Aviv REIT sees a healthy future in health care-related real estate. The real estate investment trust (REIT) invests in health care properties consisting primarily of skilled nursing facilities (SNFs). Aviv leases its facilities to local, regional, and national operators throughout the US. The REIT's portfolio includes more than 150 properties with some 15,000 licensed beds in 20 states. Operators include Daybreak, Cathedral Rock, and Sunbridge. Although the REIT was formed in 2008 to pursue an IPO, the company has been in the business of financing operators of SNFs for more than 25 years through predecessor entities. Aviv postponed its IPO in late 2009, to possibly be rescheduled for a later date.

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.

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.

Hospitals trust Medical Properties to provide the leases under which their facilities operate. The self-administers real estate investment trust owns about 50 health care facilities, including acute-care, physical rehabilitation, and regional and community hospitals in more than 20 states. Almost half are in California and Texas; California alone represents approximately 45% of the REIT's annual revenue. It leases the facilities to some 15 hospital operators under long-term triple-net leases, where the tenant bears most of the operating costs. Prime Healtcare Services and Vibra Healthcare are the REIT's largest clients; together they account for more than half of its revenue.

Nationwide Health Properties is a real estate investment trust (REIT) that invests in residential care facilities and medical office buildings throughout the US. It owns a portfolio of more than 600 properties, including senior housing facilities and long-term care facilities, which it leases to health care operators. Most of the REIT's properties are leased under long-term triple-net leases, under which the tenant pays for all expenses including property taxes, maintenance, and insurance. Nationwide Health Properties' largest tenants are Brookdale Senior Living and Hearthstone Senior Services, each accounting for more than 10% of total revenues.

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