SBRA 10K 2011
Table of Contents

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, 2011
OR
o
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Commission file number 001-34950
 
 SABRA HEALTH CARE REIT, INC.
(Exact Name of Registrant as Specified in Its Charter)
 
 
Maryland
 
27-2560479
(State of Incorporation)
 
(I.R.S. Employer Identification No.)
18500 Von Karman Avenue, Suite 550
Irvine, CA 92612
(888) 393-8248
(Address, zip code and telephone number of Registrant)
 
 
Securities registered pursuant to Section 12(b) of the Act:
Title of Each Class
 
Name of Each Exchange on Which Registered
Common Stock
 
The NASDAQ Stock Market LLC (NASDAQ Global Select Market)
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 o    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  o   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  o
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate website, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  x    No  o
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.    o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer
 
o
  
Accelerated filer
 
x
Non-accelerated filer
 
o  (Do not check if a smaller reporting company)
  
Smaller reporting company
 
o
Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  o    No  x
State the aggregate market value of the voting and non−voting common equity held by non−affiliates computed by reference to the price at which the common equity was last sold, or the average bid and asked price of such common equity, as of the last business day of the registrant's most recently completed second fiscal quarter: $412.2 million
As of February 24, 2012, there were 36,908,166 shares of the Registrant’s $0.01 par value Common Stock outstanding.


Table of Contents

SABRA HEALTH CARE REIT, INC. AND SUBSIDIARIES
Index
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 4. MINE SAFETY DISCLOSURES
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 



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Table of Contents

References throughout this document to “Sabra,” “we,” “our,” “ours” and “us” refer to Sabra Health Care REIT, Inc. and its direct and indirect consolidated subsidiaries and not any other person.
STATEMENT REGARDING FORWARD-LOOKING STATEMENTS
Certain statements in this Annual Report on Form 10-K (this “10-K”) contain “forward-looking” information as that term is defined by the Private Securities Litigation Reform Act of 1995 and the federal securities laws. Any statements that do not relate to historical or current facts or matters are forward-looking statements. Examples of forward-looking statements include all statements regarding our expected future financial position, results of operations, cash flows, liquidity, financing plans, business strategy, budgets, the expected amounts and timing of dividends and other distributions, projected expenses and capital expenditures, competitive position, growth opportunities, potential acquisitions, plans and objectives for future operations, and compliance with and changes in governmental regulations. You can identify some of the forward-looking statements by the use of forward-looking words such as “anticipate,” “believe,” “plan,” “estimate,” “expect,” “intend,” “should,” “may” and other similar expressions, although not all forward-looking statements contain these identifying words.
Our actual results may differ materially from those projected or contemplated by our forward-looking statements as a result of various factors, including among others, the following:
our dependence on Sun Healthcare Group, Inc. until we are able to further diversify our portfolio;
our dependence on the operating success of our tenants;
changes in general economic conditions and volatility in financial and credit markets;
the dependence of our tenants on reimbursement from governmental and other third-party payors;
the significant amount of and our ability to service our indebtedness;
covenants in our debt agreements that may restrict our ability to make acquisitions, incur additional indebtedness and refinance indebtedness on favorable terms;
increases in market interest rates;
our ability to raise capital through equity financings;
the relatively illiquid nature of real estate investments;
competitive conditions in our industry;
the loss of key management personnel or other employees;
the impact of litigation and rising insurance costs on the business of our tenants;
uninsured or underinsured losses affecting our properties and the possibility of environmental compliance costs and liabilities;
our ability to qualify and maintain our status as a REIT;
compliance with REIT requirements and certain tax matters related to status as a REIT;
We urge you to carefully consider these risks and review the additional disclosures we make concerning risks and other factors that may affect our business and operating results, including those made in Item 1A, “Risk Factors” in this 10-K, as such risk factors may be amended, supplemented or superseded from time to time by other reports we file with the Securities and Exchange Commission (“ SEC”) in the future, including subsequent Annual Reports on Form 10-K and Quarterly Reports on Form 10-Q. We caution you that any forward-looking statements made in this 10-K are not guarantees of future performance and you should not place undue reliance on these forward-looking statements, which speak only as of the date of this report. We do not intend, and we undertake no obligation, to update any forward-looking information to reflect events or circumstances after the date of this 10-K or to reflect the occurrence of unanticipated events, unless required by law to do so.
SUN HEALTHCARE GROUP, INC. INFORMATION
This 10-K includes information regarding Sun Healthcare Group, Inc. (formerly known as SHG Services, Inc.; “Sun”), a Delaware corporation. Sun is subject to the reporting requirements of the SEC and is required to file with the SEC annual reports containing audited financial information and quarterly reports containing unaudited financial information. The information related to Sun provided in this 10-K has been provided by Sun or derived from its public filings. We have not independently verified this information. We have no reason to believe that such information is inaccurate in any material respect. We are providing this data for informational purposes only. Sun’s filings with the SEC can be found at www.sec.gov.

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Table of Contents

PART I
 
ITEM 1. BUSINESS
Overview
We were incorporated on May 10, 2010 as a wholly owned subsidiary of Sun Healthcare Group, Inc. (“Old Sun”), a provider of nursing, rehabilitative and related specialty healthcare services principally to the senior population in the United States. Pursuant to a restructuring plan by Old Sun, Old Sun restructured its business by separating its real estate assets and its operating assets into two separate publicly traded companies, Sabra and SHG Services Inc. (which has been renamed “Sun Healthcare Group, Inc.” or “Sun”). In order to effect the restructuring, Old Sun distributed to its stockholders on a pro rata basis all of the outstanding shares of common stock of Sun (this distribution is referred to as the “Separation”), together with an additional cash distribution. Immediately following the Separation, Old Sun merged with and into Sabra, with Sabra surviving the merger and Old Sun stockholders receiving shares of Sabra common stock in exchange for their shares of Old Sun common stock (this merger is referred to as the “REIT Conversion Merger”). The Separation and REIT Conversion Merger were completed on November 15, 2010, which we refer to as the Separation Date.
We did not have any operations prior to the Separation Date. Following the restructuring of Old Sun’s business and the completion of the Separation and REIT Conversion Merger, we became a self-administered, self-managed real estate investment trust (“REIT”) that, directly or indirectly, owns and invests in real estate serving the healthcare industry.
As of December 31, 2011, our investment portfolio consisted of 97 real estate properties: (i) 76 skilled nursing facilities, (ii) ten combined skilled nursing, assisted living and independent living facilities, (iii) six assisted living facilities, (iv) two mental health facilities, (v) one independent living facility, (vi) one continuing care retirement community, and (vii) one acute care hospital. As of December 31, 2011, our real estate properties had a total of 10,877 licensed beds, or units, spread across 23 states. As of December 31, 2011, all of our real estate properties are leased under triple-net operating leases with expirations ranging from 9 to 23 years.
We expect to continue to grow our portfolio primarily through the acquisition of healthcare facilities, including skilled nursing facilities, senior housing facilities (which may include assisted living, independent living and continuing care retirement community facilities) and hospitals. As we acquire additional properties and expand our portfolio, we expect to further diversify by tenant, asset class and geography within the healthcare sector. Over time, we expect to pursue the acquisition of other healthcare property types, such as medical office buildings and life science facilities (commercial facilities that are primarily focused on life sciences research, development or commercialization, including properties that house biomedical and medical device companies). We employ a disciplined, opportunistic approach in our healthcare real estate investment strategy by investing in assets that provide attractive opportunities for dividend growth and appreciation of asset values, while maintaining balance sheet strength and liquidity, thereby creating long-term stockholder value.
We are organized to qualify as a REIT and we will elect to be treated as a REIT for U.S. federal income tax purposes upon the filing of our U.S. federal income tax return for the taxable year beginning January 1, 2011. We operate through an umbrella partnership (commonly referred to as an UPREIT) structure in which substantially all of our properties and assets are held by Sabra Health Care Limited Partnership, a Delaware limited partnership (the "Operating Partnership"), of which we are the sole general partner, or by subsidiaries of the Operating Partnership.
Our principal executive offices are located at 18500 Von Karman, Suite 550, Irvine, CA 92612, and our telephone number is (888) 393-8248. We maintain a website at www.sabrahealth.com. Sabra Health Care REIT, Inc. files reports with the SEC, including annual reports 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 Securities Exchange Act of 1934, as amended (the “Exchange Act”). We will make such filings available free of charge on our website as soon as reasonably practicable after such information has been filed or furnished with the SEC.
Our Industry
We operate as a REIT that invests in income-producing healthcare facilities, principally long-term care facilities, located in the United States. As we acquire additional properties and expand our portfolio, we expect to further diversify by geography, asset class and tenant within the healthcare sector. We invest primarily in the United States nursing home industry and other senior housing segments such as assisted living and independent living facilities. According to the American Health Care Association, the nursing home industry was comprised of approximately 15,700 facilities with approximately 1.7 million Medicare certified beds in the United States as of March 2011. The nursing home industry is highly fragmented. As of March 2011, the four largest for-profit chains accounted for 11.0% of industry revenues and the largest for-profit chain represented 3.8% of total revenue.

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Table of Contents

The primary growth drivers for the long-term care industry are expected to be the aging of the population and increased life expectancies. According to the United States Census Bureau, the number of Americans aged 65 or older is projected to increase from approximately 40.1 million in 2010 to approximately 54.3 million by 2020, representing a compounded annual growth rate of 3.1%. In addition to positive demographic trends, we expect demand for services provided by skilled nursing facilities to continue increasing due to the impact of cost containment measures adopted by the federal government that encourage patient treatment in more cost-effective settings, such as skilled nursing facilities. As a result, high acuity patients that previously would have been treated in long-term acute care hospitals and inpatient rehabilitation facilities are increasingly being treated in skilled nursing facilities. According to the Centers for Medicare & Medicaid Services, or CMS, nursing home expenditures are projected to grow from approximately $137 billion in 2009 to approximately $246 billion in 2019, representing a compounded annual growth rate of 6.0%. We believe that these trends will support an increasing demand for long-term care services, which in turn will support an increasing demand for our properties.
Portfolio of Healthcare Properties
We have a geographically diverse portfolio of healthcare properties in the United States that offer a range of long-term care health services in the areas of skilled nursing, assisted and independent living and mental health. Of our 97 properties, we own fee title to 91 properties and title under long-term ground leases for six properties.
Our portfolio consisted of the following types of healthcare facilities as of December 31, 2011:
Skilled nursing facilities. Skilled nursing facilities provide services that include daily nursing, therapeutic rehabilitation, social services, housekeeping, nutrition and administrative services for individuals requiring certain assistance for activities in daily living. A typical skilled nursing facility includes mostly one and two bed units, each equipped with a private or shared bathroom and community dining facilities.
 
Assisted living facilities. Assisted living facilities provide services that include minimal nursing assistance, housekeeping, nutrition, laundry and administrative services for individuals requiring minimal assistance for activities in daily living. Assisted living facilities permit residents to maintain some of their privacy and independence as they do not require constant supervision and assistance. Assisted living facilities typically are comprised of one and two bedroom suites equipped with private bathrooms and efficiency kitchens. Services bundled within one regular monthly fee usually include three meals per day in a central dining room, daily housekeeping, laundry, medical reminders and 24-hour availability of assistance with the activities of daily living, such as eating, dressing and bathing. Professional nursing and healthcare services are usually available at the facility on call or at regularly scheduled times.
Independent living facilities. Independent living facilities are age-restricted multi-family properties with central dining facilities that provide services that include security, housekeeping, nutrition and limited laundry services. Our independent living facilities are designed specifically for independent seniors who are able to live on their own, but desire the security and conveniences of community living. Independent living facilities typically offer several services covered under a regular monthly fee.
Mental health facilities. Mental health facilities provide a range of inpatient and outpatient behavioral health services for adults and children through specialized treatment programs.
Continuing care retirement community. Continuing care retirement communities, or CCRCs, provide, as a continuum of care, the services described above for independent living facilities, assisted living facilities and skilled nursing facilities in an integrated campus, under long-term contracts with the residents.
Acute care hospital. Acute care hospitals provide inpatient medical care and other related services for surgery, acute medical conditions or injuries (usually for a short-term illness or condition).

The following tables display the distribution of our licensed beds/units and the geographic concentration of our real estate investments by property type, investment and revenues as of or for the year ended December 31, 2011 (dollars in thousands):


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Table of Contents

Distribution of Licensed Beds/Units (1)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total Number of 
Properties
 
Bed Type
 
 
 
 
State
 
  
Skilled
Nursing
 
Assisted
Living
 
Mental Health
 
Independent
Living 
 
Acute Care Hospital
 
Total
 
% of
Total
New Hampshire
 
15

 
1,131

 
474

 

 

 

 
1,605

 
14.7
%
Connecticut
 
11

 
1,477

 
23

 

 
49

 

 
1,549

 
14.2

Kentucky
 
15

 
976

 
172

 

 

 

 
1,148

 
10.6

Ohio
 
8

 
954

 

 

 

 

 
954

 
8.8

Florida
 
5

 
660

 

 

 

 

 
660

 
6.1

Oklahoma
 
5

 
441

 
71

 
60

 
12

 

 
584

 
5.4

Montana
 
4

 
538

 

 

 

 

 
538

 
4.9

Delaware
 
4

 
500

 

 

 

 

 
500

 
4.6

Texas
 
4

 
360

 

 

 

 
70

 
430

 
4.0

New Mexico
 
3

 
190

 
120

 

 
60

 

 
370

 
3.4

Colorado
 
2

 
362

 

 

 

 

 
362

 
3.3

Georgia
 
2

 
310

 

 

 

 

 
310

 
2.9

California
 
3

 
301

 

 

 

 

 
301

 
2.8

Massachusetts
 
3

 
301

 

 

 

 

 
301

 
2.8

Idaho
 
3

 
229

 
16

 
22

 

 

 
267

 
2.5

Rhode Island
 
2

 
261

 

 

 

 

 
261

 
2.4

West Virginia
 
2

 
185

 

 

 

 

 
185

 
1.7

Maryland
 
1

 
135

 

 

 

 

 
135

 
1.2

Tennessee
 
1

 
134

 

 

 

 

 
134

 
1.2

North Carolina
 
1

 
100

 

 

 

 

 
100

 
0.9

Indiana
 
1

 
88

 

 

 

 

 
88

 
0.8

Wisconsin
 
1

 

 
59

 

 

 

 
59

 
0.5

Washington
 
1

 

 
36

 

 

 

 
36

 
0.3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
97

 
9,633

 
971

 
82

 
121

 
70

 
10,877

 
100.0
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
% of Total beds/units
 
 
 
88.6
%
 
8.9
%
 
0.8
%
 
1.1
%
 
0.6
%
 
100.0
%
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
(1) 
“Licensed Beds” refer to the number of beds for which a license has been issued, which may vary in some instances from licensed beds available for use, which is used in the computation of occupancy percentage. Available beds aggregated 10,495 as of December 31, 2011.

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Table of Contents

Geographic Concentration - Property Type
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
State
 
Skilled
Nursing
  
Multi-License
Designation
  
Assisted
Living
 
Mental Health
 
Independent
Living
 
CCRC
 
Acute Care Hospital
  
Total
  
% of
Total
Kentucky
 
11

 
2

 
2

 

 

 

 

 
15

 
15.5
%
New Hampshire
 
8

 
5

 
2

 

 

 

 

 
15

 
15.5

Connecticut
 
9

 
1

 

 

 
1

 

 

 
11

 
11.3

Ohio
 
8

 

 

 

 

 

 

 
8

 
8.2

Florida
 
5

 

 

 

 

 

 

 
5

 
5.2

Oklahoma
 
3

 
1

 

 
1

 

 

 

 
5

 
5.2

Montana
 
4

 

 

 

 

 

 

 
4

 
4.1

Delaware
 
4

 

 

 

 

 

 

 
4

 
4.1

Texas
 
3

 

 

 

 

 

 
1

 
4

 
4.1

California
 
3

 

 

 

 

 

 

 
3

 
3.1

Idaho
 
1

 
1

 

 
1

 

 

 

 
3

 
3.1

Massachusetts
 
3

 

 

 

 

 

 

 
3

 
3.1

New Mexico
 
2

 

 

 

 

 
1

 

 
3

 
3.1

Colorado
 
2

 

 

 

 

 

 

 
2

 
2.1

Georgia
 
2

 

 

 

 

 

 

 
2

 
2.1

Rhode Island
 
2

 

 

 

 

 

 

 
2

 
2.1

West Virginia
 
2

 

 

 

 

 

 

 
2

 
2.1

Indiana
 
1

 

 

 

 

 

 

 
1

 
1.0

North Carolina
 
1

 

 

 

 

 

 

 
1

 
1.0

Maryland
 
1

 

 

 

 

 

 

 
1

 
1.0

Tennessee
 
1

 

 

 

 

 

 

 
1

 
1.0

Washington
 

 

 
1

 

 

 

 

 
1

 
1.0

Wisconsin
 

 

 
1

 

 

 

 

 
1

 
1.0

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total
 
76

 
10

 
6

 
2

 
1

 
1

 
1

 
97

 
100.0
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


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Table of Contents

Geographic Concentration - Investment (1)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
State
Total
Number of
Centers
  
Skilled
Nursing
  
Multi-License
Designation
  
Assisted
Living
  
Mental
Health
  
Independent
Living
  
CCRC
  
Acute Care Hospital
 
Total
  
% of
Total
Connecticut
11

 
$
107,181

 
$
21,870

 
$

 
$

 
$
8,008

 
$

 
$

 
$
137,059

 
17.8
%
Delaware
4

 
95,780

 

 

 

 

 

 

 
95,780

 
12.4

New Hampshire
15

 
40,383

 
33,521

 
12,997

 

 

 

 

 
86,901

 
11.3

Texas
4

 
24,990

 

 

 

 

 

 
61,640

 
86,630

 
11.3

Kentucky
15

 
50,464

 
10,087

 
10,503

 

 

 

 

 
71,054

 
9.3

Ohio
8

 
43,662

 

 

 

 

 

 

 
43,662

 
5.7

Montana
4

 
42,809

 

 

 

 

 

 

 
42,809

 
5.6

Florida
5

 
31,600

 

 

 

 

 

 

 
31,600

 
4.1

Oklahoma
5

 
23,526

 
5,708

 

 
704

 

 

 

 
29,938

 
3.9

Colorado
2

 
28,920

 

 

 

 

 

 

 
28,920

 
3.8

Rhode Island
2

 
19,990

 

 

 

 

 

 

 
19,990

 
2.6

New Mexico
3

 
7,213

 

 

 

 

 
7,253

 

 
14,466

 
1.9

West Virginia
2

 
14,332

 

 

 

 

 

 

 
14,332

 
1.9

Massachusetts
3

 
13,105

 

 

 

 

 

 

 
13,105

 
1.7

Idaho
3

 
1,731

 
9,164

 

 
267

 

 

 

 
11,162

 
1.5

Maryland
1

 
9,764

 

 

 

 

 

 

 
9,764

 
1.3

North Carolina
1

 
9,748

 

 

 

 

 

 

 
9,748

 
1.3

California
3

 
4,602

 

 

 

 

 

 

 
4,602

 
0.6

Tennessee
1

 
4,506

 

 

 

 

 

 

 
4,506

 
0.6

Indiana
1

 
4,379

 

 

 

 

 

 

 
4,379

 
0.6

Georgia
2

 
3,924

 

 

 

 

 

 

 
3,924

 
0.5

Wisconsin
1

 

 

 
2,549

 

 

 

 

 
2,549

 
0.3

Washington
1

 

 

 
174

 

 

 

 

 
174

 
0.0
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
97

 
$
582,609

 
$
80,350

 
$
26,223

 
$
971

 
$
8,008

 
$
7,253

 
$
61,640

 
$
767,054

 
100.0
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(1) 
Represents the undepreciated book value of our properties as of December 31, 2011.

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Table of Contents

Geographic Concentration - Revenue
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
State
 
Total
Number of
Centers
 
Skilled
Nursing
 
Multi-License
Designation
 
Assisted
Living
 
Mental
Health
 
Independent Living
 
CCRC
 
Acute Care Hospital
 
Total
 
% of
Total
New Hampshire
 
15

 
$
6,567

 
$
4,853

 
$
1,311

 
$

 
$

 
$

 
$

 
$
12,731

 
15.9
%
Connecticut
 
11

 
8,908

 
1,706

 

 

 
288

 

 

 
10,902

 
13.5

Kentucky
 
15

 
7,831

 
1,415

 
464

 

 

 

 

 
9,710

 
12.0

Florida
 
5

 
7,692

 

 

 

 

 

 

 
7,692

 
9.5

Texas
 
4

 
921

 

 

 

 

 

 
4,360

 
5,281

 
6.5

Ohio
 
8

 
5,134

 

 

 

 

 

 

 
5,134

 
6.4

Montana
 
4

 
5,109

 

 

 

 

 

 

 
5,109

 
6.3

Delaware
 
4

 
4,408

 

 

 

 

 

 

 
4,408

 
5.5

Colorado
 
2

 
3,241

 

 

 

 

 

 

 
3,241

 
4.0

Idaho
 
3

 
101

 
2,447

 

 
280

 

 

 

 
2,828

 
3.5

California
 
3

 
2,722

 

 

 

 

 

 

 
2,722

 
3.4

New Mexico
 
3

 
913

 

 

 

 

 
1,546

 

 
2,459

 
3.0

Oklahoma
 
5

 
1,732

 
513

 

 
131

 

 

 

 
2,376

 
2.9

West Virginia
 
2

 
1,360

 

 

 

 

 

 

 
1,360

 
1.7

North Carolina
 
1

 
1,136

 

 

 

 

 

 

 
1,136

 
1.4

Massachusetts
 
3

 
1,048

 

 

 

 

 

 

 
1,048

 
1.3

Rhode Island
 
2

 
815

 

 

 

 

 

 

 
815

 
1.0

Georgia
 
2

 
612

 

 

 

 

 

 

 
612

 
0.8

Tennessee
 
1

 
370

 

 

 

 

 

 

 
370

 
0.5

Maryland
 
1

 
325

 

 

 

 

 

 

 
325

 
0.4

Indiana
 
1

 
216

 

 

 

 

 

 

 
216

 
0.3

Washington
 
1

 

 

 
176

 

 

 

 

 
176

 
0.2

Wisconsin
 
1

 

 

 
27

 

 

 

 

 
27

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total
 
97

 
$
61,161

 
$
10,934

 
$
1,978

 
$
411

 
$
288

 
$
1,546

 
$
4,360

 
$
80,678

 
100.0
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
75.7
%
 
13.6
%
 
2.5
%
 
0.5
%
 
0.4
%
 
1.9
%
 
5.4
%
 
100.0
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Significant Tenant Overview
As of December 31, 2011, 86 of our 97 properties were operated by subsidiaries of Sun. These properties are leased to subsidiaries of Sun pursuant to triple-net leases that are guaranteed by Sun. Sun is a healthcare services company, serving principally the senior population through its various subsidiaries. As of December 31, 2011, Sun's subsidiary SunBridge Healthcare and its subsidiaries operated 165 skilled nursing centers, 14 combined skilled nursing, assisted and independent living centers, 10 assisted living centers, 2 independent living centers and 8 mental health centers with an aggregate of 22,860 licensed beds in 25 states. Other Sun subsidiaries include: SunDance Rehabilitation, which provides rehabilitation therapy services to affiliated and non-affiliated centers in 36 states; CareerStaff Unlimited, which provides medical staffing services in 40 states; and SolAmor Hospice, which provides hospice services in 11 states.
Our lease agreements with subsidiaries of Sun provide for an initial term of between 10 and 15 years with no purchase options. At the option of Sun, these lease agreements may be extended for up to two five-year renewal terms beyond the initial term and, if elected, the renewal will be effective for all of the leased property then subject to the applicable lease agreement. Amounts due under these lease agreements are fixed (except for an annual rent escalator described below), and there is no contingent rental income based upon the revenues, net income or other measures which may be derived by subsidiaries of Sun from our properties. Under our lease agreements with subsidiaries of Sun, there is an annual rent escalator equal to the product of (a) the lesser of the percentage change in the Consumer Price Index (but not less than zero) or 2.5%, and (b) the prior year's rent. During the year ended December 31, 2011, Sun paid $70.4 million of rent to us under these lease agreements.
Because we currently lease the majority of our properties to Sun and Sun is a significant source of our rental revenues, Sun's financial condition and ability and willingness to satisfy its obligations under its lease agreements with us and its willingness to renew those leases upon expiration of the initial base terms thereof will significantly impact our revenues and our ability to service our indebtedness and to make distributions to our stockholders. There can be no assurance that Sun will have sufficient assets, income and access to financing to enable it to satisfy its obligations under its lease agreements with us, and any inability or unwillingness on its part to do so would have a material adverse effect on our business, financial condition,

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results of operations and liquidity, on our ability to service our indebtedness and other obligations and on our ability to make distributions to our stockholders, as required for us to qualify, and maintain our status, as a REIT. We also cannot assure you that Sun will elect to renew its lease agreements with us upon expiration of the initial base terms or any renewal terms thereof or, if such leases are not renewed, that we can reposition the affected properties on the same or better terms. See “Risk Factors—Risks Relating to Our Business—We are dependent on Sun until we substantially diversify our portfolio, and an event that has a material adverse effect on Sun's business, financial position or results of operations would have a material adverse effect on our business, financial position or results of operations.”
Investment and Financing Strategy
We intend to invest in additional healthcare properties as suitable opportunities arise and adequate sources of financing are available. In making investments in healthcare properties, our investment objectives are to increase cash flow, provide quarterly cash distributions, maximize the value of our properties and acquire properties with cash flow growth potential. To date, we have generally structured our acquisitions with triple-net leases; however, we may choose to pursue other forms of investment structures, including taxable REIT subsidiary structures, mezzanine and secured debt investments, and joint ventures.
We expect that future investments in properties, including any improvements or renovations of current or newly-acquired properties, will depend on and will be financed, in whole or in part, by our existing cash, borrowings available to us pursuant to our secured revolving credit facility, future borrowings or the proceeds from additional issuances of common stock, debt or other securities. In addition, we expect to seek financing from U.S. government agencies, including through Fannie Mae and the U.S. Department of Housing and Urban Development (“HUD”), in appropriate circumstances in connection with acquisitions and refinancings of existing mortgage loans.
Competitive Strengths
We believe the following competitive strengths will contribute significantly to our success:
Geographically Diverse and Stable Property Portfolio
Our portfolio of 97 properties, comprising 10,877 licensed beds, is broadly diversified by location across 23 states. The properties in any one state did not account for more than 15% of our total licensed beds as of December 31, 2011, and the properties in any one state did not account for more than 16% and 19%, respectively, of our total revenue during the year ended December 31, 2011 and the period from the Separation Date through December 31, 2010. Our geographic diversification will limit the effect of a decline in any one regional market on our overall performance. The annual occupancy percentages of our properties remained stable at between 87.5% and 91.4% over the last five years.
Long-Term, Triple-Net Lease Structure
All of our real estate properties are leased under triple-net operating leases with expirations ranging from 9 to 23 years, pursuant to which the tenants are responsible for all facility maintenance, insurance required in connection with the leased properties and the business conducted on the leased properties, taxes levied on or with respect to the leased properties and all utilities and other services necessary or appropriate for the leased properties and the business conducted on the leased properties. As of December 31, 2011, the leases have a weighted-average remaining term of 12 years. We retain substantially all of the risks and benefits of ownership of the real estate assets leased to tenants. As of December 31, 2011, the lease agreements with subsidiaries of Sun are guaranteed by Sun, and as a result, we did not require a security deposit from any of Sun's subsidiaries. For our properties that are leased to tenants other than Sun's subsidiaries, we have in certain instances obtained security deposits.
Strong Relationships with Operators
The members of our management team have developed an extensive network of relationships with qualified local, regional and national operators of skilled nursing and senior housing facilities across the United States. This extensive network has been built by our management team through over 20 years of operating experience, involvement in industry trade organizations and the development of banking relationships and investor relations within the skilled nursing and senior housing industries. We work collaboratively with our operators to help them achieve their growth and business objectives. We believe these strong relationships with operators help us to source investment opportunities.
Ability to Identify Talented Operators
As a result of our management team's operating experience, network of relationships and industry insight, we have been able and expect to continue to be able to identify qualified local, regional and national operators. We seek operators who possess local market knowledge, demonstrate hands-on management, have proven track records and emphasize patient care.

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We believe our management team's experience gives us a key competitive advantage in objectively evaluating an operator's financial position, emphasis on care and operating efficiency.
Significant Experience in Proactive Asset Management
The members of our management team have significant experience developing systems to collect and evaluate data relating to the underlying operational and financial success of healthcare companies and healthcare-related real estate assets. We are able to utilize this experience and expertise to provide our operators, when requested, with significant assistance in the areas of marketing, development, facility expansion and strategic planning. We actively monitor the operating results of our tenants and, when requested, will work closely with our operators to identify and capitalize on opportunities to improve the operations of our facilities and the overall financial and operating strength of our operators.
Experienced Management Team
Although our management team has limited experience in operating a REIT, it has extensive healthcare and real estate experience. Richard K. Matros, Chairman, President and Chief Executive Officer of Sabra, has more than 20 years of experience in the acquisition, development and disposition of skilled nursing facilities and other healthcare facilities, including nine years at Old Sun. Harold W. Andrews, Jr., Executive Vice President, Chief Financial Officer and Secretary of Sabra, is a finance professional with more than 10 years of experience in both the provision of healthcare services and healthcare real estate. Talya Nevo-Hacohen, Executive Vice President, Chief Investment Officer and Treasurer of Sabra, is a real estate finance executive with more than 20 years of experience in real estate finance, acquisition and development, including three years of experience managing and implementing the capital markets strategy of an S&P 500 healthcare REIT. Through years of public company experience, our management team also has extensive experience accessing both debt and equity capital markets to fund growth and maintain a flexible capital structure.
Flexible UPREIT Structure
We operate through an umbrella partnership, commonly referred to as an UPREIT structure, in which substantially all of our properties and assets are held by the Operating Partnership or by subsidiaries of the Operating Partnership. Conducting business through the Operating Partnership allows us flexibility in the manner in which we structure and acquire properties. In particular, an UPREIT structure enables us to acquire additional properties from sellers in exchange for limited partnership units, which may provide property owners the opportunity to defer the tax consequences that would otherwise arise from a sale of their real properties and other assets to us. As a result, this structure allows us to acquire assets more efficiently and may allow us to acquire assets that the owner would otherwise be unwilling to sell because of tax considerations.
Business Strategies
We pursue business strategies focused on opportunistic acquisitions and property diversification. We do not currently have a fixed schedule of the number of acquisitions we intend to make over a particular time period, but instead we pursue those acquisitions that meet our investing and financing strategy and that are attractively priced. We also intend to further develop our relationships with tenants and healthcare providers with a goal to progressively expand the mixture of tenants managing and operating our properties.
 
