CareTrust REIT, Inc. (Exact name of registrant as specified in its charter)

Transcription

1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 27, 2018 CareTrust REIT, Inc. (Exact name of registrant as specified in its charter) Maryland (State or other jurisdiction of incorporation) (Commission File Number) (IRS Employer Identification No.) Registrant s telephone number, including area code: (949) Calle Amanecer, Suite 300, San Clemente, CA (Address of principal executive offices) Not Applicable (Former name or former address, if changed since last report.) (Zip Code) Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions: Written communications pursuant to Rule 425 under the Securities Act (17 CFR ) Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR a-12) Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR d-2(b)) Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR e-4(c)) Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 ( of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 ( b-2 of this chapter). Emerging growth company If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

2 Item 2.02 Results of Operations and Financial Condition. On February 27, 2018, CareTrust REIT, Inc. (the Company ) issued a press release announcing its financial results for the fourth quarter ended December 31, A copy of the press release is attached hereto as Exhibit 99.1 and is incorporated herein by reference. Exhibit 99.1 attached hereto shall not be deemed filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the Exchange Act ), or otherwise subject to the liabilities of that section and shall not be incorporated by reference into any filing of the Company under the Securities Act of 1933, as amended (the Securities Act ), or the Exchange Act, regardless of any general incorporation language in such filing, except as shall be expressly set forth by specific reference in any such filing. Item 7.01 Regulation FD Disclosure A copy of the Company s supplemental financial information for the fourth quarter ended December 31, 2017 is attached hereto as Exhibit 99.2 and is incorporated herein by reference. A copy of the supplemental financial information is also available on the Investors section of the Company s website at Exhibit 99.2 attached hereto shall not be deemed filed for purposes of Section 18 of the Exchange Act or otherwise subject to the liabilities of that section and shall not be incorporated by reference into any filing of the Company under the Securities Act or the Exchange Act, regardless of any general incorporation language in such filing, except as shall be expressly set forth by specific reference in any such filing. Item Financial Statements and Exhibits. (d) Exhibits. Exhibits Description 99.1 Press Release of the Company, dated February 27, Supplemental financial information for the quarter ended December 31, 2017

3 SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. Date: February 27, 2018 CARETRUST REIT, INC. By: /s/ William M. Wagner William M. Wagner Chief Financial Officer, Treasurer and Secretary

4 Exhibit 99.1 CareTrust REIT Announces Fourth Quarter and Fiscal 2017 Operating Results Conference Call Scheduled for Wednesday, February 28, 2018 at 1:00 pm ET SAN CLEMENTE, Calif., February 27, 2018 (GLOBE NEWSWIRE) -- CareTrust REIT, Inc. (NASDAQ:CTRE) reported today operating results for the fourth quarter and year ended December 31, 2017, as well as other recent events. During the quarter, CareTrust REIT: Posted net income of $0.03, normalized FFO of $0.31, an increase of 11% over Q4 2016, and normalized FAD of $0.32, an increase of 10% over Q4 2016, all per diluted weighted-average common share; Invested approximately $153 million (inclusive of transaction costs) at a blended initial cash yield of 9%, acquiring 11 skilled nursing facilities and three assisted living and memory care facilities, and providing one mortgage financing; Finished the year with a debt-to-normalized EBITDA ratio of 4.6x and a debt-to-enterprise value of 31%, each as of quarter-end; and Met its normalized FFO guidance of $1.16 per diluted weighted-average common share for the year. Record Year Greg Stapley, CareTrust REIT s Chairman and Chief Executive Officer, noted that 2017 was a record year for the Company. We were able to complete a record $308 million in new acquisitions in 2017, and have already added to that tally since year end, he said. He also noted that the Company increased its dividend again, while keeping the dividend well-covered and preserving capital for growth, with one of the most conservative payout ratios in the peer group. He also alluded to robust demand for both the Company s debt and equity, with $174 million in new equity sold through CareTrust REIT s at-the market program, and a new $300 million, 8-year bond issue during the year. With these tools, we were able to strengthen our balance sheet and finish the year with our debt-to-normalized EBITDA ratio of 4.6x and plenty of liquidity, setting us up for a solid start to 2018, he added. Financial Results for Quarter and Year Ended December 31, 2017 Chief Financial Officer Bill Wagner reported that for the fourth quarter, CareTrust REIT generated net income of $2.3 million, or $0.03 per diluted weightedaverage common share, normalized FFO of $23.6 million, or $0.31 per diluted weighted-average common share, and normalized FAD of $24.5 million, or $0.32 per diluted weighted-average common share. He noted that net income for the quarter was reduced by a $10.4 million reserve taken by the Company with respect to certain accounts receivable related to one tenant. We are pleased to be delivering a quarter-over-quarter increase in normalized FFO per share of 11%, said Mr. Wagner. For the full year 2017, Mr. Wagner reported that CareTrust REIT generated net income of $25.9 million, or $0.35 per diluted weighted-average common share, normalized FFO of $84.6 million or $1.16 per diluted weighted-average common share, and normalized FAD of $88.8 million or $1.22 per diluted weighted-average common share. Liquidity Discussing CareTrust REIT s investments and current liquidity, Mr. Wagner reported that the $153 million in new investments in the quarter were funded with a combination of cash on hand and approximately $135 million in draws on the Company s $400 million unsecured revolver. He noted that the revolving credit facility includes a $250 million accordion feature that can be exercised by the Company at its option to increase liquidity, and as of today, $185 million is drawn on the line. He also reported that there had been no activity in the quarter on the Company s at-the-market equity program but, he added, Our ATM program remains a significant instrument in the Company s capital-raising repertoire, with up to $236 million remaining in authorization at present. Mr. Wagner further reported that CareTrust REIT s debt-to-ebitda ratio was 4.6x and its debt-to-enterprise value was 31%, each at quarter-end, which is well within management s target leverage range. He also noted that CareTrust REIT continues to have no property-level debt and, taking into account existing extension rights, no debt maturing before 2020.

5 2018 Guidance Revised Upward Mr. Wagner provided CareTrust REIT's 2018 earnings guidance, projecting on a per-diluted weighted-average common share basis, net income of approximately $0.67 to $0.69, normalized FFO of approximately $1.25 to $1.27, and normalized FAD of approximately $1.31 to $1.33. He noted that the updated 2018 guidance is based on a per-diluted weighted-average common share count of 75.9 million shares and assumes no new acquisitions beyond those made to date, no new debt incurrences or new equity issuances, and 2.0% CPI-based rent escalators under CareTrust REIT's long-term net leases. Dividend Declared During the quarter, CareTrust REIT declared a quarterly dividend of $0.185 per common share. On an annualized basis, our quarterly dividend represents a payout ratio of approximately 59.7% based on the fourth quarter 2017 normalized FFO, and 57.8% on normalized FAD, said Mr. Wagner. At this level, our dividend remains among the best-protected of all our industry peers, while simultaneously providing additional growth capital for reinvestment and a solid overall return to our shareholders, he added. Pristine Transition and Reserve Updating recent news regarding changes to its ongoing landlord-tenant relationship with affiliates of Pristine Senior Living, LLC, Mr. Stapley reported that the planned transition of seven Ohio facilities from Pristine to affiliates of Trillium Healthcare LLC, another CareTrust REIT tenant, had been successfully completed on December 1, We are pleased to report a smooth transition, and improved operating results in Trillium s first month of operations, said Mr. Stapley. The transition was effectuated under a November 2, 2017 amendment to Pristine s master lease which reduced Pristine s rent and allowed Pristine to continue operating nine CareTrust REIT facilities. While the lease amendment was expected to afford Pristine an opportunity to focus on a smaller set of better-performing operations and meet its ongoing lease obligations, Pristine has continued to report cash shortfalls that have prevented it from doing so. Although Pristine has paid $4.4 million of the $4.9 million in base rent due since the lease amendment was executed in November, Pristine has not made $2.3 million of additional payments required under the Lease. Mr. Stapley reported that, accordingly, on February 27, 2018 Pristine and CareTrust REIT entered into a Lease Termination Agreement under which Pristine and its affiliates will surrender its remaining CareTrust REIT facilities to operators selected by CareTrust REIT, in transactions similar to those effected in December Under the Agreement, Pristine will continue to operate the facilities and pay the scheduled base rent until the transitions occur. Mr. Wagner noted that, as a result of the agreement, the Company will recognize Pristine s rental revenues on a cash basis, and reserve approximately $10.4 million of incurred and anticipated obligations of Pristine. He noted that the reserve consists of $6.3 million in property tax reimbursements and advances of 2016 and 2017 franchise permit fees made in 2017, $3.3 million of 2017 property tax reimbursements and franchise permit fees due in 2018, and $0.8 million of unpaid base rent from September Upon Pristine s performance of the terms of the agreement, CareTrust REIT will terminate the Lease and Pristine s future obligations thereunder. Mr. Stapley further noted that CareTrust REIT has a security interest in Pristine s outstanding accounts receivable, which it shares with Pristine s working capital lender pursuant to an intercreditor agreement, and which secure Pristine s ongoing obligations under the Lease. Conference Call A conference call will be held on Wednesday, February 28, 2018, at 1:00 p.m. Eastern Time (10:00 a.m. Pacific Time), during which CareTrust REIT s management will discuss fourth quarter and full-year 2017 results, recent developments and other matters. The dial-in number for this call is (855) (U.S.) or (408) (International). The conference ID number is To listen to the call online, or to view any financial or other statistical information required by SEC Regulation G, please visit the Investors section of the CareTrust REIT website at The call will be recorded, and will be available for replay via the website for 30 days following the call. About CareTrust REIT TM CareTrust REIT, Inc. is a self-administered, publicly-traded real estate investment trust engaged in the ownership, acquisition and leasing of seniors housing and healthcare-related properties. With 186 net-leased healthcare properties and three operated seniors housing properties in 24 states, CareTrust is pursuing opportunities across the nation to acquire properties that will be leased to a diverse group of local, regional and national seniors housing operators, healthcare services providers, and other healthcare-related businesses. More information about CareTrust REIT is available at

