• Record 2015 First Quarter Normalized FFO Grows Eight Percent to $1.18 Per Diluted Share
  • Total 2015 First Quarter Investments Exceed $3.5 Billion
  • Increases 2015 Normalized FFO Guidance to $4.67 to $4.75 Per Diluted Share

Ventas, Inc. (NYSE: VTR) (“Ventas” or the “Company”) today reported that normalized Funds From Operations (“FFO”) for the quarter ended March 31, 2015 increased 20 percent to $387.5 million, from $323.4 million for the comparable 2014 period. Normalized FFO per diluted common share grew eight percent to $1.18 for the quarter ended March 31, 2015, as compared to $1.09 for the comparable 2014 period. Weighted average diluted shares outstanding for the first quarter of 2015 increased to 329.2 million, compared to 296.2 million in 2014.

Record Results, Value Creating Acquisitions and Innovative Transactions

“Once again, we are pleased to report record results, in line with our expectations, driven by accretive acquisitions, well-executed capital markets transactions and active asset management of our diverse, high-quality portfolio,” Ventas Chairman and Chief Executive Officer Debra A. Cafaro said. “Our recently announced spin-off of most of our skilled nursing portfolio into a pure-play REIT and our pending Ardent hospital acquisition will create two focused higher growth companies and enhance our leading position in healthcare and senior living real estate.”

Net income attributable to common stockholders for the quarter ended March 31, 2015 was $120.4 million, or $0.37 per diluted common share. Net income attributable to common stockholders for the quarter ended March 31, 2014 was $121.0 million, or $0.41 per diluted common share. Net income attributable to common stockholders for the quarter ended December 31, 2014 was $107.2 million, or $0.36 per diluted common share.

FFO, as defined by the National Association of Real Estate Investment Trusts (“NAREIT”), for the first quarter of 2015 was $358.8 million, or $1.09 per diluted common share. NAREIT FFO for the first quarter of 2014 was $309.8 million, or $1.05 per diluted common share. NAREIT FFO per share growth was lower than normalized FFO per share growth for the same period due principally to the exclusion of transaction costs in both periods in normalized FFO, consistent with the Company’s guidance and historical practice.

First Quarter 2015 Highlights

  • Same-store cash net operating income (“NOI”) growth for the Company’s total portfolio (1,344 assets) was 3.2 percent, expressed in constant currency, for the quarter ended March 31, 2015 compared to the same period in 2014.
  • Total seniors housing operating portfolio (“SHOP”) NOI was $148.6 million, an increase of 21 percent over the comparable 2014 period. Same-store SHOP NOI grew 0.9 percent, expressed in constant currency, for the 234 same-store properties over first quarter 2014 results. The year earlier period benefited from $2.2 million in real estate tax credits; without such credit, same-store NOI growth would have been 2.7%.
  • In January 2015, the Company completed its previously announced acquisition of 152 healthcare and senior living assets owned by American Realty Capital Healthcare Trust, Inc. (“HCT”) in a stock and cash transaction. The transaction was funded with 28.4 million shares of Ventas common stock, 1.1 million units redeemable for shares of Ventas common stock, cash and the assumption of debt.
  • Ventas made investments totaling $3.6 billion during the first quarter of 2015, including five care homes in the U.K., twelve skilled nursing facilities and development and redevelopment fundings approximating $33.5 million.
  • In January 2015, Ventas issued and sold $1.1 billion of senior notes with a weighted average interest rate below 3.7 percent and a weighted average maturity of 15 years. The issuances were composed of $900 million aggregate principal amount of USD senior notes and CAD notes of 250 million.
  • During the first quarter of 2015, Ventas issued and sold a total of 3.8 million shares of common stock for aggregate proceeds of approximately $290 million (before sales commissions) under its “at the market” (“ATM”) equity offering program. Ventas replaced its expiring shelf registration statement during the quarter and in conjunction therewith replaced its prior ATM program with a new ATM program. The Company has not issued any shares under the new ATM program.
  • Year-to-date, Ventas has sold 45 properties and received final repayment on loans receivable for approximately $474 million in aggregate proceeds. The GAAP yield on the dispositions and loan repayments was seven percent.

Recent Developments

  • In April 2015, Ventas announced its plan to spin off (the “Spin-Off”) most of its skilled nursing facility (“SNF”) portfolio into an independent, publicly traded REIT named Care Capital Properties, Inc. (“CCP”). The transaction is expected to be completed in the second half of 2015 and is intended to qualify as a tax-free distribution to Ventas shareholders. CCP filed its Form 10 registration statement relating to the Spin-Off with the Securities and Exchange Commission on April 23, 2015.
  • Ventas also announced in April 2015 its plan to acquire privately-owned Ardent Medical Services, Inc. (with its affiliates, “Ardent Health Services”), one of the ten largest for-profit hospital companies in the U.S. The accretive transaction, which is expected to close mid-year 2015, will also consist of (a) a buy-out of a minority partner interest for incremental investment, (b) the separation of Ardent Health Services’ hospital operations from its owned real estate and (c) the sale of these hospital operations to one or more newly formed entities (collectively, “Ardent”), to be owned by current management of Ardent Health Services, other equity sources, and up to 9.9 percent by Ventas. Ventas and Ardent will enter into pre-agreed long-term triple-net leases with an expected going in cash yield exceeding 7 percent on a projected $1.4 billion net real estate investment value. The transaction is subject to the satisfaction of certain specified closing conditions, including receipt of regulatory approvals.
  • The Company’s net debt to Adjusted Pro Forma EBITDA (as defined herein) at March 31, 2015 is 5.7x. Current debt-to-enterprise value now stands at 32 percent.
  • The Company currently has a strong liquidity position, with approximately $1.7 billion available under its revolving credit facility, as well as $71 million of cash on hand.
  • The Company paid a dividend of $0.79 per share during the first quarter, in two installments, a nine percent increase over the first quarter of 2014.

