10-K 1 d10k.htm FORM 10-K Form 10-K
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Index to Financial Statements

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 


FORM 10-K

 


(Mark One)

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

For the fiscal year ended December 31, 2006

OR

 

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

 

Commission File Numbers:

 

333-89312-02

333-90756-03

333-101598-03

333-107942-05

333-119261-27

333-120642-27

333-127262-45

333-131342-56

333-133115-61

 


ELDERTRUST OPERATING LIMITED PARTNERSHIP

(Exact Name of Registrant as Specified in Its Charter)

 


 

Delaware   23-2915846

(State or Other Jurisdiction of

Incorporation or Organization)

 

(IRS Employer

Identification No.)

 

10350 Ormsby Park Place, Suite 300, Louisville, Kentucky   40223
(Address of Principal Executive Offices)   (Zip Code)

(502) 357-9000

(Registrant’s Telephone Number, Including Area Code)

 


Securities registered pursuant to Section 12(b) of the Act: None

Securities registered pursuant to Section 12(g) of the Act: None

 


Indicate by check mark if the Registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.    Yes  ¨    No  x

Indicate by check mark if the Registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.    Yes  ¨    No  x

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  x    No  ¨

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of Registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment of this Form 10-K.  x

Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer  ¨    Accelerated filer  ¨    Non-accelerated filer  x

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

Ventas, Inc., directly and indirectly through its wholly owned subsidiary, ElderTrust, owns 99.2% of the partnership interests in the Registrant as of March 21, 2007. The aggregate market value of the partnership interests held by non-affiliates of the Registrant as of June 30, 2006 was approximately $1.3 million, based upon the price of $12.50 per Class C unit at which Ventas, Inc. purchased its limited partnership interests on February 5, 2004, and the price of $26.20 per Class D unit at which these units were issued on June 7, 2005. The partnership interests held by non-affiliates of the Registrant consist of 31,455 Class C limited partnership units, and 36,137 Class D limited partnership units outstanding as of March 21, 2007.

DOCUMENTS INCORPORATED BY REFERENCE

Portions of Ventas, Inc.’s definitive Proxy Statement for the Annual Meeting of Stockholders to be held on May 16, 2007 are incorporated by reference into Part III, Items 10 through 14 of this Annual Report on Form 10-K.

 



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Index to Financial Statements

CAUTIONARY STATEMENTS

Unless otherwise indicated or except where the context otherwise requires, the terms “the Partnership,” “we,” “us” and “our” and other similar terms in this Annual Report on Form 10-K refer to ElderTrust Operating Limited Partnership and its consolidated subsidiaries. All references to periods prior to February 5, 2004, the date on which we were acquired by Ventas, Inc. (“Ventas”), refer to the activities of our predecessor (the “ETOP Predecessor”).

Forward-Looking Statements

This Annual Report on Form 10-K includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). All statements regarding our expected future financial position, results of operations, cash flows, financing plans, business strategy, budgets, projected costs, capital expenditures, competitive positions, growth opportunities, expected lease income, plans and objectives of management for future operations and statements that include words such as “anticipate,” “if,” “believe,” “plan,” “estimate,” “expect,” “intend,” “may,” “could,” “should,” “will” and other similar expressions are forward-looking statements. These forward-looking statements are inherently uncertain, and security holders must recognize that actual results may differ from our expectations. We do not undertake a duty to update these forward-looking statements, which speak only as of the date on which they are made.

Our actual and future results and trends may differ materially depending on a variety of factors discussed in our filings with the Securities and Exchange Commission (the “Commission”). Factors that may affect our plans or results include without limitation:

 

   

the ability and willingness of our operators and tenants, including Genesis Health Ventures, Inc. (“Genesis Health”), Genesis HealthCare Corporation (“Genesis HealthCare”) and entities in which Genesis Health accounts for its investment using the equity method of accounting (collectively, “Genesis Equity Investees” and, together with Genesis Health and Genesis HealthCare, “Genesis”) and Benchmark Assisted Living, L.L.C. (“Benchmark”), to meet and/or perform the obligations under their various contractual arrangements with us;

 

   

the ability of our operators and tenants to maintain the financial strength and liquidity necessary to satisfy their respective obligations and liabilities to third parties, including without limitation obligations under their existing credit facilities;

 

   

the nature and extent of future competition;

 

   

the extent of future or pending healthcare reform and regulation, including cost containment measures and changes in reimbursement policies, procedures and rates;

 

   

increases in our cost of borrowing;

 

   

the ability of our operators and tenants to deliver high quality services and to attract residents and patients;

 

   

the results of litigation affecting us;

 

   

changes in general economic conditions and/or economic conditions in the markets in which we may, from time to time, compete;

 

   

our ability to pay down, refinance, restructure and/or extend our indebtedness as it becomes due;

 

   

the movement of interest rates;

 

   

the ability and willingness of our tenants to renew their leases with us upon expiration of the leases and our ability to relet our properties on the same or better terms in the event such leases expire and are not renewed by the existing tenants; and

 

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the impact on the liquidity, financial condition and results of operations of our operators and tenants resulting from increased operating costs and uninsured liabilities for professional liability claims, and the ability of our operators and tenants to accurately estimate the magnitude of these liabilities.

Many of these factors, some of which are described in greater detail in Part I, Item 1A of this Annual Report on Form 10-K, are beyond our control and the control of our management.

Genesis HealthCare Information

Genesis HealthCare is subject to the reporting requirements of the Commission and is required to file with the Commission annual reports containing audited financial information and quarterly reports containing unaudited financial information. The information related to Genesis HealthCare contained or referred to in this Annual Report on Form 10-K is derived from filings made by Genesis HealthCare with the Commission or other publicly available information, or has been provided to us by Genesis HealthCare. We have not verified this information either through an independent investigation or by reviewing Genesis HealthCare’s public filings. We have no reason to believe that this information is inaccurate in any material respect, but we cannot assure you that all of this information is accurate. Genesis HealthCare’s filings with the Commission can be found at the Commission’s website at www.sec.gov. We are providing this data for informational purposes only, and you are encouraged to obtain Genesis HealthCare’s publicly available filings from the Commission.

 

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TABLE OF CONTENTS

 

    PART I     

Item 1.

  Business    5

Item 1A.

  Risk Factors    12

Item 1B.

  Unresolved Staff Comments    15

Item 2.

  Properties    15

Item 3.

  Legal Proceedings    15

Item 4.

  Submission of Matters to a Vote of Security Holders    15
  PART II   

Item 5.

  Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of EquitySecurities    16

Item 6.

  Selected Financial Data    16

Item 7.

  Management’s Discussion and Analysis of Financial Condition and Results of Operations    18

Item 7A.

  Quantitative and Qualitative Disclosures About Market Risk    24

Item 8.

  Financial Statements and Supplementary Data    25

Item 9.

  Changes in and Disagreements with Accountants on Accounting and Financial Disclosure    47

Item 9A.

  Controls and Procedures    47

Item 9B.

  Other Information    47
  PART III   

Item 10.

  Directors, Executive Officers and Corporate Governance    47

Item 11.

  Executive Compensation    47

Item 12.

  Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters    47

Item 13.

  Certain Relationships and Related Transactions, and Director Independence    48

Item 14.

  Principal Accountant Fees and Services    48
  PART IV   

Item 15.

  Exhibits and Financial Statement Schedules    49

 

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PART I

ITEM 1. Business

BUSINESS

Overview

We are a limited partnership organized under the laws of the State of Delaware. We invest in seniors housing and other healthcare-related properties, primarily skilled nursing facilities, assisted and independent living communities and medical and other office buildings. ElderTrust, a Maryland real estate investment trust (“ElderTrust”), is our sole general partner. On February 5, 2004, ElderTrust became a wholly owned direct subsidiary of Ventas, Inc. (“Ventas”), a healthcare real estate investment trust based in Louisville, Kentucky, whose common stock is publicly traded on the New York Stock Exchange. See “Note 3—Merger of ElderTrust” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K.

As of December 31, 2006, our consolidated assets were located in three states and consisted of nine seniors housing communities, five skilled nursing facilities, two medical office buildings and a financial office building with an aggregate carrying value of $140.1 million. With the exception of the office buildings, we lease these properties to third-party healthcare providers, generally under “triple-net” or “absolute-net” leases, which require the tenants to pay all property-related expenses. Based on the gross book value, skilled nursing facilities and seniors housing communities comprised approximately 88.8% of our consolidated assets at December 31, 2006.

We operate through one reportable segment: investment in real estate. Our primary business consists of financing and owning seniors housing and healthcare-related properties and leasing those properties to third parties, primarily Genesis and Benchmark. See our Consolidated Financial Statements and related notes, including “Note 2—Summary of Significant Accounting Policies,” included in Part II, Item 8 of this Annual Report on Form 10-K.

Portfolio of Properties

The following table provides an overview of our portfolio of properties as of and for the year ended December 31, 2006:

 

Portfolio by Type

   # of
Properties
   # of
Beds/Units
  

Rental

Income

   Percent of
Total
Revenues
    Original
Investment
   Percent of
Original
Investment
   

Original

Investment
Per

Bed/Unit

   Number of
States (1)
     (dollars in thousands)

Seniors housing communities

   9    879    $ 7,726    46.4 %   $ 84,015    54.0 %   $ 95.6    2

Skilled nursing facilities

   5    781      5,631    33.8       53,924    34.7       69.0    2

Other properties

   3    nm      3,153    19.0       17,677    11.3       nm    2
                                       

Total

   17       $ 16,510    99.2 %(2)   $ 155,616    100.0 %      3
                                       

(1)

As of December 31, 2006, we owned seniors housing and healthcare-related properties located in three states operated by two different operators.

(2)

The remainder of our total revenues is interest and other income.

nm - Not meaningful.

Seniors Housing and Healthcare-Related Properties

Seniors Housing Communities. Our seniors housing communities are comprised of assisted and independent living facilities that offer residential units on a month-to-month basis primarily to elderly individuals with various levels of assistance requirements. Residents of these facilities are provided meals in a central dining area and engage in group activities organized by the staff. Assisted living residents may also be provided personal supervision and daily assistance with eating, bathing, grooming and administering medication that make it possible for them to live independently.

Skilled Nursing Facilities. Our skilled nursing facilities typically provide nursing care services to the elderly and rehabilitation and restoration services, including physical, occupational and speech therapies, and other medical treatment for patients and residents who do not require the high technology, care-intensive setting of an acute care or rehabilitation hospital.

 

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Other Properties. Our other properties consist of medical office buildings, which offer office space primarily to physicians and other healthcare-related businesses, and one financial office building.

Geographic Diversification

The following table shows our rental income derived by geographic location for the year ended December 31, 2006:

 

     Rental Income   

Percent of

Total Revenues

 
     (dollars in thousands)  

State

     

Pennsylvania

   $ 9,415    56.6 %

Massachusetts

     5,607    33.7  

New Jersey

     1,488    8.9  
             

Total

   $ 16,510    99.2 %(1)
             

(1)

The remainder of our total revenues is interest and other income.

Significant Tenants

As of December 31, 2006, approximately 53.5% and 35.2% of our properties, based on their original cost, were operated by Genesis and Benchmark, respectively, and for the year then ended, Genesis and Benchmark accounted for approximately 50.1% and 30.8% respectively, of our total rental income.

We have ten separate single facility leases with Genesis, providing for aggregate, annual cash rent of approximately $8.1 million, subject to escalation as provided therein, and four separate single facility leases with Benchmark, providing for aggregate, annual cash rent of approximately $5.0 million, subject to escalation as provided therein. Each of our leases with Genesis and Benchmark is a “triple-net” lease, pursuant to which the tenant is required to pay all insurance, taxes, utilities, maintenance and repairs related to the property. All but one of our leases with Genesis have minimum annual rent escalators of 1.5%, and the remaining lease contains a contingent escalator based on the year-over-year change in facility revenue. All but one of our leases with Benchmark have minimum annual rent escalators of 2.0%, and the remaining lease does not contain an escalator. The expirations of the initial terms of our Genesis and Benchmark leases range from June 2008 to June 2015, and all provide for renewal periods aggregating ten years.

Because Genesis and Benchmark lease a substantial portion of our properties and are the primary sources of our total revenues, their financial condition and ability and willingness to satisfy their obligations under their respective leases with us have a significant impact on our financial results and our ability to service our indebtedness and to make distributions to our partners. We cannot assure you that Genesis or Benchmark will have sufficient assets, income and access to financing to enable it to satisfy these obligations, and any inability or unwillingness on its part to do so would have a material adverse effect on our business, financial condition, results of operations and liquidity. See “We are dependent on Genesis and Benchmark; Genesis’s or Benchmark’s inability or unwillingness to satisfy its obligations under its agreements with us could significantly harm us and our ability to service our indebtedness and other obligations” included in Item 1A of this Annual Report on Form 10-K.

Competition

We compete for real property investments with healthcare providers, healthcare-related REITs, healthcare lenders, real estate partnerships, banks, insurance companies and other investors. Some of our competitors are significantly larger and have greater financial resources and lower cost of capital than we do. Our ability to continue to compete successfully for real property investments will be determined by numerous factors, including our ability to identify suitable acquisition or investment targets, our ability to negotiate acceptable terms for any such acquisition and the availability and cost of capital to us.

The operators of our properties compete on a local and regional basis with other healthcare operators. Their ability to compete successfully for residents and patients at our properties depends upon several factors, including the scope and quality of services provided, the operational reputation of the operator, physician referral patterns, physical appearance of

 

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the properties, other competitive systems of healthcare delivery within the community, population and demographics, and the financial condition of the operator. Private, federal and state reimbursement programs and the effect of other laws and regulations also may have a significant effect on our operators to compete successfully for patients at the properties. See “Changes in the reimbursement rates or methods of payment from third-party payors, including the Medicare and Medicaid programs, could have a material adverse effect on certain of our tenants” included in Item 1A of this Annual Report on Form 10-K.

Employees

We have no employees. We are managed by ElderTrust and Ventas, and therefore, the employees of Ventas act as our employees.

Insurance

We maintain and/or require in our existing leases that our tenants maintain liability and casualty insurance on the properties and their operations. However, we cannot assure you that our tenants will maintain such insurance, and any failure by our tenants to do so could have a material adverse effect on our business, financial condition, results of operation and liquidity, on our ability to service our indebtedness and on our ability to make distributions to our partners (a “Material Adverse Effect”). We believe that our tenants are in substantial compliance with the insurance requirements contained in their respective leases with us.

We believe that the amount and scope of insurance coverage provided by our own and our tenants’ policies is customary for similarly situated companies in our industry. We cannot assure you that in the future such insurance will be available at a reasonable price or that we will be able to maintain adequate levels of insurance coverage.

Due to the increase in the number and severity of professional liability claims against healthcare providers, the availability of professional liability insurance has been severely restricted and the premiums for such insurance coverage have increased dramatically. As a result, many healthcare providers may incur large funded and unfunded professional liability expense, which could have a material adverse effect on their liquidity, financial condition and results of operations. In addition, many healthcare providers are pursuing different organizational and corporate structures coupled with insurance programs that provide less insurance coverage. Therefore, we cannot assure you that our tenants will continue to carry the insurance coverage required under the terms of their leases with us or that we will continue to require the same levels of insurance under our leases.

Additional Information

Ventas, our ultimate parent entity, maintains a website at www.ventasreit.com. The information on Ventas’s website is not incorporated by reference in this Annual Report on Form 10-K, and the web address is included as an inactive textual reference only.

Ventas makes available, free of charge, through its website its Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Exchange Act as soon as reasonably practicable after it electronically files such material with, or furnishes it to, the Commission. We do not make our reports available on Ventas’s website; however, you may obtain copies of our filings with the Commission at the Commission’s website at www.sec.gov. In addition, we will mail copies of the foregoing documents, free of charge, upon request to Corporate Secretary, Ventas, Inc., 10350 Ormsby Park Place, Suite 300, Louisville, KY 40223.

 

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GOVERNMENTAL REGULATION

Healthcare Regulation

General

The operators of our properties derive a substantial portion of their revenues from third party payors, including the Medicare and Medicaid programs. Medicare is a federal program that provides certain hospital and medical insurance benefits to persons age 65 and over, certain disabled persons and persons with end-stage renal disease. Medicaid is a medical assistance program jointly funded by federal and state governments and administered by each state pursuant to which benefits are available to certain indigent patients. The Medicare and Medicaid statutory framework is subject to administrative rulings, interpretations and discretion that affect the amount and timing of reimbursement made under Medicare and Medicaid. The amounts of program payments received by our operators and tenants can be changed by legislative or regulatory actions and by determinations by agents for the programs. See “—Healthcare Reform.” In addition, private payors, including managed care payors, increasingly are demanding discounted fee structures and the assumption by healthcare providers of all or a portion of the financial risk. Efforts to impose greater discounts and more stringent cost controls upon operators by private payors are expected to continue. We cannot assure you that adequate reimbursement levels will continue to be available for services to be provided by the operators of our properties which currently are being reimbursed by Medicare, Medicaid and private payors. Significant limits on the scope of services reimbursed and on reimbursement rates and fees could have a material adverse effect on these operators’ liquidity, financial condition and results of operations, which could affect adversely their ability to make rental payments under, and otherwise comply with the terms of, their leases with us.

The operators of our properties are subject to other extensive federal, state and local laws and regulations including, but not limited to, laws and regulations relating to licensure, conduct of operations, ownership of facilities, addition of facilities, services, prices for services, billing for services, and the confidentiality and security of health-related information. These laws authorize periodic inspections and investigations, and identification of deficiencies that, if not corrected, can result in sanctions that include loss of licensure to operate and loss of rights to participate in the Medicare and Medicaid programs. Regulatory agencies have substantial powers to affect the actions of operators of our properties if the agencies believe that there is an imminent threat to patient welfare, and in some states these powers can include assumption of interim control over facilities through receiverships.

Seniors Housing Communities. Our seniors housing properties include independent and assisted living facilities. Independent living facilities provide services to residents such as housekeeping, meals and activities. Although residents of our independent living facilities generally do not require daily living assistance, they may obtain services such as bathing, eating and dressing. In contrast, assisted living facilities provide services to aid in activities of daily living, such as bathing, meals, security, transportation, recreation, medication supervision and limited therapeutic programs. Certain of our assisted living facilities offer more advanced levels of personal care for residents with Alzheimer’s disease or other forms of dementia, depending upon local regulation. More intensive medical needs of the resident are often met within assisted living facilities by home health providers, close coordination with the resident’s physician and skilled nursing facilities.

Seniors housing communities are subject to relatively few, if any, federal regulations. Instead, to the extent they are regulated, the regulation is conducted mainly by state and local laws which govern the licensing of beds, the provision of services, staffing requirements and other operational matters. However, these state laws vary greatly from one state to another.

The recent increase in the number of seniors housing communities around the country has attracted the attention of various federal agencies which believe there should be more federal regulation of these facilities. To date, Congress has deferred to state regulation of seniors housing communities. As a result of the increased federal scrutiny along with the rapid increase in the number of these facilities, some states have revised and strengthened their regulation of seniors housing communities. More states are expected to do the same in the future.

Skilled Nursing Facilities. The operators of our skilled nursing facilities generally are licensed on an annual or bi-annual basis and certified annually for participation in the Medicare and Medicaid programs through various regulatory agencies which determine compliance with federal, state and local laws. These legal requirements relate to the quality of the nursing care provided, qualifications of the administrative personnel and nursing staff, the adequacy of the physical plant and equipment and continuing compliance with the laws and regulations governing the operation of skilled nursing facilities. A loss of licensure or certification could adversely affect a skilled nursing facility’s ability to receive payments from the Medicare and Medicaid programs, which could in turn adversely impact the operator’s ability to make rental payments under its leases with us.

 

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Fraud and Abuse

There are extensive federal and state laws and regulations prohibiting fraud and abuse in the healthcare industry that can result in significant criminal and civil penalties that can materially affect the operators of our properties. The federal laws include:

 

   

The anti-kickback statute (Section 1128B(b) of the Social Security Act), which prohibits certain business practices and relationships that might affect the provision and cost of healthcare services reimbursable under Medicare, Medicaid and other federal healthcare programs, including the payment or receipt of remuneration for the referral of patients whose care will be paid by Medicare or other governmental programs.

 

   

The physician self-referral prohibition (Ethics in Patient Referral Act of 1989, commonly referred to as the “Stark Law”), which prohibits referrals by physicians of Medicare patients to providers of a broad range of designated healthcare services with which the physicians (or their immediate family members) or Medicaid have ownership interests or certain other financial arrangements.

 

   

The False Claims Act, which prohibits any person from knowingly presenting false or fraudulent claims for payment to the federal government (including the Medicare and Medicaid programs).

 

   

The Civil Monetary Penalties Law, which authorizes the United States Department of Health and Human Services (“HHS”) to impose civil penalties administratively for fraudulent acts.

 

   

The Health Insurance Portability and Accountability Act of 1996 (commonly referred to as “HIPAA”), which among other things, protects the privacy and security of individually identifiable health information by limiting its use and disclosure.

