BKD 10-Q Quarterly Report March 31, 2010

BROOKDALE SENIOR LIVING INC.

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10-Q 1 form10-q.htm FORM 10-Q Unassociated Document

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form 10-Q

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

For the quarterly period ended March 31, 2010

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: 001-32641

BROOKDALE SENIOR LIVING INC.

(Exact name of registrant as specified in its charter)

Delaware	20-3068069
(State or other jurisdiction of incorporation or organization)	(I.R.S. Employer Identification No.)

111 Westwood Place, Suite 400, Brentwood, Tennessee	37027
(Address of principal executive offices)	(Zip Code)

(615) 221-2250

(Registrant's telephone number, including area code)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes T No £

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes £ No £

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

	Large accelerated filer £	Accelerated filer T
	Non-accelerated filer £ (Do not check if a smaller reporting company)	Smaller reporting company £

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

As of April 30, 2010, 119,368,161 shares of the registrant’s common stock, $0.01 par value, were outstanding (excluding unvested restricted shares).

TA BLE OF CONTENTS

BROOKDALE SENIOR LIVING INC.

FORM 10-Q

FOR THE QUARTER ENDED MARCH 31, 2010

		PAGE
PART I.	FINANCIAL INFORMATION

Item 1.	Financial Statements

	Condensed Consolidated Balance Sheets -
	As of March 31, 2010 (Unaudited) and December 31, 2009	4

	Condensed Consolidated Statements of Operations -
	Three months ended March 31, 2010 and 2009 (Unaudited)	5

	Condensed Consolidated Statement of Equity -
	Three months ended March 31, 2010 (Unaudited)	6

	Condensed Consolidated Statements of Cash Flows -
	Three months ended March 31, 2010 and 2009 (Unaudited)	7

	Notes to Condensed Consolidated Financial Statements (Unaudited)	8

Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	19

Item 3.	Quantitative and Qualitative Disclosures About Market Risk	35

Item 4.	Controls and Procedures	36


PART II.	OTHER INFORMATION

Item 1.	Legal Proceedings	36

Item 1A.	Risk Factors	36

Item 6.	Exhibits	36

Signatures		37

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PA RT I. FINANCIAL INFORMATION

Ite m 1. Financial Statements

BRO OKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except stock amounts)

	March 31, 2010			December 31, 2009
Assets	(Unaudited)
Current assets
Cash and cash equivalents	$	65,613		$	66,370
Cash and escrow deposits — restricted		126,104			109,977
Accounts receivable, net		91,195			82,604
Deferred tax asset		7,688			7,688
Prepaid expenses and other current assets, net		56,405			50,782
Total current assets		347,005			317,421
Property, plant and equipment and leasehold intangibles, net		3,816,127			3,857,774
Cash and escrow deposits — restricted		87,519			73,090
Investment in unconsolidated ventures		21,239			20,512
Goodwill		109,730			109,835
Other intangible assets, net		189,350			198,043
Other assets, net		67,087			69,268
Total assets	$	4,638,057		$	4,645,943

Liabilities and Stockholders’ Equity
Current liabilities
Current portion of long-term debt	$	150,129		$	166,185
Trade accounts payable		42,680			51,612
Accrued expenses		167,252			170,044
Refundable entrance fees and deferred revenue		299,597			287,953
Tenant security deposits		12,545			13,515
Total current liabilities		672,203			689,309
Long-term debt, less current portion		2,464,538			2,459,341
Line of credit		15,000			―
Deferred entrance fee revenue		75,105			72,026
Deferred liabilities		150,740			148,690
Deferred tax liability		132,248			140,313
Other liabilities		50,685			49,682
Total liabilities		3,560,519			3,559,361

Stockholders’ Equity
Preferred stock, $0.01 par value, 50,000,000 shares authorized at March 31, 2010 and December 31, 2009; no shares issued and outstanding		—			—
Common stock, $0.01 par value, 200,000,000 shares authorized at March 31, 2010 and December 31, 2009; 124,400,944 and 124,417,940 shares issued and 123,189,643 and 123,206,639 shares outstanding (including 3,822,560 and 3,915,330 unvested restricted shares), respectively		1,232			1,232
Additional paid-in-capital		1,887,495			1,882,377
Treasury stock, at cost; 1,211,301 shares at March 31, 2010 and December 31, 2009		(29,187	)		(29,187	)
Accumulated deficit		(781,270	)		(766,975	)
Accumulated other comprehensive loss		(732	)		(865	)
Total stockholders’ equity		1,077,538			1,086,582
Total liabilities and stockholders’ equity	$	4,638,057		$	4,645,943

See accompanying notes to condensed consolidated financial statements.

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BRO OKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited, in thousands, except per share data)

	Three Months Ended March 31,
	2010			2009
Revenue
Resident fees	$	543,029		$	496,229
Management fees		1,395			1,717
Total revenue		544,424			497,946

Expense
Facility operating expense (excluding depreciation and amortization of $52,033 and $45,693, respectively)		355,324			318,112
General and administrative expense (including non-cash stock-based compensation expense of $4,871 and $6,809, respectively)		31,952			33,707
Facility lease expense		68,249			67,741
Depreciation and amortization		73,061			68,133
Total operating expense		528,586			487,693
Income from operations		15,838			10,253

Interest income		627			820
Interest expense:
Debt		(33,280	)		(32,821	)
Amortization of deferred financing costs and debt discount		(2,596	)		(1,542	)
Change in fair value of derivatives and amortization		(2,640	)		(4,285	)
Loss on extinguishment of debt, net		(19	)		—
Equity in earnings of unconsolidated ventures		397			595
Other non-operating income		―			4,232
Loss before income taxes		(21,673	)		(22,748	)
Benefit for income taxes		7,378			9,112
Net loss	$	(14,295	)	$	(13,636	)

Basic and diluted net loss per share	$	(0.12	)	$	(0.13	)

Weighted average shares used in computing basic and diluted net loss per share		119,315			101,738

See accompanying notes to condensed consolidated financial statements.

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BR OOKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED STATEMENT OF EQUITY

(Unaudited, in thousands)

	Common Stock
	Shares			Amount		Additional Paid-In- Capital		Treasury Stock			Accumulated Deficit			Accumulated Other Comprehensive Loss			Total
Balances at January 1, 2010		123,206		$	1,232	$	1,882,377	$	(29,187	)	$	(766,975	)	$	(865	)	$	1,086,582
Compensation expense related to restricted stock and restricted stock unit grants		―			―		4,871		―			―			―			4,871
Net loss		―			―		―		―			(14,295	)		―			(14,295	)
Issuance of common stock under Associate Stock Purchase Plan		13			―		247		―			―			―			247
Restricted stock, net		(29	)		―		―		―			―			―			―
Reclassification of net loss on derivatives into earnings		―			―		―		―			―			124			124
Amortization of payments from settlement of forward interest rate swaps		―			―		―		―			―			94			94
Other		―			―		―		―			―			(85	)		(85	)
Balances at March 31, 2010		123,190		$	1,232	$	1,887,495	$	(29,187	)	$	(781,270	)	$	(732	)	$	1,077,538

See accompanying notes to condensed consolidated financial statements.

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BRO OKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited, in thousands)

	Three Months Ended March 31,
	2010			2009
Cash Flows from Operating Activities
Net loss	$	(14,295	)	$	(13,636	)
Adjustments to reconcile net loss to net cash provided by operating activities:
Loss on extinguishment of debt		19			—
Depreciation and amortization		75,657			69,675
Equity in earnings of unconsolidated ventures		(397	)		(595	)
Distributions from unconsolidated ventures from cumulative share of net earnings		―			11
Amortization of deferred gain		(1,086	)		(1,086	)
Amortization of entrance fees		(5,739	)		(5,110	)
Proceeds from deferred entrance fee revenue		9,550			4,872
Deferred income tax benefit		(8,200	)		(8,194	)
Change in deferred lease liability		3,136			4,248
Change in fair value of derivatives and amortization		2,640			4,285
Loss (gain) on sale of assets		144			(4,455	)
Non-cash stock-based compensation		4,871			6,809
Changes in operating assets and liabilities:
Accounts receivable, net		(7,073	)		(3,118	)
Prepaid expenses and other assets, net		(4,429	)		(1,887	)
Accounts payable and accrued expenses		(11,825	)		4,966
Tenant refundable fees and security deposits		(1,298	)		(370	)
Deferred revenue		8,365			15,057
Other		(2,911	)		(2,715	)
Net cash provided by operating activities		47,129			68,757

Cash Flows from Investing Activities
Decrease in lease security deposits and lease acquisition deposits, net		801			1,480
Increase in cash and escrow deposits — restricted		(30,556	)		(57,897	)
Additions to property, plant and equipment and leasehold intangibles, net of related payables		(23,102	)		(33,491	)
Payment on (issuance of) notes receivable, net		512			(36	)
Investment in unconsolidated ventures		(848	)		(1,106	)
Distributions received from unconsolidated ventures		47			525
Proceeds from sale of assets		1,487			―
Proceeds from sale leaseback transaction		―			9,166
Proceeds from sale of unconsolidated venture		―			8,843
Other		(316	)		―
Net cash used in investing activities		(51,975	)		(72,516	)

Cash Flows from Financing Activities
Proceeds from debt		49,108			26,521
Repayment of debt and capital lease obligation		(58,923	)		(10,403	)
Proceeds from line of credit		45,000			60,446
Repayment of line of credit		(30,000	)		(64,899	)
Payment of financing costs, net of related payables		(2,776	)		(6,895	)
Other		(181	)		(279	)
Refundable entrance fees:
Proceeds from refundable entrance fees		8,442			3,638
Refunds of entrance fees		(5,762	)		(5,836	)
Cash portion of loss on extinguishment of debt		(179	)		—
Recouponing and payment of swap termination		(640	)		—
Net cash provided by financing activities		4,089			2,293
Net decrease in cash and cash equivalents		(757	)		(1,466	)
Cash and cash equivalents at beginning of period		66,370			53,973
Cash and cash equivalents at end of period	$	65,613		$	52,507
Supplemental Disclosure of Cash Flow Information:
Interest paid	$	32,822		$	32,588
Income taxes paid	$	5		$	227

See accompanying notes to condensed consolidated financial statements.

