FOR IMMEDIATE RELEASE

Contact:

Brookdale Senior Living Inc.

Ross Roadman  615-564-8104

Brookdale Announces First Quarter 2013 Results

Nashville, Tenn.  May 1, 2013 – Brookdale Senior Living Inc. (NYSE: BKD) (the "Company") today reported financial and operating results for the first quarter of 2013.

· Cash From Facility Operations ("CFFO") was $69.9 million, or $0.57 per share, a 19.6% increase compared to CFFO of $58.5 million, or $0.48 per share, for the first quarter of 2012, excluding $2.1 million and $3.9 million of integration, transaction-related and electronic medical records ("EMR") roll-out costs for the three months ended March 31, 2013 and 2012, respectively.

· Average occupancy was 88.5%, a 70 basis point increase from 87.8% in the first quarter of 2012 and down 20 basis points from the fourth quarter of 2012.

· Average monthly revenue per unit for the senior housing portfolio improved by 2.8% to $4,375 for the first quarter of 2013 from $4,257 for the first quarter of 2012.

· Same community Facility Operating Income for the senior housing portfolio grew by 6.1% compared to the prior year quarter as same community revenue grew by 3.6% and same community expenses grew by 2.4%, with margin improving to 34.5%, an 80 basis point increase.

· Adjusted EBITDA was $112.4 million, up 11.8% as compared to $100.5 million in the first quarter of 2012, excluding integration, transaction-related and EMR roll-out costs in both periods.

· Net income was $3.6 million for the first quarter of 2013 compared to a net loss of $10.5 million in the first quarter of 2012.

Andy Smith, Brookdale's CEO, said, "We are very pleased with our first quarter results.  It's a solid start to the year. We are encouraged by the trends we continue to see driving organic growth. Occupancy was up 70 basis points over last year's first quarter and first quarter move-ins increased 7% from a year ago.  Pricing growth remained steady as revenue per unit for our senior housing business increased 2.8% versus the prior year period. We also made significant progress in controlling our cost growth, demonstrating our business model's inherent leverage when occupancy and rate grow. With the senior living industry's largest and most comprehensive platform, we continue to be enthusiastic about our prospects for 2013, and we remain intently focused on creating value for our shareholders."

Mark Ohlendorf, Co-President and CFO of Brookdale, commented, "The Company's good first quarter results come from solid execution, a less volatile economy and, importantly, the investments we are making in our own assets.  Upgrading, expanding and repositioning select

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communities in our portfolio remains our highest capital deployment priority and produces enhanced returns and CFFO.  Our strong cash flow generation and access to capital provide us with the ability to redevelop and reposition our communities to take advantage of favorable industry dynamics as well as to meet the evolving needs of our residents and their families."

Financial Results

Total revenue for the first quarter was $712.3 million, an increase of $29.6 million, or 4.3%, from the first quarter of 2012.  First quarter 2013 total revenue is comprised of resident fee revenue of $624.4 million, which increased $27.8 million, or 4.7%, from the first quarter of 2012, management fee revenue of $7.6 million, which increased $0.2 million, or 2.2%, from the first quarter of 2012, and managed community reimbursed costs of $80.3 million, which increased $1.6 million, or 2.0%.

Resident fee revenue increased primarily as a result of an increase in the average monthly revenue per unit compared to the prior year period and an increase in occupancy.  Average monthly revenue per unit for the senior housing portfolio was $4,375 in the first quarter, an increase of $118, or 2.8%, over the first quarter of 2012.  Average occupancy for all consolidated communities for the first quarter of 2013 was 88.5%, compared to 87.8% for the first quarter of 2012 and 88.7% for the fourth quarter of 2012.  For the managed community portfolio, which includes a number of pre-stabilized communities in the initial fill-up phase, average occupancy for the first quarter was 84.9%, a 60 basis point increase from 84.3% in the first quarter of 2012 and a 50 basis point decrease from the fourth quarter of 2012.

Facility operating expenses for the first quarter were $413.0 million, an increase of $14.2 million, or 3.6%, from the first quarter of 2012.  Costs incurred on behalf of managed communities increased $1.6 million, or 2.0%.

