investor presentation: j.p. morgan healthcare conference
TRANSCRIPT
EXCELLENCE. SUSTAINED.
INVESTOR PRESENTATIONJANUARY 2017
1
FORWARD-LOOKING STATEMENTS
This presentation contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. These forward-looking statements include, among others, statements of expectations, beliefs, future plans and strategies, anticipated results from operations and developments and other matters that are not historical facts. The forward-looking statements are based on management’s beliefs as well as on a number of assumptions concerning future events. Readers of these materials are cautioned not to put undue reliance on these forward-looking statements, which are not a guarantee of performance and are subject to a number of uncertainties and other factors that could cause actual events or results to differ materially from those expressed or implied by the forward-looking statements. The most important factors that could prevent the Company from achieving its stated goals include, but are not limited to: (a) the ability and willingness of the Company’s tenants, operators, borrowers, managers and other third parties to satisfy their obligations under their respective contractual arrangements with the Company, including, in some cases, their obligations to indemnify, defend and hold the Company harmless from and against various claims, litigation and liabilities; (b) the ability of the Company’s tenants, operators, borrowers and managers to maintain the financial strength and liquidity necessary to satisfy theirrespective obligations and liabilities to third parties, including without limitation obligations under their existing credit facilities and other indebtedness; (c) the Company’s success in implementing its business strategy and the Company's ability to identify, underwrite, finance, consummate and integrate diversifying acquisitions and investments, including investments in different asset types and outside the United States; (d) macroeconomic conditions such as a disruption of or a lack of access to the capital markets, changes in the debt rating on U.S. government securities, default or delay in payment by the United States of its obligations, and changes in the federal or state budgets resulting in the reduction or nonpayment of Medicare or Medicaid reimbursement rates; (e) the nature and extent of future competition, including new construction in the markets in which the Company’s seniors housingcommunities and medical office buildings are located; (f) the extent of future or pending healthcare reform and regulation, including cost containment measures and changes in reimbursement policies, procedures and rates; (g) increases in the Company’s borrowing costs as a result of changes in interest rates and other factors; (h) the ability of the Company’s tenants, operators and managers, as applicable, to comply with laws, rules and regulations in the operation of the Company’s properties, to deliver high-quality services, to attract and retain qualified personnel and to attract residents and patients; (i) the Company’s ability and willingness to maintain its qualification as a REIT in light of economic, market, legal, tax and other considerations; (j) the ability and willingness of the Company’s tenants to renew their leases with the Company upon expiration of the leases, the Company’s ability to reposition its properties on the same or better terms in the event of nonrenewal or in the event the Company exercises its right to replace an existing tenant or manager, and obligations, including indemnification obligations, the Company may incur in connection with thereplacement of an existing tenant or manager; (k) consolidation activity in the seniors housing and healthcare industries resulting in a change of control of, or a competitor’s investment in, one or more of the Company’s tenants, operators, borrowers or managers or significant changes in the senior management of the Company’s tenants, operators, borrowers or managers; and (l) the other factors set forth in the Company‘s periodic filings with the Securities and Exchange Commission.
Ventas & Market Introduction (4-22)
Operational Excellence in Seniors Housing (23-29)
The Hospital Growth Opportunity (30-35)
Our Medical Office Building Platform (36-38)
Our Life Science Platform (39-43)
Post-Acute Portfolio (44-46)
Closing (47)
Appendix
Definitions and SEC Reg. G Compliance (51-59)
2
TABLE OF CONTENTS
VENTAS & MARKET INTRODUCTION
EXCELLENCE. SUSTAINED.
We are the premier provider of capital to leading senior living and healthcare operators and research institutions
Ventas is positioned at the intersection of two large and dynamic markets: healthcare and real estate
• Each represents nearly 20% of U.S. GDP• Demand tailwind of large growing senior population + longevity megatrend• $1T, fragmented real estate market ripe for investment
Excellence Demonstrated: track record of consistent growth and income through cycles for almost two decades
We will sustain excellence with superior People, Properties and Platforms• Diversified business model and financial strength• High-quality portfolio partnered with leading operators across asset classes• Extraordinary external growth opportunities• Attractive dividend yield with room to grow• Outstanding cohesive team
4
VENTAS INVESTMENT THESIS
EXCELLENCE. SUSTAINED.
LONG-TERM SUSTAINABLE GROWTH AND INCOME WITH FINANCIAL STRENGTH
5
2016(E) Net Debt / EBITDA2
Diversified Portfolio4
<1,300Assets
Leading S&P 500Company3
Enterprise Value
1. Source: Company financials. FFO growth based on arithmetic average of annual growth rates from the 2001–2016(E) period. FFO average utilizes 2015 and 2016 Comparable normalized FFO / share growth rates of 9% per the Company’s Q4 and full-year 2015 earnings release and 4%-5% per the Company’s 2016 guidance, respectively. Dividend growth represents annual cash dividends paid per share from the 2001-2016 period, excluding special dividends or share distributions to shareholders.
2. Per the Company’s press release dated 01/10/2017. 3. Total shareholder return represents compound annual growth rate through 12/31/2016. Enterprise value as of 12/31/2016.4. Data per Q3 2016 press release, supplemental and earnings conference call dated 10/28/2016.
$34B
Credit Rating
Annual FFO / ShGrowth since 20011
BBB+
11%
TSR CAGR since12/31/19993
Completed Spin-Offof SNFs in 2015
25%
2016(E) Norm. FFO / Sh Growth2
>$4B
Annual Cash Dividend / ShGrowth since 20011
4%-5%
Enterprise Value
8%
5.7x-5.8x
6
SUPERIOR LONG-TERM RETURNS TO SHAREHOLDERS FROM HIGH-QUALITY DIVERSIFIED PORTFOLIO WITH LEADING OPERATORS
TSR Performance –
Multiple Periods
1-Year TSR Performance
16%
13%
10%
8%
13%
5%
11% 9%
7%
1-Year 3-Year 10-Year
VTR RMZ S&P 500
December January February March April May June July August September October November December
VTR: 16%
RMZ: 8%
S&P: 11%
Source: Bloomberg.