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BRO OKDALE SENIOR LIVING INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

1. Description of Business

Brookdale Senior Living Inc. (“Brookdale” or the “Company”) is a leading owner and operator of senior living communities throughout the United States. The Company provides an exceptional living experience through properties that are designed, purpose-built and operated to provide the highest quality service, care and living accommodations for residents. The Company owns, leases and operates retirement centers, assisted living and dementia-care communities and continuing care retirement centers (“CCRCs”).

2. Summary of Significant Accounting Policies

Basis of Presentation

The accompanying unaudited interim condensed consolidated financial statements have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission for quarterly reports on Form 10-Q. In the opinion of management, these financial statements include all adjustments necessary to present fairly the financial position, results of operations and cash flows of the Company as of March 31, 2010, and for all periods presented. The condensed consolidated financial statements are prepared on the accrual basis of accounting. All adjustments made have been of a normal and recurring nature. Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted. The Company believes that the disclosures included are adequate and provide a fair presentation of interim period results. Interim financial statements are not necessarily indicative of the financial position or operating results for an entire year. It is suggested that these interim financial statements be read in conjunction with the audited financial statements and the notes thereto, together with management’s discussion and analysis of financial condition and results of operations, included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2009, as filed with the Securities and Exchange Commission.

Revenue Recognition

Resident Fees

Resident fee revenue is recorded when services are rendered and consist of fees for basic housing, support services and fees associated with additional services such as personalized health and assisted living care. Residency agreements are generally for a term of 30 days to one year, with resident fees billed monthly in advance. Revenue for certain skilled nursing services and ancillary charges is recognized as services are provided and is billed monthly in arrears.

Entrance Fees

Certain of the Company’s communities have residency agreements which require the resident to pay an upfront fee prior to occupying the community. In addition, in connection with the Company’s MyChoice program, new and existing residents are allowed to pay additional entrance fee amounts in return for a reduced monthly service fee. The non-refundable portion of the entrance fee is recorded as deferred revenue and amortized over the estimated stay of the resident based on an actuarial valuation. The refundable portion of a resident’s entrance fee is generally refundable within a certain number of months or days following contract termination or in certain agreements, upon the resale of the resident’s unit or a comparable unit or 12 months after the resident vacates the unit. In such instances the refundable portion of the fee is not amortized and included in refundable entrance fees and deferred revenue.

Certain contracts require the refundable portion of the entrance fee plus a percentage of the appreciation of the unit, if any, to be refunded only upon resale of a comparable unit (“contingently refundable”). Upon resale the Company may receive reoccupancy proceeds in the form of additional contingently refundable fees, refundable fees, or non-refundable fees. The Company estimates the amount of reoccupancy proceeds to be received from additional

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contingently refundable fees or non-refundable fees and records such amount as deferred revenue. The deferred revenue is amortized over the life of the community and was approximately $61.4 million and $61.8 million at March 31, 2010 and December 31, 2009, respectively. All remaining contingently refundable fees not recorded as deferred revenue and amortized are included in refundable entrance fees and deferred revenue.

All refundable amounts due to residents at any time in the future, including those recorded as deferred revenue, are classified as current liabilities.

The non-refundable portion of entrance fees expected to be earned and recognized in revenue in one year is recorded as a current liability. The balance of the non-refundable portion is recorded as a long-term liability.

Community Fees

Substantially all community fees received are non-refundable and are recorded initially as deferred revenue. The deferred amounts, including both the deferred revenue and the related direct resident lease origination costs, are amortized over the estimated stay of the resident which is consistent with the implied contractual terms of the resident lease.

Management Fees

Management fee revenue is recorded as services are provided to the owners of the communities. Revenues are determined by an agreed upon percentage of gross revenues (as defined).

Fair Value of Financial Instruments

Cash and cash equivalents, cash and escrow deposits-restricted and derivative financial instruments are reflected in the accompanying condensed consolidated balance sheets at amounts considered by management to reasonably approximate fair value. Management estimates the fair value of its long-term debt using a discounted cash flow analysis based upon the Company’s current borrowing rate for debt with similar maturities and collateral securing the indebtedness. The Company had outstanding debt with a carrying value of $2.6 billion as of March 31, 2010 and December 31, 2009. The fair value of debt both as of March 31, 2010 and December 31, 2009 was $2.6 billion.

The Financial Accounting Standards Board (FASB) issued Accounting Standards Codification (“ASC”) 820 – Fair Value Measurements (“ASC 820”), which establishes a three-level valuation hierarchy for disclosure of fair value measurements. The valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability as of the measurement date. A financial instrument’s categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement. The three levels are defined as follows:

Level 1 – Inputs to the valuation methodology are quoted prices (unadjusted) for identical assets or liabilities in active markets.

Level 2 – Inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the financial instrument.

Level 3 – Inputs to the valuation methodology are unobservable and significant to the fair value measurement.

The Company’s derivative positions are valued using models developed internally by the respective counterparty that use as their basis readily observable market parameters (such as forward yield curves) and are classified within Level 2 of the valuation hierarchy.

The Company considers its own credit risk as well as the credit risk of its counterparties when evaluating the fair value of its derivatives. Any adjustments resulting from credit risk are recorded as a change in fair value of derivatives and amortization in the current period statement of operations (Note 12).

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Self-Insurance Liability Accruals

The Company is subject to various legal proceedings and claims that arise in the ordinary course of its business. Although the Company maintains general liability and professional liability insurance policies for its owned, leased and managed communities under a master insurance program, the Company’s current policy provides for deductibles for each and every claim ($250,000 effective January 1, 2009 and $150,000 effective January 1, 2010). As a result, the Company is, in effect, self-insured for claims that are less than $150,000. In addition, the Company maintains a self-insured workers compensation program and a self-insured employee medical program for amounts below excess loss coverage amounts, as defined. The Company reviews the adequacy of its accruals related to these liabilities on an ongoing basis, using historical claims, actuarial valuations, third party administrator estimates, consultants, advice from legal counsel and industry data, and adjusts accruals periodically. Estimated costs related to these self-insurance programs are accrued based on known claims and projected claims incurred but not yet reported. Subsequent changes in actual experience are monitored and estimates are updated as information is available.

Treasury Stock

The Company accounts for treasury stock under the cost method and includes treasury stock as a component of stockholders’ equity.

New Accounting Pronouncements

In January 2010, the Company adopted the amendment in ASC 820, requiring new fair value disclosures on fair value measurements for all nonfinancial assets and liabilities, including separate disclosure of significant transfers into and out of Level 3 and the reasons for the transfer, the amount of transfers between Level 1 and Level 2 and the reasons for the transfers, lower level of disaggregation for fair value disclosures (by class rather than major category) and additional details on the valuation techniques and inputs used to determine Level 2 and Level 3 measurements. Other than the required disclosures, the adoption of the guidance had no impact on the condensed consolidated financial statements.

In January 2010, the Company adopted amendments to the variable interest consolidation model in ASC 810, Consolidation . The amendments were applied to all structures in place at the date of adoption. Key amendment changes include: the scope exception for qualifying special purpose entities was eliminated, consideration of kick-out and participation rights in variable interest entity determination, qualitative analysis considerations for primary beneficiary determination, changes in related party considerations, and certain disclosure changes. The Company considered the amendments in accounting for its joint ventures and determined that the amendments had no impact on its current accounting.

Dividends

On December 30, 2008, the Company’s board of directors voted to suspend the Company’s quarterly cash dividend indefinitely.

Reclassifications

Certain prior period amounts have been reclassified to conform to the current financial statement presentation, with no effect on the Company’s condensed consolidated financial position or results of operations.

3. Earnings Per Share

Basic earnings per share (“EPS”) is calculated by dividing net income by the weighted average number of shares of common stock outstanding. Diluted EPS includes the components of basic EPS and also gives effect to dilutive common stock equivalents. For purposes of calculating basic and diluted earnings per share, vested restricted stock awards are considered outstanding. Under the treasury stock method, diluted EPS reflects the potential dilution that could occur if securities or other instruments that are convertible into common stock were exercised or could result

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in the issuance of common stock. Potentially dilutive common stock equivalents include unvested restricted stock and restricted stock units.

During the three months ended March 31, 2010 and March 31, 2009, the Company reported a consolidated net loss. As a result of the net loss, unvested restricted stock and restricted stock unit awards were antidilutive for each period and were not included in the computation of diluted weighted average shares. The weighted average restricted stock and restricted stock unit grants excluded from the calculations of diluted net loss per share were 1.8 million and 1.0 million for the three months ended March 31, 2010 and 2009, respectively.