The key components of our business strategies include:
Diversify Asset Portfolio
We expect to diversify through the acquisition of new properties. We are employing what we believe to be a disciplined, opportunistic acquisition strategy with an initial focus on the acquisition of skilled nursing facilities, senior housing facilities and hospitals. Over time, we expect to pursue the acquisition of other healthcare property types, such as medical office buildings and life sciences facilities (commercial facilities that are primarily focused on life sciences research, development or commercialization, including properties that house biomedical and medical device companies). As we acquire additional properties, we expect to further diversify by tenant, asset class and geography within the healthcare sector.
Maintain Balance Sheet Strength and Liquidity
We seek to maintain a capital structure that provides the resources and flexibility to support the growth of our business. As of December 31, 2011, we had approximately $142.3 million in liquidity, consisting of unrestricted cash and cash equivalents of $42.3 million and available borrowings under our secured revolving credit facility of $100 million, which amount was increased to $200.0 million as of February 10, 2012 pursuant to an amendment to our secured revolving credit facility. Further, we expect to opportunistically seek access to U.S. government agency financing, including through Fannie Mae and HUD. We intend to maintain a mix of credit facility debt, mortgage debt and unsecured term debt which, together with

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our anticipated ability to complete future equity financings, we expect will fund the growth of our operations.
Develop New Tenant Relationships
We seek to cultivate our relationships with tenants and healthcare providers in order to expand the mixture of tenants operating our properties and, in doing so, to reduce our dependence on any single tenant or operator. We expect that this objective will be achieved over time as part of our overall strategy to acquire new properties and further diversify our overall portfolio of healthcare properties. From the Separation Date through December 31, 2011, we developed six new tenant relationships.
Capital Source to Underserved Operators
We believe that there is a significant opportunity to be a capital source to healthcare operators through the acquisition and leasing of healthcare properties that are consistent with our investment and financing strategy, but that, due to size and other considerations, are not a focus for larger healthcare REITs. We utilize our management team's operating experience, network of relationships and industry insight to identify financially strong and growing operators in need of capital funding for future growth. In appropriate circumstances, we may negotiate with operators to acquire individual healthcare properties from those operators and then lease those properties back to the operators pursuant to long-term triple-net leases.
Strategic Capital Improvements
We intend to continue to support operators by providing capital to them for a variety of purposes, including for capital expenditures and facility modernization. We expect to structure these investments as either lease amendments that produce additional rents or as loans that are repaid by operators during the applicable lease term.
Pursue Strategic Development Opportunities
We intend to work with our operators to identify strategic development opportunities. These opportunities may involve replacing or renovating facilities in our portfolio that may have become less competitive. We also intend to identify new development opportunities that present attractive risk-adjusted returns. There are no present plans for the improvement or development of any unimproved or undeveloped property.
 Our Employees
As of December 31, 2011, we employed seven full-time employees (including our executive officers), none of whom is subject to a collective bargaining agreement.
Competition
We compete for real property investments with other REITs, investment companies, private equity and hedge fund investors, sovereign funds, healthcare operators, lenders and other investors. Some of our competitors are significantly larger and have greater financial resources and lower costs of capital than we do. Increased competition will make it more challenging to identify and successfully capitalize on acquisition opportunities that meet our investment objectives. Our ability to compete is also impacted by national and local economic trends, availability of investment alternatives, availability and cost of capital, construction and renovation costs, existing laws and regulations, new legislation and population trends. See “Risk Factors—Risks Relating to Our Business—Real estate is a competitive business and this competition may make it difficult for us to identify and purchase suitable healthcare properties.”
In addition, revenues from our properties are dependent on the ability of our tenants and operators to compete with other healthcare operators. These operators compete on a local and regional basis for residents and patients, and the operators' ability to successfully attract and retain residents and patients depends on key factors such as the number of facilities in the local market, the types of services available, the quality of care, reputation, age and appearance of each facility and the cost of care in each locality. Private, federal and state payment programs and the effect of other laws and regulations may also have a significant impact on the ability of our tenants and operators to compete successfully for residents and patients at the properties.
Government Regulation
The tenants of our properties who operate the skilled nursing, assisted living, independent living and mental health facilities are subject to extensive and complex federal, state and local healthcare laws and regulations, including anti-kickback, anti-fraud and abuse provisions codified under the Social Security Act. These provisions prohibit certain business practices and relationships that might affect the provision and cost of healthcare services reimbursable under Medicare and Medicaid. Sanctions for violating these anti-kickback, anti-fraud and abuse provisions include criminal penalties, civil sanctions, fines and possible exclusion from government programs such as Medicare and Medicaid. If a center is decertified as a Medicare or

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Medicaid provider by CMS or a state, the center will not thereafter be reimbursed for caring for residents that are covered by Medicare and Medicaid, and the center would be forced to care for such residents without being reimbursed or to transfer such residents.
Our tenants' skilled nursing centers and mental health centers are licensed under applicable state law, and are certified or approved as providers under the Medicare and Medicaid programs. State and local agencies survey all skilled nursing centers on a regular basis to determine whether such centers are in compliance with governmental operating and health standards and conditions for participation in government sponsored third party payor programs. Under certain circumstances, the federal and state agencies have the authority to take adverse actions against a center or service provider, including the imposition of a monitor, the imposition of monetary penalties and the decertification of a center or provider from participation in the Medicare and/or Medicaid programs or licensure revocation. Challenging and appealing notices or allegations of noncompliance can require significant legal expenses and management attention.
Various states in which our tenants operate our centers have established minimum staffing requirements or may establish minimum staffing requirements in the future. Failure to comply with such minimum staffing requirements may result in the imposition of fines or other sanctions. Most states in which our tenants operate have statutes requiring that prior to the addition or construction of new nursing home beds, to the addition of new services or to certain capital expenditures in excess of defined levels, the tenant first must obtain a certificate of need, which certifies that the state has made a determination that a need exists for such new or additional beds, new services or capital expenditures. The certification process is intended to promote quality healthcare at the lowest possible cost and to avoid the unnecessary duplication of services, equipment and centers. This certification process can restrict or prohibit the undertaking of a project or lengthen the period of time required to enlarge or renovate a facility or replace a tenant.
In addition to the above, those of our tenants who provide services that are paid for by Medicare and Medicaid are subject to federal and state budgetary cuts and constraints that limit the reimbursement levels available from these government programs.
Our subsidiaries own eight health facilities with mortgage loans that are guaranteed by HUD. Those facilities are subject to the rules and regulations of HUD, including periodic inspections by HUD, although the tenants of those facilities have the primary responsibility for maintaining the facilities in compliance with HUD's rules and regulations. The regulatory agreements entered into by each owner and each operator of the property restrict, among other things, any sale or other transfer of the property, modification of the lease between the owner and the operator, use of surplus cash from the property except upon certain conditions, renovations of the property and use of the property other than for a skilled nursing facility, all without prior HUD approval.
In addition, as an owner of real property, we are subject to various federal, state and local environmental and health and safety laws and regulations. These laws and regulations address various matters, including asbestos, fuel oil management, wastewater discharges, air emissions, medical wastes and hazardous wastes. The costs of complying with these laws and regulations and the penalties for non-compliance can be substantial. For example, although we do not operate or manage our properties, we may be held primarily or jointly and severally liable for costs relating to the investigation and clean up of any property from which there has been a release or threatened release of a regulated material as well as 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, property or natural resources. See “Risk Factors—Risks Relating to Our Business—Environmental compliance costs and liabilities associated with real estate properties owned by us may materially impair the value of those investments.”
The Operating Partnership
We own substantially all of our assets and properties and conduct our operations through the Operating Partnership. We believe that conducting business through the Operating Partnership provides flexibility with respect to the manner in which we structure and acquire properties. In particular, an UPREIT structure could enable us to acquire additional properties from sellers in tax deferred transactions. In these transactions, the seller would typically contribute its assets to the Operating Partnership in exchange for limited partnership interests. Holders of these limited partnership interests would be entitled to redeem their partnership interests for shares of the stock of Sabra on a specified basis, or, at our option, an equivalent amount of cash. We manage and control the Operating Partnership and are its sole general partner.
 



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ITEM 1A. RISK FACTORS
The following describes the risks and uncertainties that could cause our actual results to differ materially from those presented in our forward-looking statements. The risks and uncertainties described below are not the only ones we face but do represent those risks and uncertainties that we believe are material to us. Additional risks and uncertainties not presently known to us or that we currently deem immaterial may also harm our business.

Risks Relating to Our Business
We are dependent on Sun until we substantially diversify our portfolio, and an event that has a material adverse effect on Sun's business, financial position or results of operations would have a material adverse effect on our business, financial position or results of operations.
Subsidiaries of Sun are currently the lessees of 86 of our 97 properties (with Sun guaranteeing the obligations under these lease agreements) and, therefore, a significant source of our revenues. There can be no assurance that Sun and its subsidiaries will have sufficient assets, income and access to financing to enable them to satisfy their payment obligations under their lease agreements. The inability of Sun and its subsidiaries to meet their rent obligations would materially adversely affect our business, financial position or results of operations including our ability to pay dividends to our stockholders as required to maintain our status as a REIT. The inability of Sun and its subsidiaries to satisfy their other obligations under their lease agreements such as the payment of taxes, insurance and utilities could have a material adverse effect on the condition of the leased properties as well as on our business, financial position and results of operations. For these reasons, if Sun were to experience a material adverse effect on its business, financial position or results of operations, our business, financial position or results of operations would also be materially adversely affected.
Due to our dependence on rental payments from Sun and its subsidiaries as a significant source of revenues, we may be limited in our ability to enforce our rights under these lease agreements or to terminate a lease thereunder. Failure by Sun and its subsidiaries to comply with the terms of their lease agreements or to comply with the healthcare regulations to which the leased properties and Sun's operations are subject could require us to find other lessees for any affected leased properties and there could be a decrease or cessation of rental payments by Sun and its subsidiaries. In such event, we may be unable to locate suitable replacement lessees willing to pay similar rental rates or at all, which would have the effect of reducing our rental revenues.
We are dependent on the operating success of our tenants.
Our tenants' revenues are primarily driven by occupancy, Medicare and Medicaid reimbursement and private pay rates. Revenues from government reimbursement have been, and may continue to be, subject to rate cuts and further pressure from federal and state budgetary cuts and constraints. Overall weak economic conditions in the United States may adversely affect occupancy rates of healthcare facilities that rely on private pay residents. Our tenants' expenses are driven by the costs of labor, food, utilities, taxes, insurance and rent or debt service. To the extent any decrease in revenues and/or any increase in operating expenses results in our tenants' not generating enough cash to make scheduled lease payments to us, or if a tenant is subject to bankruptcy or insolvency, our business, financial position or results of operations could be materially adversely affected.

We have substantial indebtedness and the ability to incur significant additional indebtedness.
As of December 31, 2011, our indebtedness consisted of $225.0 million of 8.125% senior notes due 2018 (the “Senior Notes”) and aggregate mortgage indebtedness to third parties of $157.9 million on certain of our properties. In addition, we had $100.0 million available for borrowing under our secured revolving credit facility as of December 31, 2011, which availability increased to $200 million following the amendment of our secured revolving credit facility on February 10, 2012. Our high level of indebtedness may have the following important consequences to us:
It may become more difficult for us to satisfy our obligations (including ongoing interest payments and, where applicable, scheduled amortization payments) with respect to the Senior Notes and our other debt;
It may limit our ability to obtain additional financing to fund future acquisitions, working capital, capital expenditures or other general corporate requirements;
It may increase our cost of borrowing;
It may limit our ability to adjust rapidly to changing market conditions and we may be vulnerable in the event of a downturn in general economic conditions or in the real estate and/or healthcare sectors;
It may place us at a competitive disadvantage against less leveraged competitors; and
It may require us to sell assets and properties at an inopportune time.

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In addition, the indenture governing the Senior Notes permits us to incur substantial additional debt, including secured debt (to which the Senior Notes will be effectively subordinated). If we incur additional debt, the related risks described above could intensify.
We may be unable to service our indebtedness.
Our ability to make scheduled payments on and to refinance our indebtedness depends on and is subject to our financial and operating performance, which in turn is affected by general and regional economic, financial, competitive, business and other factors beyond our control, including the availability of financing in the international banking and capital markets. Our business may fail to generate sufficient cash flow from operations or future borrowings may be unavailable to us under our secured revolving credit facility or from other sources in an amount sufficient to enable us to service our debt, to refinance our debt or to fund our other liquidity needs. If we are unable to meet our debt obligations or to fund our other liquidity needs, we will need to restructure or refinance all or a portion of our debt. We may be unable to refinance any of our debt, including our secured revolving credit facility, on commercially reasonable terms or at all. In particular, our secured revolving credit facility will mature prior to the maturity of the Senior Notes. If we were unable to make payments or refinance our debt or obtain new financing under these circumstances, we would have to consider other options, such as asset sales, equity issuances and/or negotiations with our lenders to restructure the applicable debt. Our secured revolving credit facility and the indenture governing the Senior Notes restrict, and market or business conditions may limit, our ability to take some or all of these actions. Any restructuring or refinancing of our indebtedness could be at higher interest rates and may require us to comply with more onerous covenants that could further restrict our business operations.
Covenants in our debt agreements restrict our activities and could adversely affect our business.
Our debt agreements, including the indenture governing the Senior Notes and our secured revolving credit facility, contain various covenants that limit our ability and the ability of our restricted subsidiaries to engage in various transactions including:
Incurring additional secured and unsecured debt;
Paying dividends or making other distributions on, redeeming or repurchasing capital stock;
Making investments or other restricted payments;
Entering into transactions with affiliates;
Issuing stock of or interests in restricted subsidiaries;
Engaging in non-healthcare related business activities;
Creating restrictions on the ability of our restricted subsidiaries to pay dividends or other amounts to us;
Selling assets; or
Effecting a consolidation or merger or selling all or substantially all of our assets.
These covenants limit our operational flexibility and could prevent us from taking advantage of business opportunities as they arise, growing our business or competing effectively. In addition, our secured revolving credit facility requires us to maintain specified financial covenants, which include a maximum leverage ratio, a minimum fixed charge coverage ratio and a minimum tangible net worth ratio, as well as satisfy other financial condition tests. The indenture governing the Senior Notes requires us to maintain total unencumbered assets of at least 150% of our unsecured indebtedness. Our ability to meet these requirements may be affected by events beyond our control, and we may not meet these requirements.
Our secured revolving credit facility also allows for the lenders thereunder to conduct periodic appraisals of our owned properties that secure such facility, and if the appraised values were to decline in the future, the amount that can be borrowed under such facility would be decreased unless we pledge additional assets as collateral.
A breach of any of the covenants or other provisions in our debt agreements could result in an event of default, which if not cured or waived, could result in such debt becoming immediately due and payable. This, in turn, could cause our other debt to become due and payable as a result of cross-acceleration provisions contained in the agreements governing such other debt. We may be unable to maintain compliance with these covenants and, if we fail to do so, we may be unable to obtain waivers from the lenders and/or amend the covenants. In the event that some or all of our debt is accelerated and becomes immediately due and payable, we may not have the funds to repay, or the ability to refinance, such debt.
 An increase in market interest rates could increase our interest costs on existing and future debt and could adversely affect our stock price.
If interest rates increase, so could our interest costs for our existing debt and any new debt. This increased cost could

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make the financing of any acquisition more costly. Rising interest rates could limit our ability to refinance existing debt when it matures or cause us to pay higher interest rates upon refinancing. In addition, an increase in interest rates could decrease the access third parties have to credit, thereby decreasing the amount they are willing to pay for our assets, and consequently limit our ability to reposition our portfolio promptly in response to changes in economic or other conditions.
Our ability to raise capital through equity financings is dependent, in part, on the market price of our common stock, which depends on market conditions and other factors affecting REITs generally.
Our ability to raise capital through equity financings depends, in part, on the market price of our common stock, which in turn depends on fluctuating market conditions and other factors including the following:
the reputation of REITs and attractiveness of their equity securities in comparison with other equity securities, including securities issued by other real estate companies;
our financial performance and that of our tenants;
concentrations in our investment portfolio by tenant and facility type;
concerns about our tenants' financial condition due to uncertainty regarding reimbursement from governmental and other third-party payor programs;
the contents of analyst reports about us and the REIT industry;
changes in interest rates on fixed-income securities, which may lead prospective investors to demand a higher annual yield from investments in our common stock;
maintaining or increasing our dividend, which is determined by our board of directors and depends on our financial position, results of operations, cash flows, capital requirements, debt covenants (which include limits on distributions by us), applicable law, and other factors as our board of directors deems relevant; and
regulatory action and changes in REIT tax laws.
The market value of a REIT's equity securities is generally based upon the market's perception of the REIT's growth potential and its current and potential future earnings and cash distributions. If we fail to meet the market's expectation with regard to future earnings and cash distributions, the market price of our common stock could decline and our ability to raise capital through equity financings could be materially adversely affected.
Required regulatory approvals can delay or prohibit transfers of our healthcare properties, which could result in periods in which we are unable to receive rent for such properties.
Our tenants are operators of skilled nursing and other healthcare facilities, which operators must be licensed under applicable state law and, depending upon the type of facility, certified or approved as providers under the Medicare and/or Medicaid programs. Prior to the transfer of the operations of such healthcare properties to successor operators, the new operator generally must become licensed under state law and, in certain states, receive change of ownership approvals under certificate of need laws (which laws provide for a certification that the state has made a determination that a need exists for the beds located on the applicable property). If applicable, Medicare and Medicaid provider approvals may be needed as well. In the event that an existing lease is terminated or expires and a new tenant is found, then any delays in the new tenant receiving regulatory approvals from the applicable federal, state or local government agencies, or the inability of such tenant to receive such approvals, may prolong the period during which we are unable to collect the applicable rent.
Our tenants depend on reimbursement from governmental and other third-party payor programs, and reimbursement rates from such payors may be reduced.

Our tenants depend on third-party payors, including Medicare, Medicaid or private third-party payors, for the majority of their revenue. The reduction in reimbursement rates from third-party payors, including Medicare and Medicaid programs, or other measures reducing reimbursements for services provided by our tenants, has resulted, and may continue to result, in a reduction in our tenants' revenues and operating margins. In addition, reimbursement from private third-party payors may be reduced as a result of retroactive adjustment during a claims settlement processes or as a result of post-payment audits. Furthermore, new legislative and regulatory proposals could impose additional limitations on government and private payments to healthcare providers. We cannot assure you that adequate reimbursement levels will continue to be available for the services provided by our tenants. Although moderate reimbursement rate reductions may not affect our tenants' ability to meet their financial obligations to us, significant limits on reimbursement rates or on the services reimbursed could have a material adverse effect on their business, financial position or results of operations, which could materially adversely affect their ability to meet their financial obligations to us.
For example, on July 29, 2011, CMS released its final rule regarding 2012 Medicare payment rates for skilled nursing facilities, which became effective October 1, 2011. Based on the final rule, the net reduction in fiscal year 2012 Medicare reimbursement rates for skilled nursing facilities will be 11.1%. On January 4, 2012, Sun issued a press release announcing its

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2012 financial outlook and guidance, in which Sun stated that it expected the net impact of the final rule in 2012 to be between $40 million to $45 million after mitigation strategies were implemented to partially offset the impact of the CMS final rule. Based on Sun's expected 2012 consolidated EBITDAR (earnings before interest, taxes, depreciation, amortization and rent) of between $222.0 million and $228.0 million and expected consolidated rents across all of its facilities totaling $148.0 million, Sun's expected 2012 consolidated EBITDAR coverage would be between 1.50x and 1.54x (Sun's expected 2012 consolidated EBITDAR coverage would be between 1.46x and 1.50x before eliminating assets Sun expects to transition to held for sale status in 2012). In addition to Sun, other tenants have undertaken cost and patient mix mitigation activities intended to partially offset the impact of the CMS final rule. If Sun and our other skilled nursing facility tenants are unable to mitigate the impact of the CMS final rule as expected, this may have an adverse impact on their business and financial results, which will adversely affect our business, financial position or results of operations if they are unable to timely make their rental payments to us.
We may not be able to sell properties when we desire because real estate investments are relatively illiquid, which could have a material adverse effect on our business, financial position or results of operations.
Real estate investments generally cannot be sold quickly. In addition, some and potentially substantially all of our properties serve as collateral for our current and future secured debt obligations and cannot readily be sold unless the underlying mortgage indebtedness is concurrently repaid. We may not be able to vary our portfolio promptly in response to changes in the real estate market. A downturn in the real estate market could materially adversely affect the value of our properties and our ability to sell such properties for acceptable prices or on other acceptable terms. We also cannot predict the length of time needed to find a willing purchaser and to close the sale of a property or portfolio of properties. Further, because Sabra owns appreciated assets that were held before Sabra elected to be treated as a REIT, if Sabra sells any such property in a taxable transaction within the ten-year period following Sabra's qualification as a REIT, Sabra will generally be subject to corporate tax on that gain to the extent of the built-in gain in that property at the time Sabra became a REIT. The amount of corporate tax that Sabra would pay will vary depending on the actual amount of net built-in gain or loss present in those assets as of the time Sabra became a REIT. As of January 1, 2011, the built-in-gains tax associated with our properties totaled approximately $145.8 million assuming a 40% corporate tax rate. These factors and any others that would impede our ability to respond to adverse changes in the performance of our properties could have a material adverse effect on our business, financial position or results of operations.
Real estate is a competitive business and this competition may make it difficult for us to identify and purchase suitable healthcare properties.
We operate in a highly competitive industry and face competition from other REITs, investment companies, private equity and hedge fund investors, sovereign funds, healthcare operators, lenders and other investors, some of whom are significantly larger than us and have greater resources and lower costs of capital than we do. This competition makes it more challenging to identify and successfully capitalize on acquisition opportunities that meet our investment objectives. If we cannot identify and purchase a sufficient quantity of healthcare properties at favorable prices or if we are unable to finance acquisitions on commercially favorable terms, our business, financial position or results of operations could be materially adversely affected.
If we lose our key management personnel, we may not be able to successfully manage our business and achieve our objectives.
Our success depends in large part upon the leadership and performance of our executive management team, particularly Mr. Matros, our President and Chief Executive Officer. If we lose the services of Mr. Matros, we may not be able to successfully manage our business or achieve our business objectives.
We have a limited number of employees and, accordingly, the loss of any one of our employees could harm our operations.
As of December 31, 2011, we employed seven full-time employees, including our executive officers. Accordingly, the impact we may feel from the loss of one of our full-time employees may be greater than the impact such a loss would have on a larger organization. While it is anticipated that we could find replacements for our personnel, the loss of their services could harm our operations, at least in the short term.
 
Potential litigation and rising insurance costs may affect our tenants' ability to obtain and maintain adequate liability and other insurance and their ability to make lease payments and fulfill their insurance and indemnification obligations to us.
Our tenants may be subject to lawsuits filed by advocacy groups that monitor the quality of care at healthcare facilities or by patients, facility residents or their families. Significant damage awards are possible in cases where neglect has been found. This litigation has increased our tenants' costs of monitoring and reporting quality of care and has resulted in increases in the cost of liability and medical malpractice insurance. These increased costs may materially adversely affect our tenants' ability to

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obtain and maintain adequate liability and other insurance; manage related risk exposures; fulfill their insurance, indemnification and other obligations to us under their leases; or make lease payments to us.
We may experience uninsured or underinsured losses, which could result in a significant loss of the capital we have invested in a property, decrease anticipated future revenues or cause us to incur unanticipated expenses.
While our lease agreements require that comprehensive insurance and hazard insurance be maintained by the tenants, there are certain types of losses, generally of a catastrophic nature, such as earthquakes, hurricanes and floods, that may be uninsurable or not economically insurable. Insurance coverage may not be sufficient to pay the full current market value or current replacement cost of a loss. Inflation, changes in building codes and ordinances, environmental considerations, and other factors also might make it infeasible to use insurance proceeds to replace properties after they have been damaged or destroyed. Under such circumstances, the insurance proceeds received might not be adequate to restore the economic position with respect to a damaged property.
Environmental compliance costs and liabilities associated with real estate properties owned by us may materially impair the value of those investments.
As an owner of real property, we or our subsidiaries are subject to various federal, state and local environmental and health and safety laws and regulations. Although we do not operate or manage our properties, we or our subsidiaries may be held primarily or jointly and severally liable for costs relating to the investigation and clean-up of any property where there has been a release or threatened release of a hazardous regulated material as well as 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 an affected property's value, we could be liable for certain other costs, including governmental fines and injuries to persons, property or natural resources. Further, some environmental laws provide for the creation of a lien on a contaminated site in favor of the government as security for damages and any costs the government incurs in connection with such contamination and associated clean-up.
Although we require our operators and tenants to undertake to indemnify us for environmental liabilities they cause, the amount of such liabilities could exceed the financial ability of the tenant or operator to indemnify us. The presence of contamination or the failure to remediate contamination may adversely affect our ability to sell or lease the real estate or to borrow using the real estate as collateral.
 
Failure to maintain effective internal control over financial reporting could have a material adverse effect on our ability to report our financial results on a timely and accurate basis.
We are required to maintain internal control over financial reporting pursuant to Rule 13a-15 under the Exchange Act. Failure to maintain such controls could result in misstatements in our financial statements and potentially subject us to sanctions or investigations by the SEC or other regulatory authorities or could cause us to delay the filing of required reports with the SEC and our reporting of financial results. Any of these events could result in a decline in the price of shares of our common stock.
An ownership limit and certain anti-takeover defenses could inhibit a change of control of Sabra or reduce the value of our stock.
Certain provisions of Maryland law and of our charter and bylaws may have an anti-takeover effect. The following provisions of Maryland law and these governing documents could have the effect of making it more difficult for a third party to acquire control of Sabra, including certain acquisitions that our stockholders may deem to be in their best interests:
Our charter contains transfer and ownership restrictions on the percentage by number and value of outstanding shares of our stock that may be owned or acquired by any stockholder;
Our charter permits the issuance of one or more classes or series of preferred stock with rights and preferences to be determined by the board of directors and permits our board of directors, without stockholder action, to amend the charter to increase or decrease the aggregate number of authorized shares or the number of shares of any class or series that we have authority to issue;
“Business combination” provisions of Maryland law, subject to certain limitations, impose a moratorium on business combinations with “interested stockholders” or affiliates thereof for five years and thereafter impose additional requirements on such business combinations;
Our bylaws require advance notice of stockholder proposals and director nominations; and
Our bylaws may be amended only by our board of directors.

Risks Associated with Our Status as a REIT

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We could fail to qualify as a REIT if income we receive is not treated as qualifying income, including as a result of one or more of the lease agreements we have entered into or assumed (as well as any other leases we enter into or assume) not being characterized as true leases for U.S. federal income tax purposes, which would subject us to U.S. federal income tax at corporate tax rates.

Under applicable provisions of the Internal Revenue Code of 1986, as amended (the “Code”), we will not be treated as a REIT unless we satisfy various requirements, including requirements relating to the sources of our gross income. Rents received or accrued by us will not be treated as qualifying rent for purposes of these requirements if the lease agreements we have entered into or assumed (as well as any other leases we enter into or assume) are not respected as true leases for U.S. federal income tax purposes and are instead treated as service contracts, joint ventures, loans or some other type of arrangement. In the event that the lease agreements entered into with Sun are not characterized as true leases for U.S. federal income tax purposes, we likely would fail to qualify as a REIT. In addition, rents received by us from Sun will not be treated as qualifying rent for purposes of these requirements if we are treated, either directly or under the applicable attribution rules, as owning 10% or more of Sun common stock. We will be treated as owning, under the applicable attribution rules, 10% or more of Sun common stock at any time that a stockholder owns, directly or under the applicable attribution rules, (a) 10% or more of our common stock and (b) 10% or more of Sun common stock. The provisions of our charter restrict the transfer and ownership of our common stock that would cause the rents received or accrued by us from Sun (or any other tenant of ours) to be treated as non-qualifying rent for purposes of the REIT gross income requirements. Nevertheless, there can be no assurance that such restrictions will be effective in ensuring that we will not be treated as related to Sun (or any other tenant of ours). If we fail to qualify as a REIT, we would be subject to U.S. federal income tax (including any applicable minimum tax) on our taxable income at corporate tax rates, which would decrease the amount of cash available for distribution to holders of our common stock.

Complying with REIT requirements may cause us to forego otherwise attractive acquisition opportunities or liquidate otherwise attractive investments, which could materially hinder our performance.

To qualify as a REIT for U.S. federal income tax purposes, we must continually satisfy certain tests, including tests concerning the sources of our income, the nature and diversification of our assets, the amounts we distribute to our stockholders and the ownership of our stock. In order to meet these tests, we may be required to forego investments or acquisitions we might otherwise make. Thus, compliance with the REIT requirements may materially hinder our performance.

If we have significant amounts of non-cash taxable income, we may have to declare taxable stock dividends or make other non-cash distributions, which could cause our stockholders to incur tax liabilities in excess of cash received.

We currently intend to pay dividends in cash only, and not in-kind. However, if for any taxable year, we have significant amounts of taxable income in excess of available cash flow, we may have to declare dividends in-kind in order to satisfy the REIT annual distribution requirements. We may distribute a portion of our dividends in the form of our stock or our debt instruments. In either event, a holder of our common stock will be required to report dividend income as a result of such distributions even though we distributed no cash or only nominal amounts of cash to such stockholder.

Pursuant to Revenue Procedure 2010-12, a recent revenue procedure issued by the Internal Revenue Service (the “IRS”), the IRS has indicated that it will treat distributions from certain publicly traded REITs that are paid partly in cash and partly in stock (through 2011) at the election of each stockholder as dividends that would satisfy the REIT annual distribution requirements and qualify for the dividends paid deduction for U.S. federal income tax purposes. If we make such a distribution, U.S. holders would be required to include the full amount of the dividend (i.e., the cash and stock portion) as ordinary income to the extent of our current and accumulated earnings and profits for U.S. federal income tax purposes. As a result, a U.S. holder may be required to pay income taxes with respect to such dividends in excess of the cash received. If a U.S. holder sells our stock that it receives as a dividend in order to pay this tax, the sales proceeds may be less than the amount included in income with respect to the dividend, depending on the market price of the stock at the time of the sale. Furthermore, with respect to non-U.S. holders, we may be required to withhold U.S. tax with respect to such dividends, including in respect of all or a portion of such dividend that is payable in stock. In addition, if a significant number of our stockholders determine to sell shares of our stock in order to pay taxes owed on dividends, these sales may put downward pressure on the trading price of our stock.

Further, because IRS Revenue Procedure 2010-12 only applies through 2011, it is unclear whether and to what extent we will be able to pay taxable dividends in cash and/or stock in later years. Moreover, various tax aspects of a taxable dividend payable in cash and/or stock are uncertain and have not yet been addressed by the IRS. No assurance can be given that the IRS will not impose additional requirements in the future with respect to taxable dividends payable in cash and/or stock, including

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on a retroactive basis, or assert that the requirements for such taxable dividends have not been met.

Our charter restricts the transfer and ownership of our stock, which may restrict change of control or business combination opportunities in which our stockholders might receive a premium for their shares.

In order for us to maintain our qualification as a REIT for each taxable year after 2011, no more than 50% of the value of our outstanding stock may be owned, directly or constructively, by five or fewer individuals, as defined in the Code. For the purpose of preserving our REIT qualification, our charter prohibits, subject to certain exceptions, direct, indirect and constructive ownership of more than 9.9% in value or number of shares, whichever is more restrictive, of our outstanding common stock or more than 9.9% in value of our outstanding stock. The constructive ownership rules are complex and may cause shares of stock owned directly or constructively by a group of related individuals to be constructively owned by one individual or entity. The ownership limits may have the effect of discouraging an acquisition of control of us without the approval of our board of directors.

We could be subject to tax on any unrealized net built-in gains in the assets held before electing to be treated as a REIT.

We own appreciated assets that were held before we elected to be treated as a REIT. If such appreciated assets are disposed of in a gain recognition transaction within the 10-year period following our qualification as a REIT, we will generally be subject to corporate tax on that gain to the extent of the built-in gain in those assets at the time we became a REIT. The total amount of gain on which we can be taxed is limited to our net built-in gain at the time we became a REIT, i.e., the excess of the aggregate fair market value of our assets at the time we became a REIT over the adjusted tax bases of those assets at that time. We would be subject to this tax liability even if we qualify and maintain our status as a REIT. Any recognized built-in gain will retain its character as ordinary income or capital gain and will be taken into account in determining REIT taxable income and our distribution requirement. Any tax on the recognized built-in gain will reduce REIT taxable income. We may choose not to dispose of appreciated assets we might otherwise dispose of during the 10-year period in which the built-in gain tax applies in order to avoid the built-in gain tax. However, there can be no assurances that such a disposition will not occur. If we dispose of such assets in a gain recognition transaction, the amount of corporate tax that we will pay will vary depending on the actual amount of net built-in gain or loss present in those assets as of the effective time of our REIT election. The amount of tax could be significant.

We may be subject to adverse legislative or regulatory tax changes that could reduce the market price of our common stock.

The rules dealing with U.S. federal income taxation are constantly under review by persons involved in the legislative process and by the IRS and the U.S. Department of the Treasury. Changes to the tax law could materially adversely affect our stockholders. We cannot predict with certainty whether, when, in what forms, or with what effective dates, the tax laws applicable to us or our stockholders may be changed.

Our failure to qualify as a REIT would subject us to U.S. federal income tax, which could adversely affect the value of the shares of our common stock and would substantially reduce the cash available for distribution to our stockholders.

We believe that we are organized in conformity with the requirements for qualification as a REIT under the Code, and we believe we have operated in a manner that will enable us to meet the requirements for qualification and taxation as a REIT commencing with our taxable year beginning on January 1, 2011. However, we cannot assure you that we will qualify and remain qualified as a REIT. Moreover, our qualification and taxation as a REIT will depend upon our ability to meet on a continuing basis, through actual annual operating results, certain qualification tests set forth in the U.S. federal tax laws. Accordingly, given the complex nature of the rules governing REITs, the ongoing importance of factual determinations, including the potential tax treatment of investments we make, and the possibility of future changes in our circumstances, no assurance can be given that our actual results of operations for any particular taxable year will satisfy such requirements.