6 Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995: This press release contains, and the related conference call will include, forward-looking statements within the meaning of the Private Securities Litigation Reform Act of Forward-looking statements include all statements that are not historical statements of fact and statements regarding the Company s intent, belief or expectations, including, but not limited to, statements regarding future financial and financing positions, business and acquisition strategies, growth prospects, operating and financial performance, expectations regarding the making of distributions, payment of dividends, compliance with and changes in governmental regulations, and the performance of the Company s tenants and operators and their respective facilities. Words such as anticipate, believe, could, expect, estimate, intend, may, plan, seek, should, will, would, and similar expressions, or the negative of these terms, are intended to identify such forward-looking statements, though not all forward-looking statements contain these identifying words. The Company s forward-looking statements are based on management s current expectations and beliefs, and are subject to a number of risks and uncertainties that could lead to actual results differing materially from those projected, forecasted or expected. Although the Company believes that the assumptions underlying these forward-looking statements are reasonable, they are not guarantees and the Company can give no assurance that its expectations will be attained. Factors which could have a material adverse effect on the Company s operations and future prospects or which could cause actual results to differ materially from expectations include, but are not limited to: (i) the ability to achieve some or all of the expected benefits from the completed spin-off from The Ensign Group, Inc. ( Ensign ); (ii) the ability and willingness of Company tenants to meet and/or perform their obligations under the triple-net leases the Company has entered into with them and the ability and willingness of Ensign to meet and/or perform its obligations under the contractual arrangements that it entered into with the Company in connection with such spin-off, including its triple-net long-term leases with the Company, and any of its obligations to indemnify, defend and hold the Company harmless from and against various claims, litigation and liabilities; (iii) the ability and willingness of the Company s tenants to comply with laws, rules and regulations in the operation of the properties the Company leases to them; (iv) the ability and willingness of the Company s tenants, including Ensign, to renew their leases with the Company upon expiration and the ability to reposition Company properties on the same or better terms in the event of nonrenewal or in the event the Company replaces an existing tenant, and obligations, including indemnification obligations, that the Company may incur in connection with the replacement of an existing tenant; (v) the availability of and the ability to identify suitable acquisition opportunities and the ability to acquire and lease the respective properties on favorable terms; (vi) the ability to generate sufficient cash flows to service the Company s outstanding indebtedness; (vii) access to debt and equity capital markets; (viii) fluctuating interest rates; (ix) the ability to retain key management personnel; (x) the ability to maintain the Company s status as a real estate investment trust ( REIT ); (xi) changes in the U.S. tax laws and other state, federal or local laws, whether or not specific to REITs; (xii) other risks inherent in the real estate business, including potential liability relating to environmental matters and illiquidity of real estate investments; and (xiii) any additional factors identified in the Company s filings with the Securities and Exchange Commission ( SEC ), including those in the Company s Annual Report on Form 10-K for the year ended December 31, 2017 under the heading entitled Risk Factors, as such risk factors may be amended, supplemented or superseded from time to time by other reports the Company files with the SEC. Information in this press release or the related conference call is provided as of December 31, 2017, unless specifically stated otherwise. the Company expressly disclaims any obligation to update or revise any information in this press release or the related conference call (and replays thereof), including forward-looking statements, whether to reflect any change in the Company s expectations, any change in events, conditions or circumstances, or otherwise. As used in this press release or the related conference call, unless the context requires otherwise, references to CTRE, "CareTrust," CareTrust REIT or the Company refer to CareTrust REIT, Inc. and its consolidated subsidiaries. GAAP refers to generally accepted accounting principles in the United States of America. Contact: CareTrust REIT, Inc. (949) ir@caretrustreit.com

7 CARETRUST REIT, INC. CONSOLIDATED INCOME STATEMENTS (in thousands, except per share data) (unaudited) Three Months Ended December 31, Twelve months ended December 31, Revenues: Rental income $ 32,379 $ 25,269 $ 117,633 $ 93,126 Tenant reimbursements 3,001 2,031 10,254 7,846 Independent living facilities ,228 2,970 Interest and other income , Total revenues 36,597 28, , ,679 Expenses: Depreciation and amortization 11,003 8,532 39,159 31,965 Interest expense 6,506 5,829 24,196 22,873 Loss on the extinguishment of debt 11, Property taxes 3,001 2,031 10,254 7,846 Independent living facilities ,733 2,549 Impairment of real estate investment 890 Acquisition costs Reserve for advances and deferred rent 10,414 10,414 General and administrative 2,691 2,573 11,117 9,297 Total expenses 34,345 19, ,646 75,061 Other income: Loss on sale of asset (265) (265) Gain on disposition of other real estate investment 3,538 Net income $ 2,252 $ 8,388 $ 25,874 $ 29,353 Earnings per common share: Basic $ 0.03 $ 0.14 $ 0.35 $ 0.52 Diluted $ 0.03 $ 0.14 $ 0.35 $ 0.52 Weighted average shares outstanding: Basic 75,476 60,875 72,647 56,030 Diluted 75,476 60,875 72,647 56,030 Dividends declared per common share $ $ 0.17 $ 0.74 $ 0.68

8 CARETRUST REIT, INC. RECONCILIATIONS OF NET INCOME TO NON-GAAP FINANCIAL MEASURES (in thousands, except per share data) (unaudited) Three Months Ended December 31, Twelve months ended December 31, Net income $ 2,252 $ 8,388 $ 25,874 $ 29,353 Depreciation and amortization 11,003 8,532 39,159 31,965 Interest expense 6,506 5,829 24,196 22,873 Amortization of stock-based compensation ,416 1,546 EBITDA 20,385 23,088 91,645 85,737 Acquisition costs Loss on sale of real estate Loss on the extinguishment of debt 11, Deferred preferred return (544) Impairment of real estate investment 890 Reserve for advances and deferred rent 10,414 10,414 Gain on disposition of other real estate investment (3,538) Normalized EBITDA $ 30,799 $ 23,355 $ 110,750 $ 86,533 Net income $ 2,252 $ 8,388 $ 25,874 $ 29,353 Real estate related depreciation and amortization 10,973 8,505 39,049 31,865 Loss on sale of real estate Impairment of real estate investment 890 Gain on disposition of other real estate investment (3,538) Funds from Operations (FFO) 13,225 17,158 62,275 61,483 Reserve for advances and deferred rent 10,414 10,414 Acquisition costs Deferred preferred return (544) Effect of the senior unsecured notes payable redemption 12,475 Write-off of deferred financing fees 326 Normalized FFO $ 23,639 $ 17,160 $ 84,620 $ 62,014

9 CARETRUST REIT, INC. RECONCILIATIONS OF NET INCOME TO NON-GAAP FINANCIAL MEASURES (continued) (in thousands, except per share data) (unaudited) Three Months Ended December 31, Twelve months ended December 31, Net income $ 2,252 $ 8,388 $ 25,874 $ 29,353 Real estate related depreciation and amortization 10,973 8,505 39,049 31,865 Amortization of deferred financing fees ,059 2,239 Amortization of stock-based compensation ,416 1,546 Straight-line rental income (227) (72) (344) (150) Loss on sale of real estate Impairment of real estate investment 890 Gain on disposition of other real estate investment (3,538) Funds Available for Distribution (FAD) 14,107 17,986 66,406 65,118 Reserve for advances and deferred rent 10,414 10,414 Acquisition costs Deferred preferred return (544) Effect of the senior unsecured notes payable redemption 12,475 Write-off of deferred financing fees 326 Normalized FAD $ 24,521 $ 17,988 $ 88,751 $ 65,649 FFO per share $ 0.17 $ 0.28 $ 0.85 $ 1.09 Normalized FFO per share $ 0.31 $ 0.28 $ 1.16 $ 1.10 FAD per share $ 0.19 $ 0.29 $ 0.91 $ 1.16 Normalized FAD per share $ 0.32 $ 0.29 $ 1.22 $ 1.17 Diluted weighted average shares outstanding [1] 75,692 61,028 72,853 56,186 [1] For the periods presented, the diluted weighted average shares have been calculated using the treasury stock method.

10 Revenues: CARETRUST REIT, INC. CONSOLIDATED INCOME STATEMENTS - 5 QUARTER TREND (in thousands, except per share data) (unaudited) Quarter Quarter Quarter Quarter Quarter Ended Ended Ended Ended Ended December 31, 2016 March 31, 2017 June 30, 2017 September 30, 2017 December 31, 2017 Rental income $ 25,269 $ 27,339 $ 28,511 $ 29,404 $ 32,379 Tenant reimbursements 2,031 2,321 2,389 2,543 3,001 Independent living facilities Interest and other income , Total revenues 28,243 30,608 32,829 32,948 36,597 Expenses: Depreciation and amortization 8,532 9,076 9,335 9,745 11,003 Interest expense 5,829 5,879 6,219 5,592 6,506 Loss on the extinguishment of debt 11,883 Property taxes 2,031 2,321 2,389 2,543 3,001 Independent living facilities Impairment of real estate investment 890 Acquisition costs 2 Reserve for advances and deferred rent 10,414 General and administrative 2,573 2,390 2,977 3,059 2,691 Total expenses 19,590 20,327 34,337 21,637 34,345 Other income (expense): Loss on sale of real estate (265) Gain on disposition of other real estate investment 3,538 Net income $ 8,388 $ 10,281 $ 2,030 $ 11,311 $ 2,252 Diluted earnings per share $ 0.14 $ 0.15 $ 0.03 $ 0.15 $ 0.03 Diluted weighted average shares outstanding 60,875 66,951 72,564 75,471 75,476

11 CARETRUST REIT, INC. RECONCILIATIONS OF NET INCOME TO NON-GAAP FINANCIAL MEASURES - 5 QUARTER TREND (in thousands, except per share data) (unaudited) Quarter Quarter Quarter Quarter Quarter Ended Ended Ended Ended Ended December 31, 2016 March 31, 2017 June 30, 2017 September 30, 2017 December 31, 2017 Net income $ 8,388 $ 10,281 $ 2,030 $ 11,311 $ 2,252 Depreciation and amortization 8,532 9,076 9,335 9,745 11,003 Interest expense 5,829 5,879 6,219 5,592 6,506 Amortization of stock-based compensation EBITDA 23,088 25,772 18,184 27,304 20,385 Acquisition costs 2 Loss on sale of real estate 265 Loss on the extinguishment of debt 11,883 Deferred preferred return (544) Impairment of real estate investment 890 Reserve for advances and deferred rent 10,414 Gain on disposition of other real estate investment (3,538) Normalized EBITDA $ 23,355 $ 25,772 $ 26,875 $ 27,304 $ 30,799 Net income $ 8,388 $ 10,281 $ 2,030 $ 11,311 $ 2,252 Real estate related depreciation and amortization 8,505 9,050 9,309 9,717 10,973 Loss on sale of real estate 265 Impairment of real estate investment 890 Gain on disposition of other real estate investment (3,538) Funds from Operations (FFO) 17,158 19,331 8,691 21,028 13,225 Reserve for advances and deferred rent 10,414 Acquisition costs 2 Deferred preferred return (544) Effect of the senior unsecured notes payable redemption 12,475 Normalized FFO $ 17,160 $ 19,331 $ 20,622 $ 21,028 $ 23,639

12 CARETRUST REIT, INC. RECONCILIATIONS OF NET INCOME TO NON-GAAP FINANCIAL MEASURES - 5 QUARTER TREND (continued) (in thousands, except per share data) (unaudited) Quarter Quarter Quarter Quarter Quarter Ended Ended Ended Ended Ended December 31, 2016 March 31, 2017 June 30, 2017 September 30, 2017 December 31, 2017 Net income $ 8,388 $ 10,281 $ 2,030 $ 11,311 $ 2,252 Real estate related depreciation and amortization 8,505 9,050 9,309 9,717 10,973 Amortization of deferred financing fees Amortization of stock-based compensation Straight-line rental income (72) (72) (43) (2) (227) Loss on sale of real estate 265 Impairment of real estate investment 890 Gain on disposition of other real estate investment (3,538) Funds Available for Distribution (FAD) 17,986 20,356 9,777 22,166 14,107 Reserve for advances and deferred rent 10,414 Acquisition costs 2 Deferred preferred return (544) Effect of the senior unsecured notes payable redemption 12,475 Normalized FAD $ 17,988 $ 20,356 $ 21,708 $ 22,166 $ 24,521 FFO per share $ 0.28 $ 0.29 $ 0.12 $ 0.28 $ 0.17 Normalized FFO per share $ 0.28 $ 0.29 $ 0.28 $ 0.28 $ 0.31 FAD per share $ 0.29 $ 0.30 $ 0.13 $ 0.29 $ 0.19 Normalized FAD per share $ 0.29 $ 0.30 $ 0.30 $ 0.29 $ 0.32 Diluted weighted average shares outstanding [1] 61,028 67,133 72,803 75,659 75,692 [1] For the periods presented, the diluted weighted average shares have been calculated using the treasury stock method.