Increasing 2015 Normalized FFO Guidance

Ventas currently expects its 2015 normalized FFO per diluted share to increase to a range between $4.67 and $4.75. This updated guidance range represents four to six percent growth in normalized FFO per share over 2014. Second quarter 2015 normalized FFO per diluted share growth is expected to be below this full-year growth range due to timing of dispositions, reinvestments and fee income. Ventas currently expects its 2015 NAREIT FFO per diluted share to range between $4.47 and $4.59, due principally to deal costs related to its investment activity.

The Company’s expectations include its pending acquisition of Ardent Health Services, funded on a leverage neutral basis, upon the terms and timing discussed above. This guidance does not take into account any impact from the Spin-Off of CCP. The Company’s guidance assumes about $600 million in property dispositions and receipt of loan repayments, substantially all of which were completed and received in the first quarter of 2015, with mid-year reinvestment of net proceeds into the Ardent acquisition. No further investment or disposition activity is included in the Company’s guidance range.

Same-store cash NOI is forecast to grow 2.5 to 3.5 percent in 2015, which is consistent with previous guidance.

A reconciliation of the Company’s guidance to the Company’s projected GAAP earnings is included in this press release.

FIRST QUARTER CONFERENCE CALL

Ventas will hold a conference call to discuss this earnings release today at 10:00 a.m. Eastern Time (9:00 a.m. Central Time). The dial-in number for the conference call is (866) 700-6293 (or (617) 213-8835 for international callers). The participant passcode is “Ventas.” The conference call is being webcast live by NASDAQ OMX and can be accessed at the Company’s website at www.ventasreit.com. A replay of the webcast will be available following the call online, or by calling (888) 286-8010 (or (617) 801-6888 for international callers), passcode 31511307, beginning at approximately 2:00 p.m. Eastern Time and will remain available for 35 days.

Ventas, Inc., an S&P 500 company, is a leading real estate investment trust. Its diverse portfolio of more than 1,600 assets in the United States, Canada and the United Kingdom consists of seniors housing communities, medical office buildings, skilled nursing facilities, hospitals and other properties. Through its Lillibridge subsidiary, Ventas provides management, leasing, marketing, facility development and advisory services to highly rated hospitals and health systems throughout the United States. More information about Ventas and Lillibridge can be found at www.ventasreit.com and www.lillibridge.com.

Supplemental information regarding the Company can be found on the Company’s website under the “Investor Relations” section or at www.ventasreit.com/investor-relations/financial-information/supplemental-information. A comprehensive listing of the Company’s properties is available at www.ventasreit.com/our-portfolio/properties-by-location.

This press release 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. These statements include, but are not limited to, statements regarding the expected timing of the completion of the proposed transaction with Ardent Health Services and the Spin-Off, the benefits of the proposed transaction with Ardent Health Services and the Spin-Off, including future financial and operating results, statements regarding plans, objectives, and expectations relating to the proposed transaction with Ardent Health Services and the Spin-Off and other statements that are not historical facts. In addition, all statements regarding the Company’s or its tenants’, operators’, borrowers’ or managers’ expected future financial condition, results of operations, cash flows, funds from operations, dividends and dividend plans, financing opportunities and plans, capital markets transactions, business strategy, budgets, projected costs, operating metrics, capital expenditures, competitive positions, acquisitions, investment opportunities, dispositions, merger or acquisition integration, growth opportunities, expected lease income, continued qualification as a real estate investment trust (“REIT”), 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 actual results may differ from the Company’s expectations. The Company does not undertake a duty to update these forward-looking statements, which speak only as of the date on which they are made.