General and administrative expenses for the first quarter were $46.6 million.  Excluding integration, transaction-related and EMR roll-out costs of $2.1 million and $3.9 million in the first quarters of 2013 and 2012, respectively, and non-cash stock-based compensation expense from both periods, general and administrative expenses were $37.6 million in the first quarter of 2013 versus $34.6 million for the prior year same period.  Demonstrating the Company's efficient platform, general and administrative expenses were, excluding these items, 4.8% of resident fee revenue (including resident fee revenues under management) in the first quarter of 2013, up from 4.6% the prior year.

Non-GAAP Financial Measures

Brookdale's management utilizes Adjusted EBITDA and CFFO to evaluate the Company's performance and liquidity because these metrics exclude non-cash items such as depreciation and amortization, asset impairment charges, non-cash stock-based compensation expense, gain on facility lease termination and straight-line lease expense, net of deferred gain amortization.  Adjusted EBITDA and Cash From Facility Operations include integration, transaction-related and EMR roll-out costs of $2.1 million and $3.9 million for the three months ended March 31, 2013 and 2012, respectively.  Brookdale also uses Facility Operating Income to assess the performance of its communities.

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For the quarter ended March 31, 2013, Facility Operating Income was $204.2 million, an increase of $12.5 million, or 6.5%, over the first quarter of 2012, and Adjusted EBITDA, excluding integration, transaction-related and EMR roll-out costs in 2013 and 2012, was $112.4 million, an increase of $11.9 million, or 11.8%, over the first quarter of 2012.

Cash From Facility Operations was $67.8 million for the first quarter of 2013, or $0.55 per share.  CFFO, excluding integration, transaction-related and EMR roll-out costs for both periods, was $69.9 million for the first quarter of 2013, or $0.57 per share, an increase of $11.5 million, or 19.6%, over CFFO of $58.5 million, or $0.48 per share, for the first quarter of 2012.

Net Income

Net income for the first quarter of 2013 was $3.6 million, or $0.03 per basic and diluted common share. The net income for the quarter includes non-cash items for depreciation and amortization, non-cash stock-based compensation expense and straight-line lease expense, net of deferred gain amortization.

Operating Activities

The Company reports information on six segments.  Four segments (Retirement Centers, Assisted Living, CCRCs – Rental and CCRCs – Entry Fee) constitute the Company's consolidated senior housing portfolio.  The fifth segment, Innovative Senior Care, includes the Company's outpatient therapy, home health and hospice services.  The sixth segment, Management Services, includes the services provided to unconsolidated communities that are operated under management agreements.

Senior Housing

Revenue for the consolidated senior housing portfolio was $564.2 million for the first quarter of 2013, an increase of 4.0% from the first quarter of 2012.  Revenue was positively impacted by a 70 basis point increase in occupancy and a 2.8% increase in rate over the first quarter of 2012.  Facility operating expenses increased by $9.6 million, or 2.7%, with operating margin increasing to 35.1% from 34.3% in the first quarter of 2012. Operating income for the senior housing portfolio for the first quarter of 2013 increased by $11.9 million, or 6.4%, from the first quarter of 2012.

Same community results for the consolidated senior housing portfolio for the three months ended March 31, 2013 showed revenues grew 3.6% over the corresponding period in 2012 as revenue per unit increased by 2.6% and occupancy grew by 90 basis points.  Same community expenses grew by 2.4% over the first quarter of 2012.  Same community Facility Operating Income for the senior housing portfolio increased by 6.1% over the first quarter of 2012.

Innovative Senior Care

Revenue for the Company's ISC segment increased $6.3 million, or 11.8%, to $60.2 million, for the first quarter of 2013, primarily due to the roll-out of the Company's ancillary services programs to additional units.  In comparison to the first quarter of 2012, a volume increase in home health was partially offset by a reduction in volume in outpatient therapy.  ISC operating

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expenses increased $4.6 million, or 10.9%, primarily due to an increase in expenses incurred in connection with the continued expansion of the Company's ancillary services programs.  As a result, ISC operating income was $13.1 million, an increase of $1.7 million, or 14.9%, versus the first quarter of 2012.

