Edgar Filing: Brookdale Senior Living Inc.

form10-q.htm

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 September 30, 2009

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 200, 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 T	Accelerated filer £
	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 October 30, 2009, 118,620,006 shares of the registrant’s common stock, $0.01 par value, were outstanding (excluding unvested restricted shares).

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BROOKDALE SENIOR LIVING INC.

FORM 10-Q

FOR THE QUARTER ENDED SEPTEMBER 30, 2009

		PAGE
PART I.	FINANCIAL INFORMATION

Item 1.	Financial Statements

	Condensed Consolidated Balance Sheets -
	As of September 30, 2009 (Unaudited) and December 31, 2008	4

	Condensed Consolidated Statements of Operations -
	Three and nine months ended September 30, 2009 and 2008 (Unaudited)	5

	Condensed Consolidated Statement of Equity -
	Nine months ended September 30, 2009 (Unaudited)	6

	Condensed Consolidated Statements of Cash Flows -
	Nine months ended September 30, 2009 and 2008 (Unaudited)	7

	Notes to Condensed Consolidated Financial Statements (Unaudited)	8

Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	23

Item 3.	Quantitative and Qualitative Disclosures About Market Risk	45

Item 4.	Controls and Procedures	46


PART II.	OTHER INFORMATION

Item 1.	Legal Proceedings	46

Item 1A.	Risk Factors	46

Item 5.	Other Information	48

Item 6.	Exhibits	48

Signatures		49

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PART I. FINANCIAL INFORMATION

Item 1. Financial Statements

BROOKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except stock amounts)

	September 30, 2009			December 31, 2008
Assets	(Unaudited)
Current assets
Cash and cash equivalents	$	159,313		$	53,973
Cash and escrow deposits — restricted		104,434			86,723
Accounts receivable, net		81,583			91,646
Deferred tax asset		14,677			14,677
Prepaid expenses and other current assets, net		46,195			33,766
Total current assets		406,202			280,785
Property, plant and equipment and leasehold intangibles, net		3,620,469			3,697,834
Cash and escrow deposits — restricted		66,971			29,988
Investment in unconsolidated ventures		22,180			28,420
Goodwill		109,967			109,967
Other intangible assets, net		206,438			231,589
Other assets, net		69,455			70,675
Total assets	$	4,501,682		$	4,449,258

Liabilities and Stockholders’ Equity
Current liabilities
Current portion of long-term debt	$	155,397		$	158,476
Current portion of line of credit		―			4,453
Trade accounts payable		42,541			29,105
Accrued expenses		184,873			170,366
Refundable entrance fees and deferred revenue		256,061			253,647
Tenant security deposits		14,920			29,965
Total current liabilities		653,792			646,012
Long-term debt, less current portion		2,304,168			2,235,000
Line of credit, less current portion		―			155,000
Deferred entrance fee revenue		81,221			76,410
Deferred liabilities		145,998			135,947
Deferred tax liability		159,389			178,647
Other liabilities		55,460			61,641
Total liabilities		3,400,028			3,488,657
Commitments and contingencies

Stockholders’ Equity
Preferred stock, $0.01 par value, 50,000,000 shares authorized at September 30, 2009 and December 31, 2008; no shares issued and outstanding		—			—
Common stock, $0.01 par value, 200,000,000 shares authorized at September 30, 2009 and December 31, 2008; 124,386,194 and 106,467,764 shares issued and 123,174,893 and 105,256,463 shares outstanding (including 4,556,436 and 3,542,801 unvested restricted shares), respectively		1,232			1,053
Additional paid-in-capital		1,876,783			1,690,851
Treasury stock, at cost; 1,211,301 shares at September 30, 2009 and December 31, 2008		(29,187	)		(29,187	)
Accumulated deficit		(746,176	)		(700,720	)
Accumulated other comprehensive loss		(998	)		(1,396	)
Total stockholders’ equity		1,101,654			960,601
Total liabilities and stockholders’ equity	$	4,501,682		$	4,449,258

See accompanying notes to condensed consolidated financial statements.

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BROOKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited, in thousands, except per share data)

	Three Months Ended September 30,						Nine Months Ended September 30,
	2009			2008			2009			2008
Revenue
Resident fees	$	503,856		$	480,750		$	1,499,544		$	1,435,522
Management fees		1,987			1,527			5,002			5,604
Total revenue		505,843			482,277			1,504,546			1,441,126

Expense
Facility operating expense (excluding depreciation and amortization of $45,851, $45,670, $137,102 and $143,765, respectively)		328,939			322,601			963,637			934,186
General and administrative expense (including non-cash stock-based compensation expense of $7,869, $6,737, $21,549 and $23,368, respectively)		34,720			32,948			100,148			109,633
Hurricane and named tropical storms expense		―			3,613			―			3,613
Facility lease expense		68,036			67,017			204,211			202,028
Depreciation and amortization		66,983			67,066			202,378			207,882
Total operating expense		498,678			493,245			1,470,374			1,457,342
Income (loss) from operations		7,165			(10,968	)		34,172			(16,216	)

Interest income		623			1,383			1,771			6,169
Interest expense
Debt		(30,574	)		(37,599	)		(96,845	)		(110,894	)
Amortization of deferred financing costs		(2,167	)		(3,004	)		(7,099	)		(6,940	)
Change in fair value of derivatives and amortization		(2,478	)		(8,454	)		1,137			(17,344	)
Loss on extinguishment of debt		(1,178	)		―			(2,918	)		(3,052	)
Equity in earnings (loss) of unconsolidated ventures		42			358			1,218			(750	)
Other non-operating (expense) income		(52	)		69			4,172			(424	)
Loss before income taxes		(28,619	)		(58,215	)		(64,392	)		(149,451	)
Benefit for income taxes		7,329			22,338			18,936			54,996
Net loss	$	(21,290	)	$	(35,877	)	$	(45,456	)	$	(94,455	)

Basic and diluted loss per share	$	(0.18	)	$	(0.36	)	$	(0.42	)	$	(0.93	)
Weighted average shares used in computing basic and diluted loss per share		118,455			101,398			108,807			101,748

Dividends declared per share	$	―		$	0.25		$	―		$	0.75

See accompanying notes to condensed consolidated financial statements.

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BROOKDALE 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, 2009		105,256	$	1,053	$	1,690,851		$	(29,187	)	$	(700,720	)	$	(1,396	)	$	960,601
Compensation expense related to restricted stock and restricted stock unit grants		―		―		21,549			―			―			―			21,549
Net loss		―		―		―			―			(45,456	)		―			(45,456	)
Issuance of common stock under Associate Stock Purchase Plan		92		1		742			―			―			―			743
Restricted stock, net		1,780		18		(18	)		―			―			―			―
Reclassification of net loss on derivatives into earnings		―		―		―			―			―			369			369
Amortization of payments from settlement of forward interest rate swaps		―		―		―			―			―			282			282
Issuance of common stock from equity offering, net		16,047		160		163,667			―			―			―			163,827
Other		―		―		(8	)		―			―			(253	)		(261	)
Balances at September 30, 2009		123,175	$	1,232	$	1,876,783		$	(29,187	)	$	(746,176	)	$	(998	)	$	1,101,654

See accompanying notes to condensed consolidated financial statements.

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BROOKDALE SENIOR LIVING INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited, in thousands)

	Nine Months Ended September 30,
	2009			2008
Cash Flows from Operating Activities
Net loss	$	(45,456	)	$	(94,455	)
Adjustments to reconcile net loss to net cash provided by operating activities:
Loss on extinguishment of debt		2,918			3,052
Depreciation and amortization		209,477			214,822
Equity in (earnings) loss of unconsolidated ventures		(1,218	)		750
Distributions from unconsolidated ventures from cumulative share of net earnings		455			1,918
Amortization of deferred gain		(3,259	)		(3,257	)
Amortization of entrance fees		(16,084	)		(16,527	)
Proceeds from deferred entrance fee revenue		23,225			15,210
Deferred income tax benefit		(19,440	)		(57,243	)
Change in deferred lease liability		12,073			15,675
Change in fair value of derivatives and amortization		(1,137	)		17,344
Gain on sale of assets		(4,352	)		―
Non-cash stock-based compensation		21,549			23,368
Changes in operating assets and liabilities:
Accounts receivable, net		11,234			(18,165	)
Prepaid expenses and other assets, net		(10,734	)		1,263
Accounts payable and accrued expenses		29,557			3,051
Tenant refundable fees and security deposits		(14,297	)		(439	)
Deferred revenue		1,811			(3,392	)
Other		(10,350	)		4,379
Net cash provided by operating activities		185,972			107,354

Cash Flows from Investing Activities
Decrease in lease security deposits and lease acquisition deposits, net		2,071			2,416
Increase in cash and escrow deposits — restricted		(54,694	)		(7,795	)
Net proceeds from the sale of property, plant and equipment		210			―
Additions to property, plant and equipment and leasehold intangibles, net of related payables		(87,507	)		(134,179	)
Acquisition of assets, net of related payables and cash received		(1,227	)		(5,105	)
(Issuance of) payment on notes receivable, net		(590	)		39,661
Investment in unconsolidated ventures		(1,246	)		(1,163	)
Distributions received from unconsolidated ventures		969			300
Proceeds from sale leaseback transaction		9,166			―
Proceeds from sale of unconsolidated venture		8,831			4,165
Net cash used in investing activities		(124,017	)		(101,700	)

Cash Flows from Financing Activities
Proceeds from debt		67,986			467,769
Repayment of debt and capital lease obligation		(21,194	)		(229,210	)
Proceeds from line of credit		60,446			264,757
Repayment of line of credit		(219,899	)		(378,000	)
Payment of dividends		―			(103,696	)
Purchase of treasury stock		―			(29,187	)
Payment of financing costs, net of related payables		(7,258	)		(13,720	)
Proceeds from public equity offering, net		163,827			―
Other		(713	)		(1,373	)
Refundable entrance fees:
Proceeds from refundable entrance fees		17,032			15,185
Refunds of entrance fees		(16,842	)		(14,331	)
Recouponing and payment of swap termination		―			(27,627	)
Cash portion of loss on extinguishment of debt		―			(1,240	)
Net cash provided by (used in) financing activities		43,385			(50,673	)
Net increase (decrease) in cash and cash equivalents		105,340			(45,019	)
Cash and cash equivalents at beginning of period		53,973			100,904
Cash and cash equivalents at end of period	$	159,313		$	55,885

See accompanying notes to condensed consolidated financial statements.

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BROOKDALE SENIOR LIVING INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

1. Description of Business

Brookdale Senior Living Inc. (“Brookdale”, “BSL” 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 September 30, 2009, 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, 2008, 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 $62.2 million and $63.4 million at September 30, 2009 and December 31, 2008, 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 Measurements

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 $2.5 billion and $2.6 billion as of September 30, 2009 and December 31, 2008, respectively. The fair value of debt both as of September 30, 2009 and December 31, 2008 was $2.4 billion.

The Financial Accounting Standards Board (FASB) guidance on Fair Value Measurement 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 16).

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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 policies provide for deductibles for each claim ($3.0 million on or prior to December 31, 2008 and $250,000 effective January 1, 2009). As a result, the Company is, in effect, self-insured for most claims. 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

The Company follows accounting standards set by the FASB. The FASB sets generally accepted accounting principles (“GAAP”) that the Company follows to ensure consistent reporting of its financial condition, results of operations and cash flows. References to GAAP issued by the FASB in these footnotes are to the FASB Accounting Standards Codification, sometimes referred to as the Codification or ASC. The FASB finalized the Codification effective for periods ending on or after September 15, 2009. The Codification does not change how the Company accounts for its transactions or the nature of related disclosures made.