4. Stock-Based Compensation

The Company recorded $4.9 million and $6.8 million of compensation expense in connection with grants of restricted stock and restricted stock units for the three months ended March 31, 2010 and 2009, respectively. For the three months ended March 31, 2010 and 2009, compensation expense was calculated net of forfeitures estimated from 0% to 5% and 0% to 6%, respectively, of the shares granted.

For all awards with graded vesting other than awards with performance-based vesting conditions, the Company records compensation expense for the entire award on a straight-line basis over the requisite service period. For graded-vesting awards with performance-based vesting conditions, total compensation expense is recognized over the requisite service period for each separately vesting tranche of the award as if the award is, in substance, multiple awards once the performance target is deemed probable of achievement. Performance goals are evaluated quarterly. If such goals are not ultimately met or it is not probable the goals will be achieved, no compensation expense is recognized and any previously recognized compensation expense is reversed.

During 2009, the Company issued restricted stock units to its Chief Executive Officer. Under the terms of the award agreement, upon vesting, each restricted stock unit represents the right to receive one share of the Company’s common stock.

Current year grants of restricted shares under the Company’s Omnibus Stock Incentive Plan were as follows (amounts in thousands except for value per share):

Shares Granted

Value Per Share

Total Value

Three months ended March 31, 2010

$17.95 – $18.19

1,151

The Company has an employee stock purchase plan for all eligible employees. The plan became effective on October 1, 2008. Under the plan, eligible employees of the Company can purchase shares of the Company’s common stock on a quarterly basis at a discounted price through accumulated payroll deductions. Each eligible employee may elect to deduct up to 15% of his or her base pay each quarter. Subject to certain limitations specified in the plan, on the last trading date of each calendar quarter, the amount deducted from each participant’s pay over the course of the quarter will be used to purchase whole shares of the Company’s common stock at a purchase price equal to 90% of the closing market price on the New York Stock Exchange on such date. Initially, the Company reserved 1,000,000 shares of common stock for issuance under the plan. The employee stock purchase plan also contains an “evergreen” provision that automatically increases the number of shares reserved for issuance under the plan by 200,000 shares on the first day of each calendar year beginning January 1, 2010. The impact on the Company’s current year condensed consolidated financial statements is not material.

5. Goodwill and Other Intangible Assets, Net

Following is a summary of changes in the carrying amount of goodwill for the three months ended March 31, 2010 presented on an operating segment basis (dollars in thousands):

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	Retirement Centers		Assisted Living			Total
Balance at December 31, 2009	$	7,155	$	102,680		$	109,835
Adjustments		—		(105	)		(105	)
Balance at March 31, 2010	$	7,155	$	102,575		$	109,730

Goodwill is tested for impairment annually with a test date of October 1 or sooner if indicators of impairment are present. No indicators of impairment were present during the three months ended March 31, 2010.

Intangible assets with definite useful lives are amortized over their estimated lives and are tested for impairment whenever indicators of impairment arise. The following is a summary of other intangible assets at March 31, 2010 and December 31, 2009 (dollars in thousands):

	March 31, 2010							December 31, 2009
	Gross Carrying Amount		Accumulated Amortization			Net		Gross Carrying Amount		Accumulated Amortization			Net
Community purchase options	$	147,682	$	(11,094	)	$	136,588	$	147,682	$	(10,169	)	$	137,513
Management contracts and other		158,041		(117,107	)		40,934		158,041		(109,323	)		48,718
Home health licenses		11,828		—			11,828		11,812		—			11,812
Total	$	317,551	$	(128,201	)	$	189,350	$	317,535	$	(119,492	)	$	198,043

Amortization expense related to definite-lived intangible assets for the three months ended March 31, 2010 and 2009 was $8.7 million and $8.9 million, respectively.

6. Property, Plant and Equipment and Leasehold Intangibles, Net

Property, plant and equipment and leasehold intangibles, net, which include assets under capital leases, consist of the following (dollars in thousands):

	March 31, 2010			December 31, 2009
Land	$	271,587		$	272,737
Buildings and improvements		2,979,971			2,968,659
Furniture and equipment		347,898			334,553
Resident and operating lease intangibles		601,663			599,618
Construction in progress		14,649			17,702
Assets under capital and financing leases		604,677			606,224
		4,820,445			4,799,493
Accumulated depreciation and amortization		(1,004,318	)		(941,719	)
Property, plant and equipment and leasehold intangibles, net	$	3,816,127		$	3,857,774

7. Debt

Long-term Debt, Capital Leases and Financing Obligations

Long-term debt, capital leases and financing obligations consist of the following (dollars in thousands):

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	March 31, 2010			December 31, 2009
Mortgage notes payable due 2010 through 2020; weighted average interest rate of 4.78% for the three months ended March 31, 2010 (weighted average interest rate of 4.70% in 2009)	$	1,410,656		$	1,416,732
$150,000 Series A notes payable, secured by five communities and by a $3.0 million letter of credit, bearing interest at LIBOR plus 0.88%, payable in monthly installments of interest only until August 2011 and payable in monthly installments of principal and interest through maturity in August 2013		150,000			150,000
Mortgages payable due 2012; weighted average interest rate of 5.64% for the three months ended March 31, 2010 (weighted average interest rate of 5.64% in 2009), payable interest only through July 2010 and payable in monthly installments of principal and interest through maturity in July 2012, secured by the underlying assets of the portfolio		212,407			212,407
Discount mortgage note payable due 2013, weighted average interest rate of 2.46% for the three months ended March 31, 2010 (weighted average interest rate of 2.45% in 2009), net of debt discount of $6.8 million		78,793			78,631
Variable rate tax-exempt bonds credit-enhanced by Fannie Mae; weighted average interest rate of 1.73% for the three months ended March 31, 2010 (weighted average interest rate of 1.84% in 2009), due 2032, payable interest only until maturity, secured by the underlying assets of the portfolio		100,841			100,841
Capital and financing lease obligations payable through 2023; weighted average interest rate of 8.75% for the three months ended March 31, 2010 (weighted average interest rate of 8.74% in 2009)		346,790			351,735
Mortgage note, bearing interest at a variable rate of LIBOR plus 0.70%, payable interest only through maturity in August 2012. The note is secured by 15 of the Company’s communities and an $11.5 million guaranty by the Company		315,180			315,180
Total debt		2,614,667			2,625,526
Less current portion		(150,129	)		(166,185	)
Total long-term debt	$	2,464,538		$	2,459,341

Credit Facilities

As of January 1, 2010, the Company had an available secured line of credit of $75.0 million (including a $25.0 million letter of credit sublimit) and secured and unsecured letter of credit facilities of up to $78.5 million in the aggregate. The line of credit bore interest at a rate of 6.0% and was scheduled to mature on August 31, 2010. No amounts were borrowed under the secured line of credit during 2010.

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2010 Credit Facility

Effective February 23, 2010, the Company terminated the $75.0 million revolving credit facility with Bank of America, N.A. and entered into a credit agreement with General Electric Capital Corporation, as administrative agent and lender, and the other lenders from time to time parties thereto. The new facility had an initial commitment of $100.0 million, with an option to increase the commitment to $120.0 million (which the Company exercised on May 5, 2010), and is scheduled to mature on June 30, 2013.

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

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

Amounts drawn under the facility will bear interest at 90-day LIBOR plus an applicable margin, as described below. For purposes of determining the interest rate, in no event shall LIBOR be less than 2.0%. The applicable margin varies with the percentage of the total commitment drawn, with a 4.5% margin at 35% or lower utilization, a 5.0% margin at utilization greater than 35% but less than or equal to 50%, and a 5.5% margin at greater than 50% utilization. The Company is also required to pay a quarterly commitment fee of 1.0% per annum on the unused portion of the facility.

In connection with entering into the new credit agreement, the Company repaid approximately $34.2 million of outstanding mortgage debt on certain communities that were used to collateralize the new facility.

As of March 31, 2010, the Company had an available secured line of credit with a $100.0 million commitment ($120.0 million as of May 5, 2010) and secured and unsecured letter of credit facilities of up to $78.5 million in the aggregate. As of March 31, 2010, $15.0 million was outstanding under the revolving loan facility and $66.9 million of letters of credit had been issued under the secured and unsecured letter of credit facilities.

Financings

On February 25, 2010, the Company obtained a $44.6 million first mortgage loan, secured by five communities that the Company acquired in November 2009. The loan bears interest at a fixed rate of 6.33% and matures in March 2020. In connection with the transaction, the Company repaid $13.3 million of debt that had been assumed at the time of closing of the acquisition.

As of March 31, 2010, the Company is in compliance with the financial covenants of its outstanding debt and lease agreements.

Interest Rate Swaps and Caps

In the normal course of business, a variety of financial instruments are used to manage or hedge interest rate risk. Interest rate protection and swap agreements were entered into to effectively cap or convert floating rate debt to a fixed rate basis, as well as to hedge anticipated future financing transactions. Pursuant to the hedge agreements, the Company is required to secure its obligation to the counterparty if the fair value liability exceeds a specified threshold. Cash collateral pledged to the Company’s counterparties was $17.7 million and $16.2 million as of March 31, 2010 and December 31, 2009, respectively.

All derivative instruments are recognized as either assets or liabilities in the condensed consolidated balance sheets at fair value. The change in mark-to-market of the value of the derivative is recorded as an adjustment to income or other comprehensive loss depending on whether it has been designated and qualifies as an accounting hedge.