The Company’s actual future results and trends may differ materially from expectations depending on a variety of factors discussed in the Company’s filings with the Securities and Exchange Commission. These factors include without limitation: (a) the ability and willingness of the Company’s tenants, operators, borrowers, managers and other third parties to satisfy their obligations under their respective contractual arrangements with the Company, including, in some cases, their obligations to indemnify, defend and hold harmless the Company from and against various claims, litigation and liabilities; (b) the ability of the Company’s tenants, operators, borrowers and managers 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 and other indebtedness; (c) the Company’s success in implementing its business strategy and the Company’s ability to identify, underwrite, finance, consummate and integrate diversifying acquisitions and investments, including investments in different asset types and outside the United States; (d) macroeconomic conditions such as a disruption of or lack of access to the capital markets, changes in the debt rating on U.S. government securities, default or delay in payment by the United States of its obligations, and changes in the federal or state budgets resulting in the reduction or nonpayment of Medicare or Medicaid reimbursement rates; (e) the nature and extent of future competition, including new construction in the markets in which the Company’s seniors housing communities and medical office buildings (“MOBs”) are located; (f) the extent of future or pending healthcare reform and regulation, including cost containment measures and changes in reimbursement policies, procedures and rates; (g) increases in the Company’s borrowing costs as a result of changes in interest rates and other factors; (h) the ability of the Company’s operators and managers, as applicable, to comply with laws, rules and regulations in the operation of the Company’s properties, to deliver high-quality services, to attract and retain qualified personnel and to attract residents and patients; (i) changes in general economic conditions or economic conditions in the markets in which the Company may, from time to time, compete, and the effect of those changes on the Company’s revenues, earnings and funding sources; (j) the Company’s ability to pay down, refinance, restructure or extend its indebtedness as it becomes due; (k) the Company’s ability and willingness to maintain its qualification as a REIT in light of economic, market, legal, tax and other considerations; (l) final determination of the Company’s taxable net income for the year ended December 31, 2014 and for the year ending December 31, 2015; (m) the ability and willingness of the Company’s tenants to renew their leases with the Company upon expiration of the leases, the Company’s ability to reposition its properties on the same or better terms in the event of nonrenewal or in the event the Company exercises its right to replace an existing tenant or manager, and obligations, including indemnification obligations, the Company may incur in connection with the replacement of an existing tenant or manager; (n) risks associated with the Company’s senior living operating portfolio, such as factors that can cause volatility in the Company’s operating income and earnings generated by those properties, including without limitation national and regional economic conditions, costs of food, materials, energy, labor and services, employee benefit costs, insurance costs and professional and general liability claims, and the timely delivery of accurate property-level financial results for those properties; (o) changes in exchange rates for any foreign currency in which the Company may, from time to time, conduct business; (p) year-over-year changes in the Consumer Price Index or the UK Retail Price Index and the effect of those changes on the rent escalators contained in the Company’s leases and the Company’s earnings; (q) the Company’s ability and the ability of its tenants, operators, borrowers and managers to obtain and maintain adequate property, liability and other insurance from reputable, financially stable providers; (r) the impact of increased operating costs and uninsured professional liability claims on the Company’s liquidity, financial condition and results of operations or that of the Company’s tenants, operators, borrowers and managers, and the ability of the Company and the Company’s tenants, operators, borrowers and managers to accurately estimate the magnitude of those claims; (s) risks associated with the Company’s MOB portfolio and operations, including the Company’s ability to successfully design, develop and manage MOBs, to accurately estimate its costs in fixed fee-for-service projects and to retain key personnel; (t) the ability of the hospitals on or near whose campuses the Company’s MOBs are located and their affiliated health systems to remain competitive and financially viable and to attract physicians and physician groups; (u) the Company’s ability to build, maintain and expand its relationships with existing and prospective hospital and health system clients; (v) risks associated with the Company’s investments in joint ventures and unconsolidated entities, including its lack of sole decision-making authority and its reliance on its joint venture partners’ financial condition; (w) the impact of market or issuer events on the liquidity or value of the Company’s investments in marketable securities; (x) merger and acquisition activity in the seniors housing and healthcare industries resulting in a change of control of, or a competitor’s investment in, one or more of the Company’s tenants, operators, borrowers or managers or significant changes in the senior management of the Company’s tenants, operators, borrowers or managers; (y) the impact of litigation or any financial, accounting, legal or regulatory issues that may affect the Company or its tenants, operators, borrowers or managers; (z) changes in accounting principles, or their application or interpretation, and the Company’s ability to make estimates and the assumptions underlying the estimates, which could have an effect on the Company’s earnings; (aa) the inability to complete the acquisition of Ardent Health Services and the separation and sale of Ardent Health Services’ hospital operations on terms acceptable to Ventas or at all; (bb) the failure to satisfy any conditions to completion of the Ardent Health Services transaction on terms acceptable to Ventas or at all; (cc) the occurrence of any event, change or other circumstances that could give rise to the termination of the Ardent Health Services purchase agreement or any other agreement relating to the transaction; (dd) the risk that the expected benefits of the Ardent Health Services transaction, including financial results, may not be fully realized or may take longer to realize than expected; (ee) risks related to disruption of management’s attention from ongoing business operations due to the proposed Ardent Health Services transaction; (ff) the effect of the announcement of the proposed Ardent Health Services transaction on Ventas’s or Ardent Health Services’ relationships with their respective customers, tenants, lenders, operating results and businesses generally; (gg) uncertainties as to the completion and timing of the Spin-Off; (hh) the failure to satisfy any conditions to complete the Spin-Off, (ii) the expected tax treatment of the Spin-Off, (jj) the inability to obtain certain third party consents required to transfer certain properties in connection with the Spin-Off; and (kk) the impact of the Spin-Off on the businesses of Ventas and CCP. Many of these factors are beyond the control of the Company and its management.