By the end of the first quarter, the Company's ancillary services programs provided outpatient therapy services to approximately 38,000 Brookdale units and the Company's home health agencies were serving approximately 32,400 units across the consolidated Brookdale portfolio.   Including non-consolidated communities served by ISC, the Company's outpatient therapy and home health operations serve approximately 51,500 and 45,700 units, respectively.  The Company had six markets where hospice services were provided during the first quarter.

Liquidity

Brookdale had $28.2 million of unrestricted cash and cash equivalents and $105.0 million of restricted cash on its balance sheet at the end of the first quarter.  As of March 31, 2013, the Company had an available secured line of credit with a $230.0 million commitment and $198.6 million of availability (of which $45.0 million had been drawn as of that date).  The Company also had secured and unsecured letter of credit facilities of up to $92.5 million in the aggregate as of March 31, 2013, with issued letters of credit totaling $78.0 million.

Transactions

During the first quarter, two communities were acquired by a joint venture in which the Company has a minority interest.  The communities will be managed by the Company.  The Company also sold two communities for an aggregate selling price of $7.2 million.  The results of operations of the disposed communities were previously reported in the Assisted Living segment.  Management contracts for three newly-opened communities began in the first quarter.

During April, the Company completed refinancings of several mortgage loans totaling $339.3 million, which primarily had maturities in 2013.  In their place, the Company obtained mortgage loans totaling $312.0 million to repay the loans, with the remainder paid in cash.  Additionally, four communities became unencumbered and were added to the Company's line of credit borrowing capacity, increasing it by $25.7 million.

2013 Outlook

For the full year 2013, the Company continues to expect Cash From Facility Operations to range between $2.30 and $2.40 per share, excluding integration, transaction-related and EMR roll-out costs.  These estimates do not include the impact on operating results from possible future acquisitions or dispositions.

Supplemental Information

The Company will shortly post on the Investor Relations section of the Company's website at www.brookdaleliving.com supplemental information relating to the Company's first quarter 2013 results.  This information will also be furnished in a Form 8-K to be filed with the SEC.

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Earnings Conference Call

Brookdale's management will conduct a conference call to review the financial results of its first quarter ended March 31, 2013 on Thursday, May 2, 2013 at 9:00 AM ET.  The conference call can be accessed by dialing (866) 900-2996(from within the U.S.) or (706) 643-2685 (from outside of the U.S.) ten minutes prior to the scheduled start and referencing the "Brookdale Senior Living First Quarter Earnings Call."

A webcast of the conference call will be available to the public on a listen-only basis at www.brookdaleliving.com.  Please allow extra time prior to the call to visit the site and download the necessary software required to listen to the internet broadcast.  A replay of the webcast will be available through the website for three months following the call.

For those who cannot listen to the live call, a replay will be available until 11:59 PM ET on May 16, 2013 by dialing (855) 859-2056(from within the U.S.) or (404) 537-3406(from outside of the U.S.) and referencing access code "55622995".  A copy of this earnings release is posted on the Investor Relations page of the Brookdale website (www.brookdaleliving.com).

About Brookdale Senior Living

Brookdale Senior Living Inc. is a leading owner and operator of senior living communities throughout the United States.  The Company is committed to providing senior living solutions within properties that are designed, purpose-built and operated to provide the highest-quality service, care and living accommodations for residents.  Currently Brookdale operates independent living, assisted living, and dementia-care communities and continuing care retirement centers, with 650 communities in 36 states and the ability to serve approximately 67,000 residents.  Through its Innovative Senior Care program, the Company also offers a range of outpatient therapy, home health, personalized living and hospice services.