Derivative contracts are not entered into for trading or speculative purposes. Furthermore, the Company has a policy of only entering into contracts with major financial institutions based upon their credit rating and other

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factors. Under certain circumstances, the Company may be required to replace a counterparty in the event that the counterparty does not maintain a specified credit rating.

The following table summarizes the Company’s swap instruments at March 31, 2010 (dollars in thousands):

Current notional balance	$	351,840
Highest possible notional	$	351,840
Lowest interest rate		3.24	%
Highest interest rate		4.47	%
Average fixed rate		3.74	%
Earliest maturity date		2011
Latest maturity date		2014
Weighted average original maturity	4.7 years
Estimated liability fair value (included in other liabilities at March 31, 2010)	$	(18,233	)
Estimated liability fair value (included in other liabilities at December 31, 2009)	$	(16,950	)
Estimated asset fair value (included in other assets, net at March 31, 2010)	$	—
Estimated asset fair value (included in other assets, net at December 31, 2009)	$	—

The following table summarizes the Company’s cap instruments at March 31, 2010 (dollars in thousands):

Current notional balance	$	811,365
Highest possible notional	$	811,365
Lowest interest rate		4.96	%
Highest interest rate		6.50	%
Average fixed rate		5.94	%
Earliest maturity date		2011
Latest maturity date		2012
Weighted average original maturity	3.6 years
Estimated liability fair value (included in other liabilities at March 31, 2010)	$	—
Estimated liability fair value (included in other liabilities at December 31, 2009)	$	—
Estimated asset fair value (included in other assets, net at March 31, 2010)	$	261
Estimated asset fair value (included in other assets, net at December 31, 2009)	$	1,221

The fair value of the Company’s interest rate swaps and caps decreased $2.6 million and $4.3 million for the three months ended March 31, 2010 and 2009, respectively. This is included as a component of interest expense in the condensed consolidated statements of operations.

8. Litigation

The Company has been and is currently involved in litigation and claims incidental to the conduct of its business which are comparable to other companies in the senior living industry. Certain claims and lawsuits allege large damage amounts and may require significant costs to defend and resolve. Similarly, the senior living industry is continuously subject to scrutiny by governmental regulators, which could result in litigation related to regulatory compliance matters. As a result, the Company maintains insurance policies in amounts and with coverage and deductibles the Company believes are adequate, based on the nature and risks of its business, historical experience and industry standards. Effective January 1, 2010, the Company’s current policies provide for deductibles of $150,000 for each claim. Accordingly, the Company is, in effect, self-insured for claims that are less than $150,000.

9. Facility Operating Leases

A summary of facility lease expense and the impact of straight-line adjustment and amortization of deferred gains are as follows (dollars in thousands):

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	Three Months Ended March 31,
	2010			2009
Cash basis payment	$	66,199		$	64,579
Straight-line expense		3,136			4,248
Amortization of deferred gain		(1,086	)		(1,086	)
Facility lease expense	$	68,249		$	67,741

10. Other Comprehensive Loss, Net

The following table presents the after-tax components of the Company’s other comprehensive loss for the periods presented (dollars in thousands):

	Three Months Ended March 31,
	2010			2009
Net loss	$	(14,295	)	$	(13,636	)
Reclassification of net loss on derivatives out of earnings		124			123
Amortization of payments from settlement of forward interest rate swaps		94			94
Other		(85	)		85
Total comprehensive loss	$	(14,162	)	$	(13,334	)

11. Income Taxes

The Company’s effective tax rates for the three months ended March 31, 2010 and 2009 are 34.0% and 40.1%, respectively. The difference in the effective rate between these periods is primarily due to an increase in non-deductible compensation under Section 162(m) of the Internal Revenue Code. The difference between the rates was also positively impacted by the income that was recorded in the March 31, 2009 financials for the release of an ASC 740 – Income Taxes reserve due to an audit closure.

The Company recorded additional interest charges related to its tax contingency reserve for the three months ended March 31, 2010. Tax returns for years 2007 and 2008 are subject to future examination by tax authorities. In addition, certain tax returns are open from 2000 through 2006 to the extent of the net operating losses generated during those periods.

12. Fair Value Measurements

The following table provides the Company’s derivative assets and liabilities carried at fair value as measured on a recurring basis as of March 31, 2010 (dollars in thousands):

	Total Carrying Value			Quoted prices in active markets (Level 1)		Significant other observable inputs (Level 2)			Significant unobservable inputs (Level 3)
Derivative assets	$	261		$	—	$	261		$	—
Derivative liabilities		(18,233	)		—		(18,233	)		—
	$	(17,972	)	$	—	$	(17,972	)	$	—

The Company’s derivative assets and liabilities include interest rate swaps and caps that effectively convert a portion of the Company’s variable rate debt to fixed rate debt. The derivative positions are valued using models developed internally by the respective counterparty that use as their basis readily observable market parameters (such as forward yield curves) and are classified within Level 2 of the valuation hierarchy.

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13. Segment Information

The Company currently has four reportable segments: retirement centers; assisted living; CCRCs; and management services. These segments were determined based on the way that the Company’s chief operating decision makers organize the Company’s business activities for making operating decisions and assessing performance.

Retirement Centers . Retirement center communities are primarily designed for middle to upper income senior citizens age 70 and older who desire an upscale residential environment providing the highest quality of service. The majority of the Company’s retirement center communities consist of both independent living and assisted living units in a single community, which allows residents to “age-in-place” by providing them with a continuum of senior independent and assisted living services.

Assisted Living. Assisted living communities offer housing and 24-hour assistance with activities of daily life to mid-acuity frail and elderly residents. The Company’s assisted living communities include both freestanding, multi-story communities and freestanding single story communities. The Company also operates memory care communities, which are freestanding assisted living communities specially designed for residents with Alzheimer’s disease and other dementias.

CCRCs. CCRCs are large communities that offer a variety of living arrangements and services to accommodate all levels of physical ability and health. Most of the Company’s CCRCs have retirement centers, assisted living and skilled nursing available on one campus, and some also include memory care and Alzheimer’s units.

Management Services. The Company’s management services segment includes communities owned by others and operated by the Company pursuant to management agreements. Under the management agreements for these communities, the Company receives management fees as well as reimbursed expenses, which represent the reimbursement of certain expenses it incurs on behalf of the owners.

The accounting policies of reportable segments are the same as those described in the summary of significant accounting policies.

The following table sets forth certain segment financial and operating data (dollars in thousands):

	Three Months Ended March 31,
	2010		2009
Revenue (1)
Retirement Centers	$	131,583	$	123,243
Assisted Living		251,496		229,075
CCRCs		159,950		143,911
Management Services		1,395		1,717
	$	544,424	$	497,946
Segment operating income (2)
Retirement Centers	$	53,185	$	52,136
Assisted Living		88,786		83,295
CCRCs		45,734		42,686
Management Services		977		1,202
	$	188,682	$	179,319

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General and administrative (including non-cash stock-based compensation expense) (3)	$	31,534	$	33,192
Facility lease expense		68,249		67,741
Deprecation and amortization		73,061		68,133
Income from operations	$	15,838	$	10,253

	As of

	March 31, 2010		December 31, 2009
Total assets
Retirement Centers	$	1,101,928	$	1,109,794
Assisted Living		1,497,378		1,519,693
CCRCs		1,681,946		1,685,832
Corporate and Management Services		356,805		330,624
Total assets	$	4,638,057	$	4,645,943

(1)	All revenue is earned from external third parties in the United States.

(2)	Segment operating income is defined as segment revenues less segment operating expenses (excluding depreciation and amortization).

(3)	Net of general and administrative costs allocated to management services reporting segment.

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Ite m 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