13 CARETRUST REIT, INC. CONSOLIDATED BALANCE SHEETS (in thousands) (audited) December 31, 2017 December 31, 2016 Assets: Real estate investments, net $ 1,152,261 $ 893,918 Other real estate investments 17,949 13,872 Cash and cash equivalents 6,909 7,500 Accounts and other receivables, net 5,254 5,896 Prepaid expenses and other assets 895 1,369 Deferred financing costs, net 1,718 2,803 Total assets $ 1,184,986 $ 925,358 Liabilities and Equity Senior unsecured notes payable, net $ 294,395 $ 255,294 Senior unsecured term loan, net 99,517 99,422 Unsecured revolving credit facility 165,000 95,000 Accounts payable and accrued liabilities 17,413 12,137 Dividends payable 14,044 11,075 Total liabilities 590, ,928 Equity: Common stock Additional paid-in capital 783, ,475 Cumulative distributions in excess of earnings (189,375) (159,693) Total equity 594, ,430 Total liabilities and equity $ 1,184,986 $ 925,358

14 CARETRUST REIT, INC. CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands) (audited) Twelve Months Ended December 31, Cash flows from operating activities: Net income $ 25,874 $ 29,353 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization (including a below-market ground lease) 39,176 31,980 Amortization of deferred financing costs 2,100 2,239 Loss on the extinguishment of debt 11, Amortization of stock-based compensation 2,416 1,546 Straight-line rental income (344) (150) Noncash interest income (686) (737) Interest income distribution from other real estate investment 1,500 Reserve for advances and deferred rent 10,414 Impairment of real estate investment 890 Loss on sale of real estate 265 Change in operating assets and liabilities: Accounts and other receivables, net (9,428) (3,404) Prepaid expenses and other assets (273) 84 Accounts payable and accrued liabilities 5,278 2,929 Net cash provided by operating activities 88,800 64,431 Cash flows from investing activities: Acquisitions of real estate (296,517) (281,228) Improvements to real estate (748) (762) Purchases of equipment, furniture and fixtures (403) (151) Investment in real estate mortgage loan receivable (12,416) Preferred equity investments (4,656) Sale of other real estate investment 7,500 Principal payments received on mortgage loan receivable 25 Escrow deposits for acquisition of real estate (700) Net proceeds from the sale of real estate 2,855 Net cash used in investing activities (302,559) (284,642) Cash flows from financing activities: Proceeds from the issuance of common stock, net 170, ,402 Proceeds from the issuance of senior unsecured notes payable 300,000 Proceeds from the issuance of senior unsecured term loan 100,000 Borrowings under unsecured revolving credit facility 238, ,000 Payments on senior unsecured notes payable (267,639) Payments on unsecured revolving credit facility (168,000) (205,000) Payments on the mortgage notes payable (95,022) Payments of deferred financing costs (6,063) (1,352) Net-settle adjustment on restricted stock (866) (515) Dividends paid on common stock (52,587) (37,269) Net cash provided by financing activities 213, ,244 Net decrease in cash and cash equivalents (591) (3,967) Cash and cash equivalents, beginning of period 7,500 11,467 Cash and cash equivalents, end of period $ 6,909 $ 7,500

15 CARETRUST REIT, INC. DEBT SUMMARY (dollars in thousands) (unaudited) December 31, 2017 Interest Maturity % of Deferred Net Carrying Debt Rate Date Principal Principal Loan Costs Value Fixed Rate Debt Senior unsecured notes payable 5.250% 2025 $ 300, % $ (5,605) $ 294,395 Floating Rate Debt Senior unsecured term loan 3.519% [1] , % (483) 99,517 Unsecured revolving credit facility 3.319% [2] 2020 [3] 165, % [4] 165, % 265, % (483) 264,517 Total Debt 4.379% $ 565, % $ (6,088) $ 558,912 [1] Funds can be borrowed at applicable LIBOR plus 1.95% to 2.60% or at the Base Rate (as defined) plus 0.95% to 1.6%. [2] Funds can be borrowed at applicable LIBOR plus 1.75% to 2.40% or the Base Rate (as defined) plus 0.75% to 1.4%. [3] Maturity date assumes exercise of two 6-month extension options. [4] Deferred financing fees are not shown net for the unsecured revolving credit facility and are included in assets on the balance sheet.

16 CARETRUST REIT, INC. RECONCILIATIONS OF NET INCOME TO NON-GAAP FINANCIAL MEASURES (shares in thousands) (unaudited) 2018 Guidance Low High Net income $ 0.67 $ 0.69 Real estate related depreciation and amortization Funds from Operations (FFO) Normalized FFO $ 1.25 $ 1.27 Net income $ 0.67 $ 0.69 Real estate related depreciation and amortization Amortization of deferred financing fees Amortization of stock-based compensation Straight-line rental income (0.02) (0.02) Funds Available for Distribution (FAD) Normalized FAD $ 1.31 $ 1.33 Weighted average shares outstanding: Diluted 75,916 75,916

17 Non-GAAP Financial Measures EBITDA represents net income before interest expense (including amortization of deferred financing costs), amortization of stock-based compensation, and depreciation and amortization. Normalized EBITDA represents EBITDA as further adjusted to eliminate the impact of certain items that the Company does not consider indicative of core operating performance, such as real estate impairment charges, expensed acquisition costs, certain deferred preferred return, losses on the extinguishment of debt, reserve for advances and deferred rent and gains or losses from dispositions of real estate or other real estate. EBITDA and Normalized EBITDA 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 the Company s liquidity or operating performance. EBITDA and Normalized EBITDA do not purport to be indicative of cash available to fund future cash requirements, including the Company s ability to fund capital expenditures or make payments on its indebtedness. Further, the Company s computation of EBITDA and Normalized EBITDA may not be comparable to EBITDA and Normalized EBITDA reported by other REITs. Funds from Operations ( FFO ), as defined by the National Association of Real Estate Investment Trusts ( NAREIT ), and Funds Available for Distribution ( FAD ) 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 by NAREIT as net income computed in accordance with GAAP, excluding gains or losses from dispositions of real estate or other real estate, real estate depreciation and amortization and real estate impairment charges, and adjustments for unconsolidated partnerships and joint ventures. The Company computes FFO in accordance with NAREIT s definition. FAD is defined as FFO excluding non-cash income and expenses, such as amortization of stock-based compensation, amortization of deferred financing costs and the effects of straight-line rent. The Company considers FAD to be a useful supplemental measure to evaluate the Company s operating results excluding these income and expense items to help investors, analysts and other interested parties compare the operating performance of the Company between periods or as compared to other companies on a more consistent basis. In addition, the Company reports normalized FFO and normalized FAD, which adjust FFO and FAD for certain revenue and expense items that the Company does not believe are indicative of its ongoing operating results, such as written-off deferred financing fees, expensed acquisition costs, certain preferred returns, the effect of the senior unsecured notes payable redemption and other unanticipated charges. By excluding these items, investors, analysts and our management can compare normalized FFO and normalized FAD between periods more consistently. While FFO, normalized FFO, FAD and normalized FAD are relevant and widely-used measures of operating performance among 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 the Company s liquidity or operating performance. FFO, normalized FFO, FAD and normalized FAD do not purport to be indicative of cash available to fund future cash requirements. Further, the Company s computation of FFO, normalized FFO, FAD and normalized FAD may not be comparable to FFO, normalized FFO, FAD and normalized FAD 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 FAD differently than the Company does. The Company believes that net income, as defined by GAAP, is the most appropriate earnings measure. The Company also believes that the use of EBITDA, Normalized EBITDA, FFO, normalized FFO, FAD and normalized FAD, 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. The Company considers EBITDA and Normalized EBITDA useful in understanding the Company s operating results independent of its capital structure, indebtedness and non-recurring charges, thereby allowing for a more meaningful comparison of operating performance between periods and against other REITs. The Company considers FFO, normalized FFO, FAD and normalized FAD to be useful measures for reviewing comparative operating and financial performance because, by excluding gains or losses from real estate dispositions, impairment charges and real estate depreciation and amortization, and, for FAD and normalized FAD, by excluding non-cash income and expenses such as amortization of stock-based compensation, amortization of deferred financing costs, and the effects of straight-line rent, FFO, normalized FFO, FAD and normalized FAD can help investors compare the Company s operating performance between periods and to other REITs. CareTrust REIT, Inc. (949) ir@caretrustreit.com

18 T h e R io a tc a b e z o n (R io R a n c h o,n M ) E X H IB IT C a s c a d ia o fn a m p a (N a m p a,id ) E X H IB IT P ro v id e n c e O n ta rio (O n ta rio,c A ) E X H IB IT 9 9.2