Safe Harbor

Certain items in this press release and the associated earnings conference call may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995.  Those forward-looking statements are subject to various risks and uncertainties and include all statements that are not historical statements of fact and those regarding our intent, belief or expectations, including, but not limited to, statements relating to our operational initiatives and our expectations regarding their effect on our results; our expectations regarding the economy, occupancy, revenue, cash flow, expenses, capital expenditures, Program Max opportunities, cost savings, the demand for senior housing, the home resale market, expansion and development activity, acquisition opportunities, asset dispositions, our share repurchase program, taxes, capital deployment, returns on invested capital and CFFO; our expectations regarding returns to shareholders and our growth prospects; our expectations concerning the future performance of recently acquired communities and the effects of acquisitions on our financial results; our ability to secure financing or repay, replace or extend existing debt at or prior to maturity; our ability to remain in compliance with all of our debt and lease agreements (including the financial covenants contained therein); our expectations regarding liquidity and leverage; our expectations regarding financings and refinancings of assets (including the timing thereof) and their effect on our results; our expectations regarding changes in government

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reimbursement programs and their effect on our results; our plans to generate growth organically through occupancy improvements, increases in annual rental rates and the achievement of operating efficiencies and cost savings; our plans to expand our offering of ancillary services (therapy, home health and hospice); our plans to expand, redevelop and reposition existing communities; our plans to acquire additional communities, asset portfolios, operating companies and home health agencies; the expected project costs for our expansion, redevelopment and repositioning program; our expected levels of expenditures and reimbursements (and the timing thereof); our expectations regarding our sales, marketing and branding initiatives and their impact on our results; our expectations for the performance of our entrance fee communities; our ability to anticipate, manage and address industry trends and their effect on our business; our expectations regarding the payment of dividends; and our ability to increase revenues, earnings, Adjusted EBITDA, Cash From Facility Operations, and/or Facility Operating Income.  Forward-looking statements are generally identifiable by use of forward-looking terminology such as "may," "will," "should," "potential," "intend," "expect," "endeavor," "seek," "anticipate," "estimate," "overestimate," "underestimate," "believe," "could," "would," "project," "predict," "continue," "plan" or other similar words or expressions.  Forward-looking statements are based on certain assumptions or estimates, discuss future expectations, describe future plans and strategies, contain projections of results of operations or of financial condition, or state other forward-looking information.  Our ability to predict results or the actual effect of future plans or strategies is inherently uncertain.  Although we believe that the expectations reflected in such forward-looking statements are based on reasonable assumptions, actual results and performance could differ materially from those set forth in the forward-looking statements. Factors which could have a material adverse effect on our operations and future prospects or which could cause events or circumstances to differ from these forward-looking statements include, but are not limited to, the risk associated with the current global economic situation and its impact upon capital markets and liquidity; changes in governmental reimbursement programs; our inability to extend (or refinance) debt (including our credit and letter of credit facilities) as it matures; the risk that we may not be able to satisfy the conditions precedent to exercising the extension options associated with certain of our debt agreements; events which adversely affect the ability of seniors to afford our monthly resident fees or entrance fees; the conditions of housing markets in certain geographic areas; our ability to generate sufficient cash flow to cover required interest and long-term operating lease payments; the effect of our indebtedness and long-term operating leases on our liquidity; the risk of loss of property pursuant to our mortgage debt and long-term lease obligations; the possibilities that changes in the capital markets, including changes in interest rates and/or credit spreads, or other factors could make financing more expensive or unavailable to us; our determination from time to time to purchase any shares under the repurchase program; our ability to fund any repurchases; our ability to effectively manage our growth; our ability to maintain consistent quality control; delays in obtaining regulatory approvals; the risk that we may not be able to expand, redevelop and reposition our communities in accordance with our plans; our ability to complete acquisitions and integrate them into our operations; competition for the acquisition of assets; our ability to obtain additional capital on terms acceptable to us; a decrease in the overall demand for senior housing; our vulnerability to economic downturns; acts of nature in certain geographic areas; terminations of our resident agreements and vacancies in the living spaces we lease; early terminations or non-renewal of management agreements; increased competition for skilled personnel; increased union activity; departure of our key officers; increases in market interest rates; environmental contamination at any of our facilities; failure to comply with existing environmental laws; an adverse determination or resolution of complaints filed against us; the cost and difficulty of complying

