of the asset. If it is determined that a permanent impairment of a long- lived asset has occurred, the carrying value of the asset is reduced to its fair value and an impairment charge is recognized for the difference between the carrying value and the fair value. Fair Value of Derivative Instruments The valuation of derivative instruments requires companies to record derivatives at fair market value on the balance sheet as assets or liabilities. Revenue Recognition Revenue is recorded in accordance with U.S. GAAP, which requires that revenue be recognized after four basic criteria are met. These four criteria include persuasive evidence of an arrangement, the rendering of service, fixed and determinable income and reasonably assured collectability. If the collectability of revenue is determined incorrectly, the amount and timing of our reported revenue could be significantly affected. Interest income on loans is recognized as earned based upon the principal amount outstanding subject to an evaluation of collectability risk. Substantially all of our operating leases contain fixed and/or contingent escalating rent structures. Leases with fixed annual rental escalators are generally recognized on a straight-line basis over the initial lease period, subject to a collectability assessment. Rental income related to leases with contingent rental escalators is generally recorded based on the contractual cash rental payments due for the period. the property level, The net book value of long-lived assets is reviewed quarterly on a property by property basis to determine if there are indicators of impairment. These indicators may include anticipated operating the tenant’s inability to make rent losses at payments, a decision to dispose of an asset before the end of its estimated useful life and changes in the market that may permanently reduce the value of the property. If indicators of impairment exist, then the undiscounted future cash flows from the most likely use of the property are compared to the current net book value. This analysis requires us to determine if indicators of impairment exist and to estimate the most likely stream of cash flows to be generated from the property during the period the property is expected to be held. that At December 31, 2009, we had seven medical office buildings, two skilled nursing facilities and one hospital satisfied the requirements for held for sale treatment. During the year ended December 31, 2009, impairment charges of $25,223,000 were recorded to further reduce the carrying value of the assets to their estimated fair value less costs to sell. In determining the fair value of the assets, we used a combination of third party appraisals based on market comparable transactions, other market listings and asset quality as well as third party offers to purchase. The valuation of derivative instruments requires us to make estimates and judgments that affect the fair value of the instruments. Fair values for our derivatives are estimated by utilizing pricing models that consider forward yield curves and discount rates. Such amounts and the recognition of such amounts are subject to significant estimates which may change in the future. At December 31, 2009, we participated in two interest rate swap agreements which are reported at their fair value of $2,381,000 and are included in other liabilities with the change in value recorded in accumulated other comprehensive income. We evaluate the collectability of our revenues and related receivables on an on-going basis. We evaluate collectability based on assumptions and other considerations including, but not limited to, the certainty of payment, payment history, the financial strength of the investment’s underlying operations as measured by cash flows and payment coverages, the value of the underlying collateral and guaranties and current economic conditions. If our evaluation indicates that collectability is not reasonably assured, we may place an investment on non-accrual or reserve against all or a portion of current income as an offset to revenue. rental income, income and $539,911,000 of For the year ended December 31, 2009, we recognized $40,885,000 of including interest discontinued operations. Cash receipts on leases with deferred revenue provisions were $30,674,000 as compared to gross straight- line rental income recognized of $19,415,000 for the year ended December 31, 2009. At December 31, 2009, our net straight-line receivable balance was $79,760,000, net of reserves totaling $273,000. Also at December 31, 2009, we had real estate loans with outstanding balances of $67,126,000 on non-accrual status. Impact of Inflation During the past three years, inflation has not significantly affected our earnings because of the moderate inflation rate. Additionally, our earnings are primarily long-term investments with fixed rates of return. These 69 investments are mainly financed with a combination of equity, senior unsecured notes and borrowings under our unsecured lines of credit arrangements. During inflationary periods, which generally are accompanied by rising interest rates, our ability to grow may be adversely affected because the yield on new investments may increase at a slower rate than new borrowing costs. Presuming the current inflation rate remains moderate and long-term interest rates do not increase significantly, we believe that inflation will not impact the availability of equity and debt financing for us. Item 7A. Quantitative and Qualitative Disclosures About Market Risk We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates. We seek to mitigate the effects of fluctuations in interest rates by matching the terms of new investments with new long-term fixed rate borrowings to the extent possible. We may or may not elect to use financial derivative instruments to hedge interest rate exposure. These decisions are principally based on our policy to match our variable rate investments with comparable borrowings, but are also based on the general trend in interest rates at the applicable dates and our perception of the future volatility of interest rates. This section is presented to provide a discussion of the risks associated with potential fluctuations in interest rates. We historically borrow on our unsecured line of credit arrangement to acquire, construct or make loans relating to health care and senior housing properties. Then, as market conditions dictate, we will issue equity or long-term fixed rate debt to repay the borrowings under the unsecured line of credit arrangement. A change in interest rates will not affect the interest expense associated with our fixed rate debt. Interest rate changes, however, will affect the fair value of our fixed rate debt. Changes in the interest rate environment upon maturity of this fixed rate debt could have an effect on our future cash flows and earnings, depending on whether the debt is replaced with other fixed rate debt, variable rate debt or equity or repaid by the sale of assets. To illustrate the impact of changes in the interest rate markets, we performed a sensitivity analysis on our fixed rate debt instruments whereby we modeled the change in net present values arising from a hypothetical 1% increase in interest rates to determine the instruments’ change in fair value. The following table summarizes the analysis performed as of the dates indicated (in thousands): December 31, 2009 December 31, 2008 Principal Balance Change in Fair Value Principal Balance Change in Fair Value Senior unsecured notes . . . . . . . . . . . . . . . . . . . . . . . . $1,661,853 491,094 Fixed rate secured debt . . . . . . . . . . . . . . . . . . . . . . . . $(129,350) (22,522) $1,845,000 448,378 $(112,438) (17,966) Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,152,947 $(151,872) $2,293,378 $(130,404) On August 7, 2009, we entered into an interest rate swap (the “August 2009 Swap”) for a total notional amount of $52,198,000 to hedge seven years of interest payments associated with long-term LIBOR based borrowings. The August 2009 Swap has an effective date of August 12, 2009 and a maturity date of September 1, 2016. The August 2009 Swap has the economic effect of fixing $52,198,000 at 3.93% plus a credit spread for seven years. The August 2009 Swap has been designated as a cash flow hedge and we expect it to be highly effective at offsetting changes in cash flows of interest payments on $52,198,000 of long-term debt due to changes in the LIBOR swap rate. On September 28, 2009, we entered into an interest rate swap (the “September 2009 Swap”) for a total notional amount of $48,155,000 to hedge seven years of interest payments associated with long-term LIBOR based borrowings. The September 2009 Swap has an effective date of September 30, 2009 and a maturity date of October 1, 2016. The September 2009 Swap has the economic effect of fixing $48,155,000 at 3.2675% plus a credit spread for seven years. The September 2009 Swap has been designated as a cash flow hedge and we expect it to be highly effective at offsetting changes in cash flows of interest payments on $48,155,000 of long-term debt due to changes in the LIBOR swap rate. Our variable rate debt, including our unsecured line of credit arrangement, is reflected at fair value. At December 31, 2009, we had $140,000,000 outstanding related to our variable rate line of credit and $131,952,000 outstanding related to our variable rate secured debt. Assuming no changes in outstanding balances, a 1% increase in interest rates would result in increased annual interest expense of $2,720,000. At December 31, 2008, we had 70 $570,000,000 outstanding related to our variable rate debt and assuming no changes in outstanding balances, a 1% increase in interest rates would have resulted in increased annual interest expense of $5,700,000. We are subject to risks associated with debt financing, including the risk that existing indebtedness may not be refinanced or that the terms of refinancing may not be as favorable as the terms of current indebtedness. The majority of our borrowings were completed under indentures or contractual agreements that limit the amount of indebtedness we may incur. Accordingly, in the event that we are unable to raise additional equity or borrow money because of these limitations, our ability to acquire additional properties may be limited. For additional information regarding fair values of financial instruments, see “Item 7 — Management’s Discussion and Analysis of Financial Condition and Results of Operations — Critical Accounting Policies” and Note 15 to our audited consolidated financial statements. 71 Item 8. Financial Statements and Supplementary Data REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM The Board of Directors and Shareholders of Health Care REIT, Inc. We have audited the accompanying consolidated balance sheets of Health Care REIT, Inc. as of December 31, 2009 and 2008, and the related consolidated statements of income, stockholders’ equity, and cash flows for each of the three years in the period ended December 31, 2009. Our audits also included the financial statement schedules listed in Item 15(a) (2) of this Form 10-K. These financial statements and schedules are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements and schedules 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 Health Care REIT, Inc. at December 31, 2009 and 2008, and the consolidated results of its operations and its cash flows for each of the three years in the period ended December 31, 2009, in conformity with U.S. generally accepted accounting principles. Also, in our opinion, the related financial statement schedules, when considered in relation to the basic financial statements taken as a whole, present fairly in all material respects the information set forth therein. As discussed in Note 21 to the consolidated financial statements, the accompanying consolidated financial statements have been retrospectively adjusted for the adoption of new accounting standards which changed the presentation of noncontrolling interests in subsidiaries and the accounting for convertible debt instruments that may be settled in cash upon conversion. We have also audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), Health Care REIT, Inc.’s internal control over financial reporting as of December 31, 2009, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Orga- nizations of the Treadway Commission and our report dated February 26, 2010 expressed an unqualified opinion thereon. Toledo, Ohio February 26, 2010 /s/ ERNST & YOUNG LLP 72 HEALTH CARE REIT, INC. CONSOLIDATED BALANCE SHEETS December 31, 2009 2008 (In thousands) ASSETS Real estate investments: Real property owned Land and land improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Buildings and improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Acquired lease intangibles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Real property held for sale, net of accumulated depreciation . . . . . . . . . . . . Construction in progress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less accumulated depreciation and amortization . . . . . . . . . . . . . . . . . . . . . Total real property owned . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Real estate loans receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less allowance for losses on loans receivable . . . . . . . . . . . . . . . . . . . . . . . . . Net real estate investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 521,055 5,185,328 127,390 45,686 456,832 6,336,291 (677,851) 5,658,440 427,363 (5,183) 422,180 6,080,620 Other assets: Equity investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deferred loan expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Restricted cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Receivables and other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,816 22,698 35,476 23,237 199,339 286,566 Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,367,186 $ 504,907 4,653,871 133,324 48,054 639,419 5,979,575 (600,781) 5,378,794 482,885 (7,500) 475,385 5,854,179 1,030 23,579 23,370 154,070 158,803 360,852 $ 6,215,031 LIABILITIES AND STOCKHOLDERS’ EQUITY Liabilities: Borrowings under unsecured lines of credit arrangements . . . . . . . . . . . . . . . $ Senior unsecured notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Secured debt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accrued expenses and other liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Stockholders’ equity: Preferred stock, $1.00 par value: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Authorized — 50,000,000 shares Issued and outstanding — 11,474,093 shares in 2009 and 11,516,302 shares in 2008 at liquidation preference Common stock, $1.00 par value: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Authorized — 225,000,000 shares Issued — 123,583,242 shares in 2009 and 104,835,626 shares in 2008 Outstanding — 123,385,317 shares in 2009 and 104,703,702 shares in 140,000 1,653,027 620,995 145,713 2,559,735 $ 570,000 1,831,151 446,525 129,070 2,976,746 288,683 289,929 123,385 104,635 2008 3,900,666 Capital in excess of par value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (7,619) Treasury stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,547,669 Cumulative net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2,057,658) Cumulative dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2,891) Accumulated other comprehensive income. . . . . . . . . . . . . . . . . . . . . . . . . . 4,804 Other equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,797,039 Total Health Care REIT, Inc. stockholders’ equity . . . . . . . . . . . . . . . . . . 10,412 Noncontrolling interests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,807,451 Total equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities and equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,367,186 3,204,690 (5,145) 1,354,400 (1,723,819) (1,113) 4,105 3,227,682 10,603 3,238,285 $ 6,215,031 See accompanying notes 73 HEALTH CARE REIT, INC. CONSOLIDATED STATEMENTS OF INCOME Year Ended December 31, 2008 (In thousands, except per share data) 2009 2007 Revenues: Rental income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $520,300 40,885 Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,388 Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,400 Prepayment fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 568,973 $475,822 40,063 10,521 0 526,406 $393,628 25,823 10,035 0 429,486 Expenses: Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Property operating expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation and amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General and administrative . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Realized loss on derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loss (gain) on extinguishment of debt . . . . . . . . . . . . . . . . . . . . . . . . . Provision for loan losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income from continuing operations before income taxes . . . . . . . . . . . . . Income tax (expense) benefit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income from continuing operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Discontinued operations: 106,231 45,896 157,049 49,691 0 25,107 23,261 407,235 161,738 (168) 161,570 130,153 42,634 144,361 47,193 23,393 (2,094) 94 385,734 140,672 (1,306) 139,366 131,271 33,410 124,232 37,465 0 (1,081) 0 325,297 104,189 (188) 104,001 Gain (loss) on sales of properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Impairment of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Income from discontinued operations, net . . . . . . . . . . . . . . . . . . . . . . 43,394 (25,223) 13,186 31,357 192,927 Net income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22,079 Less: Preferred stock dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (342) Net income attributable to noncontrolling interests . . . . . . . . . . . . . . . . . . Net income attributable to common stockholders . . . . . . . . . . . . . . . . . . . $171,190 163,933 (32,648) 12,774 144,059 283,425 23,201 126 $260,098 14,437 0 20,155 34,592 138,593 25,130 238 $113,225 Average number of common shares outstanding: Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114,207 114,612 93,732 94,309 78,861 79,409 Earnings per share: Basic: Income from continuing operations attributable to common stockholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Discontinued operations, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net income attributable to common stockholders* . . . . . . . . . . . . . . $ Diluted: Income from continuing operations attributable to common stockholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Discontinued operations, net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net income attributable to common stockholders* . . . . . . . . . . . . . . . . $ 1.22 0.27 1.50 1.22 0.27 1.49 $ $ $ $ 1.24 1.54 2.77 1.23 1.53 2.76 $ $ $ $ 1.00 0.44 1.44 0.99 0.44 1.43 * Amounts may not sum due to rounding See accompanying notes 74 HEALTH CARE REIT, INC. CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY Preferred Stock Common Stock Capital in Excess of Par Value Treasury Stock Accumulated Other Comprehensive Income (In thousands, except per share data) Cumulative Dividends Cumulative Net Income Other Equity Noncontrolling Interests Total . . . . . . . . . . . . . . . . . . . . . . . $338,993 $ 73,152 $1,880,221 $(2,866) $ 932,746 $(1,238,860) . . . 138,355 $ (135) $1,845 $ 2,228 238 $1,987,324 138,593 Balances at December 31, 2006 . . . . . Net income . . . Other comprehensive income: . . . . . Unrealized loss on equity investments . . . Unrealized actuarial gain/(loss) . . Cash flow hedge activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total comprehensive income . . . . . . . . . . . . . . . . . Adjustment to adopt FSP14-1 . . . . . Contributions by noncontrolling interests . . Distributions to noncontrolling interests. . . Amounts related to issuance of common stock from . . . . . . . . . . . . . . . . . . . . . . . . . . . 17,652 . . . . . dividend reinvestment and stock incentive plans, net of . . . forfeitures . . . . . . . . . . . . . . . . . . Option compensation expense . . . . . Net proceeds from sale of common stock . . Conversion of preferred stock . . . . . Cash dividends: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,223 85,080 (1,086) (8,750) 9,825 212 402,608 8,538 (192) 140 (7,194) 7,640 (419) (250) 1,106 (192) 140 (7,194) 131,347 17,652 7,640 (419) 85,967 1,106 412,433 0 (182,969) (7,875) (112) (13,344) (3,799) (182,969) (7,875) (112) (13,344) (3,799) . . . Common stock-$2.2791 per share . . Preferred stock, Series D-$1.96875 per share . Preferred stock, Series E-$1.50 per share . . . Preferred stock, Series F-$1.90625 per share . . Preferred stock, Series G-$1.875 per share . . . . . Balances at December 31, 2007 . . . . . Net income . . . Other comprehensive income . . . . . . . . . . . . . . . . . . . . . Unrealized loss on equity investments . . . Unrealized actuarial gain/(loss) . . Cash flow hedge activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total comprehensive income . . . . . . . . . . . . . . . . . Contributions by noncontrolling interests . . Distributions to noncontrolling interests. . . Amounts related to issuance of common . . . . . . . . . . . . . . . . stock from dividend reinvestment and stock incentive plans, net of forfeitures . . . . . . . . . . . . . Conversion of preferred stock . . . . . Option compensation expense . . . Net proceeds from sale of common stock . . Cash dividends: . . . . . . . . . . . . . . . Common stock-$2.70 per share . . . . Preferred stock, Series D-$1.96875 per share . Preferred stock, Series E-$1.50 per share . . . Preferred stock, Series F-$1.90625 per share . . Preferred stock, Series G-$1.875 per share . . . . . Balances at December 31, 2008 . . . . . Net income . . . Other comprehensive income: . . . . . . . . . . . . . . . . . . . . . Unrealized loss on equity investments . . . Unrecognized actuarial gain/(loss) . . . . . . Cash flow hedge activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 330,243 85,412 2,394,099 (3,952) 1,071,101 283,299 (1,446,959) (7,381) 2,701 9,687 126 2,434,951 283,425 (40,314) 1,804 975 76,013 39,339 (1,193) 16,444 695,239 (846) (715) 7,829 3,556 (2,766) (99) 1,503 (846) (715) 7,829 289,693 3,556 (2,766) 76,525 0 1,503 711,683 (253,659) (7,875) (112) (13,344) (1,870) (253,659) (7,875) (112) (13,344) (1,870) 289,929 104,635 3,204,690 (5,145) 1,354,400 193,269 (1,723,819) (1,113) 4,105 10,603 (342) 3,238,285 192,927 Total comprehensive income . . . . . . . . . . . . . . . . . Contributions by noncontrolling interests . . Distributions to noncontrolling interests. . . Amounts related to issuance of common . . . . . . . . . . . . . . . . stock from dividend reinvestment and stock incentive plans, net of forfeitures . . . . . . . . . . . . . Conversion of preferred stock . . . Option compensation expense . . . . . Net proceeds from sale of common stock . . Cash dividends: . . . . . . . . . . . . . . . Common stock-$2.72 per share . . . . Preferred stock, Series D-$1.96875 per share . Preferred stock, Series E-$1.50 per share . . . Preferred stock, Series F-$1.90625 per share . . Preferred stock, Series G-$1.875 per share . . . . . (1,246) 1,751 30 66,690 1,216 (2,474) 16,969 628,070 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (311,760) (7,875) (112) (13,344) (748) 487 277 (2,542) 2,255 (2,104) (930) 1,629 487 277 (2,542) 191,149 2,255 (2,104) 65,037 0 1,629 645,039 (311,760) (7,875) (112) (13,344) (748) Balances at December 31, 2009 . . . . . . . . . . . . . . $288,683 $123,385 $3,900,666 $(7,619) $1,547,669 $(2,057,658) $(2,891) $4,804 $10,412 $3,807,451 See accompanying notes 75 HEALTH CARE REIT, INC. CONSOLIDATED STATEMENTS OF CASH FLOWS Operating activities Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Adjustments to reconcile net income to net cash provided from operating activities: Depreciation and amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other amortization expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Stock-based compensation expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provision for loan losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Impairment of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loss (gain) on extinguishment of debt, net . . . . . . . . . . . . . . . . . . . . . . . . . . Gain on sale of investment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amortization of above/below market leases, net . . . . . . . . . . . . . . . . . . . . . . Rental income less than (in excess of) cash received . . . . . . . . . . . . . . . . . . . Loss (gain) on sales of properties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other income less than (in excess of) cash received . . . . . . . . . . . . . . . . . . . . Deferred gain on sales of properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Increase (decrease) in accrued expenses and other liabilities . . . . . . . . . . . . . . Decrease (increase) in receivables and other assets. . . . . . . . . . . . . . . . . . . . . Net cash provided from operating activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investing activities Investment in real property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Capitalized interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment in loans receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other investments, net of payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Principal collected on loans receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment in Rendina/Paramount, net of cash assumed . . . . . . . . . . . . . . . . . . . . . Decrease (increase) in restricted cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proceeds from sales of properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net cash provided used in investing activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . Financing activities Net increase (decrease) under unsecured lines of credit arrangements . . . . . . . . . . . Proceeds from issuance of secured debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proceeds from derivative transactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Proceeds from issuance of senior unsecured notes. . . . . . . . . . . . . . . . . . . . . . . . . Payments to extinguish senior unsecured notes . . . . . . . . . . . . . . . . . . . . . . . . . . . Payments to extinguish liability to subsidiary trust issuing preferred securities . . . . . Payments to extinguish secured debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net proceeds from the issuance of common stock . . . . . . . . . . . . . . . . . . . . . . . . . Contributions by noncontrolling interests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distributions to noncontrolling interests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Decrease (increase) in deferred loan expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash distributions to stockholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2009 Year Ended December 31, 2008 (In thousands) 2007 $ 192,927 $ 283,425 $ 138,593 164,923 15,412 9,633 23,261 25,223 25,107 0 (1,713) 11,259 (43,394) (5,000) 0 (311) (36,068) 381,259 163,045 14,837 8,530 94 32,648 (2,094) 0 (1,039) 7,793 (163,933) 0 3,708 17,363 (3,694) 149,626 9,065 7,050 0 0 (1,081) (3,900) (792) 440 (14,437) 0 0 (3,253) 2,676 360,683 283,987 (598,959) (41,170) (74,417) (22,133) 111,779 0 130,833 224,007 (1,072,376) (25,029) (83,109) (21,725) 18,169 0 (138,502) 287,047 (631,209) (12,526) (235,894) (26,930) 52,346 (141,963) (7,578) 98,314 (270,060) (1,035,525) (905,440) (430,000) 276,277 0 0 (201,048) 0 (107,736) 704,533 2,255 (2,104) (7,431) (333,839) 263,000 0 0 0 (42,330) 0 (58,594) 782,285 3,556 (2,766) (348) (276,860) 82,000 0 2,858 388,943 (52,500) (50,000) (37,758) 491,593 2,865 (419) (3,977) (208,099) Net cash provided from (used in) financing activities . . . . . . . . . . . . . . . . . . . . . . (99,093) 667,943 615,506 Increase (decrease) in cash and cash equivalents . . . . . . . . . . . . . . . . . . . . . . . . . . Cash and cash equivalents at beginning of year . . . . . . . . . . . . . . . . . . . . . . . . . . 