The FASB guidance on Business Combinations was effective for business combinations with an acquisition date on or after January 1, 2009 and is to be applied prospectively. The guidance was issued to improve the relevance, representational faithfulness, and comparability of the information that a reporting entity provides in its financial reports about a business combination and its effects. Itestablishes principles and requirements for how the acquirer recognizes and measures in its financial statements the identifiable assets acquired, the liabilities assumed, and any noncontrolling interest in the acquiree, recognizes and measures the goodwill acquired in the business combination or a gain from a bargain purchase and determines what information to disclose to enable users of the financial statements to evaluate the nature and financial effects of the business combination. As of September 30, 2009, this guidance has not had a material impact on the condensed consolidated financial statements.

The Company adopted the provisions of the FASB guidance on Consolidations relating to the accounting for noncontrolling interests on January 1, 2009. This guidance amends previous authoritative guidance by requiring companies to report a noncontrolling interest in a subsidiary as equity in its consolidated financial statements. Disclosure of the amounts of consolidated net income attributable to the parent and the noncontrolling interest are required. This guidance also clarifies that transactions that result in a change in a parent’s ownership interest in a subsidiary that do not result in deconsolidation will be treated as equity transactions, while a gain or loss will be recognized by the parent when a subsidiary is deconsolidated. Other than the required disclosures, the adoption had no impact on the condensed consolidated financial statements.

In February 2008, the FASB issued guidance which delays the effective date of the FASB guidance on Fair Value Measurements for all nonfinancial assets and liabilities, except those that are recognized or disclosed at fair value in the financial statements on a recurring basis (at least annually). The guidance partially defers the effective date of the FASB guidance to fiscal years beginning after November 15, 2008 and as a result was effective for the Company beginning January 1, 2009. The adoption of the guidance had no impact on the condensed consolidated financial statements.

The Company adopted the provision of the FASB guidance on disclosures relating to Derivatives and Hedging on January 1, 2009. This guidance requires entities to provide enhanced disclosures about how and why an entity uses derivative instruments, how derivative instruments and related hedge items are accounted for and how derivative

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instruments and related hedged items affect an entity’s financial position, results of operations and cash flows. Other than the required disclosures, the adoption had no impact on the condensed consolidated financial statements.

The Company adopted the provisions of the guidance relating to the Determination of the Useful Life of Intangible Assets on January 1, 2009. This guidance amends the factors that should be considered in developing renewal or extension assumptions used to determine the useful life of a recognized intangible asset and provides for enhanced disclosures regarding intangible assets. The intent of this guidance is to improve the consistency between the useful life of a recognized intangible asset and the period of expected cash flows used to measure the fair value of the asset. The disclosure provisions are effective as of the adoption date and the guidance for determining the useful life applies prospectively to all intangible assets acquired after the effective date. The adoption had no impact on the condensed consolidated financial statements.

The Company adopted the provisions of Emerging Issues Task Force (“EITF”) guidance on Determining Whether Instruments Granted in Share-Based Payment Transactions Are Participating Securities on January 1, 2009. The EITF provides that unvested share-based payment awards that contain nonforfeitable rights to dividends or dividend equivalents (whether paid or unpaid) are participating securities and shall be included in the computation of earnings per share. The adoption did not have a material impact on the condensed consolidated financial statements.

The Company adopted the guidance relating to Interim Disclosures about Fair Value of Financial Instruments on June 1, 2009. This guidance requires disclosures about fair value of financial instruments for interim periods of publicly traded companies as well as in annual financial statements. Other than the required disclosures, the adoption had no impact on the condensed consolidated financial statements.

The Company adopted the guidance related to the Accounting for Assets Acquired and Liabilities Assumed in a Business Combination that Arise from Contingencies effective January 1, 2009. The guidance amends and clarifies guidance previously issued on Business Combinations and addresses application issues on initial recognition and measurement, subsequent measurement and accounting, and disclosure of assets and liabilities arising from contingencies in a business combination. The Company had no acquisitions during the nine months ended September 30, 2009; therefore, the adoption of the guidance had no impact on the condensed consolidated financial statements.

In May 2009, the FASB issued guidance on Subsequent Events. This guidance establishes general standards of accounting for and disclosure of events that occur after the balance sheet date but before the financial statements are issued or are available to be issued. Although the guidance is based on the same principles as those that currently exist in the auditing standards, it includes a new required disclosure of the date through which an entity has evaluated subsequent events. The Company adopted this guidance in June 2009 and other than the required disclosures, the adoption had no impact on the condensed consolidated financial statements.

In June 2009, the FASB issued guidance which amends previously issued guidance on the Consolidation of Variable Interest Entities. This guidance changes how a company determines when an entity that is insufficiently capitalized or is not controlled through voting (or similar rights) should be consolidated. The determination of whether a company is required to consolidate an entity is based on, among other things, an entity’s purpose and design and a company’s ability to direct the activities of the entity that most significantly impacts the entity’s economic performance. The guidance is effective for the Company beginning January 1, 2010. The Company is currently evaluating the impact its provisions will have on its condensed consolidated financial statements.

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.

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

During the three and nine months ended September 30, 2009 and September 30, 2008, 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 was 2.0 million and 1.4 million for the three months ended September 30, 2009 and 2008, respectively, and 1.2 million and 1.4 million for the nine months ended September 30, 2009 and 2008, respectively.

4. Stock-Based Compensation

The Company recorded $7.9 million and $6.7 million of compensation expense in connection with grants of restricted stock and restricted stock units for the three months ended September 30, 2009 and 2008, respectively, and $21.5 million and $23.4 million of such expense for the nine months ended September 30, 2009 and 2008, respectively. For the three and nine months ended September 30, 2009 and 2008, compensation expense was calculated net of forfeitures estimated from 0% - 6% 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 the current year, 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 and restricted stock units under the Company’s Omnibus Stock Incentive Plan were as follows (amounts in thousands except for value per share):

	Shares / Restricted Stock Units Granted		Value Per Share		Total Value
Three months ended March 31, 2009		84	$	3.48 – $6.15	$	301
Three months ended June 30, 2009		2,562	$	5.14 – $9.39	$	24,030
Three months ended September 30, 2009		65	$	9.83 – $10.71	$	694

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 has 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.

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5. Goodwill and Other Intangible Assets, Net

There were no changes in the carrying amount of goodwill for the nine months ended September 30, 2009. Goodwill by operating segment as of September 30, 2009 and December 31, 2008 was as follows (dollars in thousands):

		Retirement Centers				Assisted Living				Total
Goodwill		$	7,155			$	102,812			$	109,967

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 nine months ended September 30, 2009.

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 September 30, 2009 and December 31, 2008 (dollars in thousands):

	September 30, 2009							December 31, 2008
	Gross Carrying Amount		Accumulated Amortization			Net		Gross Carrying Amount		Accumulated Amortization			Net
Community purchase options	$	147,682	$	(9,245	)	$	138,437	$	147,682	$	(6,457	)	$	141,225
Management contracts and other		158,041		(101,538	)		56,503		158,041		(77,807	)		80,234
Home health licenses		11,498		—			11,498		10,130		—			10,130
Total	$	317,221	$	(110,783	)	$	206,438	$	315,853	$	(84,264	)	$	231,589

Amortization expense related to definite-lived intangible assets for the three months ended September 30, 2009 and 2008 was $8.7 million and $8.9 million, respectively, and $26.5 million and $26.7 million of amortization expense was recorded for the nine months ended September 30, 2009 and 2008, respectively. Home health licenses were determined to be indefinite-lived intangible assets and are not subject to amortization.

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):

	September 30, 2009			December 31, 2008
Land	$	252,297		$	253,453
Buildings and improvements		2,736,184			2,626,079
Furniture and equipment		301,577			277,680
Resident and operating lease intangibles		625,228			607,256
Construction in progress		16,741			98,418
Assets under capital and financing leases		575,351			555,872
		4,507,378			4,418,758
Accumulated depreciation and amortization		(886,909	)		(720,924	)
Property, plant and equipment and leasehold intangibles, net	$	3,620,469		$	3,697,834

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7. Sale-Leaseback Transaction

On March 2, 2009, the Company entered into a sale-leaseback transaction with a third party lessor for the sale and leaseback of one of its skilled nursing facilities. The Company sold the facility for a total of $10.0 million and immediately leased the facility back. Under the terms of the lease agreement, the Company will continue to operate the facility until December 31, 2019. The lease is accounted for as an operating lease.

8. Debt

Long-term Debt, Capital Leases and Financing Obligations

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

	September 30, 2009		December 31, 2008
Mortgage notes payable due 2009 through 2039; weighted average interest rate of 4.64% for the nine months ended September 30, 2009 (weighted average interest rate of 5.33% in 2008)	$	1,325,029	$	1,246,204
$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 nine months ended September 30, 2009 (weighted average interest rate of 5.64% in 2008), 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
Variable rate tax-exempt bonds credit-enhanced by Fannie Mae; weighted average interest rate of 1.91% for the nine months ended September 30, 2009 (weighted average interest rate of 4.40% in 2008), 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 2020; weighted average interest rate of 8.82% for the nine months ended September 30, 2009 (weighted average interest rate of 8.81% in 2008)		323,474		318,440
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
Construction financing due 2011 through 2023; weighted average interest rate of 7.63% for the nine months ended September 30, 2009 (weighted average interest rate of 6.02% in 2008)		32,634		50,404
Total debt		2,459,565		2,393,476
Less current portion		155,397		158,476
Total long-term debt	$	2,304,168	$	2,235,000

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Although certain debt obligations are scheduled to mature on or prior to September 30, 2010, the Company has the option, subject to the satisfaction of customary conditions (such as the absence of a material adverse change), to extend the maturity of approximately $131.0 million of certain non-recourse mortgages payable until 2011, as the instruments associated with these mortgages payable provide that the Company can extend the respective maturity dates for one 12 month term each from the existing maturity dates.

Credit Facilities

On February 27, 2009, the Company entered into a Second Amended and Restated Credit Agreement with Bank of America, N.A., as administrative agent, Banc of America Securities LLC, as sole lead arranger and book manager, and the several lenders from time to time parties thereto. The amended credit agreement amended and restated the Company’s $245.0 million secured line of credit and terminated the associated $80.0 million letter of credit facility.

The amended credit agreement initially consisted of a $230.0 million revolving loan facility with a $25.0 million letter of credit sublimit and is scheduled to mature on August 31, 2010.

Pursuant to the terms of the amended credit agreement, certain of the Company’s subsidiaries, as guarantors, will guarantee obligations under the amended credit agreement and the other loan documents. Further, in connection with the amended credit agreement, (i) the Company and certain guarantors executed and delivered a Pledge Agreement in favor of the administrative agent for the banks and other financial institutions from time to time parties to the amended credit agreement, pursuant to which such guarantors pledged certain assets for the benefit of the secured parties as collateral security for the payment and performance of the Company’s obligations under the amended credit agreement and the other loan documents and (ii) certain guarantors granted mortgages and executed and delivered a Security Agreement, in each case, in favor of the administrative agent for the banks and other financial institutions from time to time parties to the amended credit agreement encumbering certain real and personal property of such guarantors. The collateral includes, among other things, certain real property and related personal property owned by the guarantors, equity interests in certain of the Company’s subsidiaries, all related books and records and, to the extent not otherwise included, all proceeds and products of any and all of the foregoing.