If we fail to qualify as a REIT in any calendar year, we would be required to pay U.S. federal income tax (and any applicable state and local tax), including any applicable alternative minimum tax, on our taxable income at regular corporate rates, and dividends paid to our stockholders would not be deductible by us in computing our taxable income (although such dividends received by certain non-corporate U.S. taxpayers generally would be subject to a preferential rate of taxation through December 31, 2012). Further, if we fail to qualify as a REIT, we might need to borrow money or sell assets in order to pay any resulting tax. Our payment of income tax would decrease the amount of our income available for distribution to our stockholders. Furthermore, if we fail to maintain our qualification as a REIT, we no longer would be required under U.S. federal tax laws to distribute substantially all of our REIT taxable income to our stockholders. Unless our failure to qualify as a REIT was subject to relief under U.S. federal tax laws, we could not re-elect to qualify as a REIT until the fifth calendar year following the year in which we failed to qualify.

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Dividends payable by REITs do not qualify for the reduced tax rates available for some dividends.

The maximum tax rate applicable to income from “qualified dividends” payable to domestic stockholders taxed at individual rates has been reduced by legislation to 15% through the end of 2012. Dividends payable by REITs, however, generally are not eligible for the reduced rates. Although this legislation does not adversely affect the taxation of REITs or dividends payable by REITs, the more favorable rates applicable to regular corporate qualified dividends could cause investors who are taxed at individual rates to perceive investments in REITs to be relatively less attractive than investments in the stocks of non-REIT corporations that pay dividends treated as qualified dividend income, which could adversely affect the value of the stock of REITs, including our common stock.

Our ownership of and relationship with any taxable REIT subsidiaries that we have formed or will form will be limited and a failure to comply with the limits would jeopardize our REIT status and may result in the application of a 100% excise tax.

A REIT may own up to 100% of the stock of one or more taxable REIT subsidiaries (“TRSs”). A TRS may earn income that would not be qualifying income if earned directly by the parent REIT. Both the subsidiary and the REIT must jointly elect to treat the subsidiary as a TRS. A corporation (other than a REIT) of which a TRS directly or indirectly owns securities possessing more than 35% of the total voting power or total value of the outstanding securities of such corporation will automatically be treated as a TRS. Overall, no more than 25% of the value of a REIT's total assets may consist of stock or securities of one or more TRSs. A domestic TRS will pay U.S. federal, state and local income tax at regular corporate rates on any income that it earns. In addition, the TRS rules limit the deductibility of interest paid or accrued by a TRS to its parent REIT to assure that the TRS is subject to an appropriate level of corporate taxation. The rules also impose a 100% excise tax on certain transactions between a TRS and its parent REIT that are not conducted on an arm's length basis. Any domestic TRS that we have formed or may form will pay U.S. federal, state and local income tax on its taxable income, and its after-tax net income will be available for distribution to us but is not required to be distributed to us unless necessary to maintain our REIT qualification.

ITEM 1B. UNRESOLVED STAFF COMMENTS
Not applicable.

ITEM 2. PROPERTIES    
As of December 31, 2011, our investment portfolio consisted of 97 real estate properties: (i) 76 skilled nursing facilities, (ii) ten combined skilled nursing, assisted living and independent living facilities, (iii) six assisted living facilities, (iv) two mental health facilities, (v) one independent living facility, (vi) one continuing care retirement community, and (vii) one acute care hospital.
All of our properties are leased under long term, triple-net leases. The following table displays the expiration of the annualized straight-line rental revenues under our lease agreements as of December 31, 2011 by year and facility type (dollars in thousands) and, in each case, without giving effect to any renewal options:

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2012 - 2019
 
2020
 
2021
 
2022
 
2023
 
2024
 
2025
 
Thereafter
 
Total
Skilled Nursing
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Properties

 
26

 
26

 
10

 

 
1

 
4

 
9

 
76

Annualized Revenues
$

 
$
21,684

 
$
22,338

 
$
6,799

 
$

 
$
1,821

 
$
3,885

 
$
15,743

 
$
72,270

Multi-License Designation
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Properties

 
1

 
4

 
2

 

 

 
3

 

 
10

Annualized Revenues

 
2,502

 
4,846

 
1,447

 

 

 
2,388

 

 
11,183

Assisted Living
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Properties

 
1

 
2

 
2

 

 

 
1

 

 
6

Annualized Revenues

 
180

 
935

 
474

 

 

 
700

 

 
2,289

Independent Living
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Properties

 

 
1

 

 

 

 

 

 
1

Annualized Revenues

 

 
295

 

 

 

 

 

 
295

Mental Health
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Properties

 
2

 

 

 

 

 

 

 
2

Annualized Revenues

 
420

 

 

 

 

 

 

 
420

CCRC
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Properties

 
1

 

 

 

 

 

 

 
1

Annualized Revenues

 
1,582

 

 

 

 

 

 

 
1,582

Acute Care Hospital
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Properties

 

 

 

 

 

 

 
1

 
1

Annualized Revenues

 

 

 

 

 

 

 
6,593

 
6,593

Total
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Properties

 
31

 
33

 
14

 

 
1

 
8

 
10

 
97

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Annualized Revenues
$

 
$
26,368

 
$
28,414

 
$
8,720

 
$

 
$
1,821

 
$
6,973

 
$
22,336

 
$
94,632

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
% of Revenue
%
 
27.9
%
 
30.0
%
 
9.2
%
 
%
 
1.9
%
 
7.4
%
 
23.6
%
 
100.0
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Occupancy Trends     
The following table sets forth the occupancy percentage for our properties for the periods indicated.

 
 
Occupancy % (1)
 
 
Years Ended December 31,
 
 
2011
 
2010
 
2009
 
2008
 
2007
Skilled Nursing
 
87.4
%
 
87.7
%
 
89.7
%
 
94.0
%
 
91.0
%
Multi-License Designation
 
89.3
%
 
91.5
%
 
92.5
%
 
93.7
%
 
93.2
%
Assisted Living
 
90.0
%
 
88.2
%
 
91.3
%
 
94.6
%
 
97.8
%
Mental Health
 
86.6
%
 
83.9
%
 
81.5
%
 
82.6
%
 
79.9
%
Independent Living
 
95.7
%
 
88.7
%
 
79.4
%
 
92.4
%
 
96.8
%
CCRC
 
81.9
%
 
85.5
%
 
87.4
%
 
85.7
%
 
85.5
%
Acute Care Hospital
 
71.8
%
 
N/A

 
N/A

 
N/A

 
N/A

 
 
 
 
 
 
 
 
 
 
 
Total
 
87.5
%
 
88.2
%
 
90.0
%
 
90.9
%
 
91.4
%
 
 
 
 
 
 
 
 
 
 
 
(1) 
The percentages are computed by dividing the actual census from the period presented by the available beds/units for the same period. Occupancy for independent living facilities can be greater than 100% for a given period as multiple residents could occupy a single unit. We include the occupancy percentage for a property if it was owned by us at any time during the period presented. Occupancy percentage for facilities with new tenants/operators (Aurora, Encore, and Creekside) are only included in periods subsequent to our acquisition of the facilities.

You should not rely upon occupancy percentages, either individually or in the aggregate, to determine the performance of a facility. Other factors that may impact the performance of a facility include the sources of payment, terms of reimbursement

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and the acuity level of the patients (i.e., the condition of patients that determines the level of skilled nursing and rehabilitation therapy services required).
Skilled Mix Trends     
The following table sets forth the skilled mix of the skilled nursing facilities included in our properties for the periods indicated.
Skilled Mix % (1)
Years Ended December 31,
2011
 
2010
 
2009
 
2008
 
2007
41.4
%
 
39.3
%
 
39.2
%
 
39.1
%
 
36.0
%
(1) 
"Skilled Mix" is defined as the total Medicare and non-Medicaid managed care patient revenue at skilled nursing facilities divided by the total revenues at skilled nursing facilities for any given period.
See also the discussion above under the heading “Business—Portfolio of Healthcare Properties” for further discussion regarding the ownership of our properties and the types of healthcare facilities that comprise our properties.
Mortgage Indebtedness
Of our 97 properties, 26 are subject to mortgage indebtedness to third parties that, as of December 31, 2011, totals approximately $157.9 million. See the discussion under the heading “Management's Discussion and Analysis—Liquidity and Capital Resources—Mortgage Indebtedness” for further discussion regarding our mortgage indebtedness.
Interest Rate Type
Principal
Outstanding as of
December 31, 2011 
(2)
 
Principal
Outstanding as of
December 31, 2010 (2)
 
Weighted Average
Interest Rate at
December 31, 2011
 
Maturity
Date
Fixed Rate
$
98,739

 
$
100,610

 
6.29
%
 
August 2015 - June 2047
Variable Rate(1)
59,159

 
60,315

 
5.50
%
 
August 2015
 
$
157,898

 
$
160,925

 
 
 
 

(1) 
Contractual interest rates under variable rate mortgages are equal to the 90-day LIBOR plus 4.5% (subject to a 1.0% LIBOR floor).
(2) 
Outstanding principal balance for mortgage indebtedness does not include mortgage premium of $0.5 million as of December 31, 2011 and 2010.
Corporate Office
We are headquartered and have our corporate office in Irvine, California. We lease our corporate office from an unaffiliated third party.

ITEM 3. LEGAL PROCEEDINGS

Neither we nor any of our subsidiaries is a party to, and none of our respective property is the subject of, any material legal proceeding, although we are from time to time party to legal proceedings that arise in the ordinary course of our business.

ITEM 4. MINE SAFETY DISCLOSURES
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

Stockholder Information
Our common stock is listed on The NASDAQ Stock Market LLC and trades on the NASDAQ Global Select Market under the symbol “SBRA.” Set forth below for the fiscal quarters indicated are the reported high and low sales prices per share of our common stock on the NASDAQ Stock Market and the common dividends paid per share.
 
 
Sales Price
 
Dividends
 
 
High
 
Low
 
Paid
2010
 
 
 
 
 
 
Fourth Quarter (1)
 
$
19.10

 
$
16.10

 
NA

2011
 
 
 
 
 
 
First Quarter
 
$
19.31

 
$
16.52

 
NA

Second Quarter
 
$
18.44

 
$
15.85

 
$
0.32

Third Quarter
 
$
17.25

 
$
9.40

 
$
0.32

Fourth Quarter
 
$
12.27

 
$
7.86

 
$
0.32

(1) Information is provided only for the period from November 15, 2010 to December 31, 2010, which is the portion of the fourth quarter of 2010 during which we operated as a separate publicly traded company.
At February 24, 2012, we had approximately 3,253 stockholders of record.
We did not repurchase any shares of our common stock during the year ended December 31, 2011.
On February 29, 2012, our board of directors declared a quarterly cash dividend of $0.33 per share of common stock. The dividend will be paid on March 30, 2012 to stockholders of record as of March 15, 2012.
To qualify for and maintain REIT status, we are required each year to distribute to stockholders at least 90% of our annual REIT taxable income after certain adjustments. All distributions will be made by us at the discretion of our board of directors and will depend on our financial position, results of operations, cash flows, capital requirements, debt covenants (which include limits on distributions by us), applicable law, and other factors as our board of directors deems relevant. For example, while the indenture governing the Senior Notes and our secured revolving credit facility permit us to declare and pay any dividend or make any distribution that is necessary to maintain our REIT status, those distributions are subject to certain financial tests under the indenture, and therefore, the amount of cash distributions we can make to our stockholders may be limited.
Stock Price Performance Graph
The following graph compares the cumulative total stockholder return of our common stock for the period from November 16, 2010, the first trading date after the Separation Date, through December 31, 2011. The graph assumes that $100 was invested at the close of market on November 15, 2010 in (i) our common stock, (ii) the NASDAQ Composite Index and (iii) the FTSE NAREIT US Health Care REIT Index, and assumes the reinvestment of all dividends. Stock price performances shown in the graph are not necessarily indicative of future price performances.

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The above performance graph shall not be deemed to be soliciting material or to be filed with the SEC under the Securities Act of 1933 or the Securities Exchange Act of 1934 or incorporated by reference in any document as filed.
 


ITEM 6. SELECTED FINANCIAL DATA
The following selected financial data as of December 31, 2011 and December 31, 2010 and for the year ended December 31, 2011 and the period from the Separation Date through December 31, 2010 should be read in conjunction with the accompanying consolidated financial statements and related notes thereto and Item 7, “Management's Discussion and Analysis of Financial Condition and Results of Operations”:

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As of
 
 
December 31, 2011
 
December 31, 2010
 
 
(Dollars in thousands)
Balance sheet data
 
 
 
 
Total real estate investments, net
 
$
658,377

 
$
482,297

Cash and cash equivalents
 
$
42,250

 
$
74,233

Total assets
 
$
749,650

 
$
599,559

Mortgage notes payable
 
$
158,398

 
$
161,440

Senior unsecured notes payable
 
$
225,000

 
$
225,000

Total liabilities
 
$
423,077

 
$
422,026

Total stockholders' equity
 
$
326,573

 
$
177,533

 
 
 
 
 
 
 
Year Ended
December 31, 2011
 
Separation Date
through
December 31, 2010
 
 
(Dollars in thousands, except per share data)
Operating data
 
 
 
 
Total revenues
 
$
84,225

 
$
8,795

Net income
 
$
12,842

 
$
7

Net income per common share—-basic
 
$
0.43

 
$

Net income per common share—diluted
 
$
0.43

 
$

 
 
 
 
 
Other data
 
 
 
 
Cash flows provided by operations
 
$
44,705

 
$
6,592

Cash flows (used in) provided by investing activities
 
$
(204,586
)
 
$
67,118

Cash flows provided by financing activities
 
$
127,898

 
$
523

Dividends declared and paid per common share
 
$
0.96

 
$

 
 
 
 
 
Weighted-average number of common shares outstanding, basic
 
30,109,417

 
25,110,936

Weighted-average number of common shares outstanding, diluted—net income and FFO
 
30,171,225

 
25,186,988

Weighted-average number of common shares outstanding, diluted—AFFO
 
30,399,132

 
25,645,131

FFO(1)
 
$
39,433

 
$
3,141

Diluted FFO per common share(1)
 
$
1.31

 
$
0.12

AFFO(1)
 
$
47,157

 
$
3,706

Diluted AFFO per common share(1)
 
$
1.55

 
$
0.14

(1) 
We believe that net income as defined by GAAP is the most appropriate earnings measure. We also believe that funds from operations (“FFO”), as defined by the National Association of Real Estate Investment Trusts ("NAREIT"), and adjusted funds from operations (“AFFO”) (and related per share amounts) are important non-GAAP supplemental measures of operating performance for a REIT. We consider FFO and AFFO to be useful measures for reviewing comparative operating and financial performance because, by excluding gains or losses from real estate dispositions, plus real estate depreciation and amortization, and, for AFFO, by excluding non-cash revenues (including straight-line rental income adjustments and amortization of acquired above/below market lease intangibles), non-cash expenses (including stock-based compensation expense and amortization of deferred financing costs) and acquisition pursuit costs, FFO and AFFO can help investors compare our operating performance between periods or as compared to other companies. See further discussion of FFO and AFFO in Item 7, “Management's Discussion and Analysis of Financial Condition and Results of Operations—Results of Operations—Funds from Operations and Adjusted Funds from Operations.”
 


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ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.
We commenced operations upon completion of the Separation and REIT Conversion Merger on November 15, 2010 (the “Separation Date”). For comparison purposes, we have presented below an unaudited pro forma consolidated income statement for the year ended December 31, 2010 as if the Separation and REIT Conversion Merger had occurred on January 1, 2010. Accordingly, the discussion and analysis of our results of operations set forth below includes a comparison of our pro forma results of operations for the year ended December 31, 2010 and our actual results of operations for the year ended December 31, 2011.
The discussion below contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially from those anticipated in these forward-looking statements as a result of various factors, including those which are discussed in the section titled “Risk Factors.” Also see “Statement Regarding Forward-Looking Statements” preceding Part I.
The following discussion and analysis should be read in conjunction with the “Selected Financial Data” above and our accompanying consolidated financial statements and the notes thereto. Also see “Forward-Looking Statements” preceding Part I.
Our Management’s Discussion and Analysis of Financial Condition and Results of Operations is organized as follows:
Overview
Recent Transactions
Critical Accounting Policies
Unaudited Pro Forma Financial Data
Results of Operations
Liquidity and Capital Resources
Change in Skilled Nursing Facility Reimbursement Rates
Obligations and Commitments
Impact of Inflation
Off-Balance Sheet Arrangements
Recently Issued Accounting Standards Update
Quarterly Financial Data
Overview
We were incorporated on May 10, 2010 as a wholly owned subsidiary of Sun Healthcare Group, Inc. (“Old Sun”), a provider of nursing, rehabilitative and related specialty healthcare services principally to the senior population in the United States. Pursuant to a restructuring plan by Old Sun, Old Sun restructured its business by separating its real estate assets and its operating assets into two separate publicly traded companies, Sabra and SHG Services Inc. (which has been renamed “Sun Healthcare Group, Inc.” or “Sun”). In order to effect the restructuring, Old Sun distributed to its stockholders on a pro rata basis all of the outstanding shares of common stock of Sun (this distribution is referred to as the “Separation”), together with an additional cash distribution. Immediately following the Separation, Old Sun merged with and into Sabra, with Sabra surviving the merger and Old Sun stockholders receiving shares of Sabra common stock in exchange for their shares of Old Sun common stock (this merger is referred to as the “REIT Conversion Merger”). The Separation and REIT Conversion Merger were completed on November 15, 2010, which we refer to as the Separation Date.
Following the restructuring of Old Sun’s business and the completion of the Separation and REIT Conversion Merger, we became a self-administered, self-managed REIT that, directly or indirectly, owns and invests in real estate serving the healthcare industry.
As of December 31, 2011, our investment portfolio consisted of 97 real estate properties: consisting of (i) 76 skilled nursing facilities, (ii) ten combined skilled nursing, assisted living and independent living facilities, (iii) six assisted living facilities, (iv) two mental health facilities, (v) one independent living facility, (vi) one continuing care retirement community, and (vii) one acute care hospital. As of December 31, 2011, our real estate properties had a total of 10,877 licensed beds, or units, spread across 23 states. As of December 31, 2011, all of our real estate properties are leased under triple-net operating leases with expirations ranging from 9 to 23 years.
We expect to continue to grow our portfolio primarily through the acquisition of healthcare facilities, including skilled nursing facilities, senior housing facilities (which may include assisted living, independent living and continuing care retirement community facilities) and hospitals. As we acquire additional properties and expand our portfolio, we expect to further diversify by tenant, asset class and geography within the healthcare sector. Over time, we expect to pursue the

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acquisition of other healthcare property types, such as medical office buildings and life science facilities (commercial facilities that are primarily focused on life sciences research, development or commercialization, including properties that house biomedical and medical device companies). We employ a disciplined, opportunistic approach in our healthcare real estate investment strategy by investing in assets that provide attractive opportunities for dividend growth and appreciation of asset values, while maintaining balance sheet strength and liquidity, thereby creating long-term stockholder value.
We are organized to qualify as a REIT and we will elect to be treated as a REIT for U.S. federal income tax purposes upon the filing of our U.S. federal income tax return for the taxable year beginning January 1, 2011. We operate through an umbrella partnership (commonly referred to as an UPREIT) structure in which substantially all of our properties and assets are held by the Operating Partnership, of which we are the sole general partner, or by subsidiaries of the Operating Partnership.
Recent Transactions
Amended Secured Revolving Credit Facility
On February 10, 2012, the Operating Partnership and certain subsidiaries of the Operating Partnership (together with the Operating Partnership, the “Borrowers”) amended the secured revolving credit facility (as amended, the “Amended Secured Revolving Credit Facility”) to increase the borrowing capacity from $100.0 million to $200.0 million (up to $20.0 million of which may be utilized for letters of credit) and to include an accordion feature that allows the Borrowers to increase borrowing availability under the Amended Secured Revolving Credit Facility by up to an additional $150.0 million, subject to certain terms and conditions. Borrowings under the Amended Secured Revolving Credit Facility bear interest on the outstanding principal amount at a rate equal to an applicable percentage plus, at the Borrowers' option, either (a) LIBOR or (b) a base rate determined as the greater of (i) the federal funds rate plus 0.5%, (ii) the prime rate, and (iii) one-month LIBOR plus 1.0% (the “Base Rate”). The applicable percentage for borrowings will vary based on the Consolidated Leverage Ratio, as defined in the credit agreement, and will range from 2.00% to 3.00% per annum for borrowings at the Base Rate and 3.00% to 4.00% per annum for LIBOR-based borrowings. See "—Liquidity and Capital Resources" for further information. In addition, the Borrowers are required to pay a facility fee to the lenders equal to between 0.35% and 0.50% per annum based on the amount of unused borrowings under the Amended Secured Revolving Credit Facility.
Hillside Terrace Mortgage Note Payoff
On March 25, 2011, we purchased, at a discount, a defaulted mortgage note (“Hillside Terrace Mortgage Note”) secured by a combined assisted living, independent living and memory care facility located in Ann Arbor, Michigan, for $5.3 million. On December 5, 2011, we received $8.3 million in cash in full satisfaction of the amounts outstanding under the Hillside Terrace Mortgage Note. In connection with this repayment, we recognized $3.0 million of interest income and paid a $1.4 million fee to an unaffiliated third party for its assistance in acquiring and ultimately collecting on the Hillside Terrace Mortgage Note.
Creekside Senior Living Acquisition
On November 22, 2011, we closed the purchase of Creekside Senior Living in a sale-leaseback transaction with an affiliate of Pathway Senior Living for $2.6 million. Creekside Senior Living is a 59-unit assisted living facility built in 2004 and located in Green Bay, Wisconsin. In connection with the acquisition, we, through an indirect wholly owned subsidiary, entered into a single 10-year triple-net master lease agreement with the sellers. The lease provides for annual rent escalators equal to the greater of the change in the Consumer Price Index or 3.0%, resulting in annual lease revenues determined in accordance with U.S. generally accepted accounting principles ("GAAP") of $0.3 million, and two five-year renewal options. The lease also includes an allowance of up to $1.6 million to be used primarily for facility improvements. The purchase price was funded with available cash and will provide an initial yield on cash rent of 9.25%.

Critical Accounting Policies
Below is a discussion of the accounting policies that management considers critical in that they involve significant management judgments and assumptions, require estimates about matters that are inherently uncertain and because they are important for understanding and evaluating our reported financial results. These judgments affect the reported amounts of assets and liabilities and our disclosure of contingent assets and liabilities at the dates of the financial statements and the reported amounts of revenue and expenses during the reporting periods. With different estimates or assumptions, materially different amounts could be reported in our financial statements. Additionally, other companies may utilize different estimates that may impact the comparability of our results of operations to those of companies in similar businesses.
Revenue Recognition
We recognize rental revenue from tenants, including rental abatements, lease incentives and contractual fixed increases

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attributable to operating leases, on a straight-line basis over the term of the related leases when collectibility is reasonably assured. If the lease provides for tenant improvements, we determine whether the tenant improvements, for accounting purposes, are owned by the tenant or by us. When we are the owner of the tenant improvements, the tenant is not considered to have taken physical possession or have control of the physical use of the leased asset until the tenant improvements are substantially completed. When the tenant is the owner of the tenant improvements, any tenant improvement allowance that is funded is treated as a lease incentive and amortized as a reduction of revenue over the lease term.
Real Estate Investments
Depreciation and Amortization
Real estate costs related to the acquisition and improvement of properties are capitalized and amortized over the expected useful life of the asset on a straight-line basis. Repair and maintenance costs are charged to expense as incurred and significant replacements and betterments are capitalized. Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. We consider the period of future benefit of an asset to determine its appropriate useful life. Depreciation of real estate assets and amortization of lease intangibles are included in depreciation and amortization in the consolidated statements of operations. We anticipate the estimated useful lives of our assets by class to be generally as follows: land improvements, 3 to 40 years; buildings and building improvements, 3 to 40 years; and furniture and equipment, 1 to 20 years.
 
Impairment of Real Estate Investments
We continually monitor events and changes in circumstances that could indicate that the carrying amounts of our real estate investments may not be recoverable or realized. When indicators of potential impairment suggest that the carrying value of real estate investments may not be recoverable, we assess the recoverability by estimating whether we will recover the carrying value of our real estate investments through its undiscounted future cash flows and the eventual disposition of the investment. If, based on this analysis, we do not believe that we will be able to recover the carrying value of our real estate investments, we would record an impairment loss to the extent that the carrying value exceeds the estimated fair value of our real estate investments. We did not record any impairment losses on our real estate investments during the year ended December 31, 2011 and during the period from the Separation Date through December 31, 2010.

Real Estate Acquisition Valuation
We account for the acquisition of income-producing real estate, or real estate that will be used for the production of income, as a business combination. All assets acquired and liabilities assumed in a business combination are measured at their acquisition-date fair values. The acquisition value of land, building and improvements are included in real estate investments, net on the consolidated balance sheets. The acquisition value of tenant relationship and origination and absorption intangible assets are included in prepaid expenses, deferred financing costs and other assets in the consolidated balance sheets. Acquisition pursuit costs are expensed as incurred, and restructuring costs that do not meet the definition of a liability at the acquisition date are expensed in periods subsequent to the acquisition date. During the year ended December 31, 2011, we completed eleven business combinations and expensed $3.2 million of acquisition pursuit costs, which is included in general and administrative expense on the accompanying consolidated statements of income. No business combinations were completed during the period from the Separation Date through December 31, 2010.
Estimates of the fair values of the tangible assets, identifiable intangibles and assumed liabilities require us to make significant assumptions to estimate market lease rates, property operating expenses, carrying costs during lease-up periods, discount rates, market absorption periods, and the number of years the property will be held for investment. The use of inappropriate assumptions would result in an incorrect valuation of our acquired tangible assets, identifiable intangibles and assumed liabilities, which would impact the amount of our net income.
Investment in Hillside Terrace Mortgage Note
Generally, interest contractually due under a loan is recognized on an accrual basis and any acquisition premiums or discounts are amortized over the term of the loan as an adjustment to interest income. However, when concerns exist as to the ultimate collection of principal or interest due under a loan, the loan is placed on nonaccrual status and we will not recognize interest income until the cash is received, or the loan returns to accrual status. If we determine the collection of interest according to the contractual terms of the loan is probable, we will resume the accrual of interest and amortization of acquisitions premiums or discounts as an adjustment to interest income. On March 25, 2011, we purchased, at a discount, a defaulted mortgage note (“Hillside Terrace Mortgage Note”) secured by a combined assisted living, independent living and memory care facility located in Ann Arbor, Michigan, for $5.3 million. Initially, due to significant uncertainty as to the ability of the borrower under the Hillside Terrace Mortgage Note to pay amounts contractually due, we placed this loan on nonaccrual status. During the fourth quarter of 2011, we determined it was likely that the borrower would be able to complete a discounted repayment of the Hillside Terrace Mortgage Note for $8.3 million and therefore the $3.0 million excess of the repayment

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amount over our investment in the Hillside Terrace Mortgage Note was recorded as interest income in December 2011. In addition, we paid a $1.4 million fee to an unaffiliated third party for its assistance in acquiring and ultimately collecting on the Hillside Terrace Mortgage Note.
Stock-Based Compensation
Stock-based compensation expense for stock-based awards granted to our employees and our non-employee directors are recognized in the statement of income based on their estimated fair value. Compensation expense for awards with graded vesting schedules is generally recognized ratably over the period from the grant date to the date when the award is no longer contingent on the employee providing additional services.
Income Taxes
We are organized to qualify as a REIT and we will elect to be treated as a REIT for U.S. federal income tax purposes upon the filing of our U.S. federal income tax return for the taxable year beginning January 1, 2011. To qualify as a REIT, we must meet certain organizational and operational requirements, including a requirement to distribute at least 90% of our annual REIT taxable income to stockholders (which is computed without regard to the dividends-paid deduction or net capital gains and which does not necessarily equal net income as calculated in accordance with GAAP). As a REIT, we generally will not be subject to federal income tax on income that we distribute as dividends to our stockholders. If we fail to qualify as a REIT in any taxable year, we will be subject to federal income tax on our taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost, unless the Internal Revenue Service grants us relief under certain statutory provisions. Such an event could materially and adversely affect our net income and net cash available for distribution to stockholders. However, we believe that we are organized and operate in such a manner as to qualify for treatment as a REIT.
For income tax purposes, we are the surviving taxpayer of the Separation. Accordingly, tax positions taken by Old Sun prior to the Separation will remain our obligations after the Separation. However, under an agreement with Sun relating to tax allocation matters, Sun is responsible for and will indemnify us against, among other things, federal, state and local taxes related to periods prior to the Separation to the extent the deferred tax assets allocated to us as part of the Separation are not sufficient and/or cannot be utilized to satisfy these taxes. After the 2010 tax year, we and Sun have agreed, to the extent allowable by applicable law, to allocate all net operating loss attributes generated in prior years to Sun. In addition, Sun will generally have the right to control the conduct and disposition of any tax audits or other proceedings with regard to such periods, and will be entitled to any refund or credit for such periods.
We evaluate our tax positions using a two-step approach: step one (recognition) occurs when a company concludes that a tax position, based solely on its technical merits, is more likely than not to be sustained upon examination and step two (measurement) is only addressed if step one has been satisfied (i.e., the position is more likely than not to be sustained). Under step two, the tax benefit is measured as the largest amount of benefit (determined on a cumulative probability basis) that is more likely than not to be realized upon ultimate settlement. We will recognize tax penalties relating to unrecognized tax benefits as additional tax expense.
 
Fair Value Measurements
Under GAAP, we are required to measure certain financial instruments at fair value on a recurring basis. In addition, we are required to measure other financial instruments and balances at fair value on a non-recurring basis (e.g., carrying value of impaired real estate loans receivable and long-lived assets). Fair value is defined as the price that would be received upon the sale of an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. The GAAP fair value framework uses a three-tiered approach. Fair value measurements are classified and disclosed in one of the following three categories:
Level 1: unadjusted quoted prices in active markets that are accessible at the measurement date for identical assets or liabilities;
Level 2: quoted prices for similar instruments in active markets, quoted prices for identical or similar instruments in markets that are not active, and model-derived valuations in which significant inputs and significant value drivers are observable in active markets; and
Level 3: prices or valuation techniques where little or no market data is available that requires inputs that are both significant to the fair value measurement and unobservable.
When available, we utilize quoted market prices from an independent third-party source to determine fair value and classify such items in Level 1 or Level 2. In instances where the market for a financial instrument is not active, regardless of the availability of a nonbinding quoted market price, observable inputs might not be relevant and could require us to make a

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significant adjustment to derive a fair value measurement. Additionally, in an inactive market, a market price quoted from an independent third party may rely more on models with inputs based on information available only to that independent third party. When we determine the market for a financial instrument owned by us to be illiquid or when market transactions for similar instruments do not appear orderly, we use several valuation sources (including internal valuations, discounted cash flow analysis and quoted market prices) and establish a fair value by assigning weights to the various valuation sources. Additionally, when determining the fair value of liabilities in circumstances in which a quoted price in an active market for an identical liability is not available, we measure fair value using (i) a valuation technique that uses the quoted price of the identical liability when traded as an asset or quoted prices for similar liabilities or similar liabilities when traded as assets or (ii) another valuation technique that is consistent with the principles of fair value measurement, such as the income approach or the market approach.
Changes in assumptions or estimation methodologies can have a material effect on these estimated fair values. In this regard, the derived fair value estimates cannot be substantiated by comparison to independent markets and, in many cases, may not be realized in an immediate settlement of the instrument.
We consider the following factors to be indicators of an inactive market: (i) there are few recent transactions, (ii) price quotations are not based on current information, (iii) price quotations vary substantially either over time or among market makers (for example, some brokered markets), (iv) indexes that previously were highly correlated with the fair values of the asset or liability are demonstrably uncorrelated with recent indications of fair value for that asset or liability, (v) there is a significant increase in implied liquidity risk premiums, yields, or performance indicators (such as delinquency rates or loss severities) for observed transactions or quoted prices when compared with our estimate of expected cash flows, considering all available market data about credit and other nonperformance risk for the asset or liability, (vi) there is a wide bid-ask spread or significant increase in the bid-ask spread, (vii) there is a significant decline or absence of a market for new issuances (that is, a primary market) for the asset or liability or similar assets or liabilities, and (viii) little information is released publicly (for example, a principal-to-principal market).
We consider the following factors to be indicators of non-orderly transactions: (i) there was not adequate exposure to the market for a period before the measurement date to allow for marketing activities that are usual and customary for transactions involving such assets or liabilities under current market conditions, (ii) there was a usual and customary marketing period, but the seller marketed the asset or liability to a single market participant, (iii) the seller is in or near bankruptcy or receivership (that is, distressed), or the seller was required to sell to meet regulatory or legal requirements (that is, forced), and (iv) the transaction price is an outlier when compared with other recent transactions for the same or similar assets or liabilities.