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

Certain statements in this Quarterly Report on Form 10-Q and other information we provide from time to time may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Those forward-looking statements include all statements that are not historical statements of fact and those regarding our intent, belief or expectations, including, but not limited to, statements relating to our operational initiatives and our expectations regarding their effect on our results; our expectations regarding occupancy, revenue, cash flow, expense levels, the demand for senior housing, expansion activity, acquisition opportunities and asset dispositions; our belief regarding our growth prospects; our ability to secure financing or repay, replace or extend existing debt at or prior to maturity; our ability to remain in compliance with all of our debt and lease agreements (including the financial covenants contained therein); our expectations regarding liquidity; our plans to deleverage; our expectations regarding financings and refinancings of assets (including the timing thereof); our plans to generate growth organically through occupancy improvements, increases in annual rental rates and the achievement of operating efficiencies and cost savings; our plans to expand our offering of ancillary services (therapy and home health); our plans to expand existing communities; the expected project costs for our expansion program; our plans to acquire additional communities, asset portfolios, operating companies and home health agencies; our expected levels of expenditures and reimbursements (and the timing thereof); our expectations for the performance of our entrance fee communities; our ability to anticipate, manage and address industry trends and their effect on our business; our expectations regarding the payment of dividends; and our ability to increase revenues, earnings, Adjusted EBITDA, Cash From Facility Operations, and/or Facility Operating Income (as such terms are defined herein). Words such as “anticipate(s)”, “expect(s)”, “intend(s)”, “plan(s)”, “target(s)”, “project(s)”, “predict(s)”, “believe(s)”, “may”, “will”, “would”, “could”, “should”, “seek(s)”, “estimate(s)” and similar expressions are intended to identify such forward-looking statements. These statements are based on management’s current expectations and beliefs and are subject to a number of risks and uncertainties that could lead to actual results differing materially from those projected, forecasted or expected. Although we believe that the assumptions underlying the forward-looking statements are reasonable, we can give no assurance that our expectations will be attained. Factors which could have a material adverse effect on our operations and future prospects or which could cause actual results to differ materially from our expectations include, but are not limited to, the risk associated with the current global economic crisis and its impact upon capital markets and liquidity; our inability to extend (or refinance) debt (including our credit and letter of credit facilities) as it matures; the risk that we may not be able to satisfy the conditions precedent to exercising the extension options associated with certain of our debt agreements; events which adversely affect the ability of seniors to afford our monthly resident fees or entrance fees; the conditions of housing markets in certain geographic areas; our ability to generate sufficient cash flow to cover required interest and long-term operating lease payments; the effect of our indebtedness and long-term operating leases on our liquidity; the risk of loss of property pursuant to our mortgage debt and long-term lease obligations; the possibilities that changes in the capital markets, including changes in interest rates and/or credit spreads, or other factors could make financing more expensive or unavailable to us; the risk that we may be required to post additional cash collateral in connection with our interest rate swaps; the risk that continued market deterioration could jeopardize the performance of certain of our counterparties’ obligations; changes in governmental reimbursement programs; our limited operating history on a combined basis; our ability to effectively manage our growth; our ability to maintain consistent quality control; delays in obtaining regulatory approvals; our ability to complete acquisitions and integrate them into our operations; competition for the acquisition of assets; our ability to obtain additional capital on terms acceptable to us; a decrease in the overall demand for senior housing; our vulnerability to economic downturns; acts of nature in certain geographic areas; terminations of our resident agreements and vacancies in the living spaces we lease; increased competition for skilled personnel; increased union activity; departure of our key officers; increases in market interest rates; environmental contamination at any of our facilities; failure to comply with existing environmental laws; an adverse determination or resolution of complaints filed against us; the cost and difficulty of complying with increasing and evolving regulation; and other risks detailed from time to time in our filings with the Securities and Exchange Commission, press releases and other communications, including those set forth under “Risk Factors” included in our Annual Report on Form 10-K for the year ended December 31, 2009. Such forward-looking statements speak only as of the date of this Quarterly Report. We expressly disclaim any obligation to release publicly any updates or revisions to any forward-looking

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statements contained herein to reflect any change in our expectations with regard thereto or change in events, conditions or circumstances on which any statement is based.

Executive Overview

During the first quarter of 2010, we continued to make progress in implementing our long-term growth strategy, integrating previous acquisitions, and building a platform for future growth. Our primary long-term growth objectives are to grow our revenues, Adjusted EBITDA, Cash From Facility Operations and Facility Operating Income primarily through a combination of: (i) organic growth in our core business, including expense control and the realization of economies of scale; (ii) continued expansion of our ancillary services programs (including therapy and home health services); (iii) expansion of our existing communities; and (iv) acquisitions of additional operating companies and communities.

Our operating results for the three months ended March 31, 2010 were favorably impacted by an increase in our total revenues (primarily driven by an increase in average monthly revenue per unit, including an increase in our ancillary services revenue, and the inclusion of revenue from recent acquisitions and expansions) and by the significant cost control measures that were implemented in recent periods. Although we have made significant progress in many areas of our business, the difficult operating environment has continued to result in occupancy rates that are lower than historical levels and diminished growth in the rates we charge our residents.

During the three months ended March 31, 2010, we also continued our efforts to strengthen our financial position. For example (and as discussed in more detail under “Credit Facilities - 2010 Credit Facility” below), during the first quarter of 2010, we entered into a new revolving credit facility. The new facility had an initial commitment of $100.0 million, with an option to increase the commitment to $120.0 million (which we exercised on May 5, 2010), and matures on June 30, 2013. The new facility replaced the $75.0 million revolving credit agreement with Bank of America, N.A. that was scheduled to expire in August 2010. As a result of our recent operating performance and the steps we have recently taken to improve our liquidity position, we ended the quarter with $65.6 million of unrestricted cash and cash equivalents on our consolidated balance sheet.

The table below presents a summary of our operating results and certain other financial metrics for the three months ended March 31, 2010 and 2009 and the amount and percentage of increase or decrease of each applicable item (dollars in millions).

	Three Months Ended March 31,						Increase (Decrease)
	2010			2009			Amount		Percent
Total revenues	$	544.4		$	497.9		$	46.5		9.3	%
Net loss	$	(14.3	)	$	(13.6	)	$	0.7		5.1	%
Adjusted EBITDA	$	96.3		$	85.9		$	10.4		12.1	%
Cash From Facility Operations	$	54.4		$	50.2		$	4.2		8.4	%
Facility Operating Income	$	182.0		$	173.0		$	9.0		5.2	%

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

Our revenues for the three months ended March 31, 2010 increased to $544.4 million, an increase of $46.5 million, or 9.3%, over our revenues for the three months ended March 31, 2009. The increase in revenues in the current year period was primarily a result of an increase in the average monthly revenue per unit compared to the prior year period, including growing revenues from our ancillary services programs, and the inclusion of revenue from recent acquisitions and expansions. Our weighted average occupancy rate for both the three months ended March 31, 2010 and 2009 was 86.6%. As described below, beginning with the first quarter of 2010, occupancy rates and average

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monthly revenue per unit are being reported using the average unit methodology. Occupancy rates and average monthly revenue per unit for all prior periods have been recast to conform to the current presentation.

During the three months ended March 31, 2010, our Adjusted EBITDA, Cash From Facility Operations and Facility Operating Income increased by 12.1%, 8.4% and 5.2%, respectively, when compared to the three months ended March 31, 2009.

During the three months ended March 31, 2010, we continued to expand our ancillary services offerings. As of March 31, 2010, we offered therapy services to over 37,000 of our units and home health services to over 22,000 of our units. We continue to see positive results from the maturation of previously-opened therapy and home health clinics. We also expect to continue to expand our ancillary services programs to additional units and to open or acquire additional home health agencies.

We believe that the deteriorating housing market, credit crisis and general economic uncertainty have caused some potential customers (or their adult children) to delay or reconsider moving into our communities, resulting in a decrease in occupancy rates and occupancy levels when compared to historical levels. We remain cautious about the economy and the adverse credit and financial markets and their effect on our customers and our business. In addition, we continue to experience volatility in the entrance fee portion of our business. The timing of entrance fee sales is subject to a number of different factors (including the ability of potential customers to sell their existing homes) and is also inherently subject to variability (positively or negatively) when measured over the short-term. These factors also impact our potential independent living customers to a significant extent. We expect occupancy and entrance fee sales to normalize over the longer term.

Consolidated Results of Operations

Three Months Ended March 31, 2010 and 2009

The following table sets forth, for the periods indicated, statements of operations items and the amount and percentage of increase or decrease of these items. The results of operations for any particular period are not necessarily indicative of results for any future period. The following data should be read in conjunction with our condensed consolidated financial statements and the related notes, which are included herein.

Beginning with the first quarter of 2010, occupancy rates and average monthly revenue per unit are reported using an average unit methodology based on a consistent treatment of units across all product lines, as compared to the historical method where occupancy was reported based upon unit calculations that varied by product line. Occupancy rates and average monthly revenue per unit for all prior periods have been recast to conform to the current presentation.

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

	Three Months Ended March 31,
	2010		2009		Increase (Decrease)			% Increase (Decrease)

Statement of Operations Data:
Revenue
Resident fees
Retirement Centers	$	131,583	$	123,243	$	8,340			6.8	%
Assisted Living		251,496		229,075		22,421			9.8	%
CCRCs		159,950		143,911		16,039			11.1	%
Total resident fees		543,029		496,229		46,800			9.4	%
Management fees		1,395		1,717		(322	)		(18.8	%)
Total revenue		544,424		497,946		46,478			9.3	%

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Expense
Facility operating expense
Retirement Centers		78,398			71,107			7,291		10.3	%
Assisted Living		162,710			145,780			16,930		11.6	%
CCRCs		114,216			101,225			12,991		12.8	%
Total facility operating expense		355,324			318,112			37,212		11.7	%
General and administrative expense		31,952			33,707			(1,755	)	(5.2	%)
Facility lease expense		68,249			67,741			508		0.7	%
Depreciation and amortization		73,061			68,133			4,928		7.2	%
Total operating expense		528,586			487,693			40,893		8.4	%
Income from operations		15,838			10,253			5,585		54.5	%
Interest income		627			820			(193	)	(23.5	%)
Interest expense
Debt		(33,280	)		(32,821	)		(459	)	(1.4	%)
Amortization of deferred financing costs and debt discount		(2,596	)		(1,542	)		(1,054	)	(68.4	%)
Change in fair value of derivatives and amortization		(2,640	)		(4,285	)		1,645		38.4	%
Equity in earnings of unconsolidated ventures		397			595			(198	)	(33.3	%)
Loss on extinguishment of debt, net		(19	)		—			(19	)	(100.0	%)
Other non-operating income		—			4,232			(4,232	)	(100.0	%)
Loss before income taxes		(21,673	)		(22,748	)		1,075		4.7	%
Benefit for income taxes		7,378			9,112			(1,734	)	(19.0	%)
Net loss	$	(14,295	)	$	(13,636	)	$	(659	)	(4.8	%)

