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USD ($)

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   &lt;!-- Begin Block Tagged Note 3 - us-gaap:RealEstateDisclosureTextBlock--&gt;
   &lt;div style="font-family: 'Times New Roman',Times,serif; margin-left: 0in; "&gt;
   &lt;div align="justify" style="font-size: 10pt; margin-top: 10pt"&gt;&lt;b&gt;3. Real Estate Properties&lt;/b&gt;
   &lt;/div&gt;
   &lt;div align="justify" style="font-size: 10pt; margin-top: 10pt; text-indent: 8%"&gt;As of March&amp;#160;31, 2011, we had investments in the following consolidated facilities:
   &lt;/div&gt;
   &lt;div align="center"&gt;
   &lt;table style="font-size: 10pt; text-align: left" cellspacing="0" border="0" cellpadding="0" width="100%"&gt;
   &lt;!-- Begin Table Head --&gt;
   &lt;tr valign="bottom"&gt;
       &lt;td width="86%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="3%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="1%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="9%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="1%"&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;!-- End Table Head --&gt;
   &lt;!-- Begin Table Body --&gt;
   &lt;tr valign="bottom" style="background: #cceeff"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;Assisted and independent living facilities
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;268&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr valign="bottom"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;Skilled nursing facilities
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;183&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr valign="bottom" style="background: #cceeff"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;Continuing care retirement communities
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;10&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr valign="bottom"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;Specialty hospitals
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;7&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr valign="bottom" style="background: #cceeff"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;Triple-net medical office buildings
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;24&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr valign="bottom"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;Multi-tenant medical office buildings, including 21 owned by consolidated joint ventures (see Note 5)
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;84&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr style="font-size: 1px"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;&amp;#160;
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td nowrap="nowrap" colspan="2" align="right" style="border-top: 1px solid #000000"&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr valign="bottom" style="background: #cceeff"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;&amp;#160;
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
       &lt;td align="right"&gt;576&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;tr style="font-size: 1px"&gt;
       &lt;td&gt;
   &lt;div style="margin-left:15px; text-indent:-15px"&gt;&amp;#160;
   &lt;/div&gt;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
           &lt;td nowrap="nowrap" colspan="2" align="right" style="border-top: 3px double #000000"&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;&amp;#160;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;!-- End Table Body --&gt;
   &lt;/table&gt;
   &lt;/div&gt;
   &lt;div align="justify" style="font-size: 10pt; margin-top: 10pt; text-indent: 8%"&gt;We lease our owned senior housing and long-term care facilities and certain medical office
   buildings to single tenants under &amp;#8220;triple-net,&amp;#8221; and in most cases, &amp;#8220;master&amp;#8221; leases that are
   accounted for as operating leases. These leases generally have an initial term of up to 20&amp;#160;years
   and generally have two or more multiple-year renewal options. As of March&amp;#160;31, 2011, approximately
   87% of these facilities were leased under master leases. In addition, the majority of these leases
   contain cross-collateralization and cross-default provisions tied to other leases with the same
   tenant, as well as grouped lease renewals and grouped purchase options. As of March&amp;#160;31, 2011,
   leases covering 431 triple-net leased facilities were backed by security deposits consisting of
   irrevocable letters of credit or cash totaling $89.3&amp;#160;million. Under the terms of the leases, the
   tenant is responsible for all maintenance, repairs, taxes, insurance and capital expenditures on
   the leased properties. As of March&amp;#160;31, 2011, leases covering 399 facilities contained provisions
   for property tax impounds, and leases covering 284 facilities contained provisions for capital
   expenditure impounds. We generally lease medical office buildings to multiple tenants under
   separate non-triple-net leases, where we are responsible for many of the associated operating
   expenses (although many of these are, or can effectively be, passed through to the tenants).
   However, some of the medical office buildings are subject to triple-net leases, where the lessees
