Ventas First Quarter FFO Rises 22 Percent to $34 Million; Per Share FFO Increases 17 Percent to $0.41 Per Share

Company Reaffirms 2004 FFO Guidance of $1.70 to $1.74 Per Share

LOUISVILLE, KY (April 28, 2004) - Ventas, Inc. (NYSE:VTR) ("Ventas" or the "Company") said today that first quarter normalized Funds From Operations ("FFO") rose 22 percent to $34.0 million compared with $27.9 million in the first quarter 2003. Normalized FFO per diluted share increased 17 percent to $0.41 from $0.35 per diluted share for the comparable 2003 period. In the first quarter ended March 31, 2004, the Company had 82.8 million weighted average diluted shares outstanding, compared to 79.3 million weighted average diluted shares outstanding a year earlier.

The quarter benefited from increased rents resulting from Ventas's annual lease escalations, its acquisitions during the quarter of 32 high quality assets, increased rent from the July 1, 2003 amendments to the Kindred Master Leases, and decreased interest expense due to the early pay-off of its settlement with the United States Department of Justice.

Normalized FFO for all periods excludes (a) the benefit of a $20.2 million reversal of a previously recorded contingent liability, which was recorded as income in the first quarter of 2003, (b) losses from early extinguishment of debt, and (c) gains on sales of common stock in the Company's primary tenant, Kindred Healthcare, Inc. (Nasdaq:KIND) ("Kindred").

"Our first quarter was exceptional as we closed on $276 million of acquisitions, reflecting the addition of 32 high quality assets and five new tenants to our growing portfolio and business platform," Ventas Chairman, President and Chief Executive Officer Debra A. Cafaro said. "Our acquisition pipeline remains active and, aided by the capital we successfully raised during the first quarter, we remain confident of our ability to further grow and diversify our portfolio in 2004."

GAAP NET INCOME

Ventas reported first quarter 2004 net income of $23.3 million, or $0.28 per diluted share. Including a benefit of $20.2 million, or $0.26 per diluted share, resulting from the reversal of a previously recorded contingent liability, net income for the first quarter ended March 31, 2003 was $37.3 million, or $0.47 per diluted share after discontinued operations of $1.4 million, or $0.02 per diluted share.

    FIRST QUARTER HIGHLIGHTS AND OTHER RECENT DEVELOPMENTS
    -- Ventas completed its acquisition of ElderTrust and its sale-leaseback
       transaction with Brookdale Living Communities, Inc., successfully
       integrating 32 high quality assets into its portfolio.
    -- With the closing of these $276 million in acquisitions, Kindred rent
       represents 83 percent of the Company's expected real estate revenue on
       a forward basis.  At March 31, 2004, assets leased to Kindred
       represented 75 percent of the Company's properties, based upon gross
       book value of the Company's assets.
    -- The Company raised more than $51 million of equity with the sale of
       2.0 million shares of common stock.
    -- Ventas announced a 21.5 percent increase in its first quarter dividend
       to $0.325 per share, with an indicated annual dividend of $1.30 per
       share, representing a payout ratio of approximately 75 percent of its
       expected FFO.
    -- With the payment of its 2004 first quarter dividend, the Company
       initiated a two percent discount on its Distribution Reinvestment and
       Stock Purchase Plan (DRIP).
    -- The Company maintains a strong balance sheet, at March 31, 2004, with a
       first quarter pro forma annualized net debt-to-EBITDA ratio of 3.7
       times.
    -- The 227 skilled nursing facilities and hospitals leased by the Company
       to its primary tenant, Kindred, produced EBITDAR to rent coverage of
       1.7 times (after management fees) for the trailing twelve month period
       ended December 31, 2003 (the latest date available).

FIRST QUARTER 2004 RESULTS

Rental revenue for the quarter ended March 31, 2004 was $53.2 million, of which $47.4 million (or 88.9 percent) resulted from leases with Kindred. First quarter expenses totaled $31.0 million, and included $10.9 million of depreciation expense and $15.3 million of total interest expense. General, administrative and professional expenses for the 2004 first quarter totaled $4.3 million.

VENTAS AFFIRMS 2004 NORMALIZED FFO GUIDANCE

Ventas affirmed its 2004 normalized FFO guidance of between $1.70 and $1.74 per diluted share. If achieved, these results would represent approximately 12 percent growth in normalized FFO per share in 2004.

