Late next year, a new $190 million retirement community will begin opening living units west of St. Louis in Kirkwood, Mo. Called Aberdeen Heights, it will include 243 independent living and 30 assisted living apartments, 15 memory support (Alzheimer’s) units, and 38 nursing beds. Aberdeen Heights will be at or near the top of the line in what are called continuing care retirement communities (CCRCs). It also represents one of the few new CCRCs to attract investors in recent times, as the industry slowly recovers from the major economic blows of a recession plus housing and credit market crises. For prospective CCRC residents, and their families, Aberdeen Heights provides a guide to what the CCRC business may look like in the future.

The public image of retirement communities is dominated by warm photos of vibrantly healthy older people, usually couples, enjoying wonderful lifestyles among compatible neighbors in attractive complexes. All maintenance and drudgery are done by CCRC staffers, meals are provided, and a raft of cultural, recreational, and learning activities are offered. Should residents become ill or frail, the CCRC provides a range of increasingly intensive medical care and support.

While many communities do, indeed, get high marks from residents, the industry’s public image belies a complex and challenging business that has been severely tested. A leading provider of CCRCs, Erickson Retirement Communities, filed for bankruptcy last year and has been taken over by another company. The Aberdeen Heights deal illustrates the complex structure of the industry, including investor insistence on a more conservative CCRC business model with reserve funds and aggressive residential occupancy targets.

Many communities are struggling with vacancy rates that threaten their viability, and have responded with discounts and other inducements to lure new occupants. Funding for new CCRC residential memberships traditionally comes from the proceeds of a person’s sale of his or her primary residence. The steep drop in home values and sales has made it much harder for people to afford the communities. This has reduced demand in existing complexes and made it harder for new communities to get started.

CCRCs offer three basic packages. Type A communities, of which Aberdeen Heights is one, offer lifetime care for an initial membership fee plus monthly service fees. Type B offers a modified package that generally includes lower payments but limited coverage for assisted living and nursing services; after minimums are reached, residents must pay for additional service. Type C is a fee for service model that may include a membership fee or monthly rentals; beyond basic services spelled out in a contract, residents must pay for what they receive.

CCRCs tend to be affiliated with non-profit owners, often with religious affiliations. But if you’re thinking of non-profits as charities and social service agencies, think again. The non-profit status of most CCRCs qualifies them as tax-exempt entities, and thus lowers their funding expenses and tax bills. But they tend to be run — in exchange for fees and other payments — by for-profit companies who are very much focused on the bottom line. The network of companies created for the Aberdeen Heights CCRC is very complex. This structure helps limit owners’ liability for any Aberdeen Heights losses. It also has created business units that are providing a range of services to the new community, in exchange for many millions of dollars in payments.

As explained in financing documents, Aberdeen Heights is part of Ashfield Active Living and Wellness Communities, Inc. , a Missouri non-profit that borrowed $178.8 million through a series of seven bond issues sold to investors with different maturities and interest rates. Ashfield, in turn, is controlled by Presbyterian Manors of Mid-America Inc., a not-for-profit Kansas company that was begun more than 60 years ago by the Presbyterians in Kansas and now manages 17 senior living communities in Kansas and Missouri. The $190 million-plus in project funds includes $14.8 million in entrance fees from initial residents. The project itself will cost about $125 million and financing and other expenses will total more than $68 million.

The community will actually be overseen and managed by units of Greystone Communities in Irving, Tx., which specializes in building and managing senior-living communities. Founded in 1982, it became part of Sunrise Senior Living, a Virginia-based publicly traded company that has been forced to significantly downsize its operations to survive the steep industry downturn. Last year, as one of its restructuring moves, Sunrise sold Greystone back to its employees, and Greystone now is run as a private, employee-owned company.

Greystone units — Greystone Management Services Co. and Greystone Development Co. — will oversee Aberdeen Heights’ operations and management, and also provide consulting services. Another unit was set up by Greystone to provide nearly $9 million of pre-finance money to the project, and includes other Greystone units as limited partners along with The Ziegler Companies, underwriters of the bond issues. Ziegler is a Chicago-based investment banking and services firm that specializes in the healthcare, senior living, church, and school sectors. It says the Aberdeen financing, announced last month, was the first CCRC new-community financing of the year, and the largest such deal since late 2007.

All these entities are very much in business to make a profit, and will be benefiting from substantial fees and other payments. Based on pro-forma financial statements, for example, the providers of the pre-finance money will be repaid these funds out of the bond proceeds and also will receive another $6.8 million for their work on the deal. Greystone is also entitled to another $8.5 million in fees, excluding its charges for managing and operating the community once it has opened. Fees for underwriting services and efforts to sell the bonds are about $3 million.

According to financial projections, it will take Aberdeen Heights several years to ramp up and approach break-even. For the year ending June 30, 2015, it projects a loss of $1.4 million and will have amassed cumulative losses of more than $25 million by that time. Projected expenses for 2015 are $24.5 million, including $696,000 in administrative costs and $728,000 in management fees. Repaying the borrowed money is far and away the biggest community expense, approaching half of its annual costs in many years. By the time the last bond issue is retired in 2045, Aberdeen Heights must generate enough revenue to repay the $178.8 million in principal on the bonds plus more than $250 million in interest payments — more than $12.2 million a year, on average, to repay principal and interest.

To even get to the point of selling the bonds, however, Aberdeen Heights’ owners had to overcome a lot of market jitters about CCRC financing. The project required years of planning and the development of very solid financial projections. Nearly 85 percent of the project’s independent living units were reserved before the bonds were sold, with buyers needing to put down 10 percent deposits. Buyers also had to prove their financial ability to continue making monthly service payments. I’ll provide details in my next Best Life column about the consumer costs and related terms of living in Aberdeen Heights.

[usnews.com]

The developer of a proposed $125 million film studio in Moorpark has taken over the project without authorization, according to John Marshall, president of the company that pitched the idea — Commonwealth Studios.

But Triliad Development Inc. counters that Commonwealth doesn’t own the 44-acre proposed site west of Moorpark and that the two parted ways last month.

“We just ended our consultant relationship with Commonwealth Studios, but we are continuing on with the entitlement of the project,” Triliad President Valerie Draeger said Monday.

Marshall maintains that he hasn’t been contacted by Triliad in months, and he still is “committed to bringing Commonwealth Studios to Moorpark.”

“Triliad, nor the property owners, have ever approached Commonwealth Studios to terminate their contractual agreement,” Marshall said Monday. “We were never consulted.”

He said the last time the company spoke with Draeger was in October.

Draeger said Commonwealth executives had a consulting arrangement with Triliad, but that contract ended in August 2008.

Marshall argues the details of that agreement have a clause for an extension, which was executed.

It’s uncertain how the dispute will factor into the already-delayed project that was supposed to break ground nearly a year ago. The vacant property remains covered in overgrown brush. Commonwealth was considered to be a key player because the executives have ties to Hollywood. The consulting agreement was one of two that was signed, Marshall said.