Sanctions for violating these federal laws include criminal and civil penalties that range from punitive sanctions, damage assessments, money penalties, imprisonment, denial of Medicare and Medicaid payments, and/or exclusion from the Medicare and Medicaid programs. These laws also impose an affirmative duty on operators to ensure that they do not employ or contract with persons excluded from the Medicare and other government programs.

Many states have adopted or are considering legislative proposals similar to the federal fraud and abuse laws, some of which extend beyond the Medicare and Medicaid programs to prohibit the payment or receipt of remuneration for the referral of patients and physician self-referrals regardless of whether the service was reimbursed by Medicare or Medicaid. Many states have also adopted or are considering legislative proposals to increase patient protections, such as minimum staffing levels, criminal background checks, and limiting the use and disclosure of patient specific health information. These state laws also impose criminal and civil penalties similar to the federal laws.

In the ordinary course of their business, the operators of our properties have been and are subject regularly to inquiries, investigations and audits by federal and state agencies that oversee these laws and regulations. Increased funding through recent federal and state legislation has led to a dramatic increase in the number of investigations and enforcement actions over the past several years. Private enforcement of healthcare fraud also has increased due in large part to amendments to the civil False Claims Act in 1986 that were designed to encourage private individuals to sue on behalf of the government. These whistleblower suits by private individuals, known as qui tam relators, may be filed by almost anyone, including present and former patients or nurses and other employees. HIPAA also created a series of new healthcare-related crimes.

As federal and state budget pressures continue, federal and state administrative agencies may also continue to escalate investigation and enforcement efforts to eliminate waste and to control fraud and abuse in governmental healthcare programs. A violation of any of these federal and state fraud and abuse laws and regulations could have a material adverse effect on our operators’ liquidity, financial condition and results of operations, which could affect adversely their ability to make rental payments under, or otherwise comply with the terms of, their leases with us.

 

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Healthcare Reform

Healthcare is one of the largest industries in the United States and continues to attract much legislative interest and public attention. In an effort to reduce federal spending on healthcare, in 1997 the federal government enacted the Balanced Budget Act (“BBA”), which contained extensive changes to the Medicare and Medicaid programs, including substantial reimbursement reductions for healthcare operations. For certain healthcare providers, including skilled nursing facilities, implementation of the BBA resulted in more drastic reimbursement reductions than had been anticipated. In addition to its impact on Medicare, the BBA also afforded states more flexibility in administering their Medicaid plans, including the ability to shift most Medicaid enrollees into managed care plans without first obtaining a federal waiver.

The following key legislative and regulatory changes have been made to the BBA to provide some relief from the drastic reductions in Medicare and Medicaid reimbursement resulting from implementation of the BBA:

 

   

The Balanced Budget Refinement Act of 1999 (“BBRA”);

 

   

The Medicare, Medicaid, and State Child Health Insurance Program Benefits Improvement and Protection Act of 2000 (“BIPA”);

 

   

Beginning on October 1, 2003, the Center for Medicare & Medicaid Services (“CMS”) instituted a one-time “administrative fix” to increase skilled nursing facility payment rates by 3.26%; and

 

   

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (“Medicare Modernization Act,” sometimes referred to as the “Drug Bill”).

The Medicare and Medicaid programs, including payment levels and methods, are continually evolving and are less predictable following the enactment of BBA and the subsequent reform activities. We cannot assure you that future healthcare legislation or changes in the administration or implementation of governmental healthcare reimbursement programs will not have a material adverse effect on the liquidity, financial condition or results of operations of our operators and tenants, which could have a material adverse effect on their ability to make rental payments and which, in turn, could have a Material Adverse Effect on us.

Medicare Reimbursement; Skilled Nursing Facilities

BBA established a prospective payment system for skilled nursing facilities (“SNF PPS”) offering Part A covered services. Under the SNF PPS, payment amounts are based upon classifications determined through assessments of individual Medicare patients in the skilled nursing facility, rather than on the facility’s reasonable costs. The payments received under the SNF PPS are intended generally to cover all inpatient services for Medicare patients, including routine nursing care, most capital-related costs associated with the inpatient stay, and ancillary services, such as respiratory therapy, occupational and physical therapy, speech therapy and certain covered drugs. Under the SNF PPS, per diem payments are made to nursing home facilities for each resident.

In response to widespread healthcare industry concern about the reductions in payments under BBA, the federal government enacted BBRA on November 29, 1999. BBRA increased the per diem reimbursement rates for certain high acuity patients by 20% starting April 1, 2000 and continuing until case mix refinements were implemented by CMS, as explained below. Under BBRA, outpatient rehabilitation therapy providers, including Part B nursing facilities, also received a two-year moratorium on the annual cap on the amount of physical, occupational and speech therapy provided to a patient, which moratorium was subsequently extended until December 31, 2005 pursuant to the Medicare Modernization Act. On January 1, 2006, these therapy limitations went into effect until the Deficit Reduction Act (“DRA”) was enacted. This new law retroactively established an exception process for the payment of all claims above the limits when such services are medically necessary. Under the rule published by CMS on August 18, 2006 updating the categorization system for the long-term acute care hospital prospective payment system for 2007, the annual cap on Medicare part B reimbursement for physical therapy and speech-language pathology services and the separate annual cap on occupational therapy were lifted for those patients who can demonstrate medical necessity. On December 20, 2006, the President signed into law the Tax Relief and Health Care Act of 2006 § 201, Pub. L. No. 109-432, which, among other things, extended the DRA process for obtaining relief from the therapy caps through December 31, 2007.

In addition, under CMS’s August 18, 2006 rule, reimbursement of uncollectible Medicare coinsurance amounts for all beneficiaries (other than beneficiaries of both Medicare and Medicaid) is reduced from 100% to 70% for skilled nursing

 

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facility cost reporting periods beginning on or after October 1, 2005. CMS estimates that the change in treatment of bad debt will result in a decrease in payments to skilled nursing facilities of $490 million over the five-year period from federal fiscal year 2006 to 2010. The rule also includes various options for classifying and weighting patients transferred to a skilled nursing facility after a hospital stay less than the mean length of stay associated with that particular diagnosis-related group. This change in methodology could affect skilled nursing facility admissions, although we currently cannot predict what impact it will have on the liquidity or profitability of our skilled nursing facility operators.

On August 4, 2005, CMS published its final rule under SNF PPS for the 2006 federal fiscal year (October 1, 2005 through September 30, 2006). Pursuant to the rule, CMS, among other things, refined the resource utilization groups (“RUGs”) used to determine the daily payment for beneficiaries in skilled nursing facilities by adding nine new payment categories. The result of this refinement, which became effective on January 1, 2006, was to eliminate the temporary add-on payments that Congress enacted as part of the BBRA. CMS also increased the case mix index adjustment for all of the RUGs categories and implemented a market basket increase of 3%, effective October 1, 2005. CMS projected the overall effect of these changes to be a 0.1% increase in aggregate skilled nursing facility Medicare payments in federal fiscal year 2006, but within this aggregate CMS expected some facilities to have modest decreases and some to have modest increases.

Although CMS has updated SNF PPS payment rates in the past through annual rulemaking, for federal fiscal year 2007, CMS issued a guidance that payment rates under Medicare part A will increase by 3.1% beginning October 1, 2006. We cannot assure you that the payment rates under Medicare part A will not be changed by Congress or as to the extent of any such changes.

On November 1, 2006, the Secretary of Health and Human Services placed on public display his five-year review and update to the Medicare physician fee schedule entitled: “Medicare Program; Revisions to Payment Policies, Five-Year Review of Work Relative Value Units, Changes to the Practice Expense Methodology Under the Physician Fee Schedule, and Other Changes to Payment Under Part B; Revisions to the Payment Policies of Ambulance Services Under the Fee Schedule for Ambulance Services; and Ambulance Inflation Factor Update for CY 2007.” This final rule with a comment period was scheduled to be effective on January 1, 2007. The reduction in fees for physician and therapy services was overturned on December 20, 2006, when President Bush signed into law the Tax Relief and Health Care Act of 2006, which, among other things, reduced the overall payment reduction of 5% to zero.

We cannot assure you that future updates to the SNF PPS system, therapy services or Medicare reimbursement for skilled nursing facilities will not materially adversely impact our operators, which, in turn, could have a Material Adverse Effect on us. See “Risks Arising from Our Business—Changes in the reimbursement rates or methods of payment from third-party payors, including the Medicare and Medicaid programs, could have a material adverse effect on certain of our tenants” included in Item 1A of this Annual Report on Form 10-K.

Medicaid Reimbursement; Skilled Nursing Facilities

Approximately two-thirds of all nursing home residents are dependent on Medicaid. Medicaid reimbursement rates, however, typically are less than the amounts charged by the operators of our properties. BBA repealed the “Boren Amendment” federal payment standard for Medicaid payments to hospitals and nursing facilities effective October 1, 1997, giving states greater latitude in setting payment rates for these providers. Furthermore, federal legislation restricts a nursing facility operator’s ability to withdraw from the Medicaid program by restricting the eviction or transfer of Medicaid residents.

For the last several years, many states have announced actual or potential budget shortfalls. As a result of these budget shortfalls, many states have implemented, are implementing or considering implementing “freezes” or cuts in Medicaid rates paid to providers, including skilled nursing facilities. Changes to Medicaid eligibility criteria are also possible thereby reducing the number of beneficiaries eligible to have their medical care reimbursed by government sources.

In the DRA, Congress made changes to the Medicaid program that are estimated to result in $10 billion in savings to the federal government over the next five years primarily through the accounting practices some states use to calculate their matched payments and revising the qualifications for individuals who are eligible for Medicaid benefits. The changes made by the rule published by CMS on August 18, 2006 described above are also anticipated to reduce Medicaid payments to skilled nursing facility operators in the future. In addition, as part of the Tax Relief and Health Care Act of 2006, Congress reduced the ceiling on taxes that states may impose on healthcare providers and which would qualify for federal financial participation under Medicaid by 0.5%, from 6% to 5.5%. Nationally, it is anticipated that this reduction should have a negligible effect, affecting only those states with taxes in excess of 5.5%. We have not yet ascertained the impact of this reduction on our skilled nursing facility operators.

 

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At this time, it is not possible to predict whether significant Medicaid rate freezes or cuts or other program changes will be adopted and if so, by how many states or whether the U.S. government will revoke, reduce or stop approving “provider taxes” that have the effect of increasing Medicaid payments to the states, or the impact of such actions on our operators. However, severe and widespread Medicaid rate cuts or freezes could have a material adverse effect on our skilled nursing facility operators, which, in turn, could have a Material Adverse Effect on us.

Nursing Home Quality Initiative

In 2002, HHS launched the Nursing Home Quality Initiative program. This program, which is designed to provide consumers with comparative information about nursing home quality measures, rates nursing homes on various quality of care indicators. Since 2002, investigative and enforcement activities regarding nursing home quality compliance has intensified both on the federal and state administrative levels.

If the operators of our properties are unable to achieve quality of care ratings that are comparable or superior to those of their competitors, patients may choose alternate facilities, which could cause operating revenues to decline. In the event the financial condition or operating revenues of these operators are adversely affected, the operators’ ability to make rental payments to us could be adversely affected, which, in turn, could have a Material Adverse Effect on us.

Environmental Regulation

As an owner of real property, we are subject to various federal, state and local laws and regulations regarding environmental, health and safety matters. These laws and regulations address, among other things, asbestos, polychlorinated biphenyls, fuel oil management, wastewater discharges, air emissions, radioactive materials, medical wastes, and hazardous wastes. In certain cases, the costs of complying with these laws and regulations and the penalties for non-compliance can be substantial. For example, although we do not generally operate our properties, we may be held jointly and severally liable for costs relating to the investigation and cleanup of any property from which there is or has been a release or threatened release of a hazardous or toxic substance and any other affected properties, regardless of whether we knew of or caused the release. In addition to these costs, which are typically not limited by law or regulation and could exceed the property’s value, we could be liable for certain other costs, including governmental fines and injuries to persons or property. See “If any of our properties are found to be contaminated, or if we become involved in any environmental disputes, we could incur substantial liabilities and costs” included in Item 1A of this Annual Report on Form 10-K.

We are generally indemnified by the current operators of our properties for contamination caused by those operators. Under our leases with Genesis and Benchmark, Genesis and Benchmark have agreed to indemnify us against any environmental claims (including penalties and clean-up costs) resulting from any condition arising in, on or under, or relating to, their respective leased properties at any time on or after the lease commencement date for the applicable leased property and from any condition permitted to deteriorate on or after such date, except in limited circumstances where the condition arises from our acts or omissions. We cannot assure you that Genesis, Benchmark or another operator will have the financial capability or the willingness to satisfy any such environmental claims, and in the event Genesis, Benchmark or another operator is unable or unwilling to do so, we may be required to satisfy the claims. See “We are dependent on Genesis and Benchmark; Genesis’s or Benchmark’s inability or unwillingness to satisfy its obligations under its agreements with us could significantly harm us and our ability to service our indebtedness and other obligations” included in Item 1A of this Annual Report on Form 10-K. We may also be liable for environmental claims (including penalties and clean-up costs) resulting from any condition arising on or under, or relating to, the leased properties at any time before the lease commencement date for the applicable leased property or resulting from our acts or omissions.

We did not make any material capital expenditures in connection with such environmental, health, and safety laws, ordinances and regulations in 2006 and do not expect that we will have to make any such material capital expenditures during 2007.

 

ITEM 1A. Risk Factors

This section discusses the most significant factors that affect our business, operations and financial condition. It does not describe all risks and uncertainties applicable to us, our industry or our business. If any of the following risks, as well as other risks and uncertainties that are not yet identified or that we currently think are not material, actually occur, we could be materially adversely affected.

 

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We are dependent on Genesis and Benchmark; Genesis’s or Benchmark’s inability or unwillingness to satisfy its obligations under its agreements with us could significantly harm us and our ability to service our indebtedness and other obligations.

We lease substantially all of our properties to Genesis and Benchmark, and therefore:

 

   

Genesis and Benchmark were the primary sources of our total revenues in 2006 and 2005 and continue to be the primary sources of our revenues; and

 

   

since our leases with Genesis and Benchmark are triple-net leases, we depend on Genesis and Benchmark to pay insurance, taxes, utilities and maintenance and repair expenses required in connection with their respective leased properties.

We cannot assure you that Genesis or Benchmark will have sufficient assets, income and access to financing and insurance coverage to enable it to satisfy its obligations under its agreements with us. In addition, any failure by Genesis or Benchmark to effectively conduct its operations could have a material adverse effect on its business reputation or on its ability to enlist and maintain patients in its facilities. Any inability or unwillingness by Genesis or Benchmark to satisfy its obligations under its agreements with us could have a Material Adverse Effect on us.

We may be unable to find another tenant or operator for our properties if we have to replace Genesis, Benchmark on any of our other tenants or operators.

We may have to find another tenant or operator for the properties covered by the leases with Genesis, Benchmark or any of our other tenants or operators upon the expiration of the terms of the applicable lease or upon a default by Genesis, Benchmark or any of those tenants or operators. During any period that we are attempting to locate one or more tenants or operators, there could be a decrease or cessation of rental payments on those properties. We cannot assure you that Genesis, Benchmark or any of our other tenants or operators will elect to renew their respective leases with us upon expiration of the terms thereof, nor can we assure you that we will be able to locate another suitable tenant or operator or, if we are successful in locating such a tenant or operator, that the rental payments from the new tenant or operator would not be significantly less than the existing rental payments. Our ability to locate another suitable tenant or operator may be significantly delayed or limited by various state licensing, receivership or other laws, as well as by Medicare and Medicaid change-of-ownership rules. In addition, we may also incur substantial additional expenses in connection with any such licensing, receivership or change-of-ownership proceedings. Any such delays, limitations and expenses could materially delay or impact our ability to collect rent, to obtain possession of leased properties or otherwise to exercise remedies for tenant default and could have a Material Adverse Effect on us.

Our investments are concentrated in seniors housing and healthcare-related properties, making us more vulnerable economically that if our investments were diversified.

We invest primarily in real estate – in particular, seniors housing and healthcare-related properties. Accordingly, we are exposed to the risks inherent in concentrating investments in real estate, and these risks become even greater due to the fact that all of our investments are in properties used in the seniors housing or healthcare industries. A downturn in the real estate industry could adversely affect the value of our properties. A downturn in the seniors housing or healthcare industries could negatively impact our operators’ ability to make rental payments to us, which, in turn, could have a Material Adverse Effect on us.

Furthermore, the healthcare industry is highly regulated, and changes in government regulation and reimbursement in the past have had material adverse consequences on the industry in general, which may not even have been contemplated by lawmakers and regulators. We cannot assure you that future changes in government regulation of healthcare will not have a material adverse effect on the healthcare industry, including our tenants and operators. Our ability to invest in non-seniors housing or non-healthcare-related properties is restricted by the terms of our affiliate’s revolving credit facility, so these adverse effects may be more pronounced than if we diversified our investments outside of real estate or outside of seniors housing or healthcare-related properties.

 

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Certain of our tenants and operators, including Genesis and Benchmark, may be adversely affected by increasing healthcare regulation and enforcement.

We believe that the regulatory environment surrounding the long-term healthcare industry has intensified both in the amount and type of regulations and in the efforts to enforce those regulations. This is particularly true for large for-profit, multi-facility providers like Genesis and Benchmark.

The extensive federal, state and local laws and regulations affecting the healthcare industry include, but are not limited to, laws and regulations relating to licensure, conduct of operations, ownership of facilities, addition of facilities and equipment, allowable costs, services, prices for services, quality of care, patient rights, fraudulent or abusive behavior, and financial and other arrangements which may be entered into by healthcare providers. Federal and state governments have intensified enforcement policies, resulting in a significant increase in the number of inspections, citations of regulatory deficiencies and other regulatory sanctions, including terminations from the Medicare and Medicaid programs, bars on Medicare and Medicaid payments for new admissions, civil monetary penalties and even criminal penalties. See “Governmental Regulation—Healthcare Regulation” included in Item 1 of this Annual Report on Form 10-K.

If our tenants and operators fail to comply with the extensive laws, regulations and other requirements applicable to their businesses, they could become ineligible to receive reimbursement from governmental and private third-party payor programs, suffer civil and/or criminal penalties and/or be required to make significant changes to their operations. Our tenants also could be forced to expend considerable resources responding to an investigation or other enforcement action under applicable laws or regulations.

We are unable to predict the future course of federal, state and local regulation or legislation, including the Medicare and Medicaid statutes and regulations. Changes in the regulatory framework could have a material adverse effect on Genesis, Benchmark and our other operators, which, in turn, could have a Material Adverse Effect on us.

Changes in the reimbursement rates or methods of payment from third-party payors, including the Medicare and Medicaid programs, could have a material adverse effect on certain of our tenants and operators.

Certain of our tenants and operators rely on reimbursement from third-party payors, including the Medicare and Medicaid programs, for a portion of their revenues. There continue to be various federal and state legislative and regulatory proposals to implement cost-containment measures that limit payments to healthcare providers. See “Governmental Regulation-Healthcare Regulation” included in Item 1 of this Annual Report on Form 10-K. In addition, private third-party payors have continued their efforts to control healthcare costs. We cannot assure you that adequate reimbursement levels will be available for services to be provided by our tenants which are currently being reimbursed by Medicare, Medicaid or private payors. Significant limits by governmental and private third-party payors on the scope of services reimbursed and on reimbursement rates and fees could have a material adverse effect on the liquidity, financial condition and results of operations of certain of our tenants and operators, which, in turn, could have a Material Adverse Effect on us.

Significant legal actions could subject our operators to increased operating costs and substantial uninsured liabilities, which could materially adversely affect their liquidity, financial condition and results of operations.

Although claims and costs of professional liability insurance seem to be growing at a slower pace, Genesis, Benchmark and our other skilled nursing facility operators have experienced substantial increases in both the number and size of professional liability claims in recent years. In addition to large compensatory claims, plaintiffs’ attorneys increasingly are seeking significant punitive damages and attorneys’ fees.

Due to the high number and severity of professional liability claims against healthcare providers, the availability of professional liability insurance has been severely restricted and the premiums on such insurance coverage have increased dramatically. As a result, the insurance coverage of our operators might not cover all claims against them or continue to be available to them at a reasonable cost. If Genesis, Benchmark or our other operators are unable to maintain adequate insurance coverage or are required to pay punitive damages, they may be exposed to substantial liabilities.

Operators that insure their professional liability risks through their own captive limited purpose entities generally estimate the future cost of professional liability through actuarial studies which rely primarily on historical data. However, due to the increase in the number and severity of professional claims against healthcare providers, these actuarial studies may underestimate the future cost of claims and there can be no assurance that such operators’ reserves for future claims will be adequate to cover the actual cost of such claims. If the actual cost of such claims is significantly higher than the operators’ reserves, it could have a material adverse effect on the liquidity, financial condition and results of operations of our operators and their ability to make rental payments to us, which in turn, could have a Material Adverse Effect on us.

 

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Our operators may be sued under a federal whistleblower statute.