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with increasing and evolving regulation; and other risks detailed from time to time in our filings with the Securities and Exchange Commission, including our Annual Report on Form 10-K and Quarterly Reports on Form 10-Q.  When considering forward-looking statements, you should keep in mind the risk factors and other cautionary statements in such SEC filings.  Readers are cautioned not to place undue reliance on any of these forward-looking statements, which reflect our management's views as of the date of this press release and/or the associated earnings conference call.  The factors discussed above and the other factors noted in our SEC filings from time to time could cause our actual results to differ significantly from those contained in any forward-looking statement.  We cannot guarantee future results, levels of activity, performance or achievements and we expressly disclaim any obligation to release publicly any updates or revisions to any forward-looking statements contained herein to reflect any change in our expectations with regard thereto or change in events, conditions or circumstances on which any statement is based.

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Condensed Consolidated Statements of Operations

(Unaudited, in thousands, except per share data)

	Three Months Ended
	March 31,
	2013			2012
Revenue
Resident fees	$	624,370		$	596,549
Management fees		7,609			7,444
Reimbursed costs incurred on behalf of managed communities		80,287			78,715
Total revenue		712,266			682,708
Expense
Facility operating expense (excluding depreciation and amortization of $57,255 and $57,936, respectively)		413,003			398,769
General and administrative expense (including non-cash stock-based compensation expense of $6,894 and $6,435, respectively)		46,611			44,973
Facility lease expense		69,019			71,445
Depreciation and amortization		64,659			63,344
Asset impairment		-			1,083
Loss on acquisition		-			636
Gain on facility lease termination		-			(2,780	)
Costs incurred on behalf of managed communities		80,287			78,715
Total operating expense		673,579			656,185
Income from operations		38,687			26,523
Interest income		303			852
Interest expense:
Debt		(30,971	)		(32,050	)
Amortization of deferred financing costs and debt discount		(4,569	)		(4,473	)
Change in fair value of derivatives and amortization		135			(233	)
Loss on extinguishment of debt		-			(221	)
Equity in earnings of unconsolidated ventures		115			99
Other non-operating income (loss)		1,006			(111	)
Income (loss) before income taxes		4,706			(9,614	)
Provision for income taxes		(1,148	)		(930	)
Net income (loss)	$	3,558		$	(10,544	)
Basic earnings (loss) per share	$	0.03		$	(0.09	)
Weighted average shares used in computing basic earnings (loss) per share		122,823			121,145
Diluted earnings (loss) per share	$	0.03		$	(0.09	)
Weighted average shares used in computing diluted earnings (loss) per share		124,391			121,145

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Condensed Consolidated Balance Sheets

(in thousands)

	March 31, 2013		December 31, 2012
	(unaudited)		(audited)
Cash and cash equivalents	$	28,242	$	69,240
Cash and escrow deposits - restricted		42,666		43,096
Accounts receivable, net		109,178		100,401
Other current assets		103,276		96,301
Total current assets		283,362		309,038
Property, plant, and equipment and leasehold intangibles, net		3,853,423		3,879,977
Other assets, net		484,123		476,963
Total assets	$	4,620,908	$	4,665,978
Current liabilities	$	911,345	$	1,130,898
Long-term debt, less current portion		2,331,085		2,169,826
Other liabilities		370,609		368,268
Total liabilities		3,613,039		3,668,992
Stockholders' equity		1,007,869		996,986
Total liabilities and stockholders' equity	$	4,620,908	$	4,665,978

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Condensed Consolidated Statements of Cash Flows

(Unaudited, in thousands)