12,106 23,370 (6,899) 30,269 (5,947) 36,216 Cash and cash equivalents at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 35,476 $ 23,370 $ 30,269 See accompanying notes 76 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 1. Accounting Policies and Related Matters Business Health Care REIT, Inc., an S&P 500 company with headquarters in Toledo, Ohio, is an equity real estate investment trust (“REIT”) that invests in senior housing and health care real estate. Our full service platform also offers property management and development services to our customers. As of December 31, 2009, our broadly diversified portfolio consisted of 590 properties in 39 states. Founded in 1970, we were the first real estate investment trust to invest exclusively in health care facilities. More information is available on our website at www.hcreit.com. Principles of Consolidation The consolidated financial statements include our accounts, the accounts of our wholly-owned subsidiaries and the accounts of our majority owned and controlled joint ventures. All material intercompany accounts and transactions have been eliminated. Use of Estimates The preparation of the financial statements in conformity with U.S. generally accepted accounting principles (“U.S. GAAP”) requires us to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Actual results could differ from those estimates. Revenue Recognition Revenue is recorded in accordance with U.S. GAAP, which requires that revenue be recognized after four basic criteria are met. These four criteria include persuasive evidence of an arrangement, the rendering of service, fixed and determinable income and reasonably assured collectability. Interest income on loans is recognized as earned based upon the principal amount outstanding subject to an evaluation of collectability risk. Substantially all of our operating leases contain either fixed or contingent escalating rent structures. Leases with fixed annual rental escalators are generally recognized on a straight-line basis over the initial lease period, subject to a collectability assessment. Rental income related to leases with contingent rental escalators is generally recorded based on the contractual cash rental payments due for the period. Cash and Cash Equivalents Cash and cash equivalents consist of all highly liquid investments with an original maturity of three months or less. Restricted Cash Restricted cash primarily consists of amounts held by lenders to provide future payments for real estate taxes, insurance, tenant and capital improvements and amounts held in escrow relating to acquisitions we are entitled to receive over a period of time as outlined in the escrow agreement. Deferred Loan Expenses Deferred loan expenses are costs incurred by us in connection with the issuance, assumption and amendments of debt arrangements. We amortize these costs over the term of the debt using the straight-line method, which approximates the effective interest method. 77 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) Equity Investments Equity investments at December 31, 2009 and 2008 include an investment in a public company that has a readily determinable fair market value. We classify this equity investment as available-for-sale and, accordingly, record this investment at its fair market value with unrealized gains and losses included in accumulated other comprehensive income, a separate component of stockholders’ equity. Equity investments at December 31, 2009 and 2008 also include an investment in a private company. We do not have the ability to exercise influence over the company, so the investment is accounted for under the cost method. Under the cost method of accounting, investments in private companies are carried at cost and are adjusted only for other-than-temporary declines in fair value, return of capital and additional investments. These equity investments represented a minimal ownership interest in these companies. Additionally, equity investments at December 31, 2009 include an investment in an unconsolidated joint venture. Investments in Unconsolidated Joint Ventures Investments in entities which we do not consolidate but for which we have the ability to exercise significant influence over operating and financial policies are reported under the equity method of accounting. Under the equity method of accounting, our share of the investee’s earnings or losses is included in our consolidated results of operations. The initial carrying value of investments in unconsolidated joint ventures is based on the amount paid to purchase the joint venture interest or the estimated fair value of the assets prior to the sale of interests in the joint venture. We evaluate our equity method investments for impairment based upon a comparison of the estimated fair value of the equity method investment to its carrying value. When we determine a decline in the estimated fair value of such an investment below its carrying value is other-than-temporary, an impairment is recorded. Real Property Owned Real property developed by us is recorded at cost, including the capitalization of construction period interest. The cost of real property acquired is allocated to net tangible and identifiable intangible assets based on their respective fair values. Substantially all of the properties owned by us are leased under operating leases and are recorded at cost. These properties are depreciated on a straight-line basis over their estimated useful lives which range from 15 to 40 years for buildings and five to 15 years for improvements. We consider costs incurred in conjunction with re-leasing properties, including tenant improvements and lease commissions, to represent the acquisition of productive assets and, accordingly, such costs are reflected as investment activities in our statement of cash flows. The remaining purchase price is allocated among identifiable intangible assets primarily consisting of the above or below market component of in-place leases and the value of in-place leases. The value allocable to the above or below market component of the acquired in-place lease is determined based upon the present value (using a discount rate which reflects the risks associated with the acquired leases) of the difference between (i) the contractual amounts to be paid pursuant to the lease over its remaining term, and (ii) management’s estimate of the amounts that would be paid using fair market rates over the remaining term of the lease. The amounts allocated to above market leases are included in acquired lease intangibles and below market leases are included in other liabilities in the balance sheet and are amortized to rental income over the remaining terms of the respective leases. The total amount of other intangible assets acquired is further allocated to in-place lease values and customer relationship values based on management’s evaluation of the specific characteristics of each tenant’s lease and the Company’s overall relationship with that respective tenant. Characteristics considered by management in allocating these values include the nature and extent of the Company’s existing business relationships with the tenant, growth prospects for developing new business with the tenant, the tenant’s credit quality and expectations of lease renewals, 78 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) among other factors. The estimated aggregate amortization expense for acquired lease intangibles is expected to be recognized over a weighted average period of 30.0 years and is as follows for the periods indicated (in thousands): 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,895 8,204 6,517 5,583 4,889 62,605 Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $97,693 The net book value of long-lived assets is reviewed quarterly on a property by property basis to determine if facts and circumstances suggest that the assets may be impaired or that the depreciable life may need to be changed. We consider external factors relating to each asset. If these external factors and the projected undiscounted cash flows of the asset over the remaining depreciation period indicate that the asset will not be recoverable, the carrying value is reduced to the estimated fair market value. Capitalization of Construction Period Interest We capitalize interest costs associated with funds used to finance the construction of properties owned directly by us. The amount capitalized is based upon the balance outstanding during the construction period using the rate of interest which approximates our cost of financing. We capitalized interest costs of $41,170,000, $25,029,000, and $12,526,000 during 2009, 2008 and 2007, respectively, related to construction of real property owned by us. Our interest expense reflected in the consolidated statements of income has been reduced by the amounts capitalized. Gain on Sale of Assets We recognize sales of assets only upon the closing of the transaction with the purchaser. Payments received from purchasers prior to closing are recorded as deposits and classified as other assets on our Consolidated Balance Sheets. Gains on assets sold are recognized using the full accrual method upon closing when the collectability of the sales price is reasonably assured, we are not obligated to perform significant activities after the sale to earn the profit, we have received adequate initial investment from the buyer and other profit recognition criteria have been satisfied. Gains may be deferred in whole or in part until the sales satisfy the requirements of gain recognition on sales of real estate. Real Estate Loans Receivable Real estate loans receivable consist of mortgage loans and other real estate loans. Interest income on loans is recognized as earned based upon the principal amount outstanding subject to an evaluation of collectability risks. The loans are primarily collateralized by a first, second or third mortgage lien, a leasehold mortgage on, or an assignment of the partnership interest in, the related properties, corporate guaranties and/or personal guaranties. Allowance for Losses on Loans Receivable The allowance for losses on loans receivable is maintained at a level believed adequate to absorb potential losses in our loans receivable. The determination of the allowance is based on a quarterly evaluation of these loans, including general economic conditions and estimated collectability of loan payments. We evaluate the collectability of our loans receivable based on a combination of factors, including, but not limited to, delinquency status, historical loan charge-offs, financial strength of the borrower and guarantors and value of the underlying collateral. If such factors indicate that there is greater risk of loan charge-offs, additional allowances or placement on non- accrual status may be required. A loan is impaired when, based on current information and events, it is probable that 79 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) we will be unable to collect all amounts due as scheduled according to the contractual terms of the original loan agreement. Consistent with this definition, all loans on non-accrual are deemed impaired. At December 31, 2009, we had loans with outstanding balances of $67,126,000 on non-accrual status ($72,770,000 at December 31, 2008). To the extent circumstances improve and the risk of collectability is diminished, we will return these loans to full accrual status. While a loan is on non-accrual status, any cash receipts are applied against the outstanding principal balance. Fair Value of Derivative Instruments The valuation of derivative instruments requires us to make estimates and judgments that affect the fair value of the instruments. Fair values for our derivatives are estimated by utilizing pricing models that consider forward yield curves and discount rates. Such amounts and the recognition of such amounts are subject to significant estimates that may change in the future. See Note 9 for additional information. Federal Income Tax No provision has been made for federal income taxes since we have elected to be treated as a real estate investment trust under the applicable provisions of the Internal Revenue Code, and we believe that we have met the requirements for qualification as such for each taxable year. Our taxable REIT subsidiaries are subject to federal, state and local income taxes. See Note 13 for additional information. Earnings Per Share Basic earnings per share is computed by dividing net income available to common stockholders by the weighted-average number of shares outstanding for the period adjusted for non-vested shares of restricted stock. The computation of diluted earnings per share is similar to basic earnings per share, except that the number of shares is increased to include the number of additional common shares that would have been outstanding if the potentially dilutive common shares had been issued. Segment Reporting We report consolidated financial statements in accordance with U.S. GAAP. Segments are based on our method of internal reporting which classifies operations by leasing activities. Our segments include investment properties and medical office buildings. See Note 18 for additional information. New Accounting Standards In June 2009, the Financial Accounting Standards Board (“FASB”) amended the consolidation guidance for variable interest entities. The new guidance requires enterprises to perform a qualitative approach to determining whether or not a variable interest entity will need to be consolidated on a continuous basis. This evaluation will be based on an enterprise’s ability to direct and influence the activities of a variable interest entity that most significantly impact its economic performance. This amendment is effective for interim periods and fiscal years beginning after November 15, 2009. We do not expect adoption of this guidance to have a material impact on our consolidated financial position or results of operations, although additional disclosures may be required. Reclassifications Certain amounts in prior years have been reclassified to conform to the current year presentation. 80 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) 2. Real Property Owned The following is a summary of our real property investment activity for the periods presented (in thousands): December 31, 2009 Medical Office Buildings Investment Properties Totals Year Ended December 31, 2008 Medical Office Buildings Investment Properties Totals December 31, 2007 Medical Office Buildings Investment Properties Totals(1) Real property acquisitions: Independent living/CCRCs. . . . . Assisted living facilities . . . . . . Skilled nursing facilities . . . . . . $ 11,650 20,500 Hospitals . . . . . . . . . . . . . . . . Medical office buildings . . . . . . Land parcels . . . . . . . . . . . . . . $ 68,300 45,490 11,360 196,303 10,000 $ 11,650 20,500 35,523 0 $ 35,523 $ 68,300 $ 43,000 36,233 45,490 122,875 11,360 11,923 196,303 121,809 10,000 8,928 $121,809 $ 43,000 36,233 122,875 11,923 381,134 8,928 $ 381,134 Total acquisitions . . . . . . . . . . . 32,150 35,523 67,673 331,453 121,809 453,262 222,959 381,134 604,093 Less: Assumed debt . . . . . . . . . . . . . Assumed other assets/(liabilities) . . . . . . . . . Cash disbursed for acquisitions . . . Construction in progress additions: Independent living/CCRCs. . . . . Assisted living facilities . . . . . . Skilled nursing facilities . . . . . . Hospitals . . . . . . . . . . . . . . . . Medical office buildings . . . . . . 0 0 0 (166,188) (166,188) (1,899) (1,899) (2,432) (2,432) 32,150 35,523 67,673 331,453 119,910 451,363 222,959 212,514 435,473 166,381 143,929 23,262 113,907 166,381 143,929 23,262 113,907 107,853 272,136 147,486 29,429 77,642 107,853 Total CIP additions . . . . . . . . . 447,479 107,853 555,332 526,693 Less: Capitalized interest . . . . . . . . . Capitalized other . . . . . . . . . . . . . . . . . . . . . . . . . Accruals(2) (35,891) 0 0 (5,078) 0 (21,466) (40,969) 0 (21,466) (22,716) (119) 272,136 147,486 29,429 77,642 93,907 154,648 55,929 21,924 60,326 154,648 55,929 21,924 60,326 14,688 14,688 620,600 292,827 14,688 307,515 (12,134) (279) (25,029) (119) 0 (12,413) 0 0 93,907 93,907 (2,313) Cash disbursed for CIP . . . . . . . . Capital improvements . . . . . . . . . 411,588 19,227 81,309 19,162 492,897 38,389 503,858 17,468 91,594 8,093 595,452 25,561 280,693 34,680 14,409 5,296 295,102 39,976 Total cash invested in real property . . . . . . . . . . . . . . . . . $462,965 $135,994 $598,959 $852,779 $219,597 $1,072,376 $538,332 $ 232,219 $ 770,551 (1) 2007 includes the Rendina/Paramount acquisition. (2) Represents non-cash accruals for amounts to be paid in future periods relating to properties that converted in the period noted above. 81 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) The following is a summary of the development projects that were placed into service and began earning rent during the periods presented (in thousands): Year Ended December 31, 2009 Medical Office Buildings Investment Properties Totals December 31, 2008 Medical Office Buildings Investment Properties Totals December 31, 2007 Investment Properties Totals Development projects: Independent living/CCRCs . . . . . . . . . . . . . $285,336 219,801 Assisted living facilities . . . . . . . . . . . . . . . Skilled nursing facilities . . . . . . . . . . . . . . 45,367 Hospitals . . . . . . . . . . . . . . . . . . . . . . . . Medical office buildings . . . . . . . . . . . . . . Total development projects . . . . . . . . . . . Expansion projects . . . . . . . . . . . . . . . . . . . . 550,504 4,288 $285,336 $144,088 45,956 16,918 35,151 219,801 45,367 0 183,127 733,631 4,288 242,113 40,954 $144,088 $ 22,601 $ 22,601 56,599 56,599 16,568 16,568 33,771 33,771 0 45,956 16,918 35,151 11,823 253,936 40,954 129,539 2,489 129,539 2,489 $11,823 11,823 $183,127 183,127 Total construction conversions . . . . . . . . . . . . $554,792 $183,127 $737,919 $283,067 $11,823 $294,890 $132,028 $132,028 The following table summarizes certain information about our real property owned as of December 31, 2009 (dollars in thousands): Number of Properties Land Buildings, Intangibles & Improvements Gross Investment Accumulated Depreciation and Amortization Independent Living/CCRC Facilities: Arizona . . . . . . . . . . . . . . . . . . . . . . California . . . . . . . . . . . . . . . . . . . . . Colorado . . . . . . . . . . . . . . . . . . . . . Florida . . . . . . . . . . . . . . . . . . . . . . . Georgia . . . . . . . . . . . . . . . . . . . . . . Idaho . . . . . . . . . . . . . . . . . . . . . . . . Indiana . . . . . . . . . . . . . . . . . . . . . . . Kansas . . . . . . . . . . . . . . . . . . . . . . . Massachusetts . . . . . . . . . . . . . . . . . . Missouri . . . . . . . . . . . . . . . . . . . . . . Nevada . . . . . . . . . . . . . . . . . . . . . . . North Carolina . . . . . . . . . . . . . . . . . South Carolina . . . . . . . . . . . . . . . . . Texas . . . . . . . . . . . . . . . . . . . . . . . . Washington . . . . . . . . . . . . . . . . . . . Wisconsin. . . . . . . . . . . . . . . . . . . . . Construction in progress . . . . . . . . . . 1 8 2 4 4 1 2 1 1 1 1 3 6 1 1 1 2 $ 950 20,174 10,766 15,006 9,696 550 3,120 1,400 3,500 510 1,144 15,970 20,490 4,790 620 400 0 9,086 $ 156,951 71,135 150,804 75,555 14,740 100,734 11,000 54,099 5,490 10,831 32,909 220,432 7,100 4,780 23,237 0 $ 10,036 177,125 81,901 165,810 85,251 15,290 103,854 12,400 57,599 6,000 11,975 48,879 240,922 11,890 5,400 23,637 158,684 40 109,086 948,883 1,216,653 $ 2,364 14,267 3,480 17,754 14,274 2,930 5,298 845 0 430 5,735 2,688 8,395 1,756 792 606 0 81,614 82 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) Number of Properties Land Building, Intangibles & Improvements Gross Investment Accumulated Depreciation and Amortization Assisted Living Facilities: Arizona . . . . . . . . . . . . . . . . . . . . . . California . . . . . . . . . . . . . . . . . . . . . Colorado . . . . . . . . . . . . . . . . . . . . . Connecticut . . . . . . . . . . . . . . . . . . . Delaware . . . . . . . . . . . . . . . . . . . . . Florida . . . . . . . . . . . . . . . . . . . . . . . Georgia . . . . . . . . . . . . . . . . . . . . . . Illinois . . . . . . . . . . . . . . . . . . . . . . . Indiana . . . . . . . . . . . . . . . . . . . . . . . Iowa. . . . . . . . . . . . . . . . . . . . . . . . . Kansas . . . . . . . . . . . . . . . . . . . . . . . Louisiana . . . . . . . . . . . . . . . . . . . . . Massachusetts . . . . . . . . . . . . . . . . . . Mississippi . . . . . . . . . . . . . . . . . . . . Montana . . . . . . . . . . . . . . . . . . . . . . Nevada . . . . . . . . . . . . . . . . . . . . . . . New Jersey . . . . . . . . . . . . . . . . . . . . New York . . . . . . . . . . . . . . . . . . . . . North Carolina . . . . . . . . . . . . . . . . . Ohio. . . . . . . . . . . . . . . . . . . . . . . . . Oklahoma. . . . . . . . . . . . . . . . . . . . . Oregon . . . . . . . . . . . . . . . . . . . . . . . Pennsylvania . . . . . . . . . . . . . . . . . . South Carolina . . . . . . . . . . . . . . . . . Tennessee . . . . . . . . . . . . . . . . . . . . . Texas . . . . . . . . . . . . . . . . . . . . . . . . Utah . . . . . . . . . . . . . . . . . . . . . . . . . Virginia . . . . . . . . . . . . . . . . . . . . . . Washington . . . . . . . . . . . . . . . . . . . Wisconsin. . . . . . . . . . . . . . . . . . . . . Construction in progress . . . . . . . . . . 3 7 1 5 1 10 1 6 2 1 1 1 5 1 3 4 2 3 40 7 17 1 4 2 3 21 1 4 5 9 5 $ 3,060 7,970 940 8,030 560 5,307 460 10,661 220 1,403 600 1,100 5,590 520 1,460 5,520 740 1,930 15,514 3,294 3,134 449 4,894 642 5,581 9,495 360 2,509 5,010 7,610 0 $ 10,921 54,031 3,721 38,300 21,220 61,820 1,304 65,266 5,520 35,893 10,590 10,161 49,051 7,675 14,772 71,652 7,447 31,917 181,382 30,985 37,420 5,172 41,219 7,308 34,177 94,384 6,700 32,425 45,201 79,936 0 $ 13,981 62,001 4,661 46,330 21,780 67,127 1,764 75,927 5,740 37,296 11,190 11,261 54,641 8,195 16,232 77,172 8,187 33,847 196,896 34,279 40,554 5,621 46,113 7,950 39,758 103,878 7,060 34,934 50,211 87,546 87,234 $ 2,127 10,863 816 7,648 2,900 16,542 243 2,332 1,311 80 1,473 5,079 7,614 1,296 2,887 5,920 1,611 2,947 39,559 10,058 9,027 1,579 3,127 1,526 2,627 13,411 961 4,599 3,966 5,229 0 176 114,563 1,097,570 1,299,366 169,358 83 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) Number of Properties Land Building, Intangibles & Improvements Gross Investment Accumulated Depreciation and Amortization Skilled Nursing Facilities: Alabama. . . . . . . . . . . . . . . . . . . . . . Arizona . . . . . . . . . . . . . . . . . . . . . . Colorado . . . . . . . . . . . . . . . . . . . . . Connecticut . . . . . . . . . . . . . . . . . . . Florida . . . . . . . . . . . . . . . . . . . . . . . Georgia . . . . . . . . . . . . . . . . . . . . . . Idaho . . . . . . . . . . . . . . . . . . . . . . . . Illinois . . . . . . . . . . . . . . . . . . . . . . . Indiana . . . . . . . . . . . . . . . . . . . . . . . Kansas . . . . . . . . . . . . . . . . . . . . . . . Kentucky . . . . . . . . . . . . . . . . . . . . . Louisiana . . . . . . . . . . . . . . . . . . . . . Maryland . . . . . . . . . . . . . . . . . . . . . Massachusetts . . . . . . . . . . . . . . . . . . Mississippi . . . . . . . . . . . . . . . . . . . . Missouri . . . . . . . . . . . . . . . . . . . . . . New Hampshire . . . . . . . . . . . . . . . . New Jersey . . . . . . . . . . . . . . . . . . . . Ohio. . . . . . . . . . . . . . . . . . . . . . . . . Oklahoma. . . . . . . . . . . . . . . . . . . . . Oregon . . . . . . . . . . . . . . . . . . . . . . . Pennsylvania . . . . . . . . . . . . . . . . . . Tennessee . . . . . . . . . . . . . . . . . . . . . Texas . . . . . . . . . . . . . . . . . . . . . . . . Virginia . . . . . . . . . . . . . . . . . . . . . . Assets held for sale. . . . . . . . . . . . . . Hospitals: California . . . . . . . . . . . . . . . . . . . . . Idaho . . . . . . . . . . . . . . . . . . . . . . . . Indiana . . . . . . . . . . . . . . . . . . . . . . . Kentucky . . . . . . . . . . . . . . . . . . . . . Louisiana . . . . . . . . . . . . . . . . . . . . . New Jersey . . . . . . . . . . . . . . . . . . . . Ohio. . . . . . . . . . . . . . . . . . . . . . . . . Oklahoma. . . . . . . . . . . . . . . . . . . . . Texas . . . . . . . . . . . . . . . . . . . . . . . . Wisconsin. . . . . . . . . . . . . . . . . . . . . Construction in progress . . . . . . . . . . Assets held for sale. . . . . . . . . . . . . . 7 1 3 6 37 3 3 4 6 2 10 7 2 20 11 3 1 1 20 3 1 2 22 21 10 2 $ 2,520 930 3,210 2,700 20,000 2,650 4,110 1,110 1,959 4,850 3,015 783 840 18,890 1,625 1,247 340 1,850 11,785 1,464 300 2,595 8,730 16,853 7,121 0 $ 36,990 13,399 21,855 22,851 243,789 14,932 29,678 24,700 36,904 35,436 65,432 34,717 14,966 210,513 52,651 23,827 4,360 3,050 193,388 21,884 5,316 13,421 122,604 166,351 59,169 0 $ 39,510 14,329 25,065 25,551 263,788 17,582 33,788 25,810 38,863 40,286 68,447 35,500 15,806 229,403 54,276 25,074 4,700 4,900 205,173 23,348 5,616 16,016 131,334 183,204 66,290 25,098 $ 7,584 1,538 4,302 6,922 40,296 2,818 5,202 12,498 9,118 1,007 10,592 4,648 1,734 40,663 13,354 9,591 557 627 29,389 4,693 1,948 4,147 29,912 17,750 4,877 0 208 121,477 1,472,183 1,618,757 265,767 $ 72,439 21,053 20,086 26,714 10,509 38,300 33,000 9,899 156,712 20,669 0 0 409,381 $ 78,638 24,653 20,956 30,514 12,437 38,300 34,500 13,048 166,536 25,369 189,416 5,550 639,917 $ 2,714 1,207 992 1,058 1,225 1,517 431 1,494 14,667 1,550 0 0 26,855 3 1 2 1 1 1 2 2 8 1 3 1 26 $ 6,200 3,600 870 3,800 1,928 0 1,500 3,149 9,824 4,700 0 0 35,571 84 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) Number of Properties Land Building, Intangibles & Improvements Gross Investment Accumulated Depreciation and Amortization Medical Office Buildings: Alabama. . . . . . . . . . . . . . . . . . . . . . Alaska . . . . . . . . . . . . . . . . . . . . . . . Arizona . . . . . . . . . . . . . . . . . . . . . . California . . . . . . . . . . . . . . . . . . . . . Colorado . . . . . . . . . . . . . . . . . . . . . Florida . . . . . . . . . . . . . . . . . . . . . . . Georgia . . . . . . . . . . . . . . . . . . . . . . Illinois . . . . . . . . . . . . . . . . . . . . . . . Indiana . . . . . . . . . . . . . . . . . . . . . . . Kentucky . . . . . . . . . . . . . . . . . . . . . Missouri . . . . . . . . . . . . . . . . . . . . . . Nevada . . . . . . . . . . . . . . . . . . . . . . . New Jersey . . . . . . . . . . . . . . . . . . . . New York . . . . . . . . . . . . . . . . . . . . . North Carolina . . . . . . . . . . . . . . . . . Ohio. . . . . . . . . . . . . . . . . . . . . . . . . Oklahoma. . . . . . . . . . . . . . . . . . . . . Pennsylvania . . . . . . . . . . . . . . . . . . South Carolina . . . . . . . . . . . . . . . . . Tennessee . . . . . . . . . . . . . . . . . . . . . Texas . . . . . . . . . . . . . . . . . . . . . . . . Virginia . . . . . . . . . . . . . . . . . . . . . . Wisconsin. . . . . . . . . . . . . . . . . . . . . Construction in progress . . . . . . . . . . Assets held for sale. . . . . . . . . . . . . . 4 1 5 8 1 24 6 1 1 1 1 9 5 7 10 1 1 1 1 5 14 1 1 2 7 $ 1,987 217 5,585 7,560 877 38,801 12,500 1,419 0 1,290 336 16,804 9,804 4,389 8,085 610 132 154 171 8,946 17,792 0 2,899 0 0 $ 42,888 30,089 90,488 160,669 6,707 243,267 59,039 2,881 22,134 8,093 17,255 104,488 100,672 61,565 19,322 7,433 13,008 23,169 17,791 60,193 193,178 11,370 89,002 0 0 $ 44,875 30,306 96,073 168,229 7,584 282,069 71,539 4,300 22,134 9,383 17,591 121,293 110,476 65,954 27,407 8,043 13,140 23,323 17,962 69,139 210,971 11,370 91,901 21,498 15,038 $ 5,220 2,697 9,254 13,643 697 31,234 8,016 464 902 0 1,919 11,318 3,689 7,603 3,425 1,030 1,289 2,340 1,398 6,672 20,396 127 924 0 0 Total Real Property Owned . . . . . . 118 568 140,358 1,384,701 1,561,598 134,257 $521,055 $5,312,718 $6,336,291 $677,851 85 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) The following is a summary of our real estate intangibles as of the dates indicated (dollars in thousands): December 31, 2009 December 31, 2008 Assets: In place lease intangibles . . . . . . . . . . . . . . . . . . . . . . . . . . Above market tenant leases . . . . . . . . . . . . . . . . . . . . . . . . . Below market ground leases . . . . . . . . . . . . . . . . . . . . . . . . Lease commissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross historical cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accumulated amortization . . . . . . . . . . . . . . . . . . . . . . . . . . $ 74,199 10,232 39,806 3,154 127,391 (29,698) $ 81,500 9,658 39,806 2,360 133,324 (31,452) Net book value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 97,693 $101,872 Weighted-average amortization period in years. . . . . . . . . . . 30.0 28.9 Liabilities: Below market tenant leases . . . . . . . . . . . . . . . . . . . . . . . . . Above market ground leases . . . . . . . . . . . . . . . . . . . . . . . . Gross historical cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accumulated amortization . . . . . . . . . . . . . . . . . . . . . . . . . . $ 22,961 4,084 27,045 (10,478) $ 25,265 3,419 28,684 (8,671) Net book value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,567 $ 20,013 Weighted-average amortization period in years. . . . . . . . . . . 12.1 8.9 At December 31, 2009, future minimum lease payments receivable under operating leases are as follows (in thousands): 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 507,269 519,378 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 490,889 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 475,948 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 461,221 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,904,323 Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5,359,028 We purchased $23,097,000 of real property that had previously been financed by the Company with loans in 2008. We acquired properties, which included the assumption of debt totaling $166,188,000 in 2007. These non- cash activities are appropriately not reflected in the accompanying statements of cash flows. 3. Dispositions, Assets Held for Sale and Discontinued Operations During the year ended December 31, 2009, we completed the sale of 36 properties and recognized $43,394,000 of net gains on sales. At December 31, 2009, we had one hospital, two skilled nursing facilities and seven medical office buildings that satisfied the requirements of held for sale treatment. We did not recognize any impairment loss on the skilled nursing facilities as the fair value less estimated costs to sell exceeded our carrying value. The fair value was estimated based on a third party offer to purchase. In determining the fair value of the medical office buildings and hospital, we used a combination of third party appraisals based on market comparable transactions, other market listings and asset quality as well as management calculations based on projected net operating income and published capitalization rates. Management’s estimates projected that the carrying value of the assets was greater than the estimated fair value and an impairment charge of $25,223,000 was recorded to reduce the properties 86 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) to their estimated fair value less costs to sell. The following is a summary of our real property disposition activity for the periods presented (in thousands): Year Ended December 31, 2009 Medical Office Buildings Investment Properties Totals December 31, 2008 Medical Office Buildings Investment Properties Totals December 31, 2007 Investment Properties Totals Real property dispositions: Independent living/CCRCs . . $ 24,342 30,978 Assisted living facilities . . . . 