Unaudited Pro Forma Financial Data
The following reflects the unaudited pro forma consolidated income statement of Sabra for the year ended December 31, 2010 as if the Separation and REIT Conversion Merger and the offering of the Senior Notes had occurred on January 1, 2010. The pro forma adjustments represent revenues and expenses to reflect the pro forma consolidated performance for the year ended December 31, 2010 and are necessary in order to develop the pro forma financial information consistent with the requirements of the SEC. The actual results reported in periods following the Separation may differ significantly from those reflected in this pro forma consolidated income statement for a number of reasons, including differences between the assumptions used to prepare these pro forma amounts and actual amounts. In addition, no adjustments have been made to the unaudited pro forma consolidated income statement for non-recurring items related to the Separation. As a result, the pro forma financial information does not purport to be indicative of what the results of operations would have been had the Separation been completed on January 1, 2010. The unaudited pro forma consolidated income statement does not purport to project the future results of operations after giving effect to the Separation.











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SABRA HEALTH CARE REIT, INC.
UNAUDITED PRO FORMA CONSOLIDATED INCOME STATEMENT
For the Year Ended December 31, 2010
(in thousands) 
 
Actual Results from the Separation Date to December 31, 2010
 
Pro Forma
Adjustments
 
Pro Forma for the
Year Ended
December 31, 2010
Revenues:
 
 
 
 
 
Rental income
$
8,781

 
$
61,464

 
$
70,245

Interest income
14

 

 
14

Total revenues
8,795

 
61,464

 
70,259

Expenses:
 
 
 
 
 
Depreciation and amortization
3,134

 
21,082

 
24,216

Interest
3,859

 
26,659

 
30,518

General and administrative
1,553

 
8,082

 
9,635

Total expenses
8,546

 
55,823

 
64,369

Income before income taxes
249

 
5,641

 
5,890

Income tax expense
242

 
(242
)
 

Net income
$
7

 
$
5,883

 
$
5,890

Results of Operations
Sabra began operating as a separate company following the Separation and REIT Conversion Merger, which was completed on November 15, 2010, which we refer to as the Separation Date. The following is a discussion of our results of operations for the year ended December 31, 2011 compared to our pro forma results of operations for the year ended December 31, 2010.

Comparison of results of operations for the year ended December 31, 2011 and pro forma results of operations for the year ended December 31, 2010 (dollars in thousands): 
 
Actual for the Year Ended
December 31, 2011
 
Pro Forma for the
Year Ended
December 31, 2010
 
Variance
 
Percentage
Difference
Rental income
$
80,678

 
$
70,245

 
$
10,433

 
15
 %
Interest income
3,547

 
14

 
3,533

 
NM

Depreciation and amortization
26,591

 
24,216

 
2,375

 
10
 %
Interest
30,319

 
30,518

 
(199
)
 
(1
)%
General and administrative
14,473

 
9,635

 
4,838

 
50
 %
Rental Income
During the year ended December 31, 2011, we recognized $80.7 million of rental income, compared to $70.2 million on a pro forma basis for the year ended December 31, 2010. The increase during the year ended December 31, 2011 primarily resulted from the recognition of $10.3 million of rental income from the acquisitions of the Cadia Portfolio, Texas Regional Medical Center at Sunnyvale, the Aurora Portfolio, the Encore Portfolio, Oak Brook Health Care Center and Creekside Senior Living, which were completed in 2011. Amounts due under the terms of all of our lease agreements are subject to contractual increases and there is no contingent rental income that may be derived from our properties.
Interest Income
During the year ended December 31, 2011, we recognized $3.5 million of interest income compared to $14,000 recognized on a pro forma basis for the year ended December 31, 2010. Interest income during the year ended December 31, 2011 consisted primarily of interest income earned on the Hillside Terrace Mortgage Note, which we acquired on March 25, 2011. Included in interest income is $3.0 million that we recognized in connection with the repayment of the Hillside Terrace Mortgage Note on December 5, 2011, representing the difference between our $5.3 million investment in the Hillside Terrace Mortgage Note and the repayment amount of $8.3 million.

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Depreciation and Amortization
During the year ended December 31, 2011, we incurred depreciation and amortization expense of $26.6 million compared to $24.2 million on a pro forma basis for the year ended December 31, 2010. The increase during the year ended December 31, 2011 resulted from the recognition of $2.6 million of depreciation and amortization expense from the acquisitions of the Cadia Portfolio, Texas Regional Medical Center at Sunnyvale, the Aurora Portfolio, the Encore Portfolio, Oak Brook Health Care Center and Creekside Senior Living, which were completed in 2011. As a result of these acquisitions, we expect annual depreciation and amortization expense to increase by approximately $3.3 million over the depreciation and amortization expense recognized for the year ended December 31, 2011.
Interest
We incur interest expense comprised of costs of borrowings plus the amortization of deferred financing costs related to our indebtedness. During the year ended December 31, 2011, we incurred $30.3 million of interest expense. On a pro forma basis for the year ended December 31, 2010, interest expense was $30.5 million. See “—Liquidity and Capital Resources” below for more information.
General and Administrative Expenses
General and administrative expenses include compensation-related expenses as well as professional services, office costs and other costs associated with acquisition pursuit activities. During the year ended December 31, 2011, general and administrative expenses were $14.5 million. The majority of our general and administrative expenses were comprised of compensation and benefit expenses totaling $6.8 million, including stock-based compensation expense for our employees and board members totaling $4.6 million and employee salaries and benefits of $2.2 million. Also included in general and administrative expenses for the year ended December 31, 2011 were $3.2 million of acquisition pursuit costs and $1.4 million in expenses related to purchase and repayment of the Hillside Terrace Mortgage Note. On a pro forma basis for the year ended December 31, 2010, general and administrative expenses were $9.6 million, which excludes actual one-time start-up costs totaling $0.3 million, any acquisition pursuit costs and stock-based compensation accrual estimate adjustments. Pro forma compensation and benefit expenses for the year ended December 31, 2010 totaled $6.8 million, including stock-based compensation for employees and board members totaling $4.8 million and employee salaries and benefits of $2.0 million. We do not expect to incur start-up costs in future periods. We expect acquisition pursuit costs will fluctuate from period to period depending on acquisition activity. We also expect stock-based compensation expense to fluctuate from period to period depending upon changes in our stock price and estimates associated with performance-based compensation.
Funds from Operations and Adjusted Funds from Operations
We believe that net income as defined by GAAP is the most appropriate earnings measure. We also believe that funds from operations (“FFO”), as defined in accordance with the definition used by the National Association of Real Estate Investment Trusts (“NAREIT”), and adjusted funds from operations ("AFFO") (and related per share amounts) are important non-GAAP supplemental measures of operating performance for a REIT. Because the historical cost accounting convention used for real estate assets requires straight-line depreciation (except on land), such accounting presentation implies that the value of real estate assets diminishes predictably over time. However, since real estate values have historically risen or fallen with market and other conditions, presentations of operating results for a REIT that uses historical cost accounting for depreciation could be less informative. Thus, NAREIT created FFO as a supplemental measure of operating performance for REITs that excludes historical cost depreciation and amortization, among other items, from net income, as defined by GAAP. FFO is defined as net income, computed in accordance with GAAP, excluding gains or losses from real estate dispositions, plus real estate depreciation and amortization. AFFO is defined as FFO excluding non-cash revenues (including straight-line rental income adjustments and amortization of acquired above/below market lease intangibles), non-cash expenses (including stock-based compensation expense and amortization of deferred financing costs) and acquisition pursuit costs. We believe that the use of FFO and AFFO (and the related per share amounts), combined with the required GAAP presentations, improves the understanding of operating results of REITs among investors and makes comparisons of operating results among such companies more meaningful. We consider FFO and AFFO to be useful measures for reviewing comparative operating and financial performance because, by excluding gains or losses related to sales of previously depreciated operating real estate assets and real estate depreciation and amortization, and, for AFFO, by excluding non-cash revenues (including straight-line rental income adjustments and amortization of acquired above/below market lease intangibles), non-cash expenses (including stock-based compensation expense and amortization of deferred financing costs) and acquisition pursuit costs, FFO and AFFO can help investors compare our operating performance between periods or as compared to other companies. While FFO and AFFO are relevant and widely used measures of operating performance of REITs, they do not represent cash flows from operations or net income as defined by GAAP and should not be considered an alternative to those measures in evaluating our liquidity or operating performance. FFO and AFFO also do not consider the costs associated with capital expenditures related

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to our real estate assets nor do they purport to be indicative of cash available to fund our future cash requirements. Further, our computation of FFO and AFFO may not be comparable to FFO and AFFO reported by other REITs that do not define FFO in accordance with the current NAREIT definition or that interpret the current NAREIT definition or define AFFO differently than we do.

The following table reconciles our calculations of FFO and AFFO for the year ended December 31, 2011 and for the period from the Separation Date to December 31, 2010, to net income, the most directly comparable GAAP financial measure, for the same periods (in thousands, except share and per share amounts):
 
 
Year Ended December 31, 2011
 
Period from November 15, 2010 to December 31, 2010
Net income
$
12,842

 
$
7

Depreciation and amortization of real estate assets
26,591

 
3,134

 
 
 
 
FFO
39,433

 
3,141

 
 
 
 
Acquisition pursuit costs
3,218

 

Stock-based compensation
4,600

 
335

Straight-line rental income adjustments
(2,092
)
 

Amortization of deferred financing costs
1,998

 
230

 
 
 
 
AFFO
$
47,157

 
$
3,706

 
 
 
 
 
 
 
 
FFO per diluted common share
$
1.31

 
$
0.12

 
 
 
 
AFFO per diluted common share
$
1.55

 
$
0.14

 
 
 
 
Weighted average number of common shares outstanding, diluted:
 
 
 
FFO
30,171,225

 
25,186,988

 
 
 
 
AFFO
30,399,132

 
25,645,131

 
 
 
 
Set forth below is additional information related to certain other items included in net income above, which may be helpful in assessing our operating results. Please see the accompanying consolidated statement of cash flows for details of our operating, investing, and financing cash activities.
Significant Items Included in Net Income:
Interest income of $3.0 million and $1.4 million of expenses as a result of the repayment of the Hillside Terrace Mortgage Note on December 5, 2011;
General and administrative expense of $0.3 million and $0.1 million related to one-time start-up costs incurred during the year ended December 31, 2011 and from the Separation Date through December 31, 2010, respectively; and
General and administrative expense of $0.4 million during the period from the Separation Date through December 31, 2010 related to a one-time bonus paid to Mr. Matros, our president and chief executive officer, in December 2010.
Liquidity and Capital Resources
We believe that our available cash, operating cash flows and borrowings available to us under the Amended Secured Revolving Credit Facility provide sufficient funds for our operations, scheduled debt service payments with respect to the Senior Notes, mortgage indebtedness on our properties, and dividend requirements for the next twelve months. The completion of our equity offering in August 2011, which raised net proceeds, before expenses, of $163.9 million, provided us with additional liquidity for the acquisition of the Cadia Portfolio, future acquisitions and for general corporate purposes. We have also filed with the SEC a shelf registration statement on Form S-3, which became effective on October 31, 2011, that will allow us to issue up to $500.0 million in new securities.
We intend to invest in additional healthcare properties as suitable opportunities arise and adequate sources of financing are available. We expect that future investments in properties, including any improvements or renovations of current or newly-acquired properties, will depend on and will be financed, in whole or in part, by our existing cash, borrowings available to us

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under the Amended Secured Revolving Credit Facility, future borrowings or the proceeds from additional issuances of common stock, debt or other securities. In addition, we expect to seek financing from U.S. government agencies, including through Fannie Mae and HUD, in appropriate circumstances in connection with acquisitions and refinancings of existing mortgage loans.
In connection with the Separation and REIT Conversion Merger, we completed two significant debt financing transactions, as described below under “—Loan Agreements.” As of December 31, 2011, we had $225.0 million of indebtedness with respect to our Senior Notes and aggregate mortgage indebtedness to third parties of approximately $157.9 million on certain of our properties. In addition, as of December 31, 2011, we had $100.0 million available for borrowing under the secured revolving credit facility, which amount was increased to $200.0 million as of February 10, 2012 pursuant to the Amended Secured Revolving Credit Facility.
Although we are subject to restrictions on our ability to incur indebtedness under the indenture governing the Senior Notes and under the terms of the Amended Secured Revolving Credit Facility, we expect that we will be able to refinance existing indebtedness or incur additional indebtedness for acquisitions or other purposes, if needed. However, there can be no assurance that in the future we will be able to refinance our indebtedness, incur additional indebtedness or access additional sources of capital, such as by issuing common stock or other debt or equity securities, on terms that are acceptable to us or at all.

Cash Flows from Operating Activities
Net cash provided by operating activities was $44.7 million and $6.6 million for the year ended December 31, 2011 and for the period from the Separation Date through December 31, 2010, respectively. This was derived primarily from the rental payments received under the lease agreements with subsidiaries of Sun, rental payments from our other tenants following the date of our acquisition of the underlying property we are leasing to them and interest from the Hillside Terrace Mortgage Note, which was repaid on December 5, 2011. We expect our annualized cash flows provided by operating activities to increase as a result of completed and anticipated future real estate investment acquisitions.

Cash Flows from Investing Activities
During the year ended December 31, 2011, net cash used in investing activities was $204.6 million and consisted primarily of $204.5 million used in the acquisitions of the Texas Regional Medical Center at Sunnyvale, the Oak Brook Health Care Center, the Cadia Portfolio, the Aurora Portfolio, the Encore Portfolio and Creekside Senior Living. We expect to have significant cash flows used in investing activities to increase as a result of anticipated future real estate investment acquisitions.

Cash Flows from Financing Activities
During the year ended December 31, 2011, net cash provided by financing activities was $127.9 million and consisted of $163.2 million from the issuance of common stock, partially offset by $31.6 million of dividends paid to common stockholders, $3.0 million of principal repayments of mortgage notes payable and $0.7 million of payments for deferred financing costs.
Loan Agreements
8.125% Senior Notes due 2018. On October 27, 2010, we, through the Operating Partnership and Sabra Capital Corporation (the “Issuers”), issued the Senior Notes in a private placement. The Senior Notes were sold at par, resulting in gross proceeds of $225.0 million and net proceeds of approximately $219.9 million after deducting commissions and expenses. On December 6, 2010, substantially all of the net proceeds were used by Sun to redeem the $200.0 million in aggregate principal amount outstanding of Old Sun’s 9.125% senior subordinated notes due 2015, including accrued and unpaid interest and the applicable redemption premium. In March 2011, the Issuers completed an exchange offer to exchange the Senior Notes for substantially identical 8.125% senior unsecured notes registered under the Securities Act of 1933, as amended (also referred to herein as the “Senior Notes”).
The obligations under the Senior Notes are fully and unconditionally guaranteed, jointly and severally, on an unsecured basis, by us and certain of our other existing and, subject to certain exceptions, future subsidiaries; provided, however, that such guarantees are subject to release under certain customary circumstances.  See Note 13, "Summarized Condensed Consolidating Information," in the Notes to Condensed Consolidated Financial Statements for additional information concerning the circumstances pursuant to which the guarantors will be automatically and unconditionally released from their obligations under the guarantees.
The Senior Notes are redeemable at the option of the Issuers, in whole or in part, at any time, and from time to time, on or after November 1, 2014, at the redemption prices set forth in the indenture governing the Senior Notes (the “Indenture”), plus accrued and unpaid interest to the applicable redemption date. In addition, prior to November 1, 2014, the Issuers may redeem

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all or a portion of the Senior Notes at a redemption price equal to 100% of the principal amount of the Senior Notes redeemed, plus a “make-whole” premium, plus accrued and unpaid interest to the applicable redemption date. At any time, or from time to time, on or prior to November 1, 2013, the Issuers may redeem up to 35% of the principal amount of the Senior Notes, using the proceeds of specific kinds of equity offerings, at a redemption price of 108.125% of the principal amount to be redeemed, plus accrued and unpaid interest, if any, to the applicable redemption date. Assuming the Senior Notes are not redeemed, the Senior Notes mature on November 1, 2018.
The Indenture governing the Senior Notes contains restrictive covenants that, among other things, restrict the ability of Sabra, the Issuers and their restricted subsidiaries to: (i) incur or guarantee additional indebtedness; (ii) incur or guarantee secured indebtedness; (iii) pay dividends or distributions on, or redeem or repurchase, their capital stock; (iv) make certain investments or other restricted payments; (v) sell assets; (vi) create liens on their assets; (vii) enter into transactions with affiliates; (viii) merge or consolidate or sell all or substantially all of their assets; and (ix) create restrictions on the ability of Sabra and its restricted subsidiaries to pay dividends or other amounts to Sabra. The Indenture governing the Senior Notes also provides for customary events of default, including, but not limited to, the failure to make payments of interest or premium, if any, on, or principal of, the Senior Notes, the failure to comply with certain covenants and agreements specified in the Indenture for a period of time after notice has been provided, the acceleration of other indebtedness resulting from the failure to pay principal on such other indebtedness prior to its maturity, and certain events of insolvency. If any event of default occurs, the principal of, premium, if any, and accrued interest on all the then outstanding Senior Notes may become due and payable immediately. As of December 31, 2011, we were in compliance with all applicable financial covenants under the Senior Notes.
Secured Revolving Credit Facility. On November 3, 2010, the Borrowers entered into a secured revolving credit facility with certain lenders as set forth in the related credit agreement and Bank of America, N.A., as Administrative Agent, Swing Line Lender and L/C Issuer (each as defined in such credit agreement). The secured revolving credit facility is secured by, among other things, a first priority lien against certain of the properties owned by certain of our subsidiaries. The obligations of the Borrowers under the secured revolving credit facility are guaranteed by us and certain of our subsidiaries. This credit facility provided for up to a $100.0 million secured revolving credit facility. As of December 31, 2011, there were no amounts outstanding on the secured revolving credit facility and as of December 31, 2011, we were in compliance with all applicable financial covenants under the secured revolving credit facility.
On February 10, 2012, the Borrowers entered into the Amended Secured Revolving Credit Facility to increase the borrowing capacity from $100.0 million to $200.0 million (up to $20.0 million of which may be utilized for letters of credit) and to include an accordion feature that allows the Borrowers to increase borrowing availability up to an additional $150.0 million, subject to certain terms and conditions. Borrowing availability under the Amended Secured Revolving Credit Facility is subject to a borrowing base calculation based on, among other factors, the lesser of (i) the mortgageability cash flow (as such term is defined in the credit agreement relating to the Amended Secured Revolving Credit Facility) or (ii) the appraised value, in each case of the properties securing the Amended Secured Revolving Credit Facility. The entire $200.0 million was available for borrowing under the Amended Secured Revolving Credit Facility as of the amendment date. Borrowing availability under the Amended Secured Revolving Credit Facility terminates, and all borrowings mature, on February 10, 2015, subject to a one-year extension option.
Borrowings under the Amended Secured Revolving Credit Facility bear interest on the outstanding principal amount at a rate equal to an applicable percentage plus, at the Borrowers' option, either (a) LIBOR or (b) a base rate determined as the greater of (i) the federal funds rate plus 0.5%, (ii) the prime rate, and (iii) one-month LIBOR plus 1.0% (the “Base Rate”). The applicable percentage for borrowings will vary based on the Consolidated Leverage Ratio, as defined in the credit agreement, and will range from 2.00% to 3.00% per annum for borrowings at the Base Rate and 3.00% to 4.00% per annum for LIBOR based borrowings. In addition, the Borrowers are required to pay a facility fee to the lenders equal to between 0.35% and 0.50% per annum based on the amount of unused borrowings under the Amended Secured Revolving Credit Facility.
The Amended Secured Revolving Credit Facility contains customary covenants that include restrictions on the ability to make acquisitions and other investments, pay dividends, incur additional indebtedness, engage in non-healthcare related business activities, enter into transactions with affiliates and sell or otherwise transfer certain assets as well as customary events of default. The Amended Secured Revolving Credit Facility also requires that we, through the Borrowers, comply with specified financial covenants, which include a maximum leverage ratio, a minimum fixed charge coverage ratio and a minimum tangible net worth requirement.



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Mortgage Indebtedness
Of our 97 properties, 26 are subject to mortgage indebtedness to third parties that, as of December 31, 2011, totaled approximately $157.9 million. As of December 31, 2011 and December 31, 2010, our mortgage notes payable consisted of the following (dollars in thousands):
 
Interest Rate Type
 
Principal
Outstanding as of
December 31, 2011
 (2)
 
Principal
Outstanding as of
December 31, 2010 
(2)
 
Weighted Average
Interest Rate at
December 31, 2011
 
Maturity
Date
Fixed Rate
 
$
98,739

 
$
100,610

 
6.29
%
 
August 2015 - June 2047
Variable Rate(1)
 
59,159

 
60,315

 
5.50
%
 
August 2015
 
 
$
157,898

 
$
160,925

 
 
 
 
 
(1) 
Contractual interest rates under variable rate mortgages are equal to the 90-day LIBOR plus 4.5% (subject to a 1.0% LIBOR floor).
(2) 
Outstanding principal balance for mortgage indebtedness does not include mortgage premium of $0.5 million as of December 31, 2011 and December 31, 2010.
Capital Expenditures
For the year ended December 31, 2011 and for the period from the Separation Date through December 31, 2010, our aggregate capital expenditures were $9,000 and $94,000, respectively, which were primarily for corporate office needs. There are no present plans for the improvement or development of any unimproved or undeveloped property. Accordingly, we anticipate that our aggregate capital expenditure requirements for fiscal year 2012 will be less than $250,000, which will principally be for corporate office needs.
Dividends
We paid dividends of $31.6 million during the year ended December 31, 2011. On February 29, 2012, our board of directors declared a quarterly cash dividend of $0.33 per share of common stock. The dividend will be paid on March 30, 2012 to stockholders of record as of March 15, 2012.

Change in Skilled Nursing Facility Reimbursement Rates
Medicare reimburses skilled nursing facilities for Medicare Part A services under the Prospective Payment System (“PPS”), as implemented pursuant to the Balanced Budget Act of 1997 and modified pursuant to subsequent laws, most recently the Patient Protection and Affordable Care Act of 2010 (the “Affordable Care Act”). PPS regulations predetermine a payment amount per patient, per day, based on a market basket index calculated for all covered costs. The amount to be paid is determined by classifying each patient into one of 66 Resource Utilization Group (“RUG”) categories that represent the level of services required to treat different conditions and levels of acuity.
The current system of 66 RUG categories, or Resource Utilization Group version IV (“RUG IV”), became effective as of October 1, 2010. RUG IV resulted from research performed by CMS and was part of CMS's continuing effort to increase the correlation of the cost of services to the condition of individual patients.
On July 29, 2011, CMS released its final rule regarding 2012 Medicare payment rates for skilled nursing facilities, which became effective October 1, 2011. Based on the final rule, the net reduction in fiscal year 2012 Medicare reimbursement rates for skilled nursing facilities will be 11.1%. On January 4, 2012, Sun issued a press release announcing its 2012 financial outlook and guidance, in which Sun stated that it expected the net impact of the final rule in 2012 to be between $40 million to $45 million after mitigation strategies were implemented to partially offset the impact of the CMS final rule. Based on Sun's expected 2012 consolidated EBITDAR (earnings before interest, taxes, depreciation, amortization and rent) of between $222.0 million and $228.0 million and expected consolidated rents across all of its facilities totaling $148.0 million, Sun's expected 2012 consolidated EBITDAR coverage would be between 1.50x and 1.54x (Sun's expected 2012 consolidated EBITDAR coverage would be between 1.46x and 1.50x before eliminating assets Sun expects to transition to held for sale status in 2012). In addition to Sun, other tenants have undertaken cost and patient mix mitigation activities intended to partially offset the impact of the CMS final rule. Although there has been no negative impact on our tenants' ability to pay their lease obligations to date, if Sun and our other skilled nursing facility tenants are unable to mitigate the impact of the CMS final rule as expected, this may have an adverse impact on their business and financial results, which will adversely affect our business, financial position or results of operations if they are unable to timely make their rental payments to us.


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Obligations and Commitments
The following table summarizes our contractual obligations and commitments in future years, including our Senior Notes and our approximately $157.9 million of mortgage indebtedness to third parties on certain of our properties as of December 31, 2011 (in thousands):
 
 
 
 
Payments Due During the Years Ended December 31,
 
Total
 
2012
 
2013
 
2014
 
2015
 
2016
 
After 2016
Mortgage indebtedness(1)
$
242,629

 
$
12,683

 
$
12,680

 
$
12,678

 
$
93,170

 
$
5,333

 
$
106,085

Senior Notes(2)
352,968

 
18,281

 
18,281

 
18,281

 
18,281

 
18,281

 
261,563

Operating lease
364

 
87

 
91

 
95

 
91

 

 

Total
$
595,961

 
$
31,051

 
$
31,052

 
$
31,054

 
$
111,542

 
$
23,614

 
$
367,648

 
(1) 
Mortgage indebtedness includes principal payments and interest payments through the maturity dates. Total interest on mortgage indebtedness, based on contractual rates, is $84.7 million, of which $11.6 million is attributable to variable interest rates determined using the weighted average method.
(2) 
Senior Notes includes interest payments payable semi-annually each May 1st and November 1st at a fixed rate of 8.125%. The Senior Notes mature on November 1, 2018. Total interest on the Senior Notes is $128.0 million.
Impact of Inflation
Our rental income in future years will be impacted by changes in inflation. The majority of our lease agreements provide for an annual rent escalator based on the percentage change in the Consumer Price Index (but not less than zero), subject to minimum or maximum fixed percentages.
Off-Balance Sheet Arrangements
None.
Recently Issued Accounting Standards Updates
See Note 2 to the Consolidated Financial Statements in this report for a discussion of recently issued accounting standards.
Quarterly Financial Data
The following table presents our quarterly financial data. This information has been prepared on a basis consistent with that of our audited consolidated financial statements. Our quarterly results of operations for the periods presented are not necessarily indicative of future results of operations. This unaudited quarterly data should be read together with the accompanying consolidated financial statements and related notes thereto (in thousands, except share and per share amounts).
 

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Period from November 15, 2010 to December 31, 2010
 
For the Year Ended December 31, 2011
 
 
 
First
Quarter
 
Second Quarter
 
Third
Quarter
 
Fourth Quarter
Operating data
 
 
 
 
 
 
 
 
 
 
Total revenues
 
$
8,795

 
$
17,601

 
$
18,805

 
$
21,470

 
$
26,349

Net income
 
7

 
1,248

 
2,087

 
2,344

 
7,163

Net income per common share-basic
 

 
0.05

 
0.08

 
0.07

 
0.19

Net income per common share-diluted
 

 
0.05

 
0.08

 
0.07

 
0.19

 
 
 
 
 
 
 
 
 
 
 
Other data
 
 
 
 
 
 
 
 
 
 
Cash flows provided by operations
 
$
6,592

 
$
12,458

 
$
5,470

 
$
16,581

 
$
10,196

Cash flows provided by (used in) investing activities
 
67,118

 
(5,415
)
 
(74,019
)
 
(113,700
)
 
(11,452
)
Cash flows provided by (used in) financing activities
 
523

 
(1,066
)
 
(8,207
)
 
150,082

 
(12,911
)
Weighted-average number of common shares outstanding, basic
 
25,110,936

 
25,136,140

 
25,154,284

 
32,986,657

 
36,965,431

Weighted-average number of common shares outstanding, diluted:
 
 
 
 
 
 
 
 
 
 
Net income and FFO
 
25,186,988

 
25,211,585

 
25,226,179

 
33,049,621

 
37,052,574

AFFO
 
25,645,131

 
25,694,787

 
25,480,729

 
33,320,262

 
37,248,402

FFO(1)
 
$
3,141

 
$
7,334

 
$
8,377

 
$
9,194

 
$
14,528

Diluted FFO per common share(1)
 
0.12

 
0.29

 
0.33

 
0.28

 
0.39

AFFO(1)
 
3,706

 
9,058

 
10,308

 
12,529

 
15,262

Diluted AFFO per common share(1)
 
0.14

 
0.35

 
0.40

 
0.38

 
0.41

 
 
 
 
 
 
 
 
 
 
 
Reconciliation of FFO and AFFO
 
 
 
 
 
 
 
 
 
 
Net income
 
$
7

 
$
1,248

 
$
2,087

 
$
2,344

 
$
7,163

Add:
 
 
 
 
 
 
 
 
 
 
Depreciation of real estate assets
 
$
3,134

 
$
6,086

 
$
6,290

 
$
6,850

 
$
7,365

 
 
 
 
 
 
 
 
 
 
 
FFO
 
$
3,141

 
$
7,334

 
$
8,377

 
$
9,194

 
$
14,528

 
 
 
 
 
 
 
 
 
 
 
Acquisition pursuit costs
 

 
87

 
224

 
2,643

 
264

Stock-based compensation
 
335

 
1,142

 
1,335

 
771

 
1,351

Straight-line rental income adjustments
 

 

 
(128
)
 
(591
)
 
(1,372
)
Amortization of deferred financing costs
 
230

 
495

 
500

 
512

 
491

 
 
 
 
 
 
 
 
 
 
 
AFFO
 
$
3,706

 
$
9,058

 
$
10,308

 
$
12,529

 
$
15,262

 
 
 
 
 
 
 
 
 
 
 
(1) 
We believe that net income as defined by GAAP is the most appropriate earnings measure. We also believe that FFO, as defined by NAREIT, and AFFO (and related per share amounts) are important non-GAAP supplemental measures of operating performance for a REIT. We consider FFO and AFFO to be useful measures for reviewing comparative operating and financial performance because, by excluding gains or losses from real estate dispositions, plus real estate depreciation and amortization, and, for AFFO, by excluding non-cash revenues (including straight-line rental income adjustments and amortization of acquired above/below market lease intangibles), non-cash expenses (including stock-based compensation expense and amortization of deferred financing costs) and acquisition pursuit costs, FFO and AFFO can help investors compare our operating performance between periods or as compared to other companies. See “-Results of Operations-Funds from Operations and Adjusted Funds from Operations” for further discussion of FFO and AFFO.