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Healthcare Real Estate ForesightExecute
Early
Grow Platforms with
Winning Operators
2 of 10 credit upgrades during financial crisis
RIDEA
RMZCampaign
7
OUR FORESIGHT AND INNOVATIONCHANGED THE WAY REAL ESTATE INVESTORS THINK ABOUT HEALTHCARE; CHANGING THE WAY LEADING PROVIDERS / OPERATORS THINK ABOUT REAL ESTATE
NO
RM
ALIZ
ED
FFO
($)
/ SH
ARE (
IND
EXED
TO
2001)
Source: Company financials. Based on annual growth rates from the 2001 – 2016(E) period. 2016(E) based on the midpoint of the Company’s normalized FFO / share guidance announced in the Company’s second quarter 2016 earnings release on 07/29/2016. 2015 and 2016 periods utilize Comparable normalized FFO / share growth rates.
8
INVESTING ACROSS THE CAPITAL STRUCTURE IN DIVERSIFIED ASSET TYPES
Senior Housing
MOBs Acute Care Life Science Post-Acute
NNN Lease
Operating Real Estate
Operator Equity
Investment
Debt Investments
9
Acute Care
• $2B pro forma investment
• Superior risk-adjusted return
• High-quality facilities with significant market
share
• Scalable platform, creating $3B revenue
provider in 6 key markets
• Key not-for-profit relationships
Life Science
• University-based, new life science and
innovation centers with long leases and
strong credit
• Adjacent business line that diversifies cash flows
and is a new channel for growth
• Attractive yield, superior risk adjusted return
• Exclusive capital partner to leading
developer
• Funding significant projects with life science
and innovation centers associated with top
research institutions
Senior Living
• ~$3B initial investment w/ consistent cash flow
growth outperformance
• High-quality real estate in top coastal MSAs with
high wealth, home values and barriers to
entry
• Top 10 national senior care provider
• Nearly doubled investment in ~5 years to
fuel Atria growth
• Trophy development projects underway
• >7x investment growth ~5 years
• Significant multiple expansion since
investment creates valueMOBs
• Largest national MOB business 96% on-
campus / affiliated with leading health
systems
• 92% occupancy
• Stable, growing cash flows
DELIVERING VALUE TO SHAREHOLDERS AND MEETING CUSTOMER NEEDS
10
CONSISTENT OUTSTANDING EXECUTION IN 20161
1. As announced in the Company’s 01/10/2017 press release.2. Represents the quarterly dividend rate increase announced for Q4 2016.
4%-5% Normalized FFO /
Share Growth (Expected)
$1.5B Life Science and Innovation
Center Acquisition with Leading Research Universities and Wexford Platform Growth
6% Dividend / Share Increase2
$3B Revenues Pro Forma Leading
Acute Care Platform in 6 Key Markets with #2 For-Profit Private Hospital Company
5.7x-5.8x Year-End Net Debt /
Adjusted EBITDA
7% Premium Value SNF Disposition to
Facilitate Kindred SNF Exit + 8 Year LTAC Lease Extension
>$600M Strategic Dispositions and
Loan Repayments
$4M Annual Benefit from Positive
Sunrise Agreement
11
DIVERSE AND HIGH-QUALITY VTR PORTFOLIO
1. Data per Q3 2016 press release, supplemental and earnings conference call dated 10/28/2016. Pro forma for the expected $700M sale of 36 Kindred SNFs to Kindred on or prior to October 31, 2018 as announced on 11/14/2016; however there can be no assurance that the sale of the SNFs will occur or the terms or timing of such sale. Pro forma for the $700M loan to Ardent for its acquisition of LHP Hospital Group as announced on 10/05/2016 and expected to close in Q1 2017, pending customary regulatory reviews and approvals. Pro forma for additional anticipated acquisition activity totaling ~$1B, including the aforementioned $700M loan to Ardent, and disposition activity totaling ~$900M, including the aforementioned $700M Kindred SNF sale, as announced in the Company’s preliminary 2017 outlook on 01/10/2017.
Q4 2017(E)1
30%
24%
19%
6%
1%
5%
6% 1%
7% Seniors Housing -Operating
Seniors Housing -NNN
Medical Office
Specialty Hospitals
Skilled Nursing
International Hospitals
$2BNOI
LoansU.S. Acute Care Hospitals
U.S. Acute Care Hospitals
$1.3B Acquisition of Ardent’s Hospital Real Estate Network
Commitment to Fund Ardent’s Acquisition of LHP, Making it a $3B Revenues Provider
Skilled Nursing
>$4B Spin-Off of Majority of Skilled Nursing Portfolio
Kindred SNF Exit
Life Science
Entry into Attractive Institutional-Quality Life Science and Innovation Centers Associated with Leading Research Universities with $1.5B Life Science Acquisition
Growth Including Near-Term Ground-Up Developments
Life Science
12
ATTRACTIVE AND DYNAMIC OPPORTUNITIES
VTR AT THE INTERSECTION OF HEALTHCARE AND REAL ESTATE
Healthcare 20% by 20241
~20% Real Estate2
>$17TU.S. GDP
VTR
• Large and growing aging population increases demand for healthcare and senior living products
• Senior population has immense spending power and wealth
• Healthcare spending projected to grow 5.8% annually (2014–2024)1
• Senior housing and healthcare real estatemarket is large, fragmented and ripe for consolidation ($1T real estate market)
• Healthcare real estate under-owned by REITs– <15% well below other REIT sectors
• Consolidation opportunities – at the early stages of asset migration to REITs (most efficient owners)
1. Source: CMS.2. Source: NAIOP Economic Impacts of Commercial Real Estate, 2015 Edition; represents total economic contribution to GDP (includes multiplier effect).