Our operators who engage in business with the federal government may be sued under a federal whistleblower statute designed to combat fraud and abuse in the healthcare industry. See “Governmental Regulation—Healthcare Regulation” included in Item 1 of this Annual Report on Form 10-K. These lawsuits can involve significant monetary damages and award bounties to private plaintiffs who successfully bring these suits. If any of these lawsuits were to be brought against our operators, such suits combined with increased operating costs and substantial uninsured liabilities could have a material adverse effect on the liquidity, financial condition and results of operations of our operators and their ability to make rental payments to us, which, in turn, could have a Material Adverse Effect on us.

If any of our properties are found to be contaminated, or if we become involved in any environmental disputes, we could incur substantial liabilities and costs.

Under federal and state environmental laws and regulations, a current or former owner of real property may be liable for costs related to the investigation, removal and remediation of hazardous or toxic substances or petroleum that are released from or are present at or under, or that are disposed of in connection with such property. Owners of real property may also face other environmental liabilities, including government fines and penalties imposed by regulatory authorities and damages for injuries to persons, property or natural resources. Environmental laws and regulations often impose liability without regard to whether the owner was aware of, or was responsible for, the presence, release or disposal of hazardous or toxic substances or petroleum. In certain circumstances, environmental liability may result from the activities of a current or former operator of the property. Although we are generally indemnified by the current operators of our properties for contamination caused by such operators, these indemnities may not adequately cover all environmental costs. See “Governmental Regulation—Environmental Regulation” included in Item 1 of this Annual Report on Form 10-K.

 

ITEM 1B. Unresolved Staff Comments

None.

 

ITEM 2. Properties

As of December 31, 2006, we owned nine seniors housing communities, five skilled nursing facilities and three other properties in three states. Certain of our properties are subject to mortgages.

The following table sets forth select information regarding the properties we owned as of December 31, 2006 for each state in which we own property:

 

     Seniors Housing Communities    Skilled Nursing Facilities    Other Properties
State   

Number of

Properties

   Units    Number of
Facilities
   Licensed Beds    Number of Properties

Massachusetts

   5    515    —      —      —  

New Jersey

   —      —      1    153    1

Pennsylvania

   4    364    4    628    2
                        

Total

   9    879    5    781    3
                        

 

ITEM 3. Legal Proceedings

We are not a party to, nor is any of our property the subject of, any material pending legal proceedings.

 

ITEM 4. Submission of Matters to a Vote of Security Holders

Not applicable.

 

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PART II

 

ITEM 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

Market Information

There is no established public trading market for our partnership interests. As of March 21, 2007, there were 8,425,163 limited and general partnership units (consisting of 7,873 Class A general partnership units, 8,040,688 Class A limited partnership units, 31,455 Class C limited partnership units and 345,147 Class D limited partnership units) outstanding held by six partners of record. Ventas, directly and indirectly through ElderTrust (our sole general partner), holds all of the Class A general and limited partnership units and 309,010 of the Class D limited partnership units, representing 99.2% of the outstanding partnership interests, as of March 21, 2007.

Subject to certain limitations in our Second Amended and Restated Agreement of Limited Partnership, as amended, the Class C limited partner has the right to require the redemption of its units at any time at a price per unit equal to 51.1% of the value of a share of Ventas common stock on the date of redemption. However, in lieu of such redemption, ElderTrust, has the right to elect to acquire the units directly from the limited partner in exchange for cash or its common shares. We and the Class D limited partners have the right to require the redemption of the Class D units at any time in exchange for one share of Ventas common stock per Class D unit, subject to adjustment upon certain events.

Distributions

Cash distributions and allocations of income (loss) are made as described in “Note 2—Summary of Significant Accounting Policies—Allocation of Net Income (Loss) and Cash Distributions” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

 

ITEM 6. Selected Financial Data

You should read the following selected financial data in conjunction with the Consolidated Financial Statements and the notes thereto included in Item 8 of this Annual Report on Form 10-K. The purchase method of accounting was used to record our assets acquired and liabilities assumed by ElderTrust on February 5, 2004, the date on which Ventas acquired ElderTrust. Such accounting generally results in increased amortization and depreciation reported in future periods. Accordingly, the accompanying consolidated financial information of the ETOP Predecessor and the Partnership are not comparable in all material respects since those consolidated financial statements report financial position, results of operations, and cash flows of these two separate entities. Also, the 2002 results of operations related to a seniors housing community sold during 2005 have not been reclassified to discontinued operations, as the information needed to do so is not available. The financial data for the year ended December 31, 2004 includes data from the ETOP Predecessor for the period from January 1, 2004 through February 4, 2004. See “Note 3—Merger of ElderTrust” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

 

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                       ETOP Predecessor  
     As of and For the Year Ended December 31,  
     2006     2005     2004 (1)     2003     2002  
     (in thousands, except per unit data)  

Operating Data

          

Rental income

   $ 16,510     $ 16,378     $ 16,434     $ 17,704     $ 16,230  

General, administrative and professional fees

     993       1,451       1,487       3,489       2,309  

Interest expense

     5,095       5,090       5,502       7,247       7,774  

Income before discontinued operations

     3,159       2,640       2,519       1,150       1,079  

Discontinued operations

     —         5,334       363       3,300       (336 )

Net income

     3,159       7,974       2,882       4,450       743  

Net Income Allocation to Partners

          

Income before discontinued operations allocated to:

          

Class A general partner

   $ 3     $ 2     $ 2     $ 1     $ 1  

Class A limited partners

     3,030       2,504       2,507       1,145       1,074  

Class C limited partner

     12       10       10       4       4  

Class D limited partners

     114       124       —         —         —    

Net income allocated to:

          

Class A general partner

   $ 3     $ 8     $ 3     $ 4     $ 1  

Class A limited partners

     3,030       7,812       2,868       4,429       739  

Class C limited partner

     12       30       11       17       3  

Class D limited partners

     114       124       —         —         —    

Net income per unit:

          

Class A general partnership unit

   $ 0.38     $ 1.00     $ 0.38     $ 0.50     $ 0.13  

Class A limited partnership unit

     0.38       0.97       0.36       0.56       0.10  

Class C limited partnership unit

     0.38       0.97       0.35       0.55       0.10  

Class D limited partnership unit

     0.33       0.36       —         —         —    

Other Data

          

Net cash provided by operating activities

   $ 7,381     $ 8,062     $ 8,448     $ 25,978     $ 10,846  

Net cash (used in) provided by investing activities

     (261 )     9,864       2,723       33,965       582  

Net cash used in financing activities

     (7,223 )     (18,697 )     (35,630 )     (41,653 )     (6,705 )

Weighted average units outstanding:

          

Class A general partnership units

     8       8       8       8       8  

Class A limited partnership units

     8,041       8,041       8,041       7,972       7,702  

Class C limited partnership units

     31       31       31       31       31  

Class D limited partnership units

     345       101       —         —         —    

Cash distributions per unit:

          

Class A general partnership units

   $ 6     $ 8     $ 38     $ 4     $ —    

Class A limited partnership units

     5,680       8,009       38,151       3,836       —    

Class C limited partnership units

     22       23       21       15       —    

Class D limited partnership units

     114       124       —         —         —    

Balance Sheet Data

          

Real estate investments and land, at cost

   $ 155,616     $ 155,355     $ 160,769     $ 180,608     $ 326,978  

Total assets

     158,217       162,161       164,548       192,183       306,027  

Debt and other obligations

     73,299       74,700       85,535       84,445       207,956  

Partners' capital

     81,173       83,836       74,987       89,914       89,382  

(1)

The financial data for the year ended December 31, 2004 includes data from the ETOP Predecessor for the period from January 1, 2004 through February 4, 2004. See “Note 3—Merger of ElderTrust” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

 

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ITEM 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations

The following discussion and analysis provides information which management believes is relevant to an assessment and understanding of the consolidated results of operations and financial condition of ElderTrust Operating Limited Partnership (together with its subsidiaries, except where the context otherwise requires, “the Partnership,” “we”, “us”, or “our”). You should read this discussion in conjunction with our Consolidated Financial Statements and the notes thereto included in Item 8 of this Annual Report on Form 10-K. All references to periods prior to February 5, 2004, the date on which we were acquired by Ventas, Inc. (“Ventas”), refer to the activities of our predecessor (the “ETOP Predecessor”). This Management’s Discussion and Analysis will help you understand:

 

   

Our critical accounting policies and estimates;

 

   

Our results of operations for the last three years; and

 

   

Our liquidity and capital resources.

Critical Accounting Policies and Estimates

Our Consolidated Financial Statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”), which requires us to make estimates and judgments about future events that affect the reported amounts in the financial statements and the related disclosures. We believe that the following critical accounting policies, among others, affect our more significant estimates and judgments used in the preparation of our financial statements. For more information regarding our critical accounting policies, please see “Note 2—Summary of Significant Accounting Policies” of the Notes to Consolidated Financial Statements included in Item 8 of this Annual Report on Form 10-K.

Long-Lived Assets

Investments in real estate properties are recorded at cost. We account for acquisitions using the purchase method. The cost of the properties acquired is allocated among tangible land, buildings and equipment and recognized intangibles based upon estimated fair values in accordance with the provisions of Statement of Financial Accounting Standards (“SFAS”) No. 141, “Business Combinations.” We estimate fair values of the components of assets acquired as of the acquisition date or engage a third party appraiser as necessary. Recognized intangibles, if any, include the value of acquired lease contracts and related customer relationships.

Our method for determining fair value varies with the categorization of the asset acquired. We estimate the fair value of buildings on an as-if-vacant basis, and depreciate the building value over the estimated remaining life of the building. We determine the allocated value of other fixed assets based upon the replacement cost and depreciate such value over the estimated remaining useful lives. We determine the value of land either based on real estate tax assessed values in relation to the total value of the asset, internal analyses of recently acquired and existing comparable properties within our portfolio or third party appraisals. The fair value of in-place leases, if any, reflects (i) above and below market leases, if any, determined by discounting the difference between the estimated current market rent and the in-place rentals, the resulting intangible asset of which is amortized to rental revenue over the remaining life of the associated lease plus any fixed rate renewal periods, if applicable, (ii) the estimated value of the cost to obtain tenants, including tenant allowances, tenant improvements and leasing commissions, which is amortized over the remaining life of the associated lease, and (iii) an estimated value of the absorption period to reflect the value of the rents and recovery costs foregone during a reasonable lease-up period, as if the acquired space was vacant, which is amortized over the remaining life of the associated lease. We also estimate the value of tenant or other customer relationships acquired by considering the nature and extent of existing business relationships with the tenant, growth prospects for developing new business with such tenant, such tenant’s credit quality, expectations of lease renewals with such tenant, and the potential for significant, additional future leasing arrangements with such tenant. We amortize such value, if any, over the expected term of the associated arrangements or leases, which would include the remaining lives of the related leases and any expected renewal periods.

Impairment of Long-Lived Assets

We periodically evaluate our long-lived assets, primarily consisting of our investments in real estate, for impairment indicators in accordance with SFAS No. 144 “Accounting for the Impairment and Disposal of Long-Lived Assets.” If indicators of impairment are present, we evaluate the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying operations and adjust the net book value of leased properties and other

 

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long-lived assets to fair value if the sum of the expected future cash flow or sales proceeds is less than book value. An impairment loss is recognized at the time we make any such determination. Future events could occur which would cause us to conclude that impairment indicators exist and an impairment loss is warranted. We did not record any impairment charges in 2006, 2005 or 2004.

Revenue Recognition

Certain of our leases provide for periodic and determinable increases in base rent. Base rental revenues under these leases are recognized on a straight-line basis over the term of the applicable lease. Income on our straight-line revenue is recognized when collectibility is reasonably assured. In the event we determine that collectibility of straight-line revenue is not reasonably assured, we establish an allowance for estimated losses. Recognizing rental income on a straight-line basis results in recognized revenue exceeding cash amounts contractually due from our tenants during the first half of the term for leases that have straight-line treatment.

Certain of our other leases provide for an annual increase in rental payments only if certain revenue parameters or other contingencies are met. We recognize the increased rental revenue under these leases only if the revenue parameters or other contingencies are met rather than on a straight-line basis over the term of the applicable lease. We recognize income from rent, lease termination fees and other income once all of the following criteria are met in accordance with Securities and Exchange Commission (the “Commission”) Staff Accounting Bulletin 104: (i) the agreement has been fully executed and delivered; (ii) services have been rendered; (iii) the amount is fixed or determinable; and (iv) the collectibility is reasonably assured.

Gain on Sale of Facilities

We recognize sales of facilities only upon the closing of the transaction with the purchaser. Payments received from purchasers prior to closing are recorded as deposits and classified as other assets in the consolidated balance sheet. Gains on facilities sold are recognized using the full accrual method upon closing when the collectibility of the sales price is reasonably assured, we are not obligated to perform significant activities after the sale to earn the profit, we have received adequate initial investment from the buyer, and other profit recognition criteria have been satisfied. Gains may be deferred in whole or in part until the sales satisfy the requirements of gain recognition on sales of real estate under SFAS No. 66, “Accounting for Sales of Real Estate.”

Results of Operations

The tables below show our results of operations for each year and the absolute and percentage change in those results from year to year. The results of operations for the year ended December 31, 2004 include the results of the ETOP Predecessor for the period from January 1, 2004 through February 4, 2004. Results for the period from February 5, 2004 through December 31, 2004 differ from the ETOP Predecessor primarily as a result of the purchase accounting adjustments recorded upon the acquisition of ElderTrust by Ventas. See “Note 3—Merger of ElderTrust” of the Notes to Consolidated Financial Statements.

 

19


Table of Contents
Index to Financial Statements

Years Ended December 31, 2006 and 2005

 

     Year Ended December 31,    Change  
     2006    2005    $     %  
     (dollars in thousands)  

Revenues:

          

Rental income

   $ 16,510    $ 16,378    $ 132     0.8  %

Interest and other income

     126      149      (23 )   (15.4 )
                        

Total revenues

     16,636      16,527      109     0.7  

Expenses:

          

Interest

     5,095      5,090      5     0.1  

Depreciation and amortization

     5,342      5,316      26     0.5  

Property-level operating expenses

     1,447      1,430      17     1.2  

General, administrative and professional fees

     993      1,451      (458 )   (31.6 )

Intercompany interest

     600      600      —       nm  
                        

Total expenses

     13,477      13,887      (410 )   (3.0 )
                        

Income before discontinued operations

     3,159      2,640      519     19.7  

Discontinued operations

     —        5,334      (5,334 )   nm  
                        

Net income

   $ 3,159    $ 7,974    $ (4,815 )   (60.4 )%
                        

nm - Not meaningful

Revenues

There was no material change in our 2006 revenues from the comparable period in 2005.

Expenses

The majority of our general, administrative and professional fees results from the allocation of corporate expenses from Ventas. This allocation method is based on our total revenues in relation to the consolidated revenues of Ventas. The decrease in this expense during 2006 is attributable primarily to lower allocations from Ventas due to its overall growth.

Discontinued Operations

We did not make any dispositions during the year ended December 31, 2006. Discontinued operations for the year ended December 31, 2005 represents the operating results of one seniors housing community that was sold in the fourth quarter for approximately $9.9 million in net cash proceeds. We recognized a net gain on the sale of approximately $5.1 million. In addition, the tenant paid us a lease termination fee of approximately $0.2 million. See “Note 4—Discontinued Operations” of the Notes to Consolidated Financial Statements.

 

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Index to Financial Statements

Years Ended December 31, 2005 and 2004

 

     Year Ended December 31,    Change  
     2005    2004 (a)    $     %  
     (dollars in thousands)  

Revenues:

          

Rental income

   $ 16,378    $ 16,434    $ (56 )   (0.3 )%

Interest and other income

     149      114      35     30.7  
                        

Total revenues

     16,527      16,548      (21 )   (0.1 )

Expenses:

          

Interest

     5,090      5,502      (412 )   (7.5 )

Depreciation and amortization

     5,316      5,351      (35 )   (0.7 )

Property-level operating expenses

     1,430      1,262      168     13.3  

General, administrative and professional fees

     1,451      1,487      (36 )   (2.4 )

Intercompany interest

     600      409      191     46.7  

Loss on extinguishment of debt

     —        8      (8 )   nm  

Loss on sale of long-lived assets

     —        10      (10 )   nm  
                        

Total expenses

     13,887      14,029      (142 )   (1.0 )
                        

Income before discontinued operations

     2,640      2,519      121     4.8  

Discontinued operations

     5,334      363      4,971     1,369.4  
                        

Net income

   $ 7,974    $ 2,882    $ 5,092     176.7 %
                        

(a)

The purchase method of accounting was used to record our assets acquired and liabilities assumed by ElderTrust, our general partner, on February 5, 2004, the date on which Ventas acquired ElderTrust. Such accounting generally results in increased amortization and depreciation reported in future periods. Accordingly, the accompanying consolidated financial statements of the ETOP Predecessor and the Partnership are not comparable in all material respects since those consolidated financial statements report financial position, results of operations, and cash flows of these two separate entities.

nm - Not meaningful

Revenues

There was no material change in our 2005 revenues from the comparable period in 2004.

Expenses

The decrease in interest expense is primarily due to lower debt principal balances during 2005 as compared to 2004.

Intercompany interest relates to a $7.5 million promissory note entered into in April 2004 with Ventas Realty, Limited Partnership, a wholly owned subsidiary of Ventas (“Ventas Realty”). Under the terms of this note, interest is paid quarterly at an annual rate of 8.0%. The increase is the result of the note being outstanding during all of 2005 and only for a portion of 2004.

Property-level operating expenses increased during 2005 primarily as a result of higher utility costs and property-level taxes.

Discontinued Operations

Discontinued operations for the year ended December 31, 2005 represents the operating results of one seniors housing community that was sold in the fourth quarter for approximately $9.9 million in net cash proceeds. We recognized a net gain on the sale of approximately $5.1 million. In addition, the tenant paid us a lease termination fee of approximately $0.2 million. Discontinued operations for the year ended December 31, 2004 relates to a sale completed by the ETOP Predecessor in January 2004. See “Note 4—Discontinued Operations” of the Notes to Consolidated Financial Statements.

 

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Index to Financial Statements

Asset/Liability Management

Asset/liability management is a key element of our overall risk management program. The objective of asset/liability management is to support the achievement of business strategies while maintaining appropriate risk levels. The asset/liability management process focuses on a variety of risks, including market risk (primarily interest rate risk) and credit risk. Effective management of these risks is an important determinant of the absolute levels and variability of net income and net worth. The following discussion addresses our integrated management of assets and liabilities. We do not use derivative financial instruments for speculative or hedging purposes.

Market Risk

We receive revenue primarily by leasing our assets under long-term triple-net leases in which the rental rate is generally fixed with annual escalators, subject to certain limitations. Our intercompany note payable and substantially all of our other mortgage indebtedness also bear interest at fixed rates. We do not utilize interest rate swaps or any other type of derivative financial instruments to mitigate interest rate risk.

For fixed rate debt, changes in interest rates generally affect the fair market value of the underlying indebtedness, but not earnings or cash flows. We generally cannot prepay fixed rate debt prior to maturity without a premium. Therefore, interest rate risk and changes in fair market value should not have a significant impact on our fixed rate debt until we are required to refinance such debt.

To highlight the sensitivity of our fixed rate debt to changes in interest rates, the following summary shows the effects of a hypothetical instantaneous change of 100 basis points (BPS) in interest rates as of December 31, 2006 and 2005:

 

     As of December 31,
     2006    2005
     (in thousands)

Book value

   $ 72,886    $ 74,276

Fair value

     76,445      79,778

Fair value reflecting change in interest rates:

     

-100 BPS

     80,275      84,197

+100 BPS

     73,019      75,831

The fair market value of our fixed rate debt is based on current interest rates at which similar borrowings could be made by us. These sensitivity analyses are limited in that they were performed at a particular point in time and are subject to the accuracy of the various assumptions used.

We may borrow additional money with variable interest rates in the future. Increases in interest rates, therefore, would result in increases in interest expense, which could adversely affect our cash flow and our ability to pay our obligations.

Credit Risk

As of December 31, 2006, approximately 53.5% and 35.2% of our properties, based on their original cost, were operated by Genesis and Benchmark, respectively. Approximately 50.1% and 30.8% of our total rental income for the year ended December 31, 2006 were derived from leases with Genesis and Benchmark, respectively.

Accordingly, the financial condition of Genesis and Benchmark and their ability to meet our rent obligations will largely determine our rental revenues and our ability to make distributions to our partners. In addition, any failure by Genesis or Benchmark to effectively conduct its operations could have a material adverse effect on its business reputation or on its ability to enlist and maintain patients in its facilities. See “We are dependent on Genesis and Benchmark; Genesis’s or Benchmark’s inability or unwillingness to satisfy its obligations under its agreements with us could significantly harm us and our ability to service our indebtedness and other obligations,” included in Part I, Item 1A of this Annual Report on Form 10-K, and “Note 7—Concentration of Credit Risk” of the Notes to Consolidated Financial Statements. We monitor our credit risk under our lease agreements with our tenants by, among other things, (i) reviewing and analyzing information regarding the healthcare industry generally, publicly available information regarding tenants, and information provided by the tenants and borrowers under our lease and other agreements, and (ii) having periodic discussions with tenants, borrowers and their representatives.