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Our primary market risk exposure is interest rate risk with respect to our indebtedness. As of December 31, 2011, this indebtedness included the $225.0 million aggregate principal amount of Senior Notes outstanding and $157.9 million of mortgage indebtedness to third parties on certain of the properties that our subsidiaries own. Approximately $59.2 million of our outstanding mortgage indebtedness as of December 31, 2011 has a variable interest rate. In addition, as of December 31, 2011, we also had $100 million available for borrowing under our secured credit facility (which amount increased to $200 million following the amendment of the secured revolving credit facility on February 10, 2012), although we did not have any

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amounts outstanding under the secured revolving credit facility as of December 31, 2011 or as of the date of our amendment of the credit facility. From time to time, however, we may borrow under the secured revolving credit facility to finance future investments in properties, including any improvements or renovations of current or newly acquired properties, or for other purposes. Because borrowings under the secured revolving credit facility bear interest on the outstanding principal amount at a rate equal to an applicable percentage plus, at our option, either (a) LIBOR or (b) a base rate determined as the greater of (i) the federal funds rate plus 0.5%, (ii) the prime rate, and (iii) one-month LIBOR plus 1.0%, the interest rate we will be required to pay on any such borrowings will depend on then applicable rates and may vary.
In addition, an increase in interest rates could make the financing of any acquisition by us more costly. Rising interest rates could also limit our ability to refinance our debt when it matures or cause us to pay higher interest rates upon refinancing and increase interest expense on refinanced indebtedness. Assuming a 100 basis point increase in the interest rate related to our variable rate debt, and assuming no change in our outstanding debt balance as of December 31, 2011, interest expense would increase $0.2 million for the twelve months following December 31, 2011. As the index underlying our variable rate mortgages is currently below 100 basis points and is not expected to go below zero and after giving consideration to interest rate floors imbedded in our variable rate debt agreements, interest expense would not be expected to be impacted by a decline in current interest rates.
We expect to manage our exposure to interest rate risk by maintaining a mix of fixed and variable rates for our indebtedness. We also may manage, or hedge, interest rate risks related to our borrowings by means of interest rate swap agreements, although we are not currently a party to any swap agreements.
The table below summarizes the book values and the weighted-average interest rates of our indebtedness by type as of December 31, 2011 based on the maturity dates (dollars in thousands):
 
 
Maturity
 
 
2012
 
2013
 
2014
 
2015
 
2016
 
Thereafter
 
Total Book Value(1)
 
Total Fair Value
Mortgage Indebtedness
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Fixed rate
 
$
1,994

 
$
2,142

 
$
2,292

 
$
30,742

 
$
1,689

 
$
59,880

 
$
98,739

 
$
113,940

Weighted average interest rate
 
6.34
%
 
6.32
%
 
6.31
%
 
6.20
%
 
5.99
%
 
5.66
%
 
6.29
%
 
 
Variable rate
 
$
1,210

 
$
1,286

 
$
1,357

 
$
55,306

 
$

 
$

 
$
59,159

 
$
58,889

Weighted average interest rate
 
5.50
%
 
5.50
%
 
5.50
%
 
5.50
%
 
%
 
%
 
5.50
%
 
 
Senior Unsecured Notes
 
$

 
$

 
$

 
$

 
$

 
$
225,000

 
$
225,000

 
$
227,813

Weighted average interest rate
 
%
 
%
 
%
 
%
 
%
 
8.13
%
 
8.13
%
 
 
(1) 
Total book value of mortgage indebtedness does not include mortgage premium of $0.5 million as of December 31, 2011.
For a discussion of the interest rate risks related to the current capital and credit markets, see Part I, Item 1A, “Risk Factors.”

ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

See the Index to Financial Statements at page F-1 of this 10-K. See also "Item 7. Management's Discussion and Analysis—Quarterly Financial Data."

ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE
None.
ITEM 9A. CONTROLS AND PROCEDURES
Disclosure Controls and Procedures
As of the end of the period covered by this report, management, including our chief executive officer and chief financial officer, evaluated the effectiveness of the design and operation of our disclosure controls and procedures. Based upon, and as of the date of the evaluation, our chief executive officer and chief financial officer concluded that our disclosure controls and procedures were effective as of December 31, 2011 to ensure that information required to be disclosed in the reports we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC's

39

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rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by us in the reports we file or submit under the Exchange Act is accumulated and communicated to our management, including our chief executive officer and our chief financial officer, as appropriate to allow timely decisions regarding required disclosure.
Management's Annual Report on Internal Control Over Financial Reporting
Management is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Exchange Act Rule 13a−15(f) and 15d−15(f). Under the supervision and with the participation of our management, including our chief executive officer and chief financial officer, we conducted an evaluation of the effectiveness of our internal control over financial reporting using the criteria described in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission. ("COSO") Based on our evaluation using the criteria described in Internal Control—Integrated Framework, our management concluded that our internal control over financial reporting was effective as of December 31, 2011.
The effectiveness of our internal control over financial reporting as of December 31, 2011, has been audited by PricewaterhouseCoopers LLP, an independent registered public accounting firm, as stated in their report which is included herein.
Changes in Internal Control over Financial Reporting
There were no changes in our internal control over financial reporting during the quarter ended December 31, 2011 that have materially affected or are reasonably likely to materially affect our internal control over financial reporting.

ITEM 9B. OTHER INFORMATION
None.
 

PART III

ITEM 10. DIRECTORS, EXECUTIVE OFFICERS, AND CORPORATE GOVERNANCE
Except as provided below, the information required under Item 10 is incorporated herein by reference to our definitive proxy statement to be filed with the SEC within 120 days after the end of our fiscal year ended December 31, 2011 in connection with our 2012 Annual Meeting of Stockholders.
Code of Conduct and Ethics
We have adopted a Code of Conduct and Ethics that applies to all of our directors and employees, including our principal executive officer and principal financial officer. Our Code of Conduct and Ethics can be found in the About Sabra-Corporate Governance section of our website at www.sabrahealth.com. Waivers from, and amendments to, our Code of Conduct and Ethics that apply to our directors, executive officers or persons performing similar functions will be timely posted in the About Sabra-Corporate Governance section of our website at www.sabrahealth.com.

ITEM 11. EXECUTIVE COMPENSATION
The information required under Item 11 is incorporated herein by reference to our definitive proxy statement to be filed with the SEC within 120 days after the end of our fiscal year ended December 31, 2011 in connection with our 2012 Annual Meeting of Stockholders.

ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS
The information required under Item 12 is incorporated herein by reference to our definitive proxy statement to be filed with the SEC within 120 days after the end of our fiscal year ended December 31, 2011 in connection with our 2012 Annual Meeting of Stockholders.

ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS AND DIRECTOR INDEPENDENCE

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The information required under Item 13 is incorporated herein by reference to our definitive proxy statement to be filed with the SEC within 120 days after the end of our fiscal year ended December 31, 2011 in connection with our 2012 Annual Meeting of Stockholders.

ITEM 14. PRINCIPAL ACCOUNTING FEES AND SERVICES
The information required under Item 14 is incorporated herein by reference to our definitive proxy statement to be filed with the SEC within 120 days after the end of our fiscal year ended December 31, 2011 in connection with our 2012 Annual Meeting of Stockholders.

PART IV

ITEM 15. EXHIBITS, FINANCIAL STATEMENTS AND FINANCIAL STATEMENT SCHEDULE
(a)
Documents filed as part of this 10-K:
(1)
Financial Statements
See the Index to Financial Statements at page F-1 of this report.
(2)
Financial Statement Schedule
The following financial statement schedule is included herein at pages F-34 through F-38 of this report:
Schedule III-Real Estate Assets and Accumulated Depreciation
(3)
Exhibits
The following exhibits are filed herewith or are incorporated by reference, as specified below, to exhibits previously filed with the SEC.
 

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EXHIBIT LIST
Ex.
  
Description
 
 
2.1
  
Agreement and Plan of Merger, dated as of September 23, 2010, by and between Sun Healthcare Group, Inc. and Sabra Health Care REIT, Inc. (incorporated by reference to Annex A to the proxy statement/prospectus included in Amendment No. 4 to the Registration Statement on Form S-4 (File No. 333-167040) filed by Sabra Health Care REIT, Inc. on September 28, 2010).
 
 
2.2
  
Distribution Agreement, dated November 4, 2010, by and among Sun Healthcare Group, Inc., Sabra Health Care REIT, Inc. and SHG Services, Inc. (which has been renamed Sun Healthcare Group, Inc.) (incorporated by reference to Exhibit 2.1 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on November 5, 2010).†
 
 
2.3
  
Purchase and Sale Agreement and Joint Escrow Instructions, dated March 30, 2011, by and between Sabra Health Care REIT, Inc. and CP Sunnyvale Property, Ltd. (incorporated by reference to Exhibit 2.1 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on May 5, 2011).
 
 
2.4
  
Purchase and Sale Agreement and Joint Escrow Instructions, dated July 8, 2011, by and between Peninsula Healthcare Services, LLC; Broadmeadow Investment LLC; Capitol Nursing & Rehabilitation Center, L.L.C.; and Pike Creek Healthcare Services LLC, and Sabra Health Care REIT, Inc. (incorporated by reference to Exhibit 2.1 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on July 11, 2011).

 
 
3.1
  
Articles of Amendment and Restatement of Sabra Health Care REIT, Inc., dated October 20, 2010, filed with the State Department of Assessments and Taxation of the State of Maryland on October 21, 2010 (incorporated by reference to Exhibit 3.1 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on October 26, 2010).
 
 
3.2
  
Amended and Restated Bylaws of Sabra Health Care REIT, Inc. (incorporated by reference to Exhibit 3.2 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on October 26, 2010).
 
 
4.1
 
Indenture, dated October 27, 2010, among Sabra Health Care Limited Partnership, Sabra Capital Corporation, Sabra Health Care REIT, Inc., the other guarantors named therein, and Wells Fargo Bank, National Association, as Trustee (incorporated by reference to Exhibit 4.1 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on October 27, 2010).
 
 
 
 
 
4.1.1
 
First Supplemental Indenture, dated November 4, 2010, among Sabra Health Care Limited Partnership, Sabra Capital Corporation, Sabra Health Care REIT, Inc., the other subsidiaries of Sabra Health Care REIT, Inc. named therein, the other Guarantors (as defined in the Indenture referred to therein) and Wells Fargo Bank, National Association, as Trustee (incorporated by reference to Exhibit 4.1.1 of the Registration Statement on Form S-4 (File No. 333-171820-26) filed by Sabra Health Care REIT, Inc. on January 21, 2011).
 
 
4.2
 
Registration Rights Agreement, dated October 27, 2010, by and among Sabra Health Care Limited Partnership, Sabra Capital Corporation, Sabra Health Care REIT, Inc., the other guarantors listed therein and the initial purchasers of the 8.125% Senior Notes due 2018 (incorporated by reference to Exhibit 4.1 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on October 27, 2010).
 
 
4.2.1
 
Joinder, dated as of November 4, 2010, to the Registration Rights Agreement dated as of October 27, 2010 among Sabra Health Care REIT, Inc., Sabra Health Care Limited Partnership, Sabra Capital Corporation, Sun Healthcare Group, Inc., the Closing Date Subsidiary Guarantors identified therein and Banc of America Securities LLC, in its individual capacity and as Representative for the other Initial Purchasers (incorporated by reference to Exhibit 4.2.1 of the Registration Statement on Form S-4 (File No. 333-171820-26) filed by Sabra Health Care REIT, Inc. on January 21, 2011).
 
 
4.3
 
Form of 8.125% Senior Note due 2018 (included in Exhibit 4.1).
 
 
10.1
 
Tax Allocation Agreement, dated as of September 23, 2010, by and among Sun Healthcare Group, Inc., Sabra Health Care REIT, Inc. and SHG Services, Inc. (which has been renamed Sun Healthcare Group, Inc.) (incorporated by reference to Exhibit 10.2 of Amendment No. 3 to the Registration Statement on Form S-4 (File No. 333-167040) filed by Sabra Health Care REIT, Inc. on September 24, 2010).
 
 
10.2
 
Transition Services Agreement, dated November 4, 2010 and effective as of the effective time of the REIT Conversion Merger, by and between SHG Services, Inc. (which has been renamed Sun Healthcare Group, Inc.) and Sabra Health Care REIT, Inc. (incorporated by reference to Exhibit 10.1 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on November 5, 2010).
 
 

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10.3
 
Form of Master Lease Agreement entered into between subsidiaries of SHG Services, Inc. (which has been renamed Sun Healthcare Group, Inc.) and subsidiaries of Sabra Health Care REIT, Inc. that, with certain exceptions, became effective as of the Separation with respect to the 86 properties owned by subsidiaries of Sabra Health Care REIT, Inc. following the Separation and REIT Conversion Merger (incorporated by reference to Exhibit 10.2 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on November 5, 2010).
 
 
10.4
 
Form of Guaranty entered into by SHG Services, Inc. (which has been renamed Sun Healthcare Group, Inc.) in favor of subsidiaries of Sabra Health Care REIT, Inc., as landlords under the Master Lease Agreements (incorporated by reference to Exhibit 10.3 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on November 5, 2010).
 
 
10.5
 
Credit Agreement, dated November 3, 2010, among Sabra Health Care Limited Partnership, Sabra Idaho, LLC, Sabra California II, LLC, Oakhurst Manor Nursing Center LLC, Sunset Point Nursing Center LLC, Sabra New Mexico, LLC, Sabra Ohio, LLC, Sabra Kentucky, LLC, Sabra NC, LLC, Sabra Connecticut II LLC, West Bay Nursing Center LLC and Orchard Ridge Nursing Center LLC, as Borrowers, Sabra Health Care REIT, Inc., as REIT Guarantor, the other guarantors party thereto, the lenders party thereto and Bank of America, N.A., as administrative agent, swing line lender and L/C issuer (incorporated by reference to Exhibit 10.4 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on November 5, 2010).
10.5.1
 
First Amendment to Credit Agreement, dated February 10, 2012, among Sabra Health Care Limited Partnership, Sabra Idaho, LLC, Sabra California II, LLC, Oakhurst Manor Nursing Center LLC, Sunset Point Nursing Center LLC, Sabra New Mexico, LLC, Sabra Ohio, LLC, Sabra Kentucky, LLC, Sabra NC, LLC, Sabra Connecticut II LLC, West Bay Nursing Center LLC, Orchard Ridge Nursing Center LLC, Connecticut Holdings I LLC, Sabra Health Care Delaware, LLC, Sabra Texas Properties, L.P., as Borrowers, Sabra Health Care REIT, Inc., as REIT Guarantor, the lenders party thereto and Bank of America, N.A., as administrative agent, swing line lender and L/C issuer (incorporated by reference to Exhibit 10.1 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on February 14, 2012).

 
 
10.6
 
Form of Indemnification Agreement entered into with each of the directors and officers of Sabra Health Care REIT, Inc. (incorporated by reference to Exhibit 10.5 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on November 5, 2010).
 
 
10.7+
 
Employment Agreement, dated November 22, 2010, by and between Richard K. Matros and Sabra Health Care REIT, Inc. (incorporated by reference to Exhibit 10.1 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on November 24, 2010).
 
 
10.8+
 
Employment Agreement, dated November 22, 2010, by and between Harold W. Andrews, Jr. and Sabra Health Care REIT, Inc. (incorporated by reference to Exhibit 10.2 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on November 24, 2010).
 
 
10.9+
 
Employment Agreement, dated November 22, 2010, by and between Talya Nevo-Hacohen and Sabra Health Care REIT, Inc. (incorporated by reference to Exhibit 10.3 of the Current Report on Form 8-K filed by Sabra Health Care REIT, Inc. on November 24, 2010).
 
 
10.10+
 
Sabra Health Care REIT, Inc. 2009 Performance Incentive Plan (incorporated by reference to Exhibit 4.1 of the Registration Statement on Form S-8 filed by Sabra Health Care REIT, Inc. on December 22, 2010).
 
 
10.10.1+
 
Form of Notice and Terms and Conditions of Stock Unit Award (Time-Based Stock Units) (incorporated by reference to Exhibit 10.10.1 of the Registration Statement on Form S-4 (File No. 333-171820-26) filed by Sabra Health Care REIT, Inc. on January 21, 2011).
 
 
10.10.2+
 
Form of Notice and Terms and Conditions of Stock Unit Award (FFO Units) (incorporated by reference to Exhibit 10.10.2 of the Registration Statement on Form S-4 (File No. 333-171820-26) filed by Sabra Health Care REIT, Inc. on January 21, 2011).
 
 
10.10.3+
 
Form of Notice and Terms and Conditions of Stock Unit Award (TSR Units) (incorporated by reference to Exhibit 10.10.3 of the Registration Statement on Form S-4 (File No. 333-171820-26) filed by Sabra Health Care REIT, Inc. on January 21, 2011).
 
 
10.10.4+
 
Form of Notice and Terms and Conditions of Stock Unit Award (for Non-Employee Directors) (incorporated by reference to Exhibit 10.10.4 of the Registration Statement on Form S-4 (File No. 333-171820-26) filed by Sabra Health Care REIT, Inc. on January 21, 2011).
 
 

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10.10.5+
 
Non-Employee Directors Stock-for-Fees Program (incorporated by reference to Exhibit 10.10.5 of the Registration Statement on Form S-4 (File No. 333-171820-26) filed by Sabra Health Care REIT, Inc. on January 21, 2011).
 
 
10.11+
 
Sabra Health Care REIT, Inc. 2004 Equity Incentive Plan (incorporated by reference to Exhibit 4.2 of the Registration Statement on Form S-8 (File No. 333-171350) filed by Sabra Health Care REIT, Inc. on December 22, 2010).
 
 
10.12+
 
Sabra Health Care REIT, Inc. Directors' Compensation Policy (incorporated by reference to Exhibit 10.12 of the Registration Statement on Form S-4 (File No. 333-171820-26) filed by Sabra Health Care REIT, Inc. on January 21, 2011).
 
 
 
 
 
12.1*
  
Statement Re: Computation of Ratios of Earnings to Fixed Charges.
 
 
21.1*
 
List of Subsidiaries of Sabra Health Care REIT, Inc.
 
 
23.1*
 
Consent of PricewaterhouseCoopers LLP.
 
 
31.1*
  
Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
 
 
31.2*
  
Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
 
 
32.1*
  
Certification of Chief Executive Officer pursuant to 18 U.S.C. 1350, as created by Section 906 of the Sarbanes-Oxley Act of 2002.
 
 
32.2*
  
Certification of Chief Financial Officer pursuant to 18 U.S.C. 1350, as created by Section 906 of the Sarbanes-Oxley Act of 2002.
 
 
101.INS*
 
XBRL Instance Document.
 
 
101.SCH*
 
XBRL Taxonomy Extension Schema Document.
 
 
101.CAL*
 
XBRL Taxonomy Extension Calculation Linkbase Document.
 
 
101.DEF*
 
XBRL Taxonomy Extension Definition Linkbase Document.
 
 
101.LAB*
 
XBRL Taxonomy Extension Label Linkbase Document.
 
 
101.PRE*
 
XBRL Taxonomy Extension Presentation Linkbase Document.
 
*
Filed herewith.
 
 
+
Designates a management compensation plan, contract or arrangement.
Schedules and exhibits have been omitted pursuant to Item 601(b)(2) of Regulation S-K. The Registrants hereby agree to furnish supplementally copies of any of the omitted schedules and exhibits upon request by the Securities and Exchange Commission.



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INDEX TO CONSOLIDATED FINANCIAL STATEMENTS
 
 
Consolidated Financial Statements
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Financial Statement Schedule
 
 
 
 
 
All other schedules are omitted because they are not applicable or the required information is shown in the financial statements or notes thereto.
 
 
 



F-1

Table of Contents

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To The Board of Directors and Stockholders
Sabra Health Care REIT, Inc.

In our opinion, the consolidated financial statements listed in the accompanying index present fairly, in all material respects, the financial position of Sabra Health Care REIT, Inc. and its subsidiaries at December 31, 2011 and 2010, and the results of their operations and their cash flows for the year ended December 31, 2011 and for the period from November 15, 2010 to December 31, 2010 in conformity with accounting principles generally accepted in the United States of America. In addition, in our opinion, the financial statement schedule listed in the accompanying index presents fairly, in all material respects, the information set forth therein when read in conjunction with the related consolidated financial statements. Also in our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2011, based on criteria established in Internal Control - Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). The Company's management is responsible for these financial statements and financial statement schedule, for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting, included in Management's Report on Internal Control Over Financial Reporting appearing under Item 9A. Our responsibility is to express opinions on these financial statements, on the financial statement schedule, and on the Company's internal control over financial reporting based on our audits (which was an integrated audit in 2011). 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 audits to obtain reasonable assurance about whether the financial statements are free of material misstatement and whether effective internal control over financial reporting was maintained in all material respects. Our audits of the financial statements included 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. Our audit of internal control over financial reporting included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, and testing and evaluating the design and operating effectiveness of internal control based on the assessed risk. Our audits also included performing such other procedures as we considered necessary in the circumstances. We believe that our audits provide a reasonable basis for our opinions.

A company's internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company's internal control over financial reporting includes those policies and procedures that (i) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (ii) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (iii) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company's assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

/s/ PricewaterhouseCoopers LLP
Irvine, California
March 1, 2012
 



F-2

Table of Contents

SABRA HEALTH CARE REIT, INC.
CONSOLIDATED BALANCE SHEETS
(in thousands, except share and per share amounts)
 
 
December 31,
 
2011
 
2010
 
 
 
 
Assets
 
 
 
Real estate investments, net of accumulated depreciation of $108,916 and $88,701 as of December 31, 2011 and 2010, respectively
$
658,377

 
$
482,297

Cash and cash equivalents
42,250

 
74,233

Restricted cash
6,093

 
4,716

Deferred tax assets
25,540

 
26,300

Prepaid expenses, deferred financing costs and other assets
17,390

 
12,013

Total assets
$
749,650

 
$
599,559

Liabilities and stockholders’ equity
 
 
 
Mortgage notes payable
$
158,398

 
$
161,440

Senior unsecured notes payable
225,000

 
225,000

Accounts payable and accrued liabilities
14,139

 
9,286

Tax liability
25,540

 
26,300

Total liabilities
423,077

 
422,026

Commitments and contingencies (Note 15)

 

Stockholders’ equity
 
 
 
Preferred stock, $.01 par value; 10,000,000 shares authorized, zero shares issued and outstanding as of December 31, 2011 and 2010

 

Common stock, $.01 par value; 125,000,000 shares authorized, 36,891,712 and 25,061,072 shares issued and outstanding as of
December 31, 2011 and 2010, respectively
369

 
251

Additional paid-in capital
344,995

 
177,275

Cumulative distributions in excess of net income
(18,791
)
 
7

Total stockholders’ equity
326,573

 
177,533

Total liabilities and stockholders’ equity
$
749,650

 
$
599,559

See accompanying notes to consolidated financial statements.

F-3

Table of Contents

SABRA HEALTH CARE REIT, INC.
CONSOLIDATED STATEMENTS OF INCOME
(in thousands, except share and per share amounts)

 
 
 
Year Ended December 31, 2011
 
Period from November 15, 2010 to December 31, 2010
Revenues:
 
 
 
 
Rental income
 
$
80,678

 
$
8,781

Interest income
 
3,547

 
14

 
 
 
 
 
Total revenues
 
84,225

 
8,795

 
 
 
 
 
 
 
 
 
 
Expenses:
 
 
 
 
Depreciation and amortization
 
26,591

 
3,134

Interest
 
30,319

 
3,859

General and administrative
 
14,473

 
1,553

 
 
 
 
 
Total expenses
 
71,383

 
8,546

 
 
 
 
 
Income before income taxes
 
12,842

 
249

 
 
 
 
 
Income tax expense
 

 
242

 
 
 
 
 
Net income
 
$
12,842

 
$
7

 
 
 
 
 
Net income per common share, basic
 
$
0.43

 
$

 
 
 
 
 
Net income per common share, diluted
 
$
0.43

 
$

 
 
 
 
 
Weighted-average number of common shares outstanding, basic
 
30,109,417

 
25,110,936

 
 
 
 
 
Weighted-average number of common shares outstanding, diluted
 
30,171,225

 
25,186,988

 
 
 
 
 
Dividends per common share
 
$
0.96

 
$

 
 
 
 
 
See accompanying notes to consolidated financial statements.

F-4

Table of Contents

SABRA HEALTH CARE REIT, INC.
CONSOLIDATED STATEMENT OF STOCKHOLDERS’ EQUITY
(in thousands, except share and per share amounts)

 
 
Common Stock
 
Additional
Paid-in Capital
 
Cumulative Distributions in Excess of Net Income
 
Total
Stockholders’
Equity
 
Shares
 
Amounts
 
 
 
Separation and REIT Conversion
 
 
 
 
 
 
 
 
 
Merger, November 15, 2010
25,061,072

 
$
251

 
$
176,940

 
$

 
$
177,191

Net income

 

 

 
7

 
7

Amortization of stock based compensation

 

 
335

 

 
335

Balance, December 31, 2010
25,061,072

 
251

 
177,275

 
7

 
177,533

Net income

 

 

 
12,842

 
12,842

Amortization of stock based compensation

 

 
4,600

 

 
4,600

Stock issuance
11,830,640

 
118

 
163,120

 

 
163,238

Common dividends ($0.96 per share)

 

 

 
(31,640
)
 
(31,640
)
Balance, December 31, 2011
36,891,712

 
$
369

 
$
344,995

 
$
(18,791
)
 
$
326,573

See accompanying notes to consolidated financial statements.

F-5

Table of Contents

SABRA HEALTH CARE REIT, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
 
 
Year Ended December 31, 2011
 
Period from November 15, 2010 to December 31, 2010
Cash flows from operating activities:

 
 
Net income
$
12,842

 
$
7

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

 
 
Depreciation and amortization
26,591

 
3,134

Amortization of deferred financing costs
1,998

 
230

Stock-based compensation expense
4,600

 
335

Amortization of premium on notes payable
(15
)
 
(2
)
Deferred taxes

 
242

Straight-line rental income adjustments
(2,092
)
 

Changes in operating assets and liabilities:


 
 
Prepaid expenses and other assets
(1,035
)
 
(609
)
Accounts payable and accrued liabilities
5,695

 
3,276

Restricted cash
(3,879
)
 
(21
)

 
 
 
Net cash provided by operating activities
44,705

 
6,592


 
 
 
Cash flows from investing activities:

 
 
Cash received in the Separation

 
67,134

Acquisitions of real estate
(204,500
)
 

Acquisition of note receivable
(5,348
)
 

Additions to corporate furniture, fixtures and equipment
(86
)
 
(16
)
Repayment of note receivable
5,348

 


 
 
 
Net cash (used in) provided by investing activities
(204,586
)
 
67,118


 
 
 
Cash flows from financing activities:

 
 
Proceeds from mortgage notes payable

 
10,000

Payment of Separation-related obligations

 
(9,081
)
Principal payments on mortgage notes payable
(3,027
)
 
(235
)
Payments of deferred financing costs
(677
)
 
(161
)
Issuance of common stock
163,242

 

Dividends paid
(31,640
)
 


 
 
 
Net cash provided by financing activities
127,898

 
523


 
 
 
Net (decrease) increase in cash and cash equivalents
(31,983
)
 
74,233

Cash and cash equivalents, beginning of period
74,233

 


 
 
 
Cash and cash equivalents, end of period
$
42,250

 
$
74,233


 
 
 
Supplemental disclosure of cash flow information:

 
 
Interest paid
$
28,557

 
$
760


 
 
 
See accompanying notes to consolidated financial statements.

F-6

Table of Contents

SABRA HEALTH CARE REIT, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 
1.BUSINESS
Overview
Sabra Health Care REIT, Inc. (“Sabra” or the “Company”) was incorporated on May 10, 2010 as a wholly owned subsidiary of Sun Healthcare Group, Inc. (“Old Sun”) and commenced operations upon completion of the Separation and REIT Conversion Merger (discussed below) on November 15, 2010 (the “Separation Date”). Sabra is organized to qualify as a real estate investment trust (“REIT”) and will elect to be treated as a REIT for U.S. federal income tax purposes upon the filing of its U.S. federal income tax return for the taxable year beginning January 1, 2011. Sabra’s primary business consists of acquiring, financing and owning real estate property to be leased to third party tenants in the healthcare sector. Sabra owns substantially all of its assets and properties and conducts its operations through Sabra Health Care Limited Partnership, a Delaware limited partnership (the “Operating Partnership”), of which Sabra is the sole general partner, or by subsidiaries of the Operating Partnership. As of December 31, 2011, Sabra’s investment portfolio included 97 properties (consisting of (i) 76 skilled nursing facilities, (ii) ten combined skilled nursing, assisted living and independent living facilities, (iii) six assisted living facilities, (iv) two mental health facilities, (v) one independent living facility, (vi) one continuing care retirement community, and (vii) one acute care hospital).
Separation and REIT Conversion Merger
On May 24, 2010, Old Sun announced its intention to restructure its business by separating its real estate assets and its operating assets into two separate publicly traded companies, Sabra and SHG Services Inc. (which has been renamed “Sun Healthcare Group, Inc.” or “Sun”). In order to effect the restructuring, Old Sun distributed to its stockholders on a pro rata basis all of the outstanding shares of common stock of Sun (this distribution is referred to as the “Separation”), together with an additional cash distribution. Immediately following the Separation, Old Sun merged with and into Sabra, with Sabra surviving the merger and Old Sun stockholders receiving shares of Sabra common stock in exchange for their shares of Old Sun common stock (this merger is referred to as the “REIT Conversion Merger”). Effective November 15, 2010, the Separation and REIT Conversion Merger were completed and Sabra and Sun began operations as separate companies.
Following the Separation, Sun, through its subsidiaries, continued the business and operations of Old Sun and its subsidiaries. Sabra did not operate prior to the Separation. Immediately following the Separation, subsidiaries of Sabra owned substantially all of Old Sun’s owned real property. The owned real property held by subsidiaries of Sabra following the Separation includes fixtures and certain personal property associated with the real property. The historical consolidated financial statements of Old Sun became the historical consolidated financial statements of Sun at the time of the Separation. At the time of the Separation, the balance sheet of Sabra included the owned real property and mortgage indebtedness to third parties on the real property as well as indebtedness incurred by Sabra prior to completion of the Separation. The statements of income and cash flows of Sabra consist solely of its operations after the Separation. The Separation was accounted for as a reverse spinoff. Accordingly, Sabra’s assets and liabilities are recorded at the historical carrying values of Old Sun.

2.SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Principles of Consolidation and Basis of Presentation
The accompanying consolidated financial statements include the accounts of Sabra and its wholly-owned subsidiaries as of and for the year ended December 31, 2011 and as of December 31, 2010 and for the period from the Separation Date through December 31, 2010. All material intercompany transactions and balances have been eliminated in consolidation. The consolidated financial statements are prepared in accordance with U.S. generally accepted accounting principles (“GAAP”).

Use of Estimates
The preparation of the consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could materially differ from those estimates.

Revenue Recognition
The Company recognizes rental revenue from tenants, including rental abatements, lease incentives and contractual fixed increases attributable to operating leases, on a straight-line basis over the term of the related leases when collectibility is reasonably assured. If the lease provides for tenant improvements, the Company determines whether the tenant improvements, for accounting purposes, are owned by the tenant or by the Company. When the Company is the owner of the tenant

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improvements, the tenant is not considered to have taken physical possession or have control of the physical use of the leased asset until the tenant improvements are substantially completed. When the tenant is the owner of the tenant improvements, any tenant improvement allowance that is funded is treated as a lease incentive and amortized as a reduction of revenue over the lease term.
Real Estate Investments
Depreciation and Amortization
Real estate costs related to the acquisition and improvement of properties are capitalized and amortized over the expected useful life of the asset on a straight-line basis. Repair and maintenance costs are charged to expense as incurred and significant replacements and betterments are capitalized. Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. The Company considers the period of future benefit of an asset to determine its appropriate useful life. Depreciation of real estate assets and amortization of lease intangibles are included in depreciation and amortization in the accompanying consolidated statements of operations. The Company anticipates the estimated useful lives of its assets by class to be generally as follows: land improvements, 3 to 40 years; buildings and building improvements, 3 to 40 years; and furniture and equipment, 1 to 20 years.
Impairment of Real Estate Investments
The Company continually monitors events and changes in circumstances that could indicate that the carrying amounts of its real estate investments may not be recoverable or realized. When indicators of potential impairment suggest that the carrying value of real estate investments may not be recoverable, the Company assesses the recoverability by estimating whether the Company will recover the carrying value of its real estate investments through its undiscounted future cash flows and the eventual disposition of the investment. If, based on this analysis, the Company does not believe that it will be able to recover the carrying value of its real estate investments, the Company would record an impairment loss to the extent that the carrying value exceeds the estimated fair value of its real estate investments. The Company did not record any impairment loss on its real estate investments during the period from the Separation Date through December 31, 2011.