At the option of the Company, amounts drawn under the revolving loan facility initially bore interest at either (i) LIBOR plus a margin of 7.0% or (ii) the greater of (a) the Bank of America prime rate or (b) the Federal Funds rate plus 0.5%, plus a margin of 7.0%. For purposes of determining the interest rate, in no event shall the base rate or LIBOR be less than 3.0%. In connection with the loan commitments, the Company will pay a quarterly commitment fee of 1.0% per annum on the average daily amount of undrawn funds. The Company was initially required to pay a fee equal to 7.0% of the amount of any issued and outstanding letters of credit; provided, with respect to drawable amounts that have been cash collateralized, the letter of credit fee shall be payable at a rate per annum equal to 2.0%.

The amended credit agreement contains typical representations and covenants for loans of this type, including restrictions on the Company’s ability to pay dividends, make distributions, make acquisitions, incur capital expenditures, incur new liens or repurchase shares of the Company’s common stock. The amended credit agreement also contains financial covenants, including covenants with respect to maximum consolidated adjusted leverage, minimum consolidated fixed charge coverage, minimum tangible net worth, and maximum total capital expenditures. A violation of any of these covenants (including any failure to remain in compliance with any financial covenants contained therein) could result in a default under the amended credit agreement, which would result in termination of all commitments and loans under the amended credit agreement and all other amounts owing under the amended credit agreement and certain other loan agreements becoming immediately due and payable.

On June 1, 2009, in connection with the equity offering described in Note 15, the Company entered into the First Amendment to the Second Amended and Restated Credit Agreement (the “First Amendment”) pursuant to which the maximum revolving loans that can be outstanding at any time under the amended credit agreement was reduced to $75.0 million. In addition, the interest rate margin on loans, as well as fees on letters of credit, as a result of the maximum amount of the facility having been reduced to $75.0 million, was reduced to 6.0%.

Pursuant to the First Amendment, the Company has been given greater flexibility to make acquisitions by increasing aggregate permitted cash consideration from $10.0 million to $100.0 million, to make capital expenditures up to $30.0 million per quarter and to incur an additional $20.0 million in liens and letters of credit.

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As of September 30, 2009, the Company has an available secured line of credit of $75.0 million (including a $25.0 million letter of credit sublimit) and separate unsecured letter of credit facilities of up to $48.5 million in the aggregate. As of September 30, 2009, there were no borrowings under the revolving loan facility, $23.7 million of letters of credit had been issued under the amended credit facility, and $48.5 million of letters of credit had been issued under the separate unsecured letter of credit facilities.

In late 2008, the Company began replacing some of its outstanding letters of credit with restricted cash in order to reduce the Company’s letter of credit needs.

Financings

On January 30, 2009, the Company amended and restated a $52.6 million first mortgage loan, secured by the underlying properties, which was payable interest only through maturity in March 2009. Pursuant to the amendment, the maturity date has been extended to March 31, 2011. The amended and restated loan bears interest at LIBOR plus 4.0% and requires principal amortization. In connection with the amendment, the Company made a $3.0 million payment to reduce the outstanding principal amount of the loan.

On February 25, 2009, the Company amended a $41.0 million first mortgage loan, secured by the underlying properties, which was payable interest only through maturity in June 2009. Pursuant to the amendment, the maturity date has been extended to June 2011. The amended loan is evidenced by two promissory notes, the first of which is in the principal amount of $26.0 million and bears interest at LIBOR plus 3.0%. The second promissory note is in the amount of $15.0 million and bears interest at LIBOR plus 5.6%. Both notes require principal amortization. In connection with the amendment, the Company made a $2.0 million payment to reduce the outstanding principal amount of the $26.0 million loan.

Effective May 11, 2009, the Company exercised its option to extend the maturity date of $131.0 million of mortgage notes from May 11, 2009 to May 11, 2010. No other terms of the notes were changed in connection with the extension.

As of September 30, 2009, 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 $18.1 million and $13.9 million as of September 30, 2009 and December 31, 2008, 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 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 September 30, 2009 (dollars in thousands):

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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 September 30, 2009)	$	(19,564	)
Estimated asset fair value (included in other assets, net at September 30, 2009)	$	—

The following table summarizes the Company’s cap instruments at September 30, 2009 (dollars in thousands):

Current notional balance	$	734,621
Highest possible notional	$	734,621
Lowest interest rate		4.96	%
Highest interest rate		6.50	%
Average fixed rate		5.97	%
Earliest maturity date		2011
Latest maturity date		2012
Weighted average original maturity	3.8 years
Estimated liability fair value (included in other liabilities at September 30, 2009)	$	—
Estimated asset fair value (included in other assets, net at September 30, 2009)	$	942

During the three and nine months ended September 30, 2009, the fair value of the Company’s interest rate swaps and caps decreased $2.5 million and increased $1.1 million, respectively. During the three and nine months ended September 30, 2008, the fair value of the Company’s interest rate swaps and caps decreased $8.5 million and $17.3 million, respectively. This is included as a component of interest expense in the condensed consolidated statements of operations.

9. 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, 2009, the Company’s current policies provide for deductibles of $250,000 for each claim. Accordingly, the Company is, in effect, self-insured for most claims.

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10. Supplemental Disclosure of Cash Flow Information

(dollars in thousands):

	Nine Months Ended September 30,
	2009			2008
Supplemental Disclosure of Cash Flow Information:
Interest paid	$	99,460		$	110,998
Income taxes paid	$	1,846		$	1,401

Supplemental Schedule of Non-cash Operating, Investing and Financing Activities:
Capital leases:
Property, plant and equipment and leasehold intangibles, net	$	18,236		$	35,942
Long-term debt		(18,236	)		(35,942	)
Net	$	—		$	—
Lease Incentive:
Property, plant and equipment and leasehold intangibles, net	$	1,237		$	―
Deferred liabilities		(1,237	)		―
Net	$	—		$	—
De-consolidation of an entity pursuant to FIN 46(R):
Accounts receivable	$	―		$	92
Prepaid expenses and other current assets		―			1,861
Property, plant and equipment and leasehold intangibles, net		―			35,268
Other assets, net		―			7
Investment in unconsolidated ventures		―			186
Long-term debt		―			(29,159	)
Accrued expenses		―			(1,252	)
Trade accounts payable		―			(20	)
Tenant security deposits		―			(173	)
Refundable entrance fees and deferred revenue		―			(89	)
Additional paid-in-capital		―			(9,217	)
Accumulated deficit		―			2,496
Net	$	—		$	—
Acquisition of assets, net of related payables and cash received:
Other intangible assets, net	$	1,227		$	5,105
Reclassification of other intangibles, net	$	141		$	—

11. 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):

	Three Months Ended September 30,						Nine Months Ended September 30,
	2009			2008			2009			2008
Cash basis payment	$	65,331		$	63,394		$	195,397		$	189,610
Straight-line expense		3,793			4,709			12,073			15,675
Amortization of deferred gain		(1,088	)		(1,086	)		(3,259	)		(3,257	)
Facility lease expense	$	68,036		$	67,017		$	204,211		$	202,028

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12. 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 September 30,						Nine Months Ended September 30,
	2009			2008			2009			2008
Net loss	$	(21,290	)	$	(35,877	)	$	(45,456	)	$	(94,455	)
Reclassification of net loss (gains) on derivatives out of (into) earnings		123			124			369			(492	)
Amortization of payments from settlement of forward interest rate swaps		94			94			282			282
Other		(84	)		85			(253	)		422
Total comprehensive loss	$	(21,157	)	$	(35,574	)	$	(45,058	)	$	(94,243	)

13. Income Taxes

The Company’s effective tax rates for the three months ended September 30, 2009 and 2008 are 25.6% and 38.4%, respectively, and for the nine months ended September 30, 2009 and 2008 are 29.4 % and 36.8%, respectively. The difference in the effective rate between these periods is primarily due to the decrease in the calculated annualized effective rate for 2009 based on projected improvements in the Company’s performance. The rate was also impacted by the Company’s stock based compensation deduction as calculated under the FASB guidance on Share-Based Payment for 2009 due to the movements in the stock price between September 30, 2008 and September 30, 2009.

The Company recorded additional interest charges related to its tax contingency reserve and a new uncertain tax position for the nine months ended September 30, 2009. During the three months ended September 30, 2009, the Company settled an uncertain tax position as a result of a state audit. Tax returns for years 2005 through 2007 are subject to future examination by tax authorities. In addition, tax returns are open from 1999 through 2004 to the extent of the net operating losses generated during those periods.

14. Share Repurchase Program

On March 19, 2008, the Company’s board of directors approved a share repurchase program that authorized the Company to purchase up to $150.0 million in the aggregate of the Company’s common stock. Purchases could be made from time to time using a variety of methods, which could include open market purchases, privately negotiated transactions or block trades, or by any combination of such methods, in accordance with applicable insider trading and other securities laws and regulations. The size, scope and timing of any purchases was to be based on business, market and other conditions and factors, including price, regulatory and contractual requirements or consents, and capital availability. The repurchase program did not obligate the Company to acquire any particular amount of common stock and the program could be suspended, modified or discontinued at any time at the Company’s discretion without prior notice. Shares of stock repurchased under the program were to be held as treasury shares.

On February 25, 2009, the Company’s board of directors terminated this share repurchase authorization. In addition, the Company’s amended credit facility effectively prohibits the Company from repurchasing shares of its common stock, paying dividends or making distributions.

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15. Stockholders’ Equity

On June 8, 2009, the Company completed a public equity offering of 16,046,512 shares of common stock. The offering yielded net proceeds of approximately $163.7 million which was used primarily to repay the $125.0 million of indebtedness which was outstanding under the Company’s amended credit facility.

16. 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 September 30, 2009 (dollars in thousands):

	Total Carrying Value at September 30, 2009			Quoted prices in active markets (Level 1)		Significant other observable inputs (Level 2)			Significant unobservable inputs (Level 3)
Derivative assets	$	942		$	—	$	942		$	—
Derivative liabilities		(19,564	)		—		(19,564	)		—
	$	(18,622	)	$	—	$	(18,622	)	$	—

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.

17. Segment Results

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.

During the fourth quarter of 2008, five communities moved between segments to more accurately reflect their current underlying product offering. The movement did not change the Company’s reportable segments, but it did impact the revenues and cost reported within each segment. The net impact of the change was a decrease of one community to the CCRCs segment.

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.

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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 September 30,					Nine Months Ended September 30,
	2009		2008			2009		2008
Revenue(1)
Retirement Centers	$	135,664	$	137,057		$	405,507	$	407,830
Assisted Living		217,843		211,888			653,052		631,682
CCRCs		150,349		131,805			440,985		396,010
Management Services		1,987		1,527			5,002		5,604
	$	505,843	$	482,277		$	1,504,546	$	1,441,126
Segment operating income(2)
Retirement Centers	$	58,700	$	55,748		$	173,948	$	172,423
Assisted Living		73,655		65,900			231,713		214,826
CCRCs		42,562		32,888			130,246		110,474
Management Services		1,391		1,069			3,501		3,923
	$	176,308	$	155,605		$	539,408	$	501,646
General and administrative (including non-cash stock-based compensation expense)(3)	$	34,124	$	32,490		$	98,647	$	107,952
Facility lease expense		68,036		67,017			204,211		202,028
Deprecation and amortization		66,983		67,066			202,378		207,882
Income (loss) from operations	$	7,165	$	(10,968	)	$	34,172	$	(16,216	)


						As of
						September 30, 2009		December 31, 2008
Total assets
Retirement Centers						$	1,193,576	$	1,233,268
Assisted Living							1,273,855		1,393,223
CCRCs							1,666,573		1,476,206
Corporate and Management Services							367,678		346,561
						$	4,501,682	$	4,449,258

(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). Included in segment operating income is hurricane and named tropical storms expense of $3.6 million for the three and nine months ended September 30, 2008 consisting of $1.1 million in Retirement Centers, $1.3 million in Assisted Living and $1.2 million in CCRCs.