45,835 Skilled nursing facilities . . . . Hospitals . . . . . . . . . . . . . . . 40,841 Medical office buildings . . . . Land parcels . . . . . . . . . . . . $44,717 $ 24,342 $ 15,547 148,075 6,290 8,735 30,978 45,835 40,841 44,717 0 $ 6,781 73 $ 15,547 $ 5,346 $ 5,346 57,351 57,351 148,075 18,107 6,290 18,107 0 8,735 0 6,781 3,073 73 3,073 Total dispositions . . . . . . . . . 141,996 44,717 186,713 178,720 6,781 185,501 83,877 83,877 Adjusted for: Gain/(loss) on sales. . . . . . . . LandAmerica settlement . . . . Other assets/(liabilities) disposal . . . . . . . . . . . . . . Seller financing . . . . . . . . . . Proceeds from real property 46,439 (3,045) 43,394 0 164,998 2,500 (1,065) 163,933 2,500 14,437 14,437 0 (6,100) 0 (6,100) (116) (5,122) (116) (64,771) (59,649) 0 0 sales . . . . . . . . . . . . . . . . . . $188,435 $35,572 $224,007 $286,569 $ 478 $287,047 $98,314 $98,314 During the year ended December 31, 2008, we completed the sale of 29 properties to Emeritus Corporation for $299,413,000, consisting of $249,413,000 in cash proceeds and $50,000,000 of seller financing, and we recognized a gain on sale of $145,646,000. Total funds of $299,413,000 were held in escrow for use in an Internal Revenue Code Section 1031 exchange, of which $162,558,000 was utilized during the year ended December 31, 2008. We had retained LandAmerica 1031 Exchange Services, Inc. (“LES”) to act as a qualified intermediary. On Novem- ber 26, 2008, LES and its parent, LandAmerica Financial Group, filed for bankruptcy protection. At that time, we had approximately $136,855,000 in two segregated escrow accounts (the “Exchange Funds”) held by Centennial Bank, an affiliate of LES. Although the terms of our agreements with LES required that the Exchange Funds be returned to us, the return of the Exchange Funds was stayed by the bankruptcy proceedings. On February 23, 2009, the United States Bankruptcy Court for the Eastern District of Virginia, Richmond Division, entered an order approving the stipulation and settlement agreement among LES, the unsecured creditors committees and us. Pursuant to the terms of that settlement agreement, the Exchange Funds plus $918,000 of interest were returned to us on February 23, 2009, and we made a settlement payment of $2,000,000 to the LES bankruptcy estate. In connection with these proceedings, we incurred approximately $500,000 in expenses. The settlement payment and expenses were recorded as reductions of gains on sales in 2008. 87 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) We have reclassified the income and expenses attributable to all properties sold prior to or held for sale at December 31, 2009 to discontinued operations. Expenses include an allocation of interest expense based on property carrying values and our weighted average cost of debt. The following illustrates the reclassification impact as a result of classifying properties as discontinued operations for the periods presented (in thousands): Year Ended December 31, 2008 2009 2007 Revenues: Rental income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $19,611 8,059 Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $46,359 0 $63,669 0 Expenses: Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Property operating expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation and amortization . . . . . . . . . . . . . . . . . . . . . . . . . . 3,541 3,069 7,874 10,906 3,995 18,684 14,055 4,065 25,394 Income (loss) from discontinued operations, net . . . . . . . . . . . . . . . $13,186 $12,774 $20,155 4. Real Estate Loans Receivable The following is a summary of real estate loans receivable (in thousands): Mortgage loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other real estate loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 74,517 352,846 $137,292 345,593 Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $427,363 $482,885 December 31, 2009 2008 All real estate loans receivable are in our investment property segment. The following is a summary of our real estate loan activity for the periods presented (in thousands): Advances on real estate loans receivable: Investments in new loans . . . . . . . . . . . . . . . . . . . . . . . . . . . Draws on existing loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 20,036 54,381 $121,493 21,265 $205,770 30,124 Year Ended December 31, 2008 Amount 2009 Amount 2007 Amount Total gross investments in real estate loans . . . . . . . . . . . . . . Less: Seller financing on sales of real property . . . . . . . . . . . Net cash advances on real estate loans receivable . . . . . . . . . Receipts on real estate loans receivable: Loan payoffs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Principal payments on loans . . . . . . . . . . . . . . . . . . . . . . . . . 74,417 0 74,417 93,856 17,923 142,758 (59,649) 235,894 0 83,109 235,894 8,815 9,354 42,028 10,318 52,346 Total principal receipts on real estate loans . . . . . . . . . . . . . . 111,779 18,169 Net cash advances (receipts) on real estate loans receivable . . . . $ (37,362) $ 64,940 $183,548 88 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) The following is a summary of mortgage loans at December 31, 2009: Final Payment Due Number of Loans Payment Terms 2009 2010 2011 2012 2013 2015 2020 3 3 2 3 2 2 1 Monthly payments from $5,333 to $149,720, including interest from 9.63% to 19.26% Monthly payments from $15,633 to $113,740, including interest from 9.50% to 12.41% Monthly payments from $2,336 to $26,072, including interest from 12.10% to 19.26% Monthly payments from $26,278 to $76,514, including interest from 7.00% to 19.26% Monthly payments from $12,280 to $136,006, including interest from 3.55% to 7.60% Monthly payments from $18,802 to $41,828, including interest from 9.50% to 15.21% Monthly payments of $41,282, Principal Amount at Inception Carrying Amount (In thousands) $26,756 $11,450 16,185 13,756 3,150 3,317 19,617 10,420 22,300 25,626 3,365 5,675 4,500 4,273 including interest of 10.65% Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $95,873 $74,517 5. Allowance for Losses on Loans Receivable The following is a summary of the allowance for losses on loans receivable (in thousands): Year Ended December 31, 2009 2008 2007 Balance at beginning of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provision for loan losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Charge-offs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,500 23,261 (25,578) $7,406 94 0 $7,406 0 0 Balance at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,183 $7,500 $7,406 As a result of our quarterly evaluations, we recorded $23,261,000 of provision for loan losses during the year ended December 31, 2009. This amount includes the write-off of loans totaling $25,578,000 primarily relating to certain early stage senior housing operators offset by a net reduction in the allowance for loan losses of $2,457,000. The following is a summary of our loan impairments (in thousands): Balance of impaired loans at year end . . . . . . . . . . . . . . . . . . . . . . . $67,126 5,183 Allowance for loan losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $72,770 7,500 December 31, 2008 2009 2007 $ 799 7,406 Balance of impaired loans not reserved(1) . . . . . . . . . . . . . . . . . . . . $61,943 $65,270 $ 0 Average impaired loans for the year Interest recognized on impaired loans(2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $69,948 530 $36,785 3,288 $5,664 0 (1) At December 31, 2007, the allowance for losses on loans receivable exceeds the balance of impaired loans. (2) Represents interest recognized prior to placement on non-accrual status. 89 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) 6. Concentration of Risk As of December 31, 2009, long-term care facilities, which include skilled nursing, independent living/ continuing care retirement communities and assisted living facilities, comprised 66% (66% at December 31, 2008) of our real estate investments and were located in 39 states. The following table summarizes certain information about our customer concentration as of December 31, 2009 (dollars in thousands): Number of Properties Total Investment Percent of Investment(1) Concentration by investment: Senior Living Communities, LLC . . . . . . . . . . . . . . . . . . Brookdale Senior Living, Inc . . . . . . . . . . . . . . . . . . . . . Signature Healthcare LLC . . . . . . . . . . . . . . . . . . . . . . . Emeritus Corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Life Care Centers of America, Inc. Remaining portfolio . . . . . . . . . . . . . . . . . . . . . . . . . . . . Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 86 32 21 18 423 590 $ 419,406 310,126 270,775 241,288 204,558 4,639,650 7% 5% 5% 4% 3% 76% $6,085,803 100% (1) Investments with top five customers comprised 25% of total investments at December 31, 2008. 7. Borrowings Under Line of Credit Arrangement and Related Items At December 31, 2009, we had an unsecured credit arrangement with a consortium of sixteen banks providing for a revolving line of credit in the amount of $1,150,000,000, which is scheduled to expire on August 5, 2011 (with the ability to extend for one year at our discretion if we are in compliance with all covenants). Borrowings under the agreement are subject to interest payable in periods no longer than three months at either the agent bank’s prime rate of interest or the applicable margin over LIBOR interest rate, at our option (0.84% at December 31, 2009). The applicable margin is based on our ratings with Moody’s Investors Service and Standard & Poor’s Ratings Services and was 0.6% at December 31, 2009. In addition, we pay a facility fee annually to each bank based on the bank’s commitment under the revolving credit facility. The facility fee depends on our ratings with Moody’s Investors Service and Standard & Poor’s Ratings Services and was 0.15% at December 31, 2009. We also pay an annual agent’s fee of $50,000. Principal is due upon expiration of the agreement. The following information relates to aggregate borrowings under the unsecured lines of credit arrangements (dollars in thousands): Year Ended December 31, 2008 2007 2009 Balance outstanding at December 31 . . . . . . . . . . . . . . . . . . . . Maximum amount outstanding at any month end. . . . . . . . . . . . Average amount outstanding (total of daily principal balances $140,000 $559,000 $570,000 $744,000 $307,000 $434,000 divided by days in year) . . . . . . . . . . . . . . . . . . . . . . . . . . . . $241,463 $500,561 $234,392 Weighted average interest rate (actual interest expense divided by average borrowings outstanding) . . . . . . . . . . . . . . . . . . . 1.92% 3.77% 6.68% 8. Senior Unsecured Notes and Secured Debt We have $1,653,027,000 of senior unsecured notes with annual interest rates ranging from 4.75% to 8.00%. The carrying amounts of the senior unsecured notes represent the par value of $1,661,853,000 adjusted for any unamortized premiums or discounts and other basis adjustments related to hedging the debt with derivative 90 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) instruments. See Note 9 for further discussion regarding derivative instruments. During the year ended December 31, 2009, we completed the following senior unsecured notes extinguishments (in thousands): Notes Principal Cash Paid Gain/(Loss) 4.75% convertible notes due 2026 . . . . . . . . . . . . . . . . . . . . . . $ 4.75% convertible notes due 2027 . . . . . . . . . . . . . . . . . . . . . . 8.0% notes due 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,000 5,000 173,147 $ 4,494 4,312 192,242 $ 446 594 (20,309) $183,147 $201,048 $(19,269) During the three months ended December 31 2006, we issued $345,000,000 of 4.75% senior unsecured convertible notes due December 2026, generating net proceeds of $337,517,000. The notes are convertible, in certain circumstances, into cash and, if applicable, shares of common stock at an initial conversion rate of 20.8833 shares per $1,000 principal amount of notes, which represents an initial conversion price of approximately $47.89 per share. In general, upon conversion, the holder of each note would receive, in respect of the conversion value of such note, cash up to the principal amount of such note and common stock for the note’s conversion value in excess of such principal amount. In addition, on each of December 1, 2011, December 1, 2016 and December 1, 2021, holders may require us to purchase all or a portion of their notes at a purchase price in cash equal to 100% of the principal amount of the notes to be purchased, plus any accrued and unpaid interest. As of December 31, 2009, we had $340,000,000 of these notes outstanding. In July 2007, we issued $400,000,000 of 4.75% senior unsecured convertible notes due July 2027, generating net proceeds of $388,943,000. The notes are convertible, in certain circumstances, into cash and, if applicable, shares of our common stock at an initial conversion rate of 20.0000 shares per $1,000 principal amount of notes, which represents an initial conversion price of approximately $50.00 per share. In general, upon conversion, the holder of each note would receive, in respect of the conversion value of such note, cash up to the principal amount of such note and common stock for the note’s conversion value in excess of such principal amount. In addition, on each of July 15, 2012, July 15, 2017 and July 15, 2022, holders may require us to purchase all or a portion of their notes at a purchase price in cash equal to 100% of the principal amount of the notes to be purchased, plus any accrued and unpaid interest. As of December 31, 2009, we had $395,000,000 of these notes outstanding. We have mortgage loans totaling $620,995,000, collateralized by owned properties, with annual interest rates ranging from 4.89% to 6.99%. The carrying amounts of the mortgages represent the par value of $623,046,000 adjusted for any unamortized fair value adjustments. The carrying values of the properties securing the mortgage loans totaled $901,013,000 at December 31, 2009. During the year ended December 31, 2009, we completed $276,277,000 of first mortgage loans secured by 31 senior housing properties with multiple levels of service and one commercial office campus. During the year ended December 31, 2009, we extinguished $81,715,000 of secured debt prior to maturity and recognized debt extinguishment losses of $5,838,000. Our debt agreements contain various covenants, restrictions and events of default. Among other things, these provisions require us to maintain certain financial ratios and minimum net worth and impose certain limits on our ability to incur indebtedness, create liens and make investments or acquisitions. As of December 31, 2009, we were in compliance with all of the covenants under our debt agreements. 91 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) At December 31, 2009, the annual principal payments on these debt obligations are as follows (in thousands): Senior Unsecured Notes(1) Secured Debt(1) 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 0 76,853 300,000 0 1,285,000 $ 12,204 12,883 19,021 67,787 128,232 382,919 Totals $ 12,204 12,883 95,874 367,787 128,232 1,667,919 Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,661,853 $623,046 $2,284,899 (1) Amounts above represent principal amounts due and do not include unamortized premiums/discounts or other fair value adjustments as reflected on the balance sheet. 9. Derivative Instruments We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates. We may elect to use financial derivative instruments to hedge interest rate exposure. These decisions are principally based on our policy to manage the general trend in interest rates at the applicable dates and our perception of the future volatility of interest rates. Derivatives are recorded at fair market value on the balance sheet as assets or liabilities. The valuation of derivative instruments requires us to make estimates and judgments that affect the fair value of the instruments. Fair values for our derivatives are estimated by pricing models that consider forward yield curves and discount rates. Such amounts and the recognition of such amounts are subject to significant estimates that may change in the future. The following is a summary of the fair value of our derivative instruments (dollars in thousands): Cash flow hedge interest rate swaps . . . . . . . . . . . . . Other liabilities $2,381 $0 Balance Sheet Location Fair Value Dec. 31, 2009 Dec. 31, 2008 Cash Flow Hedges For instruments that are designated and qualify as a cash flow hedge, the effective portion of the gain or loss on the derivative is reported as a component of other comprehensive income (“OCI”), and reclassified into earnings in the same period, or periods, during which the hedged transaction affects earnings. Gains and losses on the derivative representing either hedge ineffectiveness or hedge components excluded from the assessment of effectiveness are recognized in earnings. Approximately $2,893,000 of losses, which are included in other comprehensive income, are expected to be reclassified into earnings in the next 12 months. The following presents the impact of derivative instruments on the statement of operations and OCI for the year ended December 31, 2009 (dollars in thousands): Gain (loss) on interest rate swap recognized in OCI (effective portion) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gain (loss) reclassified from AOCI into income (effective portion) . . . . Gain (loss) recognized in income (ineffective portion and Location Amount n/a Interest expense $(3,514) 971 $ amount excluded from effectiveness testing) . . . . . . . . . . . . . . . . . . . Realized loss $ 0 92 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) On August 7, 2009, we entered into an interest rate swap (the “August 2009 Swap”) for a total notional amount of $52,198,000 to hedge seven years of interest payments associated with long-term LIBOR based borrowings. The August 2009 Swap has an effective date of August 12, 2009 and a maturity date of September 1, 2016. The August 2009 Swap has the economic effect of fixing $52,198,000 at 3.93% plus a credit spread for seven years. The August 2009 Swap has been designated as a cash flow hedge and we expect it to be highly effective at offsetting changes in cash flows of interest payments on $52,198,000 of long-term debt due to changes in the LIBOR swap rate. On September 28, 2009, we entered into an interest rate swap (the “September 2009 Swap”) for a total notional amount of $48,155,000 to hedge seven years of interest payments associated with long-term LIBOR based borrowings. The September 2009 Swap has an effective date of September 30, 2009 and a maturity date of October 1, 2016. The September 2009 Swap has the economic effect of fixing $48,155,000 at 3.2675% plus a credit spread for seven years. The September 2009 Swap has been designated as a cash flow hedge and we expect it to be highly effective at offsetting changes in cash flows of interest payments on $48,155,000 of long-term debt due to changes in the LIBOR swap rate. During the year ended December 31, 2008, we recognized a realized loss on derivatives of $23,393,000 related to forward-starting interest rate swaps that were in place to hedge future debt issuances when the timing of those issuances were revised. Fair Value Hedges For derivative instruments that are designated as a fair value hedge, the gain or loss on the derivative as well as the offsetting loss or gain on the hedged risk are recognized in current earnings. There were no outstanding fair value hedges at December 31, 2009. 10. Commitments and Contingencies We have an outstanding letter of credit issued for the benefit of certain insurance companies that provide workers’ compensation insurance to one of our tenants. Our obligation to provide the letter of credit terminates in 2013. At December 31, 2009, our obligation under the letter of credit was $2,450,000. We have an outstanding letter of credit issued for the benefit of certain insurance companies that provide liability insurance to one of our tenants. Our obligation to the tenant to provide the letter of credit terminates in 2013. At December 31, 2009, our obligation under the letter of credit was $1,000,000. We have an outstanding letter of credit issued for the benefit of a village in Illinois that secures the completion and installation of certain public improvements by one of our tenants in connection with the development of a property. Our obligation to provide the letter of credit terminates in 2010. At December 31, 2009, our obligation under the letter of credit was $129,057. At December 31, 2009, we had outstanding construction financings of $456,832,000 for leased properties and were committed to providing additional financing of approximately $213,945,000 to complete construction. At December 31, 2009, we had contingent purchase obligations totaling $10,320,000. These contingent purchase obligations primarily relate to deferred acquisition fundings and capital improvements. Deferred acquisition fundings are contingent upon an operator satisfying certain conditions such as payment coverage and value tests. Amounts due from the tenant are increased to reflect the additional investment in the property. At December 31, 2009, we had operating lease obligations of $182,040,000 relating to certain ground leases and Company office space. We incurred rental expense relating to our Company office space of $1,138,000, $1,452,000 and $678,000 for the years ended December 31, 2009, 2008 and 2007, respectively. Regarding the property leases, we have sublease agreements with certain of our operators that require the operators to reimburse us for our monthly operating lease obligations. At December 31, 2009, aggregate future minimum rentals to be received under these noncancelable subleases totaled $33,071,000. 93 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) At December 31, 2009, future minimum lease payments due under operating leases are as follows (in thousands): 2010 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thereafter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,603 4,669 4,349 4,361 4,383 159,675 Totals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $182,040 11. Stockholders’ Equity Preferred Stock In July 2003, we closed a public offering of 4,000,000 shares of 7.875% Series D Cumulative Redeemable Preferred Stock. These shares have a liquidation value of $25.00 per share. Dividends are payable quarterly in arrears. The preferred stock, which has no stated maturity, may be redeemed by us at a redemption price of $25.00 per share, plus accrued and unpaid dividends on such shares to the redemption date, on or after July 9, 2008. In September 2003, we issued 1,060,000 shares of 6% Series E Cumulative Convertible and Redeemable Preferred Stock as partial consideration for an acquisition of assets by the Company, with the shares valued at $26,500,000 for such purposes. The shares were issued to Southern Assisted Living, Inc. and certain of its stockholders without registration in reliance upon the federal statutory exemption of Section 4(2) of the Securities Act of 1933, as amended. The shares have a liquidation value of $25.00 per share. Dividends are payable quarterly in arrears. The preferred stock, which has no stated maturity, may be redeemed by us at a redemption price of $25.00 per share, plus accrued and unpaid dividends on such shares to the redemption date, on or after August 15, 2008. The preferred shares are convertible by the holder into common stock at a conversion price of $32.66 per share at any time. At December 31, 2009, there were 74,380 of such shares outstanding. In September 2004, we closed a public offering of 7,000,000 shares of 7.625% Series F Cumulative Redeemable Preferred Stock. These shares have a liquidation value of $25.00 per share. Dividends are payable quarterly in arrears. The preferred stock, which has no stated maturity, may be redeemed by us at a redemption price of $25.00 per share, plus accrued and unpaid dividends on such shares to the redemption date, on or after September 14, 2009. In conjunction with the acquisition of Windrose Medical Properties Trust in December 2006, we issued 2,100,000 shares of 7.5% Series G Cumulative Convertible Preferred Stock. These shares have a liquidation value of $25.00 per share and a book value of $29.58 per share. Dividends are payable quarterly in arrears. The preferred stock, which has no stated maturity, may be redeemed by us at a redemption price of $25.00 per share, plus accrued and unpaid dividends on such shares to the redemption date, on or after June 30, 2010. Each Series G Preferred Share is convertible by the holder into our common stock at a conversion price of $34.93, equivalent to a conversion rate of 0.7157 common shares per Series G Preferred Share. The Series G Preferred Shares require cumulative distributions. During the year ended December 31, 2007, certain holders of our Series G Preferred Stock converted 295,800 shares into 211,702 shares of our common stock, leaving 1,804,200 of such shares outstanding at December 31, 2007. During the year ended December 31, 2008, certain holders of our Series G Preferred Stock converted 1,362,887 shares into 975,397 shares of our common stock, leaving 441,313 of such shares outstanding at December 31, 2008. During the year ended December 31, 2009, certain holders of our Series G Preferred Stock converted 41,600 shares into 29,771 shares of our common stock, leaving 399,713 of such shares outstanding at December 31, 2009. 94 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) Common Stock The following is a summary of our common stock issuances for the years presented (dollars in thousands, except per share amounts): Date Issued Shares Issued Average Price Gross Proceeds Net Proceeds April 2007 public issuance . . . . . . . . . . . . . . . . . . December 2007 public issuance . . . . . . . . . . . . . . 2007 Dividend reinvestment plan issuances. . . . . . 2007 Option exercises . . . . . . . . . . . . . . . . . . . . . 6,325,000 3,500,000 1,626,000 401,630 2007 Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,852,630 March 2008 public issuance . . . . . . . . . . . . . . . . . July 2008 public issuance . . . . . . . . . . . . . . . . . . September 2008 public issuance . . . . . . . . . . . . . . 2008 Dividend reinvestment plan issuances. . . . . . 2008 Equity shelf program issuances . . . . . . . . . . 2008 Option exercises . . . . . . . . . . . . . . . . . . . . . 3,000,000 4,600,000 8,050,000 1,546,074 794,221 118,895 2008 Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,109,190 February 2009 public issuance . . . . . . . . . . . . . . . September 2009 public issuance . . . . . . . . . . . . . . 2009 Dividend reinvestment plan issuances. . . . . . 2009 Equity shelf program issuances . . . . . . . . . . 2009 Option exercises . . . . . . . . . . . . . . . . . . . . . 5,816,870 9,200,000 1,499,497 1,952,600 96,166 2009 Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,565,133 Comprehensive Income $44.01 42.14 41.81 27.82 $41.44 44.50 48.00 43.37 39.28 29.83 $36.85 40.40 37.22 40.69 38.23 $278,363 147,490 67,985 11,175 $505,013 $124,320 204,700 386,400 67,055 31,196 3,547 $817,218 $214,352 371,680 55,818 79,447 3,676 $724,973 $265,294 147,139 67,985 11,175 $491,593 $118,555 193,157 369,699 67,055 30,272 3,547 $782,285 $210,880 356,554 55,818 77,605 3,676 $704,533 The following is a summary of accumulated other comprehensive income as of the dates indicated (in thousands): December 31, 2009 December 31, 2008 Unrecognized gains (losses) on cash flow hedges. . . . . . . . . . . Unrecognized gains (losses) on equity investments. . . . . . . . . . Unrecognized actuarial gains (losses) . . . . . . . . . . . . . . . . . . . Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $(1,907) (550) (434) $(2,891) $ 635 (1,038) (710) $(1,113) 95 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) The following is a summary of comprehensive income for the periods indicated (in thousands): Year Ended December 31, 2008 2007 2009 Unrecognized gains (losses) on cash flow hedges . . . . . . . . . . . Unrecognized losses (gains) on equity investments . . . . . . . . . . Unrecognized actuarial gains/(losses) . . . . . . . . . . . . . . . . . . . . $ (2,542) 487 277 $ 7,829 (846) (715) Total other comprehensive income . . . . . . . . . . . . . . . . . . . . Net income attributable to controlling interests . . . . . . . . . . . . . (1,778) 193,269 6,268 283,299 $ (7,194) (192) 140 (7,246) 138,355 Comprehensive income attributable to controlling interests. . . 191,491 289,567 131,109 Net and comprehensive income attributable to noncontrolling interests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (342) 126 238 Total comprehensive income . . . . . . . . . . . . . . . . . . . . . . . . . $191,149 $289,693 $131,347 Other Equity Other equity consists of accumulated option compensation expense which represents the amount of amortized compensation costs related to stock options awarded to employees and directors subsequent to January 1, 2003. Expense, which is recognized as the options vest based on the market value at the date of the award, totaled $1,629,000, $1,503,000 and $1,106,000 for the years ended December 31, 2009, 2008 and 2007, respectively. 