Selected Operating and Other Data:
Total number of communities (at end of period)		564			548			16		2.9	%
Total units operated (1)		50,964			49,180			1,748		3.6	%
Owned/leased communities units		47,176			44,832			2,344		5.2	%
Owned/leased communities occupancy rate (weighted average) (2)		86.6	%		86.6	%		―		―
Average monthly revenue per unit (3)	$	4,386		$	4,215		$	171		4.1	%

Selected Segment Operating and Other Data:
Retirement Centers
Number of communities (period end)		80			77			3		3.9	%
Total units (1)		14,737			14,116			621		4.4	%
Occupancy rate (weighted average)		87.0	%		87.4	%		(0.4	%)	(0.5	%)
Average monthly revenue per unit (3)	$	3,419		$	3,331		$	88		2.6	%
Assisted Living
Number of communities (period end)		429			414			15		3.6	%
Total units (1)		21,152			20,084			1,068		5.3	%
Occupancy rate (weighted average)		87.6	%		86.2	%		1.4	%	1.6	%
Average monthly revenue per unit (3)	$	4,526		$	4,412		$	114		2.6	%
CCRCs
Number of communities (period end)		36			35			1		2.9	%
Total units (1)		11,287			10,632			655		6.2	%
Occupancy rate (weighted average) (2)		84.0	%		86.5	%		(2.5	%)	(2.9	%)
Average monthly revenue per unit (3)	$	5,421		$	5,030		$	391		7.8	%
Management Services
Number of communities (period end)		19			22			(3	)	(13.6	%)
Total units (1)		3,788			4,348			(560	)	(12.9	%)
Occupancy rate (weighted average)		83.4	%		86.0	%		(2.6	%)	(3.0	%)

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Selected Entrance Fee Data:
Non-refundable entrance fees sales	$	9,550		$	4,872
Refundable entrance fees sales		8,442			3,638
Total entrance fee receipts (4)		17,992			8,510
Refunds		(5,762	)		(5,836	)
Net entrance fees	$	12,230		$	2,674

__________

(1)	Total units operated represent the average units operated during the period, excluding equity homes.

(2)	Excluding the impact of current quarter expansion openings, for the three months ended March 31, 2010, owned/leased communities occupancy rate was 86.8% and CCRCs occupancy rate was 87.0%.

(3)	Average monthly revenue per unit represents the average of the total monthly revenues, excluding amortization of entrance fees, divided by average occupied units.

(4)	Includes $6.0 million of first generation entrance fee receipts (which represent initial entrance fees received from the sale of units at a newly opened entrance fee CCRC) during the three months ended March 31, 2010.

As of March 31, 2010, our total operations included 564 communities with a capacity of 50,964 units.

Resident Fees

The increase in resident fees occurred across all segments. Resident fees increased over the prior-year first quarter mainly due to an increase in average monthly revenue per unit during the current period, including an increase in our ancillary services revenue as we continue to roll out therapy and home health services to many of our communities, and the inclusion of revenue from recent acquisitions and expansions. During the current period, revenues grew 2.5% at the 514 communities we operated during both periods with a 2.5% increase in the average monthly revenue per unit excluding amortization of entrance fees in both instances. Occupancy remained constant period over period.

Retirement Centers revenue increased $8.3 million, or 6.8%, primarily due to the inclusion of acquisitions that occurred after the prior period and an increase in average monthly revenue per unit, including an increase in our ancillary services revenue, at communities we operated during both periods, partially offset by a decrease in occupancy at those same communities period over period.

Assisted Living revenue increased $22.4 million, or 9.8%, primarily due to the inclusion of acquisitions that occurred after the prior period and increases in the average monthly revenue per unit, including an increase in our ancillary services revenue, and occupancy at the communities we operated during both periods.

CCRCs revenue increased $16.0 million, or 11.1%, primarily due to the inclusion of expansions that opened after the prior period and an increase in the average monthly revenue per unit, including an increase in our ancillary services revenue, at the communities we operated during both periods, partially offset by a decrease in occupancy at these same communities period over period.

Management Fees

Management fees decreased period over period as four management agreements were terminated late in the prior year. The decrease was partially offset by the commencement of a new management agreement in mid-2009. Three of the terminated management agreements were attributed to us acquiring the remaining interest in the communities that we previously managed.

Facility Operating Expense

Facility operating expense increased over the prior-year period primarily due to an increase in salaries and wages, higher deferred community fee expense recognition, and additional current year expense incurred in connection with

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the continued expansion of our ancillary services programs during 2009 and 2010, along with the inclusion of expenses from recent acquisitions and expansions. These increases were partially offset by a decrease in insurance expense related to a change in estimates and significant cost control measures that were implemented in recent periods.

Retirement Centers operating expenses increased $7.3 million, or 10.3%, primarily due to the inclusion of acquisitions that occurred after the prior period and an increase in expenses incurred in connection with the continued expansion of our ancillary services programs. Facility operating expenses were also negatively impacted by increased salaries and wages due to wage rate increases and an increase in hours worked period over period, an increase in the deferred community fee expense recognition and increases in lighting retrofit costs related to an initiative to use more energy efficient light bulbs in our communities. These increases were partially offset by a decrease in insurance expense related to a change in estimates and significant cost control measures that were implemented in recent periods.

Assisted Living operating expenses increased $16.9 million, or 11.6%, primarily due to the inclusion of acquisitions that occurred after the prior period, an increase in expenses incurred in connection with the continued expansion of our ancillary services programs, as well as increased salaries and wages due to wage rate increases and an increase in hours worked period over period. These increases were partially offset by a decrease in payroll taxes and a decrease in insurance expense related to a change in estimates and significant cost control measures that were implemented in recent periods.

CCRCs operating expenses increased $13.0 million, or 12.8%, primarily due to the inclusion of expansions that opened after the prior period, an increase in expenses incurred in connection with the continued expansion of our ancillary services programs, as well as increased salaries and wages due to wage rate increases and an increase in hours worked period over period. These increases were partially offset by a decrease in insurance expense related to a change in estimates and significant cost control measures that were implemented in recent periods.

General and Administrative Expense

General and administrative expense decreased $1.8 million, or 5.2%, primarily as a result of decreases in bonus expense and non-cash stock-based compensation expense in the current period, partially offset by increases in employee benefits expenses and travel expenses. General and administrative expense as a percentage of total revenue, including revenue generated by the communities we manage and excluding non-cash compensation, integration and transaction-related costs, was 4.7% and 4.9% for the three months ended March 31, 2010 and 2009, respectively, calculated as follows (dollars in thousands):

	Three Months Ended March 31,
	2010				2009

Resident fee revenues	$	543,029	94.0	%	$	496,229	92.6	%
Resident fee revenues under management		34,414	6.0	%		39,750	7.4	%
Total	$	577,443	100.0	%	$	535,979	100.0	%
General and administrative expenses (excluding non-cash compensation, integration and transaction-related costs)	$	27,081	4.7	%	$	26,399	4.9	%
Non-cash compensation expense		4,871	0.8	%		6,809	1.3	%
Integration and transaction-related costs		―	0.0	%		499	0.1	%
General and administrative expenses (including non-cash compensation, integration and transaction-related costs)	$	31,952	5.5	%	$	33,707	6.3	%

Facility Lease Expense

Lease expense remained relatively constant period over period.

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Depreciation and Amortization

Depreciation and amortization expense increased $4.9 million, or 7.2%, primarily due to the inclusion of acquisitions and expansions that occurred or opened subsequent to the prior period.

Interest Income

Interest income remained relatively constant period over period.

Interest Expense

Interest expense remained relatively constant period over period. During the three months ended March 31, 2010, we recognized approximately $2.6 million of interest expense on our interest rate swaps and caps due to unfavorable changes in the LIBOR yield curve which resulted in a change in the fair value of the swaps and caps, as compared to approximately $4.3 million of interest expense on our interest rate swaps for the three months ended March 31, 2009, representing a $1.7 million decrease in interest expense period over period. This was almost entirely offset by an increase in our amortization of deferred financing costs related to the refinancing of the line of credit.

Income Taxes

Our effective tax rates for the three months ended March 31, 2010 and 2009 are 34.0% and 40.1%, respectively. The difference in the effective rate between these periods is primarily due to an increase in non-deductible compensation under Section 162(m) of the Internal Revenue Code.

An additional interest charge related to our tax contingency reserve was recorded during the three months ended March 31, 2010. Tax returns for years 2007 and 2008 are subject to future examination by tax authorities. In addition, certain tax returns are open from 2000 through 2006 to the extent of the net operating losses generated during those periods.

Liquidity and Capital Resources

The following is a summary of cash flows from operating, investing and financing activities, as reflected in the condensed consolidated statements of cash flows (dollars in thousands):

	Three Months Ended March 31,
	2010			2009
Cash provided by operating activities	$	47,129		$	68,757
Cash used in investing activities		(51,975	)		(72,516	)
Cash provided by financing activities		4,089			2,293
Net decrease in cash and cash equivalents		(757	)		(1,466	)
Cash and cash equivalents at beginning of period		66,370			53,973
Cash and cash equivalents at end of period	$	65,613		$	52,507

The decrease in cash provided by operating activities was attributable to a decrease in working capital over the prior year period.

The decrease in cash used in investing activities was primarily attributable to a decrease in restricted cash funded as we posted restricted cash in the prior-year period in order to reduce our letter of credit needs in connection with the renegotiation of the line of credit. Additionally, there was a reduction of spending on property, plant and equipment and leasehold improvements period over period, which was partially offset by cash received on a sale-leaseback transaction and from the sale of a joint venture interest in the prior year.