19 2 D is c la im e rs T h is s u p p le m e n tc o n ta in s fo rw a rd -lo o k in g s ta te m e n ts w ith in th e m e a n in g o fth e P riv a te S e c u ritie s L itig a tio n R e fo rm A c to f F o rw a rd -lo o k in g s ta te m e n ts in c lu d e a l s ta te m e n ts th a ta re n o t h is to ric a l s ta te m e n ts o fa c ta n d s ta te m e n ts re g a rd in g o u rin te n t,b e lie fo re x p e c ta tio n s,in c lu d in g,b u tn o tlim ite d to,s ta te m e n ts re g a rd in g fu tu re fin a n c ia l a n d fin a n c in g p o s itio n s,b u s in e s s a n d a c q u is itio n s tra te g ie s,g ro w th p ro s p e c ts,o p e ra tin g a n d fin a n c ia l p e rfo rm a n c e,e x p e c ta tio n s re g a rd in g th e m a k in g o fd is trib u tio n s,p a y m e n to fd iv id e n d s,c o m p lia n c e w ith a n d c h a n g e s in g o v e rn m e n ta l re g u la tio n s,a n d th e p e rfo rm a n c e o fo u ro p e ra to rs a n d th e ire s p e c tiv e fa c ilitie s. Wo rd s s u c h a s a n tic ip a te, b e lie v e, c o u ld, e x p e c t, e s tim a te, in te n d, m a y, p la n, s e e k, s h o u ld, w il, w o u ld, a n d s im ila re x p re s s io n s,o rth e n e g a tiv e o fth e s e te rm s,a re in te n d e d to id e n tify s u c h fo rw a rd -lo o k in g s ta te m e n ts,th o u g h n o ta l fo rw a rd -lo o k in g s ta te m e n ts c o n ta in th e s e id e n tify in g w o rd s.o u rfo rw a rd -lo o k in g s ta te m e n ts a re b a s e d o n o u rc u re n te x p e c ta tio n s a n d b e lie fs,a n d a re s u b je c to a n u m b e ro fris k s a n d u n c e rta in tie s th a tc o u ld le a d to a c tu a l re s u lts d ife rin g m a te ria ly fro m th o s e p ro je c te d,fo re c a s te d o re x p e c te d.a lth o u g h w e b e lie v e th a th e a s s u m p tio n s u n d e rly in g th e s e fo rw a rd -lo o k in g s ta te m e n ts a re re a s o n a b le,th e y a re n o tg u a ra n te e s a n d w e c a n g iv e n o a s s u ra n c e th a to u re x p e c ta tio n s w il b e a ta in e d.f a c to rs w h ic h c o u ld h a v e a m a te ria l a d v e rs e e fe c to n o u r o p e ra tio n s a n d fu tu re p ro s p e c ts o rw h ic h c o u ld c a u s e a c tu a l re s u lts to d ife rm a te ria ly fro m e x p e c ta tio n s in c lu d e,b u ta re n o tlim ite d to :(i)th e a b ility to a c h ie v e s o m e o ra l o fth e e x p e c te d b e n e fits fro m th e c o m p le te d s p in -o fro m T h e E n s ig n G ro u p,in c.( E n s ig n );(i)th e a b ility a n d w ilin g n e s s o fo u rte n a n ts to m e e ta n d /o rp e rfo rm th e iro b lig a tio n s u n d e rth e trip le -n e tle a s e s w e h a v e e n te re d in to w ith th e m a n d th e a b ility a n d w ilin g n e s s o fe n s ig n to m e e ta n d /o rp e rfo rm its o b lig a tio n s u n d e rth e c o n tra c tu a l a ra n g e m e n ts th a tite n te re d in to w ith u s in c o n n e c tio n w ith s u c h s p in -o f,in c lu d in g its trip le -n e tlo n g -te rm le a s e s w ith u s,a n d a n y o fits o b lig a tio n s to in d e m n ify,d e fe n d a n d h o ld u s h a rm le s s fro m a n d a g a in s tv a rio u s c la im s,litig a tio n a n d lia b ilitie s ;(i)th e a b ility a n d w ilin g n e s s o fo u rte n a n ts to c o m p ly w ith la w s,ru le s a n d re g u la tio n s in th e o p e ra tio n o fth e p ro p e rtie s w e le a s e to th e m ;(iv )th e a b ility a n d w ilin g n e s s o fo u rte n a n ts, in c lu d in g E n s ig n,to re n e w th e irle a s e s w ith u s u p o n e x p ira tio n a n d th e a b ility to re p o s itio n o u rp ro p e rtie s o n th e s a m e o rb e te rte rm s in th e e v e n to fn o n re n e w a l o rin th e e v e n tw e re p la c e a n e x is tin g te n a n t,a n d o b lig a tio n s,in c lu d in g in d e m n ific a tio n o b lig a tio n s,th a tw e m a y in c u rin c o n n e c tio n w ith th e re p la c e m e n to fa n e x is tin g te n a n t;(v )th e a v a ila b ility o fa n d th e a b ility to id e n tify s u ita b le a c q u is itio n o p p o rtu n itie s a n d th e a b ility to a c q u ire a n d le a s e th e re s p e c tiv e p ro p e rtie s o n fa v o ra b le te rm s ;(v i)th e a b ility to g e n e ra te s u fic ie n tc a s h flo w s to s e rv ic e o u ro u ts ta n d in g in d e b te d n e s s ;(v i) a c c e s s to d e b ta n d e q u ity c a p ita l m a rk e ts ;(v i)flu c tu a tin g in te re s tra te s ;(ix )th e a b ility to re ta in o u rk e y m a n a g e m e n tp e rs o n n e l;(x )th e a b ility to m a in ta in o u rs ta tu s a s a re a l e s ta te in v e s tm e n tru s t( R E IT );(x i)c h a n g e s in th e U.S.ta x la w s a n d o th e rs ta te,fe d e ra l o rlo c a la w s,w h e th e ro rn o ts p e c ific to R E IT s ;(x i)o th e ris k s in h e re n tin th e re a l e s ta te b u s in e s s,in c lu d in g p o te n tia lia b ility re la tin g to e n v iro n m e n ta l m a te rs a n d iliq u id ity o fre a l e s ta te in v e s tm e n ts ;a n d (x i)a n y a d d itio n a l fa c to rs id e n tifie d in o u rfilin g s w ith th e S e c u ritie s a n d E x c h a n g e C o m m is s io n ( S E C ),in c lu d in g th o s e in o u ra n n u a l R e p o rto n F o rm 1 0 -K fo rth e y e a re n d e d D e c e m b e r3 1, u n d e rth e h e a d in g e n title d R is k F a c to rs, a s s u c h ris k fa c to rs m a y b e a m e n d e d,s u p p le m e n te d o r s u p e rs e d e d fro m tim e to tim e b y o th e re p o rts w e file w ith th e S E C. T h is s u p p le m e n tc o n ta in s c e rta in n o n -G A A P fin a n c ia l in fo rm a tio n re la tin g to C a re T ru s tr E IT in c lu d in g E B IT D A,N o rm a liz e d E B IT D A,F F O,N o rm a liz e d F F O,F A D,N o rm a liz e d F A D,a n d c e rta in re la te d ra tio s.e x p la n a to ry fo o tn o te s a n d a g lo s s a ry e x p la in in g th is n o n -G A A P in fo rm a tio n a re in c lu d e d in th is s u p p le m e n t.r e c o n c ilia tio n s o fth e s e n o n -G A A P m e a s u re s a re a ls o in c lu d e d in th is s u p p le m e n t. O th e rfin a n c ia l in fo rm a tio n,in c lu d in g G A A P fin a n c ia l in fo rm a tio n,is a ls o a v a ila b le o n o u rw e b s ite.n o n -G A A P fin a n c ia l in fo rm a tio n d o e s n o tre p re s e n tfin a n c ia l p e rfo rm a n c e u n d e rg A A P a n d s h o u ld n o tb e c o n s id e re d in in s o la tio n,a s a m e a s u re o fliq u id ity,a s a n a lte rn a tiv e to n e t in c o m e,o ra s a n in d ic a to ro fa n y o th e rp e rfo rm a n c e m e a s u re d e te rm in e d in a c c o rd a n c e w ith G A A P.Y o u s h o u ld n o t re ly o n n o n -G A A P fin a n c ia l in fo rm a tio n a s a s u b s titu te fo rg A A P fin a n c ia l in fo rm a tio n,a n d s h o u ld re c o g n iz e th a tn o n -G A A P in fo rm a tio n p re s e n te d h e re in m a y n o tc o m p a re to s im ila rly -te rm e d n o n - G A A P in fo rm a tio n o fo th e rc o m p a n ie s (i.e.,b e c a u s e th e y d o n o tu s e th e s a m e d e fin itio n s fo rd e te rm in in g a n y s u c h n o n -G A A P in fo rm a tio n ). T h is s u p p le m e n ta ls o in c lu d e s c e rta in in fo rm a tio n re g a rd in g o p e ra to rs o fo u rp ro p e rtie s (s u c h a s E B IT D A R M C o v e ra g e,e B IT D A R C o v e ra g e,a n d O c c u p a n c y ),m o s to fw h ic h a re n o ts u b je c to a u d it o rs E C re p o rtin g re q u ire m e n ts.t h e o p e ra to rin fo rm a tio n p ro v id e d in th is s u p p le m e n th a s b e e n p ro v id e d b y th e o p e ra to rs.we h a v e n o tin d e p e n d e n tly v e rifie d th is in fo rm a tio n,b u th a v e n o re a s o n to b e lie v e th a ts u c h in fo rm a tio n is in a c c u ra te in a n y m a te ria l re s p e c t.we a re p ro v id in g th is in fo rm a tio n fo rin fo rm a tio n a l p u rp o s e s o n ly.e n s ig n is s u b je c to th e re g is tra tio n a n d re p o rtin g re q u ire m e n ts o fth e S E C a n d is re q u ire d to file w ith th e S E C a n n u a l re p o rts c o n ta in in g a u d ite d fin a n c ia l in fo rm a tio n a n d q u a rte rly re p o rts c o n ta in in g u n a u d ite d fin a n c ia l in fo rm a tio n.e n s ig n s fin a n c ia l s ta te m e n ts, a s file d w ith th e S E C,c a n b e fo u n d a te n s ig n s w e b s ite h tp :/w w w.e n s ig n g ro u p.n e t. In fo rm a tio n in th is s u p p le m e n tis p ro v id e d a s o fd e c e m b e r3 1, ,u n le s s s p e c ific a ly s ta te d o th e rw is e.we e x p re s s ly d is c la im a n y o b lig a tio n to u p d a te o re v is e a n y in fo rm a tio n in th is s u p p le m e n t (in c lu d in g fo rw a rd -lo o k in g s ta te m e n ts ),w h e th e rto re fle c ta n y c h a n g e in o u re x p e c ta tio n s,a n y c h a n g e in e v e n ts,c o n d itio n s o rc irc u m s ta n c e s,o ro th e rw is e. A s u s e d in th is s u p p le m e n t,u n le s s th e c o n te x tre q u ire s o th e rw is e,re fe re n c e s to C T R E, C a re T ru s t, C a re T ru s tr E IT o rth e C o m p a n y re fe rto C a re T ru s tr E IT,In c.a n d its c o n s o lid a te d s u b s id ia rie s. G A A P re fe rs to g e n e ra ly a c c e p te d a c c o u n tin g p rin c ip le s in th e U n ite d S ta te s o fa m e ric a. 2

20 3 C o m p a n y P ro file C a re T ru s tr E IT is a s e lf-a d m in is te re d,p u b lic ly -tra d e d re a l e s ta te in v e s tm e n tru s te n g a g e d in th e o w n e rs h ip,a c q u is itio n a n d le a s in g o fs e n io rs h o u s in g a n d h e a lth c a re -re la te d p ro p e rtie s.c a re T ru s tr E IT g e n e ra te s re v e n u e s p rim a rily b y le a s in g p ro p e rtie s to a d iv e rs e g ro u p o flo c a l,re g io n a l a n d n a tio n a l s e n io rs h o u s in g o p e ra to rs,h e a lth c a re s e rv ic e s p ro v id e rs,a n d o th e rh e a lth c a re -re la te d b u s in e s s e s. S in c e its d e b u ta s a s ta n d a lo n e p u b lic c o m p a n y o n J u n e 1, ,a n d a s o ff e b ru a ry 2 7, ,C a re T ru s tr E IT h a s e x p a n d e d its te n a n t ro s te rto 1 8 o p e ra to rs,a n d h a s g ro w n its p o rtfo lio re a l e s ta te p o rtfo lio to n e t-le a s e d h e a lth c a re p ro p e rtie s a n d th re e o p e ra te d s e n io rs h o u s in g p ro p e rtie s a c ro s s 2 4 s ta te s,c o n s is tin g o f1 8,2 5 0 o p e ra tin g b e d s /u n its. M a n a g e m e n t G re g S ta p le y C h a irm a n a n d C h ie fe x e c u tiv e O fic e r B il Wa g n e r C h ie ff in a n c ia l O fic e r D a v e S e d g w ic k V ic e P re s id e n to fo p e ra tio n s M a rk L a m b D ire c to ro fin v e s tm e n ts C o n ta c tin fo rm a tio n C a re T ru s tr E IT,In c C a le A m a n e c e r,s u ite S a n C le m e n te,c A (9 4 9 ) ir@c a re tru s tre it.c o m w w w.c a re tru s tre it.c o m T ra n s fe ra g e n t B ro a d rid g e C o rp o ra te Is s u e rs o lu tio n s P.O.B o x B re n tw o o d,n Y (8 0 0 ) s h a re h o ld e r@b ro a d rid g e.c o m B o a rd o fd ire c to rs K e y B a n c C a p ita l M a rk e ts J o rd a n S a d le r (9 1 7 ) R a y m o n d J a m e s J o n a th a n H u g h e s (7 2 7 ) We ls F a rg o S e c u ritie s T o d d S te n d e r (5 6 2 ) R B C C a p ita l M a rk e ts M ic h a e l C a ro l (4 4 0 ) S tife l,n ic o la u s & C o m p a n y C h a d V a n a c o re (5 1 8 ) B M O C a p ita l M a rk e ts J o h n K im (2 1 2 ) C a p ita lo n e S e c u ritie s D a n B e rn s te in (5 7 1 ) J M P R e s e a rc h P e te rm a rtin (4 1 5 ) S te p h e n s D a n a H a m b ly,c F A (6 1 5 ) A n a ly s tc o v e ra g e G re g S ta p le y C h a irm a n D a v id L in d a h l J o n K lin e A le n B a rb ie ri S p e n c e rp lu m b C o m p a n y P ro file 3 C a re T ru s ta ta G la n c e 4 In v e s tm e n ts 5 P o rtfo lio O v e rv ie w P o rtfo lio P e rfo rm a n c e 6 T e n a n ts u m m a ry 7 R e n td iv e rs ific a tio n b y T e n a n t8 G e o g ra p h ic D iv e rs ific a tio n 9 R e n td iv e rs ific a tio n b y S ta te 1 0 L e a s e M a tu ritie s 1 1 F in a n c ia l O v e rv ie w C o n s o lid a te d In c o m e S ta te m e n ts 1 3 R e c o n c ilia tio n o fe B IT D A,F F O a n d F A D 1 4 C o n s o lid a te d B a la n c e S h e e ts 1 6 K e y D e b tm e tric s 1 7 D e b ts u m m a ry G u id a n c e 1 9 E q u ity C a p ita l T ra n s a c tio n s 2 0 O th e rf in a n c ia l H ig h lig h ts 2 1 G lo s s a ry 2 2