Thousand Oaks-based Triliad recently told Moorpark officials that the arrangement with Commonwealth had ended and the project was moving forward under the new name of Moorpark West Studios.

“Commonwealth Studios had no financial stake in this whole thing other than a hired consultant to Los Angeles Avenue LLC,” Draeger said.

Moorpark Planning Director Dave Bobardt said that since Triliad has been working with the city as the developer, the city doesn’t consider the name change significant and the project will move forward.

Draeger said her company is looking into working with Hollywood insiders. “We have been in discussions with several different movie industry people,” she said.

Draeger noted that she “didn’t want to focus on the negatives” in regards to the severed arrangement with Commonwealth.

In 2008, Commonwealth Studios proposed what was then hailed as the nation’s largest independent movie and TV studio complex.

Triliad is the representative for the owners of land, Los Angeles LLC, an investment firm owned by Gene Haas, founder and president of Haas Automation in Oxnard.

Haas is most recently known for being released from prison in May after completing 16 months of a 24-month sentence for conspiring to commit tax evasion.

The studio project is being financed by Agoura Hills-based PEGH Investments.

Triliad has ushered through the application with the city and last week turned in additional documents relating to the project, Draeger said.

The studio complex is proposed on the western edge of the city facing Highway 118, adjacent to a Southern California Edison power station.

The plans include 12 soundstages, two office buildings, a conference center and industrial support buildings. The project would match the size of CBS Studio Center in Studio City.

The project was set to break ground in April 2009 with a completion date of 2012, but construction has been delayed.

City officials in recent months have said it would benefit the city to expand the Redevelopment Agency’s project area to include the site for Commonwealth Studios, which would bring in a sizeable tax increment to the city.

The City Council has approved a $17,750 study by Orange County-based consulting firm Urban Futures Inc. to look at the project area for possible expansion of the redevelopment zone.

Meanwhile, the viability of the project hangs in the balance, Mayor Janice Parvin said.

“We’ll see,” she said. “I really hope they can work out their differences.”

[vcstar.com/]

ATLANTA, GA — Healthcare Trust of America Inc. has increased its total portfolio to over 500,000 square feet with new acquisitions in Atlanta and Englewood, Co.

In Atlanta, HTA, based in Scottsdale, AZ, paid $19.55 million or $243 per square foot for a 94%-leased, 80,562-square-foot, 338-bed medical office portfolio on the Camp Creek Medical Center campus, about six miles west of South Fulton Medical Center in East Point, Georgia.

In Englewood, CO, HTA bought the 66,339-square-foot, three-story, Class A Hampden Place Medical Center for $18.6 million or $271 per square foot.

Of the Atlanta acquisition, Mark D. Engstrom, Executive Vice President of Acquisitions for HTA, says, “This is an underserved medical submarket and the Camp Creek Medical Center is designed to expand as demand grows.”

He adds, “We are optimistic about the Atlanta medical office marketplace and view this acquisition as a positive step forward in our growth strategy for this specific market.”

With this acquisition, Healthcare Trust of America has acquired over 500,000 square feet of medical office space in Georgia, Engstrom says.

The acquired medical office buildings were developed by Atlanta-based Ackerman & Co. in affiliation with South Fulton Medical Center. South Fulton Medical was recently rated ‘Best Critical Care in Region’ by Healthgrades, a healthcare ratings organization.

The acquired portfolio serves the rapidly-growing area of south metro Atlanta.

In Englewood, the purchased property is just south of Central Denver.

John Smelter, a first vice president and senior director of Marcus & Millichap’s Healthcare Real Estate Group in San Diego, represented buyer and seller in the transaction.

Adam Christofferson, a first vice president and broker of record for Colorado, also provided representation.

“The property was thoughtfully planned under the direction of Development Solutions Group by the physician owners, in conjunction with the participating hospital system, to facilitate the ongoing profitability and sustainability of the tenant businesses,” says Smelter.

Built in 2004 on 2.81 acres, the property is located at 401 W. Hampden Place in Englewood, a few blocks from the Swedish Medical Center and Porter Adventist Hospital campuses in an area known as the Englewood City Center, a city center transit-oriented, mixed-use redevelopment.

Hampden Place Medical Center houses an ambulatory surgery center, medical imaging, physiotherapy and medical offices for orthopedic, hematology-oncology and other physicians.

[realestatechannel.com]

The baby boom population has created a new dynamic in the marketplace: Competition for senior living care.

And it has existing senior care facilities ramping up their marketing a notch, particularly with the new Segovia Áegis Senior Living resort-styled community set to open in Palm Desert in May and a report that the national franchise, Senior Helpers, saw revenue swell more than 225 percent in 2009.

“The senior care industry is growing, and that trend is projected to continue for years to come,” said Peter Ross, chief executive officer of Senior Helpers, which has a franchise in Palm Springs.

An open house last week at a mid-valley senior community highlighted that theme.

Mission Hills Senior Living at Rancho Mirage, 34-560 Bob Hope Drive, held a grand reopening under a new name and new management — Integrated Senior Living — that kicked off a raffle through May 5 for three assisted living apartments for as little as $250 per month for 12 months.

The value of the drawing was reported to be $30,000.

Normal rent for the apartments start at $2,800 per month in Mission Hills, an assisted living and memory care community with 124 units.

John Redford, executive director at Mission Hills, said the raffle for preregistered, qualified seniors is a way to showcase the change in management and ownership.

It also shows support for seniors in these difficult economic times, he said.

Redford said he has heard anecdotes about senior citizens living independently, and with no family nucleus nearby, who are struggling in today’s economy and could benefit from a Mission Hills-styled environment.

For that reason, Redford said places such as Mission Hills competes less against residential developments like Segovia than it does with in-home care companies or neighboring assisted-living care centers.

“The facilities all have different personalities,” he said.

Tim O’Bayley, a spokesman for Segovia, said the he hasn’t noticed heightened competition as much as he has a broadening of options for seniors.

“Segovia is the high end of it,” he said. “It’s the high end that didn’t exist before.”

Segovia differs from the mix because it will cater to independent seniors, he said. It is marketed as a luxury living community, and it has a “buy-in” component.

“We have a mashed potato clause,” Redford said, as stays do not require long-term commitments. “If anything, it protects rental rates for a year.”

Their stay offers a way to put social interaction back into their lives, he said.

“It’s never the chandelier or fireplace that’s important; it’s relationships and the warmth of companionship.”

