10-Q 1 l41081e10vq.htm FORM 10-Q e10vq
Table of Contents

 
 
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
(Mark One)
     
þ   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2010
or
     
o   TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                      to                     
Commission File number 1-8923
HEALTH CARE REIT, INC.
 
(Exact name of registrant as specified in its charter)
     
Delaware   34-1096634
     
(State or other jurisdiction of
incorporation or organization)
  (I.R.S. Employer
Identification No.)
     
4500 Dorr Street, Toledo, Ohio   43615
     
(Address of principal executive office)   (Zip Code)
(419) 247-2800
(Registrant’s telephone number, including area code)
 
(Former name, former address and former fiscal year, if changed since last report)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to the filing requirements for at least the past 90 days. Yes þ No o
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes þ No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer þ Accelerated filer o  Non-accelerated filer o
(Do not check if a smaller reporting company)
Smaller reporting company o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o No þ
As of October 31, 2010, the registrant had 135,129,154 shares of common stock outstanding.
 
 

 


 

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Signatures
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 EX-3.1
 EX-3.2
 EX-31.1
 EX-31.2
 EX-32.1
 EX-32.2
 EX-101 INSTANCE DOCUMENT
 EX-101 SCHEMA DOCUMENT
 EX-101 CALCULATION LINKBASE DOCUMENT
 EX-101 LABELS LINKBASE DOCUMENT
 EX-101 PRESENTATION LINKBASE DOCUMENT
 EX-101 DEFINITION LINKBASE DOCUMENT

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PART I. FINANCIAL INFORMATION
Item 1. Financial Statements
CONSOLIDATED BALANCE SHEETS
HEALTH CARE REIT, INC. AND SUBSIDIARIES
                 
    September 30,     December 31,  
    2010     2009  
    (Unaudited)     (Note)  
    (In thousands)  
Assets
               
Real estate investments:
               
Real property owned:
               
Land and land improvements
  $ 668,135     $ 521,055  
Buildings and improvements
    6,350,167       5,185,328  
Acquired lease intangibles
    223,349       127,390  
Real property held for sale, net of accumulated depreciation
    16,928       45,686  
Construction in progress
    286,366       456,832  
 
           
Gross real property owned
    7,544,945       6,336,291  
Less accumulated depreciation and amortization
    (804,651 )     (677,851 )
 
           
Net real property owned
    6,740,294       5,658,440  
Real estate loans receivable:
               
Real estate loans receivable
    416,570       427,363  
Less allowance for losses on loans receivable
    (1,190 )     (5,183 )
 
           
Net real estate loans receivable
    415,380       422,180  
 
           
Net real estate investments
    7,155,674       6,080,620  
Other assets:
               
Equity investments
    213,163       5,816  
Deferred loan expenses
    29,529       22,698  
Cash and cash equivalents
    181,147       35,476  
Restricted cash
    61,224       23,237  
Receivables and other assets
    252,330       199,339  
 
           
Total other assets
    737,393       286,566  
 
           
Total assets
  $ 7,893,067     $ 6,367,186  
 
           
 
               
Liabilities and equity
               
Liabilities:
               
Borrowings under unsecured line of credit arrangement
  $     $ 140,000  
Senior unsecured notes
    2,585,961       1,653,027  
Secured debt
    885,494       620,995  
Accrued expenses and other liabilities
    201,529       145,713  
 
           
Total liabilities
    3,672,984       2,559,735  
Equity:
               
Preferred stock
    275,000       288,683  
Common stock
    135,046       123,385  
Capital in excess of par value
    4,429,425       3,900,666  
Treasury stock
    (11,352 )     (7,619 )
Cumulative net income
    1,636,589       1,547,669  
Cumulative dividends
    (2,329,215 )     (2,057,658 )
Accumulated other comprehensive income
    (11,459 )     (2,891 )
Other equity
    5,972       4,804  
 
           
Total Health Care REIT, Inc. stockholders’ equity
    4,130,006       3,797,039  
Noncontrolling interests
    90,077       10,412  
 
           
Total equity
    4,220,083       3,807,451  
 
           
Total liabilities and equity
  $ 7,893,067     $ 6,367,186  
 
           
NOTE: The consolidated balance sheet at December 31, 2009 has been derived from the audited financial statements at that date but does not include all of the information and footnotes required by U.S. generally accepted accounting principles for complete financial statements.
See notes to unaudited consolidated financial statements

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CONSOLIDATED STATEMENTS OF INCOME (UNAUDITED)
HEALTH CARE REIT, INC. AND SUBSIDIARIES
                                 
    Three Months Ended     Nine Months Ended  
    September 30,     September 30,  
    2010     2009     2010     2009  
    (In thousands, except per share data)  
Revenues:
                               
Rental income
  $ 152,127     $ 128,527     $ 441,337     $ 379,326  
Resident fees and services
    12,809             12,809        
Interest income
    10,054       10,528       28,437       30,639  
Other income
    1,156       1,089       4,802       3,810  
 
                       
Total revenues
    176,146       140,144       487,385       413,775  
Expenses:
                               
Interest expense
    44,408       27,595       110,703       79,428  
Property operating expenses
    20,849       12,153       45,859       34,441  
Depreciation and amortization
    48,565       39,187       138,321       114,446  
Transaction costs
    18,835             27,301        
General and administrative
    11,628       10,363       40,331       38,784  
Loss (gain) on extinguishment of debt
    9,099       26,374       34,171       24,697  
Provision for loan losses
    28,918             28,918       140  
 
                       
Total expenses
    182,302       115,672       425,604       291,936  
 
                       
Income from continuing operations before income taxes and income from unconsolidated joint ventures
    (6,156 )     24,472       61,781       121,839  
Income tax (expense) benefit
    (52 )     55       (325 )     (17 )
Income from unconsolidated joint ventures
    1,899             4,496        
 
                       
Income from continuing operations
    (4,309 )     24,527       65,952       121,822  
Discontinued operations:
                               
Gain (loss) on sales of properties
    10,526       (806 )     20,559       26,907  
Impairment of assets
    (947 )     (1,873 )     (947 )     (1,873 )
Income (loss) from discontinued operations, net
    511       2,837       2,973       9,233  
 
                       
Discontinued operations, net
    10,090       158       22,585       34,267  
 
                       
Net income
    5,781       24,685       88,537       156,089  
Less: Preferred stock dividends
    5,347       5,520       16,340       16,560  
Less: Net income (loss) attributable to noncontrolling interests
    (690 )     35       (383 )     40  
 
                       
Net income attributable to common stockholders
  $ 1,124     $ 19,130     $ 72,580     $ 139,489  
 
                       
 
                               
Average number of common shares outstanding:
                               
Basic
    125,298       114,874       124,132       111,345  
Diluted
    125,842       115,289       124,660       111,749  
 
                               
Earnings per share:
                               
Basic:
                               
Income from continuing operations attributable to common stockholders
  $ (0.08 )   $ 0.17     $ 0.40     $ 0.95  
Discontinued operations, net
    0.08             0.18       0.31  
 
                       
Net income attributable to common stockholders*
  $ 0.01     $ 0.17     $ 0.58     $ 1.25  
 
                       
 
                               
Diluted:
                               
Income from continuing operations attributable to common stockholders
  $ (0.08 )   $ 0.16     $ 0.40     $ 0.94  
Discontinued operations, net
    0.08             0.18       0.31  
 
                       
Net income attributable to common stockholders*
  $ 0.01     $ 0.17     $ 0.58     $ 1.25  
 
                       
Dividends declared and paid per common share
  $ 0.69     $ 0.68     $ 2.05     $ 2.04  
 
*   Amounts may not sum due to rounding
See notes to unaudited consolidated financial statements

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CONSOLIDATED STATEMENTS OF EQUITY (UNAUDITED)
HEALTH CARE REIT, INC. AND SUBSIDIARIES

(in thousands)
                                                                                 
    Nine Months Ended September 30, 2010  
                                                    Accumulated                    
                    Capital in                             Other                    
    Preferred     Common     Excess of     Treasury     Cumulative     Cumulative     Comprehensive     Other     Noncontrolling        
    Stock     Stock     Par Value     Stock     Net Income     Dividends     Income     Equity     Interests     Total  
     
Balances at beginning of period
  $ 288,683     $ 123,385     $ 3,900,666     $ (7,619 )   $ 1,547,669     $ (2,057,658 )   $ (2,891 )   $ 4,804     $ 10,412     $ 3,807,451  
Comprehensive income:
                                                                               
Net income
                                    88,920                               (383 )     88,537  
Other comprehensive income:
                                                                               
Unrealized gain (loss) on equity investments
                                                    (95 )                     (95 )
Cash flow hedge activity
                                                    (8,473 )                     (8,473 )
 
                                                                             
Total comprehensive income
                                                                            79,969  
 
                                                                             
Contributions by noncontrolling interests
                    41,423                                               82,697       124,120  
Distributions to noncontrolling interests
                                                                    (2,649 )     (2,649 )
Amounts related to issuance of common stock from dividend reinvestment and stock incentive plans, net of forfeitures
            1,691       70,540       (3,733 )                             (246 )             68,252  
Net proceeds from sale of common stock
            9,631       413,306                                                       422,937  
Equity component of convertible debt
                    (9,689 )                                                     (9,689 )
Redemption of preferred stock
    (165 )                                                                     (165 )
Conversion of preferred stock
    (13,518 )     339       13,179                                                        
Option compensation expense
                                                            1,414               1,414  
Cash dividends paid:
                                                                               
Common stock cash dividends
                                            (255,217 )                             (255,217 )
Preferred stock cash dividends
                                            (16,340 )                             (16,340 )
     
Balances at end of period
  $ 275,000     $ 135,046     $ 4,429,425     $ (11,352 )   $ 1,636,589     $ (2,329,215 )   $ (11,459 )   $ 5,972     $ 90,077     $ 4,220,083  
     
                                                                                 
    Nine Months Ended September 30, 2009  
                                                    Accumulated                    
                    Capital in                             Other                    
    Preferred     Common     Excess of     Treasury     Cumulative     Cumulative     Comprehensive     Other     Noncontrolling        
    Stock     Stock     Par Value     Stock     Net Income     Dividends     Income     Equity     Interests     Total  
     
Balances at beginning of period
  $ 289,929     $ 104,635     $ 3,204,690     $ (5,145 )   $ 1,354,400     $ (1,723,819 )   $ (1,113 )   $ 4,105     $ 10,603     $ 3,238,285  
Comprehensive income:
                                                                               
Net income
                                    156,049                               40       156,089  
Other comprehensive income:
                                                                               
Unrealized gain (loss) on equity investments
                                                    667                       667  
Cash flow hedge activity
                                                    (4,496 )                     (4,496 )
 
                                                                             
Total comprehensive income
                                                                            152,260  
 
                                                                             
Contributions by noncontrolling interests
                                                                    1,946       1,946  
Distributions to noncontrolling interests
                                                                    (1,967 )     (1,967 )
Amounts related to issuance of common stock from dividend reinvestment and stock incentive plans, net of forfeitures
            1,236       44,672       (2,474 )                                             43,434  
Proceeds from issuance of common shares
            16,969       628,294                                                       645,263  
Conversion of preferred stock
    (1,246 )     30       1,216                                                        
Option compensation expense
                                                            1,446               1,446  
Cash dividends paid:
                                                                               
Common stock cash dividends
                                            (227,959 )                             (227,959 )
Preferred stock cash dividends
                                            (16,558 )                             (16,558 )
     
Balances at end of period
  $ 288,683     $ 122,870     $ 3,878,872     $ (7,619 )   $ 1,510,449     $ (1,968,336 )   $ (4,942 )   $ 5,551     $ 10,622     $ 3,836,150  
     
See notes to unaudited consolidated financial statements

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CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
HEALTH CARE REIT, INC. AND SUBSIDIARIES
                 
    Nine Months Ended  
    September 30,  
    2010     2009  
    (In thousands)  
Operating activities
               
Net income
  $ 88,537     $ 156,089  
Adjustments to reconcile net income to net cash provided from (used in) operating activities:
               
Depreciation and amortization
    140,137       123,143  
Other amortization expenses
    13,178       10,999  
Provision for loan losses
    28,918       140  
Impairment of assets
    947       1,873  
Stock-based compensation expense
    9,757       8,734  
Loss (gain) on extinguishment of debt
    34,171       24,697  
Income from unconsolidated joint ventures
    (4,496 )      
Rental income less than (in excess of) cash received
    (6,200 )     8,964  
Amortization related to above (below) market leases, net
    (2,112 )     (1,344 )
Loss (gain) on sales of properties
    (20,559 )     (26,907 )
Increase (decrease) in accrued expenses and other liabilities
    10,139       (5,038 )
Decrease (increase) in receivables and other assets
    (1,413 )     (10,901 )
 
           
Net cash provided from (used in) operating activities
    291,004       290,449  
 
               
Investing activities
               
Investment in real property
    (803,364 )     (417,378 )
Capitalized interest
    (16,008 )     (30,866 )
Investment in real estate loans receivable
    (52,499 )     (46,882 )
Other investments, net of payments
    (75,349 )     (18,969 )
Principal collected on real estate loans receivable
    18,819       34,892  
Contributions to unconsolidated joint ventures
    (174,692 )      
Decrease (increase) in restricted cash
    (34,279 )     136,577  
Proceeds from sales of real property
    134,722       153,507  
 
           
Net cash provided from (used in) investing activities
    (1,002,650 )     (189,119 )
 
               
Financing activities
               
Net increase (decrease) under unsecured lines of credit arrangements
    (140,000 )     (427,000 )
Proceeds from issuance of senior unsecured notes
    1,378,180        
Payments to extinguish senior unsecured notes
    (495,542 )     (201,048 )
Net proceeds from the issuance of secured debt
    79,127       276,277  
Payments on secured debt
    (177,305 )     (102,635 )
Net proceeds from the issuance of common stock
    486,565       683,883  
Decrease (increase) in deferred loan expenses
    (1,993 )     (7,286 )
Contributions by noncontrolling interests
    2,491       1,946  
Distributions to noncontrolling interests
    (2,649 )     (1,967 )
Cash distributions to stockholders
    (271,557 )     (244,517 )
 
           
Net cash provided from (used in) financing activities
    857,317       (22,347 )
 
           
Increase (decrease) in cash and cash equivalents
    145,671       78,983  
Cash and cash equivalents at beginning of period
    35,476       23,370  
 
           
Cash and cash equivalents at end of period
  $ 181,147     $ 102,353  
 
           
 
               
Supplemental cash flow information:
               
Interest paid
  $ 92,106     $ 100,365  
Income taxes paid
    220       534  
See notes to unaudited consolidated financial statements

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
1. 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 September 30, 2010, our broadly diversified portfolio consisted of 641 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.
2. Accounting Policies and Related Matters
Basis of Presentation
     The accompanying unaudited consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”) for interim financial information and with instructions to Quarterly Report on Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the nine months ended September 30, 2010 are not necessarily an indication of the results that may be expected for the year ending December 31, 2010. For further information, refer to the financial statements and footnotes thereto included in our Annual Report on Form 10-K for the year ended December 31, 2009, as updated by our Current Report on Form 8-K filed May 10, 2010.
New Accounting Standards
     In June 2009, the Financial Accounting Standards Board (“FASB”) amended the consolidation guidance for variable interest entities. The new guidance, to be applied on a continuous basis, requires enterprises to perform a qualitative approach to determining whether or not a variable interest entity will need to be consolidated. This evaluation is 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 was effective as of January 1, 2010. The adoption of this guidance did not have a material impact on our consolidated financial position or results of operations.
     In July 2010, the FASB issued Accounting Standards Update No. 2010-20, Receivables (Topic 310): Disclosures about the Credit Quality of Financing Receivables and the Allowance for Credit Losses (“ASU 2010-20”). This update expands disclosures about the credit quality of our financing receivables, how that risk is analyzed and assessed in arriving at the allowance for credit losses, and changes and reasons for those changes in the allowance for credit losses. Both new and existing disclosures must be disaggregated by portfolio segment and class. The disaggregation of information is based on the level at which an entity develops and documents a systematic method for determining its allowance for credit losses. This update is effective for interim periods and fiscal years ending after December 15, 2010. We are currently evaluating the impact of ASU 2010-20 on our consolidated financial statements.
3. Real Property Acquisitions and Development
Merrill Gardens Partnership
     During the three months ended September 30, 2010, we completed the formation of our partnership with Merrill Gardens LLC to own and operate a portfolio of 38 combination senior housing and care communities located primarily in West Coast markets. We own an 80% partnership interest and Merrill Gardens owns the remaining 20% interest and continues to manage the communities. The partnership owns and operates 13 communities previously owned by us and 25 additional communities previously owned by Merrill Gardens. The transaction took advantage of the structure authorized by the REIT Investment Diversification and Empowerment Act of 2007 (“RIDEA”). The results of operations for this partnership have been included in our consolidated results of operations beginning as of September 1, 2010 and are a component of our senior housing and care segment. Consolidation is based on a combination of ownership interest and operational decision-making control authority.
     In conjunction with the formation of the partnership we contributed $254,885,000 of cash and the 13 properties previously owned by us and the partnership assumed the secured debt relating to these properties. Merrill Gardens contributed the remaining 25 properties to the partnership and the secured debt relating to these properties in exchange for their 20% interest in the partnership. The 13 properties are recorded at their historical carrying values and the noncontrolling interest was established based on such values. The difference between the fair value of the consideration received relating to these properties and the historical allocation of the 20% noncontrolling interest was recorded in capital in excess of par value. The total purchase price for the 25 communities acquired have been allocated to the tangible and identifiable intangible assets and liabilities based upon their respective fair values in accordance

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NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
with the Company’s accounting policies. Such allocations have not been finalized as we await final asset valuations and, as such, the allocation of the purchase consideration included in the accompanying Consolidated Balance Sheet at September 30, 2010 is preliminary and subject to adjustment. The 20% noncontrolling interest relating to the acquired 25 properties is also reflected at estimated fair value. The following table presents the preliminary allocation of the purchase price to assets and liabilities assumed, based on their estimated fair values (in thousands):
         