   are responsible for the associated operating expenses.
   &lt;/div&gt;
   &lt;div align="justify" style="font-size: 10pt; margin-top: 10pt; text-indent: 8%"&gt;During the three months ended March&amp;#160;31, 2011, we acquired six skilled nursing facilities and
   one assisted and independent living facility subject to triple-net leases and one multi-tenant
   medical office building in three
   separate transactions for an aggregate investment of $121.4&amp;#160;million, including a $12.0&amp;#160;million
   contingent purchase price obligation which is included in the caption &amp;#8220;Accounts payable and accrued
   liabilities&amp;#8221; on our consolidated balance sheets as of March&amp;#160;31, 2011.
   &lt;/div&gt;
   &lt;div align="justify" style="font-size: 10pt; margin-top: 10pt; text-indent: 8%"&gt;As of March&amp;#160;31, 2011, we had entered into agreements to develop two assisted and independent
   living facilities. Costs of $2.2&amp;#160;million were incurred during the three months ended March&amp;#160;31, 2011
   and are included in the caption &amp;#8220;Development in progress on our consolidated balance sheets.
   &lt;/div&gt;
   &lt;!-- Folio --&gt;
   &lt;!-- /Folio --&gt;
   &lt;/div&gt;
   &lt;!-- PAGEBREAK --&gt;
   &lt;div style="font-family: 'Times New Roman',Times,serif; margin-left: 0in; "&gt;
   &lt;div align="center" style="font-size: 10pt; margin-top: 0pt"&gt;
   &lt;b&gt;
   &lt;/b&gt;
   &lt;/div&gt;
   &lt;div align="center" style="font-size: 10pt; margin-top: 0pt"&gt;
   &lt;b&gt;
   &lt;/b&gt;
   &lt;/div&gt;
   &lt;div align="justify" style="font-size: 10pt; margin-top: 10pt; text-indent: 8%"&gt;During the three months ended March&amp;#160;31, 2011, we funded $3.3&amp;#160;million in expansions,
   construction and capital improvements at certain facilities in our triple-net leases segment in
   accordance with existing lease provisions. Such expansions, construction and capital improvements
   generally result in an increase in the minimum rents earned by us on these facilities either at the
   time of funding or upon completion of the project. As of March&amp;#160;31, 2011, we had committed to fund
   additional expansions, construction and capital improvements of $10.9&amp;#160;million. During the three
   months ended March&amp;#160;31, 2011, we also funded $0.3&amp;#160;million in capital and tenant improvements at
   certain multi-tenant medical office buildings.
   &lt;/div&gt;
   &lt;div align="justify" style="font-size: 10pt; margin-top: 10pt; text-indent: 8%"&gt;During the three months ended March&amp;#160;31, 2011, we sold one skilled nursing facility not
   previously transferred to assets held for sale for net cash proceeds of $7.5&amp;#160;million that resulted
   in a gain of $5.4&amp;#160;million which is included the caption &amp;#8220;Gain on sale of facilities, net&amp;#8221; in
   &amp;#8220;Discontinued operations&amp;#8221; on our consolidated income statements.
   &lt;/div&gt;
   &lt;div align="justify" style="font-size: 10pt; margin-top: 10pt; text-indent: 8%"&gt;No impairment charges were recorded on our real estate properties during three months ended
   March&amp;#160;31, 2011 or 2010.
   &lt;/div&gt;
   &lt;div align="justify" style="font-size: 10pt; margin-top: 10pt; text-indent: 4%"&gt;&lt;i&gt;Hearthstone Senior Living&lt;/i&gt;
   &lt;/div&gt;
   &lt;div align="justify" style="font-size: 10pt; margin-top: 10pt; text-indent: 8%"&gt;In February&amp;#160;2011, our tenant, Hearthstone Senior Services, L.P. (&amp;#8220;Hearthstone&amp;#8221;), notified us
   that it would be unable to pay the rent then due under its leases with us, and asked us to amend
   certain terms of the leases to make rents achievable. In order to substantially increase the
   ability of Hearthstone to meet its future obligations, and thereby
   protecting our interest, we agreed to certain modifications of the
   terms of our leases with Hearthstone that include, among other things, a reduction in the aggregate
   rent payable by $7.4&amp;#160;million for the lease year ending February&amp;#160;2012, and by $6.4&amp;#160;million for
   subsequent lease years through 2021. After giving effect to these reductions, the aggregate rent
   payable by Hearthstone is $31.7&amp;#160;million for the first lease year, $33.7&amp;#160;million for the second
   lease year and increases by 3% each year thereafter. In connection with the lease modifications, we
   also obtained the right to terminate any and all of our leases with Hearthstone at any time without
   cause. We hold a $6.0&amp;#160;million letter of credit that secures Hearthstone&amp;#8217;s payment obligations to
   us. However, it is possible that the letter of credit may not be sufficient to compensate us for
   any future losses or expenses that may arise if Hearthstone defaults under its leases with us.
   Other terms of our modified arrangements with Hearthstone include:
   &lt;/div&gt;
   &lt;div style="margin-top: 10pt"&gt;
   &lt;table width="100%" border="0" cellpadding="0" cellspacing="0" style="font-size: 10pt; text-align: left"&gt;
   &lt;tr valign="top" style="font-size: 10pt; color: #000000; background: transparent"&gt;
       &lt;td width="8%" style="background: transparent"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="3%" nowrap="nowrap" align="left"&gt;&lt;b&gt;&amp;#8226;&lt;/b&gt;&lt;/td&gt;