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

18. Subsequent Events

On October 7, 2009, the Company entered into an agreement with another senior housing company to acquire 21 senior living communities for an aggregate purchase price of $204.0 million. The portfolio has a total of 1,389 units, comprised of 92 independent living units, 876 assisted living units and 421 Alzheimer’s units. The Company

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expects to finance the transaction with approximately $134.0 million of mortgage debt (substantially through the assumption of existing debt), with the balance of the purchase price to be paid from cash on hand. The consummation of the transaction is subject to the satisfaction of certain closing conditions and contingencies and the receipt of certain lender approvals. The transaction is expected to close in November 2009.

The Company has evaluated all events subsequent to September 30, 2009 through the time of filing on November 4, 2009 and determined that no events other than those noted above have occurred which would require additional disclosure.

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Item 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 regarding the consummation of the Sunrise portfolio acquisition and the related financing and our expectations regarding the future performance of the acquired communities and their effect on our financial results; statements relating to our operational initiatives and our expectations regarding their effect on our results; our expectations regarding occupancy, revenue, 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; 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 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, our ability to satisfy the closing conditions and successfully complete the Sunrise portfolio acquisition; our ability to assume and obtain the mortgage debt financing for the Sunrise portfolio acquisition; the risk associated with the current global economic crisis and its impact upon capital markets and liquidity; our inability to extend (or refinance) debt as it matures or replace our amended credit facility when 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 integrate acquisitions 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, 2008 and in this Quarterly Report. 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 statements contained herein to reflect any change in our expectations with regard thereto or change in events, conditions or circumstances on which any statement is based.

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Executive Overview

During the third quarter of 2009, we continued to make progress in implementing the long-term growth objectives outlined in our most recent Annual Report on Form 10-K, in spite of the difficult operating environment. The following is a summary discussion of our progress during the three and nine months ended September 30, 2009.

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); and (iii) expansion of our existing communities. Additionally, as opportunities arise, we may also grow through the selective acquisition and consolidation of additional communities, asset portfolios, home health agencies and other senior living companies, as well as through the acquisition of the fee interest in communities that we currently lease or manage.

Our operating results for the three and nine months ended September 30, 2009 were favorably impacted by an increase in our total revenues (primarily driven by an increase in average monthly revenue per unit/bed including an increase in our ancillary services revenue) and by the significant cost control measures that were implemented in recent periods. The difficult operating environment during the first nine months of 2009 has resulted in slightly lower occupancy and diminished growth in the rates we charge our residents. We responded by controlling our expenses and capital spending, and by increasing the reach of our ancillary services programs. We also continue to aggressively focus on maintaining and increasing occupancy.

During the first half of the year, we took steps to preserve our liquidity and increase our financial flexibility. For example, during the second quarter, we completed a public equity offering which yielded $163.7 million of net proceeds, which were primarily used to repay the $125.0 million of indebtedness which was outstanding under our credit facility. Furthermore, we extended the maturity of a number of mortgage loans and, factoring in contractual extension options, have no mortgage debt maturities until 2011 (other than periodic, scheduled principal payments). Finally, we took steps to reduce materially our exposure to collateralization requirements associated with interest rate swaps. As a result of these steps and our operating performance during the nine months ended September 30, 2009, we ended the third quarter with $159.3 million of unrestricted cash and cash equivalents on our condensed consolidated balance sheet.

We recently entered into an agreement to acquire 21 senior living communities from affiliates of Sunrise Senior Living, Inc. for an aggregate purchase price of $204.0 million plus customary transaction expenses. The portfolio has a total of 1,389 units, comprised of 92 independent living units, 876 assisted living units and 421 Alzheimer’s units. We expect to finance the transaction with approximately $134.0 million of mortgage debt (substantially through the assumption of existing debt), with the balance of the purchase price to be paid from cash on hand. The consummation of the transaction is subject to the satisfaction of certain closing conditions and contingencies and the receipt of certain lender approvals. The transaction is expected to close in November 2009.

The tables below present a summary of our operating results and certain other financial metrics for the three and nine months ended September 30, 2009 and 2008 and the amount and percentage of increase or decrease of each applicable item (dollars in millions).

	Three Months Ended September 30,						Increase (Decrease)
	2009			2008(1)			Amount		Percent
Total revenues	$	505.8		$	482.3		$	23.5		4.9	%
Net loss	$	(21.3	)	$	(35.9	)	$	14.6		40.7	%
Adjusted EBITDA	$	85.6		$	67.4		$	18.2		27.0	%
Cash From Facility Operations	$	48.2		$	22.5		$	25.7		114.2	%
Facility Operating Income	$	169.2		$	149.8		$	19.4		13.0	%

	Nine Months Ended September 30,						Increase (Decrease)
	2009			2008(1)			Amount		Percent
Total revenues	$	1,504.5		$	1,441.1		$	63.4		4.4	%
Net loss	$	(45.5	)	$	(94.5	)	$	49.0		51.9	%
Adjusted EBITDA	$	263.6		$	227.0		$	36.6		16.1	%
Cash From Facility Operations	$	150.9		$	97.7		$	53.2		54.5	%
Facility Operating Income	$	519.8		$	481.2		$	38.6		8.0	%

________

(1)	The calculation of Adjusted EBITDA and Cash From Facility Operations for the three and nine months ended September 30, 2008 includes hurricane and named tropical storms expense totaling $3.6 million.

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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 September 30, 2009 increased to $505.8 million, an increase of $23.5 million, or approximately 4.9%, over our revenues for the three months ended September 30, 2008. For the nine months ended September 30, 2009, our revenues increased $63.4 million, or approximately 4.4%, to $1,504.5 million over the nine months ended September 30, 2008. The increase in revenues in the current year period was primarily a result of an increase in the average revenue per unit/bed compared to the prior year period, including growing revenues from our ancillary services programs, partially offset by a decline in occupancy from the prior year period. Our weighted average occupancy rate for the third quarter of 2009 was 89.0%, compared to 89.7% for the third quarter of 2008.

During the three months ended September 30, 2009, our Adjusted EBITDA, Cash From Facility Operations and Facility Operating Income increased by 27.0%, 114.2% and 13.0%, respectively, when compared to the three months ended September 30, 2008. During the nine months ended September 30, 2009, our Adjusted EBITDA, Cash From Facility Operations, and Facility Operating Income increased by 16.1%, 54.5% and 8.0%, respectively, when compared to the nine months ended September 30, 2008.

During the three months ended September 30, 2009, we continued to expand our ancillary services offerings. As of September 30, 2009, we offered therapy services to approximately 35,000 of our units and home health services to approximately 18,800 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.

During the third quarter of 2009, we opened two expansions with a total of 156 units. Our expansion program currently has two projects under construction that will add an additional 205 units, which are expected to open in the fourth quarter. Additionally, we recently opened the 240-unit independent living component of our new entry fee CCRC in the Villages, Florida. The 72-bed skilled nursing unit will open in the fourth quarter.

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 the prior year period. 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 September 30, 2009 and 2008

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 notes thereto, which are included herein.

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

	Three Months Ended September 30,
	2009			2008			Increase (Decrease)			% Increase (Decrease)

Statement of Operations Data:
Revenue
Resident fees
Retirement Centers	$	135,664		$	137,057		$	(1,393	)		(1.0	%)
Assisted Living		217,843			211,888			5,955			2.8	%
CCRCs		150,349			131,805			18,544			14.1	%
Total resident fees		503,856			480,750			23,106			4.8	%
Management fees		1,987			1,527			460			30.1	%
Total revenue		505,843			482,277			23,566			4.9	%
Expense
Facility operating expense(1)
Retirement Centers		76,964			81,309			(4,345	)		(5.3	%)
Assisted Living		144,188			145,988			(1,800	)		(1.2	%)
CCRCs		107,787			98,917			8,870			9.0	%
Total facility operating expense		328,939			326,214			2,725			0.8	%
General and administrative expense		34,720			32,948			1,772			5.4	%
Facility lease expense		68,036			67,017			1,019			1.5	%
Depreciation and amortization		66,983			67,066			(83	)		(0.1	%)
Total operating expense		498,678			493,245			5,433			1.1	%
Income (loss) from operations		7,165			(10,968	)		18,133			165.3	%
Interest income		623			1,383			(760	)		(55.0	%)
Interest expense
Debt		(30,574	)		(37,599	)		7,025			18.7	%
Amortization of deferred financing costs		(2,167	)		(3,004	)		837			27.9	%
Change in fair value of derivatives and amortization		(2,478	)		(8,454	)		5,976			70.7	%
Equity in earnings (loss) of unconsolidated ventures		42			358			(316	)		(88.3	%)
Loss on extinguishment of debt		(1,178	)		―			(1,178	)		(100.0	%)
Other non-operating (expense) income		(52	)		69			(121	)		(175.4	%)
Loss before income taxes		(28,619	)		(58,215	)		29,596			50.8	%
Benefit for income taxes		7,329			22,338			(15,009	)		(67.2	%)
Net loss	$	(21,290	)	$	(35,877	)	$	14,587			40.7	%

Selected Operating and Other Data:
Total number of communities (at end of period)		547			550			(3	)		(0.5	%)
Total units/beds operated(2)		52,268			51,933			335			0.6	%
Owned/leased communities units/beds		47,836			47,640			196			0.4	%

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Owned/leased communities occupancy rate (weighted average) (3)		89.0	%		89.7	%		(0.7	%)	(0.8	%)
Average monthly revenue per unit/bed(4)	$	3,987		$	3,786		$	201		5.3	%

Selected Segment Operating and Other Data:
Retirement Centers
Number of communities (period end)		85			87			(2	)	(2.3	%)
Total units/beds(2)		15,255			15,710			(455	)	(2.9	%)
Occupancy rate (weighted average)		89.1	%		90.6	%		(1.5	%)	(1.7	%)
Average monthly revenue per unit/bed(4)	$	3,347		$	3,232		$	115		3.6	%
Assisted Living
Number of communities (period end)		405			410			(5	)	(1.2	%)
Total units/beds(2)		20,804			21,059			(255	)	(1.2	%)
Occupancy rate (weighted average)		90.7	%		90.2	%		0.5	%	0.6	%
Average monthly revenue per unit/bed(4)	$	3,850		$	3,723		$	127		3.4	%
CCRCs
Number of communities (period end)		35			32			3		9.4	%
Total units/beds(2)		11,777			10,871			906		8.3	%
Occupancy rate (weighted average) (3)		85.7	%		87.4	%		(1.7	%)	(1.9	%)
Average monthly revenue per unit/bed(4)	$	5,200		$	4,810		$	390		8.1	%
Management Services
Number of communities (period end)		22			21			1		4.8	%
Total units/beds(2)		4,432			4,293			139		3.2	%
Occupancy rate (weighted average)		83.9	%		85.3	%		(1.4	%)	(1.6	%)

Selected Entrance Fee Data:
Non-refundable entrance fees sales	$	12,635		$	7,253
Refundable entrance fees sales(5)		9,296			4,273
Total entrance fee receipts(6)		21,931			11,526
Refunds		(4,649	)		(5,856	)
Net entrance fees	$	17,282		$	5,670

__________

(1)	Segment facility operating expense for the three months ended September 30, 2008 includes hurricane and named tropical storms expense totaling $3.6 million consisting of $1.1 million for Retirement Centers, $1.3 million for Assisted Living and $1.2 million for CCRCs.