13
DEMOGRAPHICS & LONGEVITY FUELING DEMAND
Growing Population of Healthcare Consumers…
…With Immense Wealth and Spending Power…
…And Increasing Care Needs with Age
10,000
7x >$640K
73%
$12T
5x
2.5x
40%
Faster Growth in 75+ Population1
Boomers Turning Medicare Eligible Daily2
Average 75+ Net Worth3
Of U.S. Healthcare Spending from 50+ Population4
Of Wealth Transfer to Boomers over Next 30-40 Years4
More Healthcare Spending from Seniors5
More Physician Office Visits from Seniors6
Of 85+ Cohort Need Help with 3+ Activities of Daily Living4
1. Source: US Census Bureau, Population Division.2. Source: Pew Research Center.3. Federal Reserve Survey of Consumer Finances. 4. Bank of America Merrill Lynch, Thematic Investing (May 2016). 5. ISI Real Estate Research; Bureau of Labor Statistics. 6. Marcus and Millichap, CMS.
34M75+ By 2030 (+14M)1
LIFE SCIENCE INDUSTRY EXPERIENCING CONTINUED GROWTH
University Life Sciences Research Spending
14
Current Life Science Tenants 2014 R&D ($M)
$9B $12B
$15B
$21B$4B
$6B$28B
$38B
2005 2014
Biological sciences Medical sciences Other
+3.6%
+4.0%
+3.7%
+3.2%
CAGRUniversities & Research institutions have increased R&D spending
Chronically Ill Individuals in U.S. (millions)Biotech M&A Market ($ billions)
$78bn $100bn$131bn
$158bn
$150bn$173bn
$210bn
$259bn
2012 2013 2014 2015
Global Healthcare M&A Volume
(deals below $10 billion)
Pharma/Biotech Services Medtech
Pharma/Biotech M&A has grown at a +27% CAGR since 2012
118 125 133 141 149 157 164 171
1995 2000 2005 2010 2015 2020 2025 2030
In 2015, 48% of U.S. population has at least 1 chronic illness and 24% have at least 2
Source: Projection of Chronic Illness Prevalence and Cost Inflation (Wu, Shin-Yi et al. 2000); National Science Foundation; CDA CDERNote: Latest data as of 2014; federal scientific research funding represents total funds that are committed by federal agencies to support science-related research at higher education institutions across the U.S.
Drexel, Old Dominion,
IIT$88
Wake Forest$172 Penn State
$250
Miami$254
Maryland$382
Wash. U.$586 Yale
$640
U. of Penn$656
Duke$868
Current tenants
account for 10% of
university life science R&D
spend (~$4B)
ADVANTAGE
PROPERTIES PLATFORMS
PEOPLE
OUR PEOPLEOUR PROCESSESOUR CULTURE
LEADING OPERATORS ACROSS THE SITES OF CARE
ADVANTAGED REAL ESTATE ASSETS IN
ATTRACTIVE MARKETS
15
THE VENTAS ADVANTAGE
ENSURING EXCELLENCE. SUSTAINED.
16
2016 Expectations Preliminary 2017 Outlook
Highlights
• Approximating the high end of previously announced norm. FFO / share guidance range
• Same-store cash NOI growth in-line
• Continued portfolio enhancement and accelerated capital recycling
• Further strengthening healthy balancesheet and financial position
• Benefit of profits from various transactions and fees
• Continued same-store NOI growth
• Strategic recycling of capital and disposition of nearly all of skilled nursing portfolio at ~$600M gain
• Invest in future growth through new Wexford ground up developments
• Drive an even stronger financial profileand liquidity
• Recurrence of profit benefits not expectedfrom transactions and fees
Key Financial Metrics +
Assumptions
Normalized FFO / ShareApproximating the high end of prior guidance of
$4.10-$4.13$4.12-$4.18
Same-Store Growth (Cash)
Total Company: Within prior 2.5%-3% guidanceSegments: Within previously disclosed ranges
Total Company: 1.5%-2.5%Segments: Each expected to contribute positively
Total Company Same-Store Growth (GAAP)
~2%Typically ~100bps lower than cash driven by
straight-line rent
New Investments (GAAP Yield)
$1.6B (7%-8%) ~$1B (7%-8%)
Asset Sales & Loan Repayments (GAAP Yield)
>$600M (~8%) ~$900M (7%-8%)
(Re)development Funding2 ~$150M ~$300M
Net Debt / EBITDA 5.7x-5.8x Consistent with year-end 2016
Debt Refinancing & Retirement
>$900M $1B with extended tenors
Weighted Average Diluted Shares
348M 358M
2016 EXPECTATIONS & PRELIMINARY 2017 OUTLOOK1
1. As announced in the Company’s 01/10/2017 press release.2. Represents expected VTR cash funding excluding third party debt.
KEY 2017 OUTLOOK DRIVERS1
1. As announced in the Company’s press release on 01/10/2017; tentative, preliminary and subject to change.2. GAAP typically ~100bps lower than cash driven by straight-line rent. 16
$4.12 to $4.18 2017 Normalized FFO Per Share Outlook
1.5% to 2.5% Same-Store Cash NOI Growth2
Carryover Impact of 2016 Acquisitions
$1B 2017 Acquisitions at a 7%-8% GAAP Yield Funded Principally with $900M Disposition Proceeds at a 7%-8% GAAP Yield
Extended duration on ~$1B of refinanced debt and higher rates
2016 deleveraging impact (higher 2017 share count)
Carryover impact of 2016 dispositions + fees from tenants and borrowers
• Domestic market is large and growing
• Early stages of securitized public real estate
• Dynamic policy environment
• Care delivery increasingly interconnected
• Consolidating and fragmented market with significant capital needs
Outpatient Facilities/ MOBs
Life Science / Biotech Facilities
Post-Acute Facilities
Private Pay Seniors Housing
Hospitals
18
A $1T DOMESTIC REAL ESTATE MARKET
ASSETS SHOULD FLOW TO MOST EFFICIENT OWNERS
5%
10%
15%
31%
39%
40%-50%
PERCENTAGE OF REAL ESTATE OWNED BY REITS
Hotels (Top 25)2
20%-25%
Multifamily Housing
(Top 50)1
Healthcare
12%-15%
50%-55%
Malls
1. Based on number of units owned by top 50 multifamily housing owners.2. Based on number of units owned by top 25 hotel owners.