21 4 N o te : A m o u n ts a re a s o fd e c e m b e r3 1, a n d e x c lu d e o u rth re e o p e ra te d s e n io rs h o u s in g p ro p e rtie s,tw o p re fe re d e q u ity in v e s tm e n ts a n d a m o rtg a g e lo a n re c e iv a b le. C re d itr a tin g s S & P C o rp o ra te R a tin g :B + (p o s itiv e ) S e n io ru n s e c u re d N o te s :B B - M o o d y s C o rp o ra te R a tin g :B 1 (p o s itiv e ) S e n io ru n s e c u re d N o te s :B 1 1 8,0 6 4 O p e ra tin g B e d s /U n its P ro p e rtie s 1 8 O p e ra to rs 2 3 S ta te s $ 1, M In v e s tm e n ts C a re T ru s tr E IT,In c. N A S D A Q :C T R E M a rk e td a ta (a s o fd e c e m b e r3 1, ) C lo s in g P ric e :$ We e k R a n g e :$ $ M a rk e tc a p :$ 1,2 7 2 M E n te rp ris e V a lu e :$ 1,8 3 0 M O u ts ta n d in g S h a re s :7 5.9 M C re d itr a tin g s S & P C o rp o ra te R a tin g :B + (p o s itiv e ) S e n io ru n s e c u re d N o te s :B B - M o o d y s C o rp o ra te R a tin g :B a 3 (p o s itiv e ) S e n io ru n s e c u re d N o te s :B a 3 4

22 5 In v e s tm e n ts N o te s : [1 ]In itia l In v e s tm e n tfo rp re -s p in p ro p e rtie s re p re s e n ts E n s ig n 's g ro s s b o o k v a lu e.in itia l In v e s tm e n tfo rp o s t-s p in p ro p e rtie s re p re s e n ts C a re T ru s tr E IT s p u rc h a s e p ric e a n d tra n s a c tio n c o s ts. [2 ]In itia l O p e ra tin g B e d s /U n its a s o fth e a c q u is itio n d a te. [3 ]T o ta l C o s tp e rb e d /U n ite x c lu d e s p re fe re d e q u ity in v e s tm e n ts. [4 ]In itia l R e n tre p re s e n ts th e a n n u a liz e d a c q u is itio n -d a te c a s h re n to rd e fe re d in te re s tin c o m e o n p re fe re d e q u ity in v e s tm e n ts. [5 ]In itia l Y ie ld re p re s e n ts In itia l R e n td iv id e d b y In itia l In v e s tm e n t. [6 ]M o rtg a g e lo a n re c e iv a b le. [7 ]A l a m o u n ts e x c lu d e o u rth re e o p e ra te d s e n io rs h o u s in g p ro p e rtie s. (d o la rs in th o u s a n d s ) D a te O p e ra to rp ro p e rty T y p e L o c a tio n F a c ilitie s In itia l In v e s tm e n t[1 ] In itia l O p e ra tin g B e d /U n it[2 ] C o s tp e r B e d /U n it[3 ]In itia l R e n t[4 ]In itia l Y ie ld [5 ] 6 /1 / T h e E n s ig n G ro u p A L F,S N F,C a m p u s V a rio u s 9 4 $ 5 0 1, ,0 5 3 $ 5 0 $ 5 6,0 0 0 N /A In v e s tm e n ts 6 3 3, , % In v e s tm e n ts , , , % In v e s tm e n ts , , , % 0 2 /0 1 /1 7 P re m ie rs e n io rl iv in g A L F WI2 2 6, , % 0 3 /0 1 /1 7 WL C M a n a g e m e n ts N F IL 5 2 9, , % 0 5 /0 1 /1 7 B e te rs e n io rl iv in g C o n s u ltin g A L F F L 1 2, % 0 5 /0 1 /1 7 C a s c a d ia H e a lth c a re S N F ID 1 6, % 0 6 /0 1 /1 7 O n P o in te H e a lth S N F T X,N M 2 2 7, , % 0 7 /0 1 /1 7 WL C M a n a g e m e n ts N F IL 1 3, % 0 7 /0 1 /1 7 C a s c a d ia H e a lth c a re S N F O R 1 3, % 0 7 /2 1 /1 7 P re lu d e H o m e s & S e rv ic e s A L F M N 1 7, % 0 9 /0 1 /1 7 C a s c a d ia H e a lth c a re S N F WA % 0 9 /0 1 /1 7 P rio rity M a n a g e m e n tg ro u p S N F T X 3 2 0, , % 0 9 /0 1 /1 7 & 1 0 /0 1 /1 7 C a s c a d ia H e a lth c a re S N F ID 7 6 5, , % 1 0 /0 1 /1 7 F iv e O a k s S N F WA 3 1 2, , % 1 0 /0 1 /1 7 T w e n ty /2 0 M a n a g e m e n ta L F V A 3 1 8, , % 1 0 /2 6 /1 7 P ro v id e n c e G ro u p S N F C A 3 6 9, , % 1 0 /2 6 /1 7 P ro v id e n c e G ro u p [6 ]S N F C A 1 1 2, , % 1 2 /0 1 / WL C M a n a g e m e n ts N F IL 1 4, % Y e a rto D a te In v e s tm e n ts , , , , % T o ta l P o s ts p in -o fin v e s tm e n ts , , , % T o ta l In v e s tm e n ts [7 ]1 9 1 $ 1,3 6 6, ,1 7 4 $ 7 2 $ 1 3 5,4 2 3

23 6 P o rtfo lio P e rfo rm a n c e N o te s : [1 ]In v e s tm e n tfo rp re -s p in p ro p e rtie s re p re s e n ts E n s ig n 's g ro s s b o o k v a lu e.in v e s tm e n tfo rp o s t-s p in p ro p e rtie s re p re s e n ts C a re T ru s tr E IT s c u m u la tiv e c a p ita l in v e s tm e n t.c a p ita l in v e s tm e n t in c lu d e s p u rc h a s e p ric e,tra n s a c tio n c o s ts a n d la n d lo rd -fu n d e d c a p ita l e x p e n d itu re s,ifa n y. [2 ]R e n tre p re s e n ts D e c e m b e r re n t,a n n u a liz e d. [3 ]C u re n ty ie ld re p re s e n ts R e n td iv id e d b y In v e s tm e n t. [4 ]A l a m o u n ts e x c lu d e o u rth re e o p e ra te d s e n io rs h o u s in g p ro p e rtie s,tw o p re fe re d e q u ity in v e s tm e n ts a n d a m o rtg a g e lo a n re c e iv a b le. [5 ]E B IT D A R C o v e ra g e,e B IT D A R M C o v e ra g e a n d O c c u p a n c y in c lu d e in fo rm a tio n p ro v id e d b y o u rte n a n ts.we h a v e n o tin d e p e n d e n tly v e rifie d th is in fo rm a tio n,b u th a v e n o re a s o n to b e lie v e th a ts u c h in fo rm a tio n is in a c c u ra te in a n y m a te ria l re s p e c t. S e e G lo s s a ry fo ra d d itio n a l in fo rm a tio n. (d o la rs in th o u s a n d s )A s o fd e c e m b e r3 1, F o rth e p e rio d e n d e d S e p te m b e r3 0, [5 ] A s s e tt y p e F a c ilitie s O p e ra tin g B e d s /U n its In v e s tm e n t[1 ] % o ft o ta l In v e s tm e n tr e n t[2 ] % o ft o ta l R e n t C u re n t Y ie ld [3 ] E B IT D A R C o v e ra g e E B IT D A R M C o v e ra g e O c c u p a n c y S k ile d N u rs in g ,7 1 6 $ 9 3 2, % $ 9 4, % % x x % M u lti-s e rv ic e C a m p u s 1 6 2, , % 1 7, % 9.8 % x x % S e n io rs H o u s in g 3 9 3, , % 1 9, % 8.2 % x x % T o ta l N e t-l e a s e d A s s e t[4 ] ,0 6 4 $ 1,3 4 1, % $ 1 3 0, % 9.8 % x x % P re lu d e Wh ite B e a rl a k e (Wh ite B e a rl a k e,m N )

24 7 T e n a n ts u m m a ry

25 8 R e n td iv e rs ific a tio n b y T e n a n t N o te s : [1 ]In v e s tm e n tfo rp re -s p in p ro p e rtie s re p re s e n ts E n s ig n 's g ro s s b o o k v a lu e.in v e s tm e n tfo rp o s t-s p in p ro p e rtie s re p re s e n ts C a re T ru s tr E IT s c u m u la tiv e c a p ita l in v e s tm e n t.c a p ita l in v e s tm e n tin c lu d e s p u rc h a s e p ric e,tra n s a c tio n c o s ts a n d c a p ita l e x p e n d itu re s,ifa n y. [2 ]R e n tre p re s e n ts D e c e m b e r re n t,a n n u a liz e d,o rb a s e d o n th e in itia l c a s h re n ts a n n u a liz e d. [3 ]A l a m o u n ts e x c lu d e o u rth re e o p e ra te d s e n io rs h o u s in g p ro p e rtie s a n d o u rtw o p re fe re d e q u ity in v e s tm e n ts. (d o la rs in th o u s a n d s )A s o fd e c e m b e r3 1, F a c ilitie s O p e ra tin g B e d s /U n its In v e s tm e n t[1 ] % o ft o ta l In v e s tm e n tr e n t[2 ] % o ft o ta l R e n t 1 T h e E n s ig n G ro u p 9 2 9, , % 5 7, % 2 T riliu m H e a lth c a re G ro u p 1 8 1, , % 1 1, % 3 P rio rity M a n a g e m e n tg ro u p , % 1 0, % 4 P ris tin e S e n io rl iv in g , % 9, % 5 C a s c a d ia H e a lth c a re , % 7, % T o ta l T o p 5 T e n a n ts , , % 9 6, % 6 P ro v id e n c e G ro u p , % 6, % 7 P re m ie rs e n io rl iv in g G ro u p , % 6, % 8 WL C M a n a g e m e n t , % 3, % 9 C o v e n a n tc a re , % 3, % 1 0 T w e n ty /2 0 M a n a g e m e n t , % 3, % T o ta l T o p 1 0 T e n a n ts , ,1 8 6, % 1 1 8, % A l O th e rt e n a n ts 2 2 1, , % 1 2, % T o ta l [3 ] ,0 6 4 $ 1,3 4 1, % $ 1 3 0, %

26 C A :1 6.4 % O H :8.2 % A Z :7.3 % ID :7.4 % O th e rs :3 9.2 % T X :2 1.5 % 9 1 S N F 1 A L F 1 A L F T o p F iv e S ta te s C A :1 9.9 % O H :1 2.2 % A Z :6.9 % ID :8.7 % O th e rs :3 2.4 %T X :1 9.9 % C A :1 6.9 % O H :1 4.3 % A Z :4.5 % ID :8.5 % O th e rs :3 6.1 % T X :1 9.7 % R u n -R a t e R e n t In v e s tm e n t B e d s /U n it s