Land and land improvements
  $ 86,664  
Buildings and improvements
    423,919  
Acquired lease intangibles
    75,320  
Cash and cash equivalents
    4,777  
Restricted cash
    3,707  
Receivables and other assets
    16,459  
 
     
Total assets acquired
    610,846  
Secured debt
    235,273  
Accrued expenses and other liabilities
    3,316  
 
     
Total liabilities assumed
    238,589  
Capital in excess of par
    41,423  
Noncontrolling interests
    80,207  
 
     
Net assets acquired
  $ 250,627  
 
     
     The weighted average useful life of the acquired intangibles was 1.9 years as of September 30, 2010.
Real Property Investment Activity
     The following is a summary of our real property investment activity for the periods presented (in thousands):
                                                 
    Nine Months Ended  
    September 30, 2010     September 30, 2009  
    Senior Housing     Medical             Senior Housing     Medical        
    and Care     Facilities     Totals     and Care     Facilities     Totals  
Real property acquisitions:
                                               
Senior housing — operating
  $ 576,000     $     $ 576,000     $     $     $  
Senior housing — triple net
    219,772             219,772                    
Medical office buildings
          246,582       246,582                    
 
                                   
Total acquisitions
    795,772       246,582       1,042,354                    
Less: Assumed debt
    (244,921 )     (108,244 )     (353,165 )                  
Assumed other items, net
    (118,901 )     (31,048 )     (149,949 )                  
 
                                   
Cash disbursed for acquisitions
    431,950       107,290       539,240                    
Construction in progress additions:
                                               
Senior housing — triple net
    62,115             62,115       250,066             250,066  
Skilled nursing facilities
                      19,534             19,534  
Hospitals
          93,931       93,931             82,671       82,671  
Medical office buildings
          91,042       91,042             96,642       96,642  
 
                                   
Total construction in progress additions
    62,115       184,973       247,088       269,600       179,313       448,913  
Less: Capitalized interest
    (5,700 )     (9,836 )     (15,536 )     (21,306 )     (9,560 )     (30,866 )
Accruals(1)
          (8,088 )     (8,088 )           (21,466 )     (21,466 )
 
                                   
Cash disbursed for construction in progress
    56,415       167,049       223,464       248,294       148,287       396,581  
Capital improvements to existing properties
    18,821       21,839       40,660       11,333       9,464       20,797  
 
                                   
Total cash invested in real property
  $ 507,186     $ 296,178     $ 803,364     $ 259,627     $ 157,751     $ 417,378  
 
                                   
 
(1)   Represents non-cash accruals for amounts to be paid in future periods relating to properties that converted in the period noted above.
     The following is a summary of the construction projects that were placed into service and began generating revenues during the periods presented:

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NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
                                                 
    Nine Months Ended  
    September 30, 2010     September 30, 2009  
    Senior Housing     Medical             Senior Housing     Medical        
    and Care     Facilities     Totals     and Care     Facilities     Totals  
Development projects:
                                               
Senior housing facilities
  $ 269,261     $     $ 269,261     $ 257,456     $     $ 257,456  
Skilled nursing facilities
                      14,561             14,561  
Hospitals
          96,829       96,829                    
Medical office buildings
          49,144       49,144             173,744       173,744  
 
                                   
Total development projects
    269,261       145,973       415,234       272,017       173,744       445,761  
Expansion projects
    2,320             2,320       4,064             4,064  
 
                                   
Total construction in progress conversions
  $ 271,581     $ 145,973     $ 417,554     $ 276,081     $ 173,744     $ 449,825  
 
                                   
     Transaction costs for the nine months ended September 30, 2010 primarily represent costs incurred with the Merrill Gardens partnership (including due diligence costs, fees for legal and valuation services, and termination of a pre-existing relationship computed based on the fair value of the assets acquired), lease termination fees and costs incurred in connection with the new property acquisitions.
4. Real Estate Intangibles
     The following is a summary of our real estate intangibles, excluding those classified as held for sale, as of the dates indicated (dollars in thousands):
                 
    September 30, 2010     December 31, 2009  
Assets:
               
In place lease intangibles
  $ 149,447     $ 74,198  
Above market tenant leases
    27,689       10,232  
Below market ground leases
    41,874       39,806  
Lease commissions
    4,339       3,154  
 
           
Gross historical cost
    223,349       127,390  
Accumulated amortization
    (37,881 )     (29,698 )
 
           
Net book value
  $ 185,468     $ 97,692  
 
           
Weighted-average amortization period in years
    17.5       30.0  
 
               
Liabilities:
               
Below market tenant leases
  $ 54,009     $ 22,961  
Above market ground leases
    4,084       4,084  
 
           
Gross historical cost
    58,093       27,045  
Accumulated amortization
    (14,582 )     (10,478 )
 
           
Net book value
  $ 43,511     $ 16,567  
 
           
Weighted-average amortization period in years
    12.3       12.1  
5. Dispositions, Assets Held for Sale and Discontinued Operations
     During the year ended December 31, 2009, an impairment charge of $25,223,000 was recorded to reduce the carrying value of eight medical facilities to their estimated fair value less costs to sell. In determining the fair value of the properties, 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 operating income and published capitalization rates. During the nine months ended September 30, 2010, we sold 16 properties, including three of the held for sale medical facilities, for net gains of $20,559,000. At September 30, 2010, we had five medical facilities and one senior housing facility that satisfied the requirements for held for sale treatment. During the three months ended September 30, 2010, we recorded an impairment charge of $947,000 related to two of the held for sale medical facilities to adjust the carrying values to estimated fair values less costs to sell based on current sales price expectations. The following is a summary of our real

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property disposition activity for the periods presented (in thousands):
                                                 
    Nine Months Ended  
    September 30, 2010     September 30, 2009  
    Senior Housing     Medical             Senior Housing     Medical        
    and Care     Facilities     Totals     and Care     Facilities     Totals  
Real property dispositions:
                                               
Senior housing facilities
  $ 3,437     $     $ 3,437     $ 44,877     $     $ 44,877  
Skilled nursing facilities
    104,628             104,628       18,854             18,854  
Hospitals
                            40,841       40,841  
Medical office buildings
          7,568       7,568             28,128       28,128  
 
                                   
Total dispositions
    108,065       7,568       115,633       63,731       68,969       132,700  
Add: Gain on sales of real property
    18,894       1,665       20,559       13,358       13,549       26,907  
Seller financing on sales of real property
          (1,470 )     (1,470 )           (6,100 )     (6,100 )
 
                                   
Proceeds from real property sales
  $ 126,959     $ 7,763     $ 134,722     $ 77,089     $ 76,418     $ 153,507  
 
                                   
     We have reclassified the income and expenses attributable to all properties sold and attributable to properties held for sale at September 30, 2010 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):
                                 
    Three Months Ended     Nine Months Ended  
    September 30,     September 30,  
    2010     2009     2010     2009  
Revenues:
                               
Rental income
  $ 2,602     $ 6,794     $ 9,292     $ 25,237  
Expenses:
                               
Interest expense
    577       1,238       1,817       4,748  
Property operating expenses
    973       821       2,686       2,559  
Provision for depreciation
    541       1,898       1,816       8,697  
 
                       
Income (loss) from discontinued operations, net
  $ 511     $ 2,837     $ 2,973     $ 9,233  
 
                       

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
6. Real Estate Loans Receivable
     The following is a summary of our real estate loan activity for the periods presented (in thousands):
                                                 
    Nine Months Ended  
    September 30, 2010     September 30, 2009  
    Senior Housing     Medical             Senior Housing     Medical        
    and Care     Facilities     Totals     and Care     Facilities     Totals  
Advances on real estate loans receivable:
                                               
Investments in new loans
  $ 9,742     $ 15,799     $ 25,541     $ 3,316     $     $ 3,316  
Draws on existing loans
    28,413       15       28,428       42,226       1,340       43,566  
 
                                   
Sub-total
    38,155       15,814       53,969       45,542       1,340       46,882  
Less: Seller financing on property sales
          (1,470 )     (1,470 )                  
 
                                   
Net cash advances on real estate loans
    38,155       14,344       52,499       45,542       1,340       46,882  
Receipts on real estate loans receivable:
                                               
Loan payoffs
    3,809             3,809       20,440             20,440  
Principal payments on loans
    11,682       3,328       15,010       12,838       1,614       14,452  
 
                                   
Total receipts on real estate loans
    15,491       3,328       18,819       33,278       1,614       34,892  
 
                                   
Net advances (receipts) on real estate loans
  $ 22,664     $ 11,016     $ 33,680     $ 12,264     $ (274 )   $ 11,990  
 
                                   
     We recorded $28,918,000 of provision for loan losses during the nine months ended September 30, 2010. This amount includes the write-off of loans totaling $32,753,000 primarily related to certain early stage senior housing and CCRC development projects no longer being actively pursued. This was offset by a net reduction of the allowance balance by $3,835,000, resulting in an allowance for losses on loans receivable balance of $1,190,000 as of September 30, 2010.
     During the quarter ended September 30, 2010, we received title to a parcel of land and an equity interest in full satisfaction of certain loans outstanding with a combined balance of $38,848,000. For balance sheet purposes, the land parcel is recorded as land and the equity interest is accounted for as an equity method investment.
7. Investments in Unconsolidated Joint Ventures
     During the six months ended June 30, 2010, we entered into a joint venture investment with Forest City Enterprises (NYSE:FCE.A and FCE.B). We acquired a 49% interest in a seven-building life science campus with approximately 1.2 million square feet located in University Park in Cambridge, MA, which is immediately adjacent to the campus of the Massachusetts Institute of Technology. Six buildings closed on February 22, 2010 and the seventh closed on June 30, 2010. The portfolio is 100% leased and includes affiliates of investment grade pharmaceutical and research tenants such as Novartis, Genzyme, Millennium (a subsidiary of Takeda Pharmaceuticals), and Brigham and Women’s Hospital. Forest City Enterprises self-developed the portfolio and will continue to manage it on behalf of the joint venture. The life science campus is part of a mixed-use project that includes a 210-room hotel, 674 residential units, a grocery store, restaurants and retail.
     In connection with these transactions, we invested $174,692,000 of cash which is recorded as an equity investment on the balance sheet. Our share of the non-recourse secured debt assumed by the joint venture was approximately $156,729,000 with weighted-average interest rates of 7.1%. The results of operations for these properties have been included in our consolidated results of operations from the date of acquisition by the joint venture and are reflected in our income statement as income from unconsolidated joint ventures. The aggregate remaining unamortized basis difference of our investment in this joint venture of $18,411,000 at September 30, 2010 is primarily attributable to real estate and related intangible assets and will be amortized over the life of the related properties and included in the reported amount of income from unconsolidated joint ventures.

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NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
8. Customer Concentration
     The following table summarizes certain information about our customer concentration as of September 30, 2010 (dollars in thousands):
                         
    Number of   Total   Percent of
    Properties   Investment(2)   Investment(3)
Concentration by investment:(1)
                       
Merrill Gardens LLC
    38     $ 745,473       10 %
Senior Living Communities, LLC
    12       593,483       9 %
Aurora Health Care, Inc.
    18       305,517       4 %
Brookdale Senior Living, Inc.
    86       303,463       4 %
Signature Healthcare LLC
    32       260,620       4 %
Remaining portfolio
    455       4,948,308       69 %
         
Totals
    641     $ 7,156,864       100 %
         
 
(1)   All of our top five customers, except for Aurora Health Care, Inc., are in our senior housing and care segment.
 
(2)   Excludes our share of unconsolidated joint venture investment of $349,832,000. Please see Note 7 for additional information.
 
(3)   Investments with our top five customers comprised 24% of total investments at December 31, 2009.
9. Borrowings Under Line of Credit Arrangement and Related Items
     At September 30, 2010, we had an unsecured line of credit arrangement with a consortium of sixteen banks 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 (0.86% at September 30, 2010). The applicable margin is based on certain of our debt ratings and was 0.6% at September 30, 2010. In addition, we pay a facility fee annually to each bank based on the bank’s commitment amount. The facility fee depends on certain of our debt ratings and was 0.15% at September 30, 2010. 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 line of credit arrangement for the periods presented (dollars in thousands):
                                 
    Three Months Ended September 30,   Nine Months Ended September 30,
    2010   2009   2010   2009
Balance outstanding at quarter end
  $     $ 143,000     $     $ 143,000  
Maximum amount outstanding at any month end
  $ 560,000     $ 292,000     $ 560,000     $ 559,000  
Average amount outstanding (total of daily principal balances divided by days in period)
  $ 220,467     $ 217,174     $ 265,465     $ 301,740  
Weighted average interest rate (actual interest expense divided by average borrowings outstanding)
    2.22 %     1.99 %     1.74 %     1.76 %
10. Senior Unsecured Notes and Secured Debt
     We have $2,585,961,000 of senior unsecured notes with annual stated interest rates ranging from 3.00% to 8.00%. The carrying amounts of the senior unsecured notes represent the par value of $2,614,930,000 adjusted for any unamortized premiums or discounts and other basis adjustments related to hedging the debt with derivative instruments. See Note 11 for further discussion regarding derivative instruments.
     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. During the three months ended March 31, 2009, we

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
extinguished $5,000,000 of these notes and recognized a gain of $446,000. During the six months ended June 30, 2010, we extinguished $214,412,000 of these notes, recognized a loss of $8,837,000 and paid $18,552,000 to reacquire the equity component of convertible debt. As of September 30, 2010, we had $125,588,000 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. During the three months ended March 31, 2009, we extinguished $5,000,000 of these notes and recognized a gain of $594,000. During the six months ended June 30, 2010, we extinguished $226,914,000 of these notes, recognized a loss of $16,235,000 and paid $21,062,000 to reacquire the equity component of convertible debt. As of September 30, 2010, we had $168,086,000 of these notes outstanding.
     During the nine months ended September 30, 2010, we issued $494,403,000 of 3.00% senior unsecured convertible notes due December 2029, generating net proceeds of $486,084,000. The notes are convertible, in certain circumstances, into cash and, if applicable, shares of common stock at an initial conversion rate of 19.5064 shares per $1,000 principal amount of notes, which represents an initial conversion price of approximately $51.27 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, 2014, December 1, 2019 and December 1, 2024, 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. In connection with this issuance, we recognized $29,925,000 of equity component of convertible debt.
     During the three months ended June 30, 2010, we issued $450,000,000 of 6.125% senior unsecured notes due 2020 with net proceeds of $446,328,000. During the three months ended September 30, 2010, we issued $450,000,000 of 4.70% senior unsecured notes due 2017 with net proceeds of $445,768,000. We have secured debt totaling $885,494,000, collateralized by owned properties, with annual interest rates ranging from 3.86% to 8.74%. The carrying amounts of the secured debt represent the par value of $897,265,000 adjusted for any unamortized fair value adjustments. The carrying values of the properties securing the debt totaled $1,399,126,000 at September 30, 2010. During the nine months ended September 30, 2010, we assumed $363,515,000 of first mortgage loans principal with an average rate of 6.44% secured by 41 properties. During the nine months ended September 30, 2010, we extinguished $159,475,000 of first mortgage loans principal with an average rate of 5.93% and recognized a loss of $9,099,000.
     Our debt agreements contain various covenants, restrictions and events of default. Certain agreements require us to maintain certain financial ratios and minimum net worth and impose certain limits on our ability to incur indebtedness, create liens and make investments or acquisitions. As of September 30, 2010, we were in compliance with all of the covenants under our debt agreements.
     At September 30, 2010, the annual principal payments due on these debt obligations are as follows (in thousands):
                         
    Senior     Secured        
    Unsecured Notes(1)     Debt (1)     Totals  
2010
  $     $ 4,927     $ 4,927  
2011
          53,611       53,611  
2012
    76,853       73,540       150,393  
2013
    300,000       52,987       352,987  
2014
          166,407       166,407  
Thereafter
    2,238,077       545,793       2,783,870  
 
                 
Totals
  $ 2,614,930     $ 897,265     $ 3,512,195  
 
                 
 
(1)   Amounts represent principal amounts due and do not include unamortized premiums/discounts or other fair value adjustments as reflected on the balance sheet.