19
SIGNIFICANT RUNWAY FOR GROWTH
EARLY INNINGS OF HEALTHCARE REIT OWNERSHIP
Successful Model for Separating Real Estate
from Operating Business
Leading operators consolidating
+
Care delivery increasingly interconnected
+
Dynamic policy environment
=
Need for broad and deep
CAPITAL AND REAL ESTATE SOLUTIONS
20
HEALTHCARE DELIVERY IS CONVERGING
REQUIRING SOLUTIONS ACROSS SITES OF CARE AND GEOGRAPHIES
Post-AcuteCare
Community-BasedCare
Hospitals
Seniors Housing
Life Science
21
CONSOLIDATION IS ON THE HORIZON
WINNING OPERATORS WILL EMERGE
10% 10%20%
90% 90% 80%
Hospitals1
Top 10 Operators
OtherOperators
Seniors HousingPost-Acute Care2
MARKET SHARE OF TOP 10 OPERATORS Highly fragmented markets
Benefits of scale and integration
Dynamic policy environment
Accelerating consolidation
Winners will emerge
Consolidators will need capital partners
Source: MedPAC, Provider, LTPAC Health IT, ASHA, NIC, Becker's Hospital Review, AHA, Company estimates.1. Includes all community hospitals (nonfederal, short-term general and special hospitals).2. Includes SNF and HH operators.
DRIVE OPERATIONAL EXCELLENCE WITH
LEADING OPERATORS
MOBs and SHOP
BUILD ON ADVANTAGED
PLATFORMS WITHIN ASSET CLASSES
E.g., Hospitals, Life Science and
Redevelopment
EXPLORE NEW MARKETS
New asset classes and geographies
CAPITALIZE ON HEALTHCARE
CONVERGENCE
Real estate solutions across sites of care
22
FUTURE GROWTH PROSPECTS ARE BRIGHT
Opportunity to Change the Way Leading Healthcare Providers Thinkabout Capital Sources
OPERATIONAL EXCELLENCE IN SENIORS HOUSING
EXCELLENCE. EXEMPLIFIED.
24
VENTAS SENIORS HOUSING PORTFOLIO1
• Outstanding SHOP assets in advantaged markets + high-quality NNN leases
• ~50% SHOP / 50% NNN seniors housing portfolio
• Tremendous industry tailwinds
−Growth in the seniors population
−Benefits of communal living
• 1.5%-3% 2016(E) same-store NOI growth
1. Data per Q3 2016 press release, supplemental and earnings conference call dated 10/28/2016. Pro forma for the expected $700M sale of 36 Kindred SNFs to Kindred on or prior to October 31, 2018 as announced on 11/14/2016; however there can be no assurance that the sale of the SNFs will occur or the terms or timing of such sale. Pro forma for the $700M loan to Ardent for its acquisition of LHP Hospital Group as announced on 10/05/2016 and expected to close in Q1 2017, pending customary regulatory reviews and approvals. Pro forma for additional anticipated acquisition activity totaling ~$1B, including the aforementioned $700M loan to Ardent, and disposition activity totaling ~$900M, including the aforementioned $700M Kindred SNF sale, as announced in the Company’s preliminary 2017 outlook on 01/10/2017.
30%
24%
19%
6%
1%
5%
6% 1%
7%
Seniors Housing -Operating
Seniors Housing -NNN
Medical Office
Specialty Hospitals
Skilled Nursing
International Hospitals
$2BNOI
Loans
U.S. Acute Care Hospitals
Life Science
Ventas SHOP1,2
Industry benchmarks
Median household income $77,176 $55,5512
Median home value $416,026 $192,4322
75+ population growth 11.8% 11.6%2
Building age 16 213
Note: Demographic figures reflect 3-mile radius from each community.1. SHOP portfolio represents U.S. portfolio; metrics weighted by NOI; from 3Q16 Ventas supplemental.2. Demographic data provided by Nielsen and reflects 2016 projections, unless otherwise noted; certain Canadian data is unavailable; population growth reflects 2016-2021
Nielsen projections.3. 3Q16 NIC data; AL/IL supply excluding new construction.
25
ATTRACTIVE SHOP ASSETS
VTR SHOP PORTFOLIO HAS HIGH-QUALITY ASSETS IN ATTRACTIVE LOCATIONS
Top 30 MSAs
SHOP
44%East Coast
NOI1
22%West Coast
NOI1
• >65% of SHOP NOI in high-barrier-to-entry coastal markets1
• Median home values 2.2x national average
• Median household income 1.4xnational average
• 3Q16 occupancy 100bps higher than NIC industry average2
Note: Data as of the second quarter ended 9/30/2016, unless otherwise noted.1. Percentage of U.S. SHOP NOI in coastal markets as shown on map.2. 3Q16 NIC Primary and Secondary Market data.