Real Estate Acquisition Valuation
The Company accounts for the acquisition of income-producing real estate or real estate that will be used for the production of income as a business combination. All assets acquired and liabilities assumed in a business combination are measured at their acquisition-date fair values. The acquisition value of land, building and improvements are included in real estate investments, net on the accompanying consolidated balance sheets. The acquisition value of tenant relationship and origination and absorption intangible assets are included in prepaid expenses, deferred financing costs and other assets in the accompanying consolidated balance sheets. Acquisition pursuit costs are expensed as incurred and restructuring costs that do not meet the definition of a liability at the acquisition date are expensed in periods subsequent to the acquisition date. During the year ended December 31, 2011, the Company completed eleven business combinations and expensed $3.2 million of acquisition pursuit costs, which is included in general and administrative expense on the accompanying consolidated statements of income.
Estimates of the fair values of the tangible assets, identifiable intangibles and assumed liabilities require the Company to make significant assumptions to estimate market lease rates, property operating expenses, carrying costs during lease-up periods, discount rates, market absorption periods, and the number of years the property will be held for investment. The use of inappropriate assumptions would result in an incorrect valuation of the Company’s acquired tangible assets, identifiable intangibles and assumed liabilities, which would impact the amount of the Company’s net income.
Investment in Hillside Terrace Mortgage Note
Generally, interest contractually due under a loan is recognized on an accrual basis and any acquisition premiums or discounts are amortized over the term of the loan as an adjustment to interest income. However, when concerns exist as to the ultimate collection of principal or interest due under a loan, the loan is placed on nonaccrual status and the Company will not recognize interest income until the cash is received, or the loan returns to accrual status. If we determine the collection of interest according to the contractual terms of the loan is probable, the Company will resume the accrual of interest and amortization of acquisitions premiums or discounts as an adjustment to interest income. On March 25, 2011, the Company purchased, at a discount, a defaulted mortgage note (“Hillside Terrace Mortgage Note”) secured by a combined assisted living, independent living and memory care facility located in Ann Arbor, Michigan, for $5.3 million. Initially, due to significant uncertainty as to the ability of the borrower under the Hillside Terrace Mortgage Note to pay amounts contractually due, the Company placed this loan on nonaccrual status. During the fourth quarter of 2011, the Company determined it was likely that the borrower would be able to complete a discounted repayment of the Hillside Terrace Mortgage Note for $8.3 million and therefore the $3.0 million excess of the repayment amount over its investment in the Hillside Terrace Mortgage Note was

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recorded as interest income in December 2011. In addition, the Company paid a $1.4 million fee to an unaffiliated third party for its assistance in acquiring and ultimately collecting on the Hillside Terrace Mortgage Note.
Cash and Cash Equivalents
The Company considers all short-term (with an original maturity of three months or less), highly-liquid investments utilized as part of the Company's cash-management activities to be cash equivalents. Cash equivalents may include cash and short-term investments. Short-term investments are stated at cost, which approximates fair value.
The Company's cash and cash equivalents balance exceeds federally insurable limits as of December 31, 2011. To date, the Company has experienced no loss or lack of access to cash in its operating accounts. The Company has a corporate banking relationship with Bank of America, N.A. in which it deposits all funds.
Restricted Cash
Restricted cash primarily consists of amounts held by mortgage lenders to provide for future real estate tax expenditures, tenant improvements and capital expenditures. Pursuant to the terms of the Company's leases with Sun, the Company has assigned its interests in certain of these restricted cash accounts to Sun and this amount is included in accounts payable and accrued liabilities on the Company's consolidated balance sheet. As of December 31, 2011 and 2010, restricted cash totaled $6.1 million and $4.7 million, respectively, and restricted cash obligations totaled $5.4 million and $4.4 million, respectively.
Stock-Based Compensation
Stock-based compensation expense for stock-based awards granted to Sabra's employees and its non-employee directors are recognized in the statements of income based on their estimated grant date fair value. Compensation expense for awards with graded vesting schedules is generally recognized ratably over the period from the grant date to the date when the award is no longer contingent on the employee providing additional services.

Deferred Financing Costs
Deferred financing costs representing fees paid to third parties to obtain financing are amortized over the terms of the respective financing agreements using the interest method. Unamortized deferred financing costs are expensed when the associated debt is refinanced or repaid before maturity. Costs incurred in seeking financings that do not close are expensed in the period in which it is determined that the financing will not close. As of December 31, 2011 and 2010, the Company's deferred financing costs were included in prepaid expenses, deferred financing costs and other assets on the accompanying consolidated balance sheets and totaled $9.4 million and $10.8 million, respectively, net of amortization.
Income Taxes
The Company is organized as a REIT and will elect to be treated as a REIT for U.S. federal income tax purposes upon the filing of its U.S. federal income tax return for the taxable year beginning January 1, 2011. To qualify as a REIT, the Company must meet certain organizational and operational requirements, including a requirement to distribute at least 90% of the Company's annual REIT taxable income to stockholders (which is computed without regard to the dividends-paid deduction or net capital gains and which does not necessarily equal net income as calculated in accordance with GAAP). As a REIT, the Company generally will not be subject to federal income tax on income that it distributes as dividends to its stockholders. If the Company fails to qualify as a REIT in any taxable year, it will be subject to federal income tax on its taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost, unless the Internal Revenue Service grants the Company relief under certain statutory provisions. Such an event could materially and adversely affect the Company's net income and net cash available for distribution to stockholders. However, the Company believes that it is organized and operates in such a manner as to qualify for treatment as a REIT.
For income tax purposes, the Company is the surviving taxpayer of the Separation. Accordingly, tax positions taken by Old Sun prior to the Separation will remain the Company's obligations after the Separation. However, under an agreement with Sun relating to tax allocation matters (the “Tax Allocation Agreement”), Sun is responsible for and will indemnify the Company against, among other things, federal, state and local taxes related to periods prior to the Separation to the extent the deferred tax assets allocated to the Company as part of the Separation are not sufficient and/or cannot be utilized to satisfy these taxes. After the 2010 tax year, the Company and Sun have agreed, to the extent allowable by applicable law, to allocate all net operating loss attributes generated in prior years to Sun. In addition, Sun will generally have the right to control the conduct and disposition of any tax audits or other proceedings with regard to such periods, and will be entitled to any refund or credit for such periods.

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The Company evaluates its tax positions using a two step approach: step one (recognition) occurs when a company concludes that a tax position, based solely on its technical merits, is more likely than not to be sustained upon examination and step two (measurement) is only addressed if step one has been satisfied (i.e., the position is more likely than not to be sustained). Under step two, the tax benefit is measured as the largest amount of benefit (determined on a cumulative probability basis) that is more likely than not to be realized upon ultimate settlement. The Company will recognize tax penalties relating to unrecognized tax benefits as additional tax expense.
Fair Value Measurements
Under GAAP, the Company is required to measure certain financial instruments at fair value on a recurring basis. In addition, the Company is required to measure other financial instruments and balances at fair value on a non-recurring basis (e.g., carrying value of impaired real estate loans receivable and long-lived assets). Fair value is defined as the price that would be received upon the sale of an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. The GAAP fair value framework uses a three-tiered approach. Fair value measurements are classified and disclosed in one of the following three categories:
Level 1: unadjusted quoted prices in active markets that are accessible at the measurement date for identical assets or liabilities;
Level 2: quoted prices for similar instruments in active markets, quoted prices for identical or similar instruments in markets that are not active, and model-derived valuations in which significant inputs and significant value drivers are observable in active markets; and
Level 3: prices or valuation techniques where little or no market data is available that requires inputs that are both significant to the fair value measurement and unobservable.

When available, the Company utilizes quoted market prices from an independent third-party source to determine fair value and classifies such items in Level 1 or Level 2. In instances where the market for a financial instrument is not active, regardless of the availability of a nonbinding quoted market price, observable inputs might not be relevant and could require the Company to make a significant adjustment to derive a fair value measurement. Additionally, in an inactive market, a market price quoted from an independent third party may rely more on models with inputs based on information available only to that independent third party. When the Company determines the market for a financial instrument owned by the Company to be illiquid or when market transactions for similar instruments do not appear orderly, the Company uses several valuation sources (including internal valuations, discounted cash flow analysis and quoted market prices) and establishes a fair value by assigning weights to the various valuation sources. Additionally, when determining the fair value of liabilities in circumstances in which a quoted price in an active market for an identical liability is not available, the Company measures fair value using (i) a valuation technique that uses the quoted price of the identical liability when traded as an asset or quoted prices for similar liabilities or similar liabilities when traded as assets or (ii) another valuation technique that is consistent with the principles of fair value measurement, such as the income approach or the market approach.
Changes in assumptions or estimation methodologies can have a material effect on these estimated fair values. In this regard, the derived fair value estimates cannot be substantiated by comparison to independent markets and, in many cases, may not be realized in an immediate settlement of the instrument.
The Company considers the following factors to be indicators of an inactive market: (i) there are few recent transactions, (ii) price quotations are not based on current information, (iii) price quotations vary substantially either over time or among market makers (for example, some brokered markets), (iv) indexes that previously were highly correlated with the fair values of the asset or liability are demonstrably uncorrelated with recent indications of fair value for that asset or liability, (v) there is a significant increase in implied liquidity risk premiums, yields, or performance indicators (such as delinquency rates or loss severities) for observed transactions or quoted prices when compared with the Company's estimate of expected cash flows, considering all available market data about credit and other nonperformance risk for the asset or liability, (vi) there is a wide bid-ask spread or significant increase in the bid-ask spread, (vii) there is a significant decline or absence of a market for new issuances (that is, a primary market) for the asset or liability or similar assets or liabilities, and (viii) little information is released publicly (for example, a principal-to-principal market).
The Company considers the following factors to be indicators of non-orderly transactions: (i) there was not adequate exposure to the market for a period before the measurement date to allow for marketing activities that are usual and customary for transactions involving such assets or liabilities under current market conditions, (ii) there was a usual and customary marketing period, but the seller marketed the asset or liability to a single market participant, (iii) the seller is in or near bankruptcy or receivership (that is, distressed), or the seller was required to sell to meet regulatory or legal requirements (that is, forced), and (iv) the transaction price is an outlier when compared with other recent transactions for the same or similar assets or liabilities.

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Per Share Data
Basic earnings per common share is computed by dividing net income applicable to common shares by the weighted average number of shares of common stock and common equivalents outstanding during the period. Diluted earnings per common share is calculated by including the effect of dilutive securities. See Note 12 "Earnings Per Common Share" to the Consolidated Financial Statements.
Industry Segments
The Company has one reportable segment consisting of investments in healthcare-related real estate properties.
Beds, Units and Other Measures
The number of beds, units and other measures used to describe the Company's real estate investments included in the Notes to Consolidated Financial Statements are presented on an unaudited basis.
 
Recently Issued Accounting Standards Updates
On May 12, 2011, the FASB issued Accounting Standards Update No. 2011-04, Fair Value Measurement (Topic 820):  Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. GAAP and IFRSs (“ASU No. 2011-04”). ASU No. 2011-04 updated accounting guidance does not require additional fair value measurements, but rather requires additional disclosures while providing further explanation for measuring fair value and converging with international accounting standards. The amendments are effective for public entities for interim and annual periods beginning after December 15, 2011, and will be applied prospectively.  The adoption of ASU No. 2011-04 is not expected to have a significant impact on the Company’s financial statements.


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3.
THE SEPARATION AND REIT CONVERSION MERGER
At the time of the Separation, the balance sheet of Sabra included 86 owned real property assets, allocated cash from Old Sun, mortgage indebtedness to third parties on 26 of the real property assets, as well as unsecured indebtedness incurred prior to and in connection with completion of the Separation. The statements of income, stockholders' equity and cash flows of Sabra consist solely of its operations after the Separation. The Separation was accounted for as a reverse spinoff. Accordingly, the assets and liabilities of Sabra are recorded based on the historical carrying values of Old Sun. The historical consolidated financial statements of Old Sun became the historical consolidated financial statements of Sun at the time of the Separation. The following table summarizes the balance sheet of the Company immediately following the Separation and REIT Conversion Merger on November 15, 2010, the Separation Date (in thousands, except share and per share amounts):
 
 
 
Assets:
 
Real estate investments, net of accumulated depreciation of $85,567
$
485,337

Cash and cash equivalents
67,134

Restricted cash
5,527

Deferred tax assets
26,542

Prepaid expenses, deferred financing costs and other assets
11,383

 
 

Total assets
$
595,923

 
 

Liabilities:
 

Mortgage notes payable
$
151,678

Senior unsecured notes payable
225,000

Accounts payable and accrued liabilities
15,754

Tax liability
26,300

 
 

Total liabilities
$
418,732

 
 

Stockholders' equity:
 

Preferred stock, $.01 par value; 10,000,000 shares authorized, zero shares issued and outstanding as of November 15, 2010

Common stock, $.01 par value; 125,000,000 shares authorized, 25,061,072 shares issued and outstanding as of November 15, 2010
251

Additional paid-in capital
176,940

 
 

Total stockholders' equity
177,191

 
 

Total liabilities and stockholders' equity
$
595,923

 
 



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4.
ACQUISITIONS OF REAL ESTATE
During the year ended December 31, 2011, the Company acquired the following properties (in thousands):
 
 
 
 
 
 
 
Intangibles
 
 
Property
Type
City
State
Acquisition Date
Land
Building and Improvements
Tenant Origination and Absorption Costs
Tenant Relationship
Total Purchase Price
 
Texas Regional Medical Center at Sunnyvale
Acute Care Hospital
Sunnyvale
TX
May 3, 2011
$
4,020

$
57,620

$
970

$
90

$
62,700

 
Oak Brook Health Care Center
Skilled Nursing Facility
Whitehouse
TX
June 30, 2011
1,433

9,643

183

41

11,300

 
Broadmeadow Healthcare
Skilled Nursing Facility
Middletown
DE
August 1, 2011
1,650

21,730

350

70

23,800

 
Capitol Healthcare
Skilled Nursing Facility
Dover
DE
August 1, 2011
4,940

15,500

300

60

20,800

 
Pike Creek Healthcare
Skilled Nursing Facility
Wilmington
DE
August 1, 2011
2,460

25,240

410

90

28,200

 
Renaissance Healthcare
Skilled Nursing Facility
Millsboro
DE
August 1, 2011
1,640

22,620

360

80

24,700

 
Honey Hill Care Center
Skilled Nursing Facility
Norwalk
CT
September 30, 2011
1,722

6,125

122

31

8,000

 
Manokin Manor Nursing & Rehabilitation Center
Skilled Nursing Facility
Princess Anne
MD
September 30, 2011
1,953

7,811

195

41

10,000

(1 
) 
Wesley Woods Alzheimer's Care Center
Skilled Nursing Facility
Abilene
TX
November 1, 2011
883

7,642

144

31

8,700

(1 
) 
Windcrest Alzheimer's Care Center
Skilled Nursing Facility
Waco
TX
November 1, 2011
800

4,589

91

20

5,500

 
Creekside Senior Living
Assisted Living Facility
Green Bay
WI
November 22, 2011
257

2,292

41

10

2,600

 
 
 
 
 
 
$
21,758

$
180,812

$
3,166

$
564

$
206,300

 
(1) Includes $1.8 of deferred purchase price included in accounts payable and accrued liabilities in the accompanying consolidated balance sheets.

The tenant origination and absorption costs intangibles and tenant relationship intangibles acquired in connection with these acquisitions have weighted-average amortization periods with ranges of 10 to 25 years and 20 to 35 years, respectively.
For the year ended December 31, 2011, the Company recognized $10.3 million of total revenues from these properties.











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5.
REAL ESTATE INVESTMENTS

The Company’s investments in real estate consisted of the following (dollars in thousands):
As of December 31, 2011  
Property Type
 
Number of
Properties
 
Number of
Beds/Units
 
Total
Real Estate
at Cost
 
Accumulated
Depreciation
 
Total
Real Estate
Investments, Net
Skilled Nursing
 
76

 
8,646

 
$
582,609

 
$
(83,235
)
 
$
499,374

Multi-License Designation
 
10

 
1,389

 
80,350

 
(16,850
)
 
63,500

Assisted Living
 
6

 
426

 
26,223

 
(4,540
)
 
21,683

Mental Health
 
2

 
82

 
971

 
(429
)
 
542

Independent Living
 
1

 
49

 
8,008

 
(1,104
)
 
6,904

Continuing Care Retirement Community
 
1

 
215

 
7,253

 
(1,552
)
 
5,701

Acute Care Hospital
 
1

 
70

 
61,640

 
(1,154
)
 
60,486

 
 
97

 
10,877

 
767,054

 
(108,864
)
 
658,190

Corporate Level
 
 
 
 
 
239

 
(52
)
 
187

 
 
 
 
 
 
$
767,293

 
$
(108,916
)
 
$
658,377

As of December 31, 2010
Property Type
 
Number of
Properties
 
Number of
Beds/Units
 
Total
Real Estate
at Cost
 
Accumulated
Depreciation
 
Total
Real Estate
Investments, Net
Skilled Nursing
 
67

 
7,501

 
$
448,974

 
$
(67,457
)
 
$
381,517

Multi-License Designation
 
10

 
1,389

 
81,245

 
(14,597
)
 
66,648

Assisted Living
 
5

 
367

 
24,094

 
(4,053
)
 
20,041

Mental Health
 
2

 
82

 
998

 
(370
)
 
628

Independent Living
 
1

 
49

 
8,022

 
(875
)
 
7,147

Continuing Care Retirement Community
 
1

 
215

 
7,435

 
(1,349
)
 
6,086

 
 
86

 
9,603

 
570,768

 
(88,701
)
 
482,067

Corporate Level
 
 
 
 
 
230

 

 
230

 
 
 
 
 
 
$
570,998

 
$
(88,701
)
 
$
482,297

 
 
December 31, 2011
 
December 31, 2010
Building and improvements
$
626,877

 
$
460,097

Furniture and equipment
44,045

 
36,225

Land improvements
4,640

 
4,703

Land
91,731

 
69,973

 
767,293

 
570,998

Accumulated depreciation
(108,916
)
 
(88,701
)
 
$
658,377

 
$
482,297

Operating Leases
All of the Company’s real estate properties are leased under triple-net operating leases with expirations ranging from 9 to 23 years. As of December 31, 2011, the leases have a weighted-average remaining term of 12 years. The leases include provisions to extend the lease terms and other negotiated terms and conditions. The Company, through its subsidiaries, retains substantially all of the risks and benefits of ownership of the real estate assets leased to the tenants. In addition, the Company may receive additional security under these operating leases in the form of security deposits from the lessee or guarantees from the parent of the lessee. Security deposits received in cash related to tenant leases are included in accounts payable and accrued liabilities in the accompanying consolidated balance sheets and totaled $0.7 million as December 31, 2011. There were no security deposits held as of December 31, 2010.

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As of December 31, 2011, 86 of the Company's 97 real estate properties were leased to subsidiaries of Sun. For further discussion of the Company’s tenant and revenue concentration, see “Note 15. Commitments and Contingencies—Concentration of Credit Risk.”
As of December 31, 2011, the future minimum rental income from the Company’s properties under non-cancelable operating leases is as follows (in thousands):
 
 
2012
$
94,632

2013
94,632

2014
94,632

2015
94,632

2016
94,632

Thereafter
643,085

 
 
 
$
1,116,245

 
 
 
6.
TENANT ORIGINATION AND ABSORPTION COSTS AND TENANT RELATIONSHIP

As of December 31, 2011, the Company’s tenant origination and absorption costs and tenant relationship assets are as follows (in thousands):
 
 
 
 
 
 
 
  
Tenant Origination and Absorption Costs
 
Tenant Relationship
Cost
  
$
3,166

 
$
564

Accumulated amortization
  
(75
)
 
(7
)
 
  
 
 
 
Net amount
  
$
3,091

 
$
557

 
  
 
 
 

Increases (decreases) in net income as a result of amortization of the Company’s tenant origination and absorption costs and tenant relationship assets for the year ended December 31, 2011 are as follows (in thousands):
 
 
 
Year Ended December 31, 2011
 
  
Tenant Origination and Absorption Costs
 
Tenant Relationship
 
  
 
 
 
Amortization
  
$
(75
)
 
$
(7
)
 
  
 
 
 
 
The remaining unamortized balance for these outstanding intangible assets and liabilities as of December 31, 2011 will be amortized for the years ending December 31 as follows:
 
 
 
Tenant Origination and Absorption Costs
 
Tenant Relationship
 
 
  

 
 
2012
 
$
187

 
$
20

2013
 
187

 
20

2014
 
187

 
20

2015
 
187

 
20

2016
 
187

 
20

Thereafter
 
2,156

 
457

 
 
 
 
 
 
 
$
3,091

 
$
557

 
 
  
 
 
Weighted-Average Remaining Amortization Period
 
18.0 years

 
29.2 years

 



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7.
DEBT

Mortgage Indebtedness. The Company’s mortgage notes payable consist of the following (dollars in thousands):
Interest Rate Type
Principal
Outstanding as of
December 31, 2011 (2)
 
Principal
Outstanding as of
December 31, 2010 (2)
 
Weighted Average
Interest Rate at
December 31, 2011
 
Maturity
Date
Fixed Rate
$
98,739

 
$
100,610

 
6.29
%
 
August 2015 - June 2047
Variable Rate(1)
59,159

 
60,315

 
5.50
%
 
August 2015
 
$
157,898

 
$
160,925

 
 
 
 
 
(1) 
Contractual interest rates under variable rate mortgages are equal to the 90-day LIBOR plus 4.5% (subject to a 1.0% LIBOR floor). 
(2) 
Outstanding principal balance for mortgage indebtedness does not include mortgage premium of $0.5 million as of December 31, 2011 and 2010. 
8.125% Senior Notes due 2018. On October 27, 2010, the Operating Partnership and Sabra Capital Corporation, wholly owned subsidiaries of the Company (the “Issuers”), issued $225.0 million aggregate principal amount of senior, unsecured notes (the “Senior Notes”) in a private placement. The Senior Notes were sold at par, resulting in gross proceeds of $225.0 million and net proceeds of approximately $219.9 million after deducting commissions and expenses. On December 6, 2010, substantially all of the net proceeds were used by Sun to redeem the $200.0 million in aggregate principal amount outstanding of Old Sun’s 9.125% senior subordinated notes due 2015, including accrued and unpaid interest and the applicable redemption premium. In March 2011, the Issuers completed an exchange offer to exchange the Senior Notes for substantially identical 8.125% senior unsecured notes registered under the Securities Act of 1933, as amended (also referred to herein as the “Senior Notes”).
The obligations under the Senior Notes are fully and unconditionally guaranteed, jointly and severally, on an unsecured basis, by Sabra and certain of Sabra’s other existing and, subject to certain exceptions, future subsidiaries; provided, however, that such guarantees are subject to release under certain customary circumstances.  See "Note 13. Summarized Condensed Consolidating Information" for additional information concerning the circumstances pursuant to which the guarantors will be automatically and unconditionally released from their obligations under the guarantees.
The Senior Notes are redeemable at the option of the Issuers, in whole or in part, at any time, and from time to time, on or after November 1, 2014, at the redemption prices set forth in the indenture governing the Senior Notes (the “Indenture”), plus accrued and unpaid interest to the applicable redemption date. In addition, prior to November 1, 2014, the Issuers may redeem all or a portion of the Senior Notes at a redemption price equal to 100% of the principal amount of the Senior Notes redeemed, plus a “make-whole” premium, plus accrued and unpaid interest to the applicable redemption date. At any time, or from time to time, on or prior to November 1, 2013, the Issuers may redeem up to 35% of the principal amount of the Senior Notes, using the proceeds of specific kinds of equity offerings, at a redemption price of 108.125% of the principal amount to be redeemed, plus accrued and unpaid interest, if any, to the applicable redemption date. Assuming the Senior Notes are not redeemed, the Senior Notes mature on November 1, 2018.
The Indenture governing the Senior Notes contains restrictive covenants that, among other things, restrict the ability of Sabra, the Issuers and their restricted subsidiaries to: (i) incur or guarantee additional indebtedness; (ii) incur or guarantee secured indebtedness; (iii) pay dividends or distributions on, or redeem or repurchase, their capital stock; (iv) make certain investments or other restricted payments; (v) sell assets; (vi) create liens on their assets; (vii) enter into transactions with affiliates; (viii) merge or consolidate or sell all or substantially all of their assets; and (ix) create restrictions on the ability of Sabra and its restricted subsidiaries to pay dividends or other amounts to Sabra. The Indenture governing the Senior Notes also provides for customary events of default, including, but not limited to, the failure to make payments of interest or premium, if any, on, or principal of, the Senior Notes, the failure to comply with certain covenants and agreements specified in the Indenture for a period of time after notice has been provided, the acceleration of other indebtedness resulting from the failure to pay principal on such other indebtedness prior to its maturity, and certain events of insolvency. If any event of default occurs, the principal of, premium, if any, and accrued interest on all the then outstanding Senior Notes may become due and payable immediately. As of December 31, 2011, the Company was in compliance with all applicable financial covenants under the Senior Notes.

Secured Revolving Credit Facility. On November 3, 2010, the Operating Partnership and certain subsidiaries of the Operating Partnership (together with the Operating Partnership, the “Borrowers”) entered into a secured revolving credit facility with certain lenders as set forth in the related credit agreement and Bank of America, N.A., as Administrative Agent, Swing Line Lender and L/C Issuer (each as defined in such credit agreement). The secured revolving credit facility is secured by, among other things, a first priority lien against certain of the properties owned by certain of the Company's subsidiaries.

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The obligations of the Borrowers under the secured revolving credit facility are guaranteed by the Company and certain of its subsidiaries. This credit facility provided for up to a $100.0 million secured revolving credit facility. As of December 31, 2011, there were no amounts outstanding on the Company's secured revolving credit facility and as of December 31, 2011, the Company was in compliance with all applicable financial covenants under the secured revolving credit facility. During the year ended December 31, 2011, the Company incurred $0.5 million of unused facility fees.

On February 10, 2012, the Borrowers amended the secured revolving credit facility (the “Amended Secured Revolving Credit Facility”) to increase the borrowing capacity from $100.0 million to $200.0 million (up to $20.0 million of which may be utilized for letters of credit) and to include an accordion feature that allows the Borrowers to increase borrowing availability under the Amended Secured Revolving Credit Facility by up to an additional $150.0 million, subject to certain terms and conditions. Borrowing availability under the Amended Secured Revolving Credit Facility is subject to a borrowing base calculation based on, among other factors, the lesser of (i) the mortgageability cash flow (as such term is defined in the credit agreement ) or (ii) the appraised value, in each case of the properties securing the Amended Secured Revolving Credit Facility. The entire $200.0 million was available for borrowing under the Amended Secured Revolving Credit Facility as of the amendment date. Borrowing availability under the Amended Secured Revolving Credit Facility terminates, and all borrowings mature, on February 10, 2015, subject to a one-year extension option.
Borrowings under the Amended Secured Revolving Credit Facility bear interest on the outstanding principal amount at a rate equal to an applicable percentage plus, at the Borrowers' option, either (a) LIBOR or (b) a base rate determined as the greater of (i) the federal funds rate plus 0.5%, (ii) the prime rate, and (iii) one-month LIBOR plus 1.0% (the “Base Rate”). The applicable percentage for borrowings will vary based on the Consolidated Leverage Ratio, as defined in the amended credit agreement, and will range from 2.00% to 3.00% per annum for borrowings at the Base Rate and 3.00% to 4.00% per annum for LIBOR based borrowings. In addition, the Borrowers are required to pay a facility fee to the lenders equal to between 0.35% and 0.50% per annum based on the amount of unused borrowings under the Amended Secured Revolving Credit Facility.
The Amended Secured Revolving Credit Facility contains customary covenants that include restrictions on the ability to make acquisitions and other investments, pay dividends, incur additional indebtedness, engage in non-healthcare related business activities, enter into transactions with affiliates and sell or otherwise transfer certain assets as well as customary events of default. The Amended Secured Revolving Credit Facility also requires the Company, through the Borrowers, to comply with specified financial covenants, which include a maximum leverage ratio, a minimum fixed charge coverage ratio and a minimum tangible net worth requirement.
During the year ended December 31, 2011 and for the period from Separation Date through December 31, 2010, the Company incurred interest expense of $30.3 million and $3.9 million, respectively. Included in interest expense for the year ended December 31, 2011 and for the period from Separation Date through December 31, 2010, was $2.0 million and $0.2 million, respectively, of deferred financing costs amortization. As of December 31, 2011 and 2010, the Company had $4.0 million and $4.2 million, respectively, of accrued interest included in accounts payable and accrued liabilities on the accompanying consolidated balance sheets.
The following is a schedule of maturities for the Company’s outstanding debt as of December 31, 2011 (in thousands):
 
 
Mortgage
Indebtedness (1)
 
Senior Notes
 
 Secured Revolving
Credit Facility
 
Total
2012
$
3,204

 
$

 
$

 
$
3,204

2013
3,428

 

 

 
3,428

2014
3,649

 

 

 
3,649

2015
86,048

 

 

 
86,048

2016
1,689

 

 

 
1,689

Thereafter
59,880

 
225,000

 

 
284,880

 
$
157,898

 
$
225,000

 
$

 
$
382,898

 
(1) 
Outstanding principal balance for mortgage indebtedness does not include mortgage premium of $0.5 million as of December 31, 2011.

8.FAIR VALUE DISCLOSURES

The fair value for certain financial instruments is derived using a combination of market quotes, pricing models and other valuation techniques that involve significant management judgment. The price transparency of financial instruments is a key determinant of the degree of judgment involved in determining the fair value of the Company’s financial instruments.

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Financial instruments for which actively quoted prices or pricing parameters are available and whose markets contain orderly transactions will generally have a higher degree of price transparency than financial instruments whose markets are inactive or consist of non-orderly trades. The Company evaluates several factors when determining if a market is inactive or when market transactions are not orderly. The carrying values of cash and cash equivalents, restricted cash, accounts payable and accrued liabilities are reasonable estimates of fair value because of the short-term maturities of these instruments. Fair values for other financial instruments are derived as follows:
Senior Notes: The fair values of the Senior Notes were determined using third-party market quotes derived from orderly trades.
Mortgage indebtedness: The fair values of the Company’s notes payable were estimated using a discounted cash flow analysis based on management’s estimates of current market interest rates for instruments with similar characteristics, including remaining loan term, loan-to-value ratio, type of collateral and other credit enhancements.
The following are the carrying amounts and fair values of the Company’s financial instruments as of December 31, 2011 and December 31, 2010 whose carrying amounts do not approximate their fair value:
 
 
December 31, 2011
 
December 31, 2010
 
Face
Value (1)
 
Carrying
Amount (2)
 
Fair
Value
 
Face
Value (1)
 
Carrying
Amount
(2)
 
Fair
Value
Financial liabilities:
 
 
 
 
 
 
 
 
 
 
 
Senior Notes
225,000

 
225,000

 
227,813

 
225,000

 
225,000

 
232,313

Mortgage indebtedness
157,898

 
158,398

 
172,829

 
160,925

 
161,440

 
175,772

 
(1) Face value represents amounts contractually due under the terms of the respective agreements.
(2) Carrying amounts represent the book value of financial instruments and include unamortized premiums (discounts).
Disclosure of the fair value of financial instruments is based on pertinent information available to the Company at the applicable dates and requires a significant amount of judgment. Despite increased capital market and credit market activity, transaction volume for certain financial instruments remains relatively low. This has made the estimation of fair values difficult and, therefore, both the actual results and the Company’s estimate of fair value at a future date could be materially different.
At December 31, 2011, the Company recorded the following transactions measured at fair value on a nonrecurring basis (in thousands):
 
 
 
Fair Value Measurements Using
 
 
 
Quoted Prices in Active Markets for Identical Assets
 
Significant Other Observable Inputs
 
Significant Unobservable Inputs
 
Total
 
(Level 1)
 
(Level 2)
 
(Level 3)
Nonrecurring Basis:
 
 
 
 
 
 
 
Investments in real estate (1)
$
206,300

 
$

 
$

 
$
206,300

(1) Amount reflects acquisition date fair value of real estate acquired in 2011.
9.
EQUITY

Common Stock
 
On August 1, 2011, the Company completed an underwritten public offering of 11.7 million newly issued shares of its common stock pursuant to a registration statement filed with the Securities Exchange Commission ("SEC"), which became effective on July 26, 2011.  The Company received net proceeds, before expenses, of $163.9 million from the offering, after giving effect to the issuance and sale of all 11.7 million shares of common stock (which included 1.5 million shares sold to the underwriters upon exercise of their option to purchase additional shares to cover over-allotments), at a price to the public of $14.75 per share.
The following is a summary of the Company’s other common stock issuances during the year ended December 31, 2011: 
Exercise of stock options
 
45,657

Vesting of common stock units
 
54,983


The following table lists the cash dividends on common stock paid and declared by the Company during the year ended December 31, 2011:
 
Declaration Date
 
Record Date
 
Amount Per Share
 
Dividend Payable Date
May 3, 2011
 
May 16, 2011
 
$
0.32

 
June 2, 2011
August 2, 2011
 
August 15, 2011
 
$
0.32

 
September 2, 2011
November 2, 2011
 
November 15, 2011
 
$
0.32

 
December 2, 2011
 
Distributions with respect to the Company's common stock can be characterized for federal income tax purposes as taxable ordinary dividends, capital gain dividends, nondividend distributions or a combination thereof. Following is the characterization of the Company's cash dividends on common stock per share during the year ended December 31, 2011:
Ordinary dividends
$
0.7833

Return of capital
0.1767

 
0.9600

On February 29, 2012, the Company announced that its board of directors declared a quarterly cash dividend of $0.33 per share of common stock. The dividend will be paid on March 30, 2012 to stockholders of record as of the close of business on March 15, 2012.