12. Stock Incentive Plans Our Amended and Restated 2005 Long-Term Incentive Plan authorizes up to 6,200,000 shares of common stock to be issued at the discretion of the Compensation Committee of the Board of Directors. The 2005 Plan replaced the 1995 Stock Incentive Plan and the Stock Plan for Non-Employee Directors. The options granted to officers and key employees under the 1995 Plan continue to vest through 2010 and expire ten years from the date of grant. Our non-employee directors, officers and key employees are eligible to participate in the 2005 Plan. The 2005 Plan allows for the issuance of, among other things, stock options, restricted stock, deferred stock units and dividend equivalent rights. Vesting periods for options, deferred stock units and restricted shares generally range from three years for non-employee directors to five years for officers and key employees. Options expire ten years from the date of grant. We granted 159,805, 161,101 and 272,057 restricted shares during 2009, 2008 and 2007, respectively, including 18,243, 14,504 and 10,717 deferred stock units to non-employee directors in 2009, 2008 and 2007, respectively. Option Valuation Assumptions The fair value of each option grant is estimated on the date of grant using a Black-Scholes-Merton option pricing model with the following weighted-average assumptions: 7.35% 6.47% 5.60% Dividend yield(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29.4% 20.5% 19.9% Expected volatility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.33% 3.42% 4.74% Risk-free interest rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.0 Expected life (in years) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.5 Weighted-average fair value(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $4.38 $6.25 5.0 $8.31 2009 2008 2007 (1) Certain options granted to employees include dividend equivalent rights. The fair value of options with DERs also includes the net present value of projected future dividend payments over the expected life of the option discounted at the dividend yield rate. 96 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) The dividend yield represented the dividend yield of our common stock on the dates of grant. Our computation of expected volatility was based on historical volatility. The risk-free interest rates used were the 7-year U.S. Treasury Notes yield on the date of grant for the 2009 and 2008 grants and the 5-year U.S. Treasury Notes yield on the date of grant for the 2007 grants. The expected life was based on historical experience of similar awards, giving consideration to the contractual terms, vesting schedules and expectations regarding future employee behavior. Option Award Activity The following table summarizes information about stock option activity for the periods indicated (shares in thousands): Stock Options Number of Shares 2009 Weighted Average Exercise Price Year Ended December 31, 2008 Weighted Average Exercise Price Number of Shares Number of Shares 2007 Weighted Average Exercise Price Options at beginning of year . . . . . . . . Options granted . . . . . . . . . . . . . . . . . Options exercised . . . . . . . . . . . . . . . Options terminated . . . . . . . . . . . . . . 817 366 (96) (25) Options at end of year . . . . . . . . . . . . 1,062 Options exercisable at end of year . . . . Weighted average fair value of options granted during the year . . . . . . . . . . 388 $38.29 37.00 38.22 44.50 $37.71 $35.85 $ 4.38 637 307 (119) (8) 817 281 $35.54 40.83 29.83 42.00 $38.29 $33.94 $ 6.25 917 124 (402) (2) 637 256 $30.79 45.73 27.82 39.72 $35.54 $32.26 $ 8.31 The following table summarizes information about stock options outstanding at December 31, 2009 (options in thousands): Range of Per Share Exercise Prices Options Outstanding Options Exercisable Number Outstanding Weighted Average Exercise Price Weighted Average Remaining Contract Life Number Exercisable Weighted Average Exercise Price Weighted Average Remaining Contract Life $16-$20 . . . . . . . . . . . . . . . . . . . . . . . . . . $20-$30 . . . . . . . . . . . . . . . . . . . . . . . . . . $30-$40 . . . . . . . . . . . . . . . . . . . . . . . . . . $40 + . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 62 641 351 $16.81 25.62 36.68 42.25 Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,062 $37.71 1.0 3.7 8.3 8.7 8.1 8 62 215 103 388 $16.81 25.62 36.28 42.78 $35.85 1.0 3.7 5.9 8.6 6.2 Aggregate intrinsic value . . . . . . . . . . . . . . $7,161,000 $3,341,000 The aggregate intrinsic value is calculated as the difference between the exercise price of the underlying options and the quoted price of our common stock for the options that were in-the-money at December 31, 2009. During the years ended December 31, 2009, 2008 and 2007, the aggregate intrinsic value of options exercised under our stock incentive plans was $737,000, $2,042,000 and $6,600,000, respectively, determined as of the date of option exercise. Cash received from option exercises under our stock incentive plans for the years ended December 31, 2009, 2008 and 2007 was $3,676,000, $3,547,000 and $17,775,000, respectively. As of December 31, 2009, there was approximately $1,717,000 of total unrecognized compensation cost related to unvested stock options granted under our stock incentive plans. That cost is expected to be recognized over a weighted average period of four years. As of December 31, 2009, there was approximately $6,492,000 of 97 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) total unrecognized compensation cost related to unvested restricted stock granted under our stock incentive plans. That cost is expected to be recognized over a weighted average period of three years. The following table summarizes information about non-vested stock incentive awards as of December 31, 2009 and changes for the year ended December 31, 2009: Stock Options Restricted Stock Number of Shares (000’s) Weighted Average Grant Date Fair Value Number of Shares (000’s) Weighted Average Grant Date Fair Value Non-vested at December 31, 2008 . . . . Vested . . . . . . . . . . . . . . . . . . . . . . . . Granted . . . . . . . . . . . . . . . . . . . . . . . Terminated . . . . . . . . . . . . . . . . . . . . . Non-vested at December 31, 2009 . . . . 534 (220) 366 (5) 675 $6.98 7.41 4.38 6.14 $5.44 443 (196) 160 (2) 405 $41.95 41.48 37.07 40.65 $40.26 We adopted the fair value-based method of accounting for share-based payments effective January 1, 2003 using the prospective method. Currently, we use the Black-Scholes-Merton option pricing model to estimate the value of stock option grants and expect to continue to use this acceptable option valuation model. We recognize compensation cost for share-based grants on a straight-line basis through the date the awards become fully vested or to the retirement eligible date, if sooner. Compensation cost totaled $9,633,000, $8,530,000 and $7,050,000 for the years ended December 31, 2009, 2008 and 2007, respectively. 13. Income Taxes and Distributions To qualify as a real estate investment trust for federal income tax purposes, 90% of taxable income (including 100% of capital gains) must be distributed to stockholders. Real estate investment trusts that do not distribute a certain amount of current year taxable income in the current year are also subject to a 4% federal excise tax. The main differences between undistributed net income for federal income tax purposes and financial statement purposes are the recognition of straight-line rent for reporting purposes, differing useful lives and depreciation and amortization methods for real property and the provision for loan losses for reporting purposes versus bad debt expense for tax purposes. At December 31, 2009, we had U.S. federal tax losses of $18,616,000, as well as apportioned state tax losses of $17,297,000 available for carryforward. Valuation allowances have been provided for those items for which, based upon an assessment, it is more likely than not that some portion may not be realized. The U.S. federal and state tax loss carryforwards expire from 2010 through 2030. Cash distributions paid to common stockholders, for federal income tax purposes, are as follows: Year Ended December 31, 2008 2009 2007 Per Share: Ordinary income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1.9865 0.4864 Return of capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.2471 1250 gains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1.6196 0.8904 0.1900 $1.8295 0.3596 0.0900 Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2.7200 $2.7000 $2.2791 During the three months ended December 31, 2007, we recognized $3,900,000 of additional other income related to the payoff of a warrant equity investment. During the three months ended March 31, 2008, we determined that $1,325,000 of income taxes were due in connection with that investment gain. 98 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) 14. Earnings Per Share The following table sets forth the computation of basic and diluted earnings per share (in thousands, except per share data): Year Ended December 31, 2008 2007 2009 Numerator for basic and diluted earnings per share — net income attributable to common stockholders . . . . . . . . . . . . . $171,190 $260,098 $113,225 Denominator for basic earnings per share — weighted average shares . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114,207 93,732 78,861 Effect of dilutive securities: Employee stock options . . . . . . . . . . . . . . . . . . . . . . . . . . . . Non-vested restricted shares . . . . . . . . . . . . . . . . . . . . . . . . . Convertible senior unsecured notes . . . . . . . . . . . . . . . . . . . . Potentially dilutive common shares . . . . . . . . . . . . . . . . . . . . . . Denominator for diluted earnings per share — adjusted 0 405 0 405 82 443 52 577 150 398 0 548 weighted average shares . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114,612 94,309 79,409 Basic earnings per share . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted earnings per share . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ $ 1.50 1.49 $ $ 2.77 2.76 $ $ 1.44 1.43 The diluted earnings per share calculations exclude the dilutive effect of 351,000, 0 and 123,000 options for 2009, 2008 and 2007, respectively, because the exercise price was greater than the average market price. The Series E Cumulative Convertible and Redeemable Preferred Stock and the Series G Cumulative Convertible Preferred Stock were not included in the calculations for 2009, 2008 and 2007 as the effect of the conversions was anti-dilutive to income from continuing operations attributable to common stockholders (the “control number” as defined in U.S. GAAP). The $340,000,000 Convertible Senior Notes due December 2026 were not included in the calculation for 2009 and 2007 as the effect of the conversion was anti-dilutive. The $395,000,000 Convertible Senior Notes due July 2027 were not included in the calculation for 2009, 2008 and 2007 as the effect of the conversion was anti-dilutive. We adopted FASB authoritative guidance on determining whether instruments granted in share-based payment transactions are participating securities, effective January 1, 2009, which required retrospective application. The guidance clarifies that instruments granted in share-based payment transactions that are considered to be partic- ipating securities prior to vesting should be included in the earnings allocation under the two-class method of calculating earnings per share. We determined that our restricted shares granted under our long-term incentive plans are participating securities because the restricted shares participate in non-forfeitable dividends prior to vesting. Applying the guidance did not have an impact on the amounts for any period presented. 15. Disclosure about Fair Value of Financial Instruments The following methods and assumptions were used to estimate the fair value of each class of financial instruments for which it is practicable to estimate that value. Mortgage Loans and Other Real Estate Loans Receivable — The fair value of mortgage loans and other real estate loans receivable is generally estimated by discounting the estimated future cash flows using the current rates at which similar loans would be made to borrowers with similar credit ratings and for the same remaining maturities. 99 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) Cash and Cash Equivalents — The carrying amount approximates fair value. Equity Investments — Available-for-sale investments are recorded at their fair market value. Other equity investments are recorded at cost which approximates fair value. Borrowings Under Unsecured Lines of Credit Arrangements — The carrying amount of the unsecured line of credit arrangement approximates fair value because the borrowings are interest rate adjustable. Senior Unsecured Notes — The fair value of the senior unsecured notes payable was estimated based on publicly available trading prices. Secured Debt — The fair value of fixed rate secured debt is estimated by discounting the estimated future cash flows using the current rates at which similar loans would be made to borrowers with similar credit ratings and for the same remaining maturities. The carrying amount of variable rate secured debt approximates fair value because the borrowings are interest rate adjustable. Interest Rate Swap Agreements — Interest rate swap agreements, if any, are recorded as assets or liabilities on the balance sheet at fair market value. Fair market value is estimated by utilizing pricing models that consider forward yield curves and discount rates. The carrying amounts and estimated fair values of our financial instruments are as follows (in thousands): December 31,2009 December 31, 2008 Carrying Amount Fair Value Carrying Amount Fair Value Financial Assets: Mortgage loans receivable. . . . . . . . . . . . $ Other real estate loans receivable . . . . . . Equity investments . . . . . . . . . . . . . . . . . Cash and cash equivalents. . . . . . . . . . . . 74,517 352,846 5,816 35,476 $ 74,765 354,429 5,816 35,476 $ 137,292 345,593 1,030 23,370 $ 143,285 302,584 1,030 23,370 Financial Liabilities: Borrowings under unsecured lines of credit arrangements . . . . . . . . . . . . . . . $ 140,000 1,653,027 620,995 2,381 Senior unsecured notes . . . . . . . . . . . . . . Secured debt . . . . . . . . . . . . . . . . . . . . . Interest rate swap agreements . . . . . . . . . $ 140,000 1,762,129 623,266 2,381 $ 570,000 1,831,151 446,525 n/a $ 570,000 1,605,770 452,262 n/a U.S. GAAP provides authoritative guidance for measuring and disclosing fair value measurements of assets and liabilities. The guidance for financial assets and liabilities was previously adopted as the standard for those assets and liabilities as of January 1, 2008. Additional guidance for non-financial assets and liabilities is effective for fiscal years beginning after November 15, 2008, and was adopted as the standard for those assets and liabilities as of January 1, 2009. The impact of adoption was not significant. The guidance defines fair value as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. The guidance also establishes a fair value hierarchy which requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. The guidance describes three levels of inputs that may be used to measure fair value: Level 1 — Quoted prices in active markets for identical assets or liabilities. Level 2 — Observable inputs other than Level 1 prices such as quoted prices for similar assets or liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities. Interest 100 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) rate swap agreements are valued using models that assume a hypothetical transaction to sell the asset or transfer the liability in the principal market for the asset or liability based on market data derived from interest rates and yield curves observable at commonly quoted intervals, volatilities, prepayment timing, loss severities, credit risks and default rates. Level 3 — Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. The market approach is utilized to measure fair value for our financial assets and liabilities. The market approach uses prices and other relevant information generated by market transactions involving identical or comparable assets or liabilities. Fair Value Measurements as of December 31, 2009 Level 1 Level 2 Total Level 3 (In thousands) Equity investments(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . Assets-held-for sale(2) . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest rate swap agreements(3) . . . . . . . . . . . . . . . . . . . . $ 1,049 20,588 (2,381) $1,049 0 0 $ 0 20,588 (2,381) Totals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $19,256 $1,049 $18,207 $0 0 0 $0 (1) Unrealized gains or losses on equity investments are recorded in accumulated other comprehensive income (loss) at each measurement date. (2) Please see Note 3 for additional information. (3) Please see Note 9 for additional information. 16. Retirement Arrangements Under the retirement plan and trust (the “401(k) Plan”), eligible employees may make contributions, and we may make matching contributions and a profit sharing contribution. Our contributions to the 401(k) Plan totaled $1,201,000, $1,013,000 and $441,000 in 2009, 2008 and 2007, respectively. We have a Supplemental Executive Retirement Plan (“SERP”), a non-qualified defined benefit pension plan, which provides one executive officer with supplemental deferred retirement benefits. The SERP provides an opportunity for participants to receive retirement benefits that cannot be paid under our tax-qualified plans because of the restrictions imposed by ERISA and the Internal Revenue Code of 1986, as amended. Benefits are based on compensation and length of service and the SERP is unfunded. No contributions by the Company are anticipated for the 2010 fiscal year. Benefit payments are expected to total $4,758,000 during the next five fiscal years and no benefit payments are expected to occur during the succeeding five fiscal years. We use a December 31 measurement date for the SERP. The accrued liability on our balance sheet for the SERP was $3,287,000 at December 31, 2009 ($3,109,000 at December 31, 2008). 101 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) The following tables provide a reconciliation of the changes in the SERP’s benefit obligations and a statement of the funded status for the periods indicated (in thousands): Year Ended December 31, 2009 2008 Reconciliation of benefit obligation: Obligation at January 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,109 389 Service cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164 Interest cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 434 Actuarial (gain)/loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (29) Benefit payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (780) Curtailments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,915 364 115 715 0 0 Obligation at December 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,287 $3,109 December 31 2009 2008 Funded status: Funded status at December 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unrecognized (gain)/loss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $(3,287) 0 $(3,109) 0 Prepaid/(accrued) benefit cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $(3,287) $(3,109) The following table shows the components of net periodic benefit costs for the periods indicated (in thousands): Year Ended December 31, 2009 2008 Service cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $389 164 Interest cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (87) Curtailment income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Net actuarial loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net periodic benefit cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $482 $364 115 0 0 $479 The following table provides information for the SERP, which has an accumulated benefit in excess of plan assets (in thousands): Projected benefit obligation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,287 2,956 Accumulated benefit obligation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . n/a Fair value of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,109 2,026 n/a December 31 2009 2008 102 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) The following table reflects the weighted-average assumptions used to determine the benefit obligations and net periodic benefit cost for the SERP: Benefit Obligations December 31 2009 2008 Net Periodic Benefit Cost Year Ended December 31, 2009 2008 Discount rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rate of compensation increase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Expected long-term return on plan assets . . . . . . . . . . . . . . . . . . . . . . 17. Supplemental Cash Flow Information 3.50% 6.25% 6.25% 6.00% 4.50% 4.50% 4.50% 4.25% n/a n/a n/a n/a Supplemental cash flow information — interest paid . . . . . . . . . Supplemental cash flow information — taxes paid . . . . . . . . . . . Supplemental schedule of non-cash activities: Assets and liabilities assumed from real property acquisitions: Secured debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Assets and liabilities assumed from business combinations: Real estate investments . . . . . . . . . . . . . . . . . . . . . . . . . . . Other assets acquired . . . . . . . . . . . . . . . . . . . . . . . . . . . . Secured debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Liability to subsidiary trust issuing preferred securities. . . . Other liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Noncontrolling interests . . . . . . . . . . . . . . . . . . . . . . . . . . Issuance of common stock . . . . . . . . . . . . . . . . . . . . . . . . Issuance of preferred stock . . . . . . . . . . . . . . . . . . . . . . . . 2009 Year Ended December 31, 2008 (In thousands) $156,914 1,789 $143,697 854 $140,166 238 2007 $ $ $ $ 0 0 0 0 0 0 0 0 0 0 0 0 1,899 0 $ 19,731 3,597 712 0 0 0 0 0 0 0 0 $285,302 10,050 146,457 0 6,932 0 0 0 18. Segment Reporting We invest in senior housing and health care real estate. We evaluate our business and make resource allocations on our two business segments — investment properties and medical office buildings. Under the investment property segment, we invest in senior housing and health care real estate through acquisition and financing of primarily single tenant properties. Properties acquired are primarily leased under triple-net leases and we are not involved in the management of the property. Our primary investment property types include skilled nursing facilities, assisted living facilities, independent living/continuing care retirement communities and hospitals. Under the medical office building segment, our properties are typically leased under gross leases, modified gross leases or triple-net leases, to multiple tenants, and generally require a certain level of property management. The accounting policies of the segments are the same as those described in the summary of significant accounting policies in Note 1. There are no intersegment sales or transfers. We evaluate performance based upon net operating income of the combined properties in each segment. 103 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) Non-segment revenue consists mainly of interest income on non-real estate investments and other income. Non-segment assets consist of corporate assets including cash, deferred loan expenses and corporate office equipment among others. Non-property specific revenues and expenses are not allocated to individual segments in determining net operating income. Summary information for the reportable segments is as follows (in thousands): Rental Income(1) Interest Income Other Income(1) Total Revenues Property Operating Expenses(1) Net Operating Income(2) Real Estate Depreciation/ Amortization(1) Interest Expense(1) Total Assets Year ended December 31, 2009: Investment properties . . . . Medical office buildings . . Non-segment/corporate . . Year ended December 31, 2008: $403,077 $40,885 $13,728 $457,690 137,783 136,834 1,170 0 $539,911 $40,885 $15,847 $596,643 949 1,170 0 0 $ 0 48,965 0 $48,965 $457,690 88,818 1,170 $547,678 $114,865 50,058 0 $164,923 20,584 76,959 $ 12,229 $4,802,301 1,467,221 97,664 $109,772 $6,367,186 Rental Income(1) Interest Income Other Income Total Revenues Property Operating Expenses(1) Net Operating Income(2) Real Estate Depreciation/ Amortization(1) Interest Expense(1) Total Assets Investment properties . . . . $388,849 $40,063 $ 7,899 $436,811 134,262 133,332 Medical office buildings . . 1,692 0 Non-segment/corporate . . $522,181 $40,063 $10,521 $572,765 930 1,692 0 0 $ 0 46,629 0 $46,629 $436,811 87,633 1,692 $526,136 $111,934 51,111 0 $163,045 21,828 112,055 $ 7,176 $4,720,720 1,421,548 72,763 $141,059 $6,215,031 Rental Income(1) Interest Income Other Income Total Revenues Property Operating Expenses(1) Net Operating Income(2) Real Estate Depreciation/ Amortization(1) Interest Expense(1) Year ended December 31, 2007: Investment properties . . . . . . . . . . . $345,683 $25,823 $ 8,010 $379,516 112,111 Medical office buildings . . . . . . . . . 1,528 Non-segment/corporate . . . . . . . . . . $457,297 $25,823 $10,035 $493,155 111,614 0 497 1,528 0 0 $ 0 37,475 0 $37,475 $379,516 74,636 1,528 $455,680 $103,236 46,390 0 $149,626 $ 8,763 23,278 113,285 $145,326 (1) Includes amounts from discontinued operations. (2) Net operating income (“NOI”) is used to evaluate the operating performance of our properties. We define NOI as total revenues, including tenant reimbursements, less property level operating expenses, which exclude depreciation and amortization, general and administrative expenses, impairments and interest expense. We believe NOI provides investors relevant and useful information because it measures the operating performance of our properties at the property level on an unleveraged basis. We use NOI to make decisions about resource allocations and to assess the property level performance of our properties. 19. Quarterly Results of Operations (Unaudited) The following is a summary of our unaudited quarterly results of operations for the years ended December 31, 2009 and 2008 (in thousands, except per share data). The sum of individual quarterly amounts may not agree to the annual amounts per the consolidated statements of income due to rounding. 104 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) Revenues — as reported . . . . . . . . . . . . . . . Discontinued operations . . . . . . . . . . . . . . . $144,328 (5,027) $141,686 (2,192) $145,098 (2,181) 1st Quarter Year Ended December 31, 2009 2nd Quarter 3rd Quarter(2) 4th Quarter $147,261 0 Revenues — as adjusted(1) . . . . . . . . . . . . . $139,301 $139,494 $142,917 $147,261 Net income attributable to common stockholders . . . . . . . . . . . . . . . . . . . . . . $ 61,119 $ 59,240 $ 19,130 $ 31,700 Net income attributable to common stockholders per share: Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0.56 0.56 $ 0.53 0.53 $ 0.17 0.17 $ 0.26 0.26 1st Quarter Year Ended December 31, 2008 2nd Quarter(3) 3rd Quarter 4th Quarter(4) Revenues — as reported . . . . . . . . . . . . . . . . . $135,852 (14,295) Discontinued operations . . . . . . . . . . . . . . . . . $135,888 (9,042) $145,096 (8,195) $147,123 (6,022) Revenues — as adjusted(1) . . . . . . . . . . . . . . . $121,557 $126,846 $136,901 $141,101 Net income attributable to common stockholders . . . . . . . . . . . . . . . . . . . . . . . . $ 29,249 $155,410 $ 53,589 $ 21,849 Net income attributable to common stockholders per share: Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.34 0.34 $ 1.74 1.73 $ 0.56 0.55 $ 0.21 0.21 (1) We have reclassified the income attributable to the properties sold subsequent to January 1, 2002 and attributable to the properties held for sale at December 31, 2009 to discontinued operations. See Note 3. (2) The decreases in net income and amounts per share are primarily attributable to losses on extinguishment of debt ($26,374,000). (3) The increases in net income and amounts per share are primarily attributable to gains on sales of real property ($118,168,000). (4) The decreases in net income and amounts per share are primarily attributable to impairment charges ($32,648,000) and realized loss on derivatives ($23,393,000) offset by gains on sales of real property ($33,120,000). 20. Subsequent Events We have evaluated subsequent events for recognition or disclosure through the time we filed this Annual Report on Form 10-K with the SEC on February 26, 2010 and noted no events requiring disclosure. 