 

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Index to Financial Statements

Liquidity and Capital Resources

Cash Flows

During 2006, our principal source of liquidity was cash flow from operations. We anticipate that cash flow from operations over the next twelve months will be adequate to fund our business operations, distributions to partners and debt amortization. Capital requirements for acquisitions, if any, may require funding from borrowings, assumption of debt from the seller, issuance of secured or unsecured long-term debt or other securities or contributions by Ventas.

We had cash and cash equivalents of $0.3 million and $0.4 million and restricted cash of $6.5 million and $5.6 million as of December 31, 2006 and 2005, respectively.

Net cash provided by operating activities was $7.4 million, $8.1 million and $8.4 million for the years ended December 31, 2006, 2005 and 2004, respectively. The decreases in 2006 and 2005 primarily relate to changes in operating assets and liabilities.

Net cash used in investing activities was $0.3 million for the year ended December 31, 2006. Net cash provided by investing activities was $9.9 million and $2.7 million for the years ended December 31, 2005 and 2004, respectively. The increase in 2005 from 2004 was due primarily to the receipt of proceeds from the sale of the seniors housing community in 2005. We did not dispose of any assets during 2006.

Net cash used in financing activities was $7.2 million, $18.7 million and $35.6 million for the years ended December 31, 2006, 2005 and 2004, respectively. The decreases in 2006 and 2005 are the result of fewer distributions to Ventas during 2006 and 2005. Additionally, the decrease in 2006 from 2005 resulted in less payments on debt.

Debt and Note Payable

For a description of our long-term obligations, see “Note 8—Debt” of the Notes to Consolidated Financial Statements.

Debt Guarantees

We and certain of our direct and indirect wholly owned subsidiaries (the “ETOP Subsidiary Guarantors”) have provided full and unconditional guarantees, on a joint and several basis with certain of Ventas’s other direct and indirect wholly owned subsidiaries, of the obligation to pay principal and interest with respect to Ventas’s 3 7/8% Convertible Senior Notes due 2011 and, along with a guarantee by Ventas, with respect to the 8 3/4% Senior Notes due 2009, 6 3/4% Senior Notes due 2010, 9% Senior Notes due 2012, 6 5/8% Senior Notes due 2014, 7 1/8% Senior Notes due 2015, 6 1/2% Senior Notes due 2016 and 6 3/4% Senior Notes due 2017 issued by Ventas Realty and Ventas Capital Corporation, wholly owned subsidiaries of Ventas (collectively, the “Senior Notes”). The total aggregate principal amount of the Senior Notes outstanding as of December 31, 2006 was $1.5 billion. Certain of our other subsidiaries (the “ETOP Non-Guarantor Subsidiaries”) have not provided the guarantee of the Senior Notes and therefore are not directly obligated with respect to the Senior Notes.

Contractual and legal restrictions, including those contained in the instruments governing certain of the ETOP Non-Guarantor Subsidiaries’ outstanding indebtedness, may under certain circumstances restrict our ability to obtain cash from the ETOP Non-Guarantor Subsidiaries for the purpose of satisfying our debt service obligations, including our guarantee of payment of principal and interest on the Senior Notes. Certain of the ETOP Subsidiary Guarantors’ properties are subject to mortgages.

Partner Distributions

The allocation of net income (loss), after the special allocation of depreciation and the low income housing tax credits associated with certain of our properties to the Class C limited partner and the Class D limited partners, is based on each partner’s pro rata share in proportion to its percentage interest as of the last day of the period for which such allocation is being made. Distributions are paid pro rata in proportion to each partner’s respective percentage interest on the partnership record date.

 

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Table of Contents
Index to Financial Statements

Other

In April 2004, we entered into a promissory note in the amount of $7.5 million with Ventas Realty. Under the terms of the note, interest is paid quarterly at an annual rate of 8.0% beginning on July 1, 2004. The note has a maturity date of December 31, 2013, at which time a principal balloon payment equal to the full amount of the note is due. As of December 31, 2006, the note had an outstanding balance of $7.5 million, with accrued interest due to Ventas Realty of $0.1 million.

Except with respect to our office buildings, capital expenditures to maintain and improve the leased properties generally will be incurred by our tenants. Accordingly, we do not believe that we will incur any major expenditures in connection with the leased properties. After the terms of the leases expire, or in the event that the tenants are unable or unwilling to meet their obligations under the leases, we anticipate that any expenditures relating to the maintenance of leased properties for which we may become responsible will be funded by cash flows from operations or through contributions by Ventas. To the extent that unanticipated expenditures or significant borrowings are required, our liquidity may be affected adversely.

Contractual Obligations

The following table summarizes the effect that minimum debt (which includes principal and interest payments) and other material noncancelable commitments are expected to have on our cash flow in future periods:

 

     Total    Less than 1
year
   1-3 years(2)    3-5 years    More than 5
years
     (in thousands)

Long-term debt obligations (1)

   $ 107,068    $ 6,506    $ 42,642    $ 6,084    $ 51,836

Operating lease obligations

     136      136      —        —        —  
                                  

Total

   $ 107,204    $ 6,642    $ 42,642    $ 6,084    $ 51,836
                                  

 


(1) Amounts represent contractual amounts due, including interest.
(2) Includes $33.1 million in balloon payments due in October and November 2009 on five mortgage loans.

 

ITEM 7A. Quantitative and Qualitative Disclosures About Market Risk

The information set forth in Item 7 of this Annual Report on Form 10-K under “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Asset/Liability Management” is incorporated by reference into this Item 7A.

 

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Table of Contents
Index to Financial Statements
ITEM 8. Financial Statements and Supplementary Data

ElderTrust Operating Limited Partnership

Index to Consolidated Financial Statements and Financial Statement Schedule

 

Report of Independent Registered Public Accounting Firm

   26

Consolidated Balance Sheets as of December 31, 2006 and 2005

   27

Consolidated Statements of Income for the Years Ended December 31, 2006 and 2005, and for the Periods from February 5, 2004 through December 31, 2004 and from January 1, 2004 through February 4, 2004

   28

Consolidated Statements of Partners’ Capital for the Years Ended December 31, 2006 and 2005, and for the Periods from February 5, 2004 through December 31, 2004 and from January 1, 2004 through February 4, 2004

   29

Consolidated Statements of Cash Flows for the Years Ended December 31, 2006 and 2005, and for the Periods from February 5, 2004 through December 31, 2004 and from January 1, 2004 through February 4, 2004

   30

Notes to Consolidated Financial Statements

   31

Consolidated Financial Statement Schedule

  

Schedule III – Real Estate and Accumulated Depreciation

   45

 

25


Table of Contents
Index to Financial Statements

Report of Independent Registered Public Accounting Firm

Partners

ElderTrust Operating Limited Partnership

We have audited the accompanying consolidated balance sheet of ElderTrust Operating Limited Partnership (the Partnership) as of December 31, 2006 and 2005, and the related consolidated statements of income, partners’ capital, and cash flows for the years ended December 31, 2006 and 2005 and for the period from February 5, 2004 through December 31, 2004. We have also audited the accompanying consolidated statements of income, partners’ capital, and cash flows of ElderTrust Operating Limited Partnership (the Predecessor) for the period from January 1, 2004 through February 4, 2004. Our audits also included the financial statement schedule listed in the Index. These financial statements and schedule are the responsibility of the Partnership’s management. Our responsibility is to express an opinion on these financial statements and schedule based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. We were not engaged to perform an audit of the Partnership’s internal control over financial reporting. Our audits included consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly we express no such opinion. An audit also includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of the Partnership at December 31, 2006 and 2005, and the consolidated results of its operations and its cash flows for the years ended December 31, 2006 and 2005 and for the period from February 5, 2004 through December 31, 2004, and the consolidated results of operations and cash flows of the Predecessor for the period from January 1, 2004 through February 4, 2004, in conformity with U.S. generally accepted accounting principles. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic financial statements as a whole, presents fairly in all material respects the information set forth therein.

 

/s/ Ernst & Young LLP

Chicago, Illinois

March 26, 2007

 

26


Table of Contents
Index to Financial Statements

ELDERTRUST OPERATING LIMITED PARTNERSHIP

CONSOLIDATED BALANCE SHEETS

As of December 31, 2006 and 2005

(In thousands)

 

     2006     2005  

Assets

    

Real estate investments, at cost

   $ 140,015     $ 139,754  

Less-accumulated depreciation

     (15,495 )     (10,162 )

Land

     15,601       15,601  
                

Net real estate investments

     140,121       145,193  

Cash and cash equivalents

     336       439  

Restricted cash

     6,543       5,616  

Accounts receivable, net of allowance of $5 and $36, respectively

     1,861       1,401  

Investment in affiliates

     9,039       9,039  

Other assets

     317       473  
                

Total assets

   $ 158,217     $ 162,161  
                

Liabilities and Partners' Capital

    

Liabilities:

    

Debt

   $ 65,799     $ 67,200  

Note payable to affiliate

     7,500       7,500  

Accrued interest

     525       434  

Accrued dividend

     23       71  

Accounts payable and other accrued liabilities

     3,197       3,120  
                

Total liabilities

     77,044       78,325  

Commitments and contingencies

    

Partners' capital

     81,173       83,836  
                

Total liabilities and partners' capital

   $ 158,217     $ 162,161  
                

See accompanying notes.

 

27


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Index to Financial Statements

ELDERTRUST OPERATING LIMITED PARTNERSHIP

CONSOLIDATED STATEMENTS OF INCOME

(In thousands, except per unit amounts)

 

                     ETOP Predecessor
     For the Year Ended
December 31, 2006
   For the Year Ended
December 31, 2005
  

For the Period from

February 5, 2004
through

December 31, 2004

   

For the Period from

January 1, 2004

through
February 4, 2004

     (In thousands, except per unit amounts)

Revenues:

          

Rental income

   $ 16,510    $ 16,378    $ 14,922     $ 1,512

Interest and other income

     126      149      54       60
                            

Total revenues

     16,636      16,527      14,976       1,572

Expenses:

          

Interest

     5,095      5,090      4,953       549

Depreciation and amortization

     5,342      5,316      4,864       487

Property-level operating expenses

     1,447      1,430      1,161       101

General, administrative, and professional fees

     993      1,451      1,287       200

Intercompany interest

     600      600      409       —  

Loss on debt extinguishment

     —        —        —         8

Loss on sale of fixed assets

     —        —        —         10
                            

Total expenses

     13,477      13,887      12,674       1,355
                            

Income before discontinued operations

     3,159      2,640      2,302       217

Discontinued operations

     —        5,334      (51 )     414
                            

Net income (loss

   $ 3,159    $ 7,974    $ 2,251     $ 631
                            

Net income allocated to Class A general partner

   $ 3    $ 8    $ 2     $ 1

Net income allocated to Class A limited partners

     3,030      7,812      2,240       628

Net income allocated to Class C limited partner

     12      30      9       2

Net income allocated to Class D limited partners

     114      124      —         —  

Net income per Class A general partnership unit

   $ 0.38    $ 1.00    $ 0.25     $ 0.13

Net income per Class A limited partnership unit

     0.38      0.97      0.28       0.08

Net income per Class C limited partnership unit

     0.38      0.97      0.29       0.06

Net income per Class D limited partnership unit

     0.33      0.36      —         —  

Weighted average number of Class A general partnership units outstanding

     8      8      8       8

Weighted average number of Class A limited partnership units outstanding

     8,041      8,041      8,041       8,041

Weighted average number of Class C limited partnership units outstanding

     31      31      31       31

Weighted average number of Class D limited partnership units outstanding

     345      101      —         —  

See accompanying notes.

 

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Index to Financial Statements

ELDERTRUST OPERATING LIMITED PARTNERSHIP

CONSOLIDATED STATEMENTS OF PARTNERS’ CAPITAL

(In thousands)

 

     Class A
General
Partnership
Units
   Class A
Limited
Partnership
Units
   Class C
Limited
Partnership
Units
   Class D
Limited
Partnership
Units
   Class A
General
Partner
    Class A
Limited
Partners
    Class C
Limited
Partner
    Class D
Limited
Partners
    Loans to
Partner
for Unit
Purchases
    Total
Partners'
Capital
 

ETOP Predecessor Balances at

                        

January 1, 2004

   8    7,777    31    —      $ 90     $ 86,553     $ 201     $ —       $ (239 )   $ 86,605  

Net income

   —      —      —      —        1       628       2       —         —         631  

Market adjustment to record partnership units of third parties at redemption value

   —      —      —      —        —         (35 )     —         —         —         (35 )

Distributions

   —      —      —      —        (1 )     (1,287 )     (5 )     —         —         (1,293 )
                                                                    

ETOP Predecessor Balances at

                        

February 4, 2004

   8    7,777    31    —      $ 90     $ 85,859     $ 198     $ —       $ (239 )   $ 85,908  
                                                                    

Balances at February 5, 2004

   8    8,041    31    —      $ 109     $ 109,124     $ 420     $ —       $ —       $ 109,653  

Net income

   —      —      —      —        2       2,240       9       —         —         2,251  

Distributions

   —      —      —      —        (37 )     (36,864 )     (16 )     —         —         (36,917 )
                                                                    

Balances at December 31, 2004

   8    8,041    31    —        74       74,500       413       —         —         74,987  

Partnership units issued

   —      —      —      345      —         —         —         9,039       —         9,039  

Net income

   —      —      —      —        8       7,812       30       124       —         7,974  

Distributions

   —      —      —      —        (8 )     (8,009 )     (23 )     (124 )     —         (8,164 )
                                                                    

Balances at December 31, 2005

   8    8,041    31    345      74       74,303       420       9,039       —         83,836  

Net income

   —      —      —      —        3       3,030       12       114       —         3,159  

Distributions

   —      —      —      —        (6 )     (5,680 )     (22 )     (114 )     —         (5,822 )
                                                                    

Balances at December 31, 2006

   8    8,041    31    345    $ 71     $ 71,653     $ 410     $ 9,039     $ —       $ 81,173  
                                                                    

See accompanying notes.

 

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Index to Financial Statements

ELDERTRUST OPERATING LIMITED PARTNERSHIP

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

 

                       ETOP Predecessor  
     For the Year
Ended
December 31,
2006
    For the Year
Ended
December 31,
2005
   

For the Period from
February 5, 2004
through December

31, 2004

   

For the Period from
January 1, 2004
through February

4, 2004

 

CASH FLOWS FROM OPERATING ACTIVITIES:

        

Net income

   $ 3,159     $ 7,974     $ 2,251     $ 631  

Adjustments to reconcile net income to net cash provided by operating activities:

        

Depreciation (including amounts in discontinued operations) and amortization

     5,342       5,461       5,026       484  

Gain on sale of assets (including amounts in discontinued operations)

     —         (5,114 )     —         (293 )

Gain on debt extinguishment

     —         —         —         (112 )

Straight-lining of rental income

     (474 )     (833 )     (515 )     —    

Net change in assets and liabilities:

        

(Increase) decrease in restricted cash

     (927 )     1,089       (1,192 )     (3 )

Decrease (increase) in accounts receivable and other assets

     192       155       (171 )     210  

Increase (decrease) in accounts payable and other accrued liabilities

     120       (401 )     1,969       (636 )

Other

     (31 )     (269 )     —         799  
                                

Net cash provided by operating activities

     7,381       8,062       7,368       1,080  

CASH FLOWS FROM INVESTING ACTIVITIES:

        

Net investment in real estate property

     (261 )     (25 )     (83 )     —    

Proceeds from real estate disposals

     —         9,889       —         2,806  
                                

Net cash (used in) provided by investing activities

     (261 )     9,864       (83 )     2,806  

CASH FLOWS FROM FINANCING ACTIVITIES:

        

Payments on debt

     (1,401 )     (10,533 )     (4,678 )     (242 )

Issuance of note payable

     —         —         7,500       —    

Distributions to unit holders

     (5,822 )     (8,164 )     (36,917 )     (1,293 )
                                

Net cash used in financing activities

     (7,223 )     (18,697 )     (34,095 )     (1,535 )
                                

Net (decrease) increase in cash and cash equivalents

     (103 )     (771 )     (26,810 )     2,351  

Cash and cash equivalents, beginning of period

     439       1,210       28,020       25,669  
                                

Cash and cash equivalents, end of period

   $ 336     $ 439     $ 1,210     $ 28,020  
                                

See accompanying notes.

 

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Note 1—Description of Partnership

ElderTrust Operating Limited Partnership (“ETOP”, “we,” “us,” “our” or the “Partnership”) is a limited partnership organized under the laws of the state of Delaware. We invest in seniors housing and other healthcare-related properties, primarily skilled nursing facilities, assisted and independent living facilities and medical and other office buildings. ElderTrust, a Maryland real estate investment trust (“ElderTrust”), is our sole general partner. On February 5, 2004, ElderTrust became a wholly owned direct subsidiary of Ventas, Inc. (“Ventas”), a healthcare real estate investment trust based in Louisville, Kentucky, whose common stock is publicly traded on the New York Stock Exchange. See “Note 3—Merger of ElderTrust.” All references to periods prior to February 5, 2004 refer to the activities of our predecessor (the “ETOP Predecessor”).

As of December 31, 2006, our consolidated assets were located in three states and consisted of nine seniors housing communities, five skilled nursing facilities, two medical office buildings and a financial office building with an aggregate carrying value of $140.1 million. With the exception of the office buildings, we lease these properties to third-party healthcare providers, generally under “triple-net” or “absolute-net” leases, which require the tenants to pay all property-related expenses.

As of December 31, 2006, approximately 53.5% and 35.2% of our real estate properties, based on their original cost, were leased to or managed by Genesis HealthCare Corporation and certain of its related entities (collectively “Genesis”) and Benchmark Assisted Living, LLC (“Benchmark”), respectively. As a result of these relationships, our revenues and ability to meet our obligations depend, in significant part, upon the ability of Genesis and Benchmark to meet their respective lease obligations. Any failure of Genesis or Benchmark to effectively continue its operations and/or to make lease payments to us could have a significant adverse impact on our operations and cash flows. See “Note 7—Concentration of Credit Risk” for additional information.

Note 2—Summary of Significant Accounting Policies

Basis of Presentation

The consolidated financial statements include the accounts of ElderTrust Operating Limited Partnership and all of its direct and indirect wholly owned subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation.

The purchase method of accounting was used to record our assets acquired and liabilities assumed by ElderTrust on February 5, 2004, the date on which Ventas acquired ElderTrust. Such accounting generally results in increased amortization and depreciation reported in future periods. Accordingly, the accompanying consolidated financial statements of the ETOP Predecessor and the Partnership are not comparable in all material respects since those consolidated financial statements report financial position, results of operations and cash flows of these two separate entities.

Accounting Estimates

The preparation of financial statements in accordance with U.S. generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of rental revenues and expenses during the reporting period. Actual results could differ from those estimates.

Long-Lived Assets

Investments in real estate properties are recorded at cost. We account for acquisitions using the purchase method of accounting. The cost of the properties acquired is allocated among tangible land, buildings and equipment and recognized intangibles based upon estimated fair values in accordance with the provisions of Statement of Financial Accounting Standards (“SFAS”) No. 141, “Business Combinations.” We estimate fair values of the components of assets acquired as of the acquisition date or engage a third party appraiser as necessary. Recognized intangibles, if any, include the value of acquired lease contracts and related customer relationships.

Our method for determining fair value varies with the categorization of the asset acquired. We estimate the fair value of its buildings on an as-if-vacant basis, and depreciate the building value over the estimated remaining life of the building.

 

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We determine the allocated value of other fixed assets based upon the replacement cost and depreciate such value over their estimated remaining useful lives. We determine the value of land either based on real estate tax assessed values in relation to the total value of the asset, internal analyses of recently acquired and existing comparable properties within our portfolio or third party appraisals. The fair value of in-place leases, if any, reflects (i) above and below market leases, if any, determined by discounting the difference between the estimated current market rent and the in-place rentals, the resulting intangible asset of which is amortized to rental revenue over the remaining life of the associated lease plus any fixed rate renewal periods, if applicable, (ii) the estimated value of the cost to obtain tenants, including tenant allowances, tenant improvements and leasing commissions, which is amortized over the remaining life of the associated lease, and (iii) an estimated value of the absorption period to reflect the value of the rents and recovery costs foregone during a reasonable lease-up period, as if the acquired space was vacant, which is amortized over the remaining life of the associated lease. We also estimate the value of tenant or other customer relationships acquired by considering the nature and extent of existing business relationships with the tenant, growth prospects for developing new business with such tenant, such tenant’s credit quality, expectations of lease renewals with such tenant, and the potential for significant, additional future leasing arrangements with such tenant. We amortize such value, if any, over the expected term of the associated arrangements or leases, which would include the remaining lives of the related leases and any expected renewal periods. No value was ascribed to intangibles in the ElderTrust acquisition.