       &lt;td width="1%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;
   &lt;div style="text-align: justify"&gt;We have eliminated supplemental rent obligations, except for supplemental
   rent accrued prior to February&amp;#160;1, 2011, which totals $6.0&amp;#160;million and becomes payable (i)
   in full upon an event of default by Hearthstone for which NHP chooses to exercise its
   remedies, (ii)&amp;#160;in full upon a sale of Hearthstone and (iii)&amp;#160;in part, if we exercise our
   right to terminate the leases with Hearthstone without cause.
   &lt;/div&gt;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;/table&gt;
   &lt;/div&gt;
   &lt;div style="margin-top: 10pt"&gt;
   &lt;table width="100%" border="0" cellpadding="0" cellspacing="0" style="font-size: 10pt; text-align: left"&gt;
   &lt;tr valign="top" style="font-size: 10pt; color: #000000; background: transparent"&gt;
       &lt;td width="8%" style="background: transparent"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="3%" nowrap="nowrap" align="left"&gt;&lt;b&gt;&amp;#8226;&lt;/b&gt;&lt;/td&gt;
       &lt;td width="1%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;
   &lt;div style="text-align: justify"&gt;We will be entitled to receive revenue participation rent, payable monthly
   and calculated as 20% of incremental gross revenue over the base month of February&amp;#160;2011,
   commencing February&amp;#160;1, 2012 and capped in any one year at $6.4&amp;#160;million (subject to annual
   increases of 3%).
   &lt;/div&gt;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;/table&gt;
   &lt;/div&gt;
   &lt;div style="margin-top: 10pt"&gt;
   &lt;table width="100%" border="0" cellpadding="0" cellspacing="0" style="font-size: 10pt; text-align: left"&gt;
   &lt;tr valign="top" style="font-size: 10pt; color: #000000; background: transparent"&gt;
       &lt;td width="8%" style="background: transparent"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="3%" nowrap="nowrap" align="left"&gt;&lt;b&gt;&amp;#8226;&lt;/b&gt;&lt;/td&gt;
       &lt;td width="1%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;
   &lt;div style="text-align: justify"&gt;Upon exercise of our right to terminate the leases without cause, Hearthstone
   must enter into an operations transfer agreement with a successor operator to allow for
   an efficient transfer of operations to our designee.
   &lt;/div&gt;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;/table&gt;
   &lt;/div&gt;
   &lt;div style="margin-top: 10pt"&gt;
   &lt;table width="100%" border="0" cellpadding="0" cellspacing="0" style="font-size: 10pt; text-align: left"&gt;
   &lt;tr valign="top" style="font-size: 10pt; color: #000000; background: transparent"&gt;
       &lt;td width="8%" style="background: transparent"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="3%" nowrap="nowrap" align="left"&gt;&lt;b&gt;&amp;#8226;&lt;/b&gt;&lt;/td&gt;
       &lt;td width="1%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;
   &lt;div style="text-align: justify"&gt;If we exercise the right to terminate the Hearthstone leases without cause,
   upon transition of the facilities to a licensed replacement operator we must release to
   Hearthstone a portion of the $6.0&amp;#160;million letter of credit. The amount released is $3.0
   million if the transition occurs prior to September&amp;#160;1, 2011, and increases by $1&amp;#160;million
   for every six month period thereafter.
   &lt;/div&gt;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;/table&gt;
   &lt;/div&gt;
   &lt;div style="margin-top: 10pt"&gt;
   &lt;table width="100%" border="0" cellpadding="0" cellspacing="0" style="font-size: 10pt; text-align: left"&gt;
   &lt;tr valign="top" style="font-size: 10pt; color: #000000; background: transparent"&gt;
       &lt;td width="8%" style="background: transparent"&gt;&amp;#160;&lt;/td&gt;
       &lt;td width="3%" nowrap="nowrap" align="left"&gt;&lt;b&gt;&amp;#8226;&lt;/b&gt;&lt;/td&gt;
       &lt;td width="1%"&gt;&amp;#160;&lt;/td&gt;
       &lt;td&gt;
   &lt;div style="text-align: justify"&gt;The Chief Executive Officer of Hearthstone has executed a guaranty in our
   favor that would obligate him to reimburse us the amount of any (i)&amp;#160;distributions in
   excess of permitted amounts, (ii)&amp;#160;compensation paid to him in excess of permitted
   amounts, and (iii)&amp;#160;losses arising from customary &amp;#8220;bad boy&amp;#8221; acts such as fraud, or
   misappropriation of funds, rents or insurance proceeds.
   &lt;/div&gt;&lt;/td&gt;
   &lt;/tr&gt;
   &lt;/table&gt;
   &lt;/div&gt;
   &lt;!-- Folio --&gt;
   &lt;!-- /Folio --&gt;
   &lt;/div&gt;
   &lt;!-- PAGEBREAK --&gt;
   &lt;div style="font-family: 'Times New Roman',Times,serif; margin-left: 0in; "&gt;
   &lt;div align="center" style="font-size: 10pt; margin-top: 0pt"&gt;
   &lt;b&gt;
   &lt;/b&gt;
   &lt;/div&gt;
   &lt;div align="center" style="font-size: 10pt; margin-top: 0pt"&gt;
   &lt;b&gt;
   &lt;/b&gt;
   &lt;/div&gt;
   &lt;div style="margin-top: 10pt"&gt;
   &lt;/div&gt;
   &lt;/div&gt;
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 -Publisher SEC
 -Name Regulation S-X (SX)
 -Number 210
 -Section 02
 -Paragraph 6
 -Subparagraph a
 -Article 5