Consistent with its practice, Ventas's FFO guidance (and related GAAP earnings projections) for 2004 exclude the impact of additional acquisitions and divestitures, gains and losses on the sales of assets, and capital transactions. Its guidance also excludes the future impact of (a) any expense the Company records for non-cash "swap ineffectiveness," and (b) any expenses related to the write-off of unamortized deferred financing fees or additional costs, expenses or premiums incurred as a result of early debt retirement.

Reconciliation of the Company's normalized FFO guidance to the Company's projected GAAP earnings is provided on a schedule attached to this Press Release. The Company may from time to time update its publicly announced FFO guidance, but it is not obligated to do so.

ASSUMPTIONS AND QUALIFICATIONS

The Company's FFO guidance and expectation regarding future dividends are based on a number of assumptions, which are subject to change and many of which are outside the control of the Company. If actual results vary from these assumptions, the Company's expectations may change. There can be no assurance that the Company will achieve the projected FFO results or the timing or amount of future dividends.

FIRST QUARTER CONFERENCE CALL

Ventas will hold a conference call to discuss this earnings release on Thursday morning, April 29, 2004, at 10:00 a.m. Eastern Time (9:00 a.m. Central Time). The conference call is being web cast by CCBN and can be accessed at the Ventas website at www.ventasreit.com or www.fulldisclosure.com . An online replay of the web cast will be available at approximately 12:00 p.m. Eastern Time and will be archived for thirty (30) days.

Ventas is a healthcare real estate investment trust that owns 42 hospitals, 199 nursing facilities, 25 senior housing facilities and 11 other facilities in 39 states. The Company also has real estate investments in 25 additional healthcare and senior housing facilities. More information about Ventas can be found on its website at www.ventasreit.com.

This press release includes 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. All statements regarding Ventas, Inc.'s ("Ventas" or the "Company") and its subsidiaries' expected future financial position, results of operations, cash flows, funds from operations, dividends and dividend plans, financing plans, business strategy, budgets, projected costs, capital expenditures, competitive positions, growth opportunities, expected lease income, continued qualification as a real estate investment trust ("REIT"), plans and objectives of management for future operations and statements that include words such as "anticipate," "if," "believe," "plan," "estimate," "expect," "intend," "may," "could," "should," "will" and other similar expressions are forward-looking statements. Such forward-looking statements are inherently uncertain, and security holders must recognize that actual results may differ from the Company's expectations. The Company does not undertake a duty to update such forward-looking statements.

Actual future results and trends for the Company may differ materially depending on a variety of factors discussed in the Company's filings with the Securities and Exchange Commission (the "Commission"). Factors that may affect the plans or results of the Company include, without limitation, (a) the ability and willingness of Kindred Healthcare, Inc. ("Kindred") and certain of its affiliates to continue to meet and/or perform their obligations under their contractual arrangements with the Company and the Company's subsidiaries, including without limitation the lease agreements and various agreements entered into by the Company and Kindred at the time of the Company's spin off of Kindred on May 1, 1998 (the "1998 Spin Off"), as such agreements may have been amended and restated in connection with Kindred's emergence from bankruptcy on April 20, 2001, (b) the ability and willingness of Kindred to continue to meet and/or perform its obligation to indemnify and defend the Company for all litigation and other claims relating to the healthcare operations and other assets and liabilities transferred to Kindred in the 1998 Spin Off, (c) the ability of Kindred and the Company's other operators to maintain the financial strength and liquidity necessary to satisfy their respective obligations and duties under the leases and other agreements with the Company, and their existing credit agreements, (d) the Company's success in implementing its business strategy and the Company's ability to identify and consummate diversifying acquisitions or investments, (e) the nature and extent of future competition, (f) the extent of future healthcare reform and regulation, including cost containment measures and changes in reimbursement policies, procedures and rates, (g) increases in the cost of borrowing for the Company, (h) the ability of the Company's operators to deliver high quality care and to attract patients, (i) the results of litigation affecting the Company, (j) changes in general economic conditions and/or economic conditions in the markets in which the Company may, from time to time, compete, (k) the ability of the Company to pay down, refinance, restructure, and/or extend its indebtedness as it becomes due, (l) the movement of interest rates and the resulting impact on the value of and the accounting for the Company's interest rate swap agreement, (m) the ability and willingness of the Company to maintain its qualification as a REIT due to economic, market, legal, tax or other considerations, (n) final determination of the Company's taxable net income for the years ending December 31, 2003 and 2004, (o) the ability and willingness of the Company's tenants to renew their leases with the Company upon expiration of the leases and the Company's ability to relet its properties on the same or better terms in the event such leases expire and are not renewed by the existing tenants, and (p) the impact on the liquidity, financial condition and results of operations of Kindred and the Company's other operators resulting from increased operating costs and uninsured liabilities for professional liability claims, and the ability of Kindred and the Company's other operators to accurately estimate the magnitude of such liabilities. Many of such factors are beyond the control of the Company and its management.