27 1 0 R e n td iv e rs ific a tio n b y S ta te N o te s : [1 ]In v e s tm e n tfo rp re -s p in p ro p e rtie s re p re s e n ts E n s ig n 's g ro s s b o o k v a lu e.f o rp o s t-s p in p ro p e rtie s,in v e s tm e n tre p re s e n ts C a re T ru s tr E IT s c u m u la tiv e c a p ita l in v e s tm e n t. C a p ita l in v e s tm e n tin c lu d e s p u rc h a s e p ric e,tra n s a c tio n c o s ts a n d c a p ita l e x p e n d itu re s,ifa n y. [2 ]R e n tre p re s e n ts D e c e m b e r re n t,a n n u a liz e d. [3 ]A l a m o u n ts e x c lu d e o u rth re e o p e ra te d s e n io rs h o u s in g p ro p e rtie s a n d o u rtw o p re fe re d e q u ity in v e s tm e n ts a n d o u rm o rtg a g e lo a n re c e iv a b le. (d o la rs in th o u s a n d s )A s o fd e c e m b e r3 1, N e t-l e a s e d A s s e ts b y S ta te F a c ilitie s O p e ra tin g B e d s /U n its In v e s tm e n t[1 ] % o ft o ta l In v e s tm e n tr e n t[2 ] % o ft o ta l R e n t 1 T e x a s 3 2 3,8 8 3 $ 2 6 3, % $ 2 6, % 2 C a lifo rn ia 2 5 2, , % 2 6, % 3 O h io 1 6 1, , % 1 6, % 4 Id a h o 1 8 1, , % 1 1, % 5 A riz o n a 1 0 1, , % 8, % T o p 5 S ta te s , , % 8 8, % 6 Wa s h in g to n 1 2 1, , % 6, % 7 U ta h 1 1 1, , % 6, % 8 Io w a , % 5, % 9 C o lo ra d o , % 4, % 1 0 Ilin o is , % 3, % T o p 1 0 S ta te s , ,1 2 7, % 1 1 4, % A l O th e rs ta te s 3 3 2, , % 1 6, % T o ta l[3 ] ,0 6 4 $ 1,3 4 1, % $ 1 3 0, %

28 1 1 L e a s e M a tu ritie s L e a s e M a tu rity Y e a r % o f R e n t N o te s : [1 ]L e a s e M a tu rity Y e a re p re s e n ts th e s c h e d u le d e x p ira tio n y e a ro fth e p rim a ry te rm o fth e le a s e a n d d o e s n o tin c lu d e te n a n te x te n s io n o p tio n s,ifa n y. [2 ]In v e s tm e n tfo rp re -s p in p ro p e rtie s re p re s e n ts E n s ig n 's g ro s s b o o k v a lu e.f o rp o s t-s p in p ro p e rtie s,in v e s tm e n tre p re s e n ts C a re T ru s tr E IT s c u m u la tiv e c a p ita l in v e s tm e n t,e x c lu d in g o u rth re e o p e ra te d s e n io rs h o u s in g p ro p e rtie s,o u rtw o p re fe re d e q u ity in v e s tm e n ts a n d a m o rtg a g e lo a n re c e iv a b le.c a p ita l in v e s tm e n tin c lu d e s p u rc h a s e p ric e,tra n s a c tio n c o s ts a n d c a p ita l e x p e n d itu re s,ifa n y. [3 ]R e n tre p re s e n ts D e c e m b e r re n t,a n n u a liz e d. (d o la rs in th o u s a n d s ) A s o fd e c e m b e r3 1, L e a s e M a tu rity Y e a r[1 ]In v e s tm e n t[2 ] % o ft o ta l In v e s tm e n tr e n t[3 ] % o ft o ta l R e n t $ 3 4, % $ 3, % , % 7, % , % 5, % , % 7, % , % 9, % , % 2 8, % , % 3 1, % , % 2 3, % , % 1 1, % , % 1, % , % 1, % $ 1,3 4 1, % $ 1 3 0, % % 5.7 % 4.4 % 5.9 % 7.4 % % % % 8.6 % 0.9 % 1.1 % M e m o ry C a re C o ta g e s Wh ite B e a rl a k e (Wh ite B e a rl a k e,m N

29 1 2 T h e R io a tc a b e z o n (R io R a n c h o,n M )

30 1 3 C o n s o lid a te d In c o m e S ta te m e n ts (a m o u n ts in th o u s a n d s,e x c e p tp e rs h a re d a ta )T h re e M o n th s E n d e d D e c e m b e r3 1,Y e a re n d e d D e c e m b e r3 1, R e v e n u e s : R e n ta l in c o m e $ 3 2,3 7 9 $ 2 5,2 6 9 $ 1 1 7,6 3 3 $ 9 3,1 2 6 T e n a n tre im b u rs e m e n ts 3, , , ,8 4 6 In d e p e n d e n tliv in g fa c ilitie s , ,9 7 0 In te re s ta n d o th e rin c o m e , T o ta l re v e n u e s 3 6, , , ,6 7 9 E x p e n s e s : D e p re c ia tio n a n d a m o rtiz a tio n 1 1, , , ,9 6 5 In te re s te x p e n s e 6, , , ,8 7 3 L o s s o n th e e x tin g u is h m e n to fd e b t 1 1, P ro p e rty ta x e s 3, , , ,8 4 6 In d e p e n d e n tliv in g fa c ilitie s , ,5 4 9 Im p a irm e n to fre a l e s ta te in v e s tm e n t A c q u is itio n c o s ts R e s e rv e fo ra d v a n c e s a n d d e fe re d re n t1 0, ,4 1 4 G e n e ra l a n d a d m in is tra tiv e 2, , , ,2 9 7 T o ta l e x p e n s e s 3 4, , , ,0 6 1 O th e rin c o m e (e x p e n s e ): L o s s o n s a le o fa s s e t (2 6 5 ) (2 6 5 ) G a in o n d is p o s itio n o fo th e re a l e s ta te in v e s tm e n t 3,5 3 8 N e tin c o m e $ 2,2 5 2 $ 8,3 8 8 $ 2 5,8 7 4 $ 2 9,3 5 3 E a rn in g s p e rc o m m o n s h a re : B a s ic $ $ $ $ D ilu te d $ $ $ $ We ig h te d -a v e ra g e n u m b e ro fc o m m o n s h a re s : B a s ic 7 5, , , ,0 3 0 D ilu te d 7 5, , , ,0 3 0 D iv id e n d s d e c la re d p e rc o m m o n s h a re $ $ $ $ 0.6 8

31 R e c o n c ilia tio n o fe B IT D A,F F O a n d F A D 1 4 (a m o u n ts in th o u s a n d s ) Q u a rte r E n d e d D e c e m b e r3 1, Q u a rte r E n d e d M a rc h 3 1, Q u a rte r E n d e d J u n e 3 0, Q u a rte r E n d e d S e p te m b e r3 0, Q u a rte r E n d e d D e c e m b e r3 1, N e tin c o m e $ 8,3 8 8 $ 1 0,2 8 1 $ 2,0 3 0 $ 1 1,3 1 1 $ 2,2 5 2 D e p re c ia tio n a n d a m o rtiz a tio n 8, , , , ,0 0 3 In te re s te x p e n s e 5, , , , ,5 0 6 A m o rtiz a tio n o fs to c k -b a s e d c o m p e n s a tio n E B IT D A 2 3, , , , ,3 8 5 A c q u is itio n c o s ts 2 L o s s o n s a le o fre a l e s ta te L o s s o n th e e x tin g u is h m e n to fd e b t 1 1,8 8 3 D e fe re d p re fe re d re tu rn (5 4 4 ) Im p a irm e n to fre a l e s ta te in v e s tm e n t R e s e rv e fo ra d v a n c e s a n d d e fe re d re n t 1 0,4 1 4 G a in o n d is p o s itio n o fo th e re a l e s ta te in v e s tm e n t (3,5 3 8 ) N o rm a liz e d E B IT D A $ 2 3,3 5 5 $ 2 5,7 7 2 $ 2 6,8 7 5 $ 2 7,3 0 4 $ 3 0,7 9 9 N e tin c o m e $ 8,3 8 8 $ 1 0,2 8 1 $ 2,0 3 0 $ 1 1,3 1 1 $ 2,2 5 2 R e a l e s ta te re la te d d e p re c ia tio n a n d a m o rtiz a tio n 8, , , , ,9 7 3 L o s s o n s a le o fre a l e s ta te Im p a irm e n to fre a l e s ta te in v e s tm e n t G a in o n d is p o s itio n o fo th e re a l e s ta te in v e s tm e n t (3,5 3 8 ) F u n d s fro m O p e ra tio n s (F F O )1 7, , , , ,2 2 5 R e s e rv e fo ra d v a n c e s a n d d e fe re d re n t 1 0,4 1 4 A c q u is itio n c o s ts 2 D e fe re d p re fe re d re tu rn (5 4 4 ) E fe c to fth e s e n io r u n s e c u re d n o te s p a y a b le re d e m p tio n 1 2,4 7 5 N o rm a liz e d F F O $ 1 7,1 6 0 $ 1 9,3 3 1 $ 2 0,6 2 2 $ 2 1,0 2 8 $ 2 3,6 3 9

32 R e c o n c ilia tio n o fe B IT D A,F F O a n d F A D 1 5 [1 ]F o rth e p e rio d s p re s e n te d,th e d ilu te d w e ig h te d a v e ra g e s h a re s h a v e b e e n c a lc u la te d u s in g th e tre a s u ry s to c k m e th o d. (a m o u n ts in th o u s a n d s,e x c e p tp e rs h a re d a ta ) Q u a rte r E n d e d D e c e m b e r3 1, Q u a rte r E n d e d M a rc h 3 1, Q u a rte r E n d e d J u n e 3 0, Q u a rte r E n d e d S e p te m b e r3 0, Q u a rte r E n d e d D e c e m b e r3 1, N e tin c o m e $ 8,3 8 8 $ 1 0,2 8 1 $ 2,0 3 0 $ 1 1,3 1 1 $ 2,2 5 2 R e a l e s ta te re la te d d e p re c ia tio n a n d a m o rtiz a tio n 8, , , , ,9 7 3 A m o rtiz a tio n o fd e fe re d fin a n c in g fe e s A m o rtiz a tio n o fs to c k -b a s e d c o m p e n s a tio n S tra ig h t-lin e re n ta l in c o m e (7 2 )(7 2 )(4 3 )(2 )(2 2 7 ) L o s s o n s a le o fre a l e s ta te Im p a irm e n to fre a l e s ta te in v e s tm e n t G a in o n d is p o s itio n o fo th e re a l e s ta te in v e s tm e n t (3,5 3 8 ) F u n d s A v a ila b le fo rd is trib u tio n (F A D )1 7, , , , ,1 0 7 R e s e rv e fo ra d v a n c e s a n d d e fe re d re n t 1 0,4 1 4 A c q u is itio n c o s ts 2 D e fe re d p re fe re d re tu rn (5 4 4 ) E fe c to fth e s e n io ru n s e c u re d n o te s p a y a b le re d e m p tio n 1 2,4 7 5 N o rm a liz e d F A D $ 1 7,9 8 8 $ 2 0,3 5 6 $ 2 1,7 0 8 $ 2 2,1 6 6 $ 2 4,5 2 1 F F O p e rs h a re $ $ $ $ $ N o rm a liz e d F F O p e rs h a re $ $ $ $ $ F A D p e rs h a re $ $ $ $ $ N o rm a liz e d F A D p e rs h a re $ $ $ $ $ D ilu te d w e ig h te d a v e ra g e s h a re s o u ts ta n d in g [1 ]6 1, , , , ,6 9 2 (c o n tin u e d )