CONSOLIDATED BALANCE SHEETS As of March 31, 2015, December 31, 2014, September 30, 2014, June 30, 2014 and March 31, 2014 (In thousands, except per share amounts)           March 31, December 31, September 30, June 30, March 31, 2015 2014 2014 2014 2014   Assets Real estate investments: Land and improvements $ 2,252,402 $ 1,956,128 $ 1,937,888 $ 1,848,922 $ 1,867,146 Buildings and improvements 21,933,742 19,895,043 19,664,973 18,591,786 18,658,616 Construction in progress 134,195 120,123 116,975 93,629 71,862 Acquired lease intangibles 1,300,654   1,039,651   1,039,949   1,009,474   1,014,711   25,620,993 23,010,945 22,759,785 21,543,811 21,612,335 Accumulated depreciation and amortization (4,202,334 ) (4,025,386 ) (3,833,974 ) (3,657,541 ) (3,515,868 ) Net real estate property 21,418,659 18,985,559 18,925,811 17,886,270 18,096,467 Secured loans receivable and investments, net 773,773 829,756 407,551 414,051 376,074 Investments in unconsolidated entities 95,147   91,872   88,175   89,423   90,929   Net real estate investments 22,287,579 19,907,187 19,421,537 18,389,744 18,563,470 Cash and cash equivalents 120,225 55,348 64,595 86,635 59,791 Escrow deposits and restricted cash 223,772 71,771 78,746 75,514 76,110 Deferred financing costs, net 71,386 60,328 64,898 63,399 59,726 Other assets 1,736,909   1,131,537   1,021,389   1,175,494   943,671   Total assets $ 24,439,871   $ 21,226,171   $ 20,651,165   $ 19,790,786   $ 19,702,768     Liabilities and equity Liabilities: Senior notes payable and other debt $ 11,603,925 $ 10,888,092 $ 10,469,106 $ 9,602,439 $ 9,481,051 Accrued interest 77,359 62,097 69,112 56,722 61,083 Accounts payable and other liabilities 1,016,592 1,005,232 965,240 975,282 938,098 Deferred income taxes 371,785   344,337   361,454   256,392   252,499   Total liabilities 13,069,661 12,299,758 11,864,912 10,890,835 10,732,731   Redeemable OP unitholder and noncontrolling interests 257,246 172,016 163,080 169,292 160,115   Commitments and contingencies   Equity: Ventas stockholders' equity: Preferred stock, $1.00 par value; 10,000 shares authorized, unissued — — — — — Common stock, $0.25 par value; 330,913; 298,478; 294,359; 294,358; and 294,346 shares issued at March 31, 2015, December 31, 2014, September 30, 2014, June 30, 2014 and March 31, 2014, respectively 82,718 74,656 73,603 73,602 73,599 Capital in excess of par value 12,616,056 10,119,306 9,859,490 9,849,301 9,858,733 Accumulated other comprehensive income 4,357 13,121 16,156 26,255 18,464 Retained earnings (deficit) (1,660,856 ) (1,526,388 ) (1,398,378 ) (1,294,048 ) (1,218,967 ) Treasury stock, 32; 7; 32; 0; and 3 shares at March 31, 2015, December 31, 2014, September 30, 2014, June 30, 2014 and March 31, 2014, respectively (2,385 ) (511 ) (2,075 ) —   (162 ) Total Ventas stockholders' equity 11,039,890 8,680,184 8,548,796 8,655,110 8,731,667 Noncontrolling interest 73,074   74,213   74,377   75,549   78,255   Total equity 11,112,964   8,754,397   8,623,173   8,730,659   8,809,922   Total liabilities and equity $ 24,439,871   $ 21,226,171   $ 20,651,165   $ 19,790,786   $ 19,702,768     CONSOLIDATED STATEMENTS OF INCOME For the three months ended March 31, 2015 and 2014 (In thousands, except per share amounts)     For the Three Months Ended March 31, 2015 2014 Revenues: Rental income: Triple-net leased $ 266,206 $ 237,846 Medical office buildings 136,990   115,223   403,196 353,069 Resident fees and services 446,914 371,061 Medical office building and other services revenue 10,543 6,300 Income from loans and investments 22,899 10,767 Interest and other income 472   273   Total revenues 884,024 741,470 Expenses: Interest 106,590 87,841 Depreciation and amortization 247,441 193,594 Property-level operating expenses: Senior living 298,362 248,295 Medical office buildings 42,349   39,345   340,711 287,640 Medical office building services costs 6,918 3,371 General, administrative and professional fees 34,330 32,866 Loss (gain) on extinguishment of debt, net 21 (259 ) Merger-related expenses and deal costs 35,172 10,760 Other 5,296   5,229   Total expenses 776,479   621,042   Income before (loss) income from unconsolidated entities, income taxes, discontinued operations, real estate dispositions and noncontrolling interest 107,545 120,428 (Loss) income from unconsolidated entities (251 ) 248 Income tax benefit (expense) 7,250   (3,433 ) Income from continuing operations 114,544 117,243 Discontinued operations (423 ) 3,031 Gain on real estate dispositions 6,686   1,000   Net income 120,807 121,274 Net income attributable to noncontrolling interest 365   227   Net income attributable to common stockholders $ 120,442   $ 121,047   Earnings per common share: Basic: Income from continuing operations attributable to common stockholders, including real estate dispositions $ 0.37 $ 0.40 Discontinued operations (0.00 ) 0.01   Net income attributable to common stockholders $ 0.37   $ 0.41   Diluted: Income from continuing operations attributable to common stockholders, including real estate dispositions $ 0.37 $ 0.40 Discontinued operations (0.00 ) 0.01   Net income attributable to common stockholders $ 0.37   $ 0.41     Weighted average shares used in computing earnings per common share: Basic 325,454 293,875 Diluted 329,203 296,245   Dividends declared per common share $ 0.79 $ 0.725   QUARTERLY CONSOLIDATED STATEMENTS OF INCOME (In thousands, except per share amounts)           2015 First 2014 Quarters Quarter Fourth Third Second First   Revenues: Rental income: Triple-net leased $ 266,206 $ 245,599 $ 244,206 $ 242,726 $ 237,846 Medical office buildings 136,990   116,907   116,598   114,890   115,223   403,196 362,506 360,804 357,616 353,069 Resident fees and services 446,914 411,170 396,247 374,473 371,061 Medical office building and other services revenue 10,543 11,124 7,573 4,367 6,300 Income from loans and investments 22,899 15,734 14,043 14,625 10,767 Interest and other income 472   3,453   368   173   273   Total revenues 884,024 803,987 779,035 751,254 741,470   Expenses: Interest 106,590 99,031 98,469 91,501 87,841 Depreciation and amortization 247,441 241,275 201,224 190,818 193,594 Property-level operating expenses: Senior living 298,362 273,563 265,274 249,424 248,295 Medical office buildings 42,349   38,715   41,147   39,335   39,345   340,711 312,278 306,421 288,759 287,640 Medical office building services costs 6,918 7,527 4,568 1,626 3,371 General, administrative and professional fees 34,330 28,108 29,466 31,306 32,866 Loss (gain) on extinguishment of debt, net 21 485 2,414 2,924 (259 ) Merger-related expenses and deal costs 35,172 7,943 16,749 9,599 10,760 Other 5,296   13,604   15,229   4,863   5,229   Total expenses 776,479   710,251   674,540   621,396   621,042     Income before (loss) income from unconsolidated entities, income taxes, discontinued operations, real estate dispositions and noncontrolling interest 107,545 93,736 104,495 129,858 120,428 (Loss) income from unconsolidated entities (251 ) (688 ) (47 ) 348 248 Income tax benefit (expense) 7,250   13,552   1,887   (3,274 ) (3,433 ) Income from continuing operations 114,544 106,600 106,335 126,932 117,243 Discontinued operations (423 ) (411 ) (259 ) (255 ) 3,031 Gain on real estate dispositions 6,686   1,456   3,625   11,889   1,000   Net income 120,807 107,645 109,701 138,566 121,274 Net income attributable to noncontrolling interest 365   455   569   168   227   Net income attributable to common stockholders $ 120,442   $ 107,190   $ 109,132   $ 138,398   $ 121,047     Earnings per common share: Basic: Income from continuing operations attributable to common stockholders, including real estate dispositions $ 0.37 $ 0.36 $ 0.37 $ 0.47 $ 0.40 Discontinued operations (0.00 ) (0.00 ) (0.00 ) (0.00 ) 0.01   Net income attributable to common stockholders $ 0.37   $ 0.36   $ 0.37   $ 0.47   $ 0.41   Diluted: Income from continuing operations attributable to common stockholders, including real estate dispositions $ 0.37 $ 0.36 $ 0.37 $ 0.47 $ 0.40 Discontinued operations (0.00 ) (0.00 ) (0.00 ) (0.00 ) 0.01   Net income attributable to common stockholders $ 0.37   $ 0.36   $ 0.37   $ 0.47   $ 0.41     Weighted average shares used in computing earnings per common share: Basic 325,454 294,810 294,030 293,988 293,875 Diluted 329,203 297,480 296,495 296,504 296,245   CONSOLIDATED STATEMENTS OF CASH FLOWS For the three months ended March 31, 2015 and 2014 (In thousands)   2015   2014 Cash flows from operating activities: Net income $ 120,807 $ 121,274 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization (including amounts in discontinued operations) 247,453 193,876 Amortization of deferred revenue and lease intangibles, net (6,603 ) (5,383 ) Other non-cash amortization (519 ) (1,965 ) Stock-based compensation 6,307 6,044 Straight-lining of rental income, net (8,679 ) (7,914 ) Loss (gain) on extinguishment of debt, net 21 (259 ) Gain on real estate dispositions (including amounts in discontinued operations) (6,686 ) (2,437 ) Income tax (benefit) expense (7,850 ) 3,433 Loss (income) from unconsolidated entities 251 (248 ) Other 2,860 3,076 Changes in operating assets and liabilities: Decrease in other assets 21,073 6,241 Increase in accrued interest 15,792 6,753 Decrease in accounts payable and other liabilities (40,058 ) (38,070 ) Net cash provided by operating activities 344,169 284,421 Cash flows from investing activities: Net investment in real estate property (1,072,539 ) (181,866 ) Investment in loans receivable and other (39,573 ) (1,192 ) Proceeds from real estate disposals 166,341 26,150 Proceeds from loans receivable 92,056 1,163 Purchase of marketable securities — (25,000 ) Funds held in escrow for future development expenditures 4,003 2,602 Development project expenditures (33,467 ) (23,948 ) Capital expenditures (21,171 ) (16,134 ) Other (4,180 ) (125 )