(2)	Total units/beds operated represent the total units/beds operated as of the end of the period.

(3)	Excluding the impact of current quarter expansion openings, for the three months ended September 30, 2009, owned/leased communities occupancy rate was 89.2% and CCRCs occupancy rate was 86.4%.

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

(5)

Refundable entrance fee sales for the three months ended September 30, 2009 and 2008 include amounts received from residents participating in the MyChoice program, which allows new and existing residents the option to pay additional refundable entrance fee amounts in return for a reduced monthly service fee. MyChoice amounts received from residents totaled $0.1 million and $0.6 million for the three months ended September 30, 2009 and 2008, respectively.

(6)	Includes $10.6 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.

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As of September 30, 2009, our total operations included 547 communities with a capacity to serve 52,268 residents. Our resident capacity increased by 424 units from June 30, 2009 as a result of the completion of a number of community expansion projects and the addition of one new management agreement.

Resident Fees

The increase in resident fees occurred primarily in the Assisted Living and CCRC segments. Resident fees increased over the prior-year third quarter mainly due to an increase in average monthly revenue per unit/bed 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. This increase was partially offset by a decrease in occupancy for our communities in the Retirement Centers and CCRCs segments. During the current period, revenues grew 4.5% at the 517 communities we operated during both periods with a 5.1% increase in the average monthly revenue per unit/bed and a 0.5% decrease in occupancy.

Retirement Centers revenue declined slightly, primarily due to a decrease in occupancy at the communities we operated during both periods, partially offset by an increase in the average monthly revenue per unit/bed at those same communities period over period.

Assisted Living revenue increased $6.0 million, or 2.8%, due to an increase in the average monthly revenue per unit/bed and an increase in occupancy at the communities we operated during both periods.

CCRCs revenue increased $18.5 million, or 14.1%, primarily due to an increase in the average monthly revenue per unit/bed at the communities we operated during both periods partially offset by a decrease in occupancy at these same communities period over period. Revenue growth was also positively impacted by an increase in revenue related to the rollout of our ancillary services business to these communities during 2008 and 2009.

Management Fees

Management fees increased $0.5 million, or 30.1%, primarily due to a reclassification between management fees and facility operating expense.

Facility Operating Expense

Facility operating expense increased over the prior-year period primarily due to an increase in salaries and wages, increased insurance expense, higher deferred community fee expense recognition, and additional current year expense incurred in connection with the continued expansion of our ancillary services programs during 2009. These increases were partially offset by significant cost control measures that were implemented in recent periods. Facility operating expense during the third quarter of 2008 was negatively impacted by hurricane and named tropical storms expense.

Retirement Centers operating expenses decreased $4.3 million, or 5.3%, period over period, primarily due to expenses incurred related to hurricane and named tropical storms during the third quarter of 2008, as well as decreases in public relations and advertising expenses, partially offset by additional expense incurred in connection with the continued expansion of our ancillary services programs.

Assisted Living operating expenses decreased $1.8 million, or 1.2%, primarily due to significant cost control measures implemented in recent periods, including reductions in overtime hours worked and reduced public relations and advertising expenses. These decreases were partially offset by additional expense incurred in connection with the continued expansion of our ancillary services programs. Facility operating expense during the third quarter of 2008 was negatively impacted by hurricane and named tropical storms expense.

CCRCs operating expenses increased $8.9 million, or 9.0%, primarily due to an increase in expense incurred in connection with the continued expansion of our ancillary services programs, as well as increased salaries and wages due to filling vacant positions and wage rate increases. These increases were partially offset by significant cost control measures that were implemented in recent periods. Facility operating expense during the third quarter of 2008 was negatively impacted by hurricane and named tropical storms expense.

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General and Administrative Expense

General and administrative expense increased $1.8 million, or 5.4%, primarily as a result of increases in bonus expense and non-cash stock-based compensation expense in the current period in connection with restricted stock grants, partially offset by decreases in employee benefits expenses and travel and entertainment 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 acquisition-related costs, was 4.5% and 4.3% for the three months ended September 30, 2009 and 2008, respectively, calculated as follows (dollars in thousands):

	Three Months Ended September 30,
	2009				2008

Resident fee revenues	$	503,856	92.8	%	$	480,750	92.9	%
Resident fee revenues under management		39,021	7.2	%		36,739	7.1	%
Total	$	542,877	100.0	%	$	517,489	100.0	%
General and administrative expenses (excluding non-cash compensation, integration and acquisition-related costs)	$	24,651	4.5	%	$	22,311	4.3	%
Non-cash compensation expense		7,869	1.4	%		6,737	1.3	%
Integration and acquisition-related costs		2,200	0.4	%		3,900	0.8	%
General and administrative expenses (including non-cash compensation, integration and acquisition-related costs)	$	34,720	6.4	%	$	32,948	6.4	%

Facility Lease Expense

Lease expense remained relatively constant period over period.

Depreciation and Amortization

Depreciation and amortization expense remained relatively constant period over period.

Interest Income

Interest income decreased $0.8 million, or 55.0%, primarily due to the recognition of interest income in the third quarter of 2008 upon collection of a long-term note receivable, which interest income had been deferred as the interest was accumulating unpaid.

Interest Expense

Interest expense decreased $13.8 million, or 28.2%, primarily due to the change in fair value of our interest rate swaps and caps. During the three months ended September 30, 2009, we recognized approximately $2.5 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 $8.5 million of interest expense on our interest rate swaps for the three months ended September 30, 2008, representing a $6.0 million decrease in interest expense period over period. Additionally, interest expense on our mortgage debt decreased due to a decline in market interest rates period over period.

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Income Taxes

Our effective tax rates for the three months ended September 30, 2009 and 2008 are 25.6% and 38.4%, respectively. The difference in the effective rate between these periods is primarily due to the decrease in the calculated annualized effective rate for 2009 based on projected improvements in our performance.

An additional interest charge related to our tax contingency reserve was recorded during the three months ended September 30, 2009. Additionally, we settled an uncertain tax position as a result of a state audit during the three months ended September 30, 2009. Tax returns for years 2005 through 2007 are subject to future examination by tax authorities. In addition, tax returns are open from 1999 through 2004 to the extent of the net operating losses generated during those periods.

Nine Months Ended September 30, 2009 and 2008

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

	Nine Months Ended September 30,
	2009			2008			Increase (Decrease)			% Increase (Decrease)

Statement of Operations Data:
Revenue
Resident fees
Retirement Centers	$	405,507		$	407,830		$	(2,323	)		(0.6	%)
Assisted Living		653,052			631,682			21,370			3.4	%
CCRCs		440,985			396,010			44,975			11.4	%
Total resident fees		1,499,544			1,435,522			64,022			4.5	%
Management fees		5,002			5,604			(602	)		(10.7	%)
Total revenue		1,504,546			1,441,126			63,420			4.4	%
Expense
Facility operating expense(1)
Retirement Centers		231,559			235,407			(3,848	)		(1.6	%)
Assisted Living		421,339			416,856			4,483			1.1	%
CCRCs		310,739			285,536			25,203			8.8	%
Total facility operating expense		963,637			937,799			25,838			2.8	%
General and administrative expense		100,148			109,633			(9,485	)		(8.7	%)
Facility lease expense		204,211			202,028			2,183			1.1	%
Depreciation and amortization		202,378			207,882			(5,504	)		(2.6	%)
Total operating expense		1,470,374			1,457,342			13,032			0.9	%
Income (loss) from operations		34,172			(16,216	)		50,388			310.7	%
Interest income		1,771			6,169			(4,398	)		(71.3	%)
Interest expense
Debt		(96,845	)		(110,894	)		14,049			12.7	%
Amortization of deferred financing costs		(7,099	)		(6,940	)		(159	)		(2.3	%)
Change in fair value of derivatives and amortization		1,137			(17,344	)		18,481			106.6	%
Equity in earnings (loss) of unconsolidated ventures		1,218			(750	)		1,968			262.4	%
Loss on extinguishment of debt		(2,918	)		(3,052	)		134			4.4	%
Other non-operating income (expense)		4,172			(424	)		4,596			1,084.0	%

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Loss before income taxes		(64,392	)		(149,451	)		85,059		56.9	%
Benefit for income taxes		18,936			54,996			(36,060	)	(65.6	%)
Net loss	$	(45,456	)	$	(94,455	)	$	48,999		51.9	%

Selected Operating and Other Data:
Total number of communities (at end of period)		547			550			(3	)	(0.5	%)
Total units/beds operated(2)		52,268			51,933			335		0.6	%
Owned/leased communities units/beds		47,836			47,640			196		0.4	%
Owned/leased communities occupancy rate (weighted average) (3)		88.7	%		89.5	%		(0.8	%)	(0.9	%)
Average monthly revenue per unit/bed(4)	$	3,979		$	3,778		$	201		5.3	%

Selected Segment Operating and Other Data:
Retirement Centers
Number of communities (period end)		85			87			(2	)	(2.3	%)
Total units/beds(2)		15,255			15,710			(455	)	(2.9	%)
Occupancy rate (weighted average)		88.9	%		90.2	%		(1.3	%)	(1.4	%)
Average monthly revenue per unit/bed(4)	$	3,344		$	3,216		$	128		4.0	%
Assisted Living
Number of communities (period end)		405			410			(5	)	(1.2	%)
Total units/beds(2)		20,804			21,059			(255	)	(1.2	%)
Occupancy rate (weighted average)		90.0	%		89.6	%		0.4	%	0.4	%
Average monthly revenue per unit/bed(4)	$	3,877		$	3,738		$	139		3.7	%
CCRCs
Number of communities (period end)		35			32			3		9.4	%
Total units/beds(2)		11,777			10,871			906		8.3	%
Occupancy rate (weighted average) (3)		86.2	%		88.3	%		(2.1	%)	(2.4	%)
Average monthly revenue per unit/bed(4)	$	5,115		$	4,759		$	356		7.5	%
Management Services
Number of communities (period end)		22			21			1		4.8	%
Total units/beds(2)		4,432			4,293			139		3.2	%
Occupancy rate (weighted average)		84.9	%		84.1	%		0.8	%	1.0	%

Selected Entrance Fee Data:
Non-refundable entrance fees sales	$	23,225		$	15,210
Refundable entrance fees sales(5)		17,032			15,185
Total entrance fee receipts(6)		40,257			30,395
Refunds		(16,842	)		(14,331	)
Net entrance fees	$	23,415		$	16,064

__________

(1)	Segment facility operating expense for the nine months ended September 30, 2008 includes hurricane and named tropical storms expense totaling $3.6 million consisting of $1.1 million for Retirement Centers, $1.3 million for Assisted Living and $1.2 million for CCRCs.

(2)	Total units/beds operated represent the total units/beds operated as of the end of the period.

(3)	Excluding the impact of current quarter expansion openings, for the nine months ended September 30, 2009, owned/leased communities occupancy rate was 88.8% and CCRCs occupancy rate was 86.4%.

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

(5)

Refundable entrance fee sales for the nine months ended September 30, 2009 and 2008 include amounts received from residents participating in the MyChoice program, which allows new and existing residents the option to pay additional refundable entrance fee amounts in return for a reduced monthly service fee. MyChoice amounts received from residents totaled $0.7 million and $1.8 million for the nine months ended September 30, 2009 and 2008, respectively.

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(6)	Includes $10.6 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.

As of September 30, 2009, our total operations included 547 communities with a capacity to serve 52,268 residents. Our resident capacity increased by 464 units from December 31, 2008 as a result of the completion of a number of community renovation and expansion projects and the addition of one new management agreement, partially offset by the sale of one community and the termination of a management agreement with another community.