[mydesert.com]

Over the past ten years, the San Francisco Department of City Planning has rezoned much of the east side of San Francisco [0] for greater densities of market rate housing based on the theory of Transit Oriented Development:

TRANSIT ORIENTED DEVELOPMENT is the exciting new fast growing trend in creating vibrant, livable communities. Also known as Transit Oriented Design, or TOD, it is the creation of compact, walkable communities centered around high quality train systems. This makes it possible to live a higher quality life without complete dependence on a car for mobility and survival.
Transit oriented development is a major solution to the serious and growing problems of peak oil and global warming by creating dense, walkable communities connected to a train line that greatly reduce the need for driving and the burning of fossil fuels.[1]

Surely only the antideluvians deny that burning fossil fuels is a leading cause of climate change. And clearly one of the best ways that we can contain emissions is to consume less petroleum. And who but a stick in the mud could be against “Exciting new fast growing trends” or “vibrant, livable communities?” Especially if the residents of those communities are hip, slim and young.

Each of these sections warrants a detailed explication of its own. This piece is intended to serve as a high level sketch of the issues involved and how environmental jargon is used to further developer corruption of the political and planning processes.

Read More

[fogcityjournal.com]

Over the past several quarters, the medical office market has emerged as a top performer among San Antonio’s real estate sectors.

The objective now is to keep that momentum going, even as the pressures of the recession catch up to the market.

According to the fourth quarter 2009 analysis by NAI REOC San Antonio, the city’s multi tenant medical office building sector recorded an average vacancy rate of 18.5 percent — up from a rate of 16.1 percent as of fourth-quarter 2008.

While the medical office sector ended 2009 with net positive space absorption, the rate of that absorption has slowed. Over the 12 months of 2009, the market absorbed 46,661 square feet of space. By comparison, over the 12 months of 2008, the market absorbed 76,878 square feet of space.

Read More

[sanantonio.bizjournals.com]

Aberdeen Heights, which sits on a 17-acre campus, will include 243 independent living apartment homes designed around amenity-filled community spaces, with community features to include restaurant-style dining, a fitness center with indoor pool, a creative arts area, a media room and a club room. Plans also include 30 assisted living apartment homes, 15 memory support apartments and a health center that includes 34 private and four semi-private skilled nursing rooms on campus. The total development budget for the project is $179 million.

The Aberdeen Heights campus is at the site of the former St. Joseph Hospital in Kirkwood. Abatement and demolition of the existing facility is being completed by Environmental Operations, Inc.

Construction of the new Aberdeen Heights Community is to begin in May with initial independent living move-ins beginning in September 2011 and an expected completion later that year.

Aberdeen Heights is owned and will be operated by Ashfield Active Living and Wellness Communities Inc., with Greystone Communities, Inc. serving as development consultant. The architect on the project is AG Architecture of Wauwatosa, Wis., with engineering services provided by PEC of Wichita, Kan., and The Clayton Engineering Company of St. Louis.

Paric is a strong regional contractor specializing in agency and construction management, design/build and general construction of senior living and healthcare facilities interiors, public, institutional and hospitality facilities, residential projects, historic renovation and commercial projects. More information about Paric is at www.paric.com.

Ashfield Active Living and Wellness Communities, Inc., d/b/a: Aberdeen Heights is a wholly owned corporation of Presbyterian Manors of Mid-America Inc., a Wichita, Kan.-based not-for-profit corporation that has 17 affiliated senior living communities in Missouri and Kansas with more than 1,800 employees serving 2,250 residents. It has approximately $98 million in annual revenue.

[stlouis.dbusinessnews.com]

PHILADELPHIA–(BUSINESS WIRE)–Campus Apartments, the oldest and one of the largest privately held student housing companies in the nation, is developing over 30,000 square feet of retail space on the corner of Highland Road and State Street, a block from Louisiana State University’s campus.

Campus Apartments broke ground on the retail center in late January and is projecting completion in time for the start of the Fall 2010 semester. The project is 70 percent pre-leased with a great mix of tenants, including CVS, PJ’s Coffee, Menchie’s Frozen Yogurt, Shanghai Tokyo Restaurant and Pita Pit. Additionally, the property is being represented by Retail Specialists Inc. and SRSA Commercial Real Estate.

“College Row at Northgate will be a great complement to our existing properties in the market and will infuse new commercial vibrancy into the corridor,” explained Dan Bernstein, Executive Vice President and Chief Investment Officer of Campus Apartments. “We have a wide breadth of experience developing university-related real estate and enjoy opportunities to develop exciting and strategic projects that enhance the communities we are a part of.”

As the largest owner of off-campus student housing in Baton Rouge, Campus Apartments operates Campus Crossings Brightside, Campus Crossings Highland and Campus Crossings Venue at Northgate, three complexes totaling 1,508 beds serving Louisiana State University.

About Campus Apartments

Campus Apartments, LLC, the oldest and one of the largest privately held student housing companies in the nation, is a leader in the development and management of university affiliated housing. The company has more than $1 billion worth of assets under management with more than 26,000 beds in 23 states.

For nearly 50 years, Campus Apartments has been a pioneer in developing communities and providing turnkey solutions for colleges, universities and institutions. For more information on Campus Apartments, please visit: www.campusapartments.com.

[finance.yahoo.com]

NEWPORT BEACH, CA-Nationwide Health Properties Inc. has acquired five Southern California medical office buildings totaling 590,000 square feet from San Diego-based Pacific Medical Buildings for $211 million. As part of the deal, the locally based REIT has assumed debt of $105 million at 5.8%, maturing in 7.5 years.

The properties include a 140,000-square-foot-facility in Mission Viejo in which Nationwide acquired a 65% interest in a joint venture with Mission Hospital Regional Medical Center for $67.3 million; a 130,000-square-foot facility in Orange in which it bought a 69% interest in a joint venture with doctors associated with St. Joseph Hospital of Orange; a 190,000-square-foot building in Pasadena in which it acquired a 71% interest in a joint venture with an entity affiliated with Pacific Medical in which NHP contributed $13.5 million of cash; and two properties in San Bernardino. Those two are medical office buildings totaling 130,000 square feet in which Nationwide acquired a 55% interest in an entity affiliated with Pacific Medical that owns the buildings.

PMB Real Estate Services, a 50/50 joint venture between NHP and Pacific Medical, will continue as the property manager for all facilities. The new properties are part of a Nationwide portfolio, including mortgage loans and properties owned by unconsolidated joint ventures, that totaled 576 properties as of Dec. 31. The properties are dispersed among the following segments: 279 senior housing facilities, 197 skilled nursing facilities, 82 medical office buildings, 11 continuing care retirement communities and seven specialty hospitals.

[globest.com]

--  Fourth quarter 2009 revenues from private pay residents exceeds 96% of
    total revenues
--  Average private pay occupancy increases by 69 units over the third
    quarter, overall occupancy at 63.5%
--  Adjusted EBITDAR as a percent of revenues increases to 34.1%, up from
    33.6% in the third quarter of 2009 and 28.5% in the fourth quarter of
    2008

Assisted Living Concepts, Inc. (”ALC”) (NYSE: ALC) reported net income from continuing operations and net income of $4.3 million in the fourth quarter of 2009 compared to net income from continuing operations and net income of $3.2 million and $3.0 million, respectively, in the fourth quarter of 2008.