Net cash used in investing activities

(908,530 ) (218,350 ) Cash flows from financing activities: Net change in borrowings under credit facility (452,897 ) 181,754 Proceeds from debt 1,092,833 — Repayment of debt (24,647 ) (67,773 ) Purchase of noncontrolling interest (2,660 ) — Payment of deferred financing costs (14,435 ) (167 ) Issuance of common stock, net 285,327 — Cash distribution to common stockholders (254,910 ) (213,473 ) Cash distribution to redeemable OP unitholders (2,365 ) (1,402 ) Purchases of redeemable OP units (569 ) — Distributions to noncontrolling interest (1,822 ) (2,237 ) Other 5,690   1,641  

Net cash provided by (used in) financing activities

629,545   (101,657 ) Net increase (decrease) in cash and cash equivalents 65,184 (35,586 ) Effect of foreign currency translation on cash and cash equivalents (307 ) 561 Cash and cash equivalents at beginning of period 55,348   94,816   Cash and cash equivalents at end of period $ 120,225   $ 59,791     Supplemental schedule of non-cash activities: Assets and liabilities assumed from acquisitions: Real estate investments $ 2,542,829 $ 2,952 Other assets acquired 16,711 — Debt assumed 177,857 — Other liabilities 45,736 2,952 Deferred income tax liability 44,117 — Noncontrolling interests 87,245 — Equity issued 2,204,585 —   QUARTERLY CONSOLIDATED STATEMENTS OF CASH FLOWS (In thousands)           2015 First 2014 Quarters Quarter Fourth Third Second First Cash flows from operating activities: Net income $ 120,807 $ 107,645 $ 109,701 $ 138,566 $ 121,274 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization (including amounts in discontinued operations) 247,453 241,291 201,236 192,064 193,876 Amortization of deferred revenue and lease intangibles, net (6,603 ) (4,096 ) (4,896 ) (4,496 ) (5,383 ) Other non-cash amortization (519 ) 304 2,312 (963 ) (1,965 ) Stock-based compensation 6,307 4,202 5,381 5,367 6,044 Straight-lining of rental income, net (8,679 ) (9,043 ) (12,413 ) (9,317 ) (7,914 ) Loss (gain) on extinguishment of debt, net 21 485 2,414 2,924 (259 ) Gain on real estate dispositions (including amounts in discontinued operations) (6,686 ) (1,457 ) (3,584 ) (11,705 ) (2,437 ) Gain on real estate loan investments — (1,206 ) (249 ) — — Income tax (benefit) expense (7,850 ) (13,851 ) (1,987 ) 2,974 3,433 Loss (income) from unconsolidated entities 251 688 47 (348 ) (248 ) Other 2,860 2,140 7,105 3,418 3,076 Changes in operating assets and liabilities: Decrease (increase) in other assets 21,073 8,623 (14,514 ) 4,967 6,241 Increase (decrease) in accrued interest 15,792 (6,877 ) 12,461 (4,379 ) 6,753 (Decrease) increase in accounts payable and other liabilities (40,058 ) 6,025   21,256   (7,791 ) (38,070 ) Net cash provided by operating activities 344,169 334,873 324,270 311,281 284,421 Cash flows from investing activities: Net investment in real estate property (1,072,539 ) (284,250 ) (912,510 ) (89,660 ) (181,866 ) Investment in loans receivable and other (39,573 ) (432,556 ) (21,948 ) (43,296 ) (1,192 ) Proceeds from real estate disposals 166,341 5,500 60,396 26,200 26,150 Proceeds from loans receivable 92,056 17,984 49,593 4,817 1,163 Purchase of marketable securities — (50,000 ) — (21,689 ) (25,000 ) Proceeds from sale or maturity of marketable securities — — 21,689 — — Funds held in escrow for future development expenditures 4,003 1,988 — — 2,602 Development project expenditures (33,467 ) (35,613 ) (26,952 ) (20,475 ) (23,948 ) Capital expenditures (21,171 ) (31,219 ) (20,709 ) (19,392 ) (16,134 ) Other (4,180 ) (5,177 ) (296 ) —   (125 ) Net cash used in investing activities (908,530 ) (813,343 ) (850,737 ) (163,495 ) (218,350 ) Cash flows from financing activities: Net change in borrowings under credit facility (452,897 ) 693,887 46,267 (381,705 ) 181,754 Proceeds from debt 1,092,833 — 1,311,046 696,661 — Repayment of debt (24,647 ) (246,278 ) (632,391 ) (204,953 ) (67,773 ) Purchase of noncontrolling interest (2,660 ) (5,527 ) — (3,588 ) — Payment of deferred financing costs (14,435 ) 726 (8,100 ) (6,679 ) (167 ) Issuance of common stock, net 285,327 242,107 — — — Cash distribution to common stockholders (254,910 ) (235,200 ) (213,462 ) (213,479 ) (213,473 ) Cash distribution to redeemable OP unitholders (2,365 ) (1,548 ) (1,452 ) (1,360 ) (1,402 ) Purchases of redeemable OP units (569 ) (503 ) — — — Contributions from noncontrolling interest — 491 — — — Distributions to noncontrolling interest (1,822 ) (2,799 ) (1,852 ) (2,671 ) (2,237 ) Other 5,690   25,153   23   (2,215 ) 1,641   Net cash provided by (used in) financing activities 629,545   470,509   500,079   (119,989 ) (101,657 ) Net increase (decrease) in cash and cash equivalents 65,184 (7,961 ) (26,388 ) 27,797 (35,586 ) Effect of foreign currency translation on cash and cash equivalents (307 ) (1,286 ) 4,348 (953 ) 561 Cash and cash equivalents at beginning of period 55,348   64,595   86,635   59,791   94,816   Cash and cash equivalents at end of period $ 120,225   $ 55,348   $ 64,595   $ 86,635   $ 59,791     Supplemental schedule of non-cash activities: Assets and liabilities assumed from acquisitions: Real estate investments $ 2,542,829 $ 16,746 $ 299,713 $ 51,330 $ 2,952 Other assets acquired 16,711 11,597 2,049 1,634 — Debt assumed 177,857 12,926 177,035 51,115 — Other liabilities 45,736 4,598 15,766 723 2,952 Deferred income tax liability 44,117 641 108,961 1,126 — Noncontrolling interests 87,245 — — — — Equity issued 2,204,585 10,178 — — —                   NON-GAAP FINANCIAL MEASURES RECONCILIATION