Resident Fees

The increase in resident fees occurred in the Assisted Living and CCRC segments. Resident fees increased over the prior-year period mainly due to an increase in average monthly revenue per unit/bed 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. This increase was partially offset by a decrease in occupancy for our communities in the Retirement Centers and CCRCs segments. During the current period, revenues grew 4.4% at the 516 properties we operated in both periods with a 5.2% increase in the average monthly revenue per unit/bed and a 0.7% decrease in occupancy.

Retirement Centers revenue decreased slightly, primarily due to a decrease in occupancy at the communities we operated during both periods, partially offset by an increase in the average monthly revenue per unit/bed at those same communities period over period.

Assisted Living revenue increased $21.4 million, or 3.4%, primarily due to an increase in the average monthly revenue per unit/bed at the communities we operated during both periods, as well as a slight increase in occupancy at these same communities period over period.

CCRCs revenue increased $45.0 million, or 11.4%, primarily due to an increase in the average monthly revenue per unit/bed at the communities we operated during both periods, partially offset by a decrease in occupancy at these same communities period over period. Revenue growth was also positively impacted by an increase in revenue related to the rollout of our ancillary services business to these communities during 2008 and 2009.

Management Fees

Management fees decreased $0.6 million, or 10.7%, primarily due to a one-time fee paid by one of the managed communities during the second quarter of 2008.

Facility Operating Expense

Facility operating expense increased over the prior-year period primarily due to an increase in salaries and wages due to wage increases occurring during 2008, increases in insurance expense, as well as higher deferred community fee expense recognition. Also there was an increase in expense incurred in connection with the continued expansion of our ancillary services programs during 2009. These increases were partially offset by significant cost control measures that were implemented in recent periods. Facility operating expense during the nine months ended September 30, 2008 was negatively impacted by hurricane and named tropical storms expense.

Retirement Centers operating expenses decreased $3.8 million, or 1.6%, primarily due to expenses incurred related to hurricane and named tropical storms during 2008, as well as decreases in public relations and advertising expenses, partially offset by additional expense incurred in connection with the continued expansion of our ancillary services programs.

Assisted Living operating expenses increased $4.5 million, or 1.1%, primarily due to increased salaries and wages, higher deferred community fee expense recognition, and an increase in expense incurred in connection with the continued expansion of our ancillary services programs. These increases were partially offset by reduced overtime

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hours worked and decreased public relations and advertising expenses. Facility operating expense during the nine months ended September 30, 2008 was negatively impacted by hurricane and named tropical storms expense.

CCRCs operating expenses increased $25.2 million, or 8.8%, primarily due to an increase in expense incurred in connection with the continued expansion of our ancillary services programs, as well as increased insurance expense and salaries and wages. These increases were partially offset by significant cost control measures that were implemented in recent periods. Facility operating expense during the nine months ended September 30, 2008 was negatively impacted by hurricane and named tropical storms expense.

General and Administrative Expense

General and administrative expense decreased $9.5 million, or 8.7%, primarily as a result of a decrease in non-controllable expenses period over period related to an $8.0 million reserve established for certain litigation during the nine months ended September 30, 2008, as well as decreases in non-cash stock-based compensation expense in connection with restricted stock grants, employee benefits expenses and travel and entertainment expenses. These decreases were partially offset by increased bonus expense in the current period. General and administrative expense as a percentage of total revenue, including revenue generated by the communities we manage and excluding non-cash compensation, integration, non-recurring and acquisition-related costs, was 4.7% and 4.5% for the nine months ended September 30, 2009 and 2008, respectively, calculated as follows (dollars in thousands):

	Nine Months Ended September 30,
	2009				2008

Resident fee revenues	$	1,499,544	92.7	%	$	1,435,522	92.7	%
Resident fee revenues under management		118,018	7.3	%		112,539	7.3	%
Total	$	1,617,562	100.0	%	$	1,548,061	100.0	%
General and administrative expenses (excluding non-cash compensation, integration, non-recurring and acquisition-related costs)	$	75,900	4.7	%	$	69,038	4.5	%
Non-cash compensation expense		21,549	1.3	%		23,368	1.5	%
Integration, non-recurring and acquisition-related costs		2,699	0.2	%		17,227	1.1	%
General and administrative expenses (including non-cash compensation, integration, non-recurring and acquisition-related costs)	$	100,148	6.2	%	$	109,633	7.1	%

Facility Lease Expense

Lease expense remained relatively constant period over period.

Depreciation and Amortization

Depreciation and amortization expense decreased by $5.5 million, or 2.6%, primarily as a result of resident in-place lease intangibles becoming fully amortized during late 2008.

Interest Income

Interest income decreased $4.4 million, or 71.3%, primarily due to the recognition of interest income upon collection of a long-term note receivable, which interest income had been deferred as the interest was accumulating unpaid, during the nine months ended September 30, 2008.

Interest Expense

Interest expense decreased $32.4 million, or 23.9%, primarily due to the change in fair value of our interest rate swaps and caps. During the nine months ended September 30, 2009, we recognized approximately $1.1 million of

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interest income on our interest rate swaps and caps due to favorable changes in the LIBOR yield curve which resulted in a change in the fair value of the swaps and caps, as compared to approximately $17.3 million of interest expense on our interest rate swaps for the nine months ended September 30, 2008. Interest expense on our mortgage debt also decreased due to a decline in market interest rates period over period.

Other Non-operating Income (Expense)

Other non-operating income (expense) increased $4.6 million primarily due to the gain on sale of a joint venture interest during the nine months ended September 30, 2009.

Income Taxes

Our effective tax rates for the nine months ended September 30, 2009 and 2008 are 29.4% and 36.8%, respectively. The difference in the effective rate between these periods is primarily due to the decrease in the calculated annualized effective rate for 2009 based on projected improvements in our performance. The rate was also impacted by our stock based compensation deduction as calculated under the FASB guidance on Share-Based Payment for 2009 due to the movements in the stock price between September 30, 2008 and September 30, 2009.

An additional interest charge related to our tax contingency reserve and a new uncertain tax position were recorded during the nine months ended September 30, 2009. Additionally, we settled an uncertain tax position as a result of a state audit during the nine months ended September 30, 2009. Tax returns for years 2005 through 2007 are subject to future examination by tax authorities. In addition, tax returns are open from 1999 through 2004 to the extent of the net operating losses generated during those periods.

Critical Accounting Policies and Estimates

For a description of our critical accounting policies and estimates, see our Annual Report on Form 10-K for the fiscal year ended December 31, 2008.

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):

	Nine Months Ended September 30,
	2009			2008
Cash provided by operating activities	$	185,972		$	107,354
Cash used in investing activities		(124,017	)		(101,700	)
Cash provided by (used in) financing activities		43,385			(50,673	)
Net increase (decrease) in cash and cash equivalents		105,340			(45,019	)
Cash and cash equivalents at beginning of period		53,973			100,904
Cash and cash equivalents at end of period	$	159,313		$	55,885

The increase in cash provided by operating activities was attributable to improved operating performance period over period as well as working capital management, partially offset by security deposits returned to prospective residents on a discontinued development project.

The increase in cash used in investing activities was primarily attributable to an increase in restricted cash balances funded (in order to reduce our letter of credit needs) related to the renegotiation of the line of credit in the current year which was partially offset by a reduction on spending on property, plant and equipment and leasehold improvements period over period, as well as cash received on a sale-leaseback transaction and for the sale of a joint venture interest in the current period. The prior year period also includes a cash payment received on outstanding notes receivable.

The increase in cash provided by financing activities period over period was primarily attributable to proceeds received from the public equity offering in the current period as well as a decrease in dividend payments due to the

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suspension of the dividend during the fourth quarter of 2008 and a decrease in swap termination payments during the current period, partially offset by a decrease in net borrowings in the current year period.

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. Over the near-term, however, we expect a reduced level of mortgage refinancing activity. We also anticipate a reduced level of reliance on proceeds from our credit facility over the near-term compared to historical levels.

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 of our current communities and the development of new communities;

other corporate initiatives (including 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 $75.0 million amended credit facility (including a $25.0 million letter of credit sublimit) and our unsecured facilities providing for up to $48.5 million of letters of credit in the aggregate. The remainder of our indebtedness is generally comprised of non-recourse property-level mortgage financings.

During the nine months ended September 30, 2009, we completed a public equity offering which yielded $163.7 million of net proceeds. In conjunction with the completion of the offering, we entered into an amendment to our credit facility which, among other things, reduced the maximum revolving loan commitment to $75.0 million as discussed below. Proceeds from the offering were primarily used to repay the $125.0 million of indebtedness which was outstanding under the credit facility.

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At September 30, 2009, we had $2.1 billion of debt outstanding, excluding capital lease obligations, at a weighted-average interest rate of 3.89%. At September 30, 2009, we had $323.5 million of capital and financing lease obligations, $23.7 million of letters of credit had been issued under the amended credit facility, and $48.5 million of letters of credit had been issued under our unsecured letter of credit facilities. Approximately $155.4 million of our debt obligations are due on or before September 30, 2010. We also have substantial operating lease obligations and capital expenditure requirements. For the year ending September 30, 2010, we will be required to make approximately $262.1 million of payments in connection with our existing operating leases.

We had $159.3 million of cash and cash equivalents at September 30, 2009, excluding cash and escrow deposits-restricted and lease security deposits of $189.4 million. Additionally, as of September 30, 2009, we had $51.3 million available under our corporate credit facility, of which $1.3 million can be drawn as letters of credit.

In late 2008, we began replacing some of our outstanding letters of credit with restricted cash in order to reduce our letter of credit needs.

As of September 30, 2009, we had $155.4 million of current debt maturities. Although certain of our debt obligations are scheduled to mature on or prior to September 30, 2010, we have the option, subject to the satisfaction of customary conditions (such as the absence of a material adverse change), to extend the maturity of approximately $131.0 million of certain non-recourse mortgages payable included in such debt until 2011, as the instruments associated with these mortgages payable provide that we can extend the respective maturity dates for one 12 month term each from the existing maturity dates.

At September 30, 2009, we had $247.6 million of negative working capital, which includes the classification of $208.5 million of refundable entrance fees and $14.9 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 $23.4 million of cash for the nine months ended September 30, 2009.

For the year ending December 31, 2009, we anticipate that we will make investments of approximately $50.0 million to $55.0 million for capital expenditures (net of approximately $90.0 million expected to be reimbursed from lenders/lessors or funded through construction financing), comprised of approximately $21.0 million to $23.0 million of net recurring capital expenditures, approximately $2.0 million to $3.0 million of net capital expenditures in connection with our community expansion and development program, and approximately $27.0 million to $29.0 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), systems related expenditures, and expenditures supporting the expansion of our ancillary services programs. For the nine months ended September 30, 2009, we spent approximately $12.0 million for net recurring capital expenditures and approximately $11.9 million for expenditures relating to other major projects and corporate initiatives and had a net receipt of cash of approximately $6.4 million (consisting of $61.6 million for capital expenditures net of $68.0 million that had been reimbursed as of September 30, 2009) in connection with our expansion and development program.

During 2009, we anticipate funding the majority of capital expenditures relating to our expansion and development program through debt and lease financings for those projects (approximately $88.0 million in the aggregate). We expect that our other capital expenditures will be funded from cash on hand, cash flows from operations, and amounts drawn on our 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 and limitations imposed by our credit facility, we have recently been focusing on integrating previous acquisitions and on the significant organic growth opportunities inherent in our growth strategy and have engaged in a reduced level of acquisition activity. Over the longer-term (and as opportunities arise over the near-term), we plan 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.