	Three Months Ended March 31,
	2013			2012
Cash Flows from Operating Activities
Net income (loss)	$	3,558		$	(10,544	)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Loss on extinguishment of debt		-			221
Depreciation and amortization		69,228			67,817
Asset impairment		-			1,083
Equity in earnings of unconsolidated ventures		(115	)		(99	)
Distributions from unconsolidated ventures from cumulative share of net earnings		668			206
Amortization of deferred gain		(1,093	)		(1,093	)
Amortization of entrance fees		(7,133	)		(6,066	)
Proceeds from deferred entrance fee revenue		9,237			7,000
Deferred income tax benefit		-			(135	)
Change in deferred lease liability		748			1,642
Change in fair value of derivatives and amortization		(135	)		233
(Gain) loss on sale of assets		(926	)		114
Loss on acquisition		-			636
Gain on facility lease termination		-			(2,780	)
Non-cash stock-based compensation		6,894			6,435
Changes in operating assets and liabilities:
Accounts receivable, net		(9,064	)		(5,317	)
Prepaid expenses and other assets, net		9,140			(1,681	)
Accounts payable and accrued expenses		(10,871	)		(23,705	)
Tenant refundable fees and security deposits		(335	)		(442	)
Deferred revenue		(5,316	)		12,168
Net cash provided by operating activities		64,485			45,693
Cash Flows from Investing Activities
Increase in lease security deposits and lease acquisition deposits, net		(1,952	)		(2,217	)
Decrease in cash and escrow deposits — restricted		826			8,442
Purchase of marketable securities — restricted		-			(761	)
Additions to property, plant, and equipment and leasehold intangibles, net of related payables		(51,614	)		(41,533	)
Acquisition of assets, net of related payables and cash received		(2	)		(104,984	)
Issuance of notes receivable, net		(17	)		(439	)
Investment in unconsolidated ventures		(5,843	)		-
Distributions received from unconsolidated ventures		-			100
Proceeds from sale of assets, net		440			-
Net cash used in investing activities		(58,162	)		(141,392	)
Cash Flows from Financing Activities
Proceeds from debt		8,955			175,838
Repayment of debt and capital lease obligations		(17,707	)		(86,068	)
Proceeds from line of credit		105,000			130,000
Repayment of line of credit		(140,000	)		(110,000	)
Payment of financing costs, net of related payables		(2,200	)		(2,378	)
Refundable entrance fees:
Proceeds from refundable entrance fees		7,636			7,989
Refunds of entrance fees		(9,320	)		(8,102	)
Cash portion of loss on extinguishment of debt		-			(118	)
Recouponing and payment of swap termination		-			(99	)
Other		315			(86	)
Net cash (used in) provided by financing activities		(47,321	)		106,976
Net (decrease) increase in cash and cash equivalents		(40,998	)		11,277
Cash and cash equivalents at beginning of period		69,240			30,836
Cash and cash equivalents at end of period	$	28,242		$	42,113

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Non-GAAP Financial Measures

Adjusted EBITDA

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

We believe Adjusted EBITDA is useful to investors in evaluating our performance, results of operations and financial position for the following reasons:

· It is helpful in identifying trends in our day-to-day performance because the items excluded have little or no significance to our day-to-day operations;

· It provides an assessment of controllable expenses and affords management the ability to make decisions which are expected to facilitate meeting current financial goals as well as achieve optimal financial performance; and

· It is an indication to determine if adjustments to current spending decisions are needed.

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The table below reconciles Adjusted EBITDA from net income (loss) for the three months ended March 31, 2013 and 2012 (in thousands):

	Three Months Ended March 31(1),
	2013			2012
Net income (loss)	$	3,558		$	(10,544	)
Provision for income taxes		1,148			930
Equity in earnings of unconsolidated ventures		(115	)		(99	)
Loss on extinguishment of debt		-			221
Other non-operating (income) loss		(1,006	)		111
Interest expense:
Debt		24,448			24,340
Capitalized lease obligation		6,523			7,710
Amortization of deferred financing costs and debt discount		4,569			4,473
Change in fair value of derivatives and amortization		(135	)		233
Interest income		(303	)		(852	)
Income from operations		38,687			26,523
Gain on facility lease termination		-			(2,780	)
Loss on acquisition		-			636
Depreciation and amortization		64,659			63,344
Asset impairment		-			1,083
Straight-line lease expense		748			1,642
Amortization of deferred gain		(1,093	)		(1,093	)
Amortization of entrance fees		(7,133	)		(6,066	)
Non-cash stock-based compensation expense		6,894			6,435
Entrance fee receipts(2)		16,873			14,989
Entrance fee disbursements		(9,320	)		(8,102	)
Adjusted EBITDA	$	110,315		$	96,611

(1) The calculation of Adjusted EBITDA includes integration, transaction-related and EMR roll-out costs of $2.1 million and $3.9 million for the three months ended March 31, 2013 and 2012, respectively.