26
SHOP ASSETS IN ATTRACTIVE LOCATIONS
Focused on building scalewith winners driving operational excellence
Offers partner for future growth and redevelopment
Reduces intra-portfolio competition and portfolio overlap
Builds deeper strategic relationships
Atria 5-year NOI CAGR nearly 400bps better than industry average
VTR SHOP STRATEGYVTR SHOP1
61%Atria
32%Sunrise
All Others
>90%Two Focused
Operators
1. NOI diversification; Data as of the third quarter ended 09/30/2016.
27
VENTAS SHOP STRATEGY
WE HAVE A FOCUSED SHOP PARTNERSHIP STRATEGY
SAVINGS REALIZED ACROSS
CORPORATE AND LOCAL COSTS
ROBUST PROCESSES FOCUSED ON ATTRACTING,
DEVELOPING AND RETAINING TALENT
9%
11% Collateral production savings
via in-house print shop
Property management savings
via national service contracts
22% Insurance savings through VTR
aggregation
13% Food savings through national
culinary program1
TransitionSupport
RobustTraining
GrowthOpportunities
Incentives
Source: Atria internal data, 2010-2014.1. Food cost savings represent change from 2010 costs relative to CPI index for food (2010-2014).
28
NATIONAL SCALE DRIVES EFFICIENCY
EXAMPLE: ATRIA DRIVES EFFICIENCY THROUGH HR AND COST SAVINGS
Exercise /PhysicalActivity
SocialLife
EmergencyAssistance
Housekeeping
TransportationIndependence
Dining
Assisted living 40-60% cheaper than re-creating benefits at home
High-cost market: New York, NYRe-create benefits at home1: $12,011Assisted Living rent2: $5,752
Low-cost market: Phoenix, AZRe-create benefits at home1: $7,388Assisted Living rent2: $4,098
1. APFM national average (05/06/2015) adjusted based on local COLA adjustments from Sperling's Best Places (New York: 1.46, Phoenix: 1.04); includes home health rate inflation (24%) based on Department of Social Services CT daily rate for Medicaid covered client adjustment.
2. 3Q16 NIC Average Rent by market (New York, NY and Phoenix, AZ).
29
SALES AND MARKETING OPPORTUNITIES
EXAMPLE: ATRIA SELLS VALUE PROPOSITION OF SENIORS HOUSING THROUGH MARKETING
~1% Penetration Rate Increase = Full U.S. Occupancy
THE HOSPITAL GROWTH OPPORTUNITY
EXCELLENCE. FORWARD.
31
VENTAS ACUTE CARE HOSPITAL PORTFOLIO1
• Ardent-LHP business model well positioned for post-ACA environment
−1/3 Ardent + 1/4 LHP Medicaid expansion states
• ~3x EBITDARM coverage (operator cash flow / rent)
• 6 diversified states with strong market share
• Well-capitalized tenant with ≥1x net debt / EBITDA and ~4x net debt / adjusted EBITDAR
• Ardent: strong performance through Q3 2016
−Good margins; improving with LHP
• VTR Ardent-LHP Loan: sale-leaseback potential and strong risk adjusted return
1. Data per Q3 2016 press release, supplemental and earnings conference call dated 10/28/2016. Pro forma for the expected $700M sale of 36 Kindred SNFs to Kindred on or prior to October 31, 2018 as announced on 11/14/2016; however there can be no assurance that the sale of the SNFs will occur or the terms or timing of such sale. Pro forma for the $700M loan to Ardent for its acquisition of LHP Hospital Group as announced on 10/05/2016 and expected to close in Q1 2017, pending customary regulatory reviews and approvals. Pro forma for additional anticipated acquisition activity totaling ~$1B, including the aforementioned $700M loan to Ardent, and disposition activity totaling ~$900M, including the aforementioned $700M Kindred SNF sale, as announced in the Company’s preliminary 2017 outlook on 01/10/2017.
30%
24%
19%
6%
1%
5%
6% 1%
7% Seniors Housing -Operating
Seniors Housing -NNN
Medical Office
Specialty Hospitals
Skilled Nursing
International Hospitals
$2BNOI
LoansU.S. Acute Care Hospitals
Life Science
800
850
900
0
2000 2005 2010
872
796
1995
802 805
U.S. NUMBER OF HOSPITAL BEDS (000s)
2015
787
2020F
824 900
1,000
950
850
800
750
1,050
50
0
2020F2015F
985
2010
849
1995 2005
809
1,043
2000
973
DAILY VOLUMES (000s)1
929
32
DEMOGRAPHIC FUNDAMENTALS
SUPPLY CONSTRAINED AND UTILIZATION INCREASING
Source: AHA Hospital Statistics.1. Daily volumes is "US Adjusted Average Daily Census (000s)" – average number of patients receiving care each day during a reported period, adjusted for inpatient vs.
outpatient.
HOSPITALS remain the NERVE CENTER of healthcare delivery
SHORTER LENGTHS OF STAY
HIGHER VOLUMES
HIGHEST ACUITY CARE
33
HOSPITALS ARE EVOLVING
0%
2%
4%
6%
8%
HOSPITALS INCREASINGLY CONSOLIDATING
CONSOLIDATED HOSPITALS HAVE STRONGER MARGINS...
... AND HAVE BETTER CREDIT
100
0
50
% o
f Com
munity H
ospitals
MHS
Unaffiliatedhospitals
2012
65%
35%
2007
60%
40%
2000
50%
50%
1990
38%
62%
Tota
l M
arg
in1
(%)
Tax-Exempt Hospitals
1.9%
4.7%
Investor-Owned
Hospitals
3.1%
6.3%
Non-MHS
MHS
0
3
6
9
12
15
3B+3BBB+BBBB-B+BB-CCC+
Log R
evenue
($M
)
Credit Rating2
34
MARKET CONSOLIDATION RESULTS IN BETTER MARGINS AND CREDIT
Sources: AHA Chartbook, Journal of Healthcare Finance, "How Prepared are US Hospitals for the Affordable Care Act," Capital IQ.1. Net income / Total Revenues.2. n =24 ; all healthcare providers.