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
11. 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. Derivates are recorded at fair 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 of our derivatives are estimated by pricing models that consider the 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):
                         
    Balance Sheet   Fair Value
    Location   September 30, 2010   December 31, 2009
Cash flow hedge interest rate swaps
  Other liabilities   $     $ 2,381  
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 $1,643,000 of losses, which are included in accumulated other comprehensive income (“AOCI”), 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 periods presented (dollars in thousands):
                                         
            Three Months Ended   Nine Months Ended
    Location   September 30, 2010   September 30, 2009   September 30, 2010   September 30, 2009
Gain (loss) on interest rate swap recognized in OCI (effective portion)
  n/a       $ (3,211 )   $ (4,644 )   $ (10,307 )   $ (4,644 )
Gain (loss) reclassified from AOCI into income (effective portion)
  Interest expense     (236 )     (229 )     (1,834 )     (148 )
Gain (loss) recognized in income (ineffective portion and amount excluded from effectiveness testing)
  Realized loss                        
     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. This swap was terminated on September 30, 2010 for a cash payment of $6,645,000. The effective portion is being amortized over the remaining term of the original swap as an adjustment to the yield on our LIBOR-based debt. The August 2009 Swap had an effective date of August 12, 2009 and a maturity date of September 1, 2016. The August 2009 Swap had the economic effect of fixing $52,198,000 at 3.93% plus a credit spread for seven years. The August 2009 Swap had been designated as a cash flow hedge and we expected 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. This swap was terminated on September 30, 2010 for a cash payment of $4,365,000. The effective portion is being amortized over the remaining term of the original swap as an adjustment to the yield on our LIBOR-based debt. The September 2009 Swap had an effective date of September 30, 2009 and a maturity date of October 1, 2016. The September 2009 Swap had the economic effect of fixing $48,155,000 at 3.2675% plus a credit spread for seven years. The September 2009 Swap had been designated as a cash flow hedge and we expected 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.
Fair Value Hedges

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
     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 September 30, 2010 or December 31, 2009.
12. Commitments and Contingencies
     We have two outstanding letters 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 letters of credit terminates in 2013. At September 30, 2010, our obligation under the letters of credit was $4,200,000.
     We have an outstanding letter of credit issued for the benefit of certain insurance companies that provide liability and property insurance to one of our tenants. Our obligation to provide the letter of credit terminates in 2013. At September 30, 2010, 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 November 2010. At September 30, 2010, our obligation under the letter of credit was $129,057.
     At September 30, 2010, we had outstanding construction in process of $286,366,000 for leased properties and were committed to providing additional funds of approximately $314,132,000 to complete construction. At September 30, 2010, we had contingent purchase obligations totaling $7,065,000. These contingent purchase obligations relate to unfunded capital improvement obligations. Rents due from the tenant are increased to reflect the additional investment in the property.
     At September 30, 2010, we had operating lease obligations of $209,719,000 relating to certain ground leases and company office space. We incurred rental expense relating to company office space of $303,000 and $938,000 for the three and nine months ended September 30, 2010, respectively, as compared to $302,000 and $899,000 for the same periods in 2009. Regarding the ground leases, we have sublease agreements with certain of our operators that require the operators to reimburse us for our monthly operating lease obligations. At September 30, 2010, aggregate future minimum rentals to be received under these noncancelable subleases totaled $31,088,000.
     At September 30, 2010, future minimum lease payments due under operating leases are as follows (in thousands):
         
2010
  $ 1,250  
2011
    4,980  
2012
    5,054  
2013
    4,758  
2014
    4,781  
Thereafter
    188,896  
 
     
Totals
  $ 209,719  
 
     
13. Stockholders’ Equity
     The following is a summary of our stockholder’s equity capital accounts as of the dates indicated:
                 
    September 30, 2010     December 31, 2009  
Preferred Stock, $1.00 par value:
               
Authorized shares
    50,000,000       50,000,000  
Issued shares
    11,000,000       11,474,093  
Outstanding shares
    11,000,000       11,474,093  
 
               
Common Stock, $1.00 par value:
               
Authorized shares
    225,000,000       225,000,000  
Issued shares
    135,293,332       123,583,242  
Outstanding shares
    135,009,522       123,385,317  

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
     Preferred Stock. During the nine months ended September 30, 2009, certain holders of our Series G Cumulative Convertible Preferred Stock converted 41,600 shares into 29,771 shares of our common stock, leaving 399,713 of such shares outstanding at September 30, 2009. During the nine months ended September 30, 2010, certain holders of our Series G Cumulative Convertible Preferred Stock converted 394,200 shares into 282,078 shares of our common stock, leaving 5,513 of such shares outstanding which were redeemed by us on September 30, 2010. During the three months ended September 30, 2010, the holder of our Series E Cumulative Convertible and Redeemable Preferred Stock converted 74,380 shares into 56,935 shares of our common stock, leaving no such shares outstanding at September 30, 2010.
     Common Stock. The following is a summary of our common stock issuances during the nine months ended September 30, 2010 and 2009 (dollars in thousands, except per share amounts):
                                 
    Shares Issued     Average Price     Gross Proceeds     Net Proceeds  
February 2009 public issuance
    5,816,870     $ 36.85     $ 214,352     $ 210,880  
September 2009 public issuance
    9,200,000       40.40       371,680       356,691  
2009 Equity shelf plan issuances
    1,952,600       40.69       79,447       77,692  
2009 Dividend reinvestment plan issuances
    1,099,340       35.05       38,528       38,528  
2009 Option exercises
    3,434       26.67       92       92  
 
                         
2009 Totals
    18,072,244             $ 704,099     $ 683,883  
 
                         
 
                               
September 2010 public issuance
    9,200,000     $ 45.75     $ 420,900     $ 403,921  
2010 Equity shelf plan issuances
    431,082       44.94       19,371       19,014  
2010 Dividend reinvestment plan issuances
    1,441,612       42.83       61,737       61,737  
2010 Option exercises
    56,947       33.24       1,893       1,893  
 
                         
2010 Totals
    11,129,641             $ 503,901     $ 486,565  
 
                         
     Dividends. The following is a summary of our dividend payments (dollars in thousands, except per share amounts):
                                 
    Nine Months Ended  
    September 30, 2010     September 30, 2009  
    Per Share     Amount     Per Share     Amount  
Common Stock
  $ 2.0500     $ 255,217     $ 2.0400     $ 227,959  
Series D Preferred Stock
    1.4766       5,906       1.4766       5,906  
Series E Preferred Stock
    1.1250       94       1.1250       84  
Series F Preferred Stock
    1.4297       10,008       1.4297       10,008  
Series G Preferred Stock
    1.4064       332       1.4064       560  
 
                           
Totals
          $ 271,557             $ 244,517  
 
                           
Comprehensive Income
     The following is a summary of accumulated other comprehensive income/(loss) as of the dates indicated (in thousands):
                 
    September 30, 2010     December 31, 2009  
Unrecognized losses on cash flow hedges
  $ (10,380 )   $ (1,907 )
Unrecognized losses on equity investments
    (645 )     (550 )
Unrecognized actuarial losses
    (434 )     (434 )
 
           
Totals
  $ (11,459 )   $ (2,891 )
 
           

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
     The following is a summary of comprehensive income/(loss) for the periods indicated (in thousands):
                                 
    Three Months Ended     Nine Months Ended  
    September 30,     September 30,  
    2010     2009     2010     2009  
Unrecognized losses on cash flow hedges
  $ (2,975 )   $ (4,415 )   $ (8,473 )   $ (4,496 )
Unrecognized gains (losses) on equity investments
    42       489       (95 )     667  
 
                       
Total other comprehensive income (loss)
    (2,933 )     (3,926 )     (8,568 )     (3,829 )
Net income attributable to controlling interests
    6,471       24,650       88,920       156,049  
 
                       
Comprehensive income attributable to controlling interests
    3,538       20,724       80,352       152,220  
Net and comprehensive income (loss) attributable to noncontrolling interests
    (690 )     35       (383 )     40  
 
                       
Total comprehensive income
  $ 2,848     $ 20,759     $ 79,969     $ 152,260  
 
                       
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. Expense, which is recognized as the options vest based on the market value at the date of the award, totaled $221,000 and $1,414,000 for the three and nine months ended September 30, 2010, respectively, as compared to $182,000 and $1,446,000 for the same periods in 2009.
14. 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.
Valuation Assumptions
     The fair value of each option grant is estimated on the date of grant using the Black-Scholes-Merton option pricing model with the following weighted-average assumptions:
                 
    Nine Months Ended
    September 30, 2010   September 30, 2009
Dividend yield
    6.28 %     7.35 %
Expected volatility
    34.08 %     29.36 %
Risk-free interest rate
    3.23 %     2.33 %
Expected life (in years)
    7.0       7.0  
Weighted-average fair value
  $ 7.82     $ 4.38  
     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. 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.

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
Option Award Activity
     The following table summarizes information about stock option activity for the nine months ended September 30, 2010:
                                 
    Number of     Weighted     Weighted Average     Aggregate  
    Shares     Average     Remaining     Intrinsic  
Stock Options   (000’s)     Exercise Price     Contract Life (years)     Value ($000’s)  
Options at beginning of year
    1,062     $ 37.71       8.1          
Options granted
    280       43.29                  
Options exercised
    (57 )     33.24                  
Options terminated
    (6 )     37.82                  
 
                       
Options at end of period
    1,279     $ $39.13       7.8     $ 10,502  
 
                       
Options exercisable at end of period
    512     $ 37.21       6.1     $ 5,185  
Weighted average fair value of options granted during the period
          $ $7.82                  
                               
     The aggregate intrinsic value is calculated as the difference between the exercise price of the underlying options and the quoted price of our common stock for the options that were in-the-money at September 30, 2010. During the nine months ended September 30, 2010 and 2009, the aggregate intrinsic value of options exercised under our stock incentive plans was $668,000 and $54,000, respectively (determined as of the date of option exercise). Cash received from option exercises under our stock incentive plans was $1,893,000 for the nine months ended September 30, 2010.
     As of September 30, 2010, there was approximately $3,045,000 of total unrecognized compensation cost related to unvested stock options granted under our stock incentive plans. That cost is expected to be recognized over a weighted average period of four years. As of September 30, 2010, there was approximately $8,810,000 of total unrecognized compensation cost related to unvested restricted stock granted under our stock incentive plans. That cost is expected to be recognized over a weighted average period of three years.
     The following table summarizes information about non-vested stock incentive awards as of September 30, 2010 and changes for the nine months ended September 30, 2010:
                                 
    Stock Options     Restricted Stock  
    Number of     Weighted Average     Number of     Weighted Average  
    Shares     Grant Date     Shares     Grant Date  
    (000’s)     Fair Value     (000’s)     Fair Value  
Non-vested at December 31, 2009
    675     $ 5.44       405     $ 40.26  
Vested
    (181 )     5.91       (232 )     42.02  
Granted
    280       7.82       244       43.32  
Terminated
    (6 )     7.06       (1 )     38.55  
 
                       
Non-vested at September 30, 2010
    768     $ 6.19       416     $ 41.09  
 
                       

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
15. Earnings Per Share
     The following table sets forth the computation of basic and diluted earnings per share (in thousands, except per share data):
                                 
    Three Months Ended     Nine Months Ended  
    September 30,     September 30,  
    2010     2009     2010     2009  
Numerator for basic and diluted earnings per share — net income attributable to common stockholders
  $ 1,124     $ 19,130     $ 72,580     $ 139,489  
 
                       
Denominator for basic earnings per share — weighted average shares
    125,298       114,874       124,132       111,345  
Effect of dilutive securities:
                               
Employee stock options
    128       11       112        
Non-vested restricted shares
    416       404       416       404  
 
                       
Dilutive potential common shares
    544       415       528       404  
 
                       
Denominator for diluted earnings per share — adjusted weighted average shares
    125,842       115,289       124,660       111,749  
 
                       
Basic earnings per share
  $ 0.01     $ 0.17     $ 0.58     $ 1.25  
 
                       
Diluted earnings per share
  $ 0.01     $ 0.17     $ 0.58     $ 1.25  
 
                       
     The diluted earnings per share calculations exclude the dilutive effect of 381,000 stock options for the three and nine months ended September 30, 2010, as compared to 418,000 and 885,000 for the same periods in 2009, because the exercise prices were less than the average market price. The outstanding convertible senior unsecured notes were not included in these calculations as the effect of the conversions into common stock was anti-dilutive for the relevant periods presented.
16. 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.
Cash and Cash Equivalents — The carrying amount approximates fair value.
Available-for-sale Equity Investments — Available-for-sale equity investments are recorded at their 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 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 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):

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
                                 
    September 30, 2010     December 31, 2009  
    Carrying     Fair     Carrying     Fair  
    Amount     Value     Amount     Value  
Financial Assets:
                               
Mortgage loans receivable
  $ 78,864     $ 78,972     $ 74,517     $ 74,765  
Other real estate loans receivable
    337,706       347,777       352,846       354,429  
Available-for-sale equity investments
    955       955       1,050       1,050  
Cash and cash equivalents
    181,147       181,147       35,476       35,476  
 
                               
Financial Liabilities:
                               
Borrowings under unsecured lines of credit arrangements
  $     $     $ 140,000     $ 140,000  
Senior unsecured notes
    2,585,961       2,885,225       1,653,027       1,762,129  
Secured debt
    885,494       953,451       620,995       623,266  
Interest rate swap agreements
                2,381       2,381  
     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 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 reported at fair value on a recurring basis. 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 September 30, 2010  
    Total     Level 1     Level 2     Level 3  
Available-for-sale equity investments(1)
  $ 955     $ 955     $     $  
Assets held for sale(2)
    3,453             3,453        
 
                       
Totals
  $ 4,408     $ 955     $ 3,453     $  
 
                       
 
(1)   Unrealized gains or losses on equity investments are recorded in accumulated other comprehensive income (loss) at each measurement date.
 
(2)   Please see Note 5 for additional information.

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HEALTH CARE REIT, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
17. 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 — senior housing and care and medical facilities. Our primary senior housing and care properties include skilled nursing facilities, assisted living facilities, independent living/continuing care retirement communities and combinations thereof. Under the senior housing and care segment, we invest in senior housing and health care real estate through acquisition and financing of primarily single tenant properties. Excluding our Merrill Gardens partnership (please see Note 3 for additional information), properties acquired are primarily leased under triple-net leases and we are not involved in the management of the property. Our primary medical facility properties include medical office buildings, hospitals and life science buildings. Our medical office buildings are typically leased to multiple tenants and generally require a certain level of property management. Our hospital investments are structured similar to our senior housing and care investments. Our life science investments represent investments in an unconsolidated joint venture (see Note 7 for additional information). The accounting policies of the segments are the same as those described in the summary of significant accounting policies (see Note 1 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2009, as updated by our Current Report on Form 8-K filed May 10, 2010). There are no intersegment sales or transfers. We evaluate performance based upon net operating income of the combined properties in each segment. Non-segment revenue consists mainly of interest income on non-real estate investments and other income. Non-segment assets consist of corporate assets including cash, deferred loan expenses and corporate offices and equipment among others. Non-property specific revenues and expenses are not allocated to individual segments in determining net operating income.
     During the nine months ended September 30, 2010, we changed the names of our segments and reclassified certain assets and related revenues. All hospitals that were formerly classified as investment properties have been reclassified to medical facilities. Accordingly, we have reclassified the following prior period amounts to be consistent with the current year classification for the three and nine months ended September 30, 2009, respectively: (i) rental income of $10,884,000 and $34,188,000; (ii) interest income of $1,262,000 and $3,740,000; (iii) other income of $84,000 and $256,000; and (iv) real estate depreciation/amortization of $3,460,000 and $10,284,000. Additionally, we have restated $111,000 and $298,000 of interest income from non-segment/corporate revenues to medical facilities to be consistent with the current year classification.
     Summary information for the reportable segments during the three and nine months ended September 30, 2010 and 2009 is as follows (in thousands and includes amounts from discontinued operations):
                                                                                 
                                            Property     Net     Real Estate              
    Rental     Resident Fees     Interest     Other     Total     Operating     Operating     Depreciation/     Interest     Total  
    Income     and Services     Income     Income     Revenues     Expenses     Income(1)     Amortization     Expense     Assets  
Three Months Ended September 30, 2010
                                                                               
Senior housing and care
  $ 97,658     $ 12,809     $ 9,179     $ 698     $ 120,344     $ 7,993     $ 112,351     $ 29,087     $ 7,507     $ 4,838,163  
Medical facilities(2)
    57,071               875       227       58,173       13,829       44,344       20,019       6,506       2,792,882  
Non-segment/Corporate
                        231       231             231             30,972       262,022  
 
                                                           
 
  $ 154,729     $ 12,809     $ 10,054     $ 1,156     $ 178,748     $ 21,822     $ 156,926     $ 49,106     $ 44,985     $ 7,893,067  
 
                                                           
 
                                                                               
Three Months Ended September 30, 2009
                                                                               
Senior housing and care
  $ 89,429     $     $ 9,266     $ 557     $ 99,252     $     $ 99,252     $ 24,853     $ 3,625          
Medical facilities
    45,892               1,262       332       47,486       12,974       34,512       16,232       5,151          
Non-segment/Corporate
                        200       200             200             20,057          
 
                                                           
 
  $ 135,321     $     $ 10,528     $ 1,089     $ 146,938     $ 12,974     $ 133,964     $ 41,085     $ 28,833          
 
                                                           
                                                                 
                                            Property   Net   Real Estate    
    Rental   Resident Fees   Interest   Other   Total   Operating   Operating   Depreciation/   Interest
    Income   and Services   Income   Income   Revenues   Expenses   Income(1)   Amortization   Expense
Nine Months Ended September 30, 2010
                                                                       
Senior housing and care
  $ 288,148     $ 12,809     $ 26,583     $ 2,726     $ 330,266     $ 7,993     $ 322,273     $ 84,040     $ 17,200  
Medical facilities(2)
    162,481               1,853       800       165,134       40,552       124,582       56,097       18,560  
Non-segment/Corporate
                        1,276       1,276             1,276             76,760  
 
                                                     
 
  $ 450,629     $ 12,809     $ 28,436     $ 4,802     $ 496,676     $ 48,545     $ 448,131     $ 140,137     $ 112,520  
 
                                                     
 
                                                                       
Nine Months Ended September 30, 2009
                                                                       
Senior housing and care
  $ 269,521     $     $ 26,899     $ 1,921     $ 298,341     $     $ 298,341     $ 76,132     $ 8,183  
Medical facilities
    135,042               3,740       951       139,733       37,000       102,733       47,011       15,603  
Non-segment/Corporate
                        938       938             938             60,390  
 
                                                     
 
  $ 404,563     $     $ 30,639     $ 3,810     $ 439,012     $ 37,000     $ 402,012     $ 123,143     $ 84,176  
 
                                                     
 
(1)   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.
 
