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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.

Healthcare Realty Trust has the prescription for health care providers. The self-managed and self-administered real estate investment trust (REIT) invests in, develops, and manages medical office buildings, physician clinics, and inpatient and outpatient health care facilities. It owns about 200 properties with more than 12 million sq. ft. of space in some two-dozen states. Healthcare Realty Trust also invests in mortgages backed by health care properties and provides property management services for about 140 health care facilities. The REIT's largest tenant is HealthSouth, which accounts for more than 10% of the company's revenues.

LTC Properties sees real estate as a healthy investment. The self-administered real estate investment trust (REIT) primarily invests in health care and long-term care facilities. Its portfolio includes more than 80 assisted living centers (homes for elderly residents not requiring constant supervision), about 60 skilled nursing facilities (which provide rehabilitative and restorative nursing care), and a New Jersey charter school. It owns properties in some two-dozen states. Major tenants include Extendicare, Brookdale Senior Living, and MVP Health Care; together, the three firms account for more than half of LTC Properties' rental revenue.

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