“Our private pay strategy gained significant momentum in the fourth quarter of 2009,” commented Laurie Bebo, President and Chief Executive Officer. “We saw private pay occupancy gains in each month of the quarter, and at December 31, 2009, achieved our highest private pay occupancy of the year.”

Ms. Bebo continued: “Our results in 2009 put us in good position to further enhance profitability in 2010 and beyond. We are now substantially out of Medicaid programs, achieving over 96% of our revenues from private pay sources. Four years ago that number was 70%. A higher percentage of revenues from private pay sources helps our margins because private pay rates in 2009 exceeded Medicaid reimbursement rates by approximately $38 per day. We continue to be focused on private pay occupancy. Headwinds caused by the economic recession constrained our ability to increase private pay census. We were able to achieve strong margins through prudent management of leverage and expenses. Despite the continuing effects of the recession, we saw steady improvement in private pay occupancy in the second half of 2009. The combination of our exiting from Medicaid programs, attention to expenses, and increases in private pay occupancy resulted in significant improvement in margins and provides an excellent platform for future profitability improvement.”

For the year ended December 31, 2009, ALC reported net income from continuing operations of $0.8 million and a net loss of $0.2 million, compared to net income from continuing operations and net income of $14.7 million and $14.3 million, respectively, in the year ended December 31, 2008. The 2009 net income from continuing operations was negatively impacted by a $14.7 million (net of income tax benefits) write-off of goodwill in the first quarter of 2009 (the “Goodwill Write-off”) and a non-cash non-recurring write-off of $0.1 million (net of income tax benefits) related to ALC’s decision not to exercise a purchase option under a capital lease in the third quarter of 2009 (the “Capital Lease Write-off”). The 2009 net loss resulted from the Goodwill Write-off, the Capital Lease Write-off and an additional non-cash, non-recurring write-off of $0.8 million (net of income tax benefits) recorded in discontinued operations related to ALC’s decision not to exercise a purchase option under the capital lease referred to above (the “Discontinued Operations Write-off”). Excluding the impact of the Goodwill Write-off, the Capital Lease Write-off and the Discontinued Operations Write-Off, net income from continuing operations and net income for the year ended December 31, 2009 would have been $15.6 million and $15.4 million, respectively.

Diluted earnings per common share for the fourth quarter and the year ended December 31, 2009 and 2008 were:

                        Quarter ended              Year ended
                         December 31,              December 31,
                      2009         2008         2009         2008
                     ------       ------       ------       ------
Diluted earnings per
 common share from
 continuing
 operations          $ 0.37       $ 0.26       $ 0.07       $ 1.17
Diluted earnings
 (loss) per common
 share               $ 0.37       $ 0.25       $(0.01)      $ 1.14
Pro forma diluted
earnings per common
 share from
 continuing
 operations
 excluding one-time
 charges             $ 0.37       $ 0.27(3)    $ 1.33(1)(2) $ 1.19(3)
(1) Excludes the Capital Lease Write-Off.
(2) Excludes the Goodwill Write-off.
(3) Excludes non-cash write off of assets damaged as a result of
    hurricanes, net of income tax benefits. See attached tables for
    non-GAAP reconciliations and calculations of weighted average
    basic and diluted shares.

Effective March 16, 2009, ALC implemented a one-for-five reverse stock split of its Class A and Class B common stock. All share and per share data in this press release have been adjusted to reflect this reverse stock split.

Certain non-GAAP financial measures are used in the discussions in this release in evaluating the performance of the business. See attached tables for definitions of Adjusted EBITDA and Adjusted EBITDAR, reconciliations of net income (loss) to Adjusted EBITDA and Adjusted EBITDAR, calculations of Adjusted EBITDA and Adjusted EBITDAR as a percentage of total revenues (Adjusted EBITDAR and Adjusted EBITDA margins), and non-GAAP financial measure reconciliation information.

As of December 31, 2009, ALC operated 215 senior living residences comprising 9,398 units (in the fourth quarter of 2009 we combined two residences located on the same campus). ALC ceased operating four assisted living residences consisting of 118 units following the close of business December 31, 2009. These residences are classified as discontinued. As of January 1, 2010, ALC operated 211 senior living residences comprising 9,280 units.

The following discussions exclude the impact of discontinued operations unless otherwise specified.

Quarters ended December 31, 2009, December 31, 2008, September 30, 2009

Revenues of $57.7 million in the fourth quarter ended December 31, 2009 increased $0.6 million or 1.1% from $57.1 million in the fourth quarter of 2008 and increased $0.5 million or 0.9% from the third quarter of 2009.

Adjusted EBITDA for the fourth quarter of 2009 was $14.6 million, or 25.3% of revenues and

--  increased $3.3 million or 29.4% from $11.3 million and 19.8% of
    revenues in the fourth quarter of 2008; and
--  increased $0.4 million or 3.1% from $14.2 million and 24.7% of
    revenues in the third quarter of 2009.

Adjusted EBITDAR for the fourth quarter of 2009 was $19.7 million, or 34.1% of revenues and

--  increased $3.4 million or 20.8% from $16.3 million and 28.5% of
    revenues in the fourth quarter of 2008; and
--  increased $0.5 million or 2.4% from $19.2 million and 33.6% of
    revenues in the third quarter of 2009.

Fourth quarter 2009 compared to fourth quarter 2008

Revenues in the fourth quarter of 2009 increased from the fourth quarter of 2008 primarily due to higher average daily revenue as a result of rate increases ($2.7 million), partially offset by the planned reduction in the number of units occupied by Medicaid residents ($2.1 million).

Both Adjusted EBITDA and Adjusted EBITDAR increased in the fourth quarter of 2009 primarily due to a decrease in residence operations expenses excluding the impact of damage caused by hurricanes in 2008 ($3.0 million) and an increase in revenues discussed above ($0.6 million), partially offset by an increase in general and administrative expenses excluding non-cash equity based compensation ($0.2 million) and, for Adjusted EBITDA only, an increase in resident lease expense ($0.1 million). Residence operations expenses decreased primarily from lower labor, kitchen and utility expenses. Staffing needs in the fourth quarter of 2009 as compared to the fourth quarter of 2008 decreased primarily because of a decline in the number of units occupied by Medicaid residents who tend to have higher care needs than private pay residents. In addition, general economic conditions enabled us to hire new employees at lower wage rates. Kitchen expenses were lower due to lower overall occupancy and new group purchasing plans. Fourth quarter 2009 utility expenses benefited from lower prices in electricity and natural gas than the fourth quarter of 2008. General and administrative expense increased primarily from the successful achievement of performance based compensation.

Fourth quarter 2009 compared to the third quarter 2009

Revenues in the fourth quarter of 2009 increased from the third quarter of 2009 primarily due to an increase in the number of units occupied by private pay residents ($0.7 million) and higher average daily revenue as a result of rate increases ($0.3 million), partially offset by the planned reduction in the number of units occupied by Medicaid residents ($0.5 million).

