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Chartwell Seniors Housing REIT owns and manages about 250 senior housing properties with more than 38,000 suites across Canada and the US. Properties include independent living communities, assisted-living residences, and long-term care facilities. Chartwell is the largest owner and operator of senior housing facilities in Canada and the third-largest overall in North America. The REIT also invests in mezzanine loans secured by senior living facilities.

Cogdell Spencer puts its money where your health is. The self-administered real estate investment trust (REIT) acquires, develops, and manages health care properties, including surgery centers, medical office buildings, and rehabilitation facilities, most of which are located on hospital campuses. It owns or manages about 110 properties, totaling nearly 6 million sq. ft. of space in a dozen states. The majority of its properties are located on hospital campuses in South Carolina, North Carolina, and Georgia. Subsidiary Erdman designs and builds health care facilities. Erdman has provided planning, engineering, construction, and related services for more than 5,000 properties throughout the US.

Extendicare Real Estate Investment Trust (REIT) operates more than 250 long-term care and assisted-living facilities with approximately 30,000 residents in North America. Of those facilities, about 175 are located in the US, where subsidiary Extendicare Health Services operates the properties; Extendicare (Canada) operates more than 80. Extendicare REIT also offers outpatient therapy in the US through its ProStep unit and provides home health care services in Canada through ParaMed. All told, it has operations in about a dozen US states and four Canadian provinces. Extendicare REIT's Virtual Care Provider subsidiary offers interformation technology services to other long-term care providers in the US.

HCP is a self-administered real estate investment trust (REIT) that invests in, develops, and manages real estate that it leases to health care facilities, including senior living and skilled nursing facilities, hospitals, medical office buildings, and biotech and pharmaceutical laboratories. It has interests in about 700 properties in more than 40 states and Mexico, though nearly half of its holdings are in California and Texas. The company also provides mortgages and other financing to health care providers.

Health Care REIT is a real estate investment trust (REIT) that invests in senior living and health care facilities, primarily skilled nursing and assisted-living facilities designed for older people needing help with everyday living. The trust also has investments in independent living facilities, hospitals, medical office buildings, and specialty care facilities. It owns approximately 600 properties leased to health care operators in some 40 states. Additionally, the company develops new build-to-suit properties through its HCN Development Services Group subsidiary. It also invests in mortgage loans and provides construction financing for its existing properties.

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