Depreciation for buildings is recorded on a straight-line basis, using estimated useful lives determined to be 30 years at the date of the ElderTrust acquisition. Prior to the ElderTrust acquisition, the ETOP Predecessor used an estimated useful life of 28.5 years.

Impairment of Long-Lived Assets

We periodically evaluate our long-lived assets, primarily consisting of investments in real estate, for impairment indicators. If indicators of impairment are present, we evaluate the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying operations. We adjust the net book value of leased properties and other long-lived assets to fair value, if the sum of the expected future cash flow or sales proceeds is less than book value. An impairment loss is recognized at the time we make any such determination. Future events could occur which would cause us to conclude that impairment indicators exist and an impairment loss is warranted. We did not record any impairment charges in 2006, 2005 or 2004.

Cash Equivalents

Cash equivalents consist of highly liquid investments with a maturity date of three months or less when purchased. These investments are stated at cost, which approximates fair value.

Restricted Cash

Restricted cash primarily consists of amounts held by us or our lenders to provide for future real estate tax and insurance expenditures and tenant improvements. Restricted cash represents amounts committed for security deposits paid to us by our tenants and cash restricted due to mortgages insured by the U.S. Department of Housing and Urban Development (“HUD”) financing requirements on certain properties.

Fair Values of Financial Instruments

The following methods and assumptions were used in estimating fair value disclosures for financial instruments.

 

  Ÿ  

Cash and cash equivalents: The carrying amount of cash and cash equivalents reported in the Consolidated Balance Sheets approximates fair value because of the short maturity of these instruments.

 

  Ÿ  

Debt: The fair values of borrowings under fixed rate agreements are estimated by discounting the future cash flows using current interest rates at which similar borrowings could be made by us.

Revenue Recognition

Certain of our leases provide for periodic and determinable increases in base rent. Base rental revenues under these leases are recognized on a straight-line basis over the term of the applicable lease. Income on our straight-line revenue is recognized when collectibility is reasonably assured. In the event we determine that collectibility of straight-line revenue is not reasonably assured, we establish an allowance for estimated losses. Recognizing rental income on a straight-line basis

 

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results in recognized revenue exceeding cash amounts contractually due from our tenants during the first half of the term for leases that have straight-line treatment. The cumulative excess represents the majority of our accounts receivable balance on our Consolidated Balance Sheet.

Certain of our other leases provide for an annual increase in rental payments only if certain revenue parameters or other contingencies are met. We recognize the increased rental revenue under these leases only if the revenue parameters or other contingencies are met rather than on a straight-line basis over the term of the applicable lease. We recognize income from rent, lease termination fees and other income once all of the following criteria are met in accordance with Securities and Exchange Commission (the “Commission”) Staff Accounting Bulletin 104: (i) the agreement has been fully executed and delivered; (ii) services have been rendered; (iii) the amount is fixed or determinable; and (iv) the collectibility is reasonably assured.

Gain on Sale of Facilities

We recognize sales of facilities only upon the closing of the transaction with the purchaser. Payments received from purchasers prior to closing are recorded as deposits and classified as other assets in the consolidated balance sheet. Gains on facilities sold are recognized using the full accrual method upon closing when the collectibility of the sales price is reasonably assured, we are not obligated to perform significant activities after the sale to earn the profit, we have received adequate initial investment from the buyer, and other profit recognition criteria have been satisfied. Gains may be deferred in whole or in part until the sales satisfy the requirements of gain recognition on sales of real estate under SFAS No. 66, “Accounting for Sales of Real Estate.”

Income Taxes

We are not subject to federal or state income taxes. The taxable income or loss is passed through to the holders of partnership interests for inclusion on their applicable income tax returns.

Discontinued Operations

The results of operations and gain/(loss) on real estate properties sold or held for sale are reflected in the Consolidated Statements of Income as “discontinued operations” for all periods presented.

Segment Reporting

We operate through one reportable segment, investment in real estate. Our primary business consists of financing and owning seniors housing and healthcare-related properties and leasing those properties to third parties, primarily Genesis and Benchmark. See “Note 7—Concentration of Credit Risk.” Substantially all of our leases are triple-net leases, which require the tenants to pay all property-related expenses. With the exception of the three office buildings, we do not operate our properties nor do we allocate capital to maintain our properties. Substantially all depreciation and interest expense reflected in the Consolidated Statements of Income relates to our investment in real estate.

Recently Issued Accounting Pronouncements

In September 2006, the Financial Accounting Standards Board (“FASB”) issued SFAS No. 157, “Fair Value Measurements” (“SFAS No. 157”). This statement defines fair value and provides guidance for measuring fair value and the necessary disclosures. This statement does not require any new fair value measurements, but rather applies to all other accounting pronouncements that require or permit fair value measurements. SFAS No. 157 will be effective for us beginning January 1, 2008. We have not yet determined the impact, if any, the adoption of this new accounting pronouncement is expected to have on our consolidated financial statements.

In June 2006, the FASB issued Interpretation No. 48, “Accounting for Uncertainty in Income Taxes” (“FIN 48”). FIN 48 clarifies the accounting for income taxes when it is uncertain how an income or expense item should be treated on an income tax return. FIN 48 describes when an uncertain tax item should be recorded in the financial statements and for how much and provides guidance on recording interest and penalties and accounting and reporting for income taxes in interim periods. FIN 48 was effective beginning January 1, 2007. We do not expect FIN 48 to have a material impact on our consolidated financial statements.

 

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Reclassifications

Certain prior year amounts have been reclassified to conform to the current year presentation.

Allocation of Net Income and Cash Distributions

The allocation of net income for the Class A general and limited partnership units and the Class C limited partnership units is based on each unit’s pro rata share in proportion to its respective percentage interest as of the last day of the period for which such allocation is being made. The allocation of net income for the Class D limited partnership units is equal to the distributions to those partners during the period for which such allocation is being made.

Distributions are paid to Class C and Class D limited partners based on Ventas declaring and paying a dividend on its outstanding common stock. Each Class C unit’s distribution is computed by multiplying a Conversion Factor (as defined in the Limited Partnership Agreement) with the dividend rate used for Ventas’s common stock. Each Class D unit’s distribution is equal to the rate used for the Ventas’s common stock. Other distributions made by us to the Class A limited and general partners are allocated based on a pro rata proportion to each partner’s respective percentage interest on the distribution date.

Note 3—Merger of ElderTrust

On February 5, 2004, Ventas acquired all of the outstanding common shares of ElderTrust in an all-cash transaction valued at $184.0 million. At the close of the ElderTrust acquisition, ElderTrust had approximately $33.5 million in unrestricted and restricted cash. After transaction costs, the net investment of the ElderTrust acquisition was approximately $160.0 million. Concurrent with the consummation of the ElderTrust acquisition, Ventas also purchased all of our limited partnership units then held by third parties at $12.50 per unit, other than 31,455 Class C limited partnership units, which remain outstanding. We own directly or indirectly all of the ElderTrust properties.

Ventas accounted for the ElderTrust acquisition under the purchase method. As a result, our assets and liabilities were adjusted to reflect the fair value as of the date of the acquisition. The following table summarizes the assets acquired and liabilities assumed by Ventas on February 5, 2004 (in millions):

 

Land

   $ 17  

Buildings and improvements

     144  

Cash and cash equivalents

     28  

Other assets

     5  
        

Total assets acquired

     194  

Notes payable and other debt

     83  

Accounts payable and other accrued liabilities

     2  
        

Total liabilities assumed

     85  
        

Net assets acquired

     109  

Less cash acquired

     (28 )
        

Net cash paid

   $ 81  
        

Note 4—Discontinued Operations

We did not make any dispositions during the year ended December 31, 2006. In 2005, we completed the sale of one seniors housing community for approximately $9.9 million in net cash proceeds and recognized a net gain on sale of approximately $5.1 million. In addition, the tenant paid us a lease termination fee of approximately $0.2 million.

Under the terms of an agreement with Genesis, we sold five properties to Genesis, all but one of which were completed in 2003. The remaining property closed in January 2004.

 

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Index to Financial Statements

Set forth below is a summary of the results of operations of the facilities sold during the years ended December 31, 2005 and 2004:

 

                 ETOP Predecessor  
     For the Year Ended
December 31, 2005
   

For the Period from
February 5, 2004
through December

31, 2004

   

For the period from
January 1, 2004
through February

4. 2004

 
     (In thousands)  

Revenues:

      

Rental income

   $ 837     $ 835     $ 45  

Interest and other income

     165       61       335  
                        

Total revenues

     1,002       896       380  

Expenses:

      

Interest

     628       712       18  

Depreciation and amortization

     154       170       —    

General, administrative and professional fees

     —         65       2  

Gain on debt extinguishment

     —         —         (116 )

(Gain) loss on sale of real estate

     (5,114 )     —         62  
                        

Total expenses, net

     (4,332 )     947       (34 )
                        

Discontinued operations

   $ 5,334     $ (51 )   $ 414  
                        

Note 5—Real Estate Investments

As of December 31, 2006, we owned 17 real estate properties located in three states. The properties include nine seniors housing communities with a total of 879 beds (unaudited), five skilled nursing facilities with a total of 781 beds (unaudited) and three office buildings.

At December 31, 2006, future minimum lease payments were as follows (in thousands):

 

2007

   $ 16,300

2008

     16,040

2009

     13,263

2010

     12,807

2011

     12,981

Thereafter

     25,764
      
   $ 97,155
      

Note 6—Investment in Affiliates

On June 7, 2005, Ventas acquired all of the outstanding common shares of Provident Senior Living Trust (together with its subsidiaries, “Provident”) in a transaction valued at $1.2 billion. Provident conducted all of its business through its operating partnership, PSLT OP, L.P. (“PSLT OP”). At the same time, we acquired all of the limited partnership units in PSLT OP that were not owned by Provident. Each unit in PSLT OP was exchanged for 0.8022 units of a new class of partnership interests (the “Class D limited partnership units”), resulting in the issuance of an aggregate of 345,147 Class D limited partnership units, representing 4.1% of our equity interests. The Class D limited partnership units are redeemable on a one-for-one basis (subject to adjustment upon the occurrence of certain events) into shares of Ventas common stock. Our ownership of PSLT OP is accounted for under the cost method of accounting. We invested $9.0 million in PSLT OP, which is recorded as investment in affiliates in the Consolidated Balance Sheets as of December 31, 2006 and 2005.

Note 7—Concentration of Credit Risk

Our consolidated revenues are based primarily on the revenues derived from Genesis and Benchmark. Revenues from continuing operations recorded by us under leases with Genesis were approximately $8.3 million in 2006 and $8.2 million in each of 2005 and 2004. Revenues from Benchmark were approximately $5.1 million in each of 2006 and 2005 and $5.2 million in 2004.

 

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Genesis HealthCare is subject to the reporting requirements of the Commission and is required to file with the Commission annual reports containing audited financial information and quarterly reports containing unaudited financial information. The information related to Genesis HealthCare contained or referred to in this Annual Report on Form 10-K is derived from filings made by Genesis HealthCare with the Commission or other publicly available information, or has been provided to us by Genesis HealthCare. We have not verified this information either through an independent investigation or by reviewing Genesis HealthCare’s public filings. We have no reason to believe that this information is inaccurate in any material respect, but we cannot assure you that all of this information is accurate. Genesis HealthCare’s filings with the Commission can be found at the Commission’s website at www.sec.gov. We are providing this data for informational purposes only, and encourage readers to obtain Genesis HealthCare’s publicly available filings from the Commission.

On January 16, 2007, Genesis HealthCare announced that it had entered into a definitive agreement to be acquired by a joint venture between affiliates of Formation Capital, LLC and JER Partners. Formation and JER confirmed that Genesis HealthCare will be operated as a privately held, independent company controlled by the JER/Formation joint venture.

Note 8—Debt

The following is a summary of debt at December 31, 2006 and 2005, with the net book value (NBV) of the assets mortgaged for the applicable properties:

 

Property

   Effective Interest
Rate (b)
    Maturity Date    Balance at
December 31,
2006
   Balance at
December 31,
2005
   NBV of
Property at
December 31,
2006
     (In thousands)

Belvedere NRC / Chapel NRC (a)

   8.46 %   10/2009    $ 17,020    $ 17,371    $ 21,180

Cabot Park (a)

   6.25 %   01/2037      11,537      11,663      15,060

Cleveland Circle (a)

   6.15 %   10/2025      9,648      9,913      11,740

DCMH Medical Office Building (a)

   8.35 %   11/2009      5,258      5,368      9,469

Heritage at North Andover (a)

   8.26 %   10/2009      7,838      8,004      12,458

Lacey Branch Office Building

   7.81 %   10/2022      413      424      614

Professional Office Building I (a)

   8.35 %   11/2009      2,318      2,366      5,658

Vernon Court (a)

   6.35 %   05/2025      11,767      12,091      10,494
                         

Total

        $ 65,799    $ 67,200    $ 86,673
                         

(a) The repayment of principal and interest on these loans is non-recourse to us.
(b) The stated interest rates on these mortgages are higher than the effective interest rates because the loans were adjusted to market rates upon the acquisition of ElderTrust by Ventas.

Our weighted average effective interest rate on mortgages and bonds payable was 7.66% and 7.74% at December 31, 2006 and 2005, respectively.

Scheduled principal payments and bond sinking fund requirements are as follows (in thousands):

 

2007   

$1,509

2008

     1,616

2009

     31,784

2010

     934

2011

     995

Thereafter

     28,961
      
   $ 65,799
      

Note 9—Note Payable to Affiliate

In April 2004, we entered into a promissory note in the amount of $7.5 million with Ventas Realty, Limited Partnership, a wholly owned subsidiary of Ventas. Under the terms of the note, interest is paid quarterly at an annual rate of 8.0% beginning on July 1, 2004. The note has a maturity date of December 31, 2013, at which time a principal balloon payment equal to the full amount of the note is due. As of December 31, 2006, the note had an outstanding balance of $7.5 million.

 

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Note 10—Operating Lease

We lease our former corporate office space from a third party under an operating lease, which expires on September 30, 2007. Under the lease agreement, we pay base rent plus our portion of real estate taxes, common area maintenance and operation for the building based upon the ratio of square footage of the leased premises to the square footage of the building. Rent expense may be increased annually based on increases in those operating expenses. Rent expense is recorded on a straight-line basis over the term of the lease agreement. Future minimum rental payments are approximately $136,000. In June 2004, we entered into a sublease with a third party for the remaining term of the lease. Future minimum sublease receipts are approximately $94,000.

Rent expense, which is recorded on a straight-line basis over the term of the lease and is net of sublease rental income, was approximately $48,000, $45,000 and $67,000 for 2006, 2005 and 2004, respectively.

Note 11—Fair Values of Financial Instruments

The carrying amount of cash and cash equivalents, restricted cash and accounts receivable approximates fair value based on the short-term nature of these investments. The carrying amount of our variable rate mortgage payable at December 31, 2006 approximates fair value because the borrowings are at variable interest rates.

The fair value of our fixed rate debt at December 31, 2006 and 2005 was $76.4 million and $79.8 million, respectively.

Fair value estimates are subjective in nature and depend on a number of important assumptions, including estimates of future cash flows, risks, discount rates and relevant comparable market information associated with each financial instrument. The use of different market assumptions and estimation methodologies may have a material effect on the reported estimated fair value amounts. Accordingly, the estimates presented above are not necessarily indicative of the amounts we would realize in a current market exchange.

 

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Note 12—Quarterly Financial Information (Unaudited)

The following summarizes the unaudited quarterly results from continuing operations for the years ended December 31, 2006 and 2005:

 

     For the Year Ended December 31, 2006
    

First

Quarter

   

Second

Quarter

   

Third

Quarter

  

Fourth

Quarter

     (in thousands, except per unit amounts)

Revenues

   $ 4,143     $ 4,145     $ 4,163    $ 4,185

Net income

     761       782       782      834

Net income allocated to Class A general partner

   $ 1     $ 1     $ 1    $ —  

Net income allocated to Class A limited partners

     726       746       746      812

Net income allocated to Class C limited partner

     3       3       3      3

Net income allocated to Class D limited partners

     31       32       32      19

Net income per Class A general partnership unit

   $ 0.13     $ 0.13     $ 0.13    $ —  

Net income per Class A limited partnership unit

     0.09       0.09       0.09      0.11

Net income per Class C limited partnership unit

     0.10       0.10       0.10      0.08

Net income per Class D limited partnership unit

     0.09       0.09       0.09      0.06
     For the Year Ended December 31, 2005
    

First

Quarter

   

Second

Quarter

   

Third

Quarter

  

Fourth

Quarter

     (in thousands, except per unit amounts)

Revenues

   $ 4,087     $ 4,089     $ 4,124    $ 4,227

Income before discontinued operations

     600       588       713      739

Discontinued operations

     (38 )     (37 )     28      5,381

Net income

     562       551       741      6,120

Net income allocated to Class A general partner

   $ 1     $ 1     $ 1    $ 5

Net income allocated to Class A limited partners

     559       548       707      5,998

Net income allocated to Class C limited partner

     2       2       3      23

Net income allocated to Class D limited partners

     —         —         30      94

Net income per Class A general partnership unit

   $ 0.13     $ 0.13     $ 0.13    $ 0.61

Net income per Class A limited partnership unit

     0.07       0.07       0.09      0.74

Net income per Class C limited partnership unit

     0.06       0.06       0.10      0.75

Net income per Class D limited partnership unit

     —         —         0.09      0.27

Note 13—Related Party Transactions

On February 5, 2004, we exercised our option to acquire our former president and chief executive officer’s 1% ownership interest in ET Sub–Vernon Court, LLC, a consolidated subsidiary of the Partnership, for approximately $3,000.

In accordance with the Limited Partnership Agreement, Ventas uses an allocation method for its general, administrative and professional fees and charges these to us on a quarterly basis. This allocation method is based on our total revenues in relation to the consolidated revenues of Ventas. Other direct expenses are incurred by us and expensed at the time incurred. Approximately 95.0%, 91.4% and 80.4% of the Partnership’s consolidated general, administrative and professional fees for the years ended December 31, 2006 and 2005, and the period from February 5, 2004 through December 31, 2004, respectively, related to this allocation.

 

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Note 14—Partnership Units

Ventas, directly or indirectly through our general partner, owned 8,352,571 units or approximately 99.1% of the total outstanding partnership units at December 31, 2006. The remaining ownership interests were held by third parties.

Subject to certain limitations in our Second Amended and Restated Agreement of Limited Partnership, as amended, the Class C limited partner has the right to require the redemption of its units at any time at a price per unit equal to 51.10% of the value of a share of Ventas common stock on the date of redemption. However, in lieu of such redemption, ElderTrust, our general partner, has the right to elect to acquire the units directly from the limited partner, in exchange for cash or its common shares. We and the Class D limited partners have the right to require the redemption of the Class D units at any time in exchange for one share of Ventas common stock per Class D unit, subject to adjustment upon certain events.

Note 15—Supplemental Non-Cash Information

Supplemental non-cash information is as follows:

 

                     ETOP Predecessor
     For the Year
Ended
December 31,
2006
   For the Year
Ended
December 31,
2005
   

For the Period from
February 5, 2004

through
December 31,

2004

  

For the Period from
January 1, 2004
through
February 4,

2004

     (In thousands)

Non-cash investing and financing activities:

          

Assets and liabilities consolidated or disposed of as a result +of the acquisition or disposition of assets:

          

Real estate assets

   $ —      $ (5,115 )   $ —      $ —  

Other assets

     —        340       —        —  

Cash paid for interest

     5,604      5,986       4,962      67

Note 16—Condensed Consolidating Information

We and certain of our direct and indirect wholly owned subsidiaries (the “ETOP Subsidiary Guarantors”), have provided full and unconditional guarantees, on a joint and several basis with certain of Ventas’s other direct and indirect wholly owned subsidiaries, of the obligation to pay principal and interest with respect to Ventas’s 3 7/8% Convertible Senior Notes due 2011 and, along with a guarantee by Ventas, with respect to the 8 3/4% Senior Notes due 2009, 6 3/4% Senior Notes due 2010, 9% Senior Notes due 2012, 6 5/8% Senior Notes due 2014, 7 1/8% Senior Notes due 2015, 6 1/2% Senior Notes due 2016 and 6 3/4% Senior Notes due 2017 issued by Ventas Realty, Limited Partnership and Ventas Capital Corporation (collectively, the “Ventas Issuers”), wholly owned subsidiaries of Ventas (collectively, the “Senior Notes”). The total aggregate principal amount of Senior Notes outstanding as of December 31, 2006 was $1.5 billion. Certain of our other subsidiaries (the “ETOP Non-Guarantor Subsidiaries”) have not provided the guarantee of the Senior Notes and therefore are not directly obligated with respect to the Senior Notes.

Contractual and legal restrictions, including those contained in the instruments governing certain of the ETOP Non-Guarantor Subsidiaries’ outstanding indebtedness, may, under certain circumstances restrict our ability to obtain cash from the ETOP Non-Guarantor Subsidiaries for the purpose of satisfying our debt service obligations, including our guarantee of payment of principal and interest on the Senior Notes. Certain of the ETOP Subsidiary Guarantors’ properties are subject to mortgages.