Funds From Operations (FFO) and Funds Available for Distribution (FAD)(1)

(Dollars in thousands, except per share amounts)   Tentative Estimates Preliminary and Midpoint YOY   Subject to Change YOY 2014   2015   Growth  

FY2015 - Guidance

  Growth Q1   Q2   Q3   Q4   FY   Q1  

'14-'15

  Low   High  

'14-'15E

Net income attributable to common stockholders $ 121,047 $ 138,398 $ 109,132 $ 107,190 $ 475,767 $ 120,442 $

574,045

  $

603,991

Net income attributable to common stockholders per share $ 0.41 $ 0.47 $ 0.37 $ 0.36 $ 1.60 $ 0.37 $ 1.70 $ 1.79   Adjustments: Depreciation and amortization on real estate assets 192,043 189,219 199,617 239,465 820,344 245,651 965,000 985,000 Depreciation on real estate assets related to noncontrolling interest (2,644 ) (2,661 ) (2,503 ) (2,506 ) (10,314 ) (2,052 ) (8,000 ) (8,400 ) Depreciation on real estate assets related to unconsolidated entities 1,494 1,495 1,471 1,332 5,792 1,462

5,600

6,000

Gain on real estate dispositions (1,000 ) (11,889 ) (3,625 ) (1,456 ) (17,970 ) (6,686 ) (25,000 ) (35,000 ) Discontinued operations: (Gain) loss on real estate dispositions (1,438 ) (45 ) 41 (52 ) (1,494 ) Depreciation and amortization on real estate assets 281     1,247     12     15     1,555     12         12     12   Subtotal: FFO add-backs 188,736 177,366 195,013 236,798 797,913 238,387

937,612

947,612

Subtotal: FFO add-backs per share   $ 0.64     $ 0.60     $ 0.66     $ 0.80     $ 2.69     $ 0.72         $ 2.77     $ 2.80       FFO $ 309,783 $ 315,764 $ 304,145 $ 343,988 $ 1,273,680 $ 358,829 16% $ 1,511,657 $ 1,551,603 20% FFO per share   $ 1.05     $ 1.07     $ 1.03     $ 1.16     $ 4.29     $ 1.09    

4%

  $ 4.47     $ 4.59     6%   Adjustments: Change in fair value of financial instruments (68 ) 109 4,595 485 5,121 (46 ) 500 (900 ) Non-cash income tax expense (benefit) 3,433 2,974 (1,987 ) (13,851 ) (9,431 ) (7,850 ) (25,000 ) (31,000 ) (Gain) loss on extinguishment of debt, net (810 ) 2,924 2,414 485 5,013 21 1,000 2,000 Merger-related expenses, deal costs and re-audit costs 10,761 9,602 23,401 10,625 54,389 36,002 88,500 81,500 Amortization of other intangibles 256     255     255     480     1,246     591         2,150     2,650   Subtotal: normalized FFO add-backs 13,572 15,864 28,678 (1,776 ) 56,338 28,718 67,150 54,250 Subtotal: normalized FFO add-backs per share   $ 0.05     $ 0.05     $ 0.10     $ (0.01 )   $ 0.19     $ 0.09         $ 0.20     $ 0.16       Normalized FFO $ 323,355 $ 331,628 $ 332,823 $ 342,212 $ 1,330,018 $ 387,547 20% $ 1,578,807 $ 1,605,853 20% Normalized FFO per share   $ 1.09     $ 1.12     $ 1.12     $ 1.15     $ 4.48     $ 1.18     8%   $ 4.67     $ 4.75     5%   Non-cash items included in normalized FFO: Amortization of deferred revenue and lease intangibles, net (5,383 ) (4,496 ) (4,896 ) (4,096 ) (18,871 ) (6,603 ) (26,400 ) (28,400 ) Other non-cash amortization, including fair market value of debt (1,965 ) (963 ) 2,312 304 (312 ) (519 ) 3,400 5,400 Stock-based compensation 6,044 5,367 5,381 4,202 20,994 6,307 22,300 24,500 Straight-lining of rental income, net (7,914 )   (9,317 )   (12,413 )   (9,043 )   (38,687 )   (8,679 )       (32,300 )   (34,300 ) Subtotal: non-cash items included in normalized FFO (9,218 ) (9,409 ) (9,616 ) (8,633 ) (36,876 ) (9,494 ) (33,000 ) (32,800 ) Capital expenditures   (17,134 )   (21,445 )   (21,822 )   (32,527 )   (92,928 )   (22,148 )       (110,000 )   (120,000 )     Normalized FAD $ 297,003 $ 300,774 $ 301,385 $ 301,052 $ 1,200,214 $ 355,905 20% $ 1,435,807 $ 1,453,053 20% Normalized FAD per share   $ 1.00     $ 1.01     $ 1.02     $ 1.01     $ 4.05     $ 1.08     8%   $ 4.25     $ 4.30    