(2)   Excludes income and expense amounts related to our life science buildings held in an unconsolidated joint venture. Please see Note 7 for additional information.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     The following discussion and analysis is based primarily on the consolidated financial statements of Health Care REIT, Inc. for the periods presented and should be read together with the notes thereto contained in this Quarterly Report on Form 10-Q. Other important factors are identified in our Annual Report on Form 10-K for the year ended December 31, 2009, as updated by our Current Report on Form 8-K filed May 10, 2010, including factors identified under the headings “Business,” “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”
Executive Summary
Company Overview
     Health Care REIT, Inc. is an equity real estate investment trust (“REIT”) that invests in senior housing and health care real estate. Founded in 1970, we were the first REIT to invest exclusively in health care facilities. The following table summarizes our portfolio as of September 30, 2010:
                                                 
    Investments     Percentage of     Number of     # Beds/Units     Investment per        
Type of Property   (in thousands)     Investments     Properties     or Sq. Ft.     metric(1)     States  
Senior housing facilities
  $ 3,326,935       44.2 %     264     23,098   units   $   148,363   per unit      34  
Skilled nursing facilities
    1,350,142       18.0 %     197     26,413   beds    51,117   per bed      26  
Hospitals
    741,008       9.9 %     31     1,857   beds   438,893   per bed     13  
Medical office buildings
    1,738,779       23.2 %     142     7,585,071   sq. ft.    248   per sq. ft.      25  
Life science buildings(2)
    349,832       4.7 %     7               n/a       1  
 
                                       
Totals
  $ 7,506,696       100.0 %     641                       39  
 
                                       
 
(1)   Investment per metric was computed by using the total investment amount of $7,470,996,000, which includes net real estate investments and unfunded construction commitments for which initial funding has commenced which amounted to $7,156,864,000 and $314,132,000, respectively.
 
(2)   Includes our share of unconsolidated joint venture investments. Please see Note 7 to our unaudited financial statements for additional information.
Health Care Industry
     The demand for health care services, and consequently health care properties, is projected to reach unprecedented levels in the near future. The Centers for Medicare and Medicaid Services (“CMS”) projects that national health expenditures will rise to $3.5 trillion in 2015 or 18.2% of gross domestic product (“GDP”). The average annual growth in national health expenditures for 2009 through 2019 is expected to be 6.3%, which is 0.2% faster than pre-health care reform estimates.
     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 may be 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 20.4% 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 79.2% 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.
     The following chart illustrates the projected increase in the elderly population aged 65 and over:

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
(PERFORMANCE GRAPH)
     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;
 
    The projected population growth combined with stable or increasing health care utilization rates, which ensures demand; and
 
    The on-going merger and acquisition activity.
Health Reform Laws
     On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act (“PPACA”) and the Health Care and Education Reconciliation Act of 2010, which amends the PPACA (collectively, the “Health Reform Laws”). The Health Reform Laws contain various provisions that may directly impact us or the operators and tenants of our properties. Some provisions of the Health Reform Laws may have a positive impact on our operators’ or tenants’ revenues, by, for example, increasing coverage of uninsured individuals, while others may have a negative impact on the reimbursement of our operators or tenants by, for example, altering the market basket adjustments for certain types of health care facilities. The Health Reform Laws also enhance certain fraud and abuse penalty provisions that could apply to our operators and tenants, in the event of one or more violations of the federal health care regulatory laws. In addition, there are provisions that impact the health coverage that we and our operators and tenants provide to our respective employees. We cannot predict whether the existing Health Reform Laws, or future health care reform legislation or regulatory changes, will have a material impact on our operators’ or tenants’ property or business. If the operations, cash flows or financial condition of our operators and tenants are materially adversely impacted by the Health Reform Laws or future legislation, our revenue and operations may be adversely affected as well.
     Impact to Reimbursement of the Operators and Tenants of Our Properties. The Health Reform Laws provide for various changes to the reimbursement that our operators and tenants may receive. One such change is a reduction to the market basket adjustments for inpatient acute hospitals, long-term care hospitals, inpatient rehabilitation facilities, home health agencies, psychiatric hospitals, hospice care and outpatient hospitals. Beginning in 2010, the otherwise applicable percentage increase to the market basket for inpatient acute hospitals will decrease. Beginning in 2012, inpatient acute hospitals will also face a downward adjustment of the annual percentage increase to the market basket rate by a “productivity adjustment.” The productivity adjustment may cause the annual percentage increase to be less than zero, which would mean that inpatient acute hospitals could face payment rates for a fiscal year that are less than the payment rates for the preceding year.
     A similar productivity adjustment also applies to skilled nursing facilities beginning in 2012, which means that the payment rates for skilled nursing facilities may decrease from one year to the next. Long-term care hospitals will face a specified percentage decrease in their annual update for discharges beginning in 2010. Additionally, beginning in 2012, long-term care hospitals will be subject to the productivity adjustments, which may decrease the federal payment rates for long-term care hospitals. Similar productivity adjustments and other adjustments to payment rates will apply to inpatient rehabilitation facilities, psychiatric hospitals and outpatient hospitals beginning in 2010.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     The Health Reform Laws revise other reimbursement provisions that may affect our business. For example, the Health Reform Laws mandate a one-year extension of the exceptions for medical therapy caps, which will be applicable though December 31, 2010. The Health Reform Laws also reduce states’ Medicaid disproportionate share hospital (“DSH”) allotments, starting in 2014 through 2020. These allotments would have provided additional funding for DSH hospitals that are operators or tenants of our properties, and thus, any reduction might negatively impact these operators or tenants.
     Additionally, beginning in fiscal year 2015, Medicare payments will decrease to hospitals for treatment associated with hospital acquired conditions. This decreased payment rate may negatively impact our operators or tenants. The Health Reform Laws also call for reductions in payments for discharges beginning October 1, 2012, in order to account for excess readmissions. While the exact amount of the reduction is not yet known, a reduction in payments to our operators or tenants may affect their ability to make payments to us.
     PPACA additionally calls for the creation of the Independent Payment Advisory Board (the “Board”), which will be responsible for establishing payment polices, including recommendations in the event that Medicare costs exceed a certain threshold. Proposals for recommendations submitted by the Board prior to December 31, 2018 may not include recommendations that would reduce payments for hospitals, skilled nursing facilities, and physicians, among other providers, prior to December 31, 2019. The Health Reform Laws also create other mechanisms that could permit significant changes to payment. For example, PPACA establishes the Center for Medicare and Medicaid Innovation to test innovative payment and service delivery models to reduce program expenditures through the use of demonstration programs that can waive existing reimbursement methodologies. The Health Reform Laws also provide additional Medicaid funding to allow states to carry out mandated expansion of Medicaid coverage to certain financially-eligible individuals beginning in 2014, and also permits states to expand their Medicaid coverage to these individuals as early as April 1, 2010, if certain conditions are met.
     Additionally, the Health Reform Laws delay until at least October 1, 2011, the implementation of the Resource Utilization Group, Version Four (“RUG-IV”) that would revise the payment classification system for skilled nursing facilities. The Health Reform Laws also extend certain payment rules related to long-term acute care hospitals found in the Medicare, Medicaid, and SCHIP Extension Act of 2007.
     Finally, many other changes resulting from the Health Reform Laws, or implementing regulations or guidance may negatively impact our operators and tenants. We will continue to monitor and evaluate the Health Reform Laws and implementing regulations and guidance to determine other potential effects of the reform.
     Impact of Fraud and Abuse Provisions. The Health Reform Laws revise health care fraud and abuse provisions that will affect our operators and tenants. Specifically, PPACA allows for up to treble damages under the Federal False Claims Act for violations related to state-based health insurance exchanges authorized by the Health Reform Laws, which will be implemented beginning in 2014. The Health Reform Laws also impose new civil monetary penalties for false statements or actions that lead to delayed inspections, with penalties of up to $15,000 per day for failure to grant timely access and up to $50,000 for a knowing violation. The Health Reform laws also provide for additional funding to investigate and prosecute health care fraud and abuse. Accordingly, the increased penalties under PPACA for fraud and abuse violations may have a negative impact on our operators and tenants in the event that the government brings an enforcement action or subjects them to penalties.
     Further, as recently as September 23, 2010, CMS published a proposed rulemaking to implement the enhanced provider and supplier screening provisions called for in the Health Reform Laws. Under the proposed rule, all enrolling and participating providers and suppliers would be assessed an annual administrative fee and be placed in one of three risk levels (limited, moderate, and high) based on an assessment of the entity’s overall risk of fraud, waste and abuse. The Health Reform Laws granted the Secretary of the Department of Health and Human Services significant discretionary authority to suspend, exclude, or impose fines on providers and suppliers based on the agency’s determination that such a provider or supplier is “high-risk,” and, as a result, this proposed rulemaking has the potential to materially adversely affect our operators and tenants who, if implemented, may be evaluated under the enhanced screening process.
     Additionally, provisions of Title VI of PPACA are designed to increase transparency and program integrity by skilled nursing facilities, other nursing facilities and similar providers. Specifically, skilled nursing facilities and other providers and suppliers will be required to institute compliance and ethics programs. Additionally, PPACA makes it easier for consumers to file complaints against nursing homes by mandating that states establish complaint websites. The provisions calling for enhanced transparency will increase the administrative burden and costs on these providers.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     Impact to the Health Care Plans Offered to Our Employees. The Health Reform Laws will affect employers that provide health plans to their employees. The new laws will change the tax treatment of the Medicare Part D retiree drug subsidy and extend dependent coverage for dependents up to age 26, among other changes. We are evaluating our health care plans in light of these changes. These changes may affect our operators and tenants as well.
Medicare Program Reimbursement Changes
     CMS recently released a number of rulemakings that may potentially increase or decrease the government reimbursement of our operators and tenants. To the extent that any of these rulemakings decrease government reimbursement to our operators and tenants, our revenue and operations may be indirectly, adversely affected.
     On August 16, 2010, CMS issued a final rule updating the long-term acute care hospital prospective payment system for FY 2011. Among other things, the final rule updates payment rates for acute care and long-term care hospitals and implements certain provisions of the Health Reform Laws. In the rule, CMS finalized an update of 2.5% for inflation with a cut of 0.5% as required by the Health Reform Laws and a negative 2.5% documentation and coding adjustment for long-term care hospitals. CMS also released a notice and comment rulemaking for the prospective payment system and consolidated billing for skilled nursing facilities for FY 2011 on July 22, 2010. CMS adjusts the nursing home payment rates for FY 2011 by including a market basket increase factor of 2.3% and a negative 0.6 percentage point forecast error adjustment, which would result in a net increase update of 1.7% for nursing home rates.
     CMS annually adjusts the Medicare Physician Fee Schedule payment rates based on an update formula that includes application of the Sustainable Growth Rate (“SGR”). On November 2, 2010, CMS placed the CY 2011 Physician Fee Schedule final rule on public display for an expected publication date of November 29, 2010. Among other things, CMS preliminary estimates in the final rule that the CY 2011 SGR formula will be negative 13.4%. This measure is a significant change from the figure provided in the proposed rule, and will replace the 21.3% reduction in physician Medicare reimbursement in 2010 required by the SGR formula. Additionally, in the final rule, CMS has eliminated certain CPT consultation codes, which could negatively impact the reimbursement levels received by our operators and tenants.
     Finally, on November 2, 2010, CMS placed on public display the CY 2011 Hospital Outpatient Prospective Payment System (“HOPPS”) final rule with comment period for an expected publication date of November 24, 2010. CMS estimates that the cumulative effect of all changes to payment rates for CY 2011 will have a positive effect, resulting in a 2.5% estimated increase in Medicare payments to providers paid under the HOPPS.
Economic Outlook
     The serious economic recession affecting the national and global economy has continued to impact all sectors, including to a somewhat lesser degree health care. Continuing mixed economic signals have made it difficult to predict when there might be a return to more normal and stable growth rates, employment levels and overall economic performance.
     Banks have remained cautious in their lending, but significant liquidity has been injected into the senior housing and care markets by various Government-Sponsored Enterprises. In addition, there is significant equity investment capital available for certain health care sectors, particularly medical office buildings. This has had the effect of keeping capitalization rates in these segments generally in line with or even below historic rates. Debt costs for REITs have generally come down over the past 12 months, and equity markets for health care REITs have remained open for the most part.
     As a consequence, while liquidity remains an important consideration in 2010, we have been more aggressive in pursuing attractive investment opportunities that meet our strategic and underwriting criteria. We have also been more active in accessing capital markets during this time. We believe the markets in which we invest will continue to offer stable returns during the economic downturn and significant growth potential as and when the economy begins to rebound.
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, customer and geographic location.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     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 nine months ended September 30, 2010, rental income and interest income represented 91% and 6% respectively, of total gross revenues (including revenues from discontinued operations). Substantially all of our operating leases are designed with either fixed or contingent escalating rent structures. Leases with fixed annual rental escalators are generally recognized on a straight-line basis over the 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.
     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 $2.3 billion to $2.7 billion in 2010, comprised of acquisitions/joint ventures totaling $2.0 billion to $2.3 billion and funded new development of $300 million to $400 million. We anticipate the sale of real property and the repayment of loans receivable totaling approximately $200 million 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 September 30, 2010, we had $181,147,000 of cash and cash equivalents, $61,224,000 of restricted cash and $1,150,000,000 of available borrowing capacity under our unsecured line of credit arrangement.
Key Transactions in 2010
     We have completed the following key transactions to date in 2010:
    our Board of Directors increased the quarterly cash dividend to $0.69 per common share, as compared to $0.68 per common share for 2009, beginning in August 2010. The dividend declared for the quarter ended September 30, 2010 represents the 158th consecutive quarterly dividend payment;
 
    we completed $1,580,059,000 of gross investments and had $119,442,000 of investment payoffs during the nine months ended September 30, 2010;
 
    we issued $494,403,000 of 3.00% convertible senior unsecured notes due 2029 and repurchased $441,326,000 of 4.75% convertible senior unsecured notes due 2026 and 2027 in March and June 2010;
 
    we issued $450,000,000 of 6.125% senior unsecured notes due 2020 with net proceeds of $446,328,000 in April and June 2010;
 
    we raised $81,977,000 of HUD mortgage loans at an average rate of 5.10%;
 
    we issued $450,000,000 of 4.70% senior unsecured notes due 2017 with net proceeds of $445,768,000 in September 2010;

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
    we completed a public offering of 9,200,000 shares of common stock with net proceeds of approximately $403,921,000 in September 2010; and
 
    we completed our RIDEA partnership with Merrill Gardens LLC in September 2010.
Key Performance Indicators, Trends and Uncertainties
     We utilize several key performance indicators to evaluate the various aspects of our business. These indicators are discussed below and relate to operating performance, concentration risk and credit strength. Management uses these key performance indicators to facilitate internal and external comparisons to our historical operating results, in making operating decisions and for budget planning purposes.
     Operating Performance. We believe that net income 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 and 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 companies. The following table reflects the recent historical trends of our operating performance measures for the periods presented (in thousands, except per share data):
                                                         
    Three Months Ended
    March 31,   June 30,   September 30,   December 31,   March 31,   June 30,   September 30,
    2009   2009   2009   2009   2010   2010   2010
Net income attributable to common stockholders
  $ 61,119     $ 59,240     $ 19,130     $ 31,700     $ 25,812     $ 45,646     $ 1,124  
Funds from operations
    85,322       89,207       60,933       56,290       63,087       92,214       41,108  
Net operating income(1)
    134,819       133,228       133,964       145,667       143,055       157,415       164,292  
 
                                                       
Per share data (fully diluted):
                                                       
Net income attributable to common stockholders
  $ 0.56     $ 0.53     $ 0.17     $ 0.26     $ 0.21     $ 0.37     $ 0.01  
Funds from operations
    0.79       0.80       0.53       0.46       0.51       0.74       0.33  
 
(1)   Includes our share of net operating income from unconsolidated joint ventures.
     Credit Strength. We measure our credit strength both in terms of leverage ratios and coverage ratios. Our leverage ratios include debt to book capitalization and debt to market capitalization. The leverage ratios indicate how much of our balance sheet capitalization is related to long-term debt. The coverage ratios indicate our ability to service interest and fixed charges (interest, secured debt principal amortization and preferred dividends). We expect to maintain capitalization ratios and coverage ratios sufficient to maintain compliance with our debt covenants. The coverage ratios are based on earnings before interest, taxes, depreciation and amortization (“EBITDA”) which is discussed in further detail, and reconciled to net income, below in “Non-GAAP Financial Measures.” Leverage ratios and coverage ratios are widely used by investors, analysts and rating agencies in the valuation, comparison, investment recommendations and rating of companies. The following table reflects the recent historical trends for our credit strength measures for the periods presented:
                                                         
    Three Months Ended
    March 31,   June 30,   September 30,   December 31,   March 31,   June 30,   September 30,
    2009   2009   2009   2009   2010   2010   2010
Debt to book capitalization ratio
    43 %     44 %     39 %     39 %     43 %     46 %     45 %
Debt to undepreciated book capitalization ratio
    39 %     40 %     35 %     35 %     39 %     41 %     41 %
Debt to market capitalization ratio
    41 %     40 %     31 %     30 %     32 %     36 %     34 %
 
                                                       
Interest coverage ratio
    3.88 x     3.74 x     2.63 x     3.21 x     3.08 x     3.48 x     2.25 x
Fixed charge coverage ratio
    3.18 x     3.07 x     2.16 x     2.57 x     2.44 x     2.78 x     1.86 x

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     Concentration Risk. We evaluate our concentration risk in terms of asset mix, investment mix, customer mix and geographic mix. Concentration risk is a valuable measure in understanding what portion of our investments could be at risk if certain sectors were to experience downturns. Asset mix measures the portion of our investments that are real property. In order to qualify as an equity REIT, at least 75% of our real estate investments must be real property whereby each property, which includes the land, buildings, improvements, intangibles and related rights, is owned by us and leased to a tenant pursuant to a long-term operating lease. Investment mix measures the portion of our investments that relate to our various property types. Customer mix measures the portion of our investments that relate to our top five customers. Geographic mix measures the portion of our investments that relate to our top five states. The following table reflects our recent historical trends of concentration risk for the periods presented:
                                                         
    March 31,   June 30,   September 30,   December 31,   March 31,   June 30,   September 30,
    2009   2009   2009   2009   2010   2010   2010
Asset mix:
                                                       