                    CONDENSED CONSOLIDATED BALANCE SHEETS
                     March 31, 2004 and December 31, 2003
                                (In thousands)


                                                   March 31,      December 31,
                                                     2004            2003
                                                  (Unaudited)     (Audited)
    Assets
    Real estate investments:
      Land                                         $ 132,433      $ 104,300
      Building and improvements                    1,233,827        985,881
                                                   1,366,260      1,090,181
      Accumulated depreciation                      (419,664)      (408,891)
        Total net real estate property               946,596        681,290
      Loan receivable, net                            16,437         16,455
        Total net real estate investments            963,033        697,745
    Cash and cash equivalents                          1,723         82,104
    Restricted cash                                   18,984          7,575
    Deferred financing costs, net                     12,443         13,465
    Notes receivable from employees, former
     employees and accrued interest                    3,609          3,772
    Other                                              7,527          8,189
        Total assets                             $ 1,007,319      $ 812,850
    Liabilities and stockholders' equity
    Liabilities:
      Senior Notes payable and other debt          $ 782,362      $ 640,562
      Deferred revenue                                14,718         15,308
      Interest rate swap agreements                   32,041         27,868
      Accrued dividend                                     -         21,614
      Accrued interest                                14,525          5,821

      Accounts payable and other accrued liabilities  18,853         14,562
      Other liabilities-disputed federal, state
       and local tax refunds                             533            406
      Deferred income taxes                           30,394         30,394
        Total liabilities                            893,426        756,535

    Commitments and contingencies

    Stockholders' equity:
      Preferred stock, unissued                            -              -
      Common stock                                    21,157         20,652
      Capital in excess of par value                 199,945        162,466
      Unearned compensation on restricted stock       (1,339)          (748)
      Accumulated other comprehensive loss           (23,341)       (18,294)
      Retained earnings (deficit)                    (60,740)       (56,790)
                                                     135,682        107,286
      Treasury stock                                 (21,789)       (50,971)
        Total stockholders' equity                   113,893         56,315

        Total liabilities and stockholders'
         equity                                  $ 1,007,319      $ 812,850



                 CONDENSED CONSOLIDATED STATEMENTS OF INCOME
                For Three Months Ended March 31, 2004 and 2003
                   (In thousands, except per share amounts)
                                 (Unaudited)


                                                       2004           2003
    Revenues:
      Rental income                                  $53,240        $45,764
      Interest income from loan receivable               756            747
      Interest and other income                          281            492
        Total revenues                                54,277         47,003
    Expenses:
      Property level operating expenses                  207              -
      General and administrative                       3,731          3,140
      Professional fees                                  607            760
      Reversal of contingent liability                     -        (20,164)
      Amortization of restricted stock grants            271            291
      Depreciation                                    10,858          9,928
      Interest                                        15,328         15,932
      Interest on United States Settlement                 -          1,182
        Total expenses                                31,002         11,069
    Income before discontinued operations             23,275         35,934
    Discontinued operations (including gain on
     sale of assets)                                       -          1,354
    Net income                                       $23,275        $37,288
    Earnings per common share:
      Basic:
        Income before discontinued operations          $0.28          $0.46
        Net income                                     $0.28          $0.47

      Diluted:
        Income before discontinued operations          $0.28          $0.45
        Net income                                     $0.28          $0.47

    Weighted average number of shares outstanding,
     basic                                            81,703         78,834
    Weighted average number of shares outstanding,
     diluted                                          82,760         79,296

    Dividends declared per common share              $0.3250        $0.2675



               CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
              For the Three Months Ended March 31, 2004 and 2003
                                (In thousands)
                                 (Unaudited)