6%

Merger-related expenses, deal costs and re-audit costs   (10,761 )   (9,602 )   (23,401 )   (10,625 )   (54,389 )   (36,002 )       (88,500 )   (81,500 )     FAD $ 286,242 $ 291,172 $ 277,984 $ 290,427 $ 1,145,825 $ 319,903 12% $ 1,347,307 $ 1,371,553 19% FAD per share   $ 0.97     $ 0.98     $ 0.94     $ 0.98     $ 3.86     $ 0.97     0%   $ 3.99     $ 4.06    

4%

Weighted average diluted shares 296,245 296,504 296,495 297,480 296,677 329,203     338,074     338,074     1 Totals and per share amounts may not add due to rounding. Per share quarterly amounts may not add to annual per share amounts due to material changes in the Company’s weighted average diluted share count, if any.

Historical cost accounting for real estate assets implicitly assumes that the value of real estate assets diminishes predictably over time. However, since real estate values have historically risen or fallen with market conditions, many industry investors deem presentations of operating results for real estate companies that use historical cost accounting to be insufficient by themselves. For that reason, the Company considers FFO, normalized FFO and FAD to be appropriate measures of operating performance of an equity REIT. In particular, the Company believes that normalized FFO is useful because it allows investors, analysts and Company management to compare the Company’s operating performance to the operating performance of other real estate companies and between periods on a consistent basis without having to account for differences caused by unanticipated items and other events such as transactions and litigation. In some cases, the Company provides information about identified non-cash components of FFO and normalized FFO because it allows investors, analysts and Company management to assess the impact of those items on the Company’s financial results.

The Company uses the NAREIT definition of FFO. NAREIT defines FFO as net income (computed in accordance with GAAP) excluding gains (or losses) from sales of real estate property, including gain on re-measurement of equity method investments, and impairment write-downs of depreciable real estate, plus real estate depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. Adjustments for unconsolidated partnerships and joint ventures will be calculated to reflect FFO on the same basis. The Company defines normalized FFO as FFO excluding the following income and expense items (which may be recurring in nature): (a) merger-related costs and expenses, including amortization of intangibles, transition and integration expenses, and deal costs and expenses, including expenses and recoveries relating to acquisition lawsuits; (b) the impact of any expenses related to asset impairment and valuation allowances, the write-off of unamortized deferred financing fees, or additional costs, expenses, discounts, make-whole payments, penalties or premiums incurred as a result of early retirement or payment of the Company’s debt; (c) the non-cash effect of income tax benefits or expenses and derivative transactions that have non-cash mark-to-market impacts on the Company’s income statement; (d) except as specifically stated in the case of guidance, the impact of future acquisitions or divestitures (including pursuant to tenant options to purchase) and capital transactions; (e) the financial impact of contingent consideration, charitable donations made to the Ventas Charitable Foundation, gains and losses for non-operational foreign currency hedge agreements and changes in the fair value of financial instruments; and (f) expenses related to the re-audit and re-review in 2014 of the Company’s historical financial statements and related matters. FAD represents normalized FFO excluding non-cash components, straight-line rental adjustments and capital expenditures, including tenant allowances and leasing commissions.

FFO, normalized FFO and FAD presented herein may not be comparable to similar measures presented by other real estate companies due to the fact that not all real estate companies use the same definitions. FFO, normalized FFO and FAD should not be considered as alternatives to net income (determined in accordance with GAAP) as indicators of the Company’s financial performance or as alternatives to cash flow from operating activities (determined in accordance with GAAP) as measures of the Company’s liquidity, nor are they necessarily indicative of sufficient cash flow to fund all of the Company’s needs. The Company believes that in order to facilitate a clear understanding of the consolidated historical operating results of the Company, FFO, normalized FFO and FAD should be examined in conjunction with net income as presented elsewhere herein.

 

NON-GAAP FINANCIAL MEASURES RECONCILIATION

Net Debt to Adjusted Pro Forma EBITDA

 

The following information considers the pro forma effect on net income, interest, depreciation and amortization, and income tax benefit of the Company’s investments and other capital transactions that were completed during the three months ended March 31, 2015, as if the transactions had been consummated as of the beginning of the period. The following table illustrates net debt to pro forma earnings before interest, taxes, depreciation and amortization (including non-cash stock-based compensation expense), excluding gains or losses on extinguishment of debt, income or loss from noncontrolling interest and unconsolidated entities, merger-related expenses and deal costs, expenses related to the re-audit and re-review in 2014 of the Company's historical financial statements, net gains on real estate activity and changes in the fair value of financial instruments (including amounts in discontinued operations) (“Adjusted Pro Forma EBITDA”) (dollars in thousands):