21. Retrospective Application of New Accounting Standards We adopted FASB Accounting Standards Codification (“ASC”) topic for Noncontrolling Interests in Con- solidated Financial Statements (“Noncontrolling Interest Guidance”) and ASC topic for Accounting for Convertible Debt Instruments That May Be Settled in Cash upon Conversion (Including Partial Cash Settlement) (“Convertible Debt Guidance”), effective January 1, 2009, each of which required retrospective application. Noncontrolling Interest Guidance changed the accounting and reporting for minority interests, which have been re-characterized as noncontrolling interests and classified as a component of equity. Convertible Debt Guidance provides guidance on accounting for convertible debt that may be settled in cash upon conversion. It requires bifurcation of the convertible debt instrument into a debt component and an equity component. The value of the debt component 105 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) is based upon the estimated fair value of a similar debt instrument without the conversion feature. The difference between the contractual principal on the debt and the value allocated to the debt is recorded as an equity component and represents the conversion feature of the instrument. The excess of the contractual principal amount of the debt over its estimated fair value is amortized to interest expense using the effective interest method over the period used to estimate the fair value. The following tables illustrate the retrospective restatement of our previously reported consolidated balance sheet amounts adjusted for certain balance sheet reclassifications to reflect the application of the new guidance for the periods indicated (in thousands): As Previously Reported As of December 31, 2008 Convertible Debt Adjustment Noncontrolling Interests Adjustment As Adjusted Liabilities: Borrowings under unsecured lines of credit arrangements . . . . . . . . . . . . . . . . . . . . . . . . . $ Senior unsecured notes . . . . . . . . . . . . . . . . . . . . Secured debt . . . . . . . . . . . . . . . . . . . . . . . . . . . Accrued expenses and other liabilities. . . . . . . . . Total liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . Minority interests . . . . . . . . . . . . . . . . . . . . . . . . . Equity: 570,000 1,847,247 446,525 129,070 2,992,842 10,603 Preferred stock, $1.00 par value . . . . . . . . . . . . . Common stock, $1.00 par value . . . . . . . . . . . . . Capital in excess of par value . . . . . . . . . . . . . . . Treasury stock . . . . . . . . . . . . . . . . . . . . . . . . . . Cumulative net income. . . . . . . . . . . . . . . . . . . . Cumulative dividends . . . . . . . . . . . . . . . . . . . . . Accumulated other comprehensive income . . . . . Other equity . . . . . . . . . . . . . . . . . . . . . . . . . . . 289,929 104,635 3,180,628 (5,145) 1,362,366 (1,723,819) (1,113) 4,105 $(16,096) (16,096) 0 $ (10,603) 24,062 (7,966) Total Health Care REIT, Inc. stockholders’ equity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Noncontrolling interests . . . . . . . . . . . . . . . . . . . 3,211,586 0 16,096 Total equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,211,586 16,096 0 10,603 10,603 $ 570,000 1,831,151 446,525 129,070 2,976,746 0 289,929 104,635 3,204,690 (5,145) 1,354,400 (1,723,819) (1,113) 4,105 3,227,682 10,603 3,238,285 Total liabilities and equity . . . . . . . . . . . . . . . . . . . $ 6,215,031 $ 0 $ 0 $ 6,215,031 106 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) The following tables illustrate the retrospective restatement of our previously reported consolidated statements of income amounts to reflect the application of the aforementioned new guidance as well as discontinued operations reclassifications for the periods indicated (amounts in thousands, except per share amounts): Year Ended December 31, 2008 As Previously Reported Convertible Debt Adjustment Noncontrolling Interests Adjustment Discontinued Operations Adjustment As Adjusted Revenues: Rental income . . . . . . . . . . . . . . . . . . . . . . . . . . Interest income . . . . . . . . . . . . . . . . . . . . . . . . . Other income. . . . . . . . . . . . . . . . . . . . . . . . . . . Expenses: Interest and loan expenses . . . . . . . . . . . . . . . . . . Property operating expenses . . . . . . . . . . . . . . . . . Depreciation and amortization . . . . . . . . . . . . . . . . General and administrative . . . . . . . . . . . . . . . . . . Realized loss on derivatives . . . . . . . . . . . . . . . . . Loss (gain) on extinguishment of debt . . . . . . . . . . Provision for loan losses . . . . . . . . . . . . . . . . . . . Income from continuing operations before income taxes and minority interests . . . . . . . . . . . . . . . . . . . . . Income tax (expense) benefit . . . . . . . . . . . . . . . . . . Income before minority interests . . . . . . . . . . . . . . . . Minority interests . . . . . . . . . . . . . . . . . . . . . . . . . Income from continuing operations . . . . . . . . . . . . . . Discontinued operations: Gain (loss) on sales of properties . . . . . . . . . . . . . . Impairment of assets . . . . . . . . . . . . . . . . . . . . . . Income from discontinued operations, net . . . . . . . . Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: Preferred stock dividends. . . . . . . . . . . . . . . . . Net income attributable to noncontrolling interests . . Net income attributable to common stockholders . . . . . Average number of common shares outstanding: $500,630 40,063 10,521 551,214 130,813 43,990 156,154 47,193 23,393 (2,094) 94 399,543 151,671 (1,306) 150,365 (126) 150,239 163,933 (32,648) 6,587 137,872 288,111 23,201 0 $264,910 $ $ 0 0 4,812 4,812 (4,812) (4,812) (4,812) 0 (4,812) $ (4,812) $ 0 0 0 0 0 126 126 0 126 126 0 $(24,808) (24,808) (5,472) (1,356) (11,793) (18,621) (6,187) (6,187) (6,187) 6,187 6,187 0 $ 0 $475,822 40,063 10,521 526,406 130,153 42,634 144,361 47,193 23,393 (2,094) 94 385,734 140,672 (1,306) 139,366 0 139,366 163,933 (32,648) 12,774 144,059 283,425 23,201 126 $260,098 Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93,732 94,309 93,732 94,309 93,732 94,309 93,732 94,309 93,732 94,309 Earnings per share: Basic: Income from continuing operations attributable to common stockholders. . . . . . . . . . . . . . . . . . . . Discontinued operations, net . . . . . . . . . . . . . . . . . Net income attributable to common stockholders. . . . Diluted: Income from continuing operations attributable to common stockholders. . . . . . . . . . . . . . . . . . . . Discontinued operations, net . . . . . . . . . . . . . . . . . Net income attributable to common stockholders. . . . $ $ $ $ 1.36 1.47 2.83 1.35 1.46 2.81 $ (0.05) 0.00 $ (0.05) $ (0.05) 0.00 $ (0.05) $ $ $ $ 0.00 0.00 0.00 0.00 0.00 0.00 $ $ $ $ (0.07) 0.07 0.00 (0.07) 0.07 0.00 $ $ $ $ 1.24 1.54 2.77 1.23 1.53 2.76 107 HEALTH CARE REIT, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued) Year Ended December 31, 2007 As Previously Reported Convertible Debt Adjustment Noncontrolling Interests Adjustment Discontinued Operations Adjustment As Adjusted Revenues: Rental income . . . . . . . . . . . . . . . . . . . . . . . . . . Interest income . . . . . . . . . . . . . . . . . . . . . . . . . Other income. . . . . . . . . . . . . . . . . . . . . . . . . . . Expenses: Interest expense . . . . . . . . . . . . . . . . . . . . . . . . . Property operating expenses . . . . . . . . . . . . . . . . . Depreciation and amortization . . . . . . . . . . . . . . . . General and administrative . . . . . . . . . . . . . . . . . . Realized loss on derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . . Loss (gain) on extinguishment of debt Income from continuing operations before income taxes and minority interests . . . . . . . . . . . . . . . . . . . . . Income tax (expense) benefit . . . . . . . . . . . . . . . . . . Income before minority interests . . . . . . . . . . . . . . . . Minority interests . . . . . . . . . . . . . . . . . . . . . . . . . Income from continuing operations . . . . . . . . . . . . . . Discontinued operations: Gain (loss) on sales of properties . . . . . . . . . . . . . . Income from discontinued operations, net . . . . . . . . Net income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less: Preferred stock dividends. . . . . . . . . . . . . . . . . Net income attributable to noncontrolling interests . . $417,673 25,823 10,035 453,531 131,893 34,707 135,224 37,465 0 (1,081) 338,208 115,323 (188) 115,135 (238) 114,897 14,437 12,068 26,505 141,402 25,130 0 $ $ 0 0 3,047 3,047 (3,047) (3,047) (3,047) 0 (3,047) Net income attributable to common stockholders . . . . . $116,272 $ (3,047) $ 0 0 0 0 0 238 238 0 238 238 0 Average number of common shares outstanding: Basic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diluted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78,861 79,409 78,861 79,409 78,861 79,409 Earnings per share: Basic: Income from continuing operations attributable to common stockholders. . . . . . . . . . . . . . . . . . . . Discontinued operations, net . . . . . . . . . . . . . . . . . Net income attributable to common stockholders. . . . Diluted: Income from continuing operations attributable to common stockholders. . . . . . . . . . . . . . . . . . . . Discontinued operations, net . . . . . . . . . . . . . . . . . Net income attributable to common stockholders. . . . $ $ $ $ 1.14 0.34 1.47 1.13 0.33 1.46 $ (0.04) 0.00 $ (0.04) $ (0.04) 0.00 $ (0.04) $ $ $ $ 0.00 0.00 0.00 0.00 0.00 0.00 108 $(24,045) (24,045) (3,669) (1,297) (10,992) (15,958) (8,087) (8,087) (8,087) 8,087 8,087 0 0 $393,628 25,823 10,035 429,486 131,271 33,410 124,232 37,465 0 (1,081) 325,297 104,189 (188) 104,001 0 104,001 14,437 20,155 34,592 138,593 25,130 238 $113,225 $ $ $ $ $ 78,861 79,409 78,861 79,409 (0.10) 0.10 0.00 (0.10) 0.10 0.00 $ $ $ $ 1.00 0.44 1.44 0.99 0.44 1.43 Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure Not applicable. Item 9A. Controls and Procedures Disclosure Controls and Procedures An evaluation was carried out under the supervision and with the participation of our management, including our Chief Executive Officer and Chief Financial Officer, of the effectiveness of the disclosure controls and procedures (as defined in Rule 13a-15(e) of the Securities Exchange Act of 1934, as amended) as of the end of the period covered by this report. Based on that evaluation, the Chief Executive Officer and Chief Financial Officer concluded that the disclosure controls and procedures were effective as of the end of the period covered by this report. Management’s Report on Internal Control over Financial Reporting Management is responsible for establishing and maintaining adequate internal control over financial reporting (as defined in Rule 13a-15(f) of the Securities Exchange Act of 1934, as amended). The 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 U.S. generally accepted accounting principles. The 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 U.S. 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. Management has assessed the effectiveness of the Company’s internal control over financial reporting as of December 31, 2009 based on the criteria established by the Committee of Sponsoring Organizations of the Treadway Commission in a report entitled Internal Control — Integrated Framework. Based on this assessment, using the criteria above, management concluded that the Company’s system of internal control over financial reporting was effective as of December 31, 2009. The independent registered public accounting firm of Ernst & Young LLP, as auditors of the Company’s consolidated financial statements, has issued an attestation report on the Company’s internal control over financial reporting. Changes in Internal Control over Financial Reporting No change in our internal control over financial reporting (as defined in Rule 13a-15(f) of the Securities Exchange Act of 1934, as amended) occurred during the fourth quarter of the one-year period covered by this report that materially affected, or is reasonably likely to materially affect, our internal control over financial reporting. 109 Report of Independent Registered Public Accounting Firm on Internal Control over Financial Reporting The Board of Directors and Shareholders of Health Care REIT, Inc. We have audited Health Care REIT, Inc.’s internal control over financial reporting as of December 31, 2009, based on criteria established in Internal Control — Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (the COSO criteria). Health Care REIT, Inc.’s management is responsible for maintaining effective internal control over financial reporting, and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying Management Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the Company’s internal control over financial reporting based on our audit. We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion. A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements. Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. In our opinion, Health Care REIT, Inc. maintained, in all material respects, effective internal control over financial reporting as of December 31, 2009, 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 Health Care REIT, Inc. as of December 31, 2009 and 2008, and the related consolidated statements of income, stockholders’ equity, and cash flows for each of the three years in the period ended December 31, 2009 of Health Care REIT, Inc. and our report dated February 26, 2010 expressed an unqualified opinion thereon. Toledo, Ohio February 26, 2010 /s/ ERNST & YOUNG LLP 110 Item 9B. Other Information None. PART III Item 10. Directors, Executive Officers and Corporate Governance The information required by this Item is incorporated herein by reference to the information under the headings “Election of Directors,” “Executive Officers,” “Board and Committees,” “Communications with the Board” and “Security Ownership of Directors and Management and Certain Beneficial Owners — Section 16(a) Compliance” in our definitive proxy statement, which will be filed with the Securities and Exchange Commission (“Commission”) prior to April 30, 2010. We have adopted a Code of Business Conduct & Ethics that applies to our directors, officers and employees. The code is posted on the Internet at www.hcreit.com. Any amendment to, or waivers from, the code that relate to any officer or director of the Company will be promptly disclosed on the Internet at www.hcreit.com. In addition, the Board has adopted charters for the Audit, Compensation and Nominating/Corporate Gov- ernance Committees. These charters are posted on the Internet at www.hcreit.com. Item 11. Executive Compensation The information required by this Item is incorporated herein by reference to the information under the headings “Executive Compensation,” “Compensation Committee Report” and “Director Compensation” in our definitive proxy statement, which will be filed with the Commission prior to April 30, 2010. Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters The information required by this Item is incorporated herein by reference to the information under the headings “Security Ownership of Directors and Management and Certain Beneficial Owners” and “Equity Compensation Plan Information” in our definitive proxy statement, which will be filed with the Commission prior to April 30, 2010. Item 13. Certain Relationships and Related Transactions and Director Independence The information required by this Item is incorporated herein by reference to the information under the headings “Board and Committees — Independence and Meetings” and “Certain Relationships and Related Transactions” in our definitive proxy statement, which will be filed with the Commission prior to April 30, 2010. Item 14. Principal Accounting Fees and Services The information required by this Item is incorporated herein by reference to the information under the headings “Ratification of the Appointment of the Independent Registered Public Accounting Firm” and “Pre- Approval Policies and Procedures” in our definitive proxy statement, which will be filed with the Commission prior to April 30, 2010. 111 Item 15. Exhibits and Financial Statement Schedules (a) 1. Our Consolidated Financial Statements are included in Part II, Item 8: PART IV Report of Independent Registered Public Accounting Firm . . . . . . . . . . . . . . . . . . . . . . . 72 Consolidated Balance Sheets — December 31, 2009 and 2008 . . . . . . . . . . . . . . . . . . . . 73 Consolidated Statements of Income — Years ended December 31, 2009, 2008 and 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Consolidated Statements of Stockholders’ Equity — Years ended December 31, 2009, 2008 and 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Consolidated Statements of Cash Flows — Years ended December 31, 2009, 2008 and 2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 Notes to Consolidated Financial Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 2. The following Financial Statement Schedules are included in Item 15(c): III — Real Estate and Accumulated Depreciation IV — Mortgage Loans on Real Estate All other schedules for which provision is made in the applicable accounting regulation of the Securities and Exchange Commission are not required under the related instructions or are inapplicable and therefore have been omitted. 3. Exhibit Index: 1.1(a) 1.1(b) 2.1(a) 2.1(b) 3.1(a) 3.1(b) 3.1(c) 3.1(d) Equity Distribution Agreement, dated as of November 6, 2008, by and among the Company and UBS Securities LLC (filed with the Commission as Exhibit 1.1 to the Company’s Form 8-K filed November 7, 2008 (File No. 001-08923), and incorporated herein by reference thereto). Amendment No. 1 to Equity Distribution Agreement, dated as of May 8, 2009, by and among the Company and UBS Securities LLC (filed with the Commission as Exhibit 1.1 to the Company’s Form 10-Q filed August 6, 2009 (File No. 001-08923), and incorporated herein by reference thereto). Agreement and Plan of Merger, dated as of September 12, 2006, by and among the Company, Heat Merger Sub, LLC, Heat OP Merger Sub, L.P., Windrose Medical Properties Trust and Windrose Medical Properties, L.P. (filed with the Commission as Exhibit 2.1 to the Company’s Form 8-K filed September 15, 2006 (File No. 001-08923), and incorporated herein by reference thereto). Amendment No. 1 to Agreement and Plan of Merger, dated as of October 12, 2006, by and among the Company, Heat Merger Sub, LLC, Heat OP Merger Sub, L.P., Windrose Medical Properties Trust and Windrose Medical Properties, L.P. (filed with the Commission as Exhibit 2.1 to the Company’s Form 8-K filed October 13, 2006 (File No. 001-08923), and incorporated herein by reference thereto). Second Restated Certificate of Incorporation of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 10-K filed March 20, 2000 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Designation, Preferences and Rights of Junior Participating Preferred Stock, Series A, of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 10-K filed March 20, 2000 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Amendment of Second Restated Certificate of Incorporation of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 10-K filed March 20, 2000 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Amendment of Second Restated Certificate of Incorporation of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 8-K filed June 13, 2003 (File No. 001-08923), and incorporated herein by reference thereto). 112 3.1(e) 3.1(f) 3.1(g) 3.1(h) 3.1(i) 3.2 4.1 4.2(a) 4.2(b) 4.2(c) 4.2(d) 4.2(e) 4.2(f) 4.2(g) 4.2(h) Certificate of Designation of 77⁄8% Series D Cumulative Redeemable Preferred Stock of the Company (filed with the Commission as Exhibit 2.5 to the Company’s Form 8-A/A filed July 8, 2003 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Designation of 6% Series E Cumulative Convertible and Redeemable Preferred Stock of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 8-K filed October 1, 2003 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Designation of 75⁄8% Series F Cumulative Redeemable Preferred Stock of the Company (filed with the Commission as Exhibit 2.5 to the Company’s Form 8-A filed September 10, 2004 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Designation of 7.5% Series G Cumulative Convertible Preferred Stock of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 8-K filed December 20, 2006 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Amendment of Second Restated Certificate of Incorporation of the Company (filed with the Commission as Exhibit 3.9 to the Company’s Form 10-Q filed August 9, 2007 (File No. 001-08923), and incorporated herein by reference thereto). Second Amended and Restated By-Laws of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 8-K filed October 29, 2007 (File No. 001-08923), and incorporated herein by reference thereto). The Company, by signing this Report, agrees to furnish the Securities and Exchange Commission upon its request a copy of any instrument that defines the rights of holders of long-term debt of the Company and authorizes a total amount of securities not in excess of 10% of the total assets of the Company. Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and Fifth Third Bank (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed September 9, 2002 (File No. 001-08923), and incorporated herein by reference thereto). Supplemental Indenture No. 1, dated as of September 6, 2002, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and Fifth Third Bank (filed with the Commission as Exhibit 4.2 to the Company’s Form 8-K filed September 9, 2002 (File No. 001-08923), and incorporated herein by reference thereto). Amendment No. 1, dated March 12, 2003, to Supplemental Indenture No. 1, dated as of September 6, 2002, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and Fifth Third Bank (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed March 14, 2003 (File No. 001-08923), and incorporated herein by reference thereto). Supplemental Indenture No. 2, dated as of September 10, 2003, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and Fifth Third Bank (filed with the Commission as Exhibit 4.2 to the Company’s Form 8-K filed September 24, 2003 (File No. 001-08923), and incorporated herein by reference thereto). Amendment No. 1, dated September 16, 2003, to Supplemental Indenture No. 2, dated as of September 10, 2003, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and Fifth Third Bank (filed with the Commission as Exhibit 4.4 to the Company’s Form 8-K filed September 24, 2003 (File No. 001-08923), and incorporated herein by reference thereto). Supplemental Indenture No. 3, dated as of October 29, 2003, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and Fifth Third Bank (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed October 30, 2003 (File No. 001-08923), and incorporated herein by reference thereto). Amendment No. 1, dated September 13, 2004, to Supplemental Indenture No. 3, dated as of October 29, 2003, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and The Bank of New York Trust Company, N.A., as successor to Fifth Third Bank (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed September 13, 2004 (File No. 001-08923), and incorporated herein by reference thereto). Supplemental Indenture No. 4, dated as of April 27, 2005, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and The Bank of New York Trust Company, N.A. (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed April 28, 2005 (File No. 001- 08923), and incorporated herein by reference thereto). 113 4.2(i) 4.3(a) 4.3(b) 4.3(c) 4.4 4.5 4.6 10.1 10.2 10.3(a) 10.3(b) 10.3(c) 10.3(d) 10.3(e) 10.3(f) 10.4(a) Supplemental Indenture No. 5, dated as of November 30, 2005, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and The Bank of New York Trust Company, N.A. (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed November 30, 2005 (File No. 001-08923), and incorporated herein by reference thereto). Indenture, dated as of November 20, 2006, between the Company and The Bank of New York Trust Company, N.A. (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed November 20, 2006 (File No. 001-08923), and incorporated herein by reference thereto). Supplemental Indenture No. 1, dated as of November 20, 2006, between the Company and The Bank of New York Trust Company, N.A. (filed with the Commission as Exhibit 4.2 to the Company’s Form 8-K filed November 20, 2006 (File No. 001-08923), and incorporated herein by reference thereto). Supplemental Indenture No. 2, dated as of July 20, 2007, between the Company and The Bank of New York Trust Company, N.A. (filed with the SEC as Exhibit 4.1 to the Company’s Form 8-K filed July 20, 2007 (File No. 001-08923), and incorporated herein by reference thereto). Form of Indenture for Senior Subordinated Debt Securities (filed with the Commission as Exhibit 4.9 to the Company’s Form S-3 (File No. 333-73936) filed November 21, 2001, and incorporated herein by reference thereto). Form of Indenture for Junior Subordinated Debt Securities (filed with the Commission as Exhibit 4.10 to the Company’s Form S-3 (File No. 333-73936) filed November 21, 2001, and incorporated herein by reference thereto). Form of Indenture for Senior Debt Securities (filed with the Commission as Exhibit 4.6 to the Company’s Form S-3 (File No. 333-159040) filed May 7, 2009, and incorporated herein by reference thereto). Fourth Amended and Restated Loan Agreement, dated as of August 6, 2007, by and among the Company and certain of its subsidiaries, the banks signatory thereto, KeyBank National Association, as administrative agent, Deutsche Bank Securities Inc., as syndication agent, and UBS Securities LLC, Bank of America, N.A., JPMorgan Chase Bank, N.A., Calyon New York Branch, Barclays Bank PLC and Fifth Third Bank, as documentation agents (filed with the SEC as Exhibit 10.2 to the Company’s Form 10-Q filed August 9, 2007 (File No. 001-08923), and incorporated herein by reference thereto). Health Care REIT, Inc. Interest Rate & Currency Risk Management Policy adopted on May 6, 2004 (filed with the Commission as Exhibit 10.6 to the Company’s Form 10-Q filed July 23, 2004 (File No. 001-08923), and incorporated herein by reference thereto). The 1995 Stock Incentive Plan of Health Care REIT, Inc. (filed with the Commission as Appendix II to the Company’s Proxy Statement for the 1995 Annual Meeting of Stockholders, filed September 29, 1995 (File No. 001-08923), and incorporated herein by reference thereto).* First Amendment to the 1995 Stock Incentive Plan of Health Care REIT, Inc. (filed with the Commission as Exhibit 4.2 to the Company’s Form S-8 (File No. 333-40771) filed November 21, 1997, and incorporated herein by reference thereto).* Second Amendment to the 1995 Stock Incentive Plan of Health Care REIT, Inc. (filed with the Commission as Exhibit 4.3 to the Company’s Form S-8 (File No. 333-73916) filed November 21, 2001, and incorporated herein by reference thereto).* Third Amendment to the 1995 Stock Incentive Plan of Health Care REIT, Inc. (filed with the Commission as Exhibit 10.15 to the Company’s Form 10-K filed March 12, 2004 (File No. 001- 08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement for Executive Officers under the 1995 Stock Incentive Plan (filed with the Commission as Exhibit 10.17 to the Company’s Form 10-K filed March 16, 2005 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Restricted Stock Agreement for Executive Officers under the 1995 Stock Incentive Plan (filed with the Commission as Exhibit 10.18 to the Company’s Form 10-K filed March 16, 2005 (File No. 001- 08923), and incorporated herein by reference thereto).* Stock Plan for Non-Employee Directors of Health Care REIT, Inc. (filed with the Commission as Exhibit 10.1 to the Company’s Form 10-Q filed May 10, 2004 (File No. 001-08923), and incorporated herein by reference thereto).* 114 10.4(b) 10.4(c) 10.4(d) 10.5(a) 10.5(b) 10.5(c) 10.5(d) 10.5(e) 10.5(f) 10.5(g) 10.5(h) 10.5(i) 10.5(j) 10.5(k) 10.5(l) 10.5(m) First Amendment to the Stock Plan for Non-Employee Directors of Health Care REIT, Inc. effective April 21, 1998 (filed with the Commission as Exhibit 10.2 to the Company’s Form 10-Q filed May 10, 2004 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement under the Stock Plan for Non-Employee Directors (filed with the Commission as Exhibit 10.3 to the Company’s Form 10-Q/A filed October 27, 2004 (File No. 001- 08923), and incorporated herein by reference thereto).* Form of Restricted Stock Agreement under the Stock Plan for Non-Employee Directors (filed with the Commission as Exhibit 10.20 to the Company’s Form 10-K filed March 16, 2005 (File No. 001-08923), and incorporated herein by reference thereto).* Amended and Restated Health Care REIT, Inc. 2005 Long-Term Incentive Plan (filed with the Commission as Appendix A to the Company’s Proxy Statement for the 2009 Annual Meeting of Stockholders, filed March 25, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement (with Dividend Equivalent Rights) for the Chief Executive Officer under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.18 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Amendment to Stock Option Agreements (with Dividend Equivalent Rights) for the Chief Executive Officer under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.6 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement (with Dividend Equivalent Rights) for the Chief Executive Officer under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.8 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement (with Dividend Equivalent Rights) for Executive Officers under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.19 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Amendment to Stock Option Agreements (with Dividend Equivalent Rights) for Executive Officers under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.7 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement (with Dividend Equivalent Rights) for Executive Officers under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.9 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement (without Dividend Equivalent Rights) for the Chief Executive Officer under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.20 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement (without Dividend Equivalent Rights) for Executive Officers under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.21 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Restricted Stock Agreement for the Chief Executive Officer under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.22 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Restricted Stock Agreement for Executive Officers under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.23 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Deferred Stock Unit Grant Agreement for Non-Employee Directors under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.24 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Amendment to Deferred Stock Unit Grant Agreements for Non-Employee Directors under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.10 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* 115 10.5(n) 10.5(o) 10.5(p) 10.5(q) 10.5(r) 10.5(s) 10.6 10.7 10.8 10.9 10.10 10.11 10.12 10.13 10.14 Form of Deferred Stock Unit Grant Agreement for Non-Employee Directors under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.11 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Stock Option Agreement, dated December 20, 2006, between the Company and Daniel R. Loftus (filed with the Commission as Exhibit 10.4 to the Company’s Form 10-Q filed May 10, 2007 (File No. 001-08923), and incorporated herein by reference thereto).