Real property
    92 %     92 %     92 %     93 %     93 %     93 %     94 %
Real estate loans receivable
    8 %     8 %     8 %     7 %     7 %     7 %     6 %
 
                                                       
Investment mix:(1)
                                                       
Senior housing facilities
    40 %     40 %     40 %     42 %     38 %     39 %     44 %
Skilled nursing facilities
    27 %     26 %     26 %     25 %     22 %     21 %     18 %
Hospitals
    10 %     10 %     11 %     10 %     10 %     10 %     10 %
Medical office buildings
    23 %     24 %     23 %     23 %     25 %     25 %     23 %
Life science buildings
    0 %     0 %     0 %     0 %     5 %     5 %     5 %
 
                                                       
Customer mix:(1)
                                                       
Merrill Gardens LLC
                                                    10 %
Senior Living Communities, LLC
    6 %     6 %     7 %     7 %     8 %     8 %     8 %
Aurora Health Care, Inc.
                                    5 %     5 %     4 %
Brookdale Senior Living Inc
    5 %     5 %     5 %     5 %     5 %     4 %     4 %
Signature Healthcare LLC
    5 %     5 %     5 %     5 %     4 %     4 %     4 %
Emeritus Corporation
    4 %     4 %     4 %     4 %     4 %     3 %        
Life Care Centers of America, Inc.
    5 %     4 %     3 %     3 %                        
Remaining customers
    75 %     76 %     76 %     76 %     74 %     76 %     70 %
 
                                                       
Geographic mix:(1)
                                                       
California
    8 %     8 %     8 %     9 %     9 %     9 %     11 %
Florida
    14 %     13 %     13 %     12 %     12 %     11 %     10 %
Texas
    11 %     11 %     11 %     11 %     10 %     10 %     9 %
Massachusetts
    7 %     7 %     7 %     7 %     11 %     11 %     9 %
Washington
                                                    7 %
Wisconsin
                                    7 %     7 %        
Ohio
                    5 %     6 %                        
Tennessee
    5 %     5 %                                        
Remaining states
    55 %     56 %     56 %     55 %     51 %     52 %     54 %
 
(1)   Includes our share of unconsolidated joint venture investments.
     We evaluate our key performance indicators in conjunction with current expectations to determine if historical trends are indicative of future results. Our expected results may not be achieved and actual results may differ materially from our expectations. Factors that may cause actual results to differ from expected results are described in more detail in “Forward-Looking Statements and Risk Factors” and other sections of this Quarterly Report on Form 10-Q. Management regularly monitors economic and other factors to develop strategic and tactical plans designed to improve performance and maximize our competitive position. Our ability to achieve our financial objectives is dependent upon our ability to effectively execute these plans and to appropriately respond to emerging economic and company-specific trends. Please refer to our Annual Report on Form 10-K for the year ended December 31, 2009, as updated by our Current Report on Form 8-K filed May 10, 2010, under the headings “Business,” “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” for further discussion of these risk factors.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
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):
                                                         
    Three Months Ended
    March 31,   June 30,   September 30,   December 31,   March 31,   June 30,   September 30,
    2009   2009   2009   2009   2010   2010   2010
Net operating income:
                                                       
Senior housing and care
  $ 98,950     $ 100,137     $ 99,252     $ 101,024     $ 102,307     $ 107,620     $ 112,351  
Medical facilities(1)
    35,493       32,728       34,512       44,411       40,517       48,983       51,710  
Non-segment/corporate
    376       363       200       232       231       812       231  
     
Net operating income
  $ 134,819     $ 133,228     $ 133,964     $ 145,667     $ 143,055     $ 157,415     $ 164,292  
     
 
(1)   Includes our share of net operating income from unconsolidated joint ventures.
     Payment coverage. Payment coverage of our operators continues to remain strong. Our overall payment coverage is at 2.11 times. The table below reflects our recent historical trends of portfolio coverage. Coverage data reflects the 12 months ended for the periods presented. CBMF represents the ratio of our customers’ earnings before interest, taxes, depreciation, amortization, rent and management fees to contractual rent or interest due us. CAMF represents the ratio of our customers’ earnings before interest, taxes, depreciation, amortization and rent (but after imputed management fees) to contractual rent or interest due us.
                                                 
    June 30, 2008   June 30, 2009   June 30, 2010
    CBMF   CAMF   CBMF   CAMF   CBMF   CAMF
Senior housing facilities
    1.51x       1.29x       1.51x       1.30x       1.54x       1.31x  
Skilled nursing facilities
    2.29x       1.68x       2.24x       1.64x       2.37x       1.75x  
Hospitals
    2.39x       1.86x       2.37x       2.05x       2.65x       2.32x  
 
                                               
Weighted averages
    1.99x       1.54x       1.98x       1.55x       2.11x       1.66x  
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. These guidelines meet the listing standards adopted by the New York Stock Exchange and are available on our website at www.hcreit.com and from us upon written request sent to the Senior Vice President — Administration and Corporate Secretary, Health Care REIT, Inc., 4500 Dorr Street, Toledo, Ohio 43615-4040.
Liquidity and Capital Resources
Sources and Uses of Cash
     Our primary sources of cash include rent and interest receipts, borrowings under the 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 payments (including principal and interest), real property investments (including construction advances), loan advances and general and administrative expenses. These sources and uses of cash are reflected in our Consolidated Statements of Cash Flows and are discussed in further detail below.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     The following is a summary of our sources and uses of cash flows (dollars in thousands):
                                 
    Nine Months Ended   Change
    September 30, 2010   September 30, 2009   $     %  
Cash and cash equivalents at beginning of period
  $ 35,476     $ 23,370     $ 12,106       52 %
Cash provided from operating activities
    291,004       290,449       555       0 %
Cash used in investing activities
    (1,002,650 )     (189,119 )     (813,531 )     430 %
Cash provided from (used in) financing activities
    857,317       (22,347 )     879,664       n/a  
         
Cash and cash equivalents at end of period
  $ 181,147     $ 102,353     $ 78,794       77 %
         
     Operating Activities. The change in net cash provided from operating activities is primarily attributable to an increase in net income, excluding gains/losses on sales of properties, depreciation and amortization and debt extinguishment charges. These items are discussed below in “Results of Operations.” The following is a summary of our straight-line rent and above/below market lease amortization (dollars in thousands):
                                 
    Nine Months Ended     Change  
    September 30, 2010     September 30, 2009     $     %  
Gross straight-line rental income
  $ 12,414     $ 14,499     $ (2,085 )     -14 %
Cash receipts due to real property sales
    (752 )     (3,452 )     2,700       -78 %
Prepaid rent receipts
    (5,462 )     (20,011 )     14,549       -73 %
Amortization related to below (above) market leases, net
    2,112       1,344       768       57 %
 
                       
 
  $ 8,312     $ (7,620 )   $ 15,932       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. 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 the lack of straight-line rent receivable balances on properties sold during the current year. The fluctuation in prepaid rent receipts is primarily due to changes in prepaid rent received at certain construction projects.
     Investing Activities. The changes in net cash used in investing activities are primarily attributable to net changes in real property and real estate loans receivable. The following is a summary of our investment and disposition activities (dollars in thousands):
                                                 
    Nine Months Ended  
    September 30, 2010     September 30, 2009  
    Senior Housing     Medical             Senior Housing     Medical        
    and Care     Facilities     Totals     and Care     Facilities     Totals  
Advances on real estate loans receivable:
                                               
Investments in new loans
  $ 9,742     $ 15,799     $ 25,541     $ 3,316     $     $ 3,316  
Draws on existing loans
    28,413       15       28,428       42,226       1,340       43,566  
 
                                   
Sub-total
    38,155       15,814       53,969       45,542       1,340       46,882  
Less: Seller financing on property sales
          (1,470 )     (1,470 )                  
 
                                   
Net cash advances on real estate loans
    38,155       14,344       52,499       45,542       1,340       46,882  
Receipts on real estate loans receivable:
                                               
Loan payoffs
    3,809             3,809       20,440             20,440  
Principal payments on loans
    11,682       3,328       15,010       12,838       1,614       14,452  
 
                                   
Total receipts on real estate loans
    15,491       3,328       18,819       33,278       1,614       34,892  
 
                                   
Net advances (receipts) on real estate loans
  $ 22,664     $ 11,016     $ 33,680     $ 12,264     $ (274 )   $ 11,990  
 
                                   

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
                                 
    Nine Months Ended  
    September 30, 2010     September 30, 2009  
    Properties     Amount     Properties     Amount  
Real property acquisitions:
                               
Senior housing — operating
    25     $ 576,000           $  
Senior housing — triple net
    15       219,772              
Medical office buildings
    19       246,582              
 
                       
Total acquisitions
    59       1,042,354              
Less: Assumed debt
            (353,165 )              
Assumed other items, net
            (149,949 )              
 
                           
Cash disbursed for acquisitions
            539,240                
Construction in progress additions
            223,464               396,581  
Capital improvements to existing properties
            40,660               20,797  
 
                           
Total cash invested in real property
            803,364               417,378  
 
                               
Real property dispositions:
                               
Senior housing — triple net
    1       3,437       10       44,877  
Skilled nursing facilities
    12       104,628       3       18,854  
Hospitals
                2       40,841  
Medical office buildings
    3       7,568       10       28,128  
 
                       
Total dispositions
    16       115,633       25       132,700  
Less: Gains (losses) on sales of real property
            20,559               26,907  
Seller financing on sales of real property
            (1,470 )             (6,100 )
 
                           
Proceeds from real property sales
            134,722               153,507  
 
                               
 
                       
Net cash investments in real property
    43     $ 668,642       (25 )   $ 263,871  
 
                       
     The contributions to unconsolidated joint ventures represent $174,692,000 of cash invested by us in the joint venture with Forest City Enterprises. Please see Note 7 to our unaudited financial statements for additional information.
     Financing Activities. The changes in net cash provided from or used in financing activities are primarily attributable to changes related to our long-term debt arrangements, proceeds from the issuance of common stock and dividend payments.
     For the nine months ended September 30, 2010, we had a net decrease of $140,000,000 on our unsecured line of credit arrangement as compared to a net decrease of $427,000,000 for the same period in 2009. The changes in our senior unsecured notes are due to (i) the issuance of $494,403,000 of convertible senior unsecured notes in March and June 2010; (ii) the repurchase of $441,326,000 of convertible senior unsecured notes in March and June 2010; (iii) the issuance of $450,000,000 of senior unsecured notes in April and June 2010; (iv) the issuance of $450,000,000 of senior unsecured notes in September 2010; and (v) the extinguishment of $183,147,000 of various senior unsecured notes in March and September 2009. The changes in our secured debt are due to (i) the extinguishment of $159,475,000 of secured debt in September 2010; and (ii) the extinguishment of $79,743,000 of secured debt in September 2009.
     We may repurchase, redeem or refinance convertible and non-convertible senior unsecured notes from time to time, taking advantage of favorable market conditions when available. We may purchase senior notes for cash through open market purchases, privately negotiated transactions, a tender offer or, in some cases, through the early redemption of such securities pursuant to their terms. The non-convertible senior unsecured notes are redeemable at our option, at any time in whole or from time to time in part, at a redemption price equal to the sum of (1) the principal amount of the notes (or portion of such notes) being redeemed plus accrued and unpaid interest thereon up to the redemption date and (2) any “make-whole” amount due under the terms of the notes in connection with early redemptions. We cannot redeem the March and June 2010 convertible senior unsecured notes prior to December 1, 2014 unless such redemption is necessary to preserve our status as a REIT. However, on or after December 1, 2014, we may from time to time at our option redeem those notes, in whole or in part, for cash, at a redemption price equal to 100% of the principal amount of the notes we redeem, plus any accrued and unpaid interest to, but excluding, the redemption date. Redemptions and repurchases of debt, if any, will depend on prevailing market conditions, our liquidity requirements, contractual restrictions and other factors.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     The following is a summary of our common stock issuances for the nine months ended September 30, 2010 and 2009 (dollars in thousands, except per share amounts):
                                 
    Shares Issued     Average Price     Gross Proceeds     Net Proceeds  
February 2009 public issuance
    5,816,870     $ 36.85     $ 214,352     $ 210,880  
September 2009 public issuance
    9,200,000       40.40       371,680       356,691  
2009 Equity shelf plan issuances
    1,952,600       40.69       79,447       77,692  
2009 Dividend reinvestment plan issuances
    1,099,340       35.05       38,528       38,528  
2009 Option exercises
    3,434       26.67       92       92  
 
                         
2009 Totals
    18,072,244             $ 704,099     $ 683,883  
 
                         
September 2010 public issuance
    9,200,000     $ 45.75     $ 420,900     $ 403,921  
2010 Equity shelf plan issuances
    431,082       44.94       19,371       19,014  
2010 Dividend reinvestment plan issuances
    1,441,612       42.83       61,737       61,737  
2010 Option exercises
    56,947       33.24       1,893       1,893  
 
                         
2010 Totals
    11,129,641             $ 503,901     $ 486,565  
 
                         
     In order to qualify as a REIT for federal income tax purposes, we must distribute at least 90% of our taxable income (including 100% of capital gains) to our stockholders. The increase in dividends is primarily attributable to an increase in our common shares outstanding. The following is a summary of our dividend payments (in thousands, except per share amounts):
                                 
    Nine Months Ended  
    September 30, 2010     September 30, 2009  
    Per Share     Amount     Per Share     Amount  
Common Stock
  $ 2.0500     $ 255,217     $ 2.0400     $ 227,959  
Series D Preferred Stock
    1.4766       5,906       1.4766       5,906  
Series E Preferred Stock
    1.1250       94       1.1250       84  
Series F Preferred Stock
    1.4297       10,008       1.4297       10,008  
Series G Preferred Stock
    1.4064       332       1.4064       560  
 
                           
Totals
          $ 271,557             $ 244,517  
 
                           
Off-Balance Sheet Arrangements
     During the three months ended March 31, 2010, we entered into a joint venture investment with Forest City Enterprises (NYSE:FCE.A and FCE.B). In connection with this transaction, we invested $174,692,000 of cash which is recorded as an equity investment on the balance sheet. Our share of the non-recourse secured debt assumed by the joint venture was approximately $156,729,000 with weighted-average interest rates of 7.1%. Please see Note 7 to our unaudited 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 11 to our unaudited consolidated financial statements for additional information.
     At September 30, 2010, we had four outstanding letter of credit obligations totaling $5,329,057 and expiring between 2010 and 2013. Please see Note 12 to our unaudited consolidated financial statements for additional information.
Contractual Obligations
     The following table summarizes our payment requirements under contractual obligations as of September 30, 2010 (in thousands):

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
                                         
    Payments Due by Period  
Contractual Obligations   Total     2010     2011-2012     2013-2014     Thereafter  
Unsecured line of credit arrangement
  $     $     $     $     $  
Senior unsecured notes(1)
    2,614,930             76,853       300,000       2,238,077  
Secured debt(1)
    897,265       4,927       127,151       219,394       545,793  
Contractual interest obligations
    1,548,381       63,064       362,304       315,574       807,439  
Capital lease obligations
                             
Operating lease obligations
    209,719       1,250       10,034       9,539       188,896  
Purchase obligations
    321,197       4,364       316,833              
Other long-term liabilities
    4,946       75       1,065       1,903       1,903  
 
                             
Total contractual obligations
  $ 5,596,438     $ 73,680     $ 894,240     $ 846,410     $ 3,782,108  
 
                             
 
(1)   Amounts represent principal amounts due and do not reflect unamortized premiums/discounts or other fair value adjustments as reflected on the balance sheet.
     At September 30, 2010, we had an unsecured line of credit arrangement with a consortium of sixteen banks in the amount of $1.15 billion, which is scheduled to expire on August 5, 2011. Borrowings under the agreement are subject to interest payable in periods no longer than three months at either the agent bank’s prime rate of interest or the applicable margin over LIBOR interest rate, at our option (0.86% at September 30, 2010). The applicable margin is based on certain of our debt ratings and was 0.6% at September 30, 2010. In addition, we pay a facility fee annually to each bank based on the bank’s commitment amount. The facility fee depends on certain of our debt ratings and was 0.15% at September 30, 2010. We also pay an annual agent’s fee of $50,000. Principal is due upon expiration of the agreement.
     We have $2,614,930,000 of senior unsecured notes principal outstanding with fixed annual interest rates ranging from 3.00% to 8.00%, payable semi-annually. Total contractual interest obligations on senior unsecured notes totaled $1,207,621,000 at September 30, 2010. A total of $788,077,000 of our senior unsecured notes are convertible notes that also contain put features. Please see Note 10 to our unaudited consolidated financial statements for additional information.
     Additionally, we have secured debt with total outstanding principal of $897,265,000, collateralized by owned properties, with fixed annual interest rates ranging from 3.86% to 8.74%, payable monthly. The carrying values of the properties securing the debt totaled $1,399,126,000 at September 30, 2010. Total contractual interest obligations on secured debt totaled $340,760,000 at September 30, 2010.
     At September 30, 2010, we had operating lease obligations of $209,719,000 relating primarily to ground leases at certain of our properties and office space leases.
     Purchase obligations are comprised of unfunded construction commitments and contingent purchase obligations. At September 30, 2010, we had outstanding construction financings of $286,366,000 for leased properties and were committed to providing additional financing of approximately $314,132,000 to complete construction. At September 30, 2010, we had contingent purchase obligations totaling $7,065,000. These contingent purchase obligations relate to unfunded capital improvement obligations. 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 certain executive officers 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 $3,722,000 and $3,287,000 at September 30, 2010 and December 31, 2009, respectively.
     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 us for a period of two years following the expiration of the agreement. In exchange for complying with the covenant not to compete, Messers. Klipsch and Farrar receive eight quarterly payments of $75,000 and $37,500, respectively, with the first payment to be made on the date of expiration of the agreement. The first payment to Mr. Klipsch was made in December 2008 and the final payment in September 2010. The first payment to Mr. Farrar was made in January 2010.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Capital Structure
     As of September 30, 2010, we had total equity of $4,220,083,000 and a total outstanding debt balance of $3,471,455,000, which represents a debt to total book capitalization ratio of 45%. Our ratio of debt to market capitalization was 34% at September 30, 2010. For the three months ended September 30, 2010, our interest coverage ratio was 2.25x and our fixed charge coverage ratio was 1.86x. Also, at September 30, 2010, we had $181,147,000 of cash and cash equivalents, $61,224,000 of restricted cash and $1,150,000,000 of available borrowing capacity under our unsecured line of credit arrangement.
     Our debt agreements contain various covenants, restrictions and events of default. Certain agreements require us to maintain certain financial ratios and minimum net worth and impose certain limits on our ability to incur indebtedness, create liens and make investments or acquisitions. As of September 30, 2010, we were in compliance with all of the covenants under our debt agreements. Please refer to the section entitled “Non-GAAP Financial Measures” for further discussion. None of our debt agreements contain provisions for acceleration which could be triggered by our debt ratings. However, under our unsecured line of credit arrangement, the ratings on our senior unsecured notes are used to determine the fees and interest charged.
     We plan to manage the company to maintain compliance with our debt covenants and with a capital structure consistent with our current profile. Any downgrades in terms of ratings or outlook by any or all of the 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 October 31, 2010, we had an effective registration statement on file in connection with our enhanced dividend reinvestment plan under which we may issue up to 10,000,000 shares of common stock. As of October 31, 2010, 8,915,091 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 October 31, 2010, we had $119,985,000 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):
                                                                 