33 C o n s o lid a te d B a la n c e S h e e ts 1 6 (d o la rs in th o u s a n d s )D e c e m b e r3 1, D e c e m b e r3 1, A s s e ts : R e a l e s ta te in v e s tm e n ts,n e t$ 1,1 5 2,2 6 1 $ 8 9 3,9 1 8 O th e re a l e s ta te in v e s tm e n ts 1 7, ,8 7 2 C a s h a n d c a s h e q u iv a le n ts 6, ,5 0 0 A c c o u n ts a n d o th e re c e iv a b le s,n e t5, ,8 9 6 P re p a id e x p e n s e s a n d o th e ra s s e ts ,3 6 9 D e fe re d fin a n c in g c o s ts,n e t1, ,8 0 3 T o ta l a s s e ts $ 1,1 8 4,9 8 6 $ 9 2 5,3 5 8 L ia b ilitie s a n d E q u ity : S e n io ru n s e c u re d n o te s p a y a b le,n e t$ 2 9 4,3 9 5 $ 2 5 5,2 9 4 S e n io ru n s e c u re d te rm lo a n,n e t9 9, ,4 2 2 U n s e c u re d re v o lv in g c re d itfa c ility 1 6 5, ,0 0 0 A c c o u n ts p a y a b le a n d a c c ru e d lia b ilitie s 1 7, ,1 3 7 D iv id e n d s p a y a b le 1 4, ,0 7 5 T o ta lia b ilitie s 5 9 0, ,9 2 8 E q u ity : C o m m o n s to c k A d d itio n a l p a id -in c a p ita l 7 8 3, ,4 7 5 C u m u la tiv e d is trib u tio n s in e x c e s s o fe a rn in g s (1 8 9,3 7 5 )(1 5 9,6 9 3 ) T o ta l e q u ity 5 9 4, ,4 3 0 T o ta lia b ilitie s a n d e q u ity $ 1,1 8 4,9 8 6 $ 9 2 5,3 5 8

34 1 7 K e y D e b tm e tric s [1 ]D e b to N o rm a liz e d E B IT D A c o m p a re s to ta l d e b ta s o fth e la s td a y o fth e q u a rte rto th e a n n u a liz e d N o rm a liz e d E B IT D A fo rth e q u a rte r. [2 ]D e b to E n te rp ris e V a lu e c o m p a re s to ta l d e b ta s o fth e la s td a y o fth e q u a rte rto C a re T ru s tr E IT s E n te rp ris e V a lu e a s o fth e la s td a y o fth e q u a rte r. S e e G lo s s a ry fo ra d d itio n a l in fo rm a tio n. T h e R io a tf o x H o lo w (B ro w n s v ile,t X ) D e b to N o rm a liz e d E B IT D A [1 ]D e b to E n te rp ris e V a lu e [2 ] 0 6 /3 0 / / 3 0 / /3 1 / / 3 1 / / 3 0 / / 3 0 / /3 1 / / 3 1 / / 3 0 / / 3 0 / /3 1 / /3 0 / / 3 0 / /3 1 / / 3 1 / / 3 0 / / 3 0 / /3 1 / / 3 1 / / 3 0 / / 3 0 / /3 1 / % % % % % % % % % % %

35 1 8 D e b ts u m m a ry N o te s : [1 ]F u n d s c a n b e b o ro w e d a ta p p lic a b le L IB O R p lu s % to % o ra th e B a s e R a te (a s d e fin e d )p lu s % to 1.6 %. [2 ]F u n d s c a n b e b o ro w e d a ta p p lic a b le L IB O R p lu s % to % o ra th e B a s e R a te (a s d e fin e d )p lu s % to 1.4 %. [3 ]M a tu rity d a te a s s u m e s e x e rc is e o ftw o,6 -m o n th e x te n s io n o p tio n s. [4 ]D e fe re d fin a n c in g fe e s a re n o ts h o w n n e tfo rth e u n s e c u re d re v o lv in g c re d itfa c ility a n d a re in c lu d e d in a s s e ts o n th e b a la n c e s h e e t. D e b tm a tu rity Y e a r P rin c ip a l (d o la rs in th o u s a n d s )D e c e m b e r3 1, D e b t In te re s t R a te M a tu rity D a te P rin c ip a l % o f P rin c ip a l D e fe re d L o a n C o s ts N e tc a ry in g V a lu e F ix e d R a te D e b t S e n io ru n s e c u re d n o te s p a y a b le % $ 3 0 0, % $ (5,6 0 5 )$ 2 9 4,3 9 5 F lo a tin g R a te D e b t S e n io ru n s e c u re d te rm lo a n %[1 ] , %(4 8 3 )9 9,5 1 7 U n s e c u re d re v o lv in g c re d itfa c ility %[2 ] [3 ]1 6 5, % [4 ]1 6 5, % 2 6 5, %(4 8 3 )2 6 4,5 1 7 T o ta l D e b t % $ 5 6 5, % $ (6,0 8 8 )$ 5 5 8, $ 1 6 5,0 0 0 $ 1 0 0,0 0 0 $ 3 0 0,0 0 0

36 U p d a te d G u id a n c e (s h a re s in th o u s a n d s ) 1 9 S e e G lo s s a ry fo ra d d itio n a l in fo rm a tio n. L o w H ig h N e tin c o m e $ $ R e a l e s ta te re la te d d e p re c ia tio n a n d a m o rtiz a tio n F u n d s fro m O p e ra tio n s (F F O ) N o rm a liz e d F F O $ $ N e tin c o m e $ $ R e a l e s ta te re la te d d e p re c ia tio n a n d a m o rtiz a tio n A m o rtiz a tio n o fd e fe re d fin a n c in g fe e s A m o rtiz a tio n o fs to c k -b a s e d c o m p e n s a tio n S tra ig h t-lin e re n ta l in c o m e (0.0 2 )(0.0 2 ) F u n d s A v a ila b le fo rd is trib u tio n (F A D ) N o rm a liz e d F A D $ $ We ig h te d a v e ra g e s h a re s o u ts ta n d in g : D ilu te d 7 5, ,9 1 6

37 2 0 E q u ity C a p ita l T ra n s a c tio n s N o te s : [1 ]R e p re s e n ts a v e ra g e fo lo w -o n e q u ity o fe rin g s p e r-s h a re p ric e. F o lo w -O n E q u ity O fe rin g A c tiv ity A t-th e -M a rk e to fe rin g A c tiv ity Q 1 Q 2 Q 3 Q 4 T o ta l N u m b e ro fs h a re s (0 0 0 s )1 6, , , ,1 0 0 P u b lic O fe rin g P ric e p e rs h a re $ $ $ $ $ $ [1 ] G ro s s P ro c e e d s (0 0 0 s )$ 1 7 1,4 6 5 $ $ 1 1 0,9 4 6 $ $ 8 4,4 3 9 $ 1 9 5, Q 1 Q 2 Q 3 Q 4 T o ta l N u m b e ro fs h a re s (0 0 0 s ) , , ,5 7 4 A v e ra g e P ric e p e rs h a re $ $ $ $ $ $ G ro s s P ro c e e d s (0 0 0 s )$ 1 4,1 4 7 $ 1 0 9,8 1 3 $ 6 3,9 4 7 $ $ $ 1 7 3,7 6 0

38 O th e rf in a n c ia l H ig h lig h ts 2 2 N o te s : [1 ]N o rm a liz e d F F O P a y o u tr a tio re p re s e n ts d iv id e n d s d e c la re d d iv id e d b y N o rm a liz e d F F O,in e a c h c a s e fo rth e a p p lic a b le q u a rte r. [2 ]S e e F in a n c ia ls & F ilin g s -Q u a rte rly R e s u lts o n th e In v e s to rs s e c tio n o fo u rw e b s ite a th tp :/in v e s to r.c a re tru s tre it.c o m fo ra re c o n c ilia tio n o fn o rm a liz e d F F O a n d N o rm a liz e d F F O p e rs h a re to th e m o s td ire c tly c o m p a ra b le G A A P m e a s u re. S e e G lo s s a ry fo ra d d itio n a l in fo rm a tio n. D iv id e n d H is to ry N o rm a liz e d F F O P a y o u tr a tio [1 ][2 ] N o rm a liz e d F F O p e rs h a re [2 ]N o rm a liz e d F F O [2 ] 9 / 3 0 / /3 1 / / 3 1 / / 3 0 / / 3 0 / /3 1 / / 3 1 / / 3 0 / / 3 0 / /3 1 / $ $ $ $ $ $ $ $ $ $ / 3 0 / /3 1 / / 3 1 / / 3 0 / / 3 0 / /3 1 / / 3 1 / / 3 0 / / 3 0 / /3 1 / % % % % % % % % % % 9 / 3 0 / /3 1 / / 3 1 / / 3 0 / / 3 0 / /3 1 / / 3 1 / / 3 0 / / 3 0 / /3 1 / $ $ $ $ $ $ $ $ $ $ / 3 0 / /3 1 / / 3 1 / / 3 0 / / 3 0 / /3 1 / / 3 1 / / 3 0 / / 3 0 / /3 1 / $ 7,7 3 1 $ 1 2,0 2 1 $ 1 3,0 9 8 $ 1 5,4 9 8 $ 1 6,2 5 8 $ 1 7,1 6 0 $ 1 9,3 3 1 $ 2 0,6 2 2 $ 2 1,0 2 8 $ 2 3,6 3 9