* Restricted Stock Agreement, dated January 22, 2007, by and between the Company and Raymond W. Braun (filed with the Commission as Exhibit 10.2 to the Company’s Form 8-K filed January 25, 2007 (File No. 001-08923), and incorporated herein by reference thereto).* Stock Option Agreement (with Dividend Equivalent Rights), dated as of January 21, 2008, by and between the Company and Frederick L. Farrar (filed with the Commission as Exhibit 10.1 to the Company’s Form 10-Q filed August 6, 2008 (File No. 001-08923), and incorporated herein by reference thereto).* Stock Option Agreement (without Dividend Equivalent Rights), dated as of January 21, 2008, by and between the Company and Frederick L. Farrar (filed with the Commission as Exhibit 10.2 to the Company’s Form 10-Q filed August 6, 2008 (File No. 001-08923), and incorporated herein by reference thereto).* Restricted Stock Agreement, dated as of January 21, 2008, by and between the Company and Frederick L. Farrar (filed with the Commission as Exhibit 10.3 to the Company’s Form 10-Q filed August 6, 2008 (File No. 001-08923), and incorporated herein by reference thereto).* Fourth Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and George L. Chapman (filed with the Commission as Exhibit 10.6 to the Company’s Form 10-K filed March 2, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Second Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and Scott A. Estes (filed with the Commission as Exhibit 10.4 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Second Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and Charles J. Herman, Jr. (filed with the Commission as Exhibit 10.3 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and Jeffrey H. Miller (filed with the Commission as Exhibit 10.8 to the Company’s Form 10-K filed March 2, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Employment Agreement, dated January 19, 2009, between the Company and John T. Thomas (filed with the Commission as Exhibit 10.10 to the Company’s Form 10-K filed March 2, 2009 (File No. 001- 08923), and incorporated herein by reference thereto).* Third Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and Erin C. Ibele (filed with the Commission as Exhibit 10.11 to the Company’s Form 10-K filed March 2, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Second Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and Daniel R. Loftus (filed with the Commission as Exhibit 10.12 to the Company’s Form 10-K filed March 2, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Amended and Restated Consulting Agreement, dated December 29, 2008, between the Company and Fred S. Klipsch (filed with the Commission as Exhibit 10.5 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Amended and Restated Consulting Agreement, dated December 29, 2008, between the Company and Frederick L. Farrar (filed with the Commission as Exhibit 10.14 to the Company’s Form 10-K filed March 2, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* 10.15(a) Consulting Agreement, dated February 1, 2009, between the Company and Raymond W. Braun (filed with the Commission as Exhibit 10.15(a) to the Company’s Form 10-K filed March 2, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* 116 14 12 10.18 10.17 10.16 10.15(b) Third Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and Raymond W. Braun (filed with the Commission as Exhibit 10.2 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Amended and Restated Health Care REIT, Inc. Supplemental Executive Retirement Plan, dated December 29, 2008 (filed with the Commission as Exhibit 10.12 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Indemnification Agreement between the Company and each director, executive officer and officer of the Company (filed with the Commission as Exhibit 10.1 to the Company’s Form 8-K filed February 18, 2005 (File No. 001-08923), and incorporated herein by reference thereto).* Summary of Director Compensation (filed with the Commission as Exhibit 10.1 to the Company’s Form 10-Q filed May 9, 2008 (File No. 001-08923), and incorporated herein by reference thereto).* Statement Regarding Computation of Ratio of Earnings to Fixed Charges and Ratio of Earnings to Combined Fixed Charges and Preferred Stock Dividends (Unaudited). Code of Business Conduct and Ethics (filed with the Commission as Exhibit 14 to the Company’s Form 10-K filed March 12, 2004 (File No. 001-08923), and incorporated herein by reference thereto). Subsidiaries of the Company. Consent of Ernst & Young LLP, independent registered public accounting firm. Power of Attorney executed by William C. Ballard, Jr. (Director). Power of Attorney executed by Pier C. Borra (Director). Power of Attorney executed by Thomas J. DeRosa (Director). Power of Attorney executed by Jeffrey H. Donahue (Director). Power of Attorney executed by Peter J. Grua (Director). Power of Attorney executed by Fred S. Klipsch (Director). Power of Attorney executed by Sharon M. Oster (Director). Power of Attorney executed by Jeffrey R. Otten (Director). Power of Attorney executed by R. Scott Trumbull (Director). Power of Attorney executed by George L. Chapman (Director, Chairman of the Board, Chief Executive Officer and President and Principal Executive Officer). Power of Attorney executed by Scott A. Estes (Executive Vice President and Chief Financial Officer and Principal Financial Officer). Power of Attorney executed by Paul D. Nungester, Jr. (Vice President and Controller and Principal Accounting Officer). Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer. Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer. Certification pursuant to 18 U.S.C. Section 1350 by Chief Executive Officer. Certification pursuant to 18 U.S.C. Section 1350 by Chief Financial Officer. 21 23 24.1 24.2 24.3 24.4 24.5 24.6 24.7 24.8 24.9 24.10 31.1 31.2 32.1 32.2 24.11 24.12 * Management Contract or Compensatory Plan or Arrangement. (b) Exhibits: The exhibits listed in Item 15(a)(3) above are either filed with this Form 10-K or incorporated by reference in accordance with Rule 12b-32 of the Securities Exchange Act of 1934. (c) Financial Statement Schedules: Financial statement schedules are included on pages 119 through 131. 117 Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Company has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. HEALTH CARE REIT, INC. By: /s/ GEORGE L. CHAPMAN Chairman, Chief Executive Officer, President and Director Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below on February 26, 2010, by the following person on behalf of the Company and in the capacities indicated. /s/ WILLIAM C. BALLARD, JR.** William C. Ballard, Jr., Director /s/ PIER C. BORRA** Pier C. Borra, Director /s/ THOMAS J. DEROSA** Thomas J. DeRosa, Director /s/ JEFFREY H. DONAHUE** Jeffrey H. Donahue, Director /s/ PETER J. GRUA** Peter J. Grua, Director /s/ FRED S. KLIPSCH** Fred S. Klipsch, Director /s/ SHARON M. OSTER** Sharon M. Oster, Director /s/ JEFFREY R. OTTEN** Jeffrey R. Otten, Director /s/ R. SCOTT TRUMBULL** R. Scott Trumbull, Director /s/ GEORGE L. CHAPMAN George L. Chapman, Chairman, Chief Executive Officer, President and Director (Principal Executive Officer) /s/ SCOTT A. ESTES** Scott A. Estes, Executive Vice President and Chief Financial Officer (Principal Financial Officer) /s/ PAUL D. NUNGESTER, JR.** Paul D. Nungester, Jr., Vice President and Controller (Principal Accounting Officer) **By: /s/ GEORGE L. CHAPMAN George L. Chapman, Attorney-in-Fact 118 HEALTH CARE REIT, INC. SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2009 Description Encumbrances Initial Cost to Company Buildings & Improvements Land Cost Capitalized Subsequent to Acquisition Gross Amount at Which Carried at Close of Period Land Buildings & Improvements Accumulated Depreciation Year Acquired Year Built (Dollars in thousands) Assisted Living Facilities: Asheboro, NC . . . . . . . . Asheville, NC. . . . . . . . . Asheville, NC. . . . . . . . . Austin, TX(9) . . . . . . . . . Azusa, CA. . . . . . . . . . . Bartlesville, OK . . . . . . . Bellevue, WI . . . . . . . . . Bethel Park, PA . . . . . . . Bradenton, FL . . . . . . . . Bremerton, WA. . . . . . . . Burlington, NC . . . . . . . . Burlington, NC . . . . . . . . Butte, MT . . . . . . . . . . . Canton, OH . . . . . . . . . . Cape Coral, FL . . . . . . . . Cary, NC. . . . . . . . . . . . Cedar Hill, TX . . . . . . . . Chapel Hill, NC . . . . . . . Chelmsford, MA(11) . . . . Chickasha, OK . . . . . . . . Claremore, OK . . . . . . . . Clarksville, TN . . . . . . . . Cleburne, TX(10) . . . . . . Columbia, TN . . . . . . . . Concord, NC . . . . . . . . . Crystal Lake, IL . . . . . . . Danville, VA . . . . . . . . . Davenport, IA . . . . . . . . Dayton, OH . . . . . . . . . . DeForest, WI . . . . . . . . . Desoto, TX . . . . . . . . . . Duncan, OK. . . . . . . . . . Durham, NC . . . . . . . . . . . . . . . . . . Eden, NC(1) Edmond, OK . . . . . . . . . Elizabeth City, NC . . . . . Encinitas, CA . . . . . . . . . Enid, OK . . . . . . . . . . . Everett, WA . . . . . . . . . . Fairfield, CA . . . . . . . . . Fairhaven, MA . . . . . . . . Fayetteville, NY . . . . . . . Findlay, OH . . . . . . . . . . Florence, NJ . . . . . . . . . Forest City, NC. . . . . . . . Fredericksburg, VA(3) . . . Gastonia, NC . . . . . . . . . Gastonia, NC . . . . . . . . . Gastonia, NC . . . . . . . . . Georgetown, TX . . . . . . . Greenfield, WI . . . . . . . . Greensboro, NC . . . . . . . Greensboro, NC . . . . . . . Greenville, NC . . . . . . . . Greenville, SC(1) . . . . . . Hamden, CT . . . . . . . . . Hamilton, NJ . . . . . . . . . Harleysville, PA . . . . . . . Hemet, CA . . . . . . . . . . Henderson, NV . . . . . . . . Henderson, NV . . . . . . . . Hickory, NC . . . . . . . . . $ 0 0 0 20,052 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13,102 0 0 0 5,999 0 0 0 0 0 0 0 0 0 0 2,822 0 0 0 0 0 0 0 0 0 0 0 6,571 0 0 0 0 0 0 0 0 3,093 0 0 0 0 0 0 0 $ 290 204 280 880 570 100 1,740 1,700 252 390 280 460 550 300 530 1,500 171 354 1,040 85 155 330 520 341 550 840 410 1,403 690 250 205 103 1,476 390 175 200 1,460 90 1,400 1,460 770 410 200 300 320 1,000 470 310 400 200 600 330 560 290 310 1,470 440 960 870 380 380 290 $ 5,032 3,489 1,955 9,520 3,141 1,380 18,260 16,455 3,298 2,210 4,297 5,467 3,957 2,098 3,281 4,350 1,490 2,646 10,951 1,395 1,428 2,292 5,369 2,295 3,921 7,290 3,954 35,893 2,970 5,350 1,383 1,347 10,659 4,877 1,564 2,760 7,721 1,390 5,476 14,040 6,230 3,962 1,800 2,978 4,497 20,000 6,129 3,096 5,029 2,100 6,626 2,970 5,507 4,393 4,750 4,530 4,469 11,355 3,405 9,220 4,360 987 $ 165 0 351 0 5,936 0 571 0 0 144 707 0 43 0 0 986 0 783 0 0 0 0 0 0 55 0 722 0 1,428 354 0 0 2,196 0 0 2,011 0 0 0 0 0 500 0 0 0 303 0 22 120 0 328 554 1,013 168 0 0 0 0 0 65 41 232 119 $ 290 204 280 880 570 100 1,740 1,700 252 390 280 460 550 300 530 1,500 171 354 1,040 85 155 330 520 341 550 840 410 1,403 690 250 205 103 1,476 390 175 200 1,460 90 1,400 1,460 770 410 200 300 320 1,000 470 310 400 200 600 330 560 290 310 1,470 440 960 870 380 380 290 $ 5,197 3,489 2,306 9,520 9,077 1,380 18,831 16,455 3,298 2,354 5,004 5,467 4,000 2,098 3,281 5,336 1,490 3,429 10,951 1,395 1,428 2,292 5,369 2,295 3,976 7,290 4,676 35,893 4,398 5,704 1,383 1,347 12,855 4,877 1,564 4,771 7,721 1,390 5,476 14,040 6,230 4,462 1,800 2,978 4,497 20,303 6,129 3,118 5,149 2,100 6,954 3,524 6,520 4,561 4,750 4,530 4,469 11,355 3,405 9,285 4,401 1,219 $ 901 1,105 451 2,968 809 537 1,706 338 1,301 180 858 966 1,001 661 713 1,533 562 694 1,815 537 530 715 364 722 778 253 836 80 1,535 390 507 514 6,362 881 587 1,222 2,114 541 1,616 3,109 951 949 634 643 818 2,508 1,075 586 905 725 434 645 1,184 791 734 1,165 967 178 239 2,693 1,085 299 2003 1999 2003 1999 1998 1996 2006 2007 1996 2006 2003 2003 1998 1998 2002 1998 1997 2002 2003 1996 1996 1998 2006 1999 2003 2007 2003 2006 2003 2007 1996 1995 1997 2003 1995 1998 2000 1995 1999 2002 2004 2001 1997 2002 2003 2005 2003 2003 2003 1997 2006 2003 2003 2003 2004 2002 2001 2008 2007 1998 1999 2003 1998 1999 1992 1998 1988 1995 2004 2009 1995 1999 2000 1997 1999 1998 2000 1996 1996 1997 1997 1996 1996 1998 2007 1999 1997 2008 1998 2009 1994 2006 1996 1996 1999 1998 1996 1999 2000 1995 1999 1998 1999 1997 1997 1999 1999 1999 1998 1994 1996 1997 2006 1996 1997 1998 1997 1998 1998 2009 1996 1998 2000 1994 Description Encumbrances Initial Cost to Company Buildings & Improvements Land Cost Capitalized Subsequent to Acquisition Gross Amount at Which Carried at Close of Period Land Buildings & Improvements Accumulated Depreciation Year Acquired Year Built (Dollars in thousands) High Point, NC . . . . . . . . High Point, NC . . . . . . . . High Point, NC . . . . . . . . High Point, NC . . . . . . . . Highlands Ranch, CO . . . . Hopedale, MA . . . . . . . . Houston, TX . . . . . . . . . Houston, TX . . . . . . . . . Hutchinson, KS(11) . . . . . Irving, TX . . . . . . . . . . . Jonesboro, GA . . . . . . . . Kalispell, MT . . . . . . . . . Kenner, LA . . . . . . . . . . Kenosha, WI . . . . . . . . . Kent, WA . . . . . . . . . . . Kirkland, WA(11) . . . . . . Lake Havasu City, AZ . . . Lake Havasu City, AZ . . . Lecanto, FL(11) . . . . . . . Lenoir, NC . . . . . . . . . . Lexington, NC . . . . . . . . Longview, TX(10) . . . . . . Manassas, VA(11) . . . . . . Mansfield, TX(10) . . . . . . Margate, FL . . . . . . . . . . Martinsville, VA . . . . . . . Marysville, CA . . . . . . . . Matthews, NC(1) . . . . . . . McHenry, IL . . . . . . . . . McHenry, IL . . . . . . . . . Menomonee Falls, WI . . . Middleburg Heights, OH . . Middleton, WI . . . . . . . . Midwest City, OK . . . . . . Missoula, MT(2) . . . . . . . Monroe, NC. . . . . . . . . . Monroe, NC. . . . . . . . . . Monroe, NC. . . . . . . . . . Morehead City, NC . . . . . Mt. Vernon, WA . . . . . . . Nacogdoches, TX(10) . . . . Nashville, TN . . . . . . . . . New York, NY . . . . . . . . Newark, DE(11) . . . . . . . Newburyport, MA . . . . . . Norman, OK . . . . . . . . . North Augusta, SC . . . . . North Miami Beach, FL . . North Oklahoma City, OK . . . . . . . . . . . . . . Ocala, FL . . . . . . . . . . . Ogden, UT(11) . . . . . . . . Oklahoma City, OK . . . . . Oklahoma City, OK . . . . . Oklahoma City, OK . . . . . Oklahoma City, OK . . . . . Oneonta, NY . . . . . . . . . Oshkosh, WI . . . . . . . . . Oswego, IL . . . . . . . . . . Owasso, OK . . . . . . . . . Palestine, TX . . . . . . . . . Palestine, TX . . . . . . . . . Paris, TX(10) . . . . . . . . . Paso Robles, CA . . . . . . . Pinehurst, NC . . . . . . . . . Piqua, OH . . . . . . . . . . . Pittsburgh, PA(11) . . . . . . Ponca City, OK . . . . . . . Quincy, MA . . . . . . . . . . Reidsville, NC . . . . . . . . Reno, NV . . . . . . . . . . . $ 0 0 0 0 0 0 0 0 10,673 0 0 0 0 0 0 4,979 0 0 4,211 0 0 7,339 7,904 5,272 0 0 0 3,527 0 0 0 0 0 0 6,048 0 0 0 0 0 6,245 0 0 14,473 0 0 0 0 0 0 7,411 0 0 0 0 0 0 0 0 0 0 6,527 0 0 0 6,259 0 0 0 0 $ 560 370 330 430 940 130 360 360 600 1,030 460 360 1,100 1,500 940 1,880 450 110 200 190 200 610 750 660 500 349 450 560 1,632 3,550 1,020 960 420 95 550 470 310 450 200 400 390 4,910 1,440 560 960 55 332 300 87 1,340 360 130 220 590 760 80 900 900 215 173 180 490 1,770 290 204 1,750 114 2,690 170 1,060 $ 4,443 2,185 3,395 4,143 3,721 8,170 2,640 2,640 10,590 6,823 1,304 3,282 10,036 9,139 20,318 4,315 4,223 2,244 6,900 3,748 3,900 5,520 7,446 5,251 7,303 0 4,172 4,738 0 15,300 6,984 7,780 4,006 1,385 7,490 3,681 4,799 4,021 3,104 2,200 5,754 29,590 21,460 21,220 8,290 1,484 2,558 5,709 1,508 10,564 6,700 1,350 2,943 7,513 7,017 5,020 3,800 8,047 1,380 1,410 4,320 5,452 8,630 2,690 1,885 8,572 1,536 15,410 3,830 11,440 $ 793 410 28 0 0 0 0 0 0 267 0 0 125 0 10,381 0 0 136 0 641 1,015 0 0 0 2,459 0 44 0 0 6,718 0 0 600 0 0 648 857 114 1,648 156 0 0 975 0 0 0 0 2,006 0 0 0 0 0 0 0 0 3,687 0 0 0 1,300 0 0 484 0 115 0 0 857 0 120 $ 560 370 330 430 940 130 360 360 600 1,030 460 360 1,100 1,500 940 1,880 450 110 200 190 200 610 750 660 500 349 450 560 1,632 3,550 1,020 960 420 95 550 470 310 450 200 400 390 4,910 1,440 560 960 55 332 300 87 1,340 360 130 220 590 760 80 900 900 215 173 180 490 1,770 290 204 1,750 114 2,690 170 1,060 $ 5,236 2,595 3,423 4,143 3,721 8,170 2,640 2,640 10,590 7,090 1,304 3,282 10,161 9,139 30,699 4,315 4,223 2,380 6,900 4,389 4,915 5,520 7,446 5,251 9,762 0 4,216 4,738 0 22,018 6,984 7,780 4,606 1,385 7,490 4,329 5,656 4,135 4,752 2,356 5,754 29,590 22,435 21,220 8,290 1,484 2,558 7,715 1,508 10,564 6,700 1,350 2,943 7,513 7,017 5,020 7,487 8,047 1,380 1,410 5,620 5,452 8,630 3,174 1,885 8,687 1,536 15,410 4,687 11,440 $ 940 499 620 744 816 1,067 561 555 1,473 239 243 1,009 5,079 227 1,223 761 1,226 732 1,022 784 972 385 1,256 370 6,016 0 1,059 884 0 1,390 420 1,104 869 539 878 793 976 752 1,209 186 390 1,191 1,702 2,900 1,750 657 792 4,653 553 75 961 516 860 311 154 297 672 281 512 524 424 1,150 1,898 602 618 1,162 594 2,030 939 1,622 2003 2003 2003 2003 2002 2005 2002 2002 2004 2007 2003 1998 1998 2007 2007 2003 1998 1998 2004 2003 2002 2006 2003 2006 1998 2003 1998 2003 2006 2006 2006 2004 2001 1996 2005 2003 2003 2003 1999 2006 2006 2008 2006 2004 2002 1995 1999 1998 1996 2008 2004 1995 1999 2007 2007 2007 2006 2006 1996 1996 2006 2005 2002 2003 1997 2005 1995 2004 2002 2004 2000 1999 1994 1998 1999 1999 1999 1999 1997 2008 1992 1998 2000 2009 2000 1996 1999 1994 1986 1998 1997 2007 1996 2007 1972 1999 1998 2004 2007 1998 1991 1995 1998 2001 2000 1997 1999 2001 2007 2007 1959 1998 1999 1995 1998 1987 1996 2009 1998 1996 1999 2008 2009 1996 2005 2008 1996 1996 2005 2006 1998 1998 1997 1998 1995 1999 1998 1998 Description Encumbrances Initial Cost to Company Buildings & Improvements Land Cost Capitalized Subsequent to Acquisition Gross Amount at Which Carried at Close of Period Land Buildings & Improvements Accumulated Depreciation Year Acquired Year Built (Dollars in thousands) Ridgeland, MS . . . . . . . . Rocky Hill, CT . . . . . . . . Rocky Hill, CT . . . . . . . . Romeoville, IL . . . . . . . . Romeroville, IL . . . . . . . Salem, OR. . . . . . . . . . . Salisbury, NC . . . . . . . . . San Angelo, TX(11) . . . . . San Juan Capistrano, CA . . Sarasota, FL. . . . . . . . . . Scottsdale, AZ . . . . . . . . Seven Fields, PA(11) . . . . Shawnee, OK . . . . . . . . . Sheboygan, WI . . . . . . . . . . . . . . Sherman, TX(10) Smithfield, NC . . . . . . . . Sparks, NV . . . . . . . . . . St. Charles, IL . . . . . . . . Statesville, NC . . . . . . . . Statesville, NC . . . . . . . . Statesville, NC(1) . . . . . . Stillwater, OK . . . . . . . . Texarkana, TX . . . . . . . . Troy, OH . . . . . . . . . . . Tyler, TX(10) . . . . . . . . . Valparaiso, IN . . . . . . . . Valparaiso, IN . . . . . . . . Venice Beach, FL . . . . . . Vero Beach, FL . . . . . . . Vero Beach, FL . . . . . . . W. Hartford, CT . . . . . . . Wake Forest, NC . . . . . . . Waterford, CT . . . . . . . . Waukesha, WI . . . . . . . . Waxahachie, TX . . . . . . . Waxahachie, TX(10) . . . . Weatherford, TX(10) . . . . Westerville, OH . . . . . . . Wilmington, NC . . . . . . . Winston-Salem, NC . . . . . Total Assisted Living Facilities . . . . . . . . . . Skilled Nuring Facilities: Agawam, MA. . . . . . . . . Akron, OH . . . . . . . . . . Akron, OH . . . . . . . . . . Alexandria, VA . . . . . . . . Alliance, OH(4) . . . . . . . Amarillo, TX . . . . . . . . . Arcadia, LA . . . . . . . . . . Atlanta, GA . . . . . . . . . . Auburndale, FL . . . . . . . Austin, TX . . . . . . . . . . Baltic, OH(4) . . . . . . . . . Baytown, TX . . . . . . . . . Baytown, TX . . . . . . . . . Beachwood, OH . . . . . . . Beattyville, KY. . . . . . . . Bernice, LA . . . . . . . . . . Birmingham, AL . . . . . . . Birmingham, AL . . . . . . . Boise, ID . . . . . . . . . . . Boonville, IN . . . . . . . . . Boynton Beach, FL . . . . . Braintree, MA . . . . . . . . Brandon, MS . . . . . . . . . Bridgewater, NJ . . . . . . . Brighton, MA . . . . . . . . . Broadview Heights, OH . . Bunnell, FL . . . . . . . . . . $ 0 0 0 0 0 0 0 4,907 0 0 0 2,991 0 0 3,566 0 0 0 0 0 2,309 0 0 0 7,051 0 0 0 0 0 0 0 0 0 0 4,092 5,858 0 0 0 $ 520 1,460 1,090 854 1,895 449 370 260 1,390 475 2,500 484 80 80 700 290 3,700 990 150 310 140 80 192 200 650 112 108 1,150 263 297 2,650 200 1,360 1,100 154 650 660 740 210 360 $ 7,675 7,040 6,710 12,646 0 5,172 5,697 8,800 6,942 3,175 3,890 4,663 1,400 5,320 5,221 5,680 46,526 15,265 1,447 6,183 3,627 1,400 1,403 2,000 5,268 2,558 2,962 10,674 3,187 3,263 5,980 3,003 12,540 14,910 1,429 5,763 5,261 8,287 2,991 2,514 $ 0 0 1,500 0 0 0 168 0 0 0 430 59 0 0 0 0 0 0 266 8 0 0 0 0 0 0 0 0 0 0 0 1,743 0 0 0 0 0 2,737 0 460 $ 520 1,460 1,090 854 1,895 449 370 260 1,390 475 2,500 484 80 80 700 290 3,700 990 150 310 140 80 192 200 650 112 108 1,150 263 297 2,650 200 1,360 1,100 154 650 660 740 210 360 $ 7,675 7,040 8,210 12,646 0 5,172 5,865 8,800 6,942 3,175 4,320 4,722 1,400 5,320 5,221 5,680 46,526 15,265 1,713 6,191 3,627 1,400 1,403 2,000 5,268 2,558 2,962 10,674 3,187 3,263 5,980 4,746 12,540 14,910 1,429 5,763 5,261 11,024 2,991 2,974 $ 1,296 1,639 1,184 169 0 1,579 1,021 1,223 1,635 1,252 168 1,449 541 510 424 1,010 521 239 323 1,059 646 544 519 694 369 615 697 0 742 767 976 1,281 2,685 0 530 251 371 4,812 906 543 173,281 114,563 1,033,937 63,633 114,563 1,097,570 169,358 0 0 0 0 4,742 0 0 0 0 0 3,886 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 880 290 630 1,330 270 540 240 460 750 730 50 450 540 1,260 100 16 390 340 810 190 980 170 115 1,850 240 920 260 16,112 8,219 7,535 7,820 7,723 7,260 5,460 5,540 5,950 18,970 8,709 6,150 11,110 23,478 6,900 1,017 4,902 5,734 5,401 5,510 8,112 7,157 9,549 3,050 3,859 12,400 7,118 2,134 491 184 0 107 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 1,290 0 0 2,126 42 0 880 290 630 1,330 270 540 240 460 750 730 50 450 540 1,260 100 16 390 340 810 190 980 170 115 1,850 240 920 260 18,246 8,710 7,719 7,820 7,830 7,260 5,460 5,540 5,950 18,970 8,898 6,150 11,110 23,478 6,900 1,017 4,902 5,734 5,401 5,510 8,112 8,447 9,549 3,050 5,985 12,442 7,118 3,644 1,034 759 229 855 957 693 794 811 1,403 950 1,332 28 5,223 861 261 1,007 1,113 2,084 1,189 1,271 5,411 1,857 627 775 2,766 1,181 2003 2002 2003 2006 2006 1999 2003 2004 2000 1996 2008 1999 1996 2006 2005 2003 2007 2006 2003 2003 2003 1995 1996 1997 2006 2001 2001 2008 2001 2001 2004 1998 2002 2008 1996 2007 2006 1998 1999 2003 2002 2005 2006 2008 2006 2005 2006 2005 2005 2007 2006 2002 2009 2001 2005 2005 2003 2003 1998 2002 2004 1997 2003 2004 2005 2001 2004 1997 1998 1996 2009 1998 1997 1997 2001 1995 1999 1999 1995 2006 2006 1998 2009 2009 1990 1996 1999 1995 1996 1997 2007 1998 1999 2009 1999 1996 1905 1999 2000 2009 1996 2008 2007 2001 1999 1996 1993 1961 1915 1955 1982 1986 2006 1972 1983 2006 1983 2000 2008 1990 1972 1969 1977 1974 1966 2000 1999 1968 1963 1970 1982 1984 1985 121 Description Encumbrances Initial Cost to Company Buildings & Improvements Land Cost Capitalized Subsequent to Acquisition Gross Amount at Which Carried at Close of Period Land Buildings & Improvements Accumulated Depreciation Year Acquired Year Built (Dollars in thousands) Butler, AL . . . . . . . . . . . Byrdstown, TN . . . . . . . . Canton, MA . . . . . . . . . . Carrollton, TX . . . . . . . . Centerville, MA . . . . . . . Clarksville, TN . . . . . . . . Clearwater, FL . . . . . . . . Clearwater, FL . . . . . . . . Cleveland, MS . . . . . . . . Cleveland, TN . . . . . . . . Coeur d’Alene, ID . . . . . . Colorado Springs, CO . . . Columbia, TN . . . . . . . . Columbus, IN . . . . . . . . . Columbus, OH . . . . . . . . Columbus, OH(4) . . . . . . Columbus, OH . . . . . . . . Corpus Christi, TX . . . . . Corpus Christi, TX . . . . . Dade City, FL . . . . . . . . Daytona Beach, FL . . . . . Daytona Beach, FL . . . . . Daytona Beach, FL . . . . . DeBary, FL . . . . . . . . . . Dedham, MA . . . . . . . . . Defuniak Springs, FL . . . . DeLand, FL . . . . . . . . . . Denton, MD. . . . . . . . . . Denver, CO . . . . . . . . . . Douglasville, GA . . . . . . Easton, PA. . . . . . . . . . . Eight Mile, AL . . . . . . . . El Paso, TX . . . . . . . . . . El Paso, TX . . . . . . . . . . Elizabethton, TN . . . . . . . Erin, TN . . . . . . . . . . . . Eugene, OR . . . . . . . . . . Fairfield, AL . . . . . . . . . Fall River, MA . . . . . . . . Farmerville, LA . . . . . . . Florence, AL . . . . . . . . . Fork Union, VA . . . . . . . Fort Pierce, FL . . . . . . . . Goochland, VA . . . . . . . . Goshen, IN . . . . . . . . . . Graceville, FL . . . . . . . . Grand Prairie, TX . . . . . . Granite City, IL . . . . . . . Granite City, IL . . . . . . . Greeneville, TN . . . . . . . Hanover, IN . . . . . . . . . . Hardin, IL . . . . . . . . . . . Harriman, TN . . . . . . . . . Herculaneum, MO . . . . . . Hilliard, FL . . . . . . . . . . Homestead, FL . . . . . . . . Houston, TX . . . . . . . . . Houston, TX . . . . . . . . . Houston, TX . . . . . . . . . Houston, TX . . . . . . . . . Huron, OH . . . . . . . . . . Jackson, MS . . . . . . . . . Jackson, MS . . . . . . . . . Jackson, MS . . . . . . . . . Jamestown, TN . . . . . . . . Jefferson City, MO . . . . . Jefferson, OH . . . . . . . . . Jonesboro, GA . . . . . . . . Kalida, OH . . . . . . . . . . Kissimmee, FL . . . . . . . . LaBelle, FL . . . . . . . . . . $ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4,397 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $ 90 0 820 730 1,490 480 160 1,260 0 350 600 310 590 530 1,070 1,010 1,860 307 400 250 470 490 1,850 440 1,360 1,350 220 390 2,530 1,350 285 410 539 642 310 440 300 530 620 147 320 310 440 350 210 150 574 610 400 400 210 50 590 127 150 2,750 600 860 5,090 630 160 410 0 0 0 370 80 840 480 230 60 $ 3,510 2,414 8,201 2,770 9,650 5,020 7,218 2,740 1,850 5,000 7,878 6,290 3,787 5,170 11,726 4,931 16,624 443 1,916 7,150 5,930 5,710 2,650 7,460 9,830 10,250 7,080 4,010 9,514 7,471 6,315 6,110 8,961 3,958 4,604 8,060 5,316 9,134 5,829 4,087 3,975 2,490 3,560 3,697 6,120 13,000 3,426 7,143 4,303 8,290 4,430 5,350 8,060 10,373 6,990 11,750 2,700 18,715 9,471 5,970 6,088 1,814 4,400 2,150 6,707 6,730 9,120 1,921 8,173 3,854 4,946 $ 0 0 263 0 11,315 0 0 0 0 122 0 0 0 1,540 1,204 91 1,077 0 0 0 0 0 0 0 0 0 0 206 0 0 0 0 0 1,100 336 134 0 0 4,856 0 0 60 0 0 0 0 0 842 707 0 0 135 158 393 0 0 0 0 0 750 1,452 0 0 0 0 301 0 0 0 0 0 122 $ 90 0 820 730 1,490 480 160 1,260 0 350 600 310 590 530 1,070 1,010 1,860 307 400 250 470 490 1,850 440 1,360 1,350 220 390 2,530 1,350 285 410 539 642 310 440 300 530 620 147 320 310 440 350 210 150 574 610 400 400 210 50 590 127 150 2,750 600 860 5,090 630 160 410 0 0 0 370 80 840 480 230 60 $ 3,510 2,414 8,464 2,770 20,965 5,020 7,218 2,740 1,850 5,122 7,878 6,290 3,787 6,710 12,930 5,022 17,701 443 1,916 7,150 5,930 5,710 2,650 7,460 9,830 10,250 7,080 4,216 9,514 7,471 6,315 6,110 8,961 5,058 4,940 8,194 5,316 9,134 10,685 4,087 3,975 2,550 3,560 3,697 6,120 13,000 3,426 7,985 5,010 8,290 4,430 5,485 8,218 10,766 6,990 11,750 2,700 18,715 9,471 6,720 7,540 1,814 4,400 2,150 6,707 7,031 9,120 1,921 8,173 3,854 4,946 $ 633 925 1,948 457 1,884 529 1,084 485 1,203 1,226 2,660 881 877 1,307 1,432 602 1,878 166 345 1,110 1,002 1,001 487 1,152 2,298 983 1,103 910 1,123 1,541 3,162 1,312 1,190 664 1,226 1,880 1,948 1,787 3,191 605 919 81 478 118 668 1,212 547 4,298 2,637 1,385 717 2,629 2,008 5,045 2,289 1,120 451 1,133 146 1,400 750 434 2,860 1,398 2,571 3,284 1,052 483 551 601 837 2004 2004 2002 2005 2004 2006 2004 2005 2003 2001 1998 2005 2003 2002 2005 2006 2006 2005 2005 2004 2004 2004 2005 2004 2002 2006 2004 2003 2005 2003 1993 2003 2005 2005 2001 2001 1998 2003 1996 2005 2003 2008 2005 2008 2005 2006 2005 1998 1999 2004 2004 2002 2001 2002 1999 2006 2005 2007 2007 2002 2005 2003 2003 2003 2004 2002 2006 2003 2006 2004 2004 1960 1982 1993 1976 1982 1989 1961 1983 1977 1987 1996 1985 1974 2001 1968 1983 1978 1985 1985 1975 1986 1961 1964 1965 1996 1980 1967 1982 1986 1975 1959 1973 1970 1969 1980 1981 1972 1965 1973 1984 1972 1990 1973 1991 2006 1980 1982 1973 1964 1979 2000 1996 1972 1984 1990 1994 1974 2006 2009 1995 1983 1968 1980 1970 1966 1982 1984 1992 2007 1972 1986 Description Encumbrances Initial Cost to Company Buildings & Improvements Land Cost Capitalized Subsequent to Acquisition Gross Amount at Which Carried at Close of Period Land Buildings & Improvements Accumulated Depreciation Year Acquired Year Built (Dollars in thousands) $ Lake Placid, FL . . . . . . . Lawrenceville, VA . . . . . . Lee, MA . . . . . . . . . . . . Littleton, MA . . . . . . . . . Longview, TX . . . . . . . . Longwood, FL . . . . . . . . Louisville, KY . . . . . . . . Louisville, KY . . . . . . . . Louisville, KY . . . . . . . . Lowell, MA . . . . . . . . . . Lufkin, TX . . . . . . . . . . Manchester, NH . . . . . . . Marianna, FL . . . . . . . . . McComb, MS. . . . . . . . . Memphis, TN . . . . . . . . . Memphis, TN . . . . . . . . . Memphis, TN . . . . . . . . . Merrillville, IN . . . . . . . . Midwest City, OK . . . . . . Midwest City, OK . . . . . . Millbury, MA . . . . . . . . . Mobile, AL . . . . . . . . . . Monteagle, TN . . . . . . . . Monterey, TN . . . . . . . . . Monticello, FL . . . . . . . . Morgantown, KY . . . . . . Moss Point, MS . . . . . . . Mountain City, TN . . . . . Naples, FL . . . . . . . . . . Natchitoches, LA . . . . . . Needham, MA . . . . . . . . New Haven, CT . . . . . . . New Haven, IN . . . . . . . . North Miami, FL. . . . . . . North Miami, FL. . . . . . . Norwalk, CT . . . . . . . . . Oklahoma City, OK . . . . . Ormond Beach, FL . . . . . Overland Park, KS. . . . . . Overland Park, KS. . . . . . Owensboro, KY . . . . . . . Owensboro, KY . . . . . . . Owenton, KY . . . . . . . . . Panama City, FL . . . . . . . Pasadena, TX . . . . . . . . . Pigeon Forge, TN . . . . . . Pikesville, MD . . . . . . . . Plano, TX . . . . . . . . . . . Plymouth, MA . . . . . . . . Port St. Joe, FL . . . . . . . Post Falls, ID . . . . . . . . . Prospect, CT . . . . . . . . . Pueblo, CO . . . . . . . . . . Quincy, FL . . . . . . . . . . Quitman, MS . . . . . . . . . Richmond, VA . . . . . . . . Richmond, VA . . . . . . . . Ridgely, TN . . . . . . . . . . Ringgold, LA . . . . . . . . . Rockledge, FL . . . . . . . . Rockwood, TN . . . . . . . . Rogersville, TN . . . . . . . Royal Palm Beach, FL . . . Ruleville, MS . . . . . . . . . Ruston, LA . . . . . . . . . . San Antonio, TX . . . . . . . San Antonio, TX . . . . . . . Sandwich, MA . . . . . . . . Sarasota, FL. . . . . . . . . . Sarasota, FL. . . . . . . . . . Scituate, MA . . . . . . . . . 