    Three Months Ended   Change   Nine Months Ended   Change
    September 30,   September 30,                   September 30,   September 30,        
    2010   2009   Amount   %   2010   2009   Amount   %
Net income attributable to common stockholders
  $ 1,124     $ 19,130     $ (18,006 )     -94 %   $ 72,580     $ 139,489     $ (66,909 )     -48 %
Funds from operations
    41,108       60,933       (19,825 )     -33 %     196,405       235,463       (39,058 )     -17 %
EBITDA
    99,924       94,548       5,376       6 %     341,519       363,425       (21,906 )     -6 %
Net operating income
    164,292       133,964       30,328       23 %     464,760       402,012       62,748       16 %
 
                                                               
Per share data (fully diluted):
                                                               
Net income attributable to common stockholders
  $ 0.01     $ 0.17     $ (0.16 )     -94 %   $ 0.58     $ 1.25     $ (0.67 )     -54 %
Funds from operations
    0.33       0.53       (0.20 )     -38 %     1.58       2.11       (0.53 )     -25 %
 
                                                               
Interest coverage ratio
    2.25x       2.63x       -0.38x       -14 %     2.90x       3.41x       -0.51x       -15 %
Fixed charge coverage ratio
    1.86x       2.16x       -0.30x       -14 %     2.34x       2.80x       -0.46x       -16 %

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     We evaluate our business and make resource allocations on our two business segments — senior housing and care properties and medical facilities. Please see Note 17 to our unaudited consolidated financial statements for additional information.
     Senior Housing and Care Properties
     The following is a summary of our results of operations for the senior housing and care properties segment (dollars in thousands):
                                                                 
    Three Months Ended     Change     Nine Months Ended     Change  
    September 30,     September 30,                     September 30,     September 30,              
    2010     2009     $     %     2010     2009     $     %  
Revenues:
                                                               
Rental income
  $ 95,357     $ 84,391     $ 10,966       13 %   $ 280,345     $ 251,016     $ 29,329       12 %
Resident fees and services
    12,809             12,809       n/a       12,809             12,809       n/a  
Interest income
    9,179       9,266       (87 )     -1 %     26,583       26,899       (316 )     -1 %
Other income
    698       557       141       25 %     2,726       1,921       805       42 %
 
                                               
 
    118,043       94,214       23,829       25 %     322,463       279,836       42,627       15 %
Expenses:
                                                               
Interest expense
    6,979       2,755       4,224       153 %     15,535       4,687       10,848       231 %
Property operating expenses
    7,993             7,993       n/a       7,993             7,993       n/a  
Depreciation and amortization
    28,546       23,593       4,953       21 %     82,224       69,730       12,494       18 %
Transaction costs
    18,820             18,820       n/a       24,483             24,483       n/a  
Loss on extinguishment of debt
    7,791       2,057       5,734       279 %     7,791       2,057       5,734       279 %
Provision for loan losses
    28,918             28,918       n/a       28,918       140       28,778       20556 %
 
                                               
 
    99,047       28,405       70,642       249 %     166,944       76,614       90,330       118 %
 
                                               
Income from continuing operations before income taxes
    18,996       65,809       (46,813 )     -71 %     155,519       203,222       (47,703 )     -23 %
 
                                               
Income from continuing operations
    18,996       65,809       (46,813 )     -71 %     155,519       203,222       (47,703 )     -23 %
Discontinued operations:
                                                               
Gain on sales of properties
    10,526             10,526       n/a       18,894       13,358       5,536       41 %
Income from discontinued operations, net
    1,232       2,908       (1,676 )     -58 %     4,322       8,607       (4,285 )     -50 %
 
                                               
Discontinued operations, net
    11,758       2,908       8,850       304 %     23,216       21,965       1,251       6 %
 
                                               
Net income
    30,754       68,717       (37,963 )     -55 %     178,735       225,187       (46,452 )     -21 %
Less: Net income attributable to noncontrolling interests
    567             567       n/a       567             567       n/a  
 
                                               
Net income attributable to common stockholders
  $ 30,187     $ 68,717     $ (38,530 )     -56 %   $ 178,168     $ 225,187     $ (47,019 )     -21 %
 
                                               
     The increase in rental income is primarily attributable to the conversion of newly constructed senior housing and care properties subsequent to September 30, 2009 from which we receive rent. 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.
     As discussed in Note 3 to our unaudited consolidated financial statements, we completed our partnership with Merrill Gardens LLC in September 2010. The results of operations for this partnership have been included in our consolidated results of operations from the date of acquisition and represent the sole component of resident fees and services, property operating expenses and net income attributable to noncontrolling interests for this segment.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     Interest expense for the three and nine months ended September 30, 2010 represents $7,507,000 and $17,200,000, respectively, of secured debt interest expense offset by interest allocated to discontinued operations. Interest expense for the three and nine months ended September 30, 2009 represents $3,625,000 and $8,183,000, respectively, of secured debt interest expense offset by interest allocated to discontinued operations. The change in secured debt interest expense is due to the net effect and timing of assumptions, extinguishments and principal amortizations. The following is a summary of our senior housing and care property secured debt principal activity (dollars in thousands):
                                                                 
    Three Months Ended     Three Months Ended     Nine Months Ended     Nine Months Ended  
    September 30, 2010     September 30, 2009     September 30, 2010     September 30, 2009  
            Weighted Avg.             Weighted Avg.             Weighted Avg.             Weighted Avg.  
    Amount     Interest Rate     Amount     Interest Rate     Amount     Interest Rate     Amount     Interest Rate  
Beginning balance
  $ 388,092       5.705 %   $ 194,512       6.283 %   $ 298,492       5.998 %   $ 94,234       6.996 %
Debt issued
                  132,456       5.863 %     81,977       4.600 %     265,527       5.982 %
Debt assumed
    247,087       6.053 %           0.000 %     257,375       6.057 %           0.000 %
Debt extinguished
    (150,981 )     5.924 %     (26,575 )     7.402 %     (150,981 )     5.924 %     (47,502 )     7.414 %
Principal payments
    (1,581 )     5.918 %     (743 )     6.360 %     (4,246 )     5.978 %     (12,609 )     7.780 %
 
                                               
Ending balance
  $ 482,617       5.815 %   $ 299,650       5.998 %   $ 482,617       5.815 %   $ 299,650       5.998 %
 
                                               
Monthly averages
  $ 411,312       5.738 %   $ 326,590       6.113 %   $ 345,020       5.875 %   $ 358,738       6.246 %
     Depreciation and amortization increased primarily as a result of the conversions of newly constructed investment properties subsequent to September 30, 2009. To the extent that we acquire or dispose of additional properties in the future, our provision for depreciation and amortization will change accordingly.
     Transaction costs for the nine months ended September 30, 2010 primarily represent costs incurred with the Merrill Gardens partnership, lease termination fees and costs incurred in connection with other new property acquisitions.
     During the nine months ended September 30, 2010, we sold 12 senior housing and care properties. The following illustrates the reclassification impact as a result of classifying the properties sold subsequent to January 1, 2009 or held for sale at September 30, 2010 as discontinued operations for the periods presented. Please refer to Note 5 to our unaudited consolidated financial statements for further discussion.
                                 
    Three Months Ended     Nine Months Ended  
    September 30,     September 30,  
    2010     2009     2010     2009  
Rental income
  $ 2,301     $ 5,038     $ 7,803     $ 18,505  
Expenses:
                               
Interest expense
    528       870       1,665       3,496  
Provision for depreciation
    541       1,260       1,816       6,402  
 
                       
Income from discontinued operations, net
  $ 1,232     $ 2,908     $ 4,322     $ 8,607  
 
                       
     As a result of our quarterly evaluations, we recorded $28,918,000 of provision for loan losses during the nine months ended September 30, 2010. This amount includes the write-off of loans totaling $32,753,000 primarily related to certain early stage senior housing and CCRC development projects. This was offset by a net reduction of the allowance balance by $3,835,000. The provision for loan losses is related to our critical accounting estimate for the allowance for loan losses and is discussed in “Critical Accounting Policies.”

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     Medical Facilities
     The following is a summary of our results of operations for the medical facilities segment (dollars in thousands):
                                                                 
    Three Months Ended     Change     Nine Months Ended     Change  
    September 30,     September 30,                     September 30,     September 30,              
    2010     2009     $     %     2010     2009     $     %  
Revenues:
                                                               
Rental income
  $ 56,770     $ 44,136     $ 12,634       29 %   $ 160,992     $ 128,310     $ 32,682       25 %
Interest income
    875       1,262       (387 )     -31 %     1,853       3,740       (1,887 )     -50 %
Other income
    227       332       (105 )     -32 %     800       951       (151 )     -16 %
 
                                               
 
    57,872       45,730       12,142       27 %     163,645       133,001       30,644       23 %
Expenses:
                                                               
Interest expense
    6,457       4,783       1,674       35 %     18,408       14,351       4,057       28 %
Property operating expenses
    12,856       12,153       703       6 %     37,866       34,441       3,425       10 %
Depreciation and amortization
    20,019       15,594       4,425       28 %     56,097       44,716       11,381       25 %
Transaction costs
    15             15       n/a       2,818             2,818       n/a  
Loss (gain) on extinguishment of debt
    1,308       3,371       (2,063 )     -61 %     1,308       3,371       (2,063 )     -61 %
 
                                               
 
    40,655       35,901       4,754       13 %     116,497       96,879       19,618       20 %
 
                                               
Income from continuing operations before income taxes and income from unconsolidated joint ventures
    17,217       9,829       7,388       75 %     47,148       36,122       11,026       31 %
Income tax (expense) benefit
    73       25       48       192 %     (174 )     (232 )     58       -25 %
Income from unconsolidated joint ventures
    1,899             1,899       n/a       4,496             4,496       n/a  
 
                                               
Income from continuing operations
    19,189       9,854       9,335       95 %     51,470       35,890       15,580       43 %
Discontinued operations:
                                                               
Gain (loss) on sales of properties
          (806 )     806       -100 %     1,665       13,549       (11,884 )     -88 %
Impairment of assets
    (947 )     (1,873 )     926       -49 %     (947 )     (1,873 )     926       -49 %
Income (loss) from discontinued operations, net
    (721 )     (71 )     (650 )     915 %     (1,349 )     626       (1,975 )     n/a  
 
                                               
Discontinued operations, net
    (1,668 )     (2,750 )     1,082       -39 %     (631 )     12,302       (12,933 )     n/a  
 
                                               
Net income (loss)
    17,521       7,104       10,417       147 %     50,839       48,192       2,647       5 %
Less: Net income (loss) attributable to noncontrolling interests
    (123 )     35       (158 )     n/a       184       40       144       360 %
 
                                               
Net income (loss) attributable to common stockholders
  $ 17,644     $ 7,069     $ 10,575       150 %   $ 50,655     $ 48,152     $ 2,503       5 %
 
                                               
     The increase in rental income is primarily attributable to the acquisitions and construction conversions of medical facilities subsequent to September 30, 2009 from which we receive rent. 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 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 decreased from the prior period primarily due to a decline in outstanding balances for medical facility real estate loans. Other income is attributable to third party management fee income.
     Interest expense for the three and nine months ended September 30, 2010 represents $6,506,000 and $18,560,000, respectively, of secured debt interest expense offset by interest allocated to discontinued operations. Interest expense for the three and nine months ended September 30, 2009 represents $5,151,000 and $15,603,000, respectively, of secured debt interest expense offset by interest allocated to discontinued operations. The change in secured debt interest expense is primarily due to the net effect and timing of

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
assumptions, extinguishments and principal amortizations. The following is a summary of our medical facilities secured debt principal activity (dollars in thousands):
                                                                 
    Three Months Ended     Three Months Ended     Nine Months Ended     Nine Months Ended  
    September 30, 2010     September 30, 2009     September 30, 2010     September 30, 2009  
            Weighted Avg.             Weighted Avg.             Weighted Avg.             Weighted Avg.  
    Amount     Interest Rate     Amount     Interest Rate     Amount     Interest Rate     Amount     Interest Rate  
Beginning balance
  $ 415,570       6.098 %   $ 351,146       5.799 %   $ 314,065       5.677 %   $ 354,145       5.799 %
Debt assumed
          0.000 %           0.000 %     106,140       7.352 %           0.000 %
Debt extinguished
    (8,494 )     6.045 %     (32,241 )     7.033 %     (8,494 )     6.045 %     (32,241 )     7.033 %
Principal payments
    (2,307 )     6.131 %     (1,451 )     5.722 %     (6,942 )     6.200 %     (4,450 )     5.746 %
 
                                               
Ending balance
  $ 404,769       6.099 %   $ 317,454       5.675 %   $ 404,769       6.099 %   $ 317,454       5.675 %
 
                                               
 
                                                               
Monthly averages
  $ 412,278       6.099 %   $ 350,412       5.800 %   $ 394,779       6.032 %   $ 351,919       5.799 %
     The increase in property operating expenses and depreciation and amortization is primarily attributable to acquisitions and construction conversions of new medical facilities for which we incur certain property operating expenses offset by property operating expenses associated with discontinued operations.
     Transaction costs for the nine months ended September 30, 2010 represent costs incurred in connection with the acquisition of new properties.
     Income tax expense is primarily related to third party management fee income.
     Income from unconsolidated joint ventures represents our share of net income related to our joint venture investment with Forest City Enterprises. The following is a summary of our net income from this investment for the periods presented (in thousands):
                                                                 
    Three Months Ended     Change     Nine Months Ended     Change  
    September 30,     September 30,                     September 30,     September 30,              
    2010     2009     $     %     2010     2009     $     %  
Revenues
  $ 10,401     $     $ 10,401       n/a     $ 23,481     $     $ 23,481       n/a  
Operating expenses
    3,035             3,035       n/a       6,852             6,852       n/a  
 
                                               
Net operating income
    7,366             7,366       n/a       16,629             16,629       n/a  
Depreciation and amortization
    2,696             2,696       n/a       5,794             5,794       n/a  
Interest expense
    2,362             2,362       n/a       5,399             5,399       n/a  
Asset management fee
    409             409       n/a       940             940       n/a  
 
                                               
Net income
  $ 1,899     $     $ 1,899       n/a     $ 4,496     $     $ 4,496       n/a  
 
                                               
     During the year ended December 31, 2009, an impairment charge of $25,223,000 was recorded to reduce the carrying value of eight medical facilities to their estimated fair value less costs to sell. In determining the fair value of the properties, 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 operating income and published capitalization rates. During the nine months ended September 30, 2010, we sold three of the held for sale medical facilities, for net gains of $1,665,000. At September 30, 2010, we had five medical facilities that satisfied the requirements for held for sale treatment. During the three months ended September 30, 2010, we recorded an impairment charge of $947,000 related to two of the held for sale medical facilities to adjust the carrying values to estimated fair values less costs to sell based on current sales price expectations. The following illustrates the reclassification impact as a result of classifying medical facilities sold subsequent to January 1, 2009 or held for sale at September 30, 2010 as discontinued operations for the periods presented. Please refer to Note 5 to our unaudited consolidated financial statements for further discussion.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
                                 
    Three Months Ended     Nine Months Ended  
    September 30,     September 30,  
    2010     2009     2010     2009  
Rental income
  $ 301     $ 1,756     $ 1,489     $ 6,732  
Expenses:
                               
Interest expense
    49       368       152       1,252  
Property operating expenses
    973       821       2,686       2,559  
Provision for depreciation
          638             2,295  
 
                       
Income (loss) from discontinued operations, net
  $ (721 )   $ (71 )   $ (1,349 )   $ 626  
 
                       
     Net income attributable to non-controlling interests primarily relates to certain properties that are consolidated in our operating results but where we have less than a 100% ownership interest.
     Non-Segment/Corporate
     The following is a summary of our results of operations for the non-segment/corporate activities (dollars in thousands):
                                                                 
    Three Months Ended     Change     Nine Months Ended     Change  
    September 30,     September 30,                     September 30,     September 30,              
    2010     2009     $     %     2010     2009     $     %  
Revenues:
                                                               
Other income
  $ 231     $ 200     $ 31       16 %   $ 1,276     $ 938     $ 338       36 %
Expenses:
                                                               
Interest expense
    30,972       20,057       10,915       54 %     76,760       60,390       16,370       27 %
General and administrative
    11,628       10,363       1,265       12 %     40,331       38,784       1,547       4 %
Loss (gain) on extinguishments of debt
          20,946       (20,946 )     -100 %     25,072       19,269       5,803       30 %
 