10.
STOCK-BASED COMPENSATION
Following the Separation and REIT Conversion Merger, on November 22, 2010, the Company granted time-based stock units (“Time-Based Units”), funds from operations-based stock units (“FFO Units”) and relative total stockholder return-based stock units (“TSR Units”) to each of its executive officers and employees. In addition, the Company's Chief Executive Officer, Richard K. Matros, held stock options and restricted stock units that were originally granted by Old Sun. These restricted stock units and stock options were assumed by the Company following the Separation and REIT Conversion Merger (the “Carry-Over Units” and the “Carry-Over Options,” respectively). However, in light of the Company's expected status as a REIT and the expectation of the Company's dividend payments, the economic value of the Carry-Over Options was deemed to be diminished following the Separation and REIT Conversion Merger. Therefore, in addition to his initial equity award, on November 22, 2010, the Compensation Committee of the Company granted Mr. Matros additional time-based stock units to compensate him for the reduction in value of the Carry-Over Options that was caused by the Company's expected conversion to a REIT (the “Make-Whole Units”). Each stock unit subject to an award of Time-Based Units, FFO Units, TSR Units and Make-Whole Units represents the contractual right to receive one share of Sabra's common stock. All of these awards were granted under the Company's 2009 Performance Incentive Plan, and the awards are all subject to the terms of the 2009 Performance Incentive Plan, which was assumed by the Company in the Separation and REIT Conversion Merger.
In addition to the above, on December 17, 2010, each non-employee director of the Company received an initial equity award (“Initial Board Award”) in connection with his appointment to the board of directors following the Separation and REIT Conversion Merger. Each non-employee director also received a pro-rata annual equity award on December 17, 2010 (“Annual Board Award”).



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Table of Contents

Stock Options
A summary of the option activity is presented in the following table (dollars in thousands, except per share amounts):
 
 
Range of Per Share Exercise Price  
 
Shares Under Options
 
Weighted Average Exercise Price Per Share
 
Weighted Average Remaining Contractual Term (Years)
 
Aggregate Intrinsic Value
Outstanding as of December 31, 2010
 
$11.99 - 21.83
 
450,067

 
$
17.65

 
3.91

 
$
3,888

Granted
 
 

 

 
 
 
 
Exercised
 
11.99
 
(45,657
)
 
11.99

 
 
 
 
Forfeited
 
 

 

 
 
 
 
 
 
 
 
 
 
 

 
 

 
 

Outstanding as of December 31, 2011
 
$12.34 - 21.83
 
404,410

 
$
18.29

 
3.30

 
$
3,530

 
 
 
 
 
 
 

 
 

 
 

Exercisable as of December 31, 2011
 
$12.34 - 21.83
 
268,695

 
$
18.33

 
2.71

 
$
2,403

 
 
 
 
 
 
 
 
 
 
 
 
The total intrinsic value of stock options exercised during the year ended December 31, 2011 was $0.4 million. The Company received $0.5 million for the stock options exercised during the year ended December 31, 2011. No stock options were granted or exercised during the period from November 15, 2010 to December 31, 2010.
Restricted Stock Units and Performance-Based Restricted Stock Units
Under the 2009 Performance Incentive Plan, restricted stock units and performance-based restricted stock units generally have a contractual life or vest over a three- to five-year period. The vesting of certain restricted stock units may accelerate, as defined in the grant, upon retirement, a change in control and other events. When vested, each performance-based restricted stock unit is convertible into one share of common stock. The restricted stock units and performance-based restricted stock units are valued on the grant date based on the market price of the Company's common stock on that date. Generally, the Company recognizes the fair value of the awards over the applicable vesting period as compensation expense. In addition, since the shares to be issued may vary based on the performance of the Company, the Company must make assumptions regarding the projected performance criteria and the shares that will ultimately be issued. The amount of FFO Units that will ultimately vest is dependent on the amount by which the Company's funds from operation ("FFO") differs from a target FFO amount for a period specified in each grant and will range from 0% to 200% of the FFO Units initially granted. Similarly, the amount of TSR Units that will ultimately vest is dependent on the amount by which the total shareholder return ("TSR") of the Company's common stock differs from a predefined peer group for a period specified in each grant and will range from 0% to 150% of the TSR Units initially granted. Upon any payment of restricted stock units, the participant is required to pay the related tax withholding obligation. The 2009 Performance Incentive Plan provides that unless otherwise elected in advance by the participant, the Company will reduce the number of shares to be delivered to pay the related statutory tax withholding obligation. The value of the shares withheld is dependent on the closing price of the Company's common stock on the date the relevant transaction occurs.
 
The following table summarizes additional information concerning restricted stock units at December 31, 2011 (dollars in thousands, except per share amounts):
Restricted Stock Units 
Unvested Units as of
December 31, 2010
Granted
Vested
Unvested Units as of
December 31, 2011
 
Aggregate Intrinsic Value of Unvested Units
 
Weighted Average Remaining Vesting Period as of December 31, 2011 (Months)
Time-Based Units
97,643

928


98,571

 
$
1,700

 
46.5

FFO Units
97,639

927


98,566

 
1,700

 
36.0

TSR Units
97,642

927


98,569

 
1,635

 
36.0

Carry-Over Units
74,717


(31,144
)
43,573

 
771

 
19.3

Make-Whole Units
86,878


(21,719
)
65,159

 
1,124

 
34.5

Initial Board Award
8,752


(4,368
)
4,384

 
80

 
11.4

Annual Board Award
5,104

9,612

(9,904
)
4,812

 
80

 
5.4

 
468,375

12,394

(67,135
)
413,634

 
$
7,090

 
35.9

 
 
 
 
 
 
 
 
 
Weighted Average Grant Date Fair Value Per Unit
$
17.32

$
16.74

$
18.36

$
17.14

 
 
 
 

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Table of Contents

The weighted average fair value per share at the date of grant for restricted stock units for the period from November 15, 2010 to December 31, 2010 was $17.12. The total fair value of units vested during the year ended December 31, 2011 was $1.2 million. No restricted stock units vested during the period from November 15, 2010 to December 31, 2010 or were forfeited during the year ended December 31, 2011.
The fair value of the TSR Units are estimated on the date of grant using a Monte Carlo valuation model that uses the assumptions noted in the table below. The risk-free rate is based on the U.S. Treasury yield curve in effect at the grant date for the expected performance period. Expected volatility was based on historical volatility for the most recent 3-year period ending on the grant date for the Company and the selected peer companies, and calculated on a daily basis. The following are the key assumptions used in this valuation:
 
 
2011
 
2010
Risk Free Interest Rate:
1.18
%
 
0.72
%
Expected Stock Price Volatility:
49.2
%
 
50.4
%
Expected Service Period:
2.7 years

 
3.0 years

Expected Dividend Yield (assuming full reinvestment):
%
 
%
During the year ended December 31, 2011 and the period from the Separation Date through December 31, 2010, the Company recognized $4.6 million and $0.3 million, respectively, in stock-based compensation expense related to the above awards.
Employee Benefit Plan
The Company maintains a 401(k) plan that allows for eligible participants to defer compensation, subject to certain limitations imposed by Internal Revenue Code of 1986, as amended (the “Code”). The Company provides a discretionary matching contribution of up to 3% of each participant's eligible compensation. During the year ended December 31, 2011, the Company's matching contributions were approximately $27,000. There were no matching contributions during the period from the Separation Date through December 31, 2010.

11.
INCOME TAXES
The Company will elect to be treated as a REIT for U.S. federal income tax purposes upon the filing of its U.S. federal income tax return for the taxable year beginning January 1, 2011 and, therefore, the Company did not incur any income tax expense during the year ended December 31, 2011. Taxable income generated during the period preceding this election is subject to federal and state income taxes. During the period from the Separation Date through December 31, 2010, the Company recognized $0.2 million of income tax expense as follows (in thousands):
 
Current
$

Deferred
242

 
 

Total income tax expense
$
242

 
 
 
Income tax expense for the period from the Separation Date through December 31, 2010 is reconciled to the amount computed by applying the corporate tax rate as follows (in thousands):
 
Tax at statutory rate on income before income taxes
$
100

Other
142

 
 

Income tax expense
$
242

 
 
The Company is subject to corporate income tax on built-in gains (the excess of fair market value over tax basis on properties held by Sabra as of the date Sabra elects to be taxed as a REIT, or January 1, 2011) on taxable dispositions of properties acquired in the REIT Conversion Merger during the first ten years following the election to be taxed as a REIT. As of January 1, 2011, the built-in-gains tax associated with the Company's properties totaled approximately $145.8 million assuming a 40% corporate tax rate. This built-in gains tax is generally not payable on dispositions of property to the extent the proceeds from such dispositions are reinvested in qualifying like-kind replacement property as defined under various provisions of the Code. The Company does not expect to dispose of any properties held by Sabra at the Separation Date, if such a disposition would result in the imposition of a material tax liability. Gains from asset dispositions occurring more than 10 years after the

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Table of Contents

acquisition will not be subject to this corporate-level tax. As a result, the Company has not recorded a deferred tax liability associated with this corporate-level tax.
The following is a reconciliation of the Company's beginning and ending unrecognized tax benefits (in thousands):
 
Balance at the Separation Date
$
26,300

Additions (reductions) based on prior years' tax positions

Additions (reductions) based on 2010 tax positions

 
 

Balance at December 31, 2010
$
26,300

Additions (reductions) based on prior years' tax positions
(760
)
Additions (reductions) based on 2011 tax positions

 
 
Balance at December 31, 2011
25,540

 
 
The Company does not anticipate that the balance in unrecognized tax benefits will change materially in fiscal year 2012. During the period from the Separation Date through December 31, 2011, neither the Company nor its subsidiaries were assessed interest or penalties by any major tax jurisdictions. There would be no effect on the Company's tax rate if the unrecognized tax benefits were to result in additional taxes owed due to the availability of net operating loss ("NOL") carryforwards. The NOL carryforwards are recorded as deferred tax assets and have expiration dates from 2019 through 2027. With certain exceptions, the Company is no longer subject to U.S. federal, state or local income tax examinations for years before 2005. For the years before 2007, these jurisdictions can, however, adjust NOL carryforwards from earlier years.

12.
EARNINGS PER COMMON SHARE
The following table illustrates the computation of basic and diluted earnings per share for the year ended December 31, 2011 and for the period from the Separation Date through December 31, 2010 (in thousands, except share and per share amounts):
 
Year Ended December 31, 2011
Period from November 15, 2010 to December 31, 2010
Numerator
 
 
Net income
$
12,842

$
7

 
 
 
Denominator
 
 
Basic weighted average common shares
30,109,417

25,110,936

Dilutive stock options and restricted stock units
61,808

76,052

 
 
 
Diluted weighted average common shares
30,171,225

25,186,988

 
 
 
 
 
 
Basic earnings per common share
$
0.43

$

 
 
 
Diluted earnings per common share
$
0.43

$

The Carry-Over Units are considered participating securities because dividend payments are not forfeited even if the underlying award does not vest. Accordingly, the Company uses the two-class method when computing basic and diluted earnings per share. During the year ended December 31, 2011 and for the period from the Separation Date through December 31, 2010, approximately 0.2 million and 0.4 million restricted stock units, respectively, and options to purchase approximately 0.4 million and 0.3 million shares, respectively, were not included because they were anti-dilutive.






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Table of Contents

13.SUMMARIZED CONDENSED CONSOLIDATING INFORMATION
In connection with the offering of the Senior Notes by the Issuers in October 2010, the Company and certain 100% owned subsidiaries of the Company (the “Guarantors”) have, jointly and severally, fully and unconditionally guaranteed the Senior Notes, subject to release under certain customary circumstances as described below. These guarantees are subordinated to all existing and future senior debt and senior guarantees of the Guarantors and are unsecured. The Company conducts all of its business through and derives virtually all of its income from its subsidiaries. Therefore, the Company’s ability to make required payments with respect to its indebtedness (including the Senior Notes) and other obligations depends on the financial results and condition of its subsidiaries and its ability to receive funds from its subsidiaries.
A Guarantor will be automatically and unconditionally released from its obligations under the guarantees with respect to the Senior Notes in the event of:
Any sale of the subsidiary Guarantor or of all or substantially all of its assets;
A merger or consolidation of a subsidiary Guarantor with an issuer of the Senior Notes or another Guarantor, provided that the surviving entity remains a Guarantor;
A subsidiary Guarantor is declared "unrestricted" for covenant purposes under the Indenture;
The requirements for legal defeasance or covenant defeasance or to discharge the Indenture have been satisfied;
A liquidation or dissolution, to the extent permitted under the Indenture, of a subsidiary Guarantor; and
The release or discharge of the guaranty that resulted in the creation of the subsidiary guaranty, except a discharge or release by or as a result of payment under such guaranty.
Pursuant to Rule 3-10 of Regulation S-X, the following summarized consolidating information is provided for the Company (the “Parent Company”), the Issuers, the Guarantors, and the Company’s non-Guarantor subsidiaries with respect to the Senior Notes. This summarized financial information has been prepared from the books and records maintained by the Company, the Issuers, the Guarantors and the non-Guarantor subsidiaries. The summarized financial information may not necessarily be indicative of the results of operations or financial position had the Issuers, the Guarantors or non-Guarantor subsidiaries operated as independent entities. Sabra’s investments in its consolidated subsidiaries are presented based upon Sabra's proportionate share of each subsidiary's net assets. The Guarantor subsidiaries’ investments in the non-Guarantor subsidiaries and non-Guarantor subsidiaries’ investments in Guarantor subsidiaries are presented under the equity method of accounting. Intercompany activities between subsidiaries and the Parent Company are presented within operating activities on the condensed consolidating statement of cash flows.
Condensed consolidating financial statements for the Company and its subsidiaries, including the Parent Company only, the Issuers, the combined Guarantor subsidiaries and the combined non-Guarantor subsidiaries, are as follows:

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Table of Contents


CONDENSED CONSOLIDATING BALANCE SHEET
December 31, 2011
(in thousands, except share and per share amounts)
 
 
Parent
Company
 
Issuers
 
Combined
Guarantor
Subsidiaries
 
Combined  Non-
Guarantor
Subsidiaries
 
Elimination
 
Consolidated
Assets
 
 
 
 
 
 
 
 
 
 
 
Real estate investments, net of accumulated depreciation
$
187

 
$

 
$
474,256

 
$
183,934

 
$

 
$
658,377

Cash and cash equivalents
41,736

 

 

 
514

 

 
42,250

Restricted cash

 

 

 
6,093

 

 
6,093

Deferred tax assets
25,540

 

 

 

 

 
25,540

Prepaid expenses, deferred financing costs and other assets
874

 
5,079

 
8,544

 
2,893

 

 
17,390

Intercompany

 
145,018

 

 
25,237

 
(170,255
)
 

Investment in subsidiaries
313,181

 
391,131

 
23,611

 

 
(727,923
)
 

Total assets
$
381,518

 
$
541,228

 
$
506,411

 
$
218,671

 
$
(898,178
)
 
$
749,650

Liabilities and stockholders’ equity
 
 
 
 
 
 
 
 
 
 
 
Mortgage notes payable
$

 
$

 
$

 
$
158,398

 
$

 
$
158,398

Senior unsecured notes payable

 
225,000

 

 

 

 
225,000

Accounts payable and accrued liabilities
6,296

 
3,047

 
4,107

 
689

 

 
14,139

Tax liability
25,540

 

 

 

 

 
25,540

Intercompany
23,109

 

 
147,146

 

 
(170,255
)
 

Total liabilities
54,945

 
228,047

 
151,253

 
159,087

 
(170,255
)
 
423,077

Stockholders’ equity:
 
 
 
 
 
 
 
 
 
 
 
Preferred stock, $.01 par value; 10,000,000 shares authorized, zero shares issued and outstanding as of December 31, 2011

 

 

 

 

 

Common stock, $.01 par value; 125,000,000 shares authorized, 36,891,712 shares issued and outstanding as of December 31, 2011
369

 

 

 

 

 
369

Additional paid-in capital
344,995

 
288,665

 
316,011

 
52,110

 
(656,786
)
 
344,995

Cumulative distributions in excess of net income
(18,791
)
 
24,516

 
39,147

 
7,474

 
(71,137
)
 
(18,791
)
Total stockholders’ equity
326,573

 
313,181

 
355,158

 
59,584

 
(727,923
)
 
326,573

Total liabilities and stockholders’ equity
$
381,518

 
$
541,228

 
$
506,411

 
$
218,671

 
$
(898,178
)
 
$
749,650


F-23

Table of Contents


CONDENSED CONSOLIDATING BALANCE SHEET
December 31, 2010
(in thousands, except share and per share amounts)
 
 
Parent
Company
 
Issuers
 
Combined
Guarantor
Subsidiaries
 
Combined  Non-
Guarantor
Subsidiaries
 
Elimination
 
Consolidated
Assets
 
 
 
 
 
 
 
 
 
 
 
Real estate investments, net of accumulated depreciation
$
230

 
$

 
$
289,748

 
$
192,319

 
$

 
$
482,297

Cash and cash equivalents
70,841

 

 

 
3,392

 

 
74,233

Restricted cash

 

 

 
4,716

 

 
4,716

Deferred tax assets
26,300

 

 

 

 

 
26,300

Prepaid expenses, deferred financing costs and other assets
662

 
5,471

 
2,261

 
3,619

 

 
12,013

Intercompany

 

 
5,635

 
6,953

 
(12,588
)
 

Investment in subsidiaries
124,061

 
347,030

 
22,903

 

 
(493,994
)
 

Total assets
$
222,094

 
$
352,501

 
$
320,547

 
$
210,999

 
$
(506,582
)
 
$
599,559

Liabilities and stockholders’ equity
 
 
 
 
 
 
 
 
 
 
 
Mortgage notes payable
$

 
$

 
$

 
$
161,440

 
$

 
$
161,440

Senior unsecured notes payable

 
225,000

 

 

 

 
225,000

Accounts payable and accrued liabilities
5,673

 
3,440

 
81

 
92

 

 
9,286

Tax liability
26,300

 

 

 

 

 
26,300

Intercompany
12,588

 

 

 

 
(12,588
)
 

Total liabilities
44,561

 
228,440

 
81

 
161,532

 
(12,588
)
 
422,026

Stockholders’ equity:
 
 
 
 
 
 
 
 
 
 
 
Preferred stock, $.01 par value; 10,000,000 shares authorized, zero shares issued and outstanding as of December 31, 2010

 

 

 

 

 

Common stock, $.01 par value; 125,000,000 shares authorized, 25,061,072 shares issued and outstanding as of December 31, 2010
251

 

 

 

 

 
251

Additional paid-in capital
177,275

 
122,281

 
316,786

 
48,670

 
(487,737
)
 
177,275

Cumulative distributions in excess of net income
7

 
1,780

 
3,680

 
797

 
(6,257
)
 
7

Total stockholders’ equity
177,533

 
124,061

 
320,466

 
49,467

 
(493,994
)
 
177,533

Total liabilities and stockholders’ equity
$
222,094

 
$
352,501

 
$
320,547

 
$
210,999

 
$
(506,582
)
 
$
599,559


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Table of Contents


CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Year December 31, 2011
(in thousands, except share and per share amounts)
 
 
Parent Company
 
Issuers
 
Combined
Guarantor
Subsidiaries
 
Combined  Non-
Guarantor
Subsidiaries
 
Elimination
 
Consolidated
Revenues:
 
 
 
 
 
 
 
 
 
 
 
Rental income
$

 
$

 
$
55,447

 
$
25,231

 
$

 
$
80,678

Interest income
64

 

 
3,479

 
4

 

 
3,547

Total revenues
64

 

 
58,926

 
25,235

 

 
84,225

Expenses:
 
 
 
 
 
 
 
 
 
 
 
Depreciation and amortization
53

 

 
18,144

 
8,394

 

 
26,591

Interest

 
18,913

 
1,333

 
10,073

 

 
30,319

General and administrative
9,905

 
1

 
4,476

 
91

 

 
14,473

Income in subsidiary
(22,736
)
 
(41,650
)
 
(493
)
 

 
64,879

 

Total expenses
(12,778
)
 
(22,736
)
 
23,460

 
18,558

 
64,879

 
71,383

Net income
$
12,842

 
$
22,736

 
$
35,466

 
$
6,677

 
$
(64,879
)
 
$
12,842

Net income per common share, basic
 
 
 
 
 
 
 
 
 
 
$
0.43

Net income per common share, diluted
 
 
 
 
 
 
 
 
 
 
$
0.43

Weighted-average number of common shares outstanding, basic
 
 
 
 
 
 
 
 
 
 
30,109,417

Weighted-average number of common shares outstanding, diluted
 
 
 
 
 
 
 
 
 
 
30,171,225


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Table of Contents

CONDENSED CONSOLIDATING STATEMENT OF INCOME
For the Period from November 15, 2010 to December 31, 2010
(in thousands, except share and per share amounts)

 
Parent Company
 
Issuers
 
Combined
Guarantor
Subsidiaries
 
Combined  Non-
Guarantor
Subsidiaries
 
Elimination
 
Consolidated
Revenues:
 
 
 
 
 
 
 
 
 
 
 
Rental income
$

 
$

 
$
5,635

 
$
3,146

 
$

 
$
8,781

Interest income
12

 

 

 
2

 

 
14

Total revenues
12

 

 
5,635

 
3,148

 

 
8,795

Expenses:
 
 
 
 
 
 
 
 
 
 
 
Depreciation and amortization

 

 
2,031

 
1,103

 

 
3,134

Interest

 
2,470

 
151

 
1,238

 

 
3,859

General and administrative
1,543

 

 

 
10

 

 
1,553

Income in subsidiary
(1,780
)
 
(4,250
)
 
(227
)
 

 
6,257

 

Total expenses
(237
)
 
(1,780
)
 
1,955

 
2,351

 
6,257

 
8,546

 
 
 
 
 
 
 
 
 
 
 
 
Income before income taxes
249

 
1,780

 
3,680

 
797

 
(6,257
)
 
249

Income tax expense
242

 

 

 

 

 
242

Net income
$
7

 
$
1,780

 
$
3,680

 
$
797

 
$
(6,257
)
 
$
7

Net income per common share, basic
 
 
 
 
 
 
 
 
 
 
$

Net income per common share, diluted
 
 
 
 
 
 
 
 
 
 
$

Weighted-average number of common shares outstanding, basic
 
 
 
 
 
 
 
 
 
 
25,110,936

Weighted-average number of common shares outstanding, diluted
 
 
 
 
 
 
 
 
 
 
25,186,988



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Table of Contents


CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the Year Ended December 31, 2011
(in thousands)
 

Parent Company
 
Issuers
 
Combined
Guarantor
Subsidiaries
 
Combined  Non-
Guarantor
Subsidiaries
 
Elimination
 
Consolidated
Net cash provided by operating activities
$
41,298

 
$

 
$

 
$
3,407

 
$

 
$
44,705

Cash flows from investing activities:

 

 

 

 

 

Acquisitions of real estate

 

 
(204,500
)
 

 

 
(204,500
)
Acquisition of note receivable

 

 
(5,348
)
 

 

 
(5,348
)
Additions to corporate real estate
(86
)
 

 

 

 

 
(86
)
Repayment of note receivable

 

 
5,348

 

 

 
5,348

Investment in Subsidiary
(164,030
)
 

 

 

 
164,030

 

Net cash used in investing activities
(164,116
)
 

 
(204,500
)
 

 
164,030

 
(204,586
)
Cash flows from financing activities:

 

 

 

 

 

Principal payments on mortgage notes payable

 

 

 
(3,027
)
 

 
(3,027
)
Payments of deferred financing costs

 
(430
)
 
(200
)
 
(47
)
 

 
(677
)
Issuance of common stock
163,242

 

 

 

 

 
163,242

Dividends paid
(31,640
)
 

 

 

 

 
(31,640
)
Contribution from Parent

 
163,934

 

 
96

 
(164,030
)
 

Distribution to Parent

 

 

 
(3,307
)
 
3,307

 

Distribution from Subsidiary
3,307

 

 

 

 
(3,307
)
 

Intercompany financing
(41,196
)
 
(163,504
)
 
204,700

 

 

 

Net cash provided by (used in) financing activities
93,713

 

 
204,500

 
(6,285
)
 
(164,030
)
 
127,898

Net decrease in cash and cash equivalents
(29,105
)
 

 

 
(2,878
)
 

 
(31,983
)
Cash and cash equivalents, beginning of period
70,841

 

 

 
3,392

 

 
74,233

Cash and cash equivalents, end of period
$
41,736

 
$

 
$

 
$
514

 
$

 
$
42,250

 
 
 
 
 
 
 
 
 
 
 
 


F-27

Table of Contents


CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
For the Period from November 15, 2010 to December 31, 2010
(in thousands, except share and per share amounts)
 
 
Parent Company
 
Issuers
 
Combined
Guarantor
Subsidiaries
 
Combined  Non-
Guarantor
Subsidiaries
 
Elimination
 
Consolidated
Net cash provided by operating activities
$
5,844

 
$

 
$

 
$
748

 
$

 
$
6,592

Cash flows from investing activities:
 
 
 
 
 
 
 
 
 
 
 
Cash received in the Separation
63,747

 

 

 
3,387

 

 
67,134

Additions to real estate
(16
)
 

 

 

 

 
(16
)
Net cash used in investing activities
63,731

 

 

 
3,387

 

 
67,118

Cash flows from financing activities:
 
 
 
 
 
 
 
 
 
 
 
Proceeds from notes payables

 

 

 
10,000

 

 
10,000

Payment of Separation-related obligations
(8,928
)
 

 

 
(153
)
 

 
(9,081
)
Intercompany financing
10,355

 

 

 
(10,355
)
 

 

Principal payments on mortgage notes payable

 

 

 
(235
)
 

 
(235
)
Payments of deferred financing costs
(161
)
 

 

 

 

 
(161
)
Net cash provided by (used in) financing activities
1,266

 

 

 
(743
)
 

 
523

Net decrease in cash and cash equivalents
70,841

 

 

 
3,392

 

 
74,233

Cash and cash equivalents, beginning of period

 

 

 

 

 

Cash and cash equivalents, end of period
$
70,841

 
$

 
$

 
$
3,392

 
$

 
$
74,233

 
 
 
 
 
 
 
 
 
 
 
 


F-28

Table of Contents

14.
PRO FORMA FINANCIAL INFORMATION

The following table summarizes, on an unaudited pro forma basis, the consolidated results of operations of the Company for the year ended December 31, 2011 and for the period from the Separation Date through December 31, 2010. The Company acquired eleven properties during the year ended December 31, 2011. The following unaudited pro forma information for the year ended December 31, 2011 has been prepared to give effect to the acquisitions, as well as the offering of 11.7 million shares of common stock that closed in August 2011, as if they had occurred on January 1, 2010. This pro forma information does not purport to represent what the actual results of operations of the Company would have been had these acquisitions occurred on this date, nor does it purport to predict the results of operations for future periods (in thousands, except share and per share amounts):
 
 
Year Ended December 31, 2011
 
Period from November 15, 2010 to December 31, 2010
 
 
 
 
 
Revenues
 
$
96,543

 
$
31,386

Depreciation and amortization
 
29,883

 
8,995

Net income
 
24,890

 
16,737

Net income per common share, basic
 
0.67

 
0.45

Net income per common share, diluted
 
0.67

 
0.45

Weighted-average number of common shares outstanding, basic
 
36,922,458

 
36,840,936

Weighted-average number of common shares outstanding, diluted
 
36,984,266

 
36,916,988


15.COMMITMENTS AND CONTINGENCIES

Concentration of Credit Risk
Concentrations of credit risks arise when a number of operators, tenants or obligors related to the Company’s investments are engaged in similar business activities, or activities in the same geographic region, or have similar economic features that would cause their ability to meet contractual obligations, including those to the Company, to be similarly affected by changes in economic conditions. The Company regularly monitors its portfolio to assess potential concentrations of risks.
Sun
As of December 31, 2011, 86 of the Company’s 97 real estate properties were leased to subsidiaries of Sun. During the year ended December 31, 2011, 84% of the Company’s total revenues were derived from these leases. As of December 31, 2010, all of the Company's real estate properties were leased to Sun, and all of the Company's rental revenues were derived from these leases. Sun is a publicly traded company and is subject to the informational filing requirements of the Securities Exchange Act of 1934, as amended, and is required to file periodic reports on Form 10-K and Form 10-Q with the SEC. As of December 31, 2011, Sun, through its subsidiaries, operated 199 inpatient centers spread across 25 states. Sun’s net revenues and adjusted normalized earnings before interest, depreciation, amortization and rent were $1.9 billion and $243.4 million, respectively, for the year ended December 31, 2011 and $1.9 billion and $249.8 million, respectively, for the year ended December 31, 2010. As of December 31, 2011 and 2010, Sun’s outstanding debt, net of cash, totaled $31.9 million and $74.8 million, respectively. As of December 31, 2011 and 2010, Sun had approximately $117.9 million and $141.2 million, respectively, in liquidity, consisting of unrestricted cash and cash equivalents of $57.9 million and $81.2 million, respectively, and available borrowings under Sun's revolving credit facility of $60.0 million as of both dates. 
Cadia Portfolio
On August 1, 2011, the Company closed the purchase of four skilled nursing facilities—Broadmeadow Healthcare, Capitol Healthcare, Pike Creek Healthcare and Renaissance Healthcare (the “Cadia Portfolio”). The four skilled nursing facilities are located in Delaware, range in age from 2 to 15 years and have a combined total of 500 beds. In connection with the acquisition, the Company, through an indirect wholly owned subsidiary, entered into a new 15-year triple-net master lease agreement with the sellers (collectively, the “Cadia Tenants”). None of the Cadia Tenants are affiliated with the Company or any of its subsidiaries. As of December 31, 2011, the Company's investment in the Cadia Portfolio totaled 13% of the Company's assets, and during the year ended December 31, 2011, 5% of the Company's total revenues were derived from the Cadia Portfolio lease. The Company expects to derive 11% of its annualized total revenues as of December 31, 2011 from the Cadia Portfolio lease.  The Company believes that the financial condition and results of operations of the Cadia Tenants are more relevant to the Company’s investors than the financial statements of the Cadia Portfolio and enable investors to evaluate the credit-worthiness of the Cadia Tenants in their capacity as the tenants under the Cadia Portfolio lease. As a result, the Company has presented below unaudited summary financial information of the Cadia Tenants as of and for the years ended

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Table of Contents

December 31, 2011 and 2010. The summary financial information presented below has been provided by the Cadia Tenants and has not been independently verified by the Company. The Company has no reason to believe that such information is inaccurate in any material respect.
 