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $ 150 170 290 1,240 293 480 490 430 350 370 343 340 340 120 970 480 940 643 470 484 930 440 310 0 140 380 120 220 550 190 1,610 160 176 430 440 410 510 0 1,120 3,730 240 225 100 300 720 320 450 1,305 440 370 2,700 820 370 200 60 1,211 760 300 30 360 500 350 980 0 130 560 640 1,140 560 600 1,740 $ 12,850 4,780 18,135 2,910 1,707 7,520 10,010 7,135 4,675 7,450 1,184 4,360 8,910 5,786 4,246 5,656 5,963 7,084 5,673 5,516 4,570 3,625 3,318 4,195 4,471 3,705 7,280 5,896 5,450 4,096 13,715 4,778 3,524 3,918 4,830 2,118 10,694 2,739 8,360 27,076 6,760 13,275 2,400 9,200 24,080 4,180 10,750 9,095 6,220 2,055 14,217 1,441 6,051 5,333 10,340 2,889 12,640 5,700 4,174 4,117 7,116 3,278 8,320 50 9,403 7,315 13,360 11,190 8,474 3,400 10,640 $ 0 0 926 0 0 0 0 163 109 1,550 0 0 0 0 0 0 0 3,526 0 0 0 0 0 0 0 0 0 660 0 0 366 1,266 0 0 0 2,225 0 73 0 0 0 0 0 0 0 117 0 0 2,330 0 2,181 2,410 0 0 0 0 0 97 0 0 741 0 0 0 0 0 0 335 0 0 0 123 $ 150 170 290 1,240 293 480 490 430 350 370 343 340 340 120 970 480 940 643 470 484 930 440 310 0 140 380 120 220 550 190 1,610 160 176 430 440 410 510 0 1,120 3,730 240 225 100 300 720 320 450 1,305 440 370 2,700 820 370 200 60 1,211 760 300 30 360 500 350 980 0 130 560 640 1,140 560 600 1,740 $ 12,850 4,780 19,061 2,910 1,707 7,520 10,010 7,298 4,784 9,000 1,184 4,360 8,910 5,786 4,246 5,656 5,963 10,610 5,673 5,516 4,570 3,625 3,318 4,195 4,471 3,705 7,280 6,556 5,450 4,096 14,081 6,044 3,524 3,918 4,830 4,343 10,694 2,812 8,360 27,076 6,760 13,275 2,400 9,200 24,080 4,297 10,750 9,095 8,550 2,055 16,398 3,851 6,051 5,333 10,340 2,889 12,640 5,797 4,174 4,117 7,857 3,278 8,320 50 9,403 7,315 13,360 11,525 8,474 3,400 10,640 $ 2,039 147 4,011 758 316 1,189 1,590 1,764 1,182 1,087 319 557 828 1,099 939 1,158 1,139 4,579 2,795 767 821 812 714 1,608 778 754 1,175 2,652 856 576 3,272 1,664 658 833 840 1,431 1,132 1,073 1,007 0 937 1,747 388 1,464 1,754 1,099 824 1,237 988 567 458 1,233 2,298 935 1,571 781 989 1,364 566 1,246 1,863 708 1,354 33 1,130 1,597 1,016 1,465 2,449 595 1,187 2004 2008 2002 1996 2005 2004 2005 2002 2002 2004 2005 2005 2006 2003 2003 2003 2004 1997 1998 2005 2004 2003 2003 2004 2004 2003 2004 2001 2004 2005 2002 2006 2004 2004 2004 2004 1998 2002 2005 2008 1993 2005 2005 2004 2007 2001 2007 2005 2004 2004 2007 2004 1998 2004 2004 2003 2007 2001 2005 2001 2001 2003 2004 2003 2005 2002 2007 2004 1999 2004 2005 1984 1989 1998 1975 1971 1980 1978 1974 1975 1977 1919 1984 1997 1973 1981 1982 1951 1999 1958 1987 1972 1982 1980 1977 1986 1965 1933 1976 1968 1975 1994 1958 1981 1968 1963 1971 1979 1983 1970 2009 1966 1964 1979 1992 2005 1986 1983 1977 1968 1982 2008 1970 1989 1983 1976 1995 1969 1990 1984 1970 1979 1980 1984 1978 1965 2000 2004 1987 2000 1982 1976 Description Encumbrances Initial Cost to Company Buildings & Improvements Land Cost Capitalized Subsequent to Acquisition Gross Amount at Which Carried at Close of Period Land Buildings & Improvements Accumulated Depreciation Year Acquired Year Built (Dollars in thousands) Seville, OH . . . . . . . . . . Shelby, MS . . . . . . . . . . Shelbyville, KY . . . . . . . South Boston, MA . . . . . . South Pittsburg, TN . . . . . Southbridge, MA. . . . . . . Spring City, TN . . . . . . . St. Louis, MO . . . . . . . . Starke, FL . . . . . . . . . . . Staunton, VA . . . . . . . . . Stuart, FL . . . . . . . . . . . Swanton, OH . . . . . . . . . Tampa, FL . . . . . . . . . . . Torrington, CT . . . . . . . . Troy, OH . . . . . . . . . . . Tucson, AZ . . . . . . . . . . Tupelo, MS . . . . . . . . . . Uhrichsville, OH . . . . . . . Venice, FL. . . . . . . . . . . Wareham, MA . . . . . . . . Warren, OH . . . . . . . . . . Waterbury, CT . . . . . . . . Webster, TX . . . . . . . . . West Haven, CT . . . . . . . West Worthington, OH . . . Westlake, OH . . . . . . . . . Westlake, OH . . . . . . . . . Westmoreland, TN . . . . . . White Hall, IL . . . . . . . . Whitemarsh, PA . . . . . . . Williamsburg, VA . . . . . . Williamstown, KY . . . . . . Winchester, VA . . . . . . . . Winnfield, LA . . . . . . . . Woodbridge, VA . . . . . . . Worcester, MA . . . . . . . . Worcester, MA . . . . . . . . Total Skilled Nursing Facilities . . . . . . . . . . Independent Living Facilities: Amelia Island, FL . . . . . . Anderson, SC . . . . . . . . . Atlanta, GA(9) . . . . . . . . Aurora, CO . . . . . . . . . . Aurora, CO . . . . . . . . . . Carmel, IN . . . . . . . . . . Columbia, SC . . . . . . . . . Denver, CO . . . . . . . . . . Denver, CO . . . . . . . . . . Douglasville, GA . . . . . . Fremont, CA(9) . . . . . . . Gardnerville, NV(9) . . . . . Gilroy, CA . . . . . . . . . . Greenville, SC . . . . . . . . Houston, TX . . . . . . . . . Indianapolis, IN . . . . . . . Indianapolis, IN . . . . . . . Loma Linda, CA . . . . . . . Manteca, CA(9) . . . . . . . Marysville, WA(9) . . . . . . Melbourne, FL . . . . . . . . Mesa, AZ(9) . . . . . . . . . Mount Airy, NC . . . . . . . Myrtle Beach, SC . . . . . . Naples, FL . . . . . . . . . . Oshkosh, WI . . . . . . . . . Pawleys Island, SC . . . . . Raleigh, NC . . . . . . . . . . Raytown, MO. . . . . . . . . $ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $ 230 60 630 385 430 890 420 750 120 310 390 330 830 360 470 930 740 24 500 875 240 370 360 580 510 1,330 571 330 50 2,310 1,360 70 640 31 680 1,100 2,300 $ 1,770 5,340 3,870 2,002 5,628 8,110 6,085 6,030 10,180 11,090 8,110 6,370 6,370 1,261 16,730 13,399 4,092 6,716 6,000 10,313 3,810 2,166 5,940 1,620 5,090 17,926 5,411 1,822 5,550 6,190 7,440 6,430 1,510 6,480 4,423 5,400 9,060 $ 0 0 0 5,219 0 3,000 2,580 0 0 0 0 0 0 861 0 0 0 0 0 1,701 0 1,444 0 1,261 0 0 0 2,635 670 917 0 0 0 0 330 2,751 0 $ 230 60 630 385 430 890 420 750 120 310 390 330 830 360 470 930 740 24 500 875 240 370 360 579 510 1,330 571 330 50 2,310 1,360 70 640 31 680 1,100 2,300 $ 1,770 5,340 3,870 7,221 5,628 11,110 8,665 6,030 10,180 11,090 8,110 6,370 6,370 2,122 16,730 13,399 4,092 6,716 6,000 12,014 3,810 3,610 5,940 2,882 5,090 17,926 5,411 4,457 6,220 7,107 7,440 6,430 1,510 6,480 4,753 8,151 9,060 $ 316 837 515 2,278 1,018 1,577 1,942 1,262 1,606 877 1,269 946 1,241 690 2,391 1,538 888 734 926 2,551 540 979 1,292 925 583 4,051 1,978 1,081 2,933 985 590 854 56 817 1,008 1,197 320 13,025 121,478 1,396,133 76,049 121,477 1,472,183 265,767 0 0 8,091 0 0 0 0 0 0 0 20,542 13,275 0 0 0 0 0 0 6,521 4,832 0 6,440 0 0 0 0 0 0 0 3,290 710 2,059 2,600 2,440 2,370 2,120 3,650 2,076 90 3,400 1,144 760 5,400 4,790 495 255 2,214 1,300 620 7,070 950 270 6,890 1,716 400 2,020 10,000 510 24,310 6,290 14,914 5,906 28,172 57,175 4,860 14,906 13,594 217 25,300 10,831 13,880 100,523 7,100 6,287 2,473 9,586 12,125 4,780 48,257 9,087 6,430 41,526 17,306 23,237 32,590 0 5,490 18,312 0 0 7,915 0 111 5,709 642 0 0 0 0 23,860 0 0 22,565 12,123 0 0 0 0 0 16 0 0 0 4,815 0 0 3,290 710 2,059 2,600 2,440 2,370 2,120 3,650 2,076 90 3,400 1,144 760 5,400 4,790 495 255 2,214 1,300 620 7,070 950 270 6,890 1,716 400 2,020 10,000 510 42,622 6,290 14,914 13,821 28,172 57,286 10,569 15,548 13,594 217 25,300 10,831 37,740 100,523 7,100 28,852 14,596 9,586 12,125 4,780 48,257 9,087 6,446 41,526 17,306 23,237 37,405 0 5,490 3,149 1,132 7,160 1,193 940 2,323 1,203 1,287 60 46 2,670 5,735 2,134 0 1,756 2,132 843 444 1,315 792 639 2,364 680 561 11,390 606 3,625 0 430 2005 2004 2005 1995 2004 2004 2001 1995 2004 2007 2004 2004 2004 2004 2004 2005 2003 2006 2004 2002 2005 2006 2002 2004 2006 2001 1998 2001 2002 2005 2007 2005 2008 2005 2002 2004 2008 2005 2003 1997 2006 2006 2006 2003 2006 2007 2003 2005 1998 2006 2006 2003 2006 2006 2008 2005 2003 2007 1999 2005 2007 1997 2007 2005 2008 2006 1981 1979 1965 1961 1979 1976 1987 1994 1990 1959 1985 1950 1968 1966 1971 1985 1980 1977 1987 1989 1973 1972 2000 1971 1980 1985 1957 1994 1971 1967 1970 1987 1964 1964 1977 1962 1993 1998 1986 1999 2006 2008 2007 2000 1987 2009 1985 1987 1999 2007 2009 1974 1981 1981 1976 1985 1998 2009 2000 1998 2009 1999 2008 1997 2000 124 Description Encumbrances Initial Cost to Company Buildings & Improvements Land Cost Capitalized Subsequent to Acquisition Gross Amount at Which Carried at Close of Period Land Buildings & Improvements Accumulated Depreciation Year Acquired Year Built Rohnert Park, CA(9) . . . . Roswell, GA(9) . . . . . . . Sonoma, CA . . . . . . . . . Spartanburg, SC . . . . . . . St. Simon’s Island, GA . . . Twin Falls, ID . . . . . . . . Vacaville, CA(9) . . . . . . . Vallejo, CA(9) . . . . . . . . Vero Beach, FL . . . . . . . Wichita, KS . . . . . . . . . . Winston-Salem, NC . . . . . Worcester, MA . . . . . . . . Total Independent Living Facilities . . . . . . . . . . Hospitals: Akron, OH . . . . . . . . . . Amarillo, TX . . . . . . . . . Bellaire, TX . . . . . . . . . . Boardman, OH . . . . . . . . Bowling Green, KY . . . . . Corpus Christi, TX . . . . . Crown Point, IN . . . . . . . El Paso, TX . . . . . . . . . . El Paso, TX . . . . . . . . . . Fresno, CA . . . . . . . . . . Ft. Wayne, IN . . . . . . . . Lafayette, LA . . . . . . . . . Marlton, NJ . . . . . . . . . . Meridian, ID . . . . . . . . . Midwest City, OK . . . . . . Plano, TX . . . . . . . . . . . San Antonio, TX . . . . . . . San Bernardino, CA . . . . . San Diego, CA . . . . . . . . Tulsa, OK . . . . . . . . . . . Waukesha, WI . . . . . . . . Webster, TX . . . . . . . . . Total Hospitals . . . . . . . Medical Office Buildings: Arcadia, CA(5) . . . . . . . . Atlanta, GA . . . . . . . . . . Austell, GA . . . . . . . . . . Bartlett, TN(6) . . . . . . . . Bellaire, TX . . . . . . . . . . Birmingham, AL . . . . . . . Boca Raton, FL(5) . . . . . . Boynton Beach, FL(5) . . . Boynton Beach, FL(5) . . . Boynton Beach, FL(6) . . . Boynton Beach, FL(6) . . . Claremore, OK(6) . . . . . . Coral Springs, FL . . . . . . Covington, KY . . . . . . . . Dallas, TX(5) . . . . . . . . . Delray Beach, FL . . . . . . Denton, TX(6) . . . . . . . . Durham, NC . . . . . . . . . Durham, NC . . . . . . . . . El Paso, TX(5) . . . . . . . . El Paso, TX . . . . . . . . . . Fayetteville, GA(5) . . . . . Franklin, TN . . . . . . . . . Frisco, TX(6) . . . . . . . . . Frisco, TX . . . . . . . . . . . Germantown, TN . . . . . . Glendale, CA(6) . . . . . . . Greeley, CO . . . . . . . . . . Jupiter, FL(5) . . . . . . . . . Jupiter, FL(6) . . . . . . . . . Lakeway, TX . . . . . . . . . $ 14,448 8,308 0 0 0 0 14,857 14,873 0 0 0 0 $ 6,500 1,107 1,100 3,350 6,440 550 900 4,000 2,930 1,400 5,700 3,500 $ 18,700 9,627 18,400 15,750 50,060 14,740 17,100 18,000 40,070 11,000 13,550 54,099 (Dollars in thousands) $ 0 0 0 8,368 736 0 0 0 2,550 0 12,913 0 $ 6,500 1,107 1,100 3,350 6,440 550 900 4,000 2,930 1,400 5,700 3,500 $ 18,700 9,627 18,400 24,118 50,796 14,740 17,100 18,000 42,620 11,000 26,463 54,099 $ 2,002 5,148 1,957 1,874 1,919 2,930 1,829 1,917 2,576 845 2,008 0 112,187 109,086 828,248 120,635 109,086 948,883 81,614 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10,339 0 0 8,626 0 0 14,061 4,289 4,687 4,205 6,277 8,460 0 0 15,814 0 12,479 0 0 10,590 0 3,384 0 9,425 0 0 8,473 0 7,387 4,602 0 300 72 4,550 1,200 3,800 77 700 112 2,400 2,500 170 1,928 0 3,600 146 195 0 3,700 0 3,003 4,700 2,418 35,571 5,408 4,931 2,223 187 2,972 651 109 214 2,048 2,048 109 132 1,598 1,290 137 1,882 0 6,814 0 677 600 959 2,338 0 0 3,049 37 877 2,252 0 2,801 20,200 11,928 45,900 12,800 26,700 3,923 11,699 15,888 32,800 35,800 8,232 10,483 38,300 20,802 3,854 14,805 17,303 14,300 22,003 6,025 20,669 12,028 406,442 23,219 18,720 7,982 15,015 33,445 39,552 34,002 6,574 7,692 7,403 11,235 12,829 10,627 8,093 28,690 34,767 19,407 10,825 0 17,075 6,700 7,540 12,138 18,635 15,309 12,456 18,460 6,707 11,415 5,858 0 125 0 1,400 205 0 14 0 154 0 0 8 0 26 0 251 0 500 0 255 74 20 0 32 2,939 610 827 0 298 642 1,060 774 143 129 240 274 179 267 0 0 1,483 8 1,265 101 326 0 266 206 63 429 732 0 0 51 2,810 0 300 72 4,550 1,200 3,800 77 700 112 2,400 2,500 170 1,928 0 3,600 146 195 0 3,700 0 3,003 4,700 2,418 35,571 5,618 5,151 2,223 187 2,972 651 109 214 2,048 2,048 109 132 1,600 1,290 137 1,941 0 7,002 13 677 600 959 2,338 0 0 3,049 37 877 2,252 2,825 2,801 20,200 13,328 46,105 12,800 26,714 3,923 11,853 15,888 32,800 35,808 8,232 10,509 38,300 21,053 3,854 15,305 17,303 14,555 22,077 6,045 20,669 12,060 409,381 23,619 19,327 7,982 15,313 34,087 40,612 34,776 6,717 7,821 7,643 11,509 13,008 10,892 8,093 28,690 36,191 19,415 11,902 88 17,401 6,700 7,806 12,344 18,698 15,738 13,188 18,460 6,707 11,466 5,843 0 0 1,446 3,964 431 1,058 534 511 1,848 1,890 1,418 482 1,225 1,517 1,207 512 1,738 1,712 512 781 983 1,550 1,536 26,855 2,722 2,779 1,551 1,596 3,294 4,600 3,807 699 1,237 846 1,197 1,289 1,468 0 3,146 4,751 1,558 2,655 21 2,051 335 973 1,371 1,774 1,486 1,365 1,785 697 1,462 670 0 2005 1997 2005 2005 2008 2002 2005 2005 2007 2006 2005 2007 2009 2005 2006 2008 2008 2005 2007 2005 2008 2008 2006 2006 2008 2006 2005 2005 2007 2008 2008 2006 2007 2006 2006 2006 2006 2007 2006 2006 2006 2007 2006 2006 2007 2007 2006 2008 2006 2006 2007 2006 2006 2006 2008 2006 2007 2007 2007 2006 2007 2007 2006 2007 2007 1985 1999 1988 1997 2007 1991 1986 1989 2003 1997 1997 2009 2008 1986 2005 2008 1992 1968 2008 1994 2003 1991 2006 1993 1994 2008 1996 1995 2007 1993 1992 1992 2007 1991 1984 1992 1999 2004 2005 1971 1995 2004 1995 1997 1996 2005 1993 2009 1995 1985 2005 1980 1980 1997 2003 1999 1988 2004 2004 2002 2002 1997 2001 2004 Description Encumbrances Initial Cost to Company Buildings & Improvements Land Cost Capitalized Subsequent to Acquisition Gross Amount at Which Carried at Close of Period Land Buildings & Improvements Accumulated Depreciation Year Acquired Year Built (Dollars in thousands) Lakewood, CA . . . . . . . . Las Vegas, NV(5) . . . . . . Las Vegas, NV . . . . . . . . Las Vegas, NV . . . . . . . . Las Vegas, NV . . . . . . . . Las Vegas, NV(6) . . . . . . Lawrenceville, GA. . . . . . Lawrenceville, GA(5) . . . . Los Alamitos, CA(6) . . . . Los Gatos, CA . . . . . . . . Loxahatchee, FL . . . . . . . Loxahatchee, FL(6) . . . . . Loxahatchee, FL . . . . . . . Merrillville, IN . . . . . . . . Mesa, AZ . . . . . . . . . . . Middletown, NY . . . . . . . Morrow, GA . . . . . . . . . Mount Juliet, TN(8) . . . . . Nashville , TN . . . . . . . . Niagra Falls, NY . . . . . . . Oconomowoc, WI . . . . . . Okatie, SC(6) . . . . . . . . . Orange Village, OH . . . . . Palm Springs, CA . . . . . . Palm Springs, FL(5) . . . . . Palm Springs, FL . . . . . . Palmer, AK(6) . . . . . . . . Pearland, TX . . . . . . . . . Pearland, TX(5) . . . . . . . Phoenix, AZ(5) . . . . . . . . Pineville, NC . . . . . . . . . Plano, TX . . . . . . . . . . . Plantation, FL . . . . . . . . Plantation, FL(5) . . . . . . . Reno, NV . . . . . . . . . . . Sacramento, CA . . . . . . . San Antonio, TX . . . . . . . Sewell, NJ . . . . . . . . . . . Somerville, NJ . . . . . . . . St. Louis, MO(6) . . . . . . . Stafford, VA . . . . . . . . . Tempe, AZ(6) . . . . . . . . Tomball, TX . . . . . . . . . Trussville, AL . . . . . . . . Tucson, AZ(6) . . . . . . . . Tucson, AZ . . . . . . . . . . Van Nuys, CA . . . . . . . . Voorhees, NJ . . . . . . . . . Warrington, PA . . . . . . . . Wellington, FL(6) . . . . . . Wellington, FL(5) . . . . . . West Palm Beach, FL(5) . . West Palm Beach, FL(5) . . West Seneca, NY(7) . . . . . Yorkville, IL . . . . . . . . . Total Medical Office Buildings . . . . . . . . . . Construction in $ 0 6,175 0 0 0 3,157 0 2,394 8,606 0 0 2,757 0 0 0 0 0 5,671 0 0 0 8,131 0 0 2,824 0 19,980 0 1,405 29,787 0 0 10,009 9,326 0 0 0 0 0 7,751 0 5,621 0 0 10,523 0 0 0 0 6,462 7,204 7,272 6,714 12,995 0 $ 146 74 6,127 6,734 2,319 0 2,279 1,054 0 488 1,340 1,553 1,637 0 1,558 1,756 818 1,566 1,806 1,335 2,899 171 610 365 739 1,182 0 781 948 1,150 961 5,423 8,563 8,848 1,117 866 2,050 0 3,400 0 0 0 1,404 1,336 89 1,302 0 6,404 85 0 107 628 610 917 1,419 $ 14,885 15,287 0 54,886 4,612 6,921 10,732 4,974 18,635 22,386 6,509 4,694 5,048 22,134 9,561 20,364 8,064 11,944 7,165 17,702 89,002 17,791 7,419 12,396 4,065 7,765 29,705 5,517 4,556 48,016 6,974 20,752 10,666 9,423 21,972 12,756 16,251 53,360 22,244 17,247 11,370 9,112 5,071 2,177 18,339 4,925 36,188 24,251 23,231 13,697 16,933 14,740 14,618 22,435 2,816 $ 352 239 0 89 486 429 20 9 67 0 6 322 334 0 9 338 140 0 239 419 0 0 14 754 0 0 602 0 0 0 468 0 1,219 342 0 210 303 0 2 344 0 1,608 0 99 314 88 0 815 7 362 53 52 9 688 65 $ 146 74 6,127 6,734 2,319 433 2,279 1,054 39 488 1,340 1,562 1,646 0 1,558 1,756 834 1,566 1,806 1,414 2,899 171 610 365 739 1,182 217 781 948 1,150 1,070 5,423 8,563 8,896 1,117 866 2,050 0 3,400 336 0 1,486 1,404 1,336 90 1,302 0 6,404 154 381 107 628 610 1,219 1,419 $ 15,237 15,526 0 54,975 5,098 6,917 10,752 4,983 18,663 22,386 6,515 5,007 5,373 22,134 9,570 20,702 8,188 11,944 7,404 18,042 89,002 17,791 7,433 13,150 4,065 7,765 30,090 5,517 4,556 48,016 7,333 20,752 11,885 9,717 21,972 12,966 16,554 53,360 22,246 17,255 11,370 9,234 5,071 2,276 18,652 5,013 36,188 25,066 23,169 13,678 16,986 14,792 14,627 22,821 2,881 $ 1,696 2,107 0 5,392 538 716 1,282 618 1,822 2,857 754 505 518 902 941 3,355 814 1,262 1,078 2,082 925 1,398 1,030 1,472 518 1,140 2,697 756 518 4,970 748 1,727 1,778 3,023 2,565 1,288 2,783 568 788 1,919 127 1,068 968 618 1,747 529 0 2,332 2,340 1,240 1,941 1,663 2,019 2,166 464 2006 2006 2007 2006 2006 2007 2006 2006 2007 2006 2006 2006 2006 2008 2008 2006 2007 2007 2006 2007 2008 2007 2007 2006 2006 2006 2007 2006 2006 2006 2006 2008 2006 2006 2006 2006 2006 2007 2008 2007 2008 2007 2006 2006 2007 2008 2009 2006 2008 2007 2006 2006 2006 2007 2006 1993 2000 1991 1991 1997 2001 2002 2003 1993 1993 1994 1997 2006 1989 1998 1990 2005 1986 1990 2009 1998 1985 1998 1993 1997 2006 2000 2002 1998 1988 2007 1997 1996 1991 1990 1999 2009 2007 2001 2009 1996 1982 1990 2004 1995 1991 1997 2001 2003 2000 1993 1991 1990 1980 307,862 133,307 1,366,653 25,099 140,358 1,384,701 134,257 Progress . . . . . . . . . . 0 0 456,832 0 0 456,832 0 606,355 514,005 5,488,245 288,355 521,055 5,769,550 677,851 126 Description Encumbrances Initial Cost to Company Buildings & Improvements Land Cost Capitalized Subsequent to Acquisition Gross Amount at Which Carried at Close of Period Land Buildings & Improvements Accumulated Depreciation Year Acquired Year Built (Dollars in thousands) Assets Held For Sale: Aurora, IL(12) . . . . . . . . Aurora, IL(12) . . . . . . . . Chicago, IL(12) . . . . . . . Decatur, GA(12) . . . . . . . Lewisville, TX(12) . . . . . Ocala, FL(12) . . . . . . . . . Pelham, AL(12) . . . . . . . Rochdale, MA . . . . . . . . Stoughton, MA . . . . . . . . West Palm Beach, FL(5), (12) . . . . . . . . . . . . . Total Assets Held For $ $ 0 0 0 0 0 0 0 0 0 6,203 $ 322 663 3,650 571 43 0 539 800 975 201 $ 4,879 380 1,900 829 1,827 1,200 785 11,010 12,313 2,799 Sale . . . . . . . . . . . . . 6,203 7,764 37,922 Total Investment in Real $ 0 0 0 0 0 0 0 0 0 0 0 $ 322 663 3,650 571 43 0 539 800 975 201 $ 4,879 380 1,900 829 1,827 1,200 785 11,010 12,313 2,799 7,764 37,922 0 0 0 0 0 0 0 0 0 0 0 2006 2006 2002 2006 2006 2006 2006 2002 1996 1996 1989 1979 1971 1997 1991 1990 1995 1958 2006 1995 Property Owned . . . . . $612,558 $521,769 $5,526,167 $288,355 $528,819 $5,807,472 $677,851 (1) In September 2003, 15 wholly-owned subsidiaries of the Company completed the acquisitions of 15 assisted living facilities from Southern Assisted Living, Inc. The properties were subject to existing mortgage debt of $54,492,000. The 15 wholly-owned subsidiaries are included in the Company’s consolidated financial statements. Notwithstanding consolidation for financial statement purposes, it is the Company’s intention that the subsidiaries be separate legal entities wherein the assets and liabilities are not available to pay other debts or obligations of the consolidated Company. (2) In September 2005, one wholly-owned subsidiary of the Company completed the acquisition of one assisted living facility from Emeritus Corporation. The property was subject to existing mortgage debt of $6,705,000. The wholly-owned subsidiary is included in the Company’s consolidated financial statements. Notwithstanding consolidation for financial statement purposes, it is the Company’s intention that the subsidiary be a separate legal entity wherein the assets and liabilities are not available to pay other debts or obligations of the consolidated Company. (3) In January 2005, one wholly-owned subsidiary of the Company completed the acquisition of one assisted living facility from Emeritus Corporation. The property was subject to existing mortgage debt of $7,875,000. The wholly-owned subsidiary is included in the Company’s consolidated financial statements. Notwithstanding consolidation for financial statement purposes, it is the Company’s intention that the subsidiary be a separate legal entity wherein the assets and liabilities are not available to pay other debts or obligations of the consolidated Company. (4) In March 2006, three wholly-owned subsidiaries of the Company completed the acquisition of three skilled nursing facilities from Provider Services, Inc. The properties were subject to existing mortgage debt of $14,193,000. The wholly-owned subsidiaries are included in the Company’s consolidated financial statements. Notwithstanding consolidation for financial statement purposes, it is the Company’s intention that the subsidiaries be separate legal entities wherein the assets and liabilities are not available to pay other debts or obligations of the consolidated Company. (5) In December 2006, the Company completed the acquisition of Windrose Medical Properties Trust. Certain of the properties were subject to existing mortgage debt of $248,844,000. Notwithstanding consolidation for financial statement purposes, it is the Company’s intention that the subsidiaries related to the aforementioned properties be separate legal entities wherein the assets and liabilities are not available to pay other debts or obligations of the consolidated Company. (6) In May 2007, a wholly-owned subsidiary of the Company completed the acquisition of 17 medical office buildings from Rendina Companies. Certain of the properties were subject to existing mortgage debt of $146,335,000. Notwithstanding consolidation for financial statement purposes, it is the Company’s intention that the subsidiaries related to the aforementioned properties be separate legal entities wherein the assets and liabilities are not available to pay other debts or obligations of the consolidated Company. (7) In August 2007, a wholly-owned subsidiary of the Company completed the acquisition of a medical office building from C06 Holdings, LLC. The property was subject to existing mortgage debt of $13,623,000. The wholly-owned subsidiary is included in the Company’s consolidated financial statements. Notwithstanding consolidation for financial statement purposes, it is the Company’s intention that the subsidiary be a separate legal entity wherein the assets and liabilities are not available to pay other debts or obligations of the consolidated Company. (8) In December 2007, a wholly-owned subsidiary of the Company completed the acquisition of a medical office building from Sports Docs, L.L.C. The property was subject to existing mortgage debt of $6,374,000. The wholly-owned subsidiary is included in the Company’s consolidated financial statements. Notwithstanding consolidation for financial statement purposes, it is the Company’s intention that the subsidiary be a separate legal entity wherein the assets and liabilities are not available to pay other debts or obligations of the consolidated Company. (9) In April 2009, 12 wholly-owned subsidiaries of the Company incurred mortgage debt of $133,071,000. The 11 wholly-owned subsidiaries are included in the Company’s consolidated financial statements. Notwithstanding consolidation for financial statement purposes, it is the 127 Company’s intention that the subsidiaries be separate legal entities wherein the assets and liabilities are not available to pay other debts or obligations of the consolidated Company. (10) In August 2009, 9 wholly-owned subsidiaries of the Company incurred mortgage debt of $52,198,000. The 9 wholly-owned subsidiaries are included in the Company’s consolidated financial statements. Notwithstanding consolidation for financial statement purposes, it is the Company’s intention that the subsidiaries be separate legal entities wherein the assets and liabilities are not available to pay other debts or obligations of the consolidated Company. (11) In September 2009, 11 wholly-owned subsidiaries of the Company incurred mortgage debt of $80,258,000. The 11 wholly-owned subsidiaries are included in the Company’s consolidated financial statements. Notwithstanding consolidation for financial statement purposes, it is the Company’s intention that the subsidiaries be separate legal entities wherein the assets and liabilities are not available to pay other debts or obligations of the consolidated Company. (12) In 2009, the Company recognized $25,223,000 of impairment charges related to certain properties that it intends to sell. This charge was treated as a reduction of the initial cost to the Company. In addition, impairment charges recorded in previous years were also treated as a reduction of the initial cost to the Company. 128 435,473 333,520 0 2,432 166,188 2,189 0 939,802 HEALTH CARE REIT, INC. 2009 Year Ended December 31, 2008 (In thousands) 2007 Investment in real estate: Balance at beginning of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5,979,575 Additions: $5,117,005 $4,282,858 Acquisitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Improvements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Conversions from loans receivable . . . . . . . . . . . . . . . . . . . . . . Assumed other assets/(liabilities), net . . . . . . . . . . . . . . . . . . . . Assumed debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Purchase price adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . Reclassification of lease commissions . . . . . . . . . . . . . . . . . . . 67,673 590,394 0 0 0 665 0 451,363 646,161 23,097 1,899 0 0 2,359 Total additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deductions: Cost of real estate sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reclassification of accumulated depreciation for assets held for sale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Impairment of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 658,732 1,124,879 (260,956) (219,079) (105,655) (15,837) (25,223) (10,582) (32,648) 0 0 Total deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (302,016) (262,309) (105,655) Balance at end of year(1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6,336,291 $5,979,575 $5,117,005 Accumulated depreciation: Balance at beginning of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 600,781 Additions: $ 478,373 $ 347,007 Depreciation and amortization expenses . . . . . . . . . . . . . . . . . . Amortization of above market leases . . . . . . . . . . . . . . . . . . . . Reclassification of lease commissions . . . . . . . . . . . . . . . . . . . Total additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deductions: Sale of properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reclassification of accumulated depreciation for assets held for sale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164,923 2,061 0 166,984 163,045 3,477 423 166,945 149,626 3,518 0 153,144 (74,244) (33,578) (21,778) (15,670) (89,914) (10,959) (44,537) 0 (21,778) Balance at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 677,851 $ 600,781 $ 478,373 (1) The aggregate cost for tax purposes for real property equals $6,378,056,000, $5,977,346,000, and $5,110,696,000 at December 31, 2009, 2008 and 2007, respectively. 