39 2 3 G lo s s a ry A s s is te d L iv in g F a c ilitie s ( A L F s ) L ic e n s e d h e a lth c a re fa c ilitie s th a tp ro v id e p e rs o n a l c a re s e rv ic e s,s u p p o rta n d h o u s in g fo rth o s e w h o n e e d h e lp w ith d a ily liv in g a c tiv itie s,s u c h a s b a th in g,e a tin g a n d d re s s in g,y e tre q u ire lim ite d m e d ic a l c a re.t h e p ro g ra m s a n d s e rv ic e s m a y in c lu d e tra n s p o rta tio n,s o c ia l a c tiv itie s,e x e rc is e a n d fitn e s s p ro g ra m s,b e a u ty o rb a rb e rs h o p a c c e s s,h o b b y a n d c ra fta c tiv itie s,c o m m u n ity e x c u rs io n s,m e a ls in a d in in g ro o m s e tin g a n d o th e ra c tiv itie s s o u g h tb y re s id e n ts.t h e s e fa c ilitie s a re o fte n in a p a rtm e n t- lik e b u ild in g s w ith p riv a te re s id e n c e s ra n g in g fro m s in g le ro o m s to la rg e a p a rtm e n ts. C e rta in A L F s m a y o fe rh ig h e rle v e ls o fp e rs o n a l a s s is ta n c e fo re s id e n ts re q u irin g m e m o ry c a re a s a re s u lto fa lz h e im e r s d is e a s e o ro th e rfo rm s o fd e m e n tia.l e v e ls o f p e rs o n a l a s s is ta n c e a re b a s e d in p a rto n lo c a l re g u la tio n s. E B IT D A N e tin c o m e b e fo re in te re s te x p e n s e,in c o m e ta x,d e p re c ia tio n a n d a m o rtiz a tio n a n d a m o rtiz a tio n o fs to c k -b a s e d c o m p e n s a tio n.[1 ] E B IT D A R N e tin c o m e b e fo re in te re s te x p e n s e,in c o m e ta x,d e p re c ia tio n,a m o rtiz a tio n a n d re n t, a fte ra p p ly in g a s ta n d a rd iz e d m a n a g e m e n tfe e (5 % o fa c ility o p e ra tin g re v e n u e s ). E B IT D A R C o v e ra g e A g g re g a te E B IT D A R p ro d u c e d b y a l fa c ilitie s u n d e ra m a s te rle a s e (o ro th e rg ro u p in g ) d iv id e d b y th e b a s e re n tp a y a b le to C a re T ru s tr E IT u n d e rs u c h m a s te rle a s e (o ro th e r g ro u p in g )fo rth e s a m e p e rio d.f o rth is s u p p le m e n t,th e re p o rte d p e rio d is th e tra ilin g tw e lv e -m o n th p e rio d e n d e d S e p te m b e r3 0, N o tw ith s ta n d in g th e fo re g o in g,fo r a n y fa c ility fo rw h ic h C a re T ru s tr E IT h a s n o tre c e iv e d fo u rc o n s e c u tiv e q u a rte rs o f p o s t-a c q u is itio n o p e ra tin g re p o rts,th e q u a rte rly E B IT D A R u s e d in th is c a lc u la tio n is th e p ro fo rm a E B IT D A R u tiliz e d in C a re T ru s tr E IT s u n d e rw ritin g p ro c e s s,a n n u a liz e d. B e g in n in g w ith th e fifth q u a rte ro fre p o rte d p o s t-a c q u is itio n o p e ra tin g p e rfo rm a n c e, e a c h re p o rte d q u a rte re B IT D A R re p la c e s th e o ld e s tu n d e rw ritin g p ro fo rm a q u a rte r E B IT D A R,u n til a l p re v io u s ly -u s e d p ro fo rm a q u a rte rs E B IT D A R a m o u n ts a re e lim in a te d fro m th e c a lc u la tio n. E B IT D A R M E a rn in g s b e fo re in te re s te x p e n s e,in c o m e ta x,d e p re c ia tio n,a m o rtiz a tio n,c a s h re n t, a n d a s ta n d a rd iz e d m a n a g e m e n tfe e (5 % o fa c ility o p e ra tin g re v e n u e s ). E B IT D A R M C o v e ra g e A g g re g a te E B IT D A R M p ro d u c e d b y a l fa c ilitie s u n d e ra m a s te rle a s e (o ro th e r g ro u p in g )d iv id e d b y th e b a s e re n tp a y a b le to C a re T ru s tr E IT u n d e rs u c h m a s te rle a s e (o ro th e rg ro u p in g )fo rth e s a m e p e rio d.f o rth is s u p p le m e n t,th e re p o rte d p e rio d is th e tra ilin g tw e lv e -m o n th p e rio d e n d e d S e p te m b e r3 0, N o tw ith s ta n d in g th e fo re g o in g,fo ra n y fa c ility fo rw h ic h C a re T ru s tr E IT h a s n o tre c e iv e d fo u rc o n s e c u tiv e q u a rte rs o fp o s t-a c q u is itio n o p e ra tin g re p o rts,th e q u a rte rly E B IT D A R M u s e d in th is c a lc u la tio n is th e p ro fo rm a E B IT D A R M u tiliz e d in C a re T ru s tr E IT s u n d e rw ritin g p ro c e s s a n n u a liz e d.b e g in n in g w ith th e fifth q u a rte ro fre p o rte d p o s t-a c q u is itio n o p e ra tin g p e rfo rm a n c e,e a c h re p o rte d q u a rte re B IT D A R M re p la c e s th e o ld e s t u n d e rw ritin g p ro fo rm a q u a rte re B IT D A R M,u n til a l p re v io u s ly -u s e d p ro fo rm a q u a rte rs E B IT D A R M a m o u n ts a re e lim in a te d fro m th e c a lc u la tio n. E n te rp ris e V a lu e S h a re p ric e m u ltip lie d b y th e n u m b e ro fo u ts ta n d in g s h a re s p lu s to ta l o u ts ta n d in g d e b t,e a c h a s o fa s p e c ifie d d a te. F u n d s A v a ila b le fo rd is trib u tio n ( F A D ) F F O,e x c lu d in g s tra ig h t-lin e re n ta l in c o m e a d ju s tm e n ts a n d a m o rtiz a tio n o fd e fe re d fin a n c in g fe e s a n d s to c k -b a s e d c o m p e n s a tio n e x p e n s e.[2 ] F u n d s fro m O p e ra tio n s ( F F O ) N e tin c o m e,e x c lu d in g g a in s a n d lo s s e s fro m d is p o s itio n s o fre a l e s ta te o ro th e re a l e s ta te,b e fo re re a l e s ta te d e p re c ia tio n a n d a m o rtiz a tio n a n d re a l e s ta te im p a irm e n t c h a rg e s.c a re T ru s tr E IT c a lc u la te s a n d re p o rts F F O in a c c o rd a n c e w ith th e d e fin itio n a n d in te rp re tiv e g u id e lin e s is s u e d b y th e N a tio n a l A s s o c ia tio n o fr e a l E s ta te In v e s tm e n tt ru s ts.[2 ] In d e p e n d e n tl iv in g F a c ilitie s ( IL F s ) A ls o k n o w n a s re tire m e n tc o m m u n itie s o rs e n io ra p a rtm e n ts,il F s a re n o th e a lth c a re fa c ilitie s.il F s ty p ic a ly c o n s is to fe n tire ly s e lf-c o n ta in e d a p a rtm e n ts,c o m p le te w ith th e iro w n k itc h e n s,b a th s a n d in d iv id u a liv in g s p a c e s,a s w e l a s p a rk in g fo rte n a n t v e h ic le s.t h e y a re m o s to fte n re n te d u n fu rn is h e d,a n d g e n e ra ly c a n b e p e rs o n a liz e d b y th e te n a n ts,ty p ic a ly a n in d iv id u a l o ra c o u p le o v e rth e a g e o f5 5.T h e s e fa c ilitie s o fe rv a rio u s s e rv ic e s a n d a m e n itie s s u c h a s la u n d ry,h o u s e k e e p in g,d in in g o p tio n s / m e a l p la n s,e x e rc is e a n d w e ln e s s p ro g ra m s,tra n s p o rta tio n,s o c ia l,c u ltu ra l a n d re c re a tio n a l a c tiv itie s,a n d o n -s ite s e c u rity.

40 G lo s s a ry 2 4 M u lti-s e rv ic e C a m p u s F a c ilitie s th a tin c lu d e a c o m b in a tio n o fs k ile d N u rs in g b e d s a n d S e n io rs H o u s in g u n its. N o rm a liz e d E B IT D A E B IT D A,a d ju s te d fo rc e rta in in c o m e a n d e x p e n s e ite m s th e C o m p a n y d o e s n o tb e lie v e a re in d ic a tiv e o fits o n g o in g re s u lts,s u c h a s c e rta in a c q u is itio n c o s ts,re a l e s ta te im p a irm e n tc h a rg e s,lo s s e s o n th e e x tin g u is h m e n to fd e b t,c e rta in d e fe re d p re fe re d re tu rn s,re s e rv e fo ra d v a n c e s a n d d e fe re d re n ta n d g a in s o rlo s s e s fro m d is p o s itio n s o fre a l e s ta te o ro th e re a l e s ta te.[1 ] N o rm a liz e d F A D F A D,a d ju s te d fo rc e rta in in c o m e a n d e x p e n s e ite m s th e C o m p a n y d o e s n o tb e lie v e a re in d ic a tiv e o fits o n g o in g re s u lts,s u c h a s c e rta in a c q u is itio n c o s ts,c e rta in d e fe re d p re fe re d re tu rn s,a n d th e e fe c to fth e s e n io ru n s e c u re d n o te s p a y a b le re d e m p tio n. [2 ] N o rm a liz e d F F O F F O,a d ju s te d fo rc e rta in in c o m e a n d e x p e n s e ite m s th e C o m p a n y d o e s n o tb e lie v e a re in d ic a tiv e o fits o n g o in g re s u lts,a n d c e rta in a c q u is itio n c o s ts,c e rta in d e fe re d p re fe re d re tu rn s,a n d th e e fe c to fth e s e n io ru n s e c u re d n o te s p a y a b le re d e m p tio n. [2 ] O c c u p a n c y A fa c ility s o c c u p ie d o p e ra tin g b e d s /u n its d iv id e d b y th e to ta l a v a ila b le o p e ra tin g b e d s /u n its fo rth a tfa c ility,in e a c h c a s e fo rth e tra ilin g tw e lv e -m o n th s e n d e d S e p te m b e r3 0, ;p ro v id e d th a to c c u p a n c y fo ra n y fa c ility a c q u ire d d u rin g s u c h tw e lv e -m o n th s p e rio d m a y b e n o rm a liz e d. S e n io rs H o u s in g In c lu d e s A L F s,il F s,d e d ic a te d m e m o ry c a re fa c ilitie s a n d s im ila r fa c ilitie s. S k ile d N u rs in g o rs k ile d N u rs in g F a c ilitie s ( S N F s ) L ic e n s e d h e a lth c a re fa c ilitie s th a tp ro v id e re s to ra tiv e,re h a b ilita tiv e a n d n u rs in g c a re fo rp e o p le n o tre q u irin g th e m o re e x te n s iv e a n d s o p h is tic a te d tre a tm e n ta v a ila b le a t a n a c u te c a re h o s p ita l o rlo n g -te rm a c u te c a re h o s p ita l.t re a tm e n tp ro g ra m s in c lu d e p h y s ic a l,o c c u p a tio n a l,s p e e c h,re s p ira to ry,v e n tila to r,a n d w o u n d th e ra p y. N o te s : [1 ]E B IT D A a n d N o rm a liz e d E B IT D A d o n o tre p re s e n tc a s h flo w s fro m o p e ra tio n s o r n e tin c o m e a s d e fin e d b y G A A P a n d s h o u ld n o tb e c o n s id e re d a n a lte rn a tiv e to th o s e m e a s u re s in e v a lu a tin g th e C o m p a n y s liq u id ity o ro p e ra tin g p e rfo rm a n c e.e B IT D A a n d N o rm a liz e d E B IT D A d o n o tp u rp o rto b e in d ic a tiv e o fc a s h a v a ila b le to fu n d fu tu re c a s h re q u ire m e n ts,in c lu d in g th e C o m p a n y s a b ility to fu n d c a p ita l e x p e n d itu re s o r m a k e p a y m e n ts o n its in d e b te d n e s s.f u rth e r,th e C o m p a n y s c o m p u ta tio n o fe B IT D A a n d N o rm a liz e d E B IT D A m a y n o tb e c o m p a ra b le to E B IT D A a n d N o rm a liz e d E B IT D A re p o rte d b y o th e rr E IT s. [2 ]C a re T ru s tr E IT b e lie v e s F A D,F F O,N o rm a liz e d F A D,a n d N o rm a liz e d F F O (a n d th e ir re la te d p e r-s h a re a m o u n ts )a re im p o rta n tn o n -G A A P s u p p le m e n ta l m e a s u re s o fits o p e ra tin g p e rfo rm a n c e.b e c a u s e th e h is to ric a l c o s ta c c o u n tin g c o n v e n tio n u s e d fo re a l e s ta te a s s e ts re q u ire s s tra ig h t-lin e d e p re c ia tio n (e x c e p to n la n d ),s u c h a c c o u n tin g p re s e n ta tio n im p lie s th a th e v a lu e o fre a l e s ta te a s s e ts d im in is h e s p re d ic ta b ly o v e r tim e, e v e n th o u g h re a l e s ta te v a lu e s h a v e h is to ric a ly ris e n o rfa le n w ith m a rk e ta n d o th e rc o n d itio n s.m o re o v e r,b y e x c lu d in g ite m s n o tin d ic a tiv e o fo n g o in g re s u lts, N o rm a liz e d F A D a n d N o rm a liz e d F F O c a n fa c ilita te m e a n in g fu l c o m p a ris o n s o f o p e ra tin g p e rfo rm a n c e b e tw e e n p e rio d s a n d b e tw e e n o th e rc o m p a n ie s.h o w e v e r, F A D,F F O,N o rm a liz e d F A D,a n d N o rm a liz e d F F O (a n d th e irp e r-s h a re a m o u n ts )d o n o t re p re s e n tc a s h flo w s fro m o p e ra tio n s o rn e tin c o m e a trib u ta b le to s h a re h o ld e rs a s d e fin e d b y G A A P a n d s h o u ld n o tb e c o n s id e re d a n a lte rn a tiv e to th o s e m e a s u re s in e v a lu a tin g th e C o m p a n y s liq u id ity o ro p e ra tin g p e rfo rm a n c e.

41 C a s c a d ia o fn a m p a (N a m p a,id )