For comparative purposes, the Condensed Consolidating Financial Statements for the periods prior to the ElderTrust acquisition are presented as “Predecessor Company” financial statements.

 

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CONDENSED CONSOLIDATING BALANCE SHEET

As of December 31, 2006

 

     ETOP and
ETOP
Subsidiary
Guarantors
    ETOP
Non-Guarantor
Subsidiaries
  Consolidated
Elimination
    Consolidated
     (In thousands)

Assets

        

Total net real estate investments

   $ 54,062     $ 86,059   $ —       $ 140,121

Cash and cash equivalents

     —         336     —         336

Restricted cash

     —         6,543     —         6,543

Equity in affiliates

     79,705       15     (79,720 )     —  

Investment in affiliates

     9,039       —       —         9,039

Other assets

     652       1,526     —         2,178
                            

Total assets

   $ 143,458     $ 94,479   $ (79,720 )   $ 158,217
                            

Liabilities and Partners’ Capital

        

Liabilities:

        

Debt

   $ 413     $ 65,386   $ —       $ 65,799

Intercompany

     (5,520 )     5,520     —         —  

Note payable to affiliate

     7,500       —       —         7,500

Accrued interest

     103       422     —         525

Accrued dividend

     23       —       —         23

Accounts payable and other accrued liabilities

     103       3,094     —         3,197
                            

Total liabilities

     2,622       74,422     —         77,044

Partners' capital

     140,836       20,057     (79,720 )     81,173
                            

Total liabilities and partners' capital

   $ 143,458     $ 94,479   $ (79,720 )   $ 158,217
                            

CONDENSED CONSOLIDATING BALANCE SHEET

As of December 31, 2005

 

     ETOP and
ETOP
Subsidiary
Guarantors
    ETOP
Non-Guarantor
Subsidiaries
   Consolidated
Elimination
    Consolidated
     (In thousands)

Assets

         

Total net real estate investments

   $ 56,200     $ 88,993    $ —       $ 145,193

Cash and cash equivalents

     1       438      —         439

Restricted cash

     26       5,590      —         5,616

Equity in affiliates

     80,390       15      (80,405 )     —  

Investment in affiliates

     9,039       —        —         9,039

Other assets

     509       1,365      —         1,874
                             

Total assets

   $ 146,165     $ 96,401    $ (80,405 )   $ 162,161
                             

Liabilities and Partners’ Capital

         

Liabilities:

         

Debt

   $ 424     $ 66,776    $ —       $ 67,200

Intercompany

     (4,804 )     4,804      —         —  

Note payable to affiliate

     7,500       —        —         7,500

Accrued interest

     3       431      —         434

Accrued dividend

     71       —        —         71

Accounts payable and other accrued liabilities

     103       3,017      —         3,120
                             

Total liabilities

     3,297       75,028      —         78,325

Partners' capital

     142,868       21,373      (80,405 )     83,836
                             

Total liabilities and partners' capital

   $ 146,165     $ 96,401    $ (80,405 )   $ 162,161
                             

 

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CONDENSED CONSOLIDATING STATEMENT OF INCOME

For the year ended December 31, 2006

 

    ETOP and
ETOP
Subsidiary
Guarantors
    ETOP
Non-Guarantor
Subsidiaries
    Consolidated
Elimination
   Consolidated

Revenues:

        

Rental income

  $ 5,722     $ 10,788     $ —      $ 16,510

Interest and other income

    —         126       —        126

Equity loss in affiliates

    (97 )     —         97      —  
                            

Total revenues

    5,625       10,914       97      16,636

Expenses:

        

Interest

    35       5,060       —        5,095

Depreciation and amortization

    2,148       3,194       —        5,342

Property-level operating expenses

    —         1,447       —        1,447

General, administrative and professional fees

    398       595       —        993

Intercompany interest

    (115 )     715       —        600
                            

Total expenses

    2,466       11,011       —        13,477
                            

Net income (loss)

  $ 3,159     $ (97 )   $ 97    $ 3,159
                            

CONDENSED CONSOLIDATING STATEMENT OF INCOME

For the year ended December 31, 2005

 

     ETOP and
ETOP
Subsidiary
Guarantors
    ETOP
Non-Guarantor
Subsidiaries
    Consolidated
Elimination
   Consolidated

Revenues:

         

Rental income

   $ 5,683     $ 10,695     $ —      $ 16,378

Interest and other income

     93       56       —        149

Equity earnings in affiliates

     (376 )     —         376      —  
                             

Total revenues

     5,400       10,751       376      16,527

Expenses:

         

Interest

     36       5,054       —        5,090

Depreciation and amortization

     2,149       3,167       —        5,316

Property-level operating expenses

     —         1,430       —        1,430

General, administrative and professional fees

     600       851       —        1,451

Intercompany interest

     (25 )     625       —        600
                             

Total expenses

     2,760       11,127       —        13,887
                             

Income (loss) before discontinued operations

     2,640       (376 )     376      2,640

Discontinued operations

     5,334       —         —        5,334
                             

Net income (loss)

   $ 7,974     $ (376 )   $ 376    $ 7,974
                             

 

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PREDECESSOR COMPANY CONDENSED CONSOLIDATING STATEMENT OF INCOME

For the period from February 5, 2004 through December 31, 2004

 

     ETOP and
ETOP
Subsidiary
Guarantors
    ETOP
Non-Guarantor
Subsidiaries
    Consolidated
Elimination
   Consolidated  

Revenues:

         

Rental income

   $ 5,198     $ 9,724     $ —      $ 14,922  

Interest and other income

     11       43       —        54  

Equity earnings in affiliates

     (376 )     —         376      —    
                               

Total revenues

     4,833       9,767       376      14,976  

Expenses:

         

Interest

     139       4,814       —        4,953  

Depreciation and amortization

     1,968       2,896       —        4,864  

Property-level operating expenses

     —         1,161       —        1,161  

General, administrative and professional fees

     534       753       —        1,287  

Intercompany interest

     (110 )     519       —        409  
                               

Total expenses

     2,531       10,143       —        12,674  
                               

Income (loss) before discontinued operations

     2,302       (376 )     376      2,302  

Discontinued operations

     (51 )     —         —        (51 )
                               

Net income (loss)

   $ 2,251     $ (376 )   $ 376    $ 2,251  
                               

PREDECESSOR COMPANY CONDENSED CONSOLIDATING STATEMENT OF INCOME

For the period from January 1, 2004 through February 4, 2004

 

     ETOP and
ETOP
Subsidiary
Guarantors
  ETOP
Non-Guarantor
Subsidiaries
  Consolidated
Elimination
    Consolidated
     (In thousands)

Revenues:

        

Rental income

   $ 507   $ 1,005   $ —       $ 1,512

Interest and other income

     113     10     (63 )     60

Equity earnings in affiliates

     66     —       (66 )     —  
                          

Total revenues

     686     1,015     (129 )     1,572

Expenses:

        

Interest

     40     509     —         549

Depreciation

     192     295     —         487

Property-level operating expenses

     —       101     —         101

General, administrative, and professional fees

     182     18     —         200

Intercompany interest

     37     26     (63 )     —  

Loss on extinguishment of debt

     8     —       —         8

Loss on sale of fixed assets

     10     —       —         10
                          

Total expenses

     469     949     (63 )     1,355
                          

Income before discontinued operations

     217     66     (66 )     217

Discontinued operations

     414     —       —         414
                          

Net income

   $ 631   $ 66   $ (66 )   $ 631
                          

 

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CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

For the year ended December 31, 2006

 

     ETOP and
ETOP
Subsidiary
Guarantors
    ETOP
Non-Guarantor
Subsidiaries
    Consolidated
Elimination
   Consolidated  

Net cash provided by operating activities

   $ 5,169     $ 2,212     $ —      $ 7,381  

Net cash used in investing activities

     —         (261 )     —        (261 )

Net cash used in financing activities

     (5,170 )     (2,053 )     —        (7,223 )
                               

Net decrease in cash and cash equivalents

     (1 )     (102 )     —        (103 )

Cash and cash equivalents at beginning of year

     1       438       —        439  
                               

Cash and cash equivalents at end of year

   $ —       $ 336     $ —      $ 336  
                               

CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

For the year ended December 31, 2005

 

     ETOP and
ETOP
Subsidiary
Guarantors
    ETOP
Non-Guarantor
Subsidiaries
    Consolidated
Elimination
   Consolidated  

Net cash provided by operating activities

   $ 6,653     $ 1,409     $ —      $ 8,062  

Net cash provided by (used in) investing activities

     9,889       (25 )     —        9,864  

Net cash used in financing activities

     (16,578 )     (2,119 )     —        (18,697 )
                               

Net decrease in cash and cash equivalents

     (36 )     (735 )     —        (771 )

Cash and cash equivalents at beginning of year

     37       1,173       —        1,210  
                               

Cash and cash equivalents at end of year

   $ 1     $ 438     $ —      $ 439  
                               

PREDECESSOR COMPANY CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

For the period from February 5, 2004 through December 31, 2004

 

     ETOP and
ETOP
Subsidiary
Guarantors
    ETOP
Non-Guarantor
Subsidiaries
    Consolidated
Elimination
   Consolidated  

Net cash provided by operating activities

   $ 4,260     $ 3,108     $ —      $ 7,368  

Net cash used in investing activities

     —         (83 )     —        (83 )

Net cash used in financing activities

     (31,375 )     (2,720 )     —        (34,095 )
                               

Net (decrease) increase in cash and cash equivalents

     (27,115 )     305       —        (26,810 )

Cash and cash equivalents at beginning of period

     27,152       868       —        28,020  
                               

Cash and cash equivalents at end of period

   $ 37     $ 1,173     $ —      $ 1,210  
                               

 

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PREDECESSOR COMPANY CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS

For the period from January 1, 2004 through February 4, 2004

 

     ETOP and
ETOP
Subsidiary
Guarantors
    ETOP
Non-Guarantor
Subsidiaries
    Consolidated
Elimination
   Consolidated  

Net cash provided by operating activities

   $ 820     $ 260     $ —      $ 1,080  

Net cash provided by investing activities

     2,806       —         —        2,806  

Net cash used in financing activities

     (1,323 )     (212 )     —        (1,535 )
                               

Net increase in cash and cash equivalents

     2,303       48       —        2,351  

Cash and cash equivalents at beginning of period

     24,848       821       —        25,669  
                               

Cash and cash equivalents at end of period

   $ 27,151     $ 869     $ —      $ 28,020  
                               

 

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ELDERTRUST OPERATING LIMITED PARTNERSHIP

SCHEDULE III

REAL ESTATE AND ACCUMULATED DEPRECIATION

December 31, 2006

(Dollars in Thousands)

 

     Location    Initial Cost to Company   

Cost

Capitalized
Subsequent

to
Acquisition

   Gross Amount Carried at
Close of Period
  

Accumulated

Depreciation

  

Date of

Construction

  

Date

Acquired

  

Life on

Which

Depreciation

in Income

Statement

is Completed

Facility name

   City    State    Land   

Buildings

and

Improvements

      Land   

Buildings

and

Improvements

           

SKILLED NURSING FACILITIES

                                

Lopatcong Center

   Phillipsburg    NJ    $ 1,490    $ 12,336    $ —      $ 1,490    $ 12,336    $ 1,423    1982    2004    30 years

Wayne Center

   Wayne    PA      662      6,872      —        662      6,872      767    1875    2004    30 years

Belvedere Nursing & Rehab

   Chester    PA      822      7,202      —        822      7,202      824    1899    2004    30 years

Chapel Manor

   Philadelphia    PA      1,596      13,982      —        1,596      13,982      1,599    1948    2004    30 years

Pennsburg Manor

   Pennsburg    PA      1,091      7,871      —        1,091      7,871      937    1982    2004    30 years
                                                        

TOTAL FOR SKILLED NURSING FACILITIES

           5,661      48,263      —        5,661      48,263      5,550         
                                                        

SENIORS HOUSING COMMUNITIES

                                

Heritage Woods

   Agawarn    MA      1,249      4,625      —        1,249      4,625      637    1997    2004    30 years

Heritage at North Andover

   North Andover    MA      1,194      12,544      —        1,194      12,544      1,280    1994    2004    30 years

Heritage at Vernon Court

   Newton    MA      1,793      9,678      —        1,793      9,678      977    1930    2004    30 years

Heritage at Cleveland Circle

   Brookline    MA      1,468      11,418      —        1,468      11,418      1,146    1995    2004    30 years

Cabot Park Village

   Newtonville    MA      1,772      14,854      —        1,772      14,854      1,566    1996    2004    30 years

Berkshire Commons

   Reading    PA      470      4,301      —        470      4,301      517    1997    2004    30 years

Lehigh

   Macungie    PA      420      4,406      —        420      4,406      517    1997    2004    30 years

Sanatoga Court

   Pottstown    PA      360      3,233      —        360      3,233      390    1997    2004    30 years

Highgate at Paoli Pointe

   Paoli    PA      1,151      9,079      —        1,151      9,079      979    1997    2004    30 years
                                                        

TOTAL FOR SENIORS HOUSING FACILITIES

           9,877      74,138      —        9,877      74,138      8,009         
                                                        

MEDICAL OFFICE BUILDINGS

                                

Lacey Branch Office Building

   Forked River    NJ      63      621      —        63      621      70    1996    2004    30 years

Professional Office Building I

   Upland    PA      —        6,243      114      —        6,357      699    1978    2004    30 years

DCMH Medical Office Building

   Drexel Hill    PA      —        10,379      257      —        10,636      1,167    1984    2004    30 years
                                                        

TOTAL FOR MEDICAL OFFICE BUILDINGS

           63      17,243      371      63      17,614      1,936         
                                                        

TOTAL FOR ALL PROPERTIES

         $ 15,601    $ 139,644    $ 371    $ 15,601    $ 140,015    $ 15,495         
                                                        

 

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     For the Years Ended December 31,
     2006    2005     2004

Reconciliation of real estate:

       

Carrying cost:

       

Balance at beginning of period

   $ 155,355    $ 160,769     $ —  

Additions during period:

       

Acquisitions

     261      25       160,769

Dispositions:

       

Sale of facilities

     —        (5,439 )     —  
                     

Balance at end of period

   $ 155,616    $ 155,355     $ 160,769
                     

Accumulated depreciation:

       

Balance at beginning of period

   $ 10,162    $ 5,026     $ —  

Additions during period:

       

Depreciation expense

     5,333      5,460       5,026

Dispositions:

       

Sale of facilities

     —        (324 )     —  
                     

Balance at end of period

   $ 15,495    $ 10,162     $ 5,026
                     

 

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ITEM 9. Changes in and Disagreements With Accountants on Accounting and Financial Disclosure

Not applicable.

 

ITEM 9A. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

We have established disclosure controls and procedures to ensure that material information relating to us is timely communicated to the officers who certify our financial reports and to other members of our management, including ElderTrust’s Board of Trustees.

Based upon their evaluation as of December 31, 2006, the Chief Executive Officer and Chief Financial Officer of ElderTrust, our general partner, have concluded that our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) are effective to ensure that information required to be disclosed by us in our Exchange Act filings is recorded, processed, summarized and reported within the time periods specified in the Commission’s rules and forms.

Changes in Internal Control Over Financial Reporting

During the fourth quarter of 2006, there were no changes in our internal control over financial reporting or in other factors that have materially affected, or are reasonably likely to materially affect, those controls.

 

ITEM 9B. Other Information

Not applicable.

PART III

 

ITEM 10. Directors and Executive Officers of the Registrant

We have no directors or executive officers. We are managed by ElderTrust, our sole general partner. The trustee and executive officers of ElderTrust are listed in the following table:

 

Name

   Age   

Position

Debra A. Cafaro

   49    President and Chief Executive Officer

Richard A. Schweinhart

   57    Chief Financial Officer

T. Richard Riney

   49    Secretary and Trustee

T. Richard Riney has served as a trustee of ElderTrust since February 5, 2004, the date of the ElderTrust acquisition.

ElderTrust is a direct wholly owned subsidiary of Ventas. Ventas has adopted a code of ethics that applies to its executive officers and the executive officers of Ventas’s subsidiaries, including ElderTrust. We do not have an audit committee, but rely on the Audit Committee of Ventas’s Board of Directors to perform similar functions for us. The additional information required by this Item 10 is incorporated by reference to Ventas’s definitive Proxy Statement for the 2007 Annual Meeting of Stockholders, which Ventas will file with the Commission not later than April 30, 2007.

 

ITEM 11. Executive Compensation

We have no directors or executive officers. We are managed by ElderTrust, our sole general partner. ElderTrust has not paid any compensation to its trustee or executive officers. ElderTrust is a direct wholly owned subsidiary of Ventas. The additional information required by this Item 11 is incorporated by reference to Ventas’s definitive Proxy Statement for the 2007 Annual Meeting of Stockholders, which Ventas will file with the Commission not later than April 30, 2007.

 

ITEM 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

The following table sets forth certain information with respect to the beneficial ownership of our partnership interests as of March 21, 2007 by each person we know to be the beneficial owner of more than 5% of each class of our outstanding

 

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partnership interests. As of March 21, 2007, no trustee, director or executive officer of ElderTrust or Ventas beneficially owned any partnership interests. Each entity named in the table has sole voting power and sole investment power over the units beneficially owned by it.

 

Name of Beneficial Owner

  

Partnership Interests Beneficially Owned

   Percent
of Class

Ventas, Inc.

10350 Ormsby Park Place, Suite 300

Louisville, KY 40223

   7,873 Class A general partnership units (1)    100%

Ventas, Inc.

10350 Ormsby Park Place, Suite 300

Louisville, KY 40223

   8,040,688 Class A limited partnership units (2)    100%

Norland Plastics Company

155 South Limerick Road

Limerick, PA 19468

   31,455 Class C limited partnership units (3)    100%

Ventas, Inc.

10350 Ormsby Park Place, Suite 300

Louisville, KY 40223

   309,010 Class D limited partnership units    89.5%

Charles A. Post

Provident Realty Partners LLC

600 College Road East, Suite 3400

Princeton, NJ 08540

   23,401 Class D limited partnership units    6.8%

(1) Consists of 7,873 Class A general partnership units held by ElderTrust, which is a wholly owned subsidiary of Ventas.
(2) Includes 7,776,573 Class A limited partnership units held by ElderTrust.
(3) Consists of 31,455 Class C limited partnership units held by ET Sub-Falls-Washington Street, LLC, which is a wholly owned subsidiary of Norland Plastics Company.

The additional information required by this Item 12 is incorporated by reference to Ventas’s definitive Proxy Statement for the 2007 Annual Meeting of Stockholders, which Ventas will file with the Commission not later than April 30, 2007.

 

ITEM 13. Certain Relationships and Related Transactions, and Director Independence

The information required by this Item 13 is incorporated by reference to “Note 13—Related Party Transactions” of the Notes to Consolidated Financial Statements included in Part II, Item 8 of this Annual Report on Form 10-K and Ventas’s definitive Proxy Statement for the 2007 Annual Meeting of Stockholders, which Ventas will file with the Commission not later than April 30, 2007.

 

ITEM 14. Principal Accountant Fees and Services

Ernst & Young LLP has been our independent registered public accounting firm since January 1, 2004 and has audited our consolidated financial statements for the year ended December 31, 2006 and 2005. Fees charged by Ernst & Young for the years ended December 31, 2006 and 2005 were as follows:

 

     2006    2005

Audit Fees (1)

   $ 54,000    $ 54,000

Audit-Related Fees

     —        —  

Tax Fees

     —        —  

All Other Fees

     —        —  
             

Total

   $ 54,000    $ 54,000
             

(1) The category of Audit Fees includes the aggregate fees billed for professional services rendered by Ernst & Young for the audit of our annual consolidated financial statements and review of the interim consolidated financial statements included in our Quarterly Reports on Form 10-Q.

 

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Index to Financial Statements

The additional information required by this Item 14 is incorporated by reference to Ventas’s definitive Proxy Statement for the 2007 Annual Meeting of Stockholders, which Ventas will file with the Commission not later than April 30, 2007.

PART IV

 

ITEM 15. Exhibits and Financial Statement Schedules

Financial Statements and Financial Statement Schedule

The following documents have been included in Part II, Item 8 of this Annual Report on Form 10-K:

 

Report of Independent Registered Public Accounting Firm

Consolidated Balance Sheets as of December 31, 2006 and 2005

Consolidated Statements of Operations for the Years ended December 31, 2006 and 2005, and for the Periods from February 5, 2004 through December 31, 2004 and from January 1, 2004 through February 4, 2004

Consolidated Statements of Partners’ Capital for the Years ended December 31, 2006 and 2005, and for the Periods from February 5, 2004 through December 31, 2004 and from January 1, 2004 through February 4, 2004

Consolidated Statements of Cash Flows for the Years ended December 31, 2006 and 2005, and for the Periods from February 5, 2004 through December 31, 2004 and from January 1, 2004 through February 4, 2004

Notes to Consolidated Financial Statements

Consolidated Financial Statement Schedule

Schedule III—Real Estate and Accumulated Depreciation

All other schedules have been omitted because they are inapplicable, not required or the information is included elsewhere in the Consolidated Financial Statements or notes thereto.