Increased Adjusted EBITDA and Adjusted EBITDAR in the fourth quarter of 2009 as compared to the third quarter of 2009 resulted primarily from an increase in revenues discussed above ($0.5 million) and a decrease in residence operations expenses ($0.5 million), partially offset by an increase in general and administrative expenses excluding non-cash equity-based compensation ($0.5 million) and, for EBITDA only, an increase in resident lease expense ($0.1 million). Residence operations expenses decreased primarily from lower labor expenses resulting from a decline in the number of Medicaid residents who tend to have higher care needs than private pay residents. General and Administrative expenses increased primarily due to a non-recurring favorable legal settlement recorded in the third quarter of 2009 and other professional fees.

Year ended December 31, 2009, and December 31, 2008

Revenues of $228.7 million in the year ended December 31, 2009, decreased $2.9 million or 1.2% from $231.6 million in the year ended December 31, 2008.

Adjusted EBITDA for the year ended December 31, 2009, was $53.6 million and 23.4% of revenues and increased $4.9 million or 10.0% from $48.7 million and 21.0% of revenues in the year ended December 31, 2008.

Adjusted EBITDAR for the year ended December 31, 2009, was $73.6 million and 32.2% of revenues and increased $5.0 million or 7.3% from $68.6 million and 29.6% of revenues in the year ended December 31, 2008.

Year ended December 31, 2009, compared to the year ended December 31, 2008

Revenues in the year ended December 31, 2009, decreased from the year ended December 31, 2008 primarily due to the planned reduction in the number of units occupied by Medicaid residents ($8.0 million), a reduction in the number of units occupied by private pay residents ($3.5 million) and, as a result of 2008 being a leap year, one less day in the year ended December 31, 2009 ($0.6 million), partially offset by higher average daily revenue as a result of rate increases ($9.2 million).

Both Adjusted EBITDA and Adjusted EBITDAR increased in the year ended December 31, 2009 primarily due to a decrease in residence operations expenses exclusive of the impact of damage caused by hurricanes in 2008 ($8.3 million), partially offset by decreased revenues discussed above ($2.9 million), an increase in general and administrative expenses excluding non-cash equity-based compensation ($0.4 million) and, for Adjusted EBITDA only, an increase in facility rent expense ($0.1 million). Residence operations expenses decreased primarily from lower labor and kitchen expenses as well as the absence of non-recurring expenses associated with hurricanes. Staffing needs in the year ended December 31, 2009, as compared to the year ended December 31, 2008, decreased primarily because of a decline in the number of units occupied by Medicaid residents who tend to have higher care needs than private pay residents. In addition, general economic conditions enabled us to hire new employees at lower wage rates. Decreased overall occupancy and new group purchasing plans lowered purchasing costs and resulted in lower kitchen expenses. General and administrative expense increased primarily from increased salaries, wages and benefits.

Liquidity

At December 31, 2009 ALC maintained a strong liquidity position with cash of approximately $4.4 million and undrawn lines of $70 million.

Discontinued Operations

On January 1, 2005, ALC entered into a master lease agreement for five residences located in Oregon totaling 157 units. The master lease included what was determined at January 1, 2005 for accounting purposes to be a “bargain purchase option” and was accounted for as a capital lease. The master lease gave ALC the right to purchase all five buildings for total consideration of $10.3 million consisting of the assumption of $4.7 million of Oregon Housing and Community Services Bonds and $5.6 million in cash. The master lease provided that, in the event the option is not exercised, ALC would continue to lease one of the residences under a prior operating lease. Based upon operating performance, the assumption of bonds with an average interest rate of 8.03%, and various operating restrictions under the bond indentures, ALC determined it was not economically or operationally prudent to exercise the option to purchase these properties at the predefined price.

As a result, ALC ceased operating four of the residences consisting of 118 units on December 31, 2009 and continues to operate one residence consisting of 39 units under an operating lease expiring in February 2014 (with a right to extend an additional five years). During 2009 the decision not to exercise this option resulted in the reduction of $10.5 million of ALC’s obligations under the capital lease and an $11.8 million reduction in assets on ALC’s balance sheet.

Investor Call

ALC has scheduled a conference call for this morning, March 5, 2010 at 10:00 a.m. (Eastern Time) to discuss financial results for the fourth quarter. The toll-free number for the live call is 800-230-1093 or international 612-332-0107. A taped rebroadcast of the conference call will be available approximately three hours following the live call until midnight on April 5, 2010, by dialing toll free 800-475-6701, or international 320-365-3844; and using access code 145335.

About Us

Assisted Living Concepts, Inc. and its subsidiaries operate 211 assisted living residences with capacity for over 9,280 residents in 20 states. ALC’s assisted living facilities typically consist of 40 to 60 units and offer residents a supportive, home-like setting and assistance with the activities of daily living. ALC employs approximately 4,100 people.

Forward-looking Statements

Statements contained in this release other than statements of historical fact, including statements regarding anticipated financial performance, business strategy and management’s plans and objectives for future operations, including managements expectations about improving occupancy and private pay mix, are forward-looking statements. Forward-looking statements generally include words such as “expect,” “point toward,” “intend,” “will,” “indicate,” “anticipate,” “believe,” “estimate,” “plan,” “strategy” or “objective.” Forward-looking statements are subject to risks and uncertainties that could cause actual results to differ materially from those expressed or implied. In addition to the risks and uncertainties referred to in the release, other risks and uncertainties are contained in ALC’s filings with United States Securities and Exchange Commissions and include, but are not limited to, the following: changes in the health care industry in general and the long-term senior care industry in particular because of governmental and economic influences; changes in general economic conditions, including changes in housing markets and the availability of credit at reasonable rates; changes in regulations governing the industry and ALC’s compliance with such regulations; changes in government funding levels for health care services; resident care litigation, including exposure for punitive damage claims and increased insurance costs, and other claims asserted against ALC; ALC’s ability to maintain and increase census levels; ALC’s ability to attract and retain qualified personnel; the availability and terms of capital to fund acquisitions and ALC’s capital expenditures; changes in competition; and demographic changes. Given these risks and uncertainties, readers are cautioned not to place undue reliance on ALC’s forward-looking statements. All forward-looking statements contained in this report are necessarily estimates reflecting the best judgment of the party making such statements based upon current information. ALC assumes no obligation to update any forward-looking statement.