(2) Includes the receipt of refundable and non-refundable entrance fees.

Cash From Facility Operations

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

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integration capital expenditures) or community purchases that are funded using lease or financing proceeds, available cash and/or proceeds from the sale of communities that are held for sale.

We believe CFFO is useful to investors in evaluating our liquidity for the following reasons:

· It provides an assessment of our ability to facilitate meeting current financial and liquidity goals.

· To assess our ability to:

(i) service our outstanding indebtedness;

(ii) pay dividends; and

(iii) make regular recurring capital expenditures to maintain and improve our facilities.

The table below reconciles CFFO from net cash provided by operating activities for the three months ended March 31, 2013 and 2012 (in thousands):

	Three Months Ended March 31(1),
	2013			2012
Net cash provided by operating activities	$	64,485		$	45,693
Changes in operating assets and liabilities		16,446			18,977
Refundable entrance fees received(2)		7,636			7,989
Entrance fee refunds disbursed		(9,320	)		(8,102	)
Recurring capital expenditures, net		(9,324	)		(8,064	)
Lease financing debt amortization with fair market value or no purchase options		(3,371	)		(2,929	)
Distributions from unconsolidated ventures from cumulative share of net earnings		(668	)		(206	)
CFFO from unconsolidated ventures		1,958			1,228
Cash From Facility Operations	$	67,842		$	54,586

(1) The calculation of Cash From Facility Operations includes integration, transaction-related and EMR roll-out costs of $2.1 million and $3.9 million for the three months ended March 31, 2013 and 2012, respectively.

(2) Total entrance fee receipts for both the three months ended March 31, 2013 and 2012 were $16.9 million,  and $15.0 million, respectively, including $9.2 million and $7.0 million, respectively, of non-refundable entrance fee receipts included in net cash provided by operating activities.

The calculation of CFFO per share is based on weighted average outstanding common shares for the period, excluding any unvested restricted shares.  Annual CFFO per share for all periods is calculated as the sum of the quarterly amounts for the year.

Facility Operating Income

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

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administrative expense, including non-cash stock-based compensation expense, change in future service obligation, amortization of deferred entrance fee revenue and management fees.

We believe Facility Operating Income is useful to investors in evaluating our facility operating performance for the following reasons:

· It is helpful in identifying trends in our day-to-day facility performance;

· It provides an assessment of our revenue generation and expense management; and

· It provides an indicator to determine if adjustments to current spending decisions are needed.

The table below reconciles Facility Operating Income from net income (loss) for the three months ended March 31, 2013 and 2012 (in thousands):

	Three Months Ended March 31,
	2013			2012
Net income (loss)	$	3,558		$	(10,544	)
Provision for income taxes		1,148			930
Equity in earnings of unconsolidated ventures		(115	)		(99	)
Loss on extinguishment of debt		-			221
Other non-operating (income) loss		(1,006	)		111
Interest expense:
Debt		24,448			24,340
Capitalized lease obligation		6,523			7,710
Amortization of deferred financing costs and debt discount		4,569			4,473
Change in fair value of derivatives and amortization		(135	)		233
Interest income		(303	)		(852	)
Income from operations		38,687			26,523
Gain on facility lease termination		-			(2,780	)
Depreciation and amortization		64,659			63,344
Asset impairment		-			1,083
Loss on acquisition		-			636
Facility lease expense		69,019			71,445
General and administrative (including non-cash stock-based compensation expense)		46,611			44,973
Amortization of entrance fees		(7,133	)		(6,066	)
Management fees		(7,609	)		(7,444	)
Facility Operating Income	$	204,234		$	191,714

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