 

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Table of Contents
Index to Financial Statements

Exhibits

 

Exhibit

Number

  

Description of Document

  

Location of Document

3.1    Amended and Restated Certificate of Limited Partnership of ElderTrust Operating Limited Partnership.    Incorporated by reference to Exhibit 3.8.1 to Amendment No. 1 to our Registration Statement on Form S-4, File No. 333-120642, filed on December 21, 2004.
3.2.1    Second Amended and Restated Agreement of Limited Partnership of ElderTrust Operating Limited Partnership.    Incorporated by reference to Exhibit 10.1 to ElderTrust’s Annual Report on Form 10-K for the year ended December 31, 1997.
3.2.2    Second Amendment to Second Amended and Restated Agreement of Limited Partnership of ElderTrust Operating Limited Partnership, dated October 13, 1999.    Incorporated by reference to Exhibit 10.44 to ElderTrust’s Annual Report on Form 10-K for the year ended December 31, 1999.
3.2.3    Consent of General Partner and Third Amendment to Second Amended and Restated Agreement of Limited Partnership dated as of June 7, 2005.    Incorporated by reference to Exhibit 4.1 to our Current Report on Form 8-K, filed on June 10, 2005.
4.1.1    Certificate of Designation for Class C (LIHTC) Units of ElderTrust Operating Limited Partnership.    Incorporated by reference to Exhibit 10.1 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended March 31, 1999.
4.1.2    Agreement of Class C (LIHTC) Unit Rights Modification, dated November 19, 2003, between ElderTrust Operating Limited Partnership, Norland Plastics Company, ET Sub-Falls-Washington Street, L.L.C. and Ventas, Inc.    Incorporated by reference to Exhibit 4.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2004.
4.2    Supplemental Indenture dated as of February 20, 2004 among the newly-acquired Restricted Subsidiaries listed in Annex A thereto, as Guaranteeing Subsidiaries, Ventas Realty and Ventas Capital, as Issuers, Ventas, Inc., Ventas LP Realty, L.L.C., Ventas Healthcare Properties, Inc. and Ventas TRS, as Guarantors, and U.S. Bank National Association, as Trustee, relating to the 8 3/4% Senior Notes due 2009.    Incorporated by reference to Exhibit 4.5.4 to Ventas’s Annual Report on Form 10-K for the year ended December 31, 2003.
4.3.1    Indenture dated as of June 7, 2005 among Ventas Realty, Ventas Capital, the Guarantors named therein and U.S. Bank National Association, as Trustee, relating to the 6 3/4% Senior Notes due 2010.    Incorporated by reference to Exhibit 4.1 to Ventas’s Current Report on Form 8-K filed on June 13, 2005.
4.3.2    Supplemental Indenture dated as of June 21, 2005 among the Guaranteeing Subsidiaries named therein, Ventas Realty and Ventas Capital, as Issuers, the other Guarantors named therein and U.S. Bank National Association, as Trustee.    Incorporated by reference to Exhibit 4.13 to Ventas’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2005.
4.4.0    Supplemental Indenture dated as of February 20, 2004 among the newly-acquired Restricted Subsidiaries listed in Anex A thereto, as Guaranteeing Subsidiaries, Ventas Realty and Ventas Capital, as Issuers, Ventas, Inc. Ventas LP Realty, L.L.C., Ventas Healthcare Properties, Inc. and Ventas TRS, as Guarantors, and U.S. Bank National Associations, as Trustees, relating to the 9% Senior Notes due 2012.    Incorporated by reference to Exhibit 4.6.4 to Ventas’s Annual Report on Form 10-K for the year ended December 31, 2003.
4.5.1    Indenture dated as of October 15, 2004, among Ventas Realty and Ventas Capital, as Issuers, the Guarantors named therein and U.S. Bank National Association, as Trustee, relating to the 6 5/8% Senior Notes due 2014.    Incorporated by reference to Exhibit 4.1 to Ventas’s Current Report on Form 8-K filed on October 15, 2004.

 

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Table of Contents
Index to Financial Statements

Exhibit

Number

  

Description of Document

  

Location of Document

4.5.2    Supplemental Indenture dated as of December 15, 2004 among Ventas Framingham, LLC and Ventas Management, LLC, as Guaranteeing Subsidiaries, Ventas Realty and Ventas Capital, as Issuers, the other Guarantors named therein and U.S. Bank National Association, as Trustee.    Incorporated by reference to Exhibit 4.1.2 to Amendment No. 1 to our Registration Statement on Form S-4, File No. 333-120642, filed on December 21, 2004.
4.6.1    Indenture dated as of June 7, 2005 among Ventas Realty, Ventas Capital, the Guarantors named therein and U.S. Bank National Association, as Trustee, relating to the 7 1/8% Senior Notes due 2015.    Incorporated by reference to Exhibit 4.2 to Ventas’s Current Report on Form 8-K filed on June 13, 2005.
4.6.2    Supplemental Indenture dated as of June 21, 2005 among the Guaranteeing Subsidiaries named therein, Ventas Realty and Ventas Capital, as Issuers, the other Guarantors named therein and U.S. Bank National Association, as Trustee.    Incorporated by reference to Exhibit 4.16 to Ventas’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2005.
4.7.1    Indenture dated as of December 9, 2005 among Ventas Realty, Ventas Capital, the Guarantors named therein and U.S. Bank National Association, as Trustee, relating to the 6 1/2% Senior Notes due 2016.    Incorporated by reference to Exhibit 4.1 to Ventas’s Current Report on Form 8-K filed on December 13, 2005.
4.7.2    Supplemental Indenture dated as of December 21, 2005 among Ventas Finance I, Inc., Ventas Finance I, LLC, Ventas Specialty I, Inc. and Ventas Specialty I, LLC, as Guaranteeing Subsidiaries, Ventas Realty and Ventas Capital, as Issuers, the other Guarantors named therein and U.S. Bank National Association, as Trustee.    Incorporated by reference to Exhibit 4.1.2 to our Registration Statement on Form S-4, File No. 333-131342.
4.7.3    Schedule of Agreements Substantially Identical in All Material Respects to the agreements incorporated by reference as Exhibits 4.2, 4.3.2, 4.4, 4.5.2, 4.6.2 and 4.7.2 to this Annual Report on Form 10-K, pursuant to Instruction 2 to Item 601 of Regulation S-K    Filed herewith.
4.8.1    Indenture dated as of September 19, 2006 among Ventas, Inc., Ventas Realty and Ventas Capital, as Issuer(s), the Guarantors named therein and U.S. Bank National Association, as Trustee.    Incorporated by reference to Exhibit 4.1 to our Registration Statement on Form S-3, File No. 333-133115.
4.8.2    First Supplemental Indenture dated as of September 19, 2006 Ventas, Inc., Ventas Realty and Ventas Capital, as Issuer(s), the Guarantors named therein and U.S. Bank National Association, as Trustee, relating to the 6 3/4% Senior Notes due 2017.    Incorporated by reference to Exhibit 4.2 to Ventas’s Current Report on Form 8-K, filed on September 22, 2006.
4.8.3    Supplemental Indenture dated as of November 21, 2006 among the Guaranteeing Subsidiaries named therein, Ventas Realty and Ventas Capital, as Issuers, and the other Guarantors named therein.    Incorporated by reference to Exhibit 4.10.3 to Ventas’s Annual Report on Form 10-K for the year ended December 31, 2006.
4.9    Indenture dated as of December 1, 2006 among Ventas, Inc., as Issuer, the Subsidiary Guarantors named therein, as Guarantors, and U.S. Bank National Association, as Trustee    Incorporated by reference to Exhibit 4.1 to Ventas’s Current Report on Form 8-K, filed on December 6, 2006.
10.1.1    Option Agreement by and between D. Lee McCreary, Jr. and ElderTrust Operating Limited Partnership relating to interests in Vernon ALF, L.L.C.    Incorporated by reference to Exhibit 10.39 to ElderTrust’s Annual Report on Form 10-K for the year ended December 31, 1999.
10.1.2    Assignment of Membership Interest, dated as of February 5, 2004, by and between D. Lee McCreary, Jr. and ElderTrust Operating Limited Partnership relating to interests in Vernon ALF, L.L.C.    Incorporated by reference to Exhibit 10.1.1.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2004.

 

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Index to Financial Statements

Exhibit

Number

  

Description of Document

  

Location of Document

10.2.1    Form of Minimum Rent Lease between ElderTrust Operating Limited Partnership and a consolidated subsidiary of Genesis Health Ventures, Inc.    Incorporated by reference to Exhibit 10.22 to Amendment No. 4 to ElderTrust’s Registration Statement on Form S-11 (File No. 333-37451).
10.2.2    Form of Percentage Rent Lease between ElderTrust Operating Limited Partnership and a consolidated subsidiary of Genesis Health Ventures, Inc.    Incorporated by reference to Exhibit 10.23 to Amendment No. 4 to ElderTrust’s Registration Statement on Form S-11 (File No. 333-37451), filed on January 20, 1998.
10.3.1    Assignment of Partnership Interest and Second Amendment to Agreement of Limited Partnership of ET Sub-Meridian Limited Partnership, L.L.P., dated September 25, 2002, by and among Toughkenamon, L.L.C., ElderTrust Operating Limited Partnership and ET Meridian General Partner, L.L.C.    Incorporated by reference to Exhibit 2.1 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.2.1    Option Agreement, dated as of September 25, 2002, by and between D. Lee McCreary, Jr. and ElderTrust Operating Limited Partnership relating to interests in Cabot ALF, L.L.C.    Incorporated by reference to Exhibit 2.2 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.2.2    Assignment of Membership Interest, dated as of February 5, 2004, by and between D. Lee McCreary, Jr. and ElderTrust Operating Limited Partnership relating to interests in Cabot ALF, L.L.C.    Incorporated by reference to Exhibit 10.3.2.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2004.
10.3.3.1    Option Agreement, dated as of September 25, 2002, by and between D. Lee McCreary, Jr. and ElderTrust Operating Limited Partnership relating to interests in Cleveland ALF, L.L.C.    Incorporated by reference to Exhibit 2.3 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.3.2    Assignment of Membership Interest, dated as of February 5, 2004, by and between D. Lee McCreary, Jr. and ElderTrust Operating Limited Partnership relating to interests in Cleveland ALF, L.L.C.    Incorporated by reference to Exhibit 10.3.3.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2004.
10.3.4.1    Purchase Option, dated as of November 30, 1993, by and among the sellers identified therein, Heritage Associates Limited Partnership and MHC Acquisition Corporation.    Incorporated by reference to Exhibit 99.7 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.4.2    Schedule of Omitted Meridian Purchase Options.    Incorporated by reference to Exhibit 99.10 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.4.3    First Amendment to Option Agreement, dated September 3, 1998, by and among the sellers identified therein, Heritage Meridian Limited Partnership and MHC Acquisition Corporation.    Incorporated by reference to Exhibit 99.8 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.4.4    Assignment of Option Agreement, dated September 3, 1998, between Meridian Healthcare, Inc. and ET Sub-Meridian Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 99.9 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.5.1    Lease Agreement, dated as of November 30, 1993, by and between Heritage Associates Limited Partnership and MHC Acquisition Corporation.    Incorporated by reference to Exhibit 99.1 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.5.2    Schedule of Omitted Meridian Lease Agreements.    Incorporated by reference to Exhibit 99.6 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.5.3    Amendment No. 1 to Lease Agreement, dated as of August 1, 1994, by and between Heritage Associates Limited Partnership and Meridian Healthcare, Inc.    Incorporated by reference to Exhibit 99.2 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.

 

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Index to Financial Statements

Exhibit

Number

  

Description of Document

  

Location of Document

10.3.5.4    Amendment No. 2 to Lease Agreement, dated as of August 1, 1994, by and between Heritage Associates Limited Partnership and Meridian Healthcare, Inc.    Incorporated by reference to Exhibit 99.3 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.5.5    Amendment No. 3 to Lease Agreement, dated as of September 3, 1998, by and between Heritage Associates Limited Partnership and ET Sub-Meridian Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 99.4 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.5.6    Assignment of Lease Agreement, dated as of September 3, 1998, by and between Heritage Associates Limited Partnership and ET Sub-Meridian Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 99.5 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.6.1    Sublease Agreement, dated September 3, 1998, by and between ET Sub-Meridian Limited Partnership, L.L.P., as Landlord, and Meridian Healthcare, Inc., as Tenant.    Incorporated by reference to Exhibit 99.11 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.6.2    Schedule of Omitted Meridian Sublease Agreements.    Incorporated by reference to Exhibit 99.12 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.7    Indemnification Consent and Acknowledgment Agreement, dated September 3, 1998, between ElderTrust Operating Limited Partnership and Genesis Health Ventures, Inc.    Incorporated by reference to Exhibit 10.4 to ElderTrust’s Current Report on Form 8-K filed on September 18, 1998.
10.3.8    Guarantee Agreement, dated September 3, 1998, between ElderTrust Operating Limited Partnership and ET Sub-Meridian Limited Partnership, L.L.P. (f/k/a Meridian Healthcare, Inc.).    Incorporated by reference to Exhibit 10.5 to ElderTrust’s Current Report on Form 8-K filed on September 18, 1998.
10.4    Master Agreement, dated November 27, 2000, between The Multicare Companies, Inc., Berks Nursing Homes, Inc., Lehigh Nursing Homes, Inc., Delm Nursing, Inc. and Genesis Eldercare Corp. and ElderTrust and ElderTrust Operating Limited Partnership.    Incorporated by reference to Exhibit 99.5 to ElderTrust’s Current Report on Form 8-K filed on December 11, 2000.
10.5    Master Agreement, dated November 27, 2000, between Genesis Health Ventures, Inc., Meridian Healthcare, Inc., Volusia Meridian Limited Partnership, Wyncote Healthcare Corp., Philadelphia Avenue Associates and Geriatric and Medical Services, Inc., Geriatric and Medical Companies, Inc. and Edella Street Associates and ElderTrust, ElderTrust Operating Limited Partnership, ET Sub-Meridian Limited Partnership, L.L.P., ET Sub-Rittenhouse Limited Partnership, L.L.P., ET Sub-Windsor I, L.L.C. and ET Sub-Windsor II, L.L.C., ET Sub-Phillipsburg I, L.L.C., ET Sub-Highgate, L.P. and ET Sub-Willowbrook Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 99.4 to ElderTrust’s Current Report on Form 8-K filed on December 11, 2000.
10.6.1    Master Agreement, dated as of September 11, 2003, between Genesis Health Ventures, Inc. and ElderTrust Operating Limited Partnership, including exhibits.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.

 

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Index to Financial Statements

Exhibit

Number

  

Description of Document

  

Location of Document

10.6.2    Conveyance and Transfer Agreement, dated September 11, 2003, between Meridian Healthcare, Inc., Genesis Healthcare Corporation, ElderTrust, ElderTrust Operating Limited Partnership and ET Meridian General Partner, L.L.C.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.3    Conveyance and Transfer Agreement, dated September 11, 2003, between Edella Street Associates, Genesis Healthcare Corporation and ET Sub-Willowbrook Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.4    Conveyance and Transfer Agreement, dated September 11, 2003, between Geriatric and Medical Services, Inc., Genesis Healthcare Corporation and ET Sub-Rittenhouse Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.5    Conveyance and Transfer Agreement, dated September 11, 2003, between Genesis Health Ventures of Wilkes-Barre, Inc., Genesis Healthcare Corporation and ET Sub-Riverview Ridge Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.6    Conveyance and Transfer Agreement, dated September 11, 2003, between Geriatric and Medical Services, Inc., Genesis Healthcare Corporation and ET Sub-Phillipsburg I, L.L.C.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.7    Conveyance and Transfer Agreement, dated September 11, 2003, between McKerley Health Care Centers, Inc., Genesis Healthcare Corporation and ET Sub-Pleasant View, L.L.C.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.8.1    Second Amendment to Lease Agreement (Berkshire), dated December 1, 2003, by and among ET Sub-Berkshire Limited Partnership and Assisted Living Associates of Berkshire, Inc.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.8.2    Lease Guaranty and Suretyship Agreement (Berkshire), dated December 1, 2003, by Genesis Healthcare Corporation in favor of ET Sub-Berkshire Limited Partnership.    Incorporated by reference to Exhibit 10.6.8.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2004.
10.6.9.1    Third Amendment to Lease Agreement (Lehigh), dated December 1, 2003, by and among ET Sub-Lehigh Limited Partnership and Assisted Living Associates of Lehigh, Inc.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.9.2    Lease Guaranty and Suretyship Agreement (Lehigh), dated December 1, 2003, by Genesis Healthcare Corporation in favor of ET Sub-Lehigh Limited Partnership.    Incorporated by reference to Exhibit 10.6.9.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2004.
10.6.10.1    Second Amendment to Lease Agreement (Sanatoga), dated October 29, 2003, by and among ET Sub-Sanatoga Limited Partnership and Assisted Living Associates of Sanatoga, Inc.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.10.2    Lease Guaranty and Suretyship Agreement (Sanatoga), dated October 29, 2003, by Genesis Healthcare Corporation in favor of ET Sub-Sanatoga Limited Partnership.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.11.1    Second Amendment to Lease Agreement (Heritage Woods), dated October 29, 2003, by and among ET Sub-Heritage Woods, L.L.C. and Genesis Health Ventures of Massachusetts.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.11.2    Lease Guaranty and Suretyship Agreement (Heritage Woods), dated October 29, 2003, by Genesis Healthcare Corporation in favor of ET Sub-Heritage Woods, LLC.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.12.1    Third Amendment to Lease Agreement (Highgate), dated December 1, 2003, by and among ET Sub-Highgate, L.P. and Geriatric and Medical Services, Inc.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.

 

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Table of Contents
Index to Financial Statements

Exhibit

Number

  

Description of Document

  

Location of Document

10.6.12.2    Lease Guaranty and Suretyship Agreement (Highgate), dated December 1, 2003, by Genesis Healthcare Corporation in favor of ET Sub-Highgate, L.P.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.13.1    Second Amendment to Lease Agreement (Lopatcong), dated December 1, 2003, by and among ET Sub-Lopatcong, L.L.C. and Geriatric and Medical Services, Inc.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.13.2    Lease Guaranty and Suretyship Agreement (Lopatcong), dated December 1, 2003, by Genesis Healthcare Corporation in favor of ET Sub-Lopatcong, L.L.C.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.7.1    OP Contribution Agreement dated as of April 12, 2005 among Ventas, the Partnership and Darryl W. Copeland, Jr.    Incorporated by reference to Exhibit 10.1 to Ventas’s Current Report on Form 8-K filed on April 14, 2005.
10.7.2    Schedule of Agreements Substantially Identical in all Material Respects to the Agreement incorporated by reference as Exhibit 10.7.1 to this Annual Report on Form 10-K, pursuant to Instruction 2 to Item 601 of Regulation S-K.    Incorporated by reference to Exhibit 10.2 to Ventas’s Current Report on Form 8-K filed on April 14, 2005.
10.8    Credit and Guaranty Agreement dated as of April 26, 2006 among Ventas Realty, Limited Partnership, as borrower, Ventas, Inc. and the other guarantors named therein, as guarantors, Bank of America, N.A., as Administrative Agent, Issuing Bank and Swing Line Lender, and the lenders identified therein.    Incorporated by reference to Exhibit 10.1 to Ventas’s Current Report on Form 8-K filed on May 2, 2006.
21    Subsidiaries of ElderTrust Operating Limited Partnership.    Filed herewith.
23    Consent of Ernst & Young LLP.    Filed herewith.
31.1    Certification of Debra A. Cafaro, President and Chief Executive Officer of ElderTrust, general partner of ElderTrust Operating Limited Partnership, pursuant to Rule 13a-14(a) under the Exchange Act.    Filed herewith.
31.2    Certification of Richard A. Schweinhart, Chief Financial Officer of ElderTrust, general partner of ElderTrust Operating Limited Partnership, pursuant to Rule 13a-14(a) under the Exchange Act.    Filed herewith.
32.1    Certification of Debra A. Cafaro, President and Chief Executive Officer of ElderTrust, general partner of ElderTrust Operating Limited Partnership, pursuant to Rule 13a-14(b) under the Exchange Act and 18 U.S.C. 1350.    Filed herewith.
32.2    Certification of Richard A. Schweinhart, Chief Financial Officer of ElderTrust, general partner of ElderTrust Operating Limited Partnership, pursuant to Rule 13a-14(b) under the Exchange Act and 18 U.S.C. 1350.    Filed herewith.

 

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Index to Financial Statements

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) 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.

Date: March 29, 2007

 

ElderTrust Operating Limited Partnership
By:   ElderTrust, its general partner
By:  

/s/ Debra A. Cafaro

  Debra A. Cafaro
  President and Chief Executive Officer

Pursuant to the requirements of the Securities Exchange Act of 1934, this Report has been signed below by the following persons on behalf of the Registrant and in the capacities and on the dates indicated.