                                               
 
    42,600       51,366       (8,766 )     -17 %     142,163       118,443       23,720       20 %
 
                                               
Loss from continuing operations before income taxes
    (42,369 )     (51,166 )     8,797       -17 %     (140,887 )     (117,505 )     (23,382 )     20 %
Income tax (expense) benefit
    (125 )     30       (155 )     n/a       (151 )     215       (366 )     n/a  
 
                                               
Net loss
    (42,494 )     (51,136 )     8,642       -17 %     (141,038 )     (117,290 )     (23,748 )     20 %
Preferred stock dividends
    5,347       5,520       (173 )     -3 %     16,340       16,560       (220 )     -1 %
 
                                               
Net loss attributable to common stockholders
  $ (47,841 )   $ (56,656 )   $ 8,815       -16 %   $ (157,378 )   $ (133,850 )   $ (23,528 )     18 %
 
                                               
     Other income primarily represents income from non-real estate activities such as interest earned on temporary investments of cash reserves.
     The following is a summary of our non-segment/corporate interest expense (dollars in thousands):
                                                                 
    Three Months Ended     Change     Nine Months Ended     Change  
    September 30,     September 30,                     September 30,     September 30,              
    2010     2009     $     %     2010     2009     $     %  
Senior unsecured notes
  $ 31,522     $ 27,146     $ 4,376       16 %   $ 83,894     $ 82,149     $ 1,745       2 %
Secured debt
    160       90       70       78 %     463       90       373       414 %
Unsecured lines of credit
    1,221       1,081       140       13 %     3,459       3,979       (520 )     -13 %
Capitalized interest
    (3,656 )     (9,975 )     6,319       -63 %     (16,008 )     (30,866 )     14,858       -48 %
SWAP savings
    (40 )     (40 )           0 %     (121 )     (121 )           0 %
Loan expense
    1,765       1,755       10       1 %     5,073       5,159       (86 )     -2 %
 
                                               
Totals
  $ 30,972     $ 20,057     $ 10,915       54 %   $ 76,760     $ 60,390     $ 16,370       27 %
 
                                               

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     The change in interest expense on senior unsecured notes is due to the net effect of issuances and extinguishments. The following is a summary of our senior unsecured note principal activity (dollars in thousands):
                                                                 
    Three Months Ended     Three Months Ended     Nine Months Ended     Nine Months Ended  
    September 30, 2010     September 30, 2009     September 30, 2010     September 30, 2009  
            Weighted Avg.             Weighted Avg.             Weighted Avg.             Weighted Avg.  
    Amount     Interest Rate     Amount     Interest Rate     Amount     Interest Rate     Amount     Interest Rate  
Beginning balance
  $ 2,164,930       5.256 %   $ 1,823,277       5.773 %   $ 1,661,853       5.557 %   $ 1,845,000       5.782 %
Debt issued
    450,000       4.700 %           0.000 %     1,394,403       4.557 %           0.000 %
Debt extinguished
                  (161,424 )     8.000 %     (441,326 )     4.750 %     (183,147 )     7.823 %
 
                                               
Ending balance
  $ 2,614,930       5.160 %   $ 1,661,853       5.557 %   $ 2,614,930       5.160 %   $ 1,661,853       5.557 %
 
                                               
Monthly averages
  $ 2,277,430       5.228 %   $ 1,782,921       5.723 %   $ 2,025,167       5.313 %   $ 1,813,652       5.756 %
     During the three months ended September 30, 2009, we completed a $10,750,000 first mortgage loan secured by a commercial real estate campus. The 10-year debt has a fixed interest rate of 6.37%.
     The change in interest expense on the unsecured line of credit arrangement is due primarily to the net effect and timing of draws, paydowns and variable interest rate changes. The following is a summary of our unsecured line of credit arrangement (dollars in thousands):
                                 
    Three Months Ended September 30,     Nine Months Ended September 30,  
    2010     2009     2010     2009  
Balance outstanding at quarter end
  $     $ 143,000     $     $ 143,000  
Maximum amount outstanding at any month end
  $ 560,000     $ 292,000     $ 560,000     $ 559,000  
Average amount outstanding (total of daily principal balances divided by days in period)
  $ 220,467     $ 217,174     $ 265,465     $ 301,740  
Weighted average interest rate (actual interest expense divided by average borrowings outstanding)
    2.22 %     1.99 %     1.74 %     1.76 %
     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 balances 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.
     Please see Note 11 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. Loan expense for the nine months ended September 30, 2010 is consistent with the prior year.
     General and administrative expenses as a percentage of consolidated revenues (including revenues from discontinued operations) for the three and nine months ended September 30, 2010 were 6.51% and 8.12%, respectively, as compared to 7.05% and 8.83% for the same periods in 2009. The change from prior year is primarily related to the recognition of $2,853,000 of expenses in connection with a performance-based stock grant during the nine months ended September 30, 2010 and additional salary and benefits to attract and retain appropriate personnel to support our business growth. This was partially offset by $3,909,000 of non-recurring expenses recognized during the nine months ended September 30, 2009 in connection with the departure of Raymond W. Braun who formerly served as President of the company.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     The change in preferred dividends is primarily attributable to preferred stock conversions into common stock. The following is a summary of our preferred stock activity (dollars in thousands):
                                                                 
    Three Months Ended     Three Months Ended     Nine Months Ended     Nine Months Ended  
    September 30, 2010     September 30, 2009     September 30, 2010     September 30, 2009  
            Weighted Avg.             Weighted Avg.             Weighted Avg.             Weighted Avg.  
    Shares     Dividend Rate     Shares     Dividend Rate     Shares     Dividend Rate     Shares     Dividend Rate  
 
                                                               
Beginning balance
    11,397,252       7.697 %     11,475,093       7.697 %     11,474,093       7.697 %     11,516,302       7.696 %
Shares redeemed
    (5,513 )     7.500 %           0.000 %     (5,513 )     7.500 %           0.000 %
Shares converted
    (391,739 )     7.215 %     (1,000 )     7.500 %     (468,580 )     7.265 %     (42,209 )     7.478 %
 
                                               
Ending balance
    11,000,000       7.716 %     11,474,093       7.697 %     11,000,000       7.716 %     11,474,093       7.697 %
 
                                               
Monthly averages
    11,297,939       7.703 %     11,474,593       7.697 %     11,383,466       7.700 %     11,485,097       7.697 %

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Non-GAAP Financial Measures
     We believe that net income, as defined by U.S. GAAP, is the most appropriate earnings measurement. However, we consider FFO 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. FFO, as defined by NAREIT, means net income, computed in accordance with U.S. GAAP, excluding gains (or losses) from sales of real estate, plus depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures.
     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.
     EBITDA stands for earnings before interest, taxes, depreciation and amortization. We believe that EBITDA, along with net income and cash flow provided from operating activities, is an important supplemental measure because it provides additional information to assess and evaluate the performance of our operations. We primarily utilize EBITDA to measure our interest coverage ratio, which represents EBITDA divided by total interest, and our fixed charge coverage ratio, which represents EBITDA divided by fixed charges. Fixed charges include total interest, secured debt principal amortization and preferred dividends.
     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 and non-cash interest expenses), secured debt principal amortization and preferred dividends. Our covenant requires an adjusted fixed charge ratio of at least 1.75 times.
     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 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.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     The tables below reflect 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 amortization include provisions for depreciation and amortization from discontinued operations. Noncontrolling interest amounts represent the noncontrolling interests’ share of transaction costs and depreciation and amortization. Unconsolidated joint venture amounts represent our share of unconsolidated joint ventures’ depreciation and amortization. Amounts are in thousands except for per share data.
                                                         
    Three Months Ended  
    March 31,     June 30,     September 30,     December 31,     March 31,     June 30,     September 30,  
    2009     2009     2009     2009     2010     2010     2010  
FFO Reconciliation:                                                        
Net income attributable to common stockholders
  $ 61,119     $ 59,240     $ 19,130     $ 31,700     $ 25,812     $ 45,646     $ 1,124  
Depreciation and amortization
    41,326       40,731       41,085       41,780       43,581       47,451       49,106  
Loss (gain) on sales of properties
    (17,036 )     (10,677 )     806       (16,487 )     (6,718 )     (3,314 )     (10,526 )
Noncontrolling interests
    (87 )     (87 )     (88 )     (703 )     (363 )     108       (1,292 )
Unconsolidated joint ventures
                            775       2,323       2,696  
 
                                         
Funds from operations
  $ 85,322     $ 89,207     $ 60,933     $ 56,290     $ 63,087     $ 92,214     $ 41,108  
 
                                                       
Average common shares outstanding:
                                                       
Basic
    108,214       110,864       114,874       122,700       123,270       123,808       125,298  
Diluted
    108,624       111,272       115,289       123,105       123,790       124,324       125,842  
 
                                                       
Per share data:
                                                       
Net income attributable to common stockholders
                                                       
Basic
  $ 0.56     $ 0.53     $ 0.17     $ 0.26     $ 0.21     $ 0.37     $ 0.01  
Diluted
    0.56       0.53       0.17       0.26       0.21       0.37       0.01  
 
                                                       
Funds from operations
                                                       
Basic
  $ 0.79     $ 0.80     $ 0.53     $ 0.46     $ 0.51     $ 0.74     $ 0.33  
Diluted
    0.79       0.80       0.53       0.46       0.51       0.74       0.33  
                 
    Nine Months Ended  
    September     September  
    30,     30,  
    2009     2010  
FFO Reconciliation:                
Net income attributable to common stockholders
  $ 139,489     $ 72,580  
Depreciation and amortization
    123,143       140,137  
Loss (gain) on sales of properties
    (26,907 )     (20,559 )
Noncontrolling interests
    (262 )     (1,547 )
Unconsolidated joint ventures
          5,794  
 
           
Funds from operations
  $ 235,463     $ 196,405  
 
               
Average common shares outstanding:
               
Basic
    111,345       124,132  
Diluted
    111,749       124,660  
 
               
Per share data:
               
Net income attributable to common stockholders
               
Basic
  $ 1.25     $ 0.58  
Diluted
    1.25       0.58  
 
               
Funds from operations
               
Basic
  $ 2.11     $ 1.58  
Diluted
    2.11       1.58  

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     The following tables reflect the reconciliation of NOI for the periods presented. All amounts include amounts from discontinued operations, if applicable. Our share of revenues and expenses from unconsolidated joint ventures for life science buildings are included in medical facilities. Amounts are in thousands.
                                                         
    Three Months Ended  
    March 31,     June 30,     September 30,     December 31,     March 31,     June 30,     September 30,  
    2009     2009     2009     2009     2010     2010     2010  
NOI Reconciliation:                                                        
Total revenues:
                                                       
Senior housing and care:
                                                       
Rental income:
                                                       
Senior housing
  $ 47,704     $ 47,678     $ 47,446     $ 47,856     $ 52,366     $ 56,197     $ 56,162  
Skilled nursing facilities
    41,731       42,979       41,983       40,733       40,872       41,057       41,496  
 
                                         
Sub-total
    89,435       90,657       89,429       88,589       93,238       97,254       97,658  
Resident fees and services
                                        12,809  
Interest income
    8,723       8,910       9,266       9,046       8,575       8,830       9,179  
Other income
    792       570       557       3,389       494       1,536       698  
 
                                         
Total senior housing and care revenues
    98,950       100,137       99,252       101,024       102,307       107,620       120,344  
Medical facilities:
                                                       
Rental income
                                                       
Medical office buildings
    33,253       32,593       35,008       35,980       40,088       42,056       43,758  
Hospitals
    12,677       10,627       10,884       10,779       10,781       12,484       13,313  
Life science buildings
                            3,725       9,355       10,401  
 
                                         
Sub-total
    45,930       43,220       45,892       46,759       54,594       63,895       67,472  
Interest income
    1,230       1,248       1,262       1,201       473       505       875  
Other income
    316       304       332       8,415       271       302       227  
 
                                         
Total medical facilities revenues
    47,476       44,772       47,486       56,375       55,338       64,702       68,574  
Corporate other income
    376       363       200       232       231       812       231  
 
                                         
Total revenues
    146,802       145,272       146,938       157,631       157,876       173,134       189,149  
Property operating expenses:
                                                       
Senior housing and care
                                        7,993  
Medical facilities:
                                                       
Medical office buildings
    11,983       12,044       12,974       11,964       12,992       12,853       13,307  
Hospitals
                            728       150       522  
Life science buildings
                            1,101       2,716       3,035  
 
                                         
Sub-total
    11,983       12,044       12,974       11,964       14,821       15,719       16,864  
Non-segment/corporate
                                         
 
                                         
Total property operating expenses
    11,983       12,044       12,974       11,964       14,821       15,719       24,857  
Net operating income:
                                                       
Senior housing and care
    98,950       100,137       99,252       101,024       102,307       107,620       112,351  
Medical facilities
    35,493       32,728       34,512       44,411       40,517       48,983       51,710  
Non-segment/corporate
    376       363       200       232       231       812       231  
 
                                         
Net operating income
  $ 134,819     $ 133,228     $ 133,964     $ 145,667     $ 143,055     $ 157,415     $ 164,292  
 
                                         

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
                 
    Nine Months Ended  
    September 30,     September 30,  
    2009     2010  
NOI Reconciliation:
               
Total revenues:
               
Senior housing and care:
               
Rental income:
               
Senior housing
  $ 142,828     $ 164,723  
Skilled nursing facilities
    126,693       123,425  
 
           
Sub-total
    269,521       288,148  
Resident fees and services
          12,809  
Interest income
    26,899       26,583  
Other income
    1,921       2,726  
 
           
Total senior housing and care revenues
    298,341       330,266  
Medical facilities:
               
Rental income
               
Medical office buildings
    100,854       125,903  
Hospitals
    34,188       36,578  
Life science buildings
          23,481  
 
           
Sub-total
    135,042       185,962  
Interest income
    3,740       1,853  
Other income
    951       800  
 
           
Total medical facilities revenues
    139,733       188,615  
Corporate other income
    938       1,276  
 
           
Total revenues
    439,012       520,157  
Property operating expenses:
               
Senior housing and care
          7,993  
Medical facilities:
               
Medical office buildings
    37,000       39,152  
Hospitals
          1,400  
Life science buildings
          6,852  
 
           
Sub-total
    37,000       47,404  
Non-segment/corporate
           
 
           
Total property operating expenses
    37,000       55,397  
Net operating income:
               
Senior housing and care
    298,341       322,273  
Medical facilities
    102,733       141,211  
Non-segment/corporate
    938       1,276  
 
           
Net operating income
  $ 402,012     $ 464,760  
 
           

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     The tables below reflect the reconciliation of EBITDA to net income, the most directly comparable U.S. GAAP measure, for the periods presented. Interest expense and the provisions for depreciation and amortization include discontinued operations. Dollars are in thousands.
                                                         
    Three Months Ended
    March 31,   June 30,   September 30,   December 31,   March 31,   June 30,   September 30,
    2009   2009   2009   2009   2010   2010   2010
EBITDA Reconciliation:
                                                       
Net income
  $ 66,645     $ 64,759     $ 24,685     $ 36,838     $ 31,694     $ 51,064     $ 5,781  
Interest expense
    28,011       27,332       28,833       25,596       29,985       37,550       44,985  
Income tax expense (benefit)
    50       21       (55 )     151       84       188       52  
Depreciation and amortization
    41,326       40,731       41,085       41,780       43,581       47,451       49,106  
     
EBITDA
  $ 136,032     $ 132,843     $ 94,548     $ 104,365     $ 105,344     $ 136,253     $ 99,924  
 
                                                       
Interest Coverage Ratio:
                                                       
Interest expense
  $ 28,011     $ 27,332     $ 28,833     $ 25,596     $ 29,985     $ 37,550     $ 44,985  
Non-cash interest expense
    (2,772 )     (2,844 )     (2,895 )     (3,387 )     (2,841 )     (3,659 )     (4,258 )
Capitalized interest
    9,865       11,026       9,975       10,305       7,076       5,276       3,656  
     
Total interest
    35,104       35,514       35,913       32,514       34,220       39,167       44,383  
EBITDA
  $ 136,032     $ 132,843     $ 94,548     $ 104,365     $ 105,344     $ 136,253     $ 99,924  
     
Interest coverage ratio
    3.88     3.74     2.63     3.21     3.08     3.48     2.25
 
                                                       
Fixed Charge Coverage Ratio:
                                                       
Total interest
  $ 35,104     $ 35,514     $ 35,913     $ 32,514     $ 34,220     $ 39,167     $ 44,383  
Secured debt principal payments
    2,206       2,177       2,298       2,611       3,378       4,325       4,019  
Preferred dividends
    5,524       5,516       5,520       5,520       5,509       5,484       5,347  
     
Total fixed charges
    42,834       43,207       43,731       40,645       43,107       48,976       53,749  
EBITDA
  $ 136,032     $ 132,843     $ 94,548     $ 104,365     $ 105,344     $ 136,253     $ 99,924  
     
Fixed charge coverage ratio
    3.18     3.07     2.16     2.57     2.44     2.78     1.86
                 
    Nine Months Ended
    September 30,   September 30,
    2009   2010
EBITDA Reconciliation:
               
Net income
  $ 156,089     $ 88,537  
Interest expense
    84,176       112,520  
Income tax expense
    17       325  
Depreciation and amortization
    123,143       140,137  
 
               
EBITDA
  $ 363,425     $ 341,519  
 
               
Interest Coverage Ratio:
               
Interest expense
  $ 84,176     $ 112,520  
Non-cash interest expense
    (8,511 )     (10,759 )
Capitalized interest
    30,866       16,008  
     
Total interest
    106,531       117,769  
EBITDA
  $ 363,425     $ 341,519  
     
Interest coverage ratio
    3.41     2.90
 
               
Fixed Charge Coverage Ratio:
               