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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 recently taken a number of steps to reduce our collateral posting risk. In particular, during 2008 and the nine months ended September 30, 2009, we terminated a number of interest rate swaps with an aggregate notional amount of $1.1 billion and purchased $509.3 million in aggregate notional amount of interest rate caps, which do not require the posting of cash collateral. Furthermore, during 2008, we obtained $37.6 million of swaps that are secured by underlying mortgaged assets and, hence, do not require cash collateralization. As of September 30, 2009, we have $734.6 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 $93.0 million of variable rate debt that is not subject to any cap or swap agreements.

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.

During late 2008 and the first half of 2009, we took steps to preserve our liquidity and increase our financial flexibility. For example, we suspended our quarterly dividend payments, terminated our share repurchase program and initiated a number of cost control measures (including limitations on our capital expenditures). In addition, we completed the public equity offering described above and repaid the outstanding borrowings on our corporate credit facility. We currently estimate that our existing cash flows from operations, together with existing working capital, amounts available under our 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 September 30, 2009, we are in compliance with the financial covenants of our outstanding debt and lease agreements.

Credit Facilities

As of January 1, 2009, we had an available secured line of credit of $245.0 million (including a $70.0 million letter of credit sublimit), an associated letter of credit facility of up to $80.0 million, and separate letter of credit facilities of up to $42.5 million in the aggregate. The line of credit bore interest at the base rate plus 3.0% or LIBOR plus 4.0%, at our election, and was scheduled to mature on May 15, 2009. We were required to pay fees ranging from 2.5% to 4.0% of the amount of any outstanding letters of credit issued under the associated letter of credit facility and are required to pay a fee of 2.5% of the amount of any outstanding letters of credit issued under the separate letter of credit facilities.

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Refinancing of Line of Credit

During late 2008 and early 2009, we entered into unsecured facilities with a financial institution, maturing in November 2011, providing for up to $48.5 million of letters of credit in the aggregate and entered into a Second Amended and Restated Credit Agreement, dated February 27, 2009, with Bank of America, N.A., as administrative agent, Banc of America Securities LLC, as sole lead arranger and book manager, and the several lenders from time to time parties thereto. The amended credit agreement amended and restated our previous $245.0 million secured line of credit and terminated the associated $80.0 million letter of credit facility.

The amended credit agreement initially consisted of a $230.0 million revolving loan facility with a $25.0 million letter of credit sublimit and is scheduled to mature on August 31, 2010.

Pursuant to the terms of the amended credit agreement, certain of our subsidiaries, as guarantors, will guarantee our obligations under the amended credit agreement and the other loan documents. Further, in connection with the amended credit agreement, (i) the company and certain guarantors executed and delivered a Pledge Agreement in favor of the administrative agent for the banks and other financial institutions from time to time parties to the amended credit agreement, pursuant to which such guarantors pledged certain assets for the benefit of the secured parties as collateral security for the payment and performance of our obligations under the amended credit agreement and the other loan documents and (ii) certain guarantors granted mortgages and executed and delivered a Security Agreement, in each case, in favor of the administrative agent for the banks and other financial institutions

from time to time parties to the amended credit agreement encumbering certain real and personal property of such guarantors. The collateral includes, among other things, certain real property and related personal property owned by the guarantors, equity interests in certain of our subsidiaries, all related books and records and, to the extent not otherwise included, all proceeds and products of any and all of the foregoing.

At our option, amounts drawn under the revolving loan facility initially bore interest at either (i) LIBOR plus a margin of 7.0% or (ii) the greater of (a) the Bank of America prime rate or (b) the Federal Funds rate plus 0.5%, plus a margin of 7.0%. For purposes of determining the interest rate, in no event shall the base rate or LIBOR be less than 3.0%. In connection with the loan commitments, we will pay a quarterly commitment fee of 1.0% per annum on the average daily amount of undrawn funds. We were initially required to pay a fee equal to 7.0% of the amount of any issued and outstanding letters of credit; provided, with respect to drawable amounts that have been cash collateralized, the letter of credit fee shall be payable at a rate per annum equal to 2.0%.

The amended credit agreement contains typical representations and covenants for loans of this type, including restrictions on our ability to pay dividends, make distributions, make acquisitions, incur capital expenditures, incur new liens, or repurchase shares of our common stock. The amended credit agreement also contains financial covenants, including covenants with respect to maximum consolidated adjusted leverage, minimum consolidated fixed charge coverage, minimum tangible net worth, and maximum total capital expenditures. A violation of any of these covenants (including any failure to remain in compliance with any financial covenants contained therein) could result in a default under the amended credit agreement, which would result in termination of all commitments and loans under the amended credit agreement and all other amounts owing under the amended credit agreement and certain other loan agreements becoming immediately due and payable.

On June 1, 2009, in connection with the equity offering described above, we entered into the First Amendment to the Second Amended and Restated Credit Agreement (the “First Amendment”) pursuant to which the maximum revolving loans that can be outstanding at any time under the amended credit agreement was reduced to $75.0 million. In addition, the interest rate margin on loans, as well as fees on letters of credit, as a result of the maximum amount of the facility having been reduced to $75.0 million, was reduced to 6.0%.

Pursuant to the First Amendment, we were given greater flexibility to make acquisitions by increasing aggregate permitted cash consideration from $10.0 million to $100.0 million, to make capital expenditures up to $30.0 million per quarter and to incur an additional $20.0 million in liens and letters of credit.

As of September 30, 2009, we have an available secured line of credit of $75.0 million (including a $25.0 million letter of credit sublimit) and separate unsecured letter of credit facilities of up to $48.5 million in the aggregate. As of September 30, 2009, there were no borrowings under the revolving loan facility, $23.7 million of letters of credit has been issued under the amended credit facility, and $48.5 million of letters of credit had been issued under our unsecured letter of credit facilities.

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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, 2008.

There have been no material changes in our contractual commitments during the nine months ended September 30, 2009 other than with respect to the repayment of the entire outstanding balance on our line of credit in connection with the public equity offering discussed above.

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;

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

straight-line lease expense (income);

amortization of deferred gain;

amortization of deferred entrance fees; and

non-cash compensation expense;

and including:

entrance fee receipts and refunds (excluding certain first generation entrance fee receipts on newly opened entrance fee CCRCs).

In the current period, we clarified the definition of Adjusted EBITDA to exclude initial entrance fees received from the sale of units at newly opened entrance fee CCRCs where the Company is required to apply such entrance fee proceeds to satisfy debt.

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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 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 condensed 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 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 and nine months ended September 30, 2009 and 2008 (dollars in thousands):

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	Three Months Ended September 30,						Nine Months Ended September 30,
	2009 (1)			2008(1)			2009(1)			2008(1)
Net loss	$	(21,290	)	$	(35,877	)	$	(45,456	)	$	(94,455	)
Benefit for income taxes		(7,329	)		(22,338	)		(18,936	)		(54,996	)
Equity in (earnings) loss of unconsolidated ventures		(42	)		(358	)		(1,218	)		750
Loss on extinguishment of debt		1,178			—			2,918			3,052
Other non-operating expense (income)		52			(69	)		(4,172	)		424
Interest expense:
Debt		23,276			30,743			75,071			90,365
Capitalized lease obligation		7,298			6,856			21,774			20,529
Amortization of deferred financing costs		2,167			3,004			7,099			6,940
Change in fair value of derivatives and amortization		2,478			8,454			(1,137	)		17,344
Interest income		(623	)		(1,383	)		(1,771	)		(6,169	)
Income (loss) from operations		7,165			(10,968	)		34,172			(16,216	)
Depreciation and amortization		66,983			67,066			202,378			207,882
Straight-line lease expense		3,793			4,709			12,073			15,675
Amortization of deferred gain		(1,088	)		(1,086	)		(3,259	)		(3,257	)
Amortization of entrance fees		(5,742	)		(4,707	)		(16,084	)		(16,527	)
Non-cash compensation expense		7,869			6,737			21,549			23,368
Entrance fee receipts(2)		21,931			11,526			40,257			30,395
First generation entrance fees received(3)		(10,626	)		―			(10,626	)		―
Entrance fee disbursements		(4,649	)		(5,856	)		(16,842	)		(14,331	)
Adjusted EBITDA	$	85,636		$	67,421		$	263,618		$	226,989

(1)

The calculation of Adjusted EBITDA includes integration and acquisition-related costs for the three and nine months ended September 30, 2009 of $2.2 million and $2.7 million, respectively. Integration and hurricane and named tropical storms expense as well as other non-recurring costs were $7.5 million for the three months ended September 30, 2008 and $20.8 million for the nine months ended September 30, 2008. The amount for the nine months ended September 30, 2008 includes the effect of an $8.0 million reserve established for certain litigation.

(2)

Includes the receipt of refundable and nonrefundable entrance fees.

(3)

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;

certain first generation entrance fee receipts on newly opened entrance fee CCRCs;

entrance fee refunds disbursed;

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

other; and

recurring capital expenditures.

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In the current period, we clarified the definition of CFFO to exclude initial entrance fees received from the sale of units at newly opened entrance fee CCRCs where the Company is required to apply such entrance fee proceeds to satisfy debt.

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/bed per year. Historically, we have spent in excess of these per unit/bed amounts; however, there is no assurance that we will have funds available to escrow or spend these per unit/bed 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.

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 condensed 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.

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The table below shows the reconciliation of net cash provided by operating activities to CFFO for the three and nine months ended September 30, 2009 and 2008 (dollars in thousands):

	Three Months Ended September 30,						Nine Months Ended September 30,
	2009(1)			2008(1)			2009 (1)			2008(1)
Net cash provided by operating activities	$	72,900		$	30,630		$	185,972		$	107,354
Changes in operating assets and liabilities		(11,438	)		2,062			(7,221	)		13,303
Refundable entrance fees received(2)(3)		9,296			4,273			17,032			15,185
First generation entrance fees received(4)		(10,626	)		―			(10,626	)		―
Entrance fee refunds disbursed		(4,649	)		(5,856	)		(16,842	)		(14,331	)
Recurring capital expenditures, net		(5,495	)		(6,965	)		(12,038	)		(19,616	)
Lease financing debt amortization with fair market value or no purchase options		(1,793	)		(1,688	)		(5,371	)		(4,975	)
Reimbursement of operating expenses and other		―			―			―			794
Cash From Facility Operations	$	48,195		$	22,456		$	150,906		$	97,714

(1)

The calculation of CFFO includes integration and acquisition-related costs for the three and nine months ended September 30, 2009 of $2.2 million and $2.7 million, respectively. Integration and hurricane and named tropical storms expense as well as other non-recurring costs were $7.5 million for the three months ended September 30, 2008 and $20.8 million for the nine months ended September 30, 2008. The amount for the nine months ended September 30, 2008 includes the effect of an $8.0 million reserve established for certain litigation.

(2)

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 and nine months ended September 30, 2009 were $3.3 million and $6.8 million, respectively. Notes issued (net of collections) for the three and nine months ended September 30, 2008 were not material.

(3)

Total entrance fee receipts for the three months ended September 30, 2009 and 2008 were $21.9 million and $11.5 million, respectively, including $12.6 million and $7.3 million, respectively, of nonrefundable entrance fee receipts included in net cash provided by operating activities. Total entrance fee receipts for the nine months ended September 30, 2009 and 2008 were $40.3 million and $30.4 million, respectively, including $23.2 million and $15.2 million, respectively, of nonrefundable entrance fee receipts included in net cash provided by operating activities.

(4)

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;

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

facility lease expense;

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

amortization of deferred entrance fee revenue; and

management fees.