                      ASSISTED LIVING CONCEPTS, INC.
                  Consolidated Statements of Operations
                (In thousands, except earnings per share)
                           Three Months Ended        Twelve Months Ended
                              December 31,              December 31,
                        ------------------------  ------------------------
                           2009         2008         2009         2008
                        -----------  -----------  -----------  -----------
                                   (Reclassified)            (Reclassified)
                                         (1)                       (1)
Revenues                $    57,737  $    57,101  $   228,723  $   231,576
Expenses:
  Residence operations
   (exclusive of
   depreciation and
   amortization and
   residence lease
   expense shown below)      34,555       37,774      142,048      150,645
  General and
   administrative             3,594        3,251       13,515       12,789
  Residence lease
   expense                    5,068        5,009       20,044       19,910
  Depreciation and
   amortization               5,630        4,678       21,219       18,333
  Loss due to property
   impairment                    --           --          148           --
  Goodwill impairment            --           --       16,315           --
                        -----------  -----------  -----------  -----------
    Total operating
     expenses                48,847       50,712      213,289      201,677
                        -----------  -----------  -----------  -----------
Income from operations        8,890        6,389       15,434       29,899
Other expense:
  Interest income                28          141           54          614
  Interest expense           (1,892)      (1,737)      (7,343)      (7,149)
                        -----------  -----------  -----------  -----------
Income from continuing
 operations before
 income taxes                 7,026        4,793        8,145       23,364
                        -----------  -----------  -----------  -----------
Income tax expense           (2,722)      (1,598)      (7,343)      (8,652)
                        -----------  -----------  -----------  -----------
Net income from
 continuing operations        4,304        3,195          802       14,712
Income (loss) from
 discontinued
 operations, net of tax          23         (165)        (957)        (389)
                        -----------  -----------  -----------  -----------
Net income (loss)       $     4,327  $     3,030  $      (155) $    14,323
                        ===========  ===========  ===========  ===========
Weighted average common
 shares:
  Basic                      11,606       12,165       11,751       12,486
  Diluted                    11,762       12,291       11,751       12,617
Per share data:
  Basic earnings per
   common share
    Earnings from
     continuing
     operations         $      0.37  $      0.26  $      0.07  $      1.18
    Loss from
     discontinued
     operations                0.00        (0.01)       (0.08)       (0.03)
                        -----------  -----------  -----------  -----------
    Net income (loss)   $      0.37  $      0.25  $     (0.01) $      1.15
                        ===========  ===========  ===========  ===========
  Diluted earnings per
   common share
    Earnings from
     continuing
     operations         $      0.37  $      0.26  $      0.07  $      1.17
    Loss  from
     discontinued
     operations                0.00        (0.01)       (0.08)       (0.03)
                        -----------  -----------  -----------  -----------
    Net income (loss)   $      0.37  $      0.25  $     (0.01) $      1.14
                        ===========  ===========  ===========  ===========
Adjusted EBITDA (2)     $    14,606  $    11,284  $    53,576  $    48,713
                        ===========  ===========  ===========  ===========
Adjusted EBITDAR (2)    $    19,674  $    16,293  $    73,620  $    68,623
                        ===========  ===========  ===========  ===========
(1) Reflects the reclassification of the operations of 118 units previously
    reported as continuing operations to discontinued operations.
(2) See attached tables for definitions of Adjusted EBITDA and Adjusted
    EBITDAR and reconciliations of net income to Adjusted EBITDA and
    Adjusted EBITDAR.
                      ASSISTED LIVING CONCEPTS, INC.
                        Consolidated Balance Sheets
              (In thousands, except share and per share data)
                                              2009              2008
                                        ----------------  ----------------
                 ASSETS                                   (Reclassified)(1)
Current Assets:
  Cash and cash equivalents             $          4,360  $         19,905
  Investments                                      3,427             3,139
  Accounts receivable, less allowances
   of $738 and $689, respectively                  2,668             2,679
  Prepaid expenses, supplies and other
   receivables                                     3,537             3,357
  Deposits in escrow                               1,993             2,313
  Income tax receivable                              723             3,147
  Deferred income taxes                            4,636             4,614
  Current assets of discontinued
   operations                                         36               153
                                        ----------------  ----------------
    Total current assets                          21,380            39,307
Property and equipment, net                      415,454           413,149
Goodwill                                              --            16,315
Intangible assets, net                            11,812            13,443
Restricted cash                                    4,389             3,783
Other assets                                       1,935             2,027
Non-current assets of discontinued
 operations                                          399            10,597
                                        ----------------  ----------------
    Total Assets                        $        455,369  $        498,621
                                        ================  ================
  LIABILITIES AND STOCKHOLDERS' EQUITY
Current Liabilities:
  Accounts payable                      $          8,005  $         13,529
  Accrued liabilities                             19,228            17,947
  Deferred revenue                                 6,368             6,687
  Current maturities of long-term debt             1,823            10,866
  Current portion of self-insured
   liabilities                                       500               300
  Current liabilities of discontinued
   operations                                         34             8,574
                                        ----------------  ----------------
    Total current liabilities                     35,958            57,903
Accrual for self-insured liabilities               1,416             1,176
Long-term debt                                   119,914           136,890
Deferred income taxes                             13,257            11,811
Other long-term liabilities                       11,853            11,088
Non-current liabilities of discontinued
 operations                                           --                14
Commitments and contingencies
                                        ----------------  ----------------
    Total Liabilities                            182,398           218,882
                                        ----------------  ----------------
Preferred Stock, par value $0.01 per
 share, 25,000,000 shares authorized,
 no shares issued and  outstanding,
 respectively                                         --                --
Class A Common Stock, $0.01 par value,
 80,000,000 authorized at December 31,
 2009 and December 31, 2008; 12,397,535
 and 12,361,711 shares issued and
 10,048,674 and 10,443,313 shares
 outstanding, respectively                           124               124
Class B Common Stock, $0.01 par value,
 15,000,000 authorized at December 31,
 2009 and December 31, 2008; 1,528,650
 and 1,562,101 issued and outstanding,
 respectively                                         15                16
Additional paid-in capital                       314,602           314,202
Accumulated other comprehensive loss              (2,012)           (1,989)
Retained earnings                                 33,486            33,641
Treasury stock at cost, 2,348,851 and
 1,918,398 shares, respectively                  (73,244)          (66,255)
                                        ----------------  ----------------
    Total Stockholders' Equity                   272,971           279,739
                                        ----------------  ----------------
Total Liabilities and Stockholders'
 Equity                                 $        455,369  $        498,621
                                        ================  ================
(1) Reflects the reclassification of the balance sheet of 118 units
previously reported as continuing operations to discontinued operations.
                      ASSISTED LIVING CONCEPTS, INC.
                  Consolidated Statements of Cash Flows
                              (In thousands)
                                                  Year Ended December 31,
                                                  ------------------------
                                                      2009         2008
                                                  -----------  -----------
OPERATING ACTIVITIES:
Net income                                        $      (155) $    14,323
Adjustments to reconcile net income to net cash
 provided by operating activities:
  Depreciation and amortization                        21,518       18,710