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The increase in cash provided by financing activities period over period was primarily attributable to proceeds from debt (net of repayments) in the current period over the prior period, partially offset by an increase in net borrowings under the line of credit in the current year.

Our principal sources of liquidity have historically been from:

cash balances on hand;

cash flows from operations;

proceeds from our credit facilities;

proceeds from mortgage financing or refinancing of various assets;

funds generated through joint venture arrangements or sale-leaseback transactions; and

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

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

Our liquidity requirements have historically arisen from:

working capital;

operating costs such as employee compensation and related benefits, general and administrative expense and supply costs;

debt service and lease payments;

acquisition consideration and transaction costs;

cash collateral required to be posted in connection with our interest rate swaps and related financial instruments;

capital expenditures and improvements, including the expansion of our current communities and the development of new communities;

dividend payments;

purchases of common stock under our previous share repurchase authorization; and

other corporate initiatives (including integration and branding).

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

working capital;

operating costs such as employee compensation and related benefits, general and administrative expense and supply costs;

debt service and lease payments;

capital expenditures and improvements, including the expansion or redevelopment of select communities;

other corporate initiatives (including information systems);

acquisition consideration and transaction costs; and

to a lesser extent, cash collateral required to be posted in connection with our interest rate swaps and related financial instruments.

We are highly leveraged and have significant debt and lease obligations. We have two principal corporate-level indebtednesses: our $100.0 million credit facility ($120.0 million as of May 5, 2010) and separate letter of credit facilities for up to $78.5 million in the aggregate. The remainder of our indebtedness is generally comprised of non-recourse property-level mortgage financings.

At March 31, 2010, we had $2.3 billion of debt outstanding, excluding our line of credit and capital lease obligations, at a weighted-average interest rate of 3.87%. At March 31, 2010, we had $346.8 million of capital and financing lease obligations, $15.0 million was drawn on our revolving loan facility, and $66.9 million of letters of credit had been issued under our letter of credit facilities. Approximately $150.1 million of our debt obligations are due on or before March 31, 2011. We also have substantial operating lease obligations and capital expenditure

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requirements. For the year ending March 31, 2011, we will be required to make approximately $265.6 million of payments in connection with our existing operating leases.

We had $65.6 million of cash and cash equivalents at March 31, 2010, excluding cash and escrow deposits-restricted and lease security deposits of $230.4 million.

In 2009, we began replacing some of our outstanding letters of credit with restricted cash in order to reduce our letter of credit needs.

At March 31, 2010, we had $325.2 million of negative working capital, which includes the classification of $219.6 million of refundable entrance fees and $12.5 million in tenant deposits as current liabilities. Based upon our historical operating experience, we anticipate that only 9.0% to 12.0% of those entrance fee liabilities will actually come due, and be required to be settled in cash, during the next 12 months. We expect that any entrance fee liabilities due within the next 12 months will be fully offset by the proceeds generated by subsequent entrance fee sales. Entrance fee sales, net of refunds paid provided $12.2 million of cash for the three months ended March 31, 2010.

For the year ending December 31, 2010, we anticipate that we will make investments of approximately $75.0 million to $100.0 million for capital expenditures, comprised of approximately $25.0 million to $35.0 million of net recurring capital expenditures and approximately $50.0 million to $65.0 million of expenditures relating to other major projects (including corporate initiatives). These major projects include unusual or non-recurring capital projects, projects which create new or enhanced economics, such as major renovations or repositioning projects at our communities (including deferred expenditures in connection with recently acquired communities), integration related expenditures (including the cost of developing information systems), and expenditures supporting the expansion of our ancillary services programs. For the three months ended March 31, 2010, we spent approximately $6.4 million for net recurring capital expenditures, approximately $8.8 million for expenditures relating to other major projects and corporate initiatives and approximately $1.7 million (consisting of $7.2 million for capital expenditures net of $5.5 million that had been reimbursed as of March 31, 2010) in connection with our expansion and development program. We do not anticipate material expenditures in 2010 in connection with our community expansion and development program that will not be reimbursed.

During 2010, we anticipate that our capital expenditures will be funded from cash on hand, cash flows from operations, and amounts drawn on our new credit facility.

Through 2007, we focused on growth primarily through acquisition, spending approximately $2.2 billion during 2007 and 2006 on acquiring communities and companies, excluding fees, expenses and assumption of debt. Given the market environment during 2008 and the first half of 2009, we focused on integrating previous acquisitions and on the significant organic growth opportunities inherent in our growth strategy and engaged in a reduced level of acquisition activity. We completed two separate acquisitions during the fourth quarter of 2009. As opportunities arise, we plan to continue to take advantage of the fragmented continuing care, independent living and assisted living sectors by selectively purchasing existing operating companies, asset portfolios, home health agencies and communities. We may also seek to acquire the fee interest in communities that we currently lease or manage.

In the normal course of business, we use a variety of financial instruments to mitigate interest rate risk. We have entered into certain interest rate protection and swap agreements to effectively cap or convert floating rate debt to a fixed rate basis. Pursuant to certain of our hedge agreements, we are required to secure our obligation to the counterparty by posting cash or other collateral if the fair value liability exceeds specified thresholds. In periods of significant volatility in the credit markets, the value of these swaps can change significantly and as a result, the amount of collateral we are required to post can change significantly. We have taken a number of steps to reduce our collateral posting risk. In particular, we terminated a number of interest rate swaps and purchased and assumed a number of interest rate caps, which do not require the posting of cash collateral. Furthermore, we obtained a number of swaps that are secured by underlying mortgaged assets and, hence, do not require cash collateralization. As of March 31, 2010, we have $811.4 million in aggregate notional amount of interest rate caps, $37.6 million in aggregate notional amount of swaps secured by underlying mortgaged assets, $314.2 million in aggregate notional amount of swaps that require cash collateralization and $65.2 million of variable rate debt that is not subject to any cap or swap agreements.

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

We currently estimate that our existing cash flows from operations, together with existing working capital, amounts available under our new credit facility and, to a lesser extent, proceeds from anticipated financings and refinancings of various assets, will be sufficient to fund our liquidity needs for at least the next 12 months, assuming that the overall economy does not substantially deteriorate further.

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

As of March 31, 2010, we are in compliance with the financial covenants of our outstanding debt and lease agreements.

Credit Facilities

As of January 1, 2010, we had an available secured line of credit of $75.0 million (including a $25.0 million letter of credit sublimit) and secured and unsecured letter of credit facilities of up to $78.5 million in the aggregate. The line of credit bore interest at a rate of 6.0% and was scheduled to mature on August 31, 2010. No amounts were borrowed under the secured line of credit during 2010.

2010 Credit Facility

Effective February 23, 2010, we terminated the $75.0 million revolving credit facility with Bank of America, N.A. and entered into a credit agreement with General Electric Capital Corporation, as administrative agent and lender, and the other lenders from time to time parties thereto. The new facility had an initial commitment of $100.0 million, with an option to increase the commitment to $120.0 million (which we exercised on May 5, 2010), and is scheduled to mature on June 30, 2013.

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

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

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utilization. We are also required to pay a quarterly commitment fee of 1.0% per annum on the unused portion of the facility.

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

As of March 31, 2010, we had an available secured line of credit with a $100.0 million commitment ($120.0 million as of May 5, 2010) and separate letter of credit facilities of up to $78.5 million in the aggregate.

Contractual Commitments

Significant ongoing commitments consist primarily of leases, debt, purchase commitments and certain other long-term liabilities. For a summary and complete presentation and description of our ongoing commitments and contractual obligations, see the “Contractual Commitments” section of Management’s Discussion and Analysis of Financial Condition and Results of Operations in our Annual Report on Form 10-K for the fiscal year ended December 31, 2009.

There have been no material changes in our contractual commitments during the three months ended March 31, 2010.

Off-Balance Sheet Arrangements

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

Non-GAAP Financial Measures

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

Adjusted EBITDA

Definition of Adjusted EBITDA

We define Adjusted EBITDA as follows:

Net income (loss) before:

provision (benefit) for income taxes;

non-operating (income) expense items;

loss on sale of communities;

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

straight-line rent expense (income);

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amortization of deferred gain;

amortization of deferred entrance fees;

non-cash compensation expense; and

change in future service obligation;

and including:

entrance fee receipts and refunds (excluding first generation entrance fee receipts on a newly opened entrance fee CCRC).

Management’s Use of Adjusted EBITDA

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

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

Limitations of Adjusted EBITDA

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

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

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

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

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

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strongly urge you to not rely on any single financial measure to evaluate our business. In addition, because Adjusted EBITDA is not a measure of financial performance under GAAP and is susceptible to varying calculations, the Adjusted EBITDA measure, as presented in this report, may differ from and may not be comparable to similarly titled measures used by other companies.

The table below shows the reconciliation of net loss to Adjusted EBITDA for the three months ended March 31, 2010 and 2009 (dollars in thousands):

	Three Months Ended March 31,
	2010			2009
Net loss	$	(14,295	)	$	(13,636	)
Benefit for income taxes		(7,378	)		(9,112	)
Equity in earnings of unconsolidated ventures		(397	)		(595	)
Loss on extinguishment of debt		19			—
Other non-operating income		―			(4,232	)
Interest expense:
Debt		25,634			25,727
Capitalized lease obligation		7,646			7,094
Amortization of deferred financing costs and debt discount		2,596			1,542
Change in fair value of derivatives and amortization		2,640			4,285
Interest income		(627	)		(820	)
Income from operations		15,838			10,253
Depreciation and amortization		73,061			68,133
Straight-line lease expense		3,136			4,248
Amortization of deferred gain		(1,086	)		(1,086	)
Amortization of entrance fees		(5,739	)		(5,110	)
Non-cash compensation expense		4,871			6,809
Entrance fee receipts (1)		17,992			8,510
First generation entrance fees received (2)		(5,971	)		―
Entrance fee disbursements		(5,762	)		(5,836	)
Adjusted EBITDA	$	96,340		$	85,921

(1)

Includes the receipt of refundable and nonrefundable entrance fees.