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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 depreciation and amortization, lease expense, 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/bed). 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 condensed 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 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 and nine months ended September 30, 2009 and 2008 (dollars in thousands):

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	Three Months Ended September 30,						Nine Months Ended September 30,
	2009			2008			2009			2008
Net loss	$	(21,290	)	$	(35,877	)	$	(45,456	)	$	(94,455	)
Benefit for income taxes		(7,329	)		(22,338	)		(18,936	)		(54,996	)
Equity in (earnings) loss of unconsolidated ventures		(42	)		(358	)		(1,218	)		750
Loss on extinguishment of debt		1,178			―			2,918			3,052
Other non-operating expense (income)		52			(69	)		(4,172	)		424
Interest expense:
Debt		23,276			30,743			75,071			90,365
Capitalized lease obligation		7,298			6,856			21,774			20,529
Amortization of deferred financing costs		2,167			3,004			7,099			6,940
Change in fair value of derivatives and amortization		2,478			8,454			(1,137	)		17,344
Interest income		(623	)		(1,383	)		(1,771	)		(6,169	)
Income (loss) from operations		7,165			(10,968	)		34,172			(16,216	)
Depreciation and amortization		66,983			67,066			202,378			207,882
Facility lease expense		68,036			67,017			204,211			202,028
General and administrative (including non-cash stock compensation expense)		34,720			32,948			100,148			109,633
Amortization of entrance fees		(5,742	)		(4,707	)		(16,084	)		(16,527	)
Management fees		(1,987	)		(1,527	)		(5,002	)		(5,604	)
Facility Operating Income	$	169,175		$	149,829		$	519,823		$	481,196

Item 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 September 30, 2009, we had approximately $953.1 million of long-term fixed rate debt, $1.0 billion of long-term variable rate debt and $323.5 million of capital and financing lease obligations. As of September 30, 2009, our total fixed-rate debt and variable-rate debt outstanding had weighted-average interest rates of 3.89%.

We enter into certain interest rate swap agreements with major financial institutions to manage our risk on variable rate debt. Additionally, during 2008 and 2009, we entered into certain cap agreements to effectively manage our risk above certain interest rates. As of September 30, 2009, $1.3 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 September 30, 2009, $734.6 million, or 34.4%, of our debt, excluding capital and financing lease obligations, is subject to cap agreements. The remaining $93.0 million, or 4.4%, 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 $7.5 million, $39.0 million and $52.5 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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Item 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 September 30, 2009, 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 September 30, 2009 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PART II. OTHER INFORMATION

Item 1. Legal Proceedings

The information contained in Note 9 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. See the Company’s Quarterly Report on 10-Q for the quarter ended June 30, 2009 for a summary of certain litigation that was settled during that period.

Item 1A. Risk Factors

For information regarding the most significant risks facing the Company, please see the risk factors set forth in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2008, filed with the SEC on March 2, 2009, as well as the risks discussed below. There have been no material changes to the risk factors contained in our Form 10-K other than as set forth below.

Recent disruptions in the financial markets could affect our ability to obtain financing or to extend or refinance debt as it matures, which could negatively impact our liquidity, financial condition and the market price of our common stock.

The United States stock and credit markets have recently experienced significant price volatility, dislocations and liquidity disruptions, which have caused market prices of many stocks to fluctuate substantially and the spreads on prospective debt financings to widen considerably. These circumstances have materially impacted liquidity in the financial markets, making terms for certain financings less attractive, and in some cases have resulted in the unavailability of financing. Continued uncertainty in the stock and credit markets may negatively impact our ability to access additional financing (including any refinancing or extension of our existing debt) on reasonable terms, which may negatively affect our business.

As of September 30, 2009, we had an available secured line of credit of $75.0 million (including a $25.0 million letter of credit sublimit) and separate letter of credit facilities of up to $48.5 million in the aggregate. As of September 30, 2009, we also had $155.4 million of debt that is scheduled to mature during the twelve months ending September 30, 2010. If we are unable to extend our credit facility, or enter into a new credit facility, at or prior to its August 31, 2010 maturity date or extend (or refinance, as applicable) any of our other debt or letter of credit facilities prior to their scheduled maturity dates, our liquidity and financial condition could be adversely impacted. In addition, even if we are able to extend or replace our credit facility at or prior to its maturity or extend or refinance our other maturing debt or letter of credit facilities, the terms of the new financing may not be as favorable to us as the terms of the existing financing.

A prolonged downturn in the financial markets may cause us to seek alternative sources of potentially less attractive financing, and may require us to further adjust our business plan accordingly. These events also may make it more difficult or costly for us to raise capital, including through the issuance of common stock. Continued disruptions in

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the financial markets could have an adverse effect on us and our business. If we are not able to obtain additional financing on favorable terms, we also may have to delay or abandon some or all of our growth strategies, which could adversely affect our revenues and results of operations.

If we are not able to satisfy the conditions precedent to exercising the extension options associated with certain of our debt agreements, our liquidity and financial condition could be negatively impacted.

Our consolidated financial statements reflect approximately $155.4 million of debt obligations due on or prior to September 30, 2010. Although these debt obligations are scheduled to mature on or prior to September 30, 2010, we have the option, subject to the satisfaction of customary conditions (such as the absence of a material adverse change), to extend the maturity of approximately $131.0 million of certain non-recourse mortgages payable included in such debt until 2011, as the instruments associated with such mortgages payable provide that we can extend the respective maturity dates for one 12 month term each from the existing maturity dates. We presently anticipate that we will exercise the extension options and will satisfy the conditions precedent for doing so with respect to each of these obligations. If we are not able to satisfy the conditions precedent to exercising these extension options, our liquidity and financial condition could be adversely impacted.

If the ownership of our common stock continues to be highly concentrated, it may prevent you and other stockholders from influencing significant corporate decisions and may result in conflicts of interest.

As of September 30, 2009, funds managed by affiliates of Fortress beneficially own 60,875,826 shares, or approximately 51.3% of our outstanding common stock (excluding unvested restricted shares). In addition, two of our directors are associated with Fortress. As a result, funds managed by affiliates of Fortress are able to control fundamental and significant corporate matters and transactions, including: the election of directors; mergers, consolidations or acquisitions; the sale of all or substantially all of our assets and other decisions affecting our capital structure; the amendment of our amended and restated certificate of incorporation and our amended and restated by-laws; and the dissolution of the Company. Fortress’s interests, including its ownership of the North American operations of Holiday Retirement Corp., one of our competitors, may conflict with your interests. Their control of the Company could delay, deter or prevent acts that may be favored by our other stockholders such as hostile takeovers, changes in control of the Company and changes in management. As a result of such actions, the market price of our common stock could decline or stockholders might not receive a premium for their shares in connection with a change of control of the Company.

The market price of our common stock could be negatively affected by sales of substantial amounts of our common stock in the public markets.

At September 30, 2009, 118,618,457 shares of our common stock were outstanding (excluding unvested restricted shares). All of the shares of our common stock are freely transferable, except for any shares held by our “affiliates,” as that term is defined in Rule 144 under the Securities Act of 1933, as amended, or the Securities Act, or any shares otherwise subject to the limitations of Rule 144.

Pursuant to our Stockholders Agreement, Fortress and certain of its affiliates and permitted third-party transferees have the right, in certain circumstances, to require us to register their shares of our common stock under the Securities Act for sale into the public markets. Upon the effectiveness of such a registration statement, all shares covered by the registration statement will be freely transferable. In connection with our obligations under the Stockholders Agreement, we received a request from Fortress to file a registration statement on Form S-3 to permit the resale, from time to time, of up to 60,875,826 shares of common stock owned by certain affiliates of Fortress. The registration statement on Form S-3 was declared effective on May 22, 2009.

In addition, as of Sept 30, 2009, we had registered under the Securities Act an aggregate of 12,100,000 shares for issuance under our Omnibus Stock Incentive Plan, an aggregate of 1,000,000 shares for issuance under our Associate Stock Purchase Plan and an aggregate of 100,000 shares for issuance under our Director Stock Purchase Plan. In accordance with the terms of the Omnibus Stock Incentive Plan, the number of shares available for issuance automatically increases by 400,000 shares on January 1 of each year. Pursuant to the terms of the Associate Stock Purchase Plan, the number of shares available for purchase under the plan will automatically increase by 200,000 shares on the first day of each calendar year beginning January 1, 2010. Subject to any restrictions imposed on the shares and options granted under our stock incentive programs, shares registered under these registration statements will be available for sale into the public markets.

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Our ability to use net operating loss carryovers to reduce future tax payments may be limited.

Section 382 of the Internal Revenue Code contains rules that limit the ability of a company that undergoes an ownership change, which is generally any change in ownership of more than 50% of its stock over a three-year period, to utilize its net operating loss carryforwards and certain built-in losses recognized in years after the ownership change. These rules generally operate by focusing on ownership changes involving stockholders owning directly or indirectly 5% or more of the stock of a company and any change in ownership arising from a new issuance of stock by the company. The determination of whether an ownership change occurs is complex and not within the control of the company. Consequently, no assurance can be provided as to whether an ownership change has occurred or will occur in the future. Generally, if an ownership change occurs, the yearly limitation is equal to the product of the applicable long term tax exempt rate and the value of the Company’s stock immediately before the ownership change.

Item 5. Other Information

Our Board of Directors has unanimously approved an amendment to our Amended and Restated Certificate of Incorporation to effectuate an increase in the authorized number of directors from not more than eight members to not more than nine members, so that we may offer W.E. Sheriff, our Chief Executive Officer, the opportunity to join our Board. On November 4, 2009, certain stockholders (including funds managed by affiliates of Fortress Investment Group LLC) who are party to the Stockholders Agreement dated November 28, 2005, as amended, executed a written consent approving the foregoing amendment. This consent constitutes the consent of a majority of the total number of shares of our outstanding common stock entitled to vote in the election of directors and is sufficient to approve the amendment to our Certificate of Incorporation.

The amendment to our Certificate of Incorporation will become effective approximately 20 days after we send notice of the action taken by written consent to our stockholders. Promptly following the effective date of the amendment, our Board intends to approve a corresponding amendment to our Amended and Restated Bylaws increasing the maximum size of our Board. The Board then intends to formally increase the allowed number of directors to nine and appoint Mr. Sheriff as a Class I director, to serve until the annual meeting of stockholders to be held in 2011 and until his successor is duly elected and qualified. Mr. Sheriff’s appointment to our Board has been unanimously recommended by our Nominating and Corporate Governance Committee.

In connection with the amendment to our Certificate of Incorporation discussed above, on November 4, 2009, we and the Fortress stockholders entered into Amendment Number Two to our Stockholders Agreement, dated as of November 28, 2005. Among other things, the amendment amended our Stockholders Agreement to provide that our Board will consist of not more than nine directors and that FIG LLC, an affiliate of Fortress Investment Group LLC, will be able to designate four directors, or if the Board is composed of eight or nine directors, five directors, for so long as the Fortress stockholders and their permitted transferees beneficially own more than 35% of the voting power of our common stock (as compared to the 50% ownership threshold in place prior to the amendment). The foregoing summary of certain provisions of the amendment to our Stockholders Agreement does not purport to be complete and is qualified in its entirety by reference to the full text of the amendment filed as Exhibit 4.4 hereto, which is incorporated herein by reference.

Item 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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SIGNATURES

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:		November 4, 2009

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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 Quarterly Report on Form 10-Q filed on August 14, 2006).
3.2		Amended and Restated Bylaws of the Company (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on December 20, 2007).
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.
10.1		First Amendment to Brookdale Senior Living Inc. Omnibus Stock Incentive Plan, as amended and restated, effective as of October 30, 2009.
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.