  Net income attributable to common stockholders $ 120,442 Pro forma adjustments for current period investments, capital transactions and dispositions (10,289 ) Pro forma net income for the three months ended March 31, 2015 110,153 Add back: Pro forma interest 108,403 Pro forma depreciation and amortization 260,753 Stock-based compensation 6,307 Gain on real estate dispositions (6,686 ) Loss on extinguishment of debt, net 21 Loss from unconsolidated entities 251 Noncontrolling interest 365 Pro forma income tax benefit (9,246 ) Change in fair value of financial instruments (46 ) Other taxes (185 ) Merger-related expenses, deal costs and re-audit costs 35,893   Adjusted Pro Forma EBITDA 505,983   Adjusted Pro Forma EBITDA annualized $ 2,023,932       As of March 31, 2015: Debt $ 11,603,925 Cash, adjusted for cash escrows pertaining to debt and debt related to assets held for sale (140,705 ) Net debt $ 11,463,220     Net debt to Adjusted Pro Forma EBITDA 5.7   x   NON-GAAP FINANCIAL MEASURES RECONCILIATION 1, 2 NOI by Segment (In thousands)           2015 First 2014 Quarters Quarter Fourth Third Second First Revenues   Triple-Net Triple-Net Rental Income $ 266,206 $ 245,599 $ 244,206 $ 242,726 $ 237,846   Medical Office Buildings Medical Office - Stabilized 123,211 104,171 103,780 101,795 101,259 Medical Office - Lease up 8,429 6,675 6,767 6,839 7,324 Medical Office - Other 5,350   6,061   6,051   6,256   6,640 Total Medical Office Buildings - Rental Income 136,990   116,907   116,598   114,890   115,223 Total Rental Income 403,196 362,506 360,804 357,616 353,069   Medical Office Building Services Revenue 8,858   9,218   5,937   2,722   4,652 Total Medical Office Buildings - Revenue 145,848 126,125 122,535 117,612 119,875   Triple-Net Services Revenue 1,136 1,136 1,136 1,145 1,148 Non-Segment Services Revenue 549   770   500   500   500 Total Medical Office Building and Other Services Revenue 10,543 11,124 7,573 4,367 6,300   Seniors Housing Operating Seniors Housing - Stabilized 431,890 398,855 385,511 363,618 361,404 Seniors Housing - Lease up 15,024 12,083 10,109 10,227 9,018 Seniors Housing - Other —   232   627   628   639 Total Resident Fees and Services 446,914 411,170 396,247 374,473 371,061   Non-Segment Income from Loans and Investments 22,899   15,734   14,043   14,625   10,767 Total Revenues, excluding Interest and Other Income 883,552 800,534 778,667 751,081 741,197   Property-Level Operating Expenses   Medical Office Buildings Medical Office - Stabilized 36,807 33,331 34,807 33,641 33,545 Medical Office - Lease up 3,242 2,509 2,738 2,733 2,783 Medical Office - Other 2,300   2,875   3,602   2,961   3,017 Total Medical Office Buildings 42,349 38,715 41,147 39,335 39,345   Seniors Housing Operating Seniors Housing - Stabilized 286,277 262,915 256,702 241,380 241,298 Seniors Housing - Lease up 12,085 10,421 7,972 7,473 6,420 Seniors Housing - Other —   227   600   571   577 Total Seniors Housing 298,362   273,563   265,274   249,424   248,295 Total Property-Level Operating Expenses 340,711 312,278 306,421 288,759 287,640   Medical Office Building Services Costs 6,918 7,527 4,568 1,626 3,371   Net Operating Income   Triple-Net Triple-Net Properties 266,206 245,599 244,206 242,726 237,846 Triple-Net Services Revenue 1,136   1,136   1,136   1,145   1,148 Total Triple-Net 267,342 246,735 245,342 243,871 238,994   Medical Office Buildings Medical Office - Stabilized 86,404 70,840 68,973 68,154 67,714 Medical Office - Lease up 5,187 4,166 4,029 4,106 4,541 Medical Office - Other 3,050 3,186 2,449 3,295 3,623

Medical Office Building Services

1,940   1,691   1,369   1,096   1,281 Total Medical Office Buildings 96,581 79,883 76,820 76,651 77,159   Seniors Housing Operating Seniors Housing - Stabilized 145,613 135,940 128,809 122,238 120,106 Seniors Housing - Lease up 2,939 1,662 2,137 2,754 2,598 Seniors Housing - Other —   5   27   57   62 Total Seniors Housing 148,552 137,607 130,973 125,049 122,766 Non-Segment 23,448   16,504   14,543   15,125   11,267 Net Operating Income $ 535,923   $ 480,729   $ 467,678   $ 460,696   $ 450,186   1 Amounts above are adjusted to exclude discontinued operations for all periods presented. 2 Amounts above are not restated for changes between categories from quarter to quarter.   NON-GAAP FINANCIAL MEASURES RECONCILIATION (Dollars in thousands)   Total Portfolio Same-Store Constant Currency Cash NOI   For the Three Months Ended March 31, 2015   2014   Net Operating Income $ 535,923 $ 450,186   Adjustments: Lease Modification Fee 5,200

NOI Not Included in Same-Store

(79,650 ) (15,372 ) Straight-Lining of Rental Income (8,678 ) (7,898 ) Non-Cash Rental Income (5,809 ) (4,725 ) Non-Segment NOI (23,448 ) (11,267 ) Constant Currency Adjustment —   (585 ) (112,385 ) (39,847 )   Constant Currency NOI as Reported $ 423,538   $ 410,339     Percentage Increase 3.2 %   NON-GAAP FINANCIAL MEASURES RECONCILIATION (Dollars in thousands)   Senior Housing Operating Portfolio Same-Store Constant Currency NOI     For the Three Months Ended March 31,

Percentage

2015 2014

Increase

  Net Operating Income $

148,552

$

122,766

 

Less:

NOI Not Included in Same-Store

 

26,637

 

1,306

Constant Currency Adjustment

 

 

585

 

26,637

 

1,891

  Constant Currency NOI as Reported $ 121,915 $ 120,875

0.9

%

 

Less Real Estate Tax Credits

 

 

2,138

 

Constant Currency NOI Excluding Real Estate Tax Credits

$

121,915

$

118,737

2.7

%

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Ventas, Inc.Lori B. Wittman(877) 4-VENTAS

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