Year Ended December 31, 2010 (unaudited)
(in thousands)
 
Broadmeadow Investment LLC
 
Capitol Nursing & Rehabilitation Center, L.L.C
 
Pike Creek Healthcare Services LLC
 
Peninsula Healthcare Services, LLC
 
Combined Tenants
Statements of Operations:
 
 
 
 
 
 
 
 
 
Revenues
$
13,146

 
$
12,760

 
$
18,356

 
$
14,415

 
$
58,677

Operating expenses
10,801

 
11,335

 
16,018

 
11,906

 
50,060

Net income
1,570

 
977

 
786

 
1,351

 
4,684

 
 
 
 
 
 
 
 
 
 
 
Year Ended December 31, 2011 (unaudited)
(in thousands)
 
Broadmeadow Investment LLC
 
Capitol Nursing & Rehabilitation Center, L.L.C
 
Pike Creek Healthcare Services LLC
 
Peninsula Healthcare Services, LLC
 
Combined Tenants
Statements of Operations:
 
 
 
 
 
 
 
 
 
Revenues
$
13,921

 
$
13,028

 
$
19,654

 
$
14,708

 
$
61,311

Operating expenses
12,117

 
11,777

 
16,813

 
12,822

 
53,529

Net income
1,237

 
938

 
2,549

 
1,129

 
5,853

 
 
 
 
 
 
 
 
 
 
 
As of December 30, 2010 (unaudited)
(in thousands)
 
Broadmeadow Investment LLC
 
Capitol Nursing & Rehabilitation Center, L.L.C
 
Pike Creek Healthcare Services LLC
 
Peninsula Healthcare Services, LLC
 
Combined Tenants
Balance Sheets:
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
1,577

 
$
1,529

 
$
1,653

 
$
1,321

 
$
6,080

Total current assets
2,731

 
2,240

 
3,466

 
2,786

 
11,223

Total current liabilities
1,122

 
893

 
2,166

 
1,724

 
5,905

Total debt
9,999

 
6,064

 
13,887

 
13,010

 
42,960

 
 
 
 
 
 
 
 
 
 
 
As of December 31, 2011 (unaudited)
(in thousands)
 
Broadmeadow Investment LLC
 
Capitol Nursing & Rehabilitation Center, L.L.C
 
Pike Creek Healthcare Services LLC
 
Peninsula Healthcare Services, LLC
 
Combined Tenants
Balance Sheets:
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
1,486

 
$
3,862

 
$
1,653

 
$
1,502

 
$
8,503

Total current assets
2,221

 
4,184

 
3,272

 
2,686

 
12,363

Total current liabilities
588

 
1,968

 
833

 
1,611

 
5,000

Total debt

 

 

 

 

 
 
 
 
 
 
 
 
 
 
Texas Regional Medical Center
On May 3, 2011, the Company closed the purchase of Texas Regional Medical Center at Sunnyvale, a 70-bed acute care hospital located in Sunnyvale, Texas (“Texas Regional Medical Center”). Texas Regional Medical Center is leased pursuant to a long-term, triple-net lease to Texas Regional Medical Center, Ltd. (the “TRMC Tenant”), a partnership that includes approximately 75 physicians who practice at the hospital. Neither Texas Regional Medical Center nor the TRMC Tenant is affiliated with the Company or any of its subsidiaries. As of December 31, 2011, the Company's investment in Texas Regional Medical Center totaled 8% of the Company's assets, and during the year ended December 31, 2011, 5% of the Company's total revenues were derived from the Texas Regional Medical Center lease. The Company expects to derive 7% of its annualized total revenues as of December 31, 2011 from the Texas Regional Medical Center lease. The Company believes that the financial condition and results of operations of the TRMC Tenant are more relevant to the Company’s investors than the financial statements of Texas Regional Medical Center and enable investors to evaluate the credit-worthiness of the TRMC Tenant. As a result, the Company has presented below unaudited summary financial information of the TRMC Tenant as of and for the years ended December 31, 2011 and 2010. The summary financial information presented below has been provided by the TRMC Tenant and has not been independently verified by the Company. The Company has no reason to believe that such

F-30

Table of Contents

information is inaccurate in any material respect.
 
Year Ended December 31, 2011
 
Year Ended December 31, 2010
 
(in thousands)
Statements of Operations:
 
 
 
Revenues
$
74,202

 
$
72,101

Operating expenses
58,999

 
58,851

Net income
1,402

 
377

 
 
 
 
 
As of
 
As of
 
December 31, 2011
 
December 31, 2010
 
(in thousands)
Balance Sheets:
 
 
 
Cash and cash equivalents
$
642

 
$
833

Total current assets
19,083

 
15,604

Total current liabilities
18,080

 
18,348

Total debt (includes capital lease obligations of $52,393 and $54,166 as of December 31, 2011 and 2010, respectively)
69,541

 
70,669


Other than the Company’s significant tenant concentrations, management believes the Company's current portfolio is reasonably diversified across healthcare related real estate and geographical location and does not contain any other significant concentration of credit risks. The Company’s portfolio of 97 real estate properties is diversified by location across 23 states. The properties in any one state did not account for more than 16% and 19%, respectively, of the Company’s total revenue during the year ended December 31, 2011 and from the Separation Date through December 31, 2010.
Environmental
As an owner of real estate, the Company is subject to various environmental laws of federal, state and local governments. The Company is not aware of any environmental liability that could have a material adverse effect on its financial condition or results of operations. However, changes in applicable environmental laws and regulations, the uses and conditions of properties in the vicinity of the Company’s properties, the activities of its tenants and other environmental conditions of which the Company is unaware with respect to the properties could result in future environmental liabilities. Compliance with existing environmental laws is not expected to have a material adverse effect on the Company’s financial condition and results of operations as of December 31, 2011.
Indemnification Agreement
In connection with the Separation and REIT Conversion Merger, any liability arising from or relating to legal proceedings involving the Company’s real estate investments has been assumed by the Company and the Company will indemnify Sun (and its subsidiaries, directors, officers, employees and agents and certain other related parties) against any losses arising from or relating to such legal proceedings. In addition, pursuant to a distribution agreement entered into among Old Sun, the Company and Sun in connection with the Separation and REIT Conversion Merger, Sun has agreed to indemnify the Company (and the Company's subsidiaries, directors, officers, employees and agents and certain other related parties) for any liability arising from or relating to legal proceedings involving Old Sun’s healthcare business prior to the Separation, and, pursuant to the lease agreements between the Company and subsidiaries of Sun, the tenants agree to indemnify the Company for any liability arising from operations at the real property leased from the Company.
Immediately prior to the Separation, Old Sun was a party to various legal actions and administrative proceedings, including various claims arising in the ordinary course of its healthcare business, which are subject to the indemnities to be provided by Sun to the Company. While these actions and proceedings are not believed to be material, individually or in the aggregate, the ultimate outcome of these matters cannot be predicted. The resolution of any such legal proceedings, either individually or in the aggregate, could have a material adverse effect on Sun’s business, financial position or results of operations, which, in turn, could have a material adverse effect on the Company's business, financial position or results of operations if Sun or its subsidiaries are unable to meet their indemnification obligations.
Legal Matters
From time to time, the Company is party to legal proceedings that arise in the ordinary course of its business. Management is not aware of any legal proceedings where the likelihood of a loss contingency is reasonably possible and the

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amount or range of reasonably possible losses is material to the Company's results of operations, financial condition or cash flows.

17.
SUBSEQUENT EVENTS

The Company evaluates subsequent events up until the date the consolidated financial statements are issued.
Dividend Declaration
On February 29, 2012, the Company’s board of directors declared a quarterly cash dividend of $0.33 per share of common stock. The dividend will be paid on March 30, 2012 to stockholders of record as of March 15, 2012.


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Table of Contents

SCHEDULE III
REAL ESTATE ASSETS AND ACCUMULATED DEPRECIATION
December 31, 2011
(dollars in thousands)
 
 
 
 
 
 
Initial Cost to Company
 
Cost Capitalized Subsequent to Acquisition
 
Gross Amount at which Carried at Close of Period
 
 
 
 
Life on Which Depreciation in Latest Income Statement is Computed
Description 
 Location 
Ownership Percentage
Encum- brances
 
Land 
 
Building and Improve- ments(1) 
 
Total 
 
 
Land 
 
Building and Improve- ments(1)(7) 
 
Total 
 
Accumulated Depreciation and Amortization
Original Date of Construction/ Renovation 
Date Acquired
Skilled Nursing Facilities
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
New Martinsville
New Martinsville, WV
100%
$  (3)

 
$
475

 
$
10,543

 
$
11,018

 

 
$
475

 
$
10,539

 
$
11,014

 
$
(2,772
)
1982
11/15/10
39
Glenville
Glenville, WV
100%

 
484

 
2,839

 
3,323

 

 
484

 
2,834

 
3,318

 
(398
)
1982
11/15/10
40
Renaissance Terrace
Harriman, TN
100%

 
76

 
4,459

 
4,535

 

 
76

 
4,430

 
4,506

 
(1,457
)
1985/1989,
2008
11/15/10
38
Greenwood
Warwick, RI
100%

 
2,066

 
10,178

 
12,244

 

 
2,066

 
10,128

 
12,194

 
(2,255
)
1964
11/15/10
24
Pawtuxet Village
Warwick, RI
100%

 
1,275

 
6,602

 
7,877

 

 
1,275

 
6,520

 
7,795

 
(1,554
)
1968
11/15/10
24
Woodland View
Tulsa, OK
100%
4,456

 
1,012

 
5,632

 
6,644

 

 
1,012

 
5,574

 
6,586

 
(1,585
)
1987
11/15/10
30
Forest Hills (SNF)
Broken Arrow, OK
100%
(5) 

 
1,653

 
11,259

 
12,912

 

 
1,653

 
11,246

 
12,899

 
(2,249
)
1994
11/15/10
40
Seminole Estates
Seminole, OK
100%

 
655

 
3,527

 
4,182

 

 
655

 
3,387

 
4,042

 
(397
)
1987
11/15/10
32
Bryan Care
Bryan, OH
100%

 
1,278

 
6,477

 
7,755

 

 
1,278

 
6,422

 
7,700

 
(1,270
)
1976
11/15/10
30
Sylvania
Sylvania, OH
100%
(6 
) 
 
942

 
5,627

 
6,569

 

 
942

 
5,572

 
6,514

 
(1,340
)
1967/1974, 1986, 1995, 2008, 2009
11/15/10
24
Point Place
Toledo, OH
100%

 
1,089

 
5,364

 
6,453

 

 
1,089

 
5,325

 
6,414

 
(854
)
1995
11/15/10
36
Perrysburg
Perrysburg, OH
100%

 
987

 
5,358

 
6,345

 

 
987

 
5,309

 
6,296

 
(1,048
)
1984
11/15/10
32
Forest View
Dayton, OH
100%

 
819

 
4,214

 
5,033

 

 
819

 
4,184

 
5,003

 
(977
)
1968
11/15/10
24
New Lebanon
New Lebanon, OH
100%

 
784

 
4,243

 
5,027

 

 
784

 
4,172

 
4,956

 
(958
)
1979
11/15/10
28
New Lexington
New Lexington, OH
100%

 
63

 
3,487

 
3,550

 

 
63

 
3,468

 
3,531

 
(1,568
)
1981
11/15/10
20
Twin Rivers
Defiance, OH
100%

 
280

 
3,004

 
3,284

 

 
280

 
2,967

 
3,247

 
(618
)
1980
11/15/10
30
San Juan
Farmington, NM
100%
(2 
) 
 
799

 
4,163

 
4,962

 

 
799

 
4,140

 
4,939

 
(802
)
1963/1993
11/15/10
24
McKinley Care
Gallup, NM
100%
(2 
) 
 
409

 
1,865

 
2,274

 

 
409

 
1,865

 
2,274

 
(330
)
1968
11/15/10
24
Bedford Hills
Bedford, NH
100%
6,833

 
1,911

 
12,245

 
14,156

 

 
1,911

 
12,208

 
14,119

 
(2,240
)
1992/2010
11/15/10
36
Exeter on Hampton
Exeter, NH
100%
(4 
) 
 
2,365

 
2,350

 
4,715

 

 
2,365

 
2,262

 
4,627

 
(940
)
1976
11/15/10
40
Pheasant Wood
Petersborough, NH
100%

 
625

 
3,986

 
4,611

 

 
625

 
3,685

 
4,310

 
(822
)
1975
11/15/10
28
Westwood
Keene, NH
100%

 
699

 
3,823

 
4,522

 

 
699

 
3,529

 
4,228

 
(811
)
1965/2010
11/15/10
24
Colonial Hill
Rochester, NH
100%
(4 
) 
 
412

 
3,960

 
4,372

 

 
412

 
3,837

 
4,249

 
(913
)
1986
11/15/10
44
Crestwood Care
Milford, NH
100%

 
557

 
3,441

 
3,998

 

 
557

 
3,217

 
3,774

 
(723
)
1972
11/15/10
28
Applewood
Winchester, NH
100%

 
348

 
3,075

 
3,423

 

 
348

 
2,848

 
3,196

 
(568
)
1987
11/15/10
32
The Elms Care
Milford, NH
100%

 
312

 
1,679

 
1,991

 

 
312

 
1,568

 
1,880

 
(440
)
1890/1890
11/15/10
20
Woodland Hill
Asheboro, NC
100%
(6) 

 
1,706

 
8,053

 
9,759

 

 
1,706

 
8,042

 
9,748

 
(1,236
)
1987
11/15/10
32
Missouri River
Great Falls, MT
100%
(2 
) 
 
2,023

 
16,967

 
18,990

 

 
2,023

 
16,877

 
18,900

 
(3,492
)
1960/1990, 2010
11/15/10
30
Butte Care
Butte, MT
100%
(2 
) 
 
1,092

 
12,654

 
13,746

 

 
1,092

 
12,630

 
13,722

 
(2,322
)
1974
11/15/10
35
Whitefish Care
Whitefish, MT
100%
(2 
) 
 
651

 
6,339

 
6,990

 

 
651

 
6,321

 
6,972

 
(1,233
)
1973
11/15/10
35
Deer Lodge
Deer Lodge, MT
100%
(2 
) 
 
190

 
3,032

 
3,222

 

 
190

 
3,024

 
3,214

 
(719
)
1973
11/15/10
30

F-33

Table of Contents

 
 
 
 
 
Initial Cost to Company
 
Cost Capitalized Subsequent to Acquisition
 
Gross Amount at which Carried at Close of Period
 
 
 
 
Life on Which Depreciation in Latest Income Statement is Computed
Description 
 Location 
Ownership Percentage
Encum- brances
 
Land 
 
Building and Improve- ments(1) 
 
Total 
 
 
Land 
 
Building and Improve- ments(1)(6) 
 
Total 
 
Accumulated Depreciation and Amortization
Original Date of Construction/ Renovation 
Date Acquired
Twin Oaks
Danvers, MA
100%

 
885

 
5,100

 
5,985

 

 
885

 
5,071

 
5,956

 
(1,298
)
1969
11/15/10
24
Maplewood
Amesbury, MA
100%

 
771

 
4,550

 
5,321

 

 
771

 
4,481

 
5,252

 
(1,211
)
1968/1969
11/15/10
24
Saugus
Saugus, MA
100%

 
285

 
1,643

 
1,928

 

 
285

 
1,612

 
1,897

 
(672
)
1967
11/15/10
24
Kensington Manor
Elizabethtown, KY
100%

 
1,864

 
7,523

 
9,387

 

 
1,864

 
7,519

 
9,383

 
(1,158
)
2001/2010
11/15/10
37
Regency Care
Louisville, KY
100%

 
1,169

 
5,989

 
7,158

 

 
1,169

 
5,989

 
7,158

 
(1,493
)
1960
11/15/10
25
Paducah Care
Paducah, KY
100%

 
1,636

 
4,133

 
5,769

 

 
1,636

 
4,133

 
5,769

 
(916
)
1974/1974, 2008
11/15/10
28
Countryside Care
Bardwell, KY
100%

 
239

 
4,790

 
5,029

 

 
239

 
4,790

 
5,029

 
(850
)
1993/2010
11/15/10
35
Bradford Square
South Frankfort, KY
100%

 
774

 
3,848

 
4,622

 

 
774

 
3,840

 
4,614

 
(971
)
1960/1990
11/15/10
25
Hillside Villa
Madisonville, KY
100%

 
277

 
4,272

 
4,549

 

 
277

 
4,272

 
4,549

 
(1,074
)
1962/1978, 1997
11/15/10
25
Klondike Care
Louisville, KY
100%

 
764

 
3,576

 
4,340

 

 
764

 
3,575

 
4,339

 
(844
)
1974/1980, 1994, 1995, 2008
11/15/10
28
Colonial Manor
Bowling Green, KY
100%

 
792

 
3,050

 
3,842

 

 
792

 
3,047

 
3,839

 
(728
)
1963
11/15/10
25
Hopkins Care
Woodburn, KY
100%

 
592

 
2,277

 
2,869

 

 
592

 
2,276

 
2,868

 
(578
)
1960
11/15/10
25
Bridge Point
Florence, KY
100%
(6) 

 

 
2,278

 
2,278

 

 

 
2,274

 
2,274

 
(763
)
1969/2008, 2009, 2010
11/15/10
20
Magnolia Village
Bowling Green, KY
100%

 
14

 
629

 
643

 

 
14

 
629

 
643

 
(306
)
1991
11/15/10
29
Decatur Township
Indianapolis, IN
100%

 
673

 
3,730

 
4,403

 

 
673

 
3,706

 
4,379

 
(727
)
1985
11/15/10
32
Gooding/Bennett Hills
Gooding, ID
100%

 

 
1,731

 
1,731

 

 

 
1,731

 
1,731

 
(392
)
1968/2009
11/15/10
40
Fountain City
Columbus, GA
100%
(3) 

 
253

 
2,797

 
3,050

 

 
253

 
2,786

 
3,039

 
(1,044
)
1970
11/15/10
40
Etowah Landing
Rome, GA
100%

 
43

 
842

 
885

 

 
43

 
842

 
885

 
(270
)
1973/1977, 1987
11/15/10
40
Oakhurst
Ocala, FL
100%
(6) 

 
1,474

 
8,212

 
9,686

 

 
1,474

 
8,107

 
9,581

 
(1,597
)
1984/2010
11/15/10
32
Orchard Ridge
New Port Richey, FL
100%
(6) 

 
536

 
5,685

 
6,221

 

 
536

 
5,590

 
6,126

 
(1,096
)
1983/1995
11/15/10
32
Bay Tree
Palm Harbor, FL
100%

 
786

 
4,870

 
5,656

 

 
786

 
4,795

 
5,581

 
(1,098
)
1981
11/15/10
32
West Bay
Oldsmar, FL
100%
(6) 

 
775

 
4,660

 
5,435

 

 
775

 
4,526

 
5,301

 
(1,004
)
1982/2010
11/15/10
32
Sunset Point
Clearwater, FL
100%
(6) 

 
706

 
4,370

 
5,076

 

 
706

 
4,306

 
5,012

 
(989
)
1983
11/15/10
32
Arden House
Hamden, CT
100%
20,413

 
2,250

 
23,816

 
26,066

 

 
2,250

 
23,396

 
25,646

 
(3,994
)
1973/2008, 2010
11/15/10
28
Pope John Paul
Danbury, CT
100%
(6) 

 

 
13,702

 
13,702

 

 

 
13,702

 
13,702

 
(2,617
)
1983/2009
11/15/10
32
St. Camillus
Stamford, CT
100%

 

 
12,528

 
12,528

 

 

 
12,523

 
12,523

 
(2,552
)
1987/2008
11/15/10
32
Madison House
Madison, CT
100%

 
4,337

 
8,164

 
12,501

 

 
4,337

 
8,028

 
12,365

 
(1,182
)
1994/2009, 2010
11/15/10
36
Willows (CT)
Woodbridge, CT
100%

 
1,838

 
9,961

 
11,799

 

 
1,838

 
9,510

 
11,348

 
(1,606
)
1989/2011
11/15/10
32
The Reservoir
West Hartford, CT
100%
7,753

 
1,204

 
9,457

 
10,661

 

 
1,204

 
9,270

 
10,474

 
(1,375
)
1995/2009, 2011
11/15/10
36
Glen Hill
Danbury, CT
100%
(6) 

 
918

 
7,017

 
7,935

 

 
918

 
6,844

 
7,762

 
(1,452
)
1963/2009
11/15/10
24

F-34

Table of Contents

 
 
 
 
 
Initial Cost to Company
 
Cost Capitalized Subsequent to Acquisition
 
Gross Amount at which Carried at Close of Period
 
 
 
 
Life on Which Depreciation in Latest Income Statement is Computed
Description 
 Location 
Ownership Percentage
Encum- brances
 
Land 
 
Building and Improve- ments(1) 
 
Total 
 
 
Land 
 
Building and Improve- ments(1)(7) 
 
Total 
 
Accumulated Depreciation and Amortization
Original Date of Construction/ Renovation 
Date Acquired
Governor's House
Simsbury, CT
100%

 

 
5,750

 
5,750

 

 

 
5,514

 
5,514

 
(1,409
)
1895/2008, 2010
11/15/10
20
Elms Haven
Thornton, CO
100%
(3) 

 
3,717

 
18,473

 
22,190

 

 
3,717

 
18,400

 
22,117

 
(3,372
)
1987/1989, 1997, 2007, 2008
11/15/10
40
Sable
Aurora, CO
100%
(3) 

 
1,272

 
5,591

 
6,863

 

 
1,272

 
5,531

 
6,803

 
(1,128
)
1973
11/15/10
35
Carmichael
Carmichael, CA
100%
(6 
) 
 

 
1,741

 
1,741

 

 

 
1,724

 
1,724

 
(592
)
1960/1976, 2010
11/15/10
40
Willows (CA)
Willows, CA
100%
 

 
137

 
1,426

 
1,563

 

 
137

 
1,411

 
1,548

 
(398
)
1969/2010
11/15/10
40
Washington Care
San Leandro, CA
100%
(2) 

 

 
1,331

 
1,331

 

 

 
1,330

 
1,330

 
(265
)
1969/2010
11/15/10
40
Oak Brook Health Care
Whitehouse, TX
100%
 

 
1,433

 
9,643

 
11,076

 

 
1,433

 
9,643

 
11,076

 
(171
)
1998
06/30/11
40
Broadmeadow Healthcare
Middletown, DE
100%
 

 
1,650

 
21,730

 
23,380

 

 
1,650

 
21,730

 
23,380

 
(236
)
2005
08/01/11
40
Capitol Healthcare
Dover, DE
100%
 

 
4,940

 
15,500

 
20,440

 

 
4,940

 
15,500

 
20,440

 
(176
)
1997
08/01/11
40
Pike Creek Healthcare
Wilmington, DE
100%
 

 
2,460

 
25,240

 
27,700

 

 
2,460

 
25,240

 
27,700

 
(277
)
2009
08/01/11
40
Renaissance Healthcare
Millsboro, DE
100%
 

 
1,640

 
22,620

 
24,260

 

 
1,640

 
22,620

 
24,260

 
(253
)
2008
08/01/11
40
Honey Hill Care Center
Norwalk, CT
100%
 

 
1,722

 
6,125

 
7,847

 

 
1,722

 
6,125

 
7,847

 
(65
)
1993
09/30/11
40
Manokin Manor Nursing & Rehabilitation Center
Princess Anne, MD
100%
 

 
1,953

 
7,811

 
9,764

 

 
1,953

 
7,811

 
9,764

 
(80
)
1987
09/30/11
40
Wesley Woods Alzheimer's Care Center
Abilene, TX
100%
 

 
883

 
7,642

 
8,525

 

 
883

 
7,642

 
8,525

 
(40
)
2004
11/01/11
40
Windcrest Alzheimer's Care Center
Waco, TX
100%

 
800

 
4,589

 
5,389

 

 
800

 
4,589

 
5,389

 
(25
)
1994/1999
11/01/11
40
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
39,455

 
76,499

 
510,857

 
587,356

 

 
76,499

 
506,110

 
582,609

 
(83,235
)
 
 
 
Multi-license Designation
 
 
 
 
 

 
 
 
 

 
 
 
 

 
 

 
 

 
 

 
 
 
Forest Hills (ALF)
Broken Arrow, OK
100%
(5) 

 
1,803

 
3,927

 
5,730

 

 
1,803

 
3,905

 
5,708

 
(943
)
2000
11/15/10
30
Langdon Place of Dover
Dover, NH
100%
4,970

 
801

 
10,036

 
10,837

 

 
801

 
9,653

 
10,454

 
(1,854
)
1987
11/15/10
42
Clipper Harbor
Portsmouth, NH
100%
(4) 

 
846

 
7,632

 
8,478

 

 
846

 
7,570

 
8,416

 
(1,967
)
1986
11/15/10
43
Mineral Springs
North Conway, NH
100%
(4) 

 
417

 
5,352

 
5,769

 

 
417

 
5,175

 
5,592

 
(1,112
)
1988
11/15/10
43
Wolfeboro
Wolfeboro, NH
100%
(4) 

 
454

 
4,531

 
4,985

 

 
454

 
4,399

 
4,853

 
(859
)
1984/1986, 1987, 2009
11/15/10
41
Langdon Place of Keene
Keene, NH
100%
5,307

 
304

 
3,992

 
4,296

 

 
304

 
3,902

 
4,206

 
(1,084
)
1995
11/15/10
46
Edmondson Care
Brownsville, KY
100%

 
446

 
5,087

 
5,533

 

 
446

 
5,085

 
5,531

 
(1,052
)
1994/2009
11/15/10
35
Heartland Villa
Lewisport, KY
100%

 
532

 
4,025

 
4,557

 

 
532

 
4,024

 
4,556

 
(773
)
1994/2009
11/15/10
35
Meridian Care
Meridian, ID
100%
(6) 

 
840

 
8,342

 
9,182

 

 
840

 
8,324

 
9,164

 
(2,277
)
1997
11/15/10
39
St. Joseph's
Trumbull, CT
100%
(6) 

 

 
21,878

 
21,878

 

 

 
21,870

 
21,870

 
(4,929
)
1959
11/15/10
24
 
 
 
 
 
 

 
 

 
 

 
 
 
 

 
 

 
 

 
 

 
 
 
 
 
 
10,277

 
6,443

 
74,802

 
81,245

 

 
6,443

 
73,907

 
80,350

 
(16,850
)
 
 
 
Assisted Living Facilities
 
 
 
 
 

 
 

 
 

 
 
 
 

 
 

 
 

 
 

 
 
 
Monroe House
Moses Lake, WA
100%

 

 
182

 
182

 

 

 
174

 
174

 
(107
)
1997
11/15/10
15
Langdon Place of Exeter
Exeter, NH
100%
3,998

 
571

 
7,183

 
7,754

 

 
571

 
7,038

 
7,609

 
(1,655
)
1987
11/15/10
43

F-35

Table of Contents

 
 
 
 
 
Initial Cost to Company
 
Cost Capitalized Subsequent to Acquisition
 
Gross Amount at which Carried at Close of Period
 
 
 
 
Life on Which Depreciation in Latest Income Statement is Computed
Description 
 Location 
Ownership Percentage
Encum- brances
 
Land 
 
Building and Improve- ments(1) 
 
Total 
 
 
Land 
 
Building and Improve- ments(1)(6) 
 
Total 
 
Accumulated Depreciation and Amortization
Original Date of Construction/ Renovation 
Date Acquired
Langdon Place of Nashua
Nashua, NH
100%
(4) 

 

 
5,654

 
5,654

 

 

 
5,389

 
5,389

 
(965
)
1989
11/15/10
40
Heritage Place
Owensboro, KY
100%

 
668

 
5,492

 
6,160

 

 
668

 
5,491

 
6,159

 
(914
)
2001
11/15/10
38
The Legacy
Paducah, KY
100%

 
325

 
4,019

 
4,344

 

 
325

 
4,018

 
4,343

 
(891
)
1999
11/15/10
35
Creekside Senior Living
Green Bay, WI
100%

 
257

 
2,292

 
2,549

 

 
257

 
2,292

 
2,549

 
(8
)
2004
11/22/11
40
 
 
 
 
 
 

 
 

 
 

 
 
 
 

 
 

 
 

 
 

 
 
 
 
 
 
3,998

 
1,821

 
24,822

 
26,643

 

 
1,821

 
24,402

 
26,223

 
(4,540
)
 
 
 
Mental Health
 
 
 
 
 

 
 

 
 

 
 
 
 

 
 

 
 

 
 

 
 
 
Lake Drive
Henryetta, OK
100%

 
160

 
549

 
709

 

 
160

 
544

 
704

 
(316
)
1968
11/15/10
10
Boise
Boise, ID
100%

 

 
289

 
289

 

 

 
267

 
267

 
(113
)
1991
11/15/10
40
 
 
 
 
 
 

 
 

 
 

 
 
 
 

 
 

 
 

 
 

 
 
 
 
 
 

 
160

 
838

 
998

 

 
160

 
811

 
971

 
(429
)
 
 
 
Independent Living Facility
 
 
 
 

 
 

 
 

 
 
 
 

 
 

 
 

 
 

 
 
 
Glen Crest
Danbury, CT
100%

 
1,356

 
6,666

 
8,022

 

 
1,356

 
6,652

 
8,008

 
(1,104
)
1986
11/15/10
32
Continuing Care
      Retirement Community
 
 
 
 

 
 

 
 

 
 
 
 

 
 

 
 

 
 

 
 
 
Village at Northrise
Las Cruces, NM
100%
(6) 

 
1,432

 
6,003

 
7,435

 

 
1,432

 
5,821

 
7,253

 
(1,552
)
1998/1999, 2010
11/15/10
29
 
 
 
 
 
 

 
 

 
 

 
 
 
 

 
 

 
 

 
 

 
 
 
 
 
 
53,730

 
87,711

 
623,988

 
711,699

 

 
87,711

 
617,703

 
705,414

 
(107,710
)
 
 
 
Acute Care Hospital
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Texas Regional Medical Center
Sunnyvale, TX
100%

 
4,020

 
57,620

 
61,640

 

 
4,020

 
57,620

 
61,640

 
(1,154
)
2009
05/03/11
40
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Multi-property Indebtedness
 
 
104,168

 

 

 

 

 

 

 

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
157,898

 
91,731

 
681,608

 
773,339

 

 
91,731

 
675,323

 
767,054

 
(108,864
)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Corporate Assets
 
 

 

 
136

 
136

 
103

 

 
239

 
239

 
(52
)
 
 
 
 
 
 
 
 
 

 
 

 
 

 
 
 
 

 
 

 
 

 
 

 
 
 
 
 
 
$
157,898

 
$
91,731

 
$
681,744

 
$
773,475

 
$
103

 
$
91,731

 
$
675,562

 
$
767,293

 
$
(108,916
)
 
 
 
 
 
 
 
 
 

 
 

 
 

 
 
 
 

 
 

 
 

 
 

 
 
 


(1) 
Building and building improvements include land improvements and furniture and equipment.
(2) 
Property serves as collateral for a mortgage loan totaling $39.2 million as of December 31, 2011.
(3) 
Property serves as collateral for a mortgage loan totaling $19.9 million as of December 31, 2011.
(4) 
Property serves as collateral for a mortgage loan totaling $31.5 million as of December 31, 2011.
(5) 
Property serves as collateral for a mortgage loan totaling $13.6 million as of December 31, 2011.
(6)
Property serves as collateral for the $100.0 million secured revolving credit facility. There were no amounts outstanding as of December 31, 2011.
(7) 
The aggregate cost of real estate for federal income tax purposes was $762.0 million.





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Table of Contents


SABRA HEALTH CARE REIT, INC.
SCHEDULE III
REAL ESTATE ASSETS AND ACCUMULATED DEPRECIATION
(dollars in thousands)


 
 
 
Year Ended December 31, 2011
 
Period from November 15, 2010 to December 31, 2010
Real estate:
 
 
 
Balance at the beginning of the period
$
570,998

 
$
570,904

Acquisitions
202,570

 

Improvements
9

 
94

Write-off of fully depreciated assets
(6,284
)
 

 
 
 
 

Balance at the end of the year
$
767,293

 
$
570,998

 
 
 
 

Accumulated depreciation:
 
 
 

Balance at the beginning of the period
$
(88,701
)
 
$
(85,567
)
Depreciation expense
(26,499
)
 
(3,134
)
Write-off of fully depreciated assets
6,284

 

 
 
 
 

Balance at the end of the year
$
(108,916
)
 
$
(88,701
)
 
 
 
 


F-37

Table of Contents

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, in the City of Irvine, State of California, on March 1, 2012.
 
SABRA HEALTH CARE REIT, INC.
 
 
By:
/S/    RICHARD K. MATROS         
 
Richard K. Matros
Chairman, 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:
 
 
 
 
 
 
Name
 
Title 
 
Date
 
 
 
 
 
/S/    RICHARD K. MATROS        
 
Chairman, President and Chief
Executive Officer (Principal Executive Officer)
 
March 1, 2012
Richard K. Matros
 
 
 
 
 
 
 
 
/S/    HAROLD W. ANDREWS, JR.        
 
Harold W. Andrews, Jr.
 
Executive Vice President, Chief
Financial Officer and Secretary (Principal
Financial and Accounting Officer)
 
March 1, 2012
Harold W. Andrews, Jr.
 
 
 
 
 
 
 
 
/S/    CRAIG A. BARBAROSH        
 
Craig A. Barbarosh
 
Director
 
March 1, 2012
Craig A. Barbarosh
 
 
 
 
 
 
 
 
 
/S/    ROBERT A. ETTL        
 
Robert A. Ettl
 
Director
 
March 1, 2012
Robert A. Ettl
 
 
 
 
 
 
 
 
 
/S/    MICHAEL J. FOSTER        
 
Michael J. Foster
 
Director
 
March 1, 2012
Michael J. Foster
 
 
 
 
 
 
 
 
 
/S/    MILTON J. WALTERS 
 
Director
 
March 1, 2012
Milton J. Walters
 
 
 
 


F-38