Ardent-LHP Synergies Will Improve Margins
20%
21%Investor-owned
State and local government
Non-government,tax-exempt
59%
GROWTH OPPORTUNITIES
Public companies looking to spin off assets
Private capital-backed hospital systems
Grow with tax-exempt hospitals
~5,000 HOSPITALS
35
CAPITAL SOURCE TO PROVIDERS TO HELP THEM GROW, CONSOLIDATE AND SERVE PATIENTSCONSOLIDATION OPPORTUNITIES GREATER THAN EVER / VTR FINANCIAL STRENGTH, KNOWLEDGE AND RELATIONSHIPS CREATE ADVANTAGE
LHP provides entrée with valuable not-for-profit partnerships
VTR Will Remain Selective / Focus on High-Quality
Investments
OUR MEDICAL OFFICE BUILDING PLATFORM
EXCELLENCE. ESTABLISHED.
37
VENTAS MEDICAL OFFICE PORTFOLIO1
1. Data per Q3 2016 press release, supplemental and earnings conference call dated 10/28/2016. Pro forma for the expected $700M sale of 36 Kindred SNFs to Kindred on or prior to October 31, 2018 as announced on 11/14/2016; however there can be no assurance that the sale of the SNFs will occur or the terms or timing of such sale. Pro forma for the $700M loan to Ardent for its acquisition of LHP Hospital Group as announced on 10/05/2016 and expected to close in Q1 2017, pending customary regulatory reviews and approvals. Pro forma for additional anticipated acquisition activity totaling ~$1B, including the aforementioned $700M loan to Ardent, and disposition activity totaling ~$900M, including the aforementioned $700M Kindred SNF sale, as announced in the Company’s preliminary 2017 outlook on 01/10/2017.
2. Represents cash NOI from assets with investment-grade systems and HCA.
• Top platform
• 400+ customers
• ~92% total occupancy
• 96% affiliated or on campus
• 85% of affiliations are investment-grade health systems and HCA2
• Core business with reliable cash flow
30%
24% 19%
6%
1%
5%
6% 1%
7% Seniors Housing -Operating
Seniors Housing -NNN
Medical Office
Specialty Hospitals
Skilled Nursing
International Hospitals
$2BNOI
Loans
U.S. Acute Care Hospitals
Life Science
10,000New seniors eligible for
Medicare daily1
INCREASING POPULATION
Number of visits 65+ cohort makes to physician offices relative to the rest of the
population3
2.5x
GROWING PHYSICIAN VISITS
HIGHER SPENDING
Seniors 65+ spend 5x more per person4
$0
$2,000
$4,000
$6,000
65-74Years Old
<25 Years Old
$1,000
$5,200
38
SECULAR TRENDS ATTRACTIVE
INCREASING POPULATION, INCREASING VISITS, INCREASING SPEND
1. Congressional Budget Office.2. Source: US Census Bureau, Population Division.3. Marcus and Millichap, CMS.4. ISI Real Estate Research and Bureau of Labor Statistics.
34M75+ individuals by 2030
(+14M)2
OUR LIFE SCIENCE PLATFORM
EXCELLENCE. SUSTAINED.
40
VENTAS LIFE SCIENCE PORTFOLIO1
• 6% pro forma 2017 VTR NOI
• 73% of revenue from excellent credit tenants
−11 universities with avg. Aa2 rating
−Investment grade companies
−Public companies with >$1B equity market capitalization
• Favorable NNN lease structures
−10 year weighted average lease term
−2% annual rent escalators
• Exclusive pipeline agreement for growth
−Near-term development opportunities
1. Data per Q3 2016 press release, supplemental and earnings conference call dated 10/28/2016. Pro forma for the expected $700M sale of 36 Kindred SNFs to Kindred on or prior to October 31, 2018 as announced on 11/14/2016; however there can be no assurance that the sale of the SNFs will occur or the terms or timing of such sale. Pro forma for the $700M loan to Ardent for its acquisition of LHP Hospital Group as announced on 10/05/2016 and expected to close in Q1 2017, pending customary regulatory reviews and approvals. Pro forma for additional anticipated acquisition activity totaling ~$1B, including the aforementioned $700M loan to Ardent, and disposition activity totaling ~$900M, including the aforementioned $700M Kindred SNF sale, as announced in the Company’s preliminary 2017 outlook on 01/10/2017.
30%
24%
19%
6%
1%
5%
6% 1%
7% Seniors Housing -Operating
Seniors Housing -NNN
Medical Office
Specialty Hospitals
Skilled Nursing
International Hospitals
$2BNOI
Loans
U.S. Acute Care Hospitals
Life Science
HIGH-QUALITY OPERATING PORTFOLIO WITH INSTITUTIONAL-QUALITY TENANTS
4.1 million square feet of purpose-built real estate with average age of 6 years
Located on or contiguous to major campuses
High-quality Properties New Relationships with Institutional-quality Tenants
41
13 LEED-certified buildings
Class-A Operating Properties Excellent Amenities for Tenants
Note: Statistics represent 23 operating properties.