Total interest
  $ 106,531     $ 117,769  
Secured debt principal payments
    6,681       11,723  
Preferred dividends
    16,560       16,340  
     
Total fixed charges
    129,772       145,832  
EBITDA
  $ 363,425     $ 341,519  
     
Fixed charge coverage ratio
    2.80     2.34

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     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 amortization include discontinued operations. Dollars are in thousands.
                                                         
    Twelve Months Ended  
    March 31,     June 30,     September 30,     December 31,     March 31,     June 30,     September 30,  
    2009     2009     2009     2009     2010     2010     2010  
Adjusted EBITDA Reconciliation:
                                                       
Net income
  $ 314,613     $ 218,112     $ 183,478     $ 192,927     $ 157,976     $ 144,282     $ 125,377  
Interest expense
    131,750       122,927       116,406       109,772       111,746       121,964       138,116  
Income tax expense
    77       54       152       168       201       368       475  
Depreciation and amortization
    164,797       165,898       165,292       164,923       167,177       173,897       181,918  
Stock-based compensation expense
    11,360       11,034       10,637       9,633       10,619       10,736       10,669  
Provision for loan losses
    234       234       234       23,261       23,121       23,121       52,039  
Loss (gain) on extinguishment of debt
    (2,446 )     (2,446 )     24,696       25,107       44,822       51,857       34,582  
     
Adjusted EBITDA
  $ 620,385     $ 515,813     $ 500,895     $ 525,791     $ 515,662     $ 526,225     $ 543,176  
 
                                                       
Adjusted Fixed Charge Coverage Ratio:
                                                       
Interest expense
  $ 131,750     $ 122,927     $ 116,406     $ 109,772     $ 111,746     $ 121,964     $ 138,116  
Capitalized interest
    29,727       35,690       39,301       41,170       38,381       32,631       26,313  
Non-cash interest expense
    (11,214 )     (11,289 )     (11,410 )     (11,898 )     (11,967 )     (12,782 )     (14,145 )
Secured debt principal payments
    8,232       8,592       8,810       9,292       10,464       12,612       14,333  
Preferred dividends
    22,579       22,311       22,101       22,079       22,064       22,032       21,860  
     
Total fixed charges
    181,074       178,231       175,208       170,415       170,688       176,457       186,477  
Adjusted EBITDA
  $ 620,385     $ 515,813     $ 500,895     $ 525,791     $ 515,662     $ 526,225     $ 543,176  
     
Adjusted fixed charge coverage ratio
    3.43     2.89     2.86     3.09     3.02     2.98     2.91

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Critical Accounting Policies
     Our consolidated financial statements are prepared in accordance with U.S. GAAP, which requires us to make estimates and assumptions. Management considers an accounting estimate or assumption critical if:
    the nature of the estimates or assumptions is material due to the levels of subjectivity and judgment necessary to account for highly uncertain matters or the susceptibility of such matters to change; and
 
    the impact of the estimates and assumptions on financial condition or operating performance is material.
     Management has discussed the development and selection of its critical accounting policies with the Audit Committee of the Board of Directors and the Audit Committee has reviewed the disclosure presented below relating to them. Management believes the current assumptions and other considerations used to estimate amounts reflected in our consolidated financial statements are appropriate and are not reasonably likely to change in the future. However, since these estimates require assumptions to be made that were uncertain at the time the estimate was made, they bear the risk of change. If actual experience differs from the assumptions and other considerations used in estimating amounts reflected in our consolidated financial statements, the resulting changes could have a material adverse effect on our consolidated results of operations, liquidity and/or financial condition. Please refer to Note 1 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2009, as updated by our Current Report on Form 8-K filed May 10, 2010, for further information regarding significant accounting policies that impact us. There have been no material changes to these policies in 2010.
     The following table presents information about our critical accounting policies, as well as the material assumptions used to develop each estimate:
     
Nature of Critical   Assumptions/Approach
Accounting Estimate   Used
          Impairment of Long-Lived Assets
   
 
   
We review our long-lived assets for potential impairment in accordance with U.S. GAAP. An impairment charge must be recognized when the carrying value of a long-lived asset is not recoverable. The carrying value is not recoverable if it exceeds the sum of the undiscounted cash flows expected to result from the use and eventual disposition of the asset. If it is determined that a permanent impairment of a long-lived asset has occurred, the carrying value of the asset is reduced to its fair value and an impairment charge is recognized for the difference between the carrying value and the fair value.
  The net book value of long-lived assets is reviewed quarterly on a property by property basis to determine if there are indicators of impairment. These indicators may include anticipated operating losses at the property level, the tenant’s inability to make rent payments, a decision to dispose of an asset before the end of its estimated useful life and changes in the market that may permanently reduce the value of the property. If indicators of impairment exist, then the undiscounted future cash flows from the most likely use of the property are compared to the current net book value. This analysis requires us to determine if indicators of impairment exist and to estimate the most likely stream of cash flows to be generated from the property during the period the property is expected to be held.

During the year ended December 31, 2009, an impairment charge of $25,223,000 was recorded to reduce the carrying value of eight medical facilities to their estimated fair value less costs to sell. In determining the fair value of the properties, 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 operating income and published capitalization rates. During the nine months ended September 30, 2010, we sold 16 properties, including three of the held for sale medical facilities, for net gains of $20,559,000. At September 30, 2010, we had five medical facilities and one senior housing facility that satisfied the requirements for held for sale treatment. During the three months ended September 30, 2010, we recorded an impairment charge of $947,000 related to two of the held for sale medical facilities to adjust the carrying values to estimated fair values less costs to sell based on current sales price expectations.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     
Nature of Critical   Assumptions/Approach
Accounting Estimate   Used
          Business Combinations
   
 
   
Substantially all of the properties owned by us are leased under operating leases and are recorded at cost. The cost of our real property is allocated to land, buildings, improvements and intangibles in accordance with U.S. GAAP.
  We compute depreciation and amortization on our properties using the straight-line method based on their estimated useful lives which range from 15 to 40 years for buildings and five to 15 years for improvements. Lives for intangibles are based on the remaining term of the underlying leases.

For the nine months ended September 30, 2010, we recorded $103,670,000, $29,539,000 and $6,928,000 as provisions for depreciation and amortization relating to buildings, improvements and intangibles, respectively, including amounts reclassified as discontinued operations. The average useful life of our buildings, improvements and intangibles was 38.1 years, 11.3 years and 9.9 years, respectively, for the nine months ended September 30, 2010.
          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.
  We evaluate the collectibility of our revenues and related receivables on an on-going basis. We evaluate collectibility based on assumptions and other considerations including, but not limited to, the certainty of payment, payment history, the financial strength of the investment’s underlying operations as measured by cash flows and payment coverages, the value of the underlying collateral and guaranties and current economic conditions.

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

For the nine months ended September 30, 2010, we recognized $28,437,000 of interest income, $12,809,000 of resident fees and services, and $450,629,000 of rental income, including discontinued operations. Cash receipts on leases with deferred revenue provisions were $6,214,000 as compared to gross straight-line rental income recognized of $12,414,000 for the nine months ended September 30, 2010. At September 30, 2010, our straight-line receivable balance was $86,606,000, net of reserves totaling $273,000. Also at September 30, 2010, we had real estate loans with outstanding balances of $10,889,000 on non-accrual status.
          Fair Value of Derivative Instruments
   
 
   
The valuation of derivative instruments is accounted for in accordance with U.S. GAAP, which requires companies to record derivatives at fair market value on the balance sheet as assets or liabilities.
  The valuation of derivative instruments requires us to make estimates and judgments that affect the fair value of the instruments. Fair values for our derivatives are estimated by 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 September 30, 2010, we did not participate in any interest rate swap agreements.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     
Nature of Critical   Assumptions/Approach
Accounting Estimate   Used
          Allowance for Loan Losses
   
 
   
We maintain an allowance for loan losses in accordance with U.S. GAAP. 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.
  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 $28,918,000 of provision for loan losses during the nine months ended September 30, 2010. This amount includes the write-off of loans totaling $32,753,000 primarily related to certain early stage senior housing and CCRC development projects. This was offset by a net reduction of the allowance balance by $3,835,000, resulting in an allowance for loan losses of $1,190,000 relating to real estate loans with outstanding balances of $10,889,000, all of which were on non-accrual status at September 30, 2010.
Forward-Looking Statements and Risk Factors
          This Quarterly Report on Form 10-Q may contain “forward-looking” statements as defined in the Private Securities Litigation Reform Act of 1995. These forward-looking statements concern and are based upon, among other things, the possible expansion of the company’s portfolio; the sale of properties; the performance of its operators and properties; its occupancy rates; its ability to acquire or develop properties; its ability to manage properties; its ability to enter into agreements with viable new tenants for vacant space or for properties that the company takes back from financially troubled tenants, if any; its ability to make distributions; its policies and plans regarding investments, financings and other matters; its tax status as a real estate investment trust; its ability to appropriately balance the use of debt and equity; its ability to access capital markets or other sources of funds; its critical accounting policies; and its ability to meet its earnings guidance. When the company uses words such as “may,” “will,” “intend,” “should,” “believe,” “expect,” “anticipate,” “project,” “estimate” or similar expressions, it is making forward-looking statements. Forward-looking statements are not guarantees of future performance and involve risks and uncertainties. The company’s expected results may not be achieved, and actual results may differ materially from expectations. This may be a result of various factors, including, but not limited to: the status of the economy; the status of capital markets, including 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; competition within the health care, senior housing and life science industries; negative developments in the operating results or financial condition of operators/tenants, including, but not limited to, their ability to pay rent and repay loans; the company’s ability to transition or sell facilities with profitable results; the failure to make new investments as and when anticipated; acts of God affecting the company’s properties; the company’s ability to re-lease space at similar rates as vacancies occur; the company’s ability to timely reinvest sale proceeds at similar rates to assets sold; operator/tenant or joint venture partner bankruptcies or insolvencies; the cooperation of joint venture partners; government regulations affecting Medicare and Medicaid reimbursement rates and operational requirements; regulatory approval and market acceptance of the products and technologies of life science tenants; liability or contract claims by or against operators/tenants; unanticipated difficulties and/or expenditures relating to future acquisitions; environmental laws affecting the company’s properties; changes in rules or practices governing the company’s financial reporting; and legal and operational matters, including real estate investment trust qualification and key management personnel recruitment and retention. Other important factors are identified in the company’s Annual Report on Form 10-K for the year ended December 31, 2009, as updated by our Current Report on Form 8-K filed May 10, 2010, including factors identified under the headings “Business,” “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.” Finally, the company assumes no obligation to update or revise any forward-looking statements or to update the reasons why actual results could differ from those projected in any forward-looking statements.

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Item 3. Quantitative and Qualitative Disclosures about Market Risk
          We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates. We seek to mitigate the effects of fluctuations in interest rates by matching the terms of new investments with new long-term fixed rate borrowings to the extent possible. We may or may not elect to use financial derivative instruments to hedge interest rate exposure. These decisions are principally based on our policy to match our variable rate investments with comparable borrowings, but are also based on the general trend in interest rates at the applicable dates and our perception of the future volatility of interest rates. This section is presented to provide a discussion of the risks associated with potential fluctuations in interest rates.
          We historically borrow on our unsecured 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):
                                 
    September 30, 2010     December 31, 2009  
    Principal     Change in     Principal     Change in  
    balance     fair value     balance     fair value  
Senior unsecured notes
  $ 2,614,930     $ (226,147 )   $ 1,661,853     $ (129,350 )
Secured debt
    826,615       (44,903 )     491,094       (22,522 )
 
                       
Totals
  $ 3,441,545     $ (271,050 )   $ 2,152,947     $ (151,872 )
 
                       
          Our variable rate debt, including our unsecured line of credit arrangement, is reflected at fair value. At September 30, 2010, we had $0 outstanding related to our variable rate line of credit and $70,650,000 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 $707,000. 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 have resulted in increased annual interest expense of $2,720,000.
          We are subject to risks associated with debt financing, including the risk that existing indebtedness may not be refinanced or that the terms of refinancing may not be as favorable as the terms of current indebtedness. The majority of our borrowings were completed under indentures or contractual agreements that limit the amount of indebtedness we may incur. Accordingly, in the event that we are unable to raise additional equity or borrow money because of these limitations, our ability to acquire additional properties may be limited.

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Item 4. Controls and Procedures
     Our management, under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on that evaluation, the Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures are effective in providing reasonable assurance that information required to be disclosed by us in the reports we file with or submit to the Securities and Exchange Commission (“SEC”) under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. No changes in our internal control over financial reporting (as defined in Rule 13a-15(f) under the Exchange Act) occurred during the fiscal quarter covered by this Quarterly Report on Form 10-Q that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
PART II. OTHER INFORMATION
Item 1A. Risk Factors
     Except as provided in “Item 2 — Management’s Discussion and Analysis of Financial Condition and Results of Operations — Forward Looking Statements and Risk Factors,” there have been no material changes from the risk factors identified under the heading “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2009, as updated by our Current Report on Form 8-K filed May 10, 2010.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
Issuer Purchases of Equity Securities
                         
                    Total Number of Shares   Maximum Number of
    Total Number           Purchased as Part of   Shares that May Yet Be
    of Shares   Average Price Paid   Publicly Announced Plans   Purchased Under the Plans
Period   Purchased(1)   Per Share   or Programs(2)   or Programs
July 1, 2010 through July 31, 2010
    873     $ 42.41          
August 1, 2010 through August 31, 2010
                       
September 1, 2010 through September 30, 2010
                       
 
                       
Totals
    873     $ 42.41          
 
(1)   During the three months ended September 30, 2010, the company acquired shares of common stock held by employees who tendered owned shares to satisfy the tax withholding on the lapse of certain restrictions on restricted stock.
 
(2)   No shares were purchased as part of publicly announced plans or programs.
Item 5. Other Information
Preferred Stock — Certificates of Elimination
     On November 4, 2010, we filed certificates of elimination with the Delaware Secretary of State to eliminate from our Second Restated Certificate of Incorporation, as amended, all matters set forth in the certificates of designation for the 6% Series E Cumulative Convertible and Redeemable Preferred Stock and the 7.5% Series G Cumulative Convertible Preferred Stock.
     During the nine months ended September 30, 2010, certain holders of our Series G Cumulative Convertible Preferred Stock converted 394,200 shares into 282,078 shares of our common stock, leaving 5,513 of such shares outstanding which were redeemed by us on September 30, 2010. During the three months ended September 30, 2010, the holder of our Series E Cumulative Convertible and Redeemable Preferred Stock converted 74,380 shares into 56,935 shares of our common stock, leaving no such shares outstanding at September 30, 2010.

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Item 6. Exhibits
     
3.1
  Certificate of Elimination of 6% Series E Cumulative Convertible and Redeemable Preferred Stock of the company.
 
   
3.2
  Certificate of Elimination of 7.5% Series G Cumulative Convertible Preferred Stock of the company.
 
   
4.1
  Indenture, dated as of March 15, 2010, between the company and The Bank of New York Mellon Trust Company, N.A., as trustee (the “Trustee”) (filed with the Securities and Exchange Commission as Exhibit 4.1 to the company’s Form 8-K filed March 15, 2010, and incorporated herein by reference thereto).
 
   
4.2
  Supplemental Indenture No. 3, dated as of September 10, 2010, between the company and the Trustee (filed with the Securities and Exchange Commission as Exhibit 4.2 to the company’s Form 8-K filed September 10, 2010, and incorporated herein by reference thereto).
 
   
31.1
  Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer.
 
   
31.2
  Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer.
 
   
32.1
  Certification pursuant to 18 U.S.C. Section 1350 by Chief Executive Officer.
 
   
32.2
  Certification pursuant to 18 U.S.C. Section 1350 by Chief Financial Officer.
 
   
101.INS
  XBRL Instance Document*
 
   
101.SCH
  XBRL Taxonomy Extension Schema Document*
 
   
101.CAL
  XBRL Taxonomy Extension Calculation Linkbase Document*
 
   
101.LAB
  XBRL Taxonomy Extension Label Linkbase Document*
 
   
101.PRE
  XBRL Taxonomy Extension Presentation Linkbase Document*
 
   
101.DEF
  XBRL Taxonomy Extension Definition Linkbase Document*
 
*   Attached as Exhibit 101 to this Quarterly Report on Form 10-Q are the following materials, formatted in XBRL (eXtensible Business Reporting Language): (i) the Consolidated Balance Sheets at September 30, 2010 and December 31, 2009, (ii) the Consolidated Statements of Income for the three and nine months ended September 30, 2010 and 2009, (iii) the Consolidated Statements of Equity for the nine months ended September 30, 2010 and 2009, (iv) the Consolidated Statements of Cash Flows for the nine months ended September 30, 2010 and 2009 and (v) the Notes to Unaudited Consolidated Financial Statements tagged as blocks of text.
 
    Pursuant to Rule 406T of Regulation S-T, the Interactive Data Files on Exhibit 101 hereto are deemed not filed or part of a registration statement or prospectus for purposes of Sections 11 or 12 of the Securities Act of 1933, as amended, are deemed not filed for purposes of Section 18 of the Securities and Exchange Act of 1934, as amended, and otherwise are not subject to liability under those sections.

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Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
         
  HEALTH CARE REIT, INC.
 
 
Date: November 8, 2010  By:   /s/ GEORGE L. CHAPMAN    
  George L. Chapman,   
  Chairman, Chief Executive Officer and President
(Principal Executive Officer) 
 
 
     
Date: November 8, 2010  By:   /s/ SCOTT A. ESTES    
  Scott A. Estes,   
  Executive Vice President and Chief Financial Officer (Principal Financial Officer)   
     
Date: November 8, 2010  By:   /s/ PAUL D. NUNGESTER, JR.    
  Paul D. Nungester, Jr.,   
  Vice President and Controller
(Principal Accounting Officer) 
 

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