10-Q 1 l28642ae10vq.htm HEALTH CARE REIT, INC. 10-Q Health Care REIT, Inc. 10-Q
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
     (Mark One)
     
þ   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2007
or
     
o   TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                                          to                                         
Commission File number 1-8923
HEALTH CARE REIT, INC.
 
(Exact name of registrant as specified in its charter)
     
Delaware   34-1096634
     
(State or other jurisdiction of
incorporation or organization)
  (I.R.S. Employer
Identification No.)
     
One SeaGate, Suite 1500, Toledo, Ohio   43604
     
(Address of principal executive office)   (Zip Code)
     
(419) 247-2800
 
(Registrant’s telephone number, including area code)
   
 
(Former name, former address and former fiscal year, if changed since last report)
     Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to the filing requirements for at least the past 90 days.
Yes þ     No o
     Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer þ               Accelerated filer o               Non-accelerated filer o
     Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes o     No þ
     As of October 31, 2007, the registrant had 81,499,265 shares of common stock outstanding.
 
 

 


 

TABLE OF CONTENTS
         
        Page
 
       
  FINANCIAL INFORMATION    
 
       
  Financial Statements (Unaudited)    
 
       
 
  Consolidated Balance Sheets — September 30, 2007 and December 31, 2006   3
 
       
 
  Consolidated Statements of Income — Three and nine months ended September 30, 2007 and 2006   4
 
       
 
  Consolidated Statements of Stockholders’ Equity — Nine months ended September 30, 2007 and 2006   5
 
       
 
  Consolidated Statements of Cash Flows — Nine months ended September 30, 2007 and 2006   6
 
       
 
  Notes to Unaudited Consolidated Financial Statements   7
 
       
  Management’s Discussion and Analysis of Financial Condition and Results of Operations   15
 
       
  Quantitative and Qualitative Disclosures About Market Risk   34
 
       
  Controls and Procedures   35
 
       
  OTHER INFORMATION    
 
       
  Risk Factors   35
 
       
  Exhibits   35
 
       
      35
 EX-31.1
 EX-31.2
 EX-32.1
 EX-32.2

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

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

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

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

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

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

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

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

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

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

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

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

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
     The following discussion and analysis is based primarily on the consolidated financial statements of Health Care REIT, Inc. for the periods presented and should be read together with the notes thereto contained in this Quarterly Report on Form 10-Q. Other important factors are identified in our Annual Report on Form 10-K/A for the year ended December 31, 2006, including factors identified under the headings “Business,” “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”
Executive Overview
Business
     Health Care REIT, Inc. is an equity real estate investment trust that invests in the full spectrum of senior housing and health care real estate. Founded in 1970, we were the first REIT to invest exclusively in health care facilities. The following table summarizes our portfolio as of September 30, 2007:
                                                                         
    Investments(1)     Percentage of     Revenues(2)     Percentage of     Number of     # Beds/Units     Investment per     Operators/        
Type of Property   (in thousands)     Investments     (in thousands)     Revenues(2)     Properties     or Sq. Ft.     metric (3)     Tenants     States  
Independent living/CCRCs
  $ 678,145       14 %   $ 33,060       9 %     57     6,615  units $154,493  per unit   22       22  
Assisted living facilities
    1,002,599       21 %     86,314       24 %     201     12,052  units 93,352  per unit   25       33  
Skilled nursing facilities
    1,544,271       32 %     118,007       33 %     234     31,680  beds 49,177  per bed   22       28  
Medical office buildings
    1,233,327       26 %     81,332       23 %     117     4,837,991  sq. ft. 270  per sq. ft.   874       17  
Specialty care facilities
    337,775       7 %     18,581       5 %     22     1,541  beds 245,289  per bed   11       10  
Interest income
                    17,673       5 %                                        
Other income
                    3,935       1 %                                        
 
                                                             
Totals
  $ 4,796,117       100 %   $ 358,902       100 %     631                                  
 
                                                             
 
(1)   Investments include gross real estate investments and credit enhancements which amounted to $4,793,667,000 and $2,450,000, respectively.
 
(2)   Revenues include gross revenues and revenues from discontinued operations for the nine months ended September 30, 2007.
 
(3)   Investment per metric was computed by using the total investment amount of $5,389,545,000, which includes gross real estate investments, credit enhancements and unfunded construction commitments for which initial funding has commenced which amounted to $4,793,667,000, $2,450,000 and $593,428,000, respectively.
     Our primary objectives are to protect stockholder capital and enhance stockholder value. We seek to pay consistent cash dividends to stockholders and create opportunities to increase dividend payments to stockholders as a result of annual increases in rental and interest income and portfolio growth. To meet these objectives, we invest across the full spectrum of senior housing and health care real estate and diversify our investment portfolio by property type, operator/tenant and geographic location.
     Substantially all of our revenues and sources of cash flows from operations are derived from operating lease rentals and interest earned on outstanding loans receivable. These items represent our primary source of liquidity to fund distributions and are dependent upon our obligors’ continued ability to make contractual rent and interest payments to us. To the extent that our obligors experience operating difficulties and are unable to generate sufficient cash to make payments to us, there could be a material adverse impact on our consolidated results of operations, liquidity and/or financial condition. To mitigate this risk, we monitor our investments through a variety of methods determined by the type of property and operator/tenant. Our asset management process includes review of monthly financial statements for each property, periodic review of obligor credit, periodic property inspections and review of covenant compliance relating to licensure, real estate taxes, letters of credit and other collateral. In monitoring our portfolio, our personnel use a proprietary database to collect and analyze property-specific data. Additionally, we conduct extensive research to ascertain industry trends and risks. Through these asset management and research efforts, we are typically able to intervene at an early stage to address payment risk, and in so doing, support both the collectibility of revenue and the value of our investment.
     In addition to our asset management and research efforts, we also structure our investments to help mitigate payment risk. We typically limit our investments to no more than 90% of the appraised value of a property. Operating leases and loans are normally credit enhanced by guaranties and/or letters of credit. In addition, operating leases are typically structured as master leases and loans are generally cross-defaulted and cross-collateralized with other loans, operating leases or agreements between us and the obligor and its affiliates.
     For the nine months ended September 30, 2007, rental income and interest income represented 94% and 5%, respectively, of total gross revenues (including revenues from discontinued operations). Substantially all of our operating leases are designed with either fixed or contingent escalating rent structures. Leases with fixed annual rental escalators are generally recognized on a straight-line basis over the

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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