ADDITIONAL GROWTH FROM NEAR-TERMDEVELOPMENT PROPERTIES
The Chesterfield
Duke(Durham, NC)
W.F. Innovation Quarter –Bailey Power Plant
Property
University
Endowment1
Life sciences R&D spend2
Location
Square feet
Tenants
Opening
42
$7.3 billion
$868 million
On-campus
286K
2017
Duke University
Wake Forest(Winston Salem, NC)
$1.2 billion
$172 million
Adjacent to campus
111K
2017 / 2018
Wake Forest
1. 2015 endowments; National Association of College and University Business Officers and Commonfund Institute.2. 2014 data from National Science Foundation
ENHANCES VENTAS’S RELATIONSHIPS WITH LEADING UNIVERSITIES, ACADEMIC MEDICAL CENTERS AND RESEARCH COMPANIES
43
Geographic Presence and University Affiliations Key Highlights for Leading Tenants
MSA with Lillibridge presence
No. Tenant Sq. ft. (000s)Credit Rating / market cap
1 Wake Forest 661 Aa3
2 Alexion 517 $27B1
3 Yale 283 Aaa
4 Penn Medicine 268 Aa1
5 Univ. of Maryland 145 Aa1
6 Old Dominion 122 A12
7 Inmar 243 B2
8 Therapeutic Proteins 86 NR
9 Paragon 58 NR
10 Eisai, Inc. 169 $16B3
Total 2,552
Top 10 Tenants by Revenue
Relationships with 11 top research universities that account for 10% of all university life science R&D spending
Average university credit rating of Aa2 (49% of rev.)
1. Alexion is not rated; has market capitalization of $27 billion.2. Only rated by S&P; Moody’s equivalent rating is displayed.3. Eisai is a Japanese company not rated by Moody’s or S&P; has market
capitalization of US $16 billion.
POST-ACUTE PORTFOLIO
EXCELLENCE. EVOLVED.
45
PRO FORMA VENTAS POST-ACUTE PORTFOLIO1
1. Data per Q3 2016 press release, supplemental and earnings conference call dated 10/28/2016. Pro forma for the expected $700M sale of 36 Kindred SNFs to Kindred on or prior to October 31, 2018 as announced on 11/14/2016; however there can be no assurance that the sale of the SNFs will occur or the terms or timing of such sale. Pro forma for the $700M loan to Ardent for its acquisition of LHP Hospital Group as announced on 10/05/2016 and expected to close in Q1 2017, pending customary regulatory reviews and approvals. .
2. Calculated as Kindred’s net debt (long-term debt plus 2016 guided rent expenses multiplied by 6) less cash and cash equivalents, divided by 2016 guided Core EBITDAR. Based on Kindred’s Q3 2016 earnings release and conference call on 11/08/2016.
• 1% SNFs post-sale – successful de-emphasis of SNF starting with CCP spin off
• Strong 2x Q3 specialty hospital EBITDARM coverage (operator cash flow / rent)
• ~5.8x Kindred adjusted net debt / EBITDAR2
−SNF sale deleveraging and accretive
• Guaranteed leases
• Cash flow stability – no rent rollover until 2023
30%
24%
19%
6%
1% 5%
6% 1%
7% Seniors Housing -Operating
Seniors Housing -NNN
Medical Office
Specialty Hospitals
Skilled Nursing
International Hospitals
$2BNOI
LoansU.S. Acute Care Hospitals
Life Science
10%39%
13%
88%
85%
23%
12%
2%
38%
Kindred Genesis HCRMC
HomeHealth
& Hospice
SNF
LTAC
Rehab2
HCRMC3Genesis2Kindred1
46
KINDRED HEALTHCARE
1. Based on YTD Q3 2016 revenue before eliminations. Pro forma for Kindred’s announced plan to exit its SNF business. 2. Based on YTD Q3 2016 revenue. SNF category corresponds to inpatient services in Genesis 10K and includes AL facilities. Pro forma for the sale of Genesis’s home health and hospice
business. 3. Based on 2015 revenue. Rehab revenue reported as 'Other' in ManorCare Annual Report. SNF revenue reported as 'Long-Term Care' in ManorCare Annual report and includes the
operations of SNFs, ALFs and Memory Care facilities.4. Information based on Kindred’s third quarter 2016 earnings conference call on 11/08/2016. 5. Excludes the impact of timing, lease escalations and organic operator EBITDARM growth.
Impact of LTAC Criteria4Diverse Business Mix
Pro Forma Revenues for Announced Exit of SNF Business
• KND ~$50M end of 2017
run-rate EBITDARM impact
• ~0.1x-0.2x5 impact to VTR
specialty hospital
EBITDARM coverage
• “Win-win” sale of 7 LTACs
• Successful transition Q3
Q3'15 TTM VTR
Post-Acute
EBITDARM Coverage
Q3'15 TTM VTR
Pro Forma
Post-Acute
EBITDARM Coverage
Cash Rent
2x 1.8x-1.9x
Impact Expected to Improve through 2018
EBITDARM
Q2’16 TTM VTR Specialty Hospital
EBITDARM Coverage
Q2’16 TTM VTR Pro Forma
Specialty Hospital EBITDARM Coverage
KND MitigatedRun-Rate Impact
(End of 2017)
VTR = 31/82 KND LTACs
~$50M KND
Impact
Ventas is an S&P 500 diversified provider of capital to leading senior living and healthcare operators and research institutions.
Ventas has a long and successful history of outperformance, stability, growth and income with a strong balance sheet.
Massive, fragmented healthcare real estate market with strong demand tailwinds and longevity megatrend provide opportunities for growth.
The “Ventas Advantage” of people, platforms and properties will fuel Ventas’s continued success.
47
SUMMARY
1 Welcome Overviewv9.ppt 48
EXCELLENCE. SUSTAINED.
DEFINITIONS AND SEC REG. G COMPLIANCE
50
DEFINITION OF TERMS
NAREIT Funds from Operations (“FFO”)
Net income attributable to common stockholders (computed in accordance with GAAP) excluding gains (or losses) from sales of real estate
property, including gain (or loss) on re-measurement of equity method investments and impairment write-downs of depreciable real estate, plus real
estate depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. Adjustments for unconsolidated
partnerships and joint ventures will be calculated to reflect FFO on the same basis. The Company believes that income from continuing operations
is the most comparable GAAP measure.
Normalized FFO
We consider normalized FFO to be an appropriate measure of the operating performance of an equity REIT. This measure of operating
performance allows investors, analysts and our management to compare operating performance to the operating performance of other real estate
companies and between periods on a consistent basis without having to account for differences caused by unanticipated items and other events
such as transactions and litigation.