(2)

First generation entrance fees received represents initial entrance fees received from the sale of units at a newly opened entrance fee CCRC where the Company is required to apply such entrance fee proceeds to satisfy debt.

Cash From Facility Operations

Definition of Cash From Facility Operations

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

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

changes in operating assets and liabilities;

deferred interest and fees added to principal;

refundable entrance fees received;

first generation entrance fee receipts on a newly opened entrance fee CCRC;

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entrance fee refunds disbursed;

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

other; and

recurring capital expenditures.

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

Management’s Use of Cash From Facility Operations

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

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

Limitations of Cash From Facility Operations

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

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

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

The table below shows the reconciliation of net cash provided by operating activities to CFFO for the three months ended March 31, 2010 and 2009 (dollars in thousands):

	Three Months Ended March 31,
	2010			2009
Net cash provided by operating activities	$	47,129		$	68,757
Changes in operating assets and liabilities		19,171			(11,933	)
Refundable entrance fees received (1)(2)		8,442			3,638
First generation entrance fees received (3)		(5,971	)		―
Entrance fee refunds disbursed		(5,762	)		(5,836	)
Recurring capital expenditures, net		(6,441	)		(2,655	)
Lease financing debt amortization with fair market value or no purchase options		(2,171	)		(1,780	)
Cash From Facility Operations	$	54,397		$	50,191

(1)

Entrance fee receipts include promissory notes issued to the Company by the resident in lieu of a portion of the entrance fees due. Notes issued (net of collections) for the three months ended March 31, 2010 and 2009 were $3.7 million and $1.7 million, respectively.

(2)

Total entrance fee receipts for the three months ended March 31, 2010 and 2009 were $18.0 million and $8.5 million, respectively, including $9.6 million and $4.9 million, respectively, of nonrefundable entrance fee receipts included in net cash provided by operating activities.

(3)

Facility Operating Income

Definition of Facility Operating Income

We define Facility Operating Income as follows:

Net income (loss) before:

provision (benefit) for income taxes;

non-operating (income) expense items;

loss on sale of communities;

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

facility lease expense;

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

change in future service obligation;

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amortization of deferred entrance fee revenue; and

management fees.

Management’s Use of Facility Operating Income

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

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

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

Limitations of Facility Operating Income

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

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

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

Facility Operating Income is not an alternative to net income, income from operations or cash flows provided by or used in operations as calculated and presented in accordance with GAAP. You should not rely on Facility Operating Income as a substitute for any such GAAP financial measure. We strongly urge you to review the reconciliation of Facility Operating Income to GAAP net income (loss), along with our consolidated financial statements included

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herein. We also strongly urge you to not rely on any single financial measure to evaluate our business. In addition, because Facility Operating Income is not a measure of financial performance under GAAP and is susceptible to varying calculations, the Facility Operating Income measure, as presented in this report, may differ from and may not be comparable to similarly titled measures used by other companies.

The table below shows the reconciliation of net loss to Facility Operating Income for the three months ended March 31, 2010 and 2009 (dollars in thousands):

	Three Months Ended March 31,
	2010			2009
Net loss	$	(14,295	)	$	(13,636	)
Benefit for income taxes		(7,378	)		(9,112	)
Equity in earnings of unconsolidated ventures		(397	)		(595	)
Loss on extinguishment of debt		19			—
Other non-operating income		―			(4,232	)
Interest expense:
Debt		25,634			25,727
Capitalized lease obligation		7,646			7,094
Amortization of deferred financing costs and debt discount		2,596			1,542
Change in fair value of derivatives and amortization		2,640			4,285
Interest income		(627	)		(820	)
Income from operations		15,838			10,253
Depreciation and amortization		73,061			68,133
Facility lease expense		68,249			67,741
General and administrative (including non-cash stock compensation expense)		31,952			33,707
Amortization of entrance fees		(5,739	)		(5,110	)
Management fees		(1,395	)		(1,717	)
Facility Operating Income	$	181,966		$	173,007

It em 3. Quantitative and Qualitative Disclosures About Market Risk

We are subject to market risks from changes in interest rates charged on our credit facilities, other floating-rate indebtedness and lease payments subject to floating rates. The impact on earnings and the value of our long-term debt and lease payments are subject to change as a result of movements in market rates and prices. As of March 31, 2010, we had approximately $1.0 billion of long-term fixed rate debt, $1.1 billion of long-term variable rate debt and $346.8 million of capital and financing lease obligations. As of March 31, 2010, our total fixed-rate debt and variable-rate debt outstanding had a weighted-average interest rate of 3.87%.

We enter into certain interest rate swap agreements with major financial institutions to manage our risk on variable rate debt. Additionally, during 2009, we entered into certain cap agreements to effectively manage our risk above certain interest rates. As of March 31, 2010, $1.4 billion, or 61.3%, of our debt, excluding capital and financing lease obligations, either has fixed rates or variable rates that are subject to swap agreements. As of March 31, 2010, $811.4 million, or 35.8%, of our debt, excluding capital and financing lease obligations, is subject to cap agreements. The remaining $65.2 million, or 2.9%, of our debt is variable rate debt, not subject to any cap or swap agreements. A change in interest rates would have impacted our interest rate expense related to all outstanding variable rate debt, excluding capital and financing lease obligations, as follows: a one, five and ten percent change in interest rates would have an impact of $8.0 million, $42.3 million and $55.9 million, respectively.

As noted above, we have entered into certain interest rate protection and swap agreements to effectively cap or convert floating rate debt to a fixed rate basis, as well as to hedge anticipated future financing transactions. Pursuant to certain of our hedge agreements, we are required to secure our obligation to the counterparty by posting cash or other collateral if the fair value liability exceeds a specified threshold.

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Ite m 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934) as of the end of the period covered by this report. Based on such evaluation, our Chief Executive Officer and Chief Financial Officer each concluded that, as of March 31, 2010, our disclosure controls and procedures were effective.

Changes in Internal Control over Financial Reporting

There has not been any change in our internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the fiscal quarter ended March 31, 2010 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PA RT II. OTHER INFORMATION

Ite m 1. Legal Proceedings

The information contained in Note 8 to the Condensed Consolidated Financial Statements contained in Part I, Item 1 of this Quarterly Report on Form 10-Q is incorporated herein by this reference.

Ite m 1A. Risk Factors

There have been no material changes to the risk factors set forth in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2009.

Ite m 6. Exhibits

See Exhibit Index immediately following the signature page hereto, which Exhibit Index is incorporated by reference as if fully set forth herein.

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SI GNATURES

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.


BROOKDALE SENIOR LIVING INC.
(Registrant)


By:	/s/ Mark W. Ohlendorf
Name:		Mark W. Ohlendorf
Title:		Co-President and Chief Financial Officer
		(Principal Financial and Accounting Officer)
Date:		May 5, 2010

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EXHIBIT INDEX


Exhibit No.		Description

3.1		Amended and Restated Certificate of Incorporation of the Company (incorporated by reference to Exhibit 3.1 to the Company’s Annual Report on Form 10-K filed on February 26, 2010).
3.2		Amended and Restated Bylaws of the Company (incorporated by reference to Exhibit 3.2 to the Company’s Current Report on Form 8-K filed on January 19, 2010).
4.1		Form of Certificate for common stock (incorporated by reference to Exhibit 4.1 to the Company’s Registration Statement on Form S-1 (Amendment No. 3) (No. 333-127372) filed on November 7, 2005).
4.2		Stockholders Agreement, dated as of November 28, 2005, by and among Brookdale Senior Living Inc., FIT-ALT Investor LLC, Fortress Brookdale Acquisition LLC, Fortress Investment Trust II and Health Partners (incorporated by reference to Exhibit 4.2 to the Company’s Annual Report on Form 10-K filed on March 31, 2006).
4.3		Amendment No. 1 to Stockholders Agreement, dated as of July 26, 2006, by and among Brookdale Senior Living Inc., FIT-ALT Investor LLC, Fortress Registered Investment Trust, Fortress Brookdale Investment Fund LLC, FRIT Holdings LLC, and FIT Holdings LLC (incorporated by reference to Exhibit 4.3 to the Company’s Quarterly Report on Form 10-Q filed on August 14, 2006).
4.4		Amendment Number Two to Stockholders Agreement, dated as of November 4, 2009 (incorporated by reference to Exhibit 4.4 to the Company’s Quarterly Report on Form 10-Q filed on November 4, 2009).
10.1		Credit Agreement, dated as of February 23, 2010, among certain subsidiaries of Brookdale Senior Living Inc., General Electric Capital Corporation, as administrative agent and lender, and the other lenders from time to time parties thereto (incorporated by reference to Exhibit 10.29 to the Company’s Annual Report on Form 10-K filed on February 26, 2010).
31.1		Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2		Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32		Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

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BKD 10-Q Quarter ended March 31, 2010