129 HEALTH CARE REIT, INC. SCHEDULE IV — MORTGAGE LOANS ON REAL ESTATE December 31, 2009 (In thousands) Description First mortgage loan relating to one assisted living facility in New York First mortgage loan relating to one hospital in Massachusetts Second mortgage loan relating to one independent living facility in Massachusetts Interest Rate Final Maturity Date Periodic Payment Terms Prior Liens Face Amount of Mortgages Carrying Amount of Mortgages 7.60% 06/30/13 Monthly Payments $136,006 12.41% 06/30/10 Monthly Payments 0 0 19.26% $113,740 09/09/09 Monthly Payments 13,400 $48,165 40,000 21,475 12,000 5,700 9,270 5,700 Second mortgage loan relating to one 19.26% 07/31/12 Monthly Payments 1,747 7,610 5,431 independent living facility in Massachusetts First mortgage loan relating to one hospital in California First mortgage loan relating to one skilled nursing facility in Michigan First mortgage loan relating to one independent living facility in Arizona Second mortgage loan relating to one assisted living facility in Wisconsin Second mortgage loan relating to one independent living facility in Massachusetts $45,891 9.63% 05/01/09 Monthly Payments $149,720 10.65% 07/01/20 Monthly Payments $41,282 3.55% 01/01/13 Monthly Payments $12,280 15.21% 01/15/15 Monthly Payments $41,828 0 0 0 0 19.26% 01/31/12 Monthly Payments 5,097 $26,278 18,800 4,500 4,500 3,300 3,636 4,951 4,273 4,151 3,300 3,110 Principal Amount of Loans Subject to Delinquent Principal or Interest(1) 0 0 871 0 0 0 954 0 1,409 Second mortgage loan relating to one 19.26% 04/30/11 Monthly Payments 4,869 4,085 3,085 1,720 independent living facility in Massachusetts First mortgage loan relating to one skilled nursing facility in Texas First mortgage loan relating to one skilled nursing facility in Texas Two first mortgage loans relating to one independent living facility, and six skilled nursing facilities $26,072 9.50% 09/01/10 Monthly Payments $20,859 9.50% 12/01/15 Monthly Payments $18,802 From 7.00% to 19.00% From Monthly Payments 09/1/09 to 08/31/12 from $5,333 to $76,514 0 0 0 2,635 2,500 15,952 2,635 2,375 2,679 0 0 229 Two second mortgage loans relating to one skilled nursing facility and one hospital From 12.10% to 12.17% Totals From Monthly Payments 4,800 2,300 2,082 0 06/30/10 to 07/01/11 from $2,335 to $15,633 $29,913 $127,518 $74,517 $5,183 (1) Represents allocation of allowance for losses on loans receivable, if applicable. 130 HEALTH CARE REIT, INC. Reconciliation of mortgage loans: Balance at beginning of year. . . . . . . . . . . . . . . . . . . . . . . . . Additions: New mortgage loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reclass from non real estate loans . . . . . . . . . . . . . . . . . . . Total additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deductions: Collections of principal(1) . . . . . . . . . . . . . . . . . . . . . . . . . Conversions to real property . . . . . . . . . . . . . . . . . . . . . . . Charge-offs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reclass to other real estate loans(2) . . . . . . . . . . . . . . . . . . (54,696) 0 (17,535) 0 2009 Year Ended December 31, 2008 (In thousands) 2007 $137,292 $143,091 $177,615 9,456 0 9,456 22,142 0 22,142 (4,844) (23,097) 0 0 55,692 1,607 57,299 (19,296) 0 0 (72,527) Total deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (72,231) (27,941) (91,823) Balance at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 74,517 $137,292 $143,091 (1) Includes collection of negative principal amortization. (2) In 2007, the Company reclassified all loans that did not have a first, second or third mortgage lien to other real estate loans. 131 1.1(a) 1.1(b) 2.1(a) 2.1(b) 3.1(a) 3.1(b) 3.1(c) 3.1(d) 3.1(e) 3.1(f) 3.1(g) 3.1(h) 3.1(i) 3.2 4.1 4.2(a) 4.2(b) EXHIBIT INDEX Equity Distribution Agreement, dated as of November 6, 2008, by and among the Company and UBS Securities LLC (filed with the Commission as Exhibit 1.1 to the Company’s Form 8-K filed November 7, 2008 (File No. 001-08923), and incorporated herein by reference thereto). Amendment No. 1 to Equity Distribution Agreement, dated as of May 8, 2009, by and among the Company and UBS Securities LLC (filed with the Commission as Exhibit 1.1 to the Company’s Form 10-Q filed August 6, 2009 (File No. 001-08923), and incorporated herein by reference thereto). Agreement and Plan of Merger, dated as of September 12, 2006, by and among the Company, Heat Merger Sub, LLC, Heat OP Merger Sub, L.P., Windrose Medical Properties Trust and Windrose Medical Properties, L.P. (filed with the Commission as Exhibit 2.1 to the Company’s Form 8-K filed September 15, 2006 (File No. 001-08923), and incorporated herein by reference thereto). Amendment No. 1 to Agreement and Plan of Merger, dated as of October 12, 2006, by and among the Company, Heat Merger Sub, LLC, Heat OP Merger Sub, L.P., Windrose Medical Properties Trust and Windrose Medical Properties, L.P. (filed with the Commission as Exhibit 2.1 to the Company’s Form 8-K filed October 13, 2006 (File No. 001-08923), and incorporated herein by reference thereto). Second Restated Certificate of Incorporation of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 10-K filed March 20, 2000 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Designation, Preferences and Rights of Junior Participating Preferred Stock, Series A, of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 10-K filed March 20, 2000 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Amendment of Second Restated Certificate of Incorporation of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 10-K filed March 20, 2000 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Amendment of Second Restated Certificate of Incorporation of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 8-K filed June 13, 2003 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Designation of 77⁄8% Series D Cumulative Redeemable Preferred Stock of the Company (filed with the Commission as Exhibit 2.5 to the Company’s Form 8-A/A filed July 8, 2003 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Designation of 6% Series E Cumulative Convertible and Redeemable Preferred Stock of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 8-K filed October 1, 2003 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Designation of 75⁄8% Series F Cumulative Redeemable Preferred Stock of the Company (filed with the Commission as Exhibit 2.5 to the Company’s Form 8-A filed September 10, 2004 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Designation of 7.5% Series G Cumulative Convertible Preferred Stock of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 8-K filed December 20, 2006 (File No. 001-08923), and incorporated herein by reference thereto). Certificate of Amendment of Second Restated Certificate of Incorporation of the Company (filed with the Commission as Exhibit 3.9 to the Company’s Form 10-Q filed August 9, 2007 (File No. 001-08923), and incorporated herein by reference thereto). Second Amended and Restated By-Laws of the Company (filed with the Commission as Exhibit 3.1 to the Company’s Form 8-K filed October 29, 2007 (File No. 001-08923), and incorporated herein by reference thereto). The Company, by signing this Report, agrees to furnish the Securities and Exchange Commission upon its request a copy of any instrument that defines the rights of holders of long-term debt of the Company and authorizes a total amount of securities not in excess of 10% of the total assets of the Company. Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and Fifth Third Bank (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed September 9, 2002 (File No. 001-08923), and incorporated herein by reference thereto). Supplemental Indenture No. 1, dated as of September 6, 2002, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and Fifth Third Bank (filed with the Commission as Exhibit 4.2 to the Company’s Form 8-K filed September 9, 2002 (File No. 001-08923), and incorporated herein by reference thereto). 132 4.2(c) 4.2(d) 4.2(e) 4.2(f) 4.2(g) 4.2(h) 4.2(i) 4.3(a) 4.3(b) 4.3(c) 4.4 4.5 4.6 10.1 Amendment No. 1, dated March 12, 2003, to Supplemental Indenture No. 1, dated as of September 6, 2002, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and Fifth Third Bank (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed March 14, 2003 (File No. 001-08923), and incorporated herein by reference thereto). Supplemental Indenture No. 2, dated as of September 10, 2003, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and Fifth Third Bank (filed with the Commission as Exhibit 4.2 to the Company’s Form 8-K filed September 24, 2003 (File No. 001-08923), and incorporated herein by reference thereto). Amendment No. 1, dated September 16, 2003, to Supplemental Indenture No. 2, dated as of September 10, 2003, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and Fifth Third Bank (filed with the Commission as Exhibit 4.4 to the Company’s Form 8-K filed September 24, 2003 (File No. 001-08923), and incorporated herein by reference thereto). Supplemental Indenture No. 3, dated as of October 29, 2003, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and Fifth Third Bank (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed October 30, 2003 (File No. 001-08923), and incorporated herein by reference thereto). Amendment No. 1, dated September 13, 2004, to Supplemental Indenture No. 3, dated as of October 29, 2003, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and The Bank of New York Trust Company, N.A., as successor to Fifth Third Bank (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed September 13, 2004 (File No. 001-08923), and incorporated herein by reference thereto). Supplemental Indenture No. 4, dated as of April 27, 2005, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and The Bank of New York Trust Company, N.A. (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed April 28, 2005 (File No. 001-08923), and incorporated herein by reference thereto). Supplemental Indenture No. 5, dated as of November 30, 2005, to Indenture for Senior Debt Securities, dated as of September 6, 2002, between the Company and The Bank of New York Trust Company, N.A. (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed November 30, 2005 (File No. 001-08923), and incorporated herein by reference thereto). Indenture, dated as of November 20, 2006, between the Company and The Bank of New York Trust Company, N.A. (filed with the Commission as Exhibit 4.1 to the Company’s Form 8-K filed November 20, 2006 (File No. 001-08923), and incorporated herein by reference thereto). Supplemental Indenture No. 1, dated as of November 20, 2006, between the Company and The Bank of New York Trust Company, N.A. (filed with the Commission as Exhibit 4.2 to the Company’s Form 8-K filed November 20, 2006 (File No. 001-08923), and incorporated herein by reference thereto). Supplemental Indenture No. 2, dated as of July 20, 2007, between the Company and The Bank of New York Trust Company, N.A. (filed with the SEC as Exhibit 4.1 to the Company’s Form 8-K filed July 20, 2007 (File No. 001-08923), and incorporated herein by reference thereto). Form of Indenture for Senior Subordinated Debt Securities (filed with the Commission as Exhibit 4.9 to the Company’s Form S-3 (File No. 333-73936) filed November 21, 2001, and incorporated herein by reference thereto). Form of Indenture for Junior Subordinated Debt Securities (filed with the Commission as Exhibit 4.10 to the Company’s Form S-3 (File No. 333-73936) filed November 21, 2001, and incorporated herein by reference thereto). Form of Indenture for Senior Debt Securities (filed with the Commission as Exhibit 4.6 to the Company’s Form S-3 (File No. 333-159040) filed May 7, 2009, and incorporated herein by reference thereto). Fourth Amended and Restated Loan Agreement, dated as of August 6, 2007, by and among the Company the banks signatory thereto, KeyBank National Association, as and certain of its subsidiaries, administrative agent, Deutsche Bank Securities Inc., as syndication agent, and UBS Securities LLC, Bank of America, N.A., JPMorgan Chase Bank, N.A., Calyon New York Branch, Barclays Bank PLC and Fifth Third Bank, as documentation agents (filed with the SEC as Exhibit 10.2 to the Company’s Form 10-Q filed August 9, 2007 (File No. 001-08923), and incorporated herein by reference thereto). 133 10.2 10.3(a) 10.3(b) 10.3(c) 10.3(d) 10.3(e) 10.3(f) 10.4(a) 10.4(b) 10.4(c) 10.4(d) 10.5(a) 10.5(b) 10.5(c) 10.5(d) 10.5(e) 10.5(f) Health Care REIT, Inc. Interest Rate & Currency Risk Management Policy adopted on May 6, 2004 (filed with the Commission as Exhibit 10.6 to the Company’s Form 10-Q filed July 23, 2004 (File No. 001-08923), and incorporated herein by reference thereto). The 1995 Stock Incentive Plan of Health Care REIT, Inc. (filed with the Commission as Appendix II to the Company’s Proxy Statement for the 1995 Annual Meeting of Stockholders, filed September 29, 1995 (File No. 001-08923), and incorporated herein by reference thereto).* First Amendment to the 1995 Stock Incentive Plan of Health Care REIT, Inc. (filed with the Commission as Exhibit 4.2 to the Company’s Form S-8 (File No. 333-40771) filed November 21, 1997, and incorporated herein by reference thereto).* Second Amendment to the 1995 Stock Incentive Plan of Health Care REIT, Inc. (filed with the Commission as Exhibit 4.3 to the Company’s Form S-8 (File No. 333-73916) filed November 21, 2001, and incorporated herein by reference thereto).* Third Amendment to the 1995 Stock Incentive Plan of Health Care REIT, Inc. (filed with the Commission as Exhibit 10.15 to the Company’s Form 10-K filed March 12, 2004 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement for Executive Officers under the 1995 Stock Incentive Plan (filed with the Commission as Exhibit 10.17 to the Company’s Form 10-K filed March 16, 2005 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Restricted Stock Agreement for Executive Officers under the 1995 Stock Incentive Plan (filed with the Commission as Exhibit 10.18 to the Company’s Form 10-K filed March 16, 2005 (File No. 001-08923), and incorporated herein by reference thereto).* Stock Plan for Non-Employee Directors of Health Care REIT, Inc. (filed with the Commission as Exhibit 10.1 to the Company’s Form 10-Q filed May 10, 2004 (File No. 001-08923), and incorporated herein by reference thereto).* First Amendment to the Stock Plan for Non-Employee Directors of Health Care REIT, Inc. effective April 21, 1998 (filed with the Commission as Exhibit 10.2 to the Company’s Form 10-Q filed May 10, 2004 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement under the Stock Plan for Non-Employee Directors (filed with the Commission as Exhibit 10.3 to the Company’s Form 10-Q/A filed October 27, 2004 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Restricted Stock Agreement under the Stock Plan for Non-Employee Directors (filed with the Commission as Exhibit 10.20 to the Company’s Form 10-K filed March 16, 2005 (File No. 001-08923), and incorporated herein by reference thereto).* Amended and Restated Health Care REIT, Inc. 2005 Long-Term Incentive Plan (filed with the Commission as Appendix A to the Company’s Proxy Statement for the 2009 Annual Meeting of Stockholders, filed March 25, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement (with Dividend Equivalent Rights) for the Chief Executive Officer under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.18 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Amendment to Stock Option Agreements (with Dividend Equivalent Rights) for the Chief Executive Officer under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.6 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement (with Dividend Equivalent Rights) for the Chief Executive Officer under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.8 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement (with Dividend Equivalent Rights) for Executive Officers under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.19 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Amendment to Stock Option Agreements (with Dividend Equivalent Rights) for Executive Officers under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.7 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* 134 10.5(g) 10.5(h) 10.5(i) 10.5(j) 10.5(k) 10.5(l) 10.5(m) 10.5(n) 10.5(o) 10.5(p) 10.5(q) 10.5(r) 10.5(s) 10.6 10.7 10.8 10.9 10.10 Form of Stock Option Agreement (with Dividend Equivalent Rights) for Executive Officers under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.9 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement (without Dividend Equivalent Rights) for the Chief Executive Officer under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.20 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Stock Option Agreement (without Dividend Equivalent Rights) for Executive Officers under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.21 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Restricted Stock Agreement for the Chief Executive Officer under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.22 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Restricted Stock Agreement for Executive Officers under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.23 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Deferred Stock Unit Grant Agreement for Non-Employee Directors under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.24 to the Company’s Form 10-K filed March 10, 2006 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Amendment to Deferred Stock Unit Grant Agreements for Non-Employee Directors under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.10 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Deferred Stock Unit Grant Agreement for Non-Employee Directors under the 2005 Long-Term Incentive Plan (filed with the Commission as Exhibit 10.11 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Stock Option Agreement, dated December 20, 2006, between the Company and Daniel R. Loftus (filed with the Commission as Exhibit 10.4 to the Company’s Form 10-Q filed May 10, 2007 (File No. 001-08923), and incorporated herein by reference thereto).* Restricted Stock Agreement, dated January 22, 2007, by and between the Company and Raymond W. Braun (filed with the Commission as Exhibit 10.2 to the Company’s Form 8-K filed January 25, 2007 (File No. 001-08923), and incorporated herein by reference thereto).* Stock Option Agreement (with Dividend Equivalent Rights), dated as of January 21, 2008, by and between the Company and Frederick L. Farrar (filed with the Commission as Exhibit 10.1 to the Company’s Form 10-Q filed August 6, 2008 (File No. 001-08923), and incorporated herein by reference thereto).* Stock Option Agreement (without Dividend Equivalent Rights), dated as of January 21, 2008, by and between the Company and Frederick L. Farrar (filed with the Commission as Exhibit 10.2 to the Company’s Form 10-Q filed August 6, 2008 (File No. 001-08923), and incorporated herein by reference thereto).* Restricted Stock Agreement, dated as of January 21, 2008, by and between the Company and Frederick L. Farrar (filed with the Commission as Exhibit 10.3 to the Company’s Form 10-Q filed August 6, 2008 (File No. 001-08923), and incorporated herein by reference thereto).* Fourth Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and George L. Chapman (filed with the Commission as Exhibit 10.6 to the Company’s Form 10-K filed March 2, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Second Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and Scott A. Estes (filed with the Commission as Exhibit 10.4 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Second Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and Charles J. Herman, Jr. (filed with the Commission as Exhibit 10.3 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and Jeffrey H. Miller (filed with the Commission as Exhibit 10.8 to the Company’s Form 10-K filed March 2, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Employment Agreement, dated January 19, 2009, between the Company and John T. Thomas (filed with the Commission as Exhibit 10.10 to the Company’s Form 10-K filed March 2, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* 135 10.11 10.12 10.13 10.14 Third Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and Erin C. Ibele (filed with the Commission as Exhibit 10.11 to the Company’s Form 10-K filed March 2, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Second Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and Daniel R. Loftus (filed with the Commission as Exhibit 10.12 to the Company’s Form 10-K filed March 2, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Amended and Restated Consulting Agreement, dated December 29, 2008, between the Company and Fred S. Klipsch (filed with the Commission as Exhibit 10.5 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Amended and Restated Consulting Agreement, dated December 29, 2008, between the Company and Frederick L. Farrar (filed with the Commission as Exhibit 10.14 to the Company’s Form 10-K filed March 2, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* 10.15(a) Consulting Agreement, dated February 1, 2009, between the Company and Raymond W. Braun (filed with the Commission as Exhibit 10.15(a) to the Company’s Form 10-K filed March 2, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* 14 12 10.18 10.16 10.17 10.15(b) Third Amended and Restated Employment Agreement, dated December 29, 2008, between the Company and Raymond W. Braun (filed with the Commission as Exhibit 10.2 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Amended and Restated Health Care REIT, Inc. Supplemental Executive Retirement Plan, dated December 29, 2008 (filed with the Commission as Exhibit 10.12 to the Company’s Form 8-K filed January 5, 2009 (File No. 001-08923), and incorporated herein by reference thereto).* Form of Indemnification Agreement between the Company and each director, executive officer and officer of the Company (filed with the Commission as Exhibit 10.1 to the Company’s Form 8-K filed February 18, 2005 (File No. 001-08923), and incorporated herein by reference thereto).* Summary of Director Compensation (filed with the Commission as Exhibit 10.1 to the Company’s Form 10-Q filed May 9, 2008 (File No. 001-08923), and incorporated herein by reference thereto).* Statement Regarding Computation of Ratio of Earnings to Fixed Charges and Ratio of Earnings to Combined Fixed Charges and Preferred Stock Dividends (Unaudited). Code of Business Conduct and Ethics (filed with the Commission as Exhibit 14 to the Company’s Form 10-K filed March 12, 2004 (File No. 001-08923), and incorporated herein by reference thereto). Subsidiaries of the Company. Consent of Ernst & Young LLP, independent registered public accounting firm. Power of Attorney executed by William C. Ballard, Jr. (Director). Power of Attorney executed by Pier C. Borra (Director). Power of Attorney executed by Thomas J. DeRosa (Director). Power of Attorney executed by Jeffrey H. Donahue (Director). Power of Attorney executed by Peter J. Grua (Director). Power of Attorney executed by Fred S. Klipsch (Director). Power of Attorney executed by Sharon M. Oster (Director). Power of Attorney executed by Jeffrey R. Otten (Director). Power of Attorney executed by R. Scott Trumbull (Director). Power of Attorney executed by George L. Chapman (Director, Chairman of the Board, Chief Executive Officer and President and Principal Executive Officer). Power of Attorney executed by Scott A. Estes (Executive Vice President and Chief Financial Officer and Principal Financial Officer). Power of Attorney executed by Paul D. Nungester, Jr. (Vice President and Controller and Principal Accounting Officer). Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer. Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer. Certification pursuant to 18 U.S.C. Section 1350 by Chief Executive Officer. Certification pursuant to 18 U.S.C. Section 1350 by Chief Financial Officer. 21 23 24.1 24.2 24.3 24.4 24.5 24.6 24.7 24.8 24.9 24.10 31.1 31.2 32.1 32.2 24.12 24.11 * Management Contract or Compensatory Plan or Arrangement. 136 EXHIBIT 31.1 CERTIFICATION OF CHIEF EXECUTIVE OFFICER I, George L. Chapman, certify that: 1. I have reviewed this annual report on Form 10-K of Health Care REIT, 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 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 Rule 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 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 26, 2010 /s/ GEORGE L. CHAPMAN George L. Chapman, Chief Executive Officer and President EXHIBIT 31.2 CERTIFICATION OF CHIEF FINANCIAL OFFICER I, Scott A. Estes, certify that: 1. I have reviewed this annual report on Form 10-K of Health Care REIT, 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 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 Rule 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 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. /s/ SCOTT A. ESTES Scott A. Estes, Executive Vice President and Chief Financial Officer Date: February 26, 2010 CERTIFICATION PURSUANT TO 18 U.S.C. Section 1350 I, George L. Chapman, the Chief Executive Officer of Health Care REIT, Inc. (the “Company”), certify that (i) the Annual Report on Form 10-K for the Company for the year ended December 31, 2009 (the “Report”), fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 and (ii) the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company. EXHIBIT 32.1 /s/ GEORGE L. CHAPMAN George L. Chapman, Chief Executive Officer and President Dated: February 26, 2010 A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request. CERTIFICATION PURSUANT TO 18 U.S.C. Section 1350 I, Scott A. Estes, the Chief Financial Officer of Health Care REIT, Inc. (the “Company”), certify that (i) the Annual Report on Form 10-K for the Company for the year ended December 31, 2009 (the “Report”), fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 and (ii) the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company. EXHIBIT 32.2 /s/ SCOTT A. ESTES Scott A. Estes, Executive Vice President and Chief Financial Officer Dated: February 26, 2010 A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request. Investment Committee Ballard, Borra, Chapman, DeRosa, Donahue, Grua, Klipsch, Oster, Otten, Trumbull Planning Committee Ballard, Borra, Chapman, DeRosa, Donahue, Grua, Klipsch, Oster, Otten, Trumbull Executive Ofﬁcers George L. Chapman Chairman, Chief Executive Ofﬁcer and President Scott A. Estes Executive Vice President and Chief Financial Ofﬁcer Charles J. Herman, Jr. Executive Vice President and Chief Investment Ofﬁcer Jeffrey H. Miller Executive Vice President - Operations and General Counsel John T. Thomas Executive Vice President - Medical Facilities Michael A. Crabtree Senior Vice President and Treasurer Erin C. Ibele Senior Vice President - Administration and Corporate Secretary Daniel R. Loftus Senior Vice President Corporate Ofﬁces Health Care REIT, Inc. One SeaGate, Suite 1500 P.O. Box 1475 Toledo, Ohio 43603-1475 419/247-2800 419/247-2826 Fax www.hcreit.com Dividend Reinvestment Administrator BNY Mellon P.O. Box 358035 Pittsburgh, Pennsylvania 15252-8035 888/216-7206 www.bnymellon.com/shareowner/isd Stockholder Services BNY Mellon provides stockholder services to registered stockholders via telephone and online. BNY Mellon representatives can assist you in change of name or address, consolidation of accounts, duplicate mailings, dividend reinvestment enrollment, lost stock certiﬁcates, transfer of stock to another person and additional administrative services. For more information, go to www.bnymellon.com/shareowner/isd or call toll free 888/216-7206. Investor Information Current and prospective investors can access the Annual Report, Proxy Statement, SEC ﬁlings, earnings announcements and other press releases on our website at www.hcreit.com, or by e-mail request to info@hcreit.com. Annual Meeting The Annual Meeting of Stockholders will be held on May 6, 2010 in the Auditorium of Fifth Third Center at One SeaGate, Toledo, Ohio. Exchange Listing New York Stock Exchange Trading Symbol: HCN Member 217 employees as of 12/31/09 5,060 registered stockholders as of 12/31/09 National Association of Real Estate Investment Trusts, Inc. Stockholder Information Board of Directors William C. Ballard, Jr. Age 69 Former Of Counsel Greenebaum Doll & McDonald PLLC Louisville, Kentucky Pier C. Borra Age 70 Chairman CORA Health Services, Inc. Lima, Ohio George L. Chapman Age 62 Chairman, Chief Executive Ofﬁcer and President Health Care REIT, Inc. Toledo, Ohio Thomas J. DeRosa Age 52 Former Vice Chairman and Chief Financial Ofﬁcer The Rouse Company Columbia, Maryland Jeffrey H. Donahue Age 63 Former President and Chief Executive Ofﬁcer Enterprise Community Investment, Inc. Columbia, Maryland Peter J. Grua Age 56 Partner HLM Venture Partners Boston, Massachusetts Fred S. Klipsch Age 68 Chairman and Chief Executive Ofﬁcer Klipsch Group, Inc. Indianapolis, Indiana Sharon M. Oster Age 61 Dean Yale University School of Management New Haven, Connecticut Jeffrey R. Otten Age 59 President JRO Ventures Inc. Oak Bluffs, Massachusetts R. Scott Trumbull Age 61 Chairman and Chief Executive Ofﬁcer Franklin Electric Co., Inc. Bluffton, Indiana Committees of the Board Legal Counsel Shumaker, Loop & Kendrick, LLP Toledo, Ohio Independent Auditors Ernst & Young LLP Toledo, Ohio Audit Committee Borra, DeRosa (Chair), Otten, Trumbull Transfer Agent Compensation Committee Ballard, Donahue (Chair), Oster Nominating/Corporate Governance Committee Borra, DeRosa, Grua (Chair), Otten Executive Committee Ballard, Chapman, Grua BNY Mellon 480 Washington Boulevard Jersey City, New Jersey 07310-1900 888/216-7206 www.bnymellon.com/shareowner/isd This Annual Report and the Letter to Stockholders contain “forward-looking statements” as that term is deﬁned in the Private Securities Litigation Reform Act of 1995. For example, when we use words such as “may,” “will,” “intend,” “should,” “believe,” “expect,” “anticipate,” “project,” “estimate” or similar expressions, we are making forward-looking statements. Forward-looking statements are not guarantees of future performance and involve risks and uncertainties. Our expected results may not be achieved, and actual results may differ materially from our expectations. Important factors that could cause our actual results to be materially different from the forward-looking statements are discussed in our Form 10-K under the heading “Risk Factors.” We assume no obligation to update or revise any forward-looking statements or to update the reasons why actual results could differ from those projected in any forward-looking statements. Health Care REIT, Inc. One SeaGate Suite 1500 P.O. Box 1475 Toledo, Ohio 43603-1475 www.hcreit.com

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