  Goodwill impairment                                  16,315           --
  Loss due to property and equipment impairment         1,369           --
  Amortization of purchase accounting adjustments
   for leases and debt                                   (395)        (248)
  Provision for bad debts                                  49         (303)
  Provision for self-insured liabilities                1,080          435
  Loss on sale or disposal of fixed assets                 82          196
  Equity-based compensation expense                       406           99
  Change in fair value of derivative                       53         (655)
  Deferred income taxes                                 1,424        5,878
Changes in assets and liabilities:
  Accounts receivable                                     (38)         515
  Supplies, prepaid expenses and other
   receivables                                           (180)       1,626
  Deposits in escrow                                      320          139
  Current assets - discontinued operations                117           --
  Accounts payable                                     (2,076)         230
  Accrued liabilities                                   1,281          (53)
  Deferred revenue                                       (319)         393
  Current liabilities - discontinued operations           (13)          --
  Payments of self-insured liabilities                   (640)        (200)
  Income taxes payable/ receivable                      2,415       (2,669)
  Changes in other non-current assets                    (514)       4,858
  Other non-current assets - discontinued
   operations                                             539           --
  Other long-term liabilities                           1,050        1,658
  Other long-term liabilities - discontinued
   operations                                             (14)          --
                                                  -----------  -----------
    Cash provided by operating activities              43,674       44,932
                                                  -----------  -----------
INVESTING ACTIVITIES:
  Payment for executive retirement plan
   securities                                            (216)          --
  Payment for acquisitions                                 --      (14,546)
  Cash designated for acquisition                          --       14,864
  Payments for new construction projects              (13,337)     (21,333)
  Payments for purchases of property and
   equipment                                          (14,564)     (17,764)
                                                  -----------  -----------
    Cash used in investing activities                 (28,117)     (38,779)
                                                  -----------  -----------
FINANCING ACTIVITIES:
  Purchase of treasury stock                           (6,989)     (27,125)
  (Repayments of) proceeds on borrowings on
   revolving credit facility                          (29,000)      37,000
  Repayment of mortgage debt                           (9,113)     (19,215)
  Proceeds from mortgage debt                          14,000        9,026
                                                  -----------  -----------
    Cash used in financing activities                 (31,102)        (314)
                                                  -----------  -----------
(Decrease) increase in cash and cash equivalents      (15,545)       5,839
Cash and cash equivalents, beginning of year           19,905       14,066
                                                  -----------  -----------
Cash and cash equivalents, end of year            $     4,360  $    19,905
                                                  ===========  ===========
                      ASSISTED LIVING CONCEPTS, INC.
                    Financial and Operating Statistics
Continuing residences*                           Three months ended
                                           -------------------------------
                                           December   September  December
                                           31, 2009   30, 2009   31, 2008
                                           ---------  ---------  ---------
Average Occupied Units by Payer Source
Private                                        5,450      5,381      5,457
Medicaid                                         298        371        591
                                           ---------  ---------  ---------
Total                                          5,748      5,752      6,048
                                           =========  =========  =========
Occupancy Mix by Payer Source
Private                                         94.8%      93.5%      90.2%
Medicaid                                         5.2%       6.5%       9.8%
Percent of Revenue by Payer Source
Private                                         96.5%      95.7%      93.1%
Medicaid                                         3.5%       4.3%       6.9%
Average Revenue per Occupied Unit Day      $  109.18  $  108.15  $  102.61
Occupancy Percentage*                           63.5%      63.2%      67.5%
* Depending on the timing of new additions and temporary closures of our
residences, we may increase or reduce the number of units we actively
operate. For the three months ended December 31, 2009, September 30, 2009
and December 31, 2008 we actively operated 9,056, 9,096 and 8,956 units,
respectively.
Same residence basis**                           Three months ended
                                           -------------------------------
                                           December   September  December
                                           31, 2009   30, 2009   31, 2008
                                           ---------  ---------  ---------
Average Occupied Units by Payer Source
Private                                        5,356      5,321      5,415
Medicaid                                         278        330        521
                                           ---------  ---------  ---------
Total                                          5,634      5,651      5,936
                                           =========  =========  =========
Occupancy Mix by Payer Source
Private                                         95.1%      94.2%      91.2%
Medicaid                                         4.9%       5.8%       8.8%
Percent of Revenue by Payer Source
Private                                         96.6%      96.0%      93.7%
Medicaid                                         3.4%       4.0%       6.3%
Average Revenue per Occupied Unit Day      $  108.60  $  108.30  $  103.03
Occupancy Percentage                            65.1%      64.8%      68.6%
** Excludes quarterly impact of 322 completed expansion units, 298 units
temporarily closed for renovation and 118 units classified as discontinued
operations.
                      ASSISTED LIVING CONCEPTS, INC.
                    Financial and Operating Statistics
Continuing residences*                                      Year ended
                                                        ------------------
                                                        December  December
                                                        31, 2009  31, 2008
                                                        --------  --------
Average Occupied Units by Payer Source
Private                                                    5,393     5,482
Medicaid                                                     408       708
                                                        --------  --------
Total                                                      5,801     6,190
                                                        ========  ========
Occupancy Mix by Payer Source
Private                                                     93.0%     88.6%
Medicaid                                                     7.0%     11.4%
Percent of Revenue by Payer Source
Private                                                     95.3%     91.9%
Medicaid                                                     4.7%      8.1%
Average Revenue per Occupied Unit Day                   $ 108.02  $ 102.22
Occupancy Percentage*                                       64.2%     69.1%
* Depending on the timing of new additions and temporary closures of our
residences, we may increase or reduce the number of units we actively
operate. For the three months ended December 31, 2009,  September 30, 2009
and December 31, 2008 we actively operated 9,037 and 8,959 units,
respectively.
Same residence basis**                                      Year ended
                                                        ------------------
                                                        December  December
                                                        31, 2009  31, 2008
                                                        ------------------
Average Occupied Units by Payer Source
Private                                                    5,321     5,429
Medicaid                                                     367       621
                                                        --------  --------
Total                                                      5,688     6,050
                                                        ========  ========
Occupancy Mix by Payer Source
Private                                                     93.6%     89.7%
Medicaid                                                     6.4%     10.3%
Percent of Revenue by Payer Source
Private                                                     95.6%     92.6%
Medicaid                                                     4.4%      7.4%
Average Revenue per Occupied Unit Day                   $ 107.96  $ 102.68
Occupancy Percentage                                        65.7%     69.9%
** Excludes year to date impact of 322 completed expansion units, 298 units
temporarily closed for renovation and 118 units classified as discontinued
operations.