Reference 2: http://www.xbrl.org/2003/role/presentationRef
 -Publisher FASB
 -Name FASB Interpretation (FIN)
 -Number 46R
 -Paragraph 23, 24

Reference 3: http://www.xbrl.org/2003/role/presentationRef
 -Publisher SEC
 -Name Regulation S-X (SX)
 -Number 210
 -Section 03
 -Paragraph 11
 -Article 9

Reference 4: http://www.xbrl.org/2003/role/presentationRef
 -Publisher AICPA
 -Name Statement of Position (SOP)
 -Number 04-2
 -Paragraph 41, 63, 64

Reference 5: http://www.xbrl.org/2003/role/presentationRef
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 -Name Accounting Research Bulletin (ARB)
 -Number 43
 -Chapter 3
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 -Paragraph 9

Reference 6: http://www.xbrl.org/2003/role/presentationRef
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 -Name Statement of Financial Accounting Standard (FAS)
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Reference 7: http://www.xbrl.org/2003/role/presentationRef
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 -Name Statement of Position (SOP)
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Reference 8: http://www.xbrl.org/2003/role/presentationRef
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Reference 9: http://www.xbrl.org/2003/role/presentationRef
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 -Name Statement of Position (SOP)
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 -Paragraph 47, 51, 52

Reference 10: http://www.xbrl.org/2003/role/presentationRef
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Reference 11: http://www.xbrl.org/2003/role/presentationRef
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Reference 12: http://www.xbrl.org/2003/role/presentationRef
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Reference 13: http://www.xbrl.org/2003/role/presentationRef
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 -Paragraph 10
 -Subparagraph 4
 -Article 9

Reference 14: http://www.xbrl.org/2003/role/presentationRef
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 -Name Audit and Accounting Guide (AAG)
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Reference 15: http://www.xbrl.org/2003/role/presentationRef
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 -Name Statement of Financial Accounting Standard (FAS)
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Reference 16: http://www.xbrl.org/2003/role/presentationRef
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Reference 17: http://www.xbrl.org/2003/role/presentationRef
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Reference 18: http://www.xbrl.org/2003/role/presentationRef
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Reference 19: http://www.xbrl.org/2003/role/presentationRef
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 -Section 563c.102
 -Paragraph 10
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Reference 20: http://www.xbrl.org/2003/role/presentationRef
 -Publisher FASB
 -Name Statement of Financial Accounting Standard (FAS)
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