Normalized FFO is calculated as NAREIT FFO excluding the following income and expense items (which may be recurring in nature): (i) Deal
Costs, (ii) the impact of any expenses related to asset impairment and valuation allowances, the write-off of unamortized deferred financing fees, or
additional costs, expenses, discounts, make whole payments, penalties or premiums incurred as a result of early retirement or payment of the
Company’s debt, (iii) the non-cash effect of income tax benefits or expenses and derivative transactions that have non-cash mark to market impacts
on the Company’s income statement, (iv) the financial impact of contingent consideration, severance-related costs and charitable donations to the
Ventas Charitable Foundation, (v) gains and losses for non-operational foreign currency hedge agreements and changes in the fair value of
financial instruments and (vi) gains and losses on non-real estate dispositions related to unconsolidated entities.
Comparable Results
Reported results excluding from all current and prior periods the effects of the CCP spin-off as if the Spin-Off had been completed at the beginning
of the prior period; provides comparable baseline of results for current period relative to prior period results.
51
DEFINITION OF TERMS (CONT’D)
Seniors Housing Operating Portfolio (“SHOP”)
In our senior living operations segment, we invest in seniors housing communities throughout the United States and Canada and engage
independent operators, such as Atria and Sunrise, to manage those communities pursuant to long-term management agreements. Ventas realizes
the income and expense, including the management fees paid to its independent operators, of the SHOP portfolio in its financial statements.
Triple-Net Leased (“NNN”) Portfolio
Under our triple-net leased properties segment, we invest in seniors housing and healthcare properties throughout the United States and the United
Kingdom and lease those properties to healthcare operating companies under “triple-net” or “absolute-net” leases that obligate the tenants to pay all
property-related expenses, including maintenance, utilities, repairs, taxes, insurance and capital expenditures. The NNN portfolio includes leased
seniors housing assets, specialty hospitals, skilled nursing facilities, U.S. acute care hospitals and international hospitals.
Office Operations Portfolio
In our office operations segment, we primarily acquire, own, develop, lease and manage MOBs and life science and innovation centers throughout
the United States.
Loan Portfolio
In our loan portfolio, we make secured and non-mortgage loans relating to seniors housing and healthcare operators or properties.
Annualized Revenue & NOI
A period’s reported revenue and Property NOI, extrapolated on a per diem, monthly or quarterly basis to an annualized result. Results may be
adjusted for certain one-time or out-of-period items, reflect only Ventas’s share of ownership and are presented in U.S. dollars (“USD”) based on the
applicable exchange rates where revenue and expenses are translated from a foreign currency.
Property Net Operating Income (“Property NOI”)
For owned assets, reported property-level revenues less reported property-level operating expenses. For debt investments, total interest income.
52
EPS, FFO & FAD GUIDANCE ATTRIBUTABLE TO COMMON SHAREHOLDERS
2016 GUIDANCE & PRELIMINARY 2017 OUTLOOK1,2,3
1. The Company’s guidance constitutes forward-looking statements within the meaning of the federal securities laws and is based on a number of assumptions that are subject to change and many of which are outside the control of the Company. Actual results may differ materially from the Company's expectations depending on factors discussed in the Company’s filings with the Securities and Exchange Commission.
2. Totals and per share amounts may not add due to rounding. Per share quarterly amounts may not add to annual per share amounts due to changes in the Company's weighted average diluted share count, if any. Same-store Cash NOI is at constant currency.
3. See page 25 of the Q3 2016 supplemental for detailed breakout of adjustments for each respective category.
Low High Low High Low High Low High
Income from Continuing Operations $525 $568 $1.51 $1.63 $613 $633 $1.71 $1.77
Gain on Real Estate Dispositions 100 90 0.29 0.26 649 679 1.81 1.89
Other Adjustments3 (2) (2) (0.01) (0.01) (6) (8) (0.02) (0.02)
Net Income Attributable to Common Stockholders $623 $656 $1.79 $1.89 $1,256 $1,304 $3.50 $3.64
Depreciation & Amortization Adjustments 901 870 2.59 2.50 871 887 2.43 2.48
Gain on Real Estate Dispositions (100) (90) (0.29) (0.26) (649) (679) (1.81) (1.89)
Other Adjustments3 0 0 0.00 0.00 (13) (15) (0.04) (0.04)
FFO (NAREIT) Attributable to Common Stockholders $1,424 $1,436 $4.09 $4.13 $1,465 $1,497 $4.09 $4.18
Merger-Related Expenses, Deal Costs & Re-Audit Costs 29 31 0.08 0.09 15 10 0.04 0.03
Other Adjustments3 (27) (31) (0.08) (0.09) (3) (9) (0.01) (0.03)
Normalized FFO Attributable to Common Stockholders $1,426 $1,436 $4.10 $4.13 $1,477 $1,498 $4.12 $4.18
% Year-Over-Year Comparable Growth 4% 5% 0% 1%
Non-Cash Items Included in Normalized FFO (16) (18) 1 (2)
Capital Expenditures (111) (116) (131) (141)
Normalized FAD Attributable to Common Stockholders $1,299 $1,302 $1,347 $1,355
Merger-Related Expenses, Deal Costs & Re-Audit Costs (29) (31) (15) (10)
FAD Attributable to Common Stockholders $1,270 $1,271 $1,332 $1,346
Weighted Average Diluted Shares 347,897 347,897 358,491 358,491
Same-Store Cash NOI Growth Guidance
Low High Low High
Total Same-Store Cash NOI Growth 2.5% 3.0% 1.5% 2.5%
FY2016 - GuidanceFY2017 - Preliminary
Outlook2017 - Per Share2016 - Per Share
Tentative / Preliminary & Subject to Change
2016 Guidance Preliminary 2017 Outlook
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