Non-GAAP Financial Measures

Adjusted EBITDA and Adjusted EBITDAR

Adjusted EBITDA is defined as net income from continuing operations before income taxes, interest expense net of interest income, depreciation and amortization, equity based compensation expense, transaction costs and non-cash, non-recurring gains and losses, including disposal of assets and impairment of long-lived assets (including goodwill) and loss on refinancing and retirement of debt. Adjusted EBITDAR is defined as Adjusted EBITDA before rent expenses incurred for leased assisted living properties. Adjusted EBITDA and Adjusted EBITDAR are not measures of performance under accounting principles generally accepted in the United States of America, or GAAP. We use Adjusted EBITDA and Adjusted EBITDAR as key performance indicators and Adjusted EBITDA and Adjusted EBITDAR expressed as a percentage of total revenues as a measurement of margin.

We understand that EBITDA and EBITDAR, or derivatives thereof, are customarily used by lenders, financial and credit analysts, and many investors as a performance measure in evaluating a company’s ability to service debt and meet other payment obligations or as a common valuation measurement in the long-term care industry. Moreover, ALC’s revolving credit facility contains covenants in which a form of EBITDA is used as a measure of compliance, and we anticipate EBITDA will be used in covenants in any new financing arrangements that we may establish. We believe Adjusted EBITDA and Adjusted EBITDAR provide meaningful supplemental information regarding our core results because these measures exclude the effects of non-operating factors related to our capital assets, such as the historical cost of the assets.

We report specific line items separately, and exclude them from Adjusted EBITDA and Adjusted EBITDAR because such items are transitional in nature and would otherwise distort historical trends. In addition, we use Adjusted EBITDA and Adjusted EBITDAR to assess our operating performance and in making financing decisions. In particular, we use Adjusted EBITDA and Adjusted EBITDAR in analyzing potential acquisitions and internal expansion possibilities. Adjusted EBITDAR performance is also used in determining compensation levels for our senior executives. Adjusted EBITDA and Adjusted EBITDAR should not be considered in isolation or as a substitute for net income, cash flows from operating activities, and other income or cash flow statement data prepared in accordance with GAAP, or as a measure of profitability or liquidity. We present Adjusted EBITDA and Adjusted EBITDAR on a consistent basis from period to period, thereby allowing for comparability of operating performance.

Adjusted EBITDA and Adjusted EBITDAR Reconciliation Information

The following table sets forth a reconciliation of net income (loss) to Adjusted EBITDA and Adjusted EBITDAR:

                   Three Months Ended  Three Months Ended    Year Ended
                       December 31,       September 30,     December 31,
                     ----------------- ----------------- -----------------
                       2009     2008     2009     2008     2009     2008
                     -------- -------- -------- -------- -------- --------
                                   (In thousands, unaudited)
Net income (loss)    $  4,327 $  3,030 $  3,386 $  2,966 $  (155) $ 14,323
Less: Income (loss)
 from discontinued
 operations, net of
 tax                       23     (165)    (802)    (105)    (957)    (389)
Add: Provision for
 income taxes           2,722    1,598    2,295    1,880    7,343    8,652
                     -------- -------- -------- -------- -------- --------
Income (loss) from
 continuing
 operations before
 income taxes           7,026    4,793    6,483    4,951    8,145   23,364
Add:
  Depreciation and
   amortization         5,630    4,678    5,440    4,595   21,219   18,333
  Interest expense,
   net                  1,864    1,596    1,907    1,727    7,289    6,535
  Non-cash equity
   based compensation      86       (5)     132       60      406       99
  Loss due to property
   impairment              --       --      148       --      148       --
  Loss on sale or
   disposal of fixed
   assets                  --      222       54      160       54      382
  Goodwill impairment      --       --       --       --   16,315       --
                     -------- -------- -------- -------- -------- --------
Adjusted EBITDA        14,606   11,284   14,164   11,493   53,576   48,713
Add: Lease expense      5,068    5,009    5,053    4,990   20,044   19,910
                     -------- -------- -------- -------- -------- --------
Adjusted EBITDAR     $ 19,674 $ 16,293 $ 19,217 $ 16,483 $ 73,620 $ 68,623
                     ======== ======== ======== ======== ======== ========

The following table sets forth the calculations of Adjusted EBITDA and Adjusted EBITDAR as percentages of total revenue:

                Three Months Ended  Three Months Ended      Year Ended
                   December 31,        September 30,       December 31,
                ------------------  ------------------  ------------------
                         (Dollars amounts in thousands, unaudited)
                ----------------------------------------------------------
                  2009      2008      2009      2008      2009      2008
                --------  --------  --------  --------  --------  --------
Revenues        $ 57,737  $ 57,101  $ 57,236  $ 57,740  $228,723  $231,576
                --------  --------  --------  --------  --------  --------
Adjusted EBITDA $ 14,606  $ 11,284  $ 14,164  $ 11,493  $ 53,576  $ 48,713
                --------  --------  --------  --------  --------  --------
Adjusted
 EBITDAR        $ 19,674  $ 16,293  $ 19,217  $ 16,483  $ 73,620  $ 68,623
                --------  --------  --------  --------  --------  --------
Adjusted EBITDA
 as percent of
 total revenues     25.3%     19.8%     24.7%     19.9%     23.4%     21.0%
                --------  --------  --------  --------  --------  --------
Adjusted
 EBITDAR as
 percent of
 total revenues     34.1%     28.5%     33.6%     28.5%     32.2%     29.6%
                --------  --------  --------  --------  --------  --------
                       ASSISTED LIVING CONCEPTS, INC.
                    Reconciliation of Non-GAAP Measures
                                    Three Months Ended      Year Ended
                                       December 31,        December 31,
                                   -------------------  ------------------
                                    (In thousands, except per share data)
                                                 (unaudited)
                                      2009      2008      2009      2008
                                   ---------  --------  --------  --------
Net income (loss)                  $   4,327  $  3,030  $   (155) $ 14,323
Less: Income (loss) from
 discontinued operations, net of
 tax                                      23      (165)     (957)     (389)
                                   ---------  --------  --------  --------
Income from continuing operations      4,304     3,195       802    14,712
Add one time charges:
  Goodwill impairment                     --        --    16,315        --
  Loss due to hurricane damage            --       222        --       382
  Loss due to property impairment         --        --       148        --
Less: Income tax benefits from one
 time charges                             --        82     1,675       141
                                   ---------  --------  --------  --------
Pro forma income from continuing
 operation excluding one time
 charges                               4,304     3,335    15,590    14,953
Income (loss) from discontinued
 operations net of tax                    23      (165)     (957)     (389)
Loss due to property impairment
 included in discontinued
 operations                               --        --     1,231        --
Income tax benefits from property
 impairment included in
 discontinued operations                  --        --      (439)       --
                                   ---------  --------  --------  --------
Pro forma net income excluding one
 time charges                      $   4,327  $  3,170  $ 15,425  $ 14,564
                                   =========  ========  ========  ========
Weighted average common shares:
Basic                                  11,606   12,165    11,751    12,486
Diluted                                11,762   12,291    11,751    12,617
Pro forma basic earnings per
 common share from continuing
 operations excluding one time
 charges                            $    0.37 $   0.27  $   1.33  $   1.20
                                    ========= ========  ========  ========
Pro forma diluted earnings per
 common share from continuing
 operations excluding one time
 charges                            $    0.37 $   0.27  $   1.33  $   1.19
                                    ========= ========  ========  ========

For further information, contact:
Assisted Living Concepts, Inc.
John Buono
Sr. Vice President, Chief Financial Officer and Treasurer
Phone:  (262) 257-8999
Fax:  (262) 251-7562
Email: Email Contact
Visit ALC's Website @ www.alcco.com

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