 

Signature

 

Title

 

Date

/s/ Debra A. Cafaro

Debra A. Cafaro

 

President and Chief Executive Officer

of ElderTrust, general partner of

ElderTrust Operating Limited

Partnership

(Principal Executive Officer)

  March 29, 2007

/s/ Richard A. Schweinhart

Richard A. Schweinhart

 

Executive Vice President and Chief

Financial Officer of ElderTrust,

general partner of ElderTrust

Operating Limited Partnership

(Principal Financial Officer)

  March 29, 2007

/s/ Robert J. Brehl

Robert J. Brehl

 

Chief Accounting Officer of

ElderTrust, general partner of

ElderTrust Operating Limited

Partnership

(Principal Accounting Officer)

  March 29, 2007

/s/ T. Richard Riney

T. Richard Riney

 

Trustee of ElderTrust, general partner

of ElderTrust Operating Limited

Partnership

  March 29, 2007

 

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Index to Financial Statements

EXHIBIT INDEX

 

Exhibit

Number

  

Description of Document

  

Location of Document

3.1    Amended and Restated Certificate of Limited Partnership of ElderTrust Operating Limited Partnership.    Incorporated by reference to Exhibit 3.8.1 to Amendment No. 1 to our Registration Statement on Form S-4, File No. 333-120642, filed on December 21, 2004.
3.2.1    Second Amended and Restated Agreement of Limited Partnership of ElderTrust Operating Limited Partnership.    Incorporated by reference to Exhibit 10.1 to ElderTrust’s Annual Report on Form 10-K for the year ended December 31, 1997.
3.2.2    Second Amendment to Second Amended and Restated Agreement of Limited Partnership of ElderTrust Operating Limited Partnership, dated October 13, 1999.    Incorporated by reference to Exhibit 10.44 to ElderTrust’s Annual Report on Form 10-K for the year ended December 31, 1999.
3.2.3    Consent of General Partner and Third Amendment to Second Amended and Restated Agreement of Limited Partnership dated as of June 7, 2005.    Incorporated by reference to Exhibit 4.1 to our Current Report on Form 8-K, filed on June 10, 2005.
4.1.1    Certificate of Designation for Class C (LIHTC) Units of ElderTrust Operating Limited Partnership.    Incorporated by reference to Exhibit 10.1 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended March 31, 1999.
4.1.2    Agreement of Class C (LIHTC) Unit Rights Modification, dated November 19, 2003, between ElderTrust Operating Limited Partnership, Norland Plastics Company, ET Sub-Falls-Washington Street, L.L.C. and Ventas, Inc.    Incorporated by reference to Exhibit 4.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2004.
4.2    Supplemental Indenture dated as of February 20, 2004 among the newly-acquired Restricted Subsidiaries listed in Annex A thereto, as Guaranteeing Subsidiaries, Ventas Realty and Ventas Capital, as Issuers, Ventas, Inc., Ventas LP Realty, L.L.C., Ventas Healthcare Properties, Inc. and Ventas TRS, as Guarantors, and U.S. Bank National Association, as Trustee, relating to the 8 3/4% Senior Notes due 2009.    Incorporated by reference to Exhibit 4.5.4 to Ventas’s Annual Report on Form 10-K for the year ended December 31, 2003.
4.3.1    Indenture dated as of June 7, 2005 among Ventas Realty, Ventas Capital, the Guarantors named therein and U.S. Bank National Association, as Trustee, relating to the 6 3/4% Senior Notes due 2010.    Incorporated by reference to Exhibit 4.1 to Ventas’s Current Report on Form 8-K filed on June 13, 2005.
4.3.2    Supplemental Indenture dated as of June 21, 2005 among the Guaranteeing Subsidiaries named therein, Ventas Realty and Ventas Capital, as Issuers, the other Guarantors named therein and U.S. Bank National Association, as Trustee.    Incorporated by reference to Exhibit 4.13 to Ventas’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2005.
4.4.0    Supplemental Indenture dated as of February 20, 2004 among the newly-acquired Restricted Subsidiaries listed in Anex A thereto, as Guaranteeing Subsidiaries, Ventas Realty and Ventas Capital, as Issuers, Ventas, Inc. Ventas LP Realty, L.L.C., Ventas Healthcare Properties, Inc. and Ventas TRS, as Guarantors, and U.S. Bank National Associations, as Trustees, relating to the 9% Senior Notes due 2012.    Incorporated by reference to Exhibit 4.6.4 to Ventas’s Annual Report on Form 10-K for the year ended December 31, 2003.
4.5.1    Indenture dated as of October 15, 2004, among Ventas Realty and Ventas Capital, as Issuers, the Guarantors named therein and U.S. Bank National Association, as Trustee, relating to the 6 5/8% Senior Notes due 2014.    Incorporated by reference to Exhibit 4.1 to Ventas’s Current Report on Form 8-K filed on October 15, 2004.

 

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4.5.2    Supplemental Indenture dated as of December 15, 2004 among Ventas Framingham, LLC and Ventas Management, LLC, as Guaranteeing Subsidiaries, Ventas Realty and Ventas Capital, as Issuers, the other Guarantors named therein and U.S. Bank National Association, as Trustee.    Incorporated by reference to Exhibit 4.1.2 to Amendment No. 1 to our Registration Statement on Form S-4, File No. 333-120642, filed on December 21, 2004.
4.6.1    Indenture dated as of June 7, 2005 among Ventas Realty, Ventas Capital, the Guarantors named therein and U.S. Bank National Association, as Trustee, relating to the 7 1/8% Senior Notes due 2015.    Incorporated by reference to Exhibit 4.2 to Ventas’s Current Report on Form 8-K filed on June 13, 2005.
4.6.2    Supplemental Indenture dated as of June 21, 2005 among the Guaranteeing Subsidiaries named therein, Ventas Realty and Ventas Capital, as Issuers, the other Guarantors named therein and U.S. Bank National Association, as Trustee.    Incorporated by reference to Exhibit 4.16 to Ventas’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2005.
4.7.1    Indenture dated as of December 9, 2005 among Ventas Realty, Ventas Capital, the Guarantors named therein and U.S. Bank National Association, as Trustee, relating to the 6 1/2% Senior Notes due 2016.    Incorporated by reference to Exhibit 4.1 to Ventas’s Current Report on Form 8-K filed on December 13, 2005.
4.7.2    Supplemental Indenture dated as of December 21, 2005 among Ventas Finance I, Inc., Ventas Finance I, LLC, Ventas Specialty I, Inc. and Ventas Specialty I, LLC, as Guaranteeing Subsidiaries, Ventas Realty and Ventas Capital, as Issuers, the other Guarantors named therein and U.S. Bank National Association, as Trustee.    Incorporated by reference to Exhibit 4.1.2 to our Registration Statement on Form S-4, File No. 333-131342.
4.7.3    Schedule of Agreements Substantially Identical in All Material Respects to the agreements incorporated by reference as Exhibits 4.2, 4.3.2, 4.4, 4.5.2, 4.6.2 and 4.7.2 to this Annual Report on Form 10-K, pursuant to Instruction 2 to Item 601 of Regulation S-K    Filed herewith.
4.8.1    Indenture dated as of September 19, 2006 among Ventas, Inc., Ventas Realty and Ventas Capital, as Issuer(s), the Guarantors named therein and U.S. Bank National Association, as Trustee.    Incorporated by reference to Exhibit 4.1 to our Registration Statement on Form S-3, File No. 333-133115.
4.8.2    First Supplemental Indenture dated as of September 19, 2006 Ventas, Inc., Ventas Realty and Ventas Capital, as Issuer(s), the Guarantors named therein and U.S. Bank National Association, as Trustee, relating to the 6 3/4% Senior Notes due 2017.    Incorporated by reference to Exhibit 4.2 to Ventas’s Current Report on Form 8-K, filed on September 22, 2006.
4.8.3    Supplemental Indenture dated as of November 21, 2006 among the Guaranteeing Subsidiaries named therein, Ventas Realty and Ventas Capital, as Issuers, and the other Guarantors named therein.    Incorporated by reference to Exhibit 4.10.3 to Ventas’s Annual Report on Form 10-K for the year ended December 31, 2006.
4.9    Indenture dated as of December 1, 2006 among Ventas, Inc., as Issuer, the Subsidiary Guarantors named therein, as Guarantors, and U.S. Bank National Association, as Trustee    Incorporated by reference to Exhibit 4.1 to Ventas’s Current Report on Form 8-K, filed on December 6, 2006.
10.1.1    Option Agreement by and between D. Lee McCreary, Jr. and ElderTrust Operating Limited Partnership relating to interests in Vernon ALF, L.L.C.    Incorporated by reference to Exhibit 10.39 to ElderTrust’s Annual Report on Form 10-K for the year ended December 31, 1999.
10.1.2    Assignment of Membership Interest, dated as of February 5, 2004, by and between D. Lee McCreary, Jr. and ElderTrust Operating Limited Partnership relating to interests in Vernon ALF, L.L.C.    Incorporated by reference to Exhibit 10.1.1.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2004.
10.2.1    Form of Minimum Rent Lease between ElderTrust Operating Limited Partnership and a consolidated subsidiary of Genesis Health Ventures, Inc.    Incorporated by reference to Exhibit 10.22 to Amendment No. 4 to ElderTrust’s Registration Statement on Form S-11 (File No. 333-37451).

 

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10.2.2    Form of Percentage Rent Lease between ElderTrust Operating Limited Partnership and a consolidated subsidiary of Genesis Health Ventures, Inc.    Incorporated by reference to Exhibit 10.23 to Amendment No. 4 to ElderTrust’s Registration Statement on Form S-11 (File No. 333-37451), filed on January 20, 1998.
10.3.1    Assignment of Partnership Interest and Second Amendment to Agreement of Limited Partnership of ET Sub-Meridian Limited Partnership, L.L.P., dated September 25, 2002, by and among Toughkenamon, L.L.C., ElderTrust Operating Limited Partnership and ET Meridian General Partner, L.L.C.    Incorporated by reference to Exhibit 2.1 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.2.1    Option Agreement, dated as of September 25, 2002, by and between D. Lee McCreary, Jr. and ElderTrust Operating Limited Partnership relating to interests in Cabot ALF, L.L.C.    Incorporated by reference to Exhibit 2.2 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.2.2    Assignment of Membership Interest, dated as of February 5, 2004, by and between D. Lee McCreary, Jr. and ElderTrust Operating Limited Partnership relating to interests in Cabot ALF, L.L.C.    Incorporated by reference to Exhibit 10.3.2.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2004.
10.3.3.1    Option Agreement, dated as of September 25, 2002, by and between D. Lee McCreary, Jr. and ElderTrust Operating Limited Partnership relating to interests in Cleveland ALF, L.L.C.    Incorporated by reference to Exhibit 2.3 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.3.2    Assignment of Membership Interest, dated as of February 5, 2004, by and between D. Lee McCreary, Jr. and ElderTrust Operating Limited Partnership relating to interests in Cleveland ALF, L.L.C.    Incorporated by reference to Exhibit 10.3.3.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2004.
10.3.4.1    Purchase Option, dated as of November 30, 1993, by and among the sellers identified therein, Heritage Associates Limited Partnership and MHC Acquisition Corporation.    Incorporated by reference to Exhibit 99.7 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.4.2    Schedule of Omitted Meridian Purchase Options.    Incorporated by reference to Exhibit 99.10 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.4.3    First Amendment to Option Agreement, dated September 3, 1998, by and among the sellers identified therein, Heritage Meridian Limited Partnership and MHC Acquisition Corporation.    Incorporated by reference to Exhibit 99.8 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.4.4    Assignment of Option Agreement, dated September 3, 1998, between Meridian Healthcare, Inc. and ET Sub-Meridian Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 99.9 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.5.1    Lease Agreement, dated as of November 30, 1993, by and between Heritage Associates Limited Partnership and MHC Acquisition Corporation.    Incorporated by reference to Exhibit 99.1 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.5.2    Schedule of Omitted Meridian Lease Agreements.    Incorporated by reference to Exhibit 99.6 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.

 

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10.3.5.3    Amendment No. 1 to Lease Agreement, dated as of August 1, 1994, by and between Heritage Associates Limited Partnership and Meridian Healthcare, Inc.    Incorporated by reference to Exhibit 99.2 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.5.4    Amendment No. 2 to Lease Agreement, dated as of August 1, 1994, by and between Heritage Associates Limited Partnership and Meridian Healthcare, Inc.    Incorporated by reference to Exhibit 99.3 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.5.5    Amendment No. 3 to Lease Agreement, dated as of September 3, 1998, by and between Heritage Associates Limited Partnership and ET Sub-Meridian Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 99.4 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.5.6    Assignment of Lease Agreement, dated as of September 3, 1998, by and between Heritage Associates Limited Partnership and ET Sub-Meridian Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 99.5 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.6.1    Sublease Agreement, dated September 3, 1998, by and between ET Sub-Meridian Limited Partnership, L.L.P., as Landlord, and Meridian Healthcare, Inc., as Tenant.    Incorporated by reference to Exhibit 99.11 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.6.2    Schedule of Omitted Meridian Sublease Agreements.    Incorporated by reference to Exhibit 99.12 to ElderTrust’s Current Report on Form 8-K filed on October 10, 2002.
10.3.7    Indemnification Consent and Acknowledgment Agreement, dated September 3, 1998, between ElderTrust Operating Limited Partnership and Genesis Health Ventures, Inc.    Incorporated by reference to Exhibit 10.4 to ElderTrust’s Current Report on Form 8-K filed on September 18, 1998.
10.3.8    Guarantee Agreement, dated September 3, 1998, between ElderTrust Operating Limited Partnership and ET Sub-Meridian Limited Partnership, L.L.P. (f/k/a Meridian Healthcare, Inc.).    Incorporated by reference to Exhibit 10.5 to ElderTrust’s Current Report on Form 8-K filed on September 18, 1998.
10.4    Master Agreement, dated November 27, 2000, between The Multicare Companies, Inc., Berks Nursing Homes, Inc., Lehigh Nursing Homes, Inc., Delm Nursing, Inc. and Genesis Eldercare Corp. and ElderTrust and ElderTrust Operating Limited Partnership.    Incorporated by reference to Exhibit 99.5 to ElderTrust’s Current Report on Form 8-K filed on December 11, 2000.
10.5    Master Agreement, dated November 27, 2000, between Genesis Health Ventures, Inc., Meridian Healthcare, Inc., Volusia Meridian Limited Partnership, Wyncote Healthcare Corp., Philadelphia Avenue Associates and Geriatric and Medical Services, Inc., Geriatric and Medical Companies, Inc. and Edella Street Associates and ElderTrust, ElderTrust Operating Limited Partnership, ET Sub-Meridian Limited Partnership, L.L.P., ET Sub-Rittenhouse Limited Partnership, L.L.P., ET Sub-Windsor I, L.L.C. and ET Sub-Windsor II, L.L.C., ET Sub-Phillipsburg I, L.L.C., ET Sub-Highgate, L.P. and ET Sub-Willowbrook Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 99.4 to ElderTrust’s Current Report on Form 8-K filed on December 11, 2000.
10.6.1    Master Agreement, dated as of September 11, 2003, between Genesis Health Ventures, Inc. and ElderTrust Operating Limited Partnership, including exhibits.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.

 

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10.6.2    Conveyance and Transfer Agreement, dated September 11, 2003, between Meridian Healthcare, Inc., Genesis Healthcare Corporation, ElderTrust, ElderTrust Operating Limited Partnership and ET Meridian General Partner, L.L.C.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.3    Conveyance and Transfer Agreement, dated September 11, 2003, between Edella Street Associates, Genesis Healthcare Corporation and ET Sub-Willowbrook Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.4    Conveyance and Transfer Agreement, dated September 11, 2003, between Geriatric and Medical Services, Inc., Genesis Healthcare Corporation and ET Sub-Rittenhouse Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.5    Conveyance and Transfer Agreement, dated September 11, 2003, between Genesis Health Ventures of Wilkes-Barre, Inc., Genesis Healthcare Corporation and ET Sub-Riverview Ridge Limited Partnership, L.L.P.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.6    Conveyance and Transfer Agreement, dated September 11, 2003, between Geriatric and Medical Services, Inc., Genesis Healthcare Corporation and ET Sub-Phillipsburg I, L.L.C.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.7    Conveyance and Transfer Agreement, dated September 11, 2003, between McKerley Health Care Centers, Inc., Genesis Healthcare Corporation and ET Sub-Pleasant View, L.L.C.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.8.1    Second Amendment to Lease Agreement (Berkshire), dated December 1, 2003, by and among ET Sub-Berkshire Limited Partnership and Assisted Living Associates of Berkshire, Inc.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.8.2    Lease Guaranty and Suretyship Agreement (Berkshire), dated December 1, 2003, by Genesis Healthcare Corporation in favor of ET Sub-Berkshire Limited Partnership.    Incorporated by reference to Exhibit 10.6.8.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2004.
10.6.9.1    Third Amendment to Lease Agreement (Lehigh), dated December 1, 2003, by and among ET Sub-Lehigh Limited Partnership and Assisted Living Associates of Lehigh, Inc.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.9.2    Lease Guaranty and Suretyship Agreement (Lehigh), dated December 1, 2003, by Genesis Healthcare Corporation in favor of ET Sub-Lehigh Limited Partnership.    Incorporated by reference to Exhibit 10.6.9.2 to our Quarterly Report on Form 10-Q for the quarter ended March 31, 2004.
10.6.10.1    Second Amendment to Lease Agreement (Sanatoga), dated October 29, 2003, by and among ET Sub-Sanatoga Limited Partnership and Assisted Living Associates of Sanatoga, Inc.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.10.2    Lease Guaranty and Suretyship Agreement (Sanatoga), dated October 29, 2003, by Genesis Healthcare Corporation in favor of ET Sub-Sanatoga Limited Partnership.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.

 

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10.6.11.1    Second Amendment to Lease Agreement (Heritage Woods), dated October 29, 2003, by and among ET Sub-Heritage Woods, L.L.C. and Genesis Health Ventures of Massachusetts.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.11.2    Lease Guaranty and Suretyship Agreement (Heritage Woods), dated October 29, 2003, by Genesis Healthcare Corporation in favor of ET Sub-Heritage Woods, LLC.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.12.1    Third Amendment to Lease Agreement (Highgate), dated December 1, 2003, by and among ET Sub-Highgate, L.P. and Geriatric and Medical Services, Inc.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.12.2    Lease Guaranty and Suretyship Agreement (Highgate), dated December 1, 2003, by Genesis Healthcare Corporation in favor of ET Sub-Highgate, L.P.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.13.1    Second Amendment to Lease Agreement (Lopatcong), dated December 1, 2003, by and among ET Sub-Lopatcong, L.L.C. and Geriatric and Medical Services, Inc.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.6.13.2    Lease Guaranty and Suretyship Agreement (Lopatcong), dated December 1, 2003, by Genesis Healthcare Corporation in favor of ET Sub-Lopatcong, L.L.C.    Incorporated by reference to Exhibit 10.31 to ElderTrust’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2003.
10.7.1    OP Contribution Agreement dated as of April 12, 2005 among Ventas, the Partnership and Darryl W. Copeland, Jr.    Incorporated by reference to Exhibit 10.1 to Ventas’s Current Report on Form 8-K filed on April 14, 2005.
10.7.2    Schedule of Agreements Substantially Identical in all Material Respects to the Agreement incorporated by reference as Exhibit 10.7.1 to this Annual Report on Form 10-K, pursuant to Instruction 2 to Item 601 of Regulation S-K.    Incorporated by reference to Exhibit 10.2 to Ventas’s Current Report on Form 8-K filed on April 14, 2005.
10.8    Credit and Guaranty Agreement dated as of April 26, 2006 among Ventas Realty, Limited Partnership, as borrower, Ventas, Inc. and the other guarantors named therein, as guarantors, Bank of America, N.A., as Administrative Agent, Issuing Bank and Swing Line Lender, and the lenders identified therein.    Incorporated by reference to Exhibit 10.1 to Ventas’s Current Report on Form 8-K filed on May 2, 2006.
21    Subsidiaries of ElderTrust Operating Limited Partnership.    Filed herewith.
23    Consent of Ernst & Young LLP.    Filed herewith.
31.1    Certification of Debra A. Cafaro, President and Chief Executive Officer of ElderTrust, general partner of ElderTrust Operating Limited Partnership, pursuant to Rule 13a-14(a) under the Exchange Act.    Filed herewith.
31.2    Certification of Richard A. Schweinhart, Chief Financial Officer of ElderTrust, general partner of ElderTrust Operating Limited Partnership, pursuant to Rule 13a-14(a) under the Exchange Act.    Filed herewith.
32.1    Certification of Debra A. Cafaro, President and Chief    Filed herewith.

 

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   Executive Officer of ElderTrust, general partner of ElderTrust Operating Limited Partnership, pursuant to Rule 13a-14(b) under the Exchange Act and 18 U.S.C. 1350.   
32.2    Certification of Richard A. Schweinhart, Chief Financial Officer of ElderTrust, general partner of ElderTrust Operating Limited Partnership, pursuant to Rule 13a-14(b) under the Exchange Act and 18 U.S.C. 1350.    Filed herewith.

 

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