                                                          2004        2003
    Cash flows from operating activities:
      Net income                                        $23,275     $37,288
      Adjustments to reconcile net income to net cash
       provided by operating activities:
         Depreciation (including discontinued
          operations)                                    10,858      10,801
         Amortization of deferred financing costs         1,022       1,020
         Amortization of restricted stock grants            271         291
         Normalized rents                                  (278)        (43)
         Amortization of deferred revenue                  (627)       (666)
         Other                                             (818)        (54)
      Changes in operating assets and liabilities:
        (Increase) decrease in restricted cash           (3,607)        378
        (Increase) decrease in other assets                 474        (914)
        Increase in accrued interest                      8,704       7,879
        Increase (decrease) in accounts payable and
         accrued and other liabilities                      411     (20,134)
           Net cash provided by operating activities     39,685      35,846
    Cash flows from investing activities:
      Purchase of real estate property                 (176,670)          -
      Collection from loan receivable                        55          54
      Purchase of furniture and equipment                   (30)        (41)
      (Increase) decrease in notes receivable
       from employees, former employees and
       accrued interest                                     163         (19)
         Net cash used in investing activities         (176,482)         (6)
    Cash flows from financing activities:
      Net change in borrowings under Revolving
       Credit Facility                                   39,850      43,350
      Purchase of Senior Notes                                -     (37,366)
      Repayment of debt                                    (789)       (617)
      Payment on United States Settlement                     -      (2,872)
      Proceeds from issuance of equity                   51,672           -
      Proceeds from stock option exercises               14,521          35
      Cash dividends to stockholders                    (48,838)    (37,742)
        Net cash provided by (used in) financing
         activities                                      56,416     (35,212)
    Increase (decrease) in cash and cash
     equivalents                                        (80,381)        628
    Cash and cash equivalents at beginning of period     82,104       2,455
    Cash and cash equivalents at end of period           $1,723      $3,083

    Supplemental schedule of noncash activities:
      Assets and liabilities assumed from
       acquisitions:
         Restricted cash                                 $7,802          $-
         Other assets acquired                              168           -
         Assumed debt                                   102,739           -
         Other liabilities assumed                        4,640           -


                              SUPPLEMENTAL DATA

     Funds from Operations
     FFO and Normalized FFO for the three months ended March 31, 2004 and 2003
     (in thousands except per share amounts):


                                                       2004           2003

    Net Income                                      $ 23,275       $ 37,288
    Adjustments:
      Depreciation on real estate assets              10,773         10,736
    FFO                                               34,048         48,024

    Reversal of contingent liability                       -        (20,164)
    Normalized FFO                                  $ 34,048       $ 27,860

    Per diluted share:
      Net Income                                       $0.28          $0.47
      Adjustments:
        Depreciation on real estate assets              0.13           0.14
      FFO                                               0.41           0.61

      Reversal of contingent liability                     -          (0.26)
      Normalized FFO                                   $0.41          $0.35


     Projected FFO per diluted share for the year ended December 31, 2004:


                                                             Year ended
                                                          December 31, 2004
    Per diluted share:
    Net income                                         $1.14   -      $1.18
    Adjustments:
      Depreciation on real estate assets                0.56   -       0.56
    Normalized FFO                                     $1.70   -      $1.74


     Historical cost accounting for real estate assets implicitly assumes that
     the value of real estate assets diminishes predictably over time.  Since
     real estate values instead have historically risen or fallen with market
     conditions, many industry investors have considered presentations of
     operating results for real estate companies that use historical cost
     accounting to be insufficient by themselves.  To overcome this problem,
     the Company considers FFO an appropriate measure of performance of an
     equity REIT and uses the National Association of Real Estate Investment
     Trusts ("NAREIT") definition of FFO. NAREIT defines FFO as net income
     (computed in accordance with generally accepted accounting principles),
     excluding gains (or losses) from sales of property, plus depreciation and
     amortization and after adjustments for unconsolidated partnerships and
     joint ventures.  Adjustments for unconsolidated partnerships and joint
     ventures will be calculated to reflect funds from operations on the same
     basis.

     FFO presented herein is not necessarily comparable to FFO presented by
     other real estate companies due to the fact that not all real estate
     companies use the same definition. FFO should not be considered as an
     alternative to net income (determined in accordance with accounting
     principles generally accepted in the United States ("GAAP")), as an
     indicator of the Company's financial performance, as an alternative to
     cash flow from operating activities (determined in accordance with GAAP),
     as a measure of the Company's liquidity, nor is FFO necessarily
     indicative of sufficient cash flow to fund all of the Company's needs.
     The Company believes that in order to facilitate a clear understanding of
     the consolidated historical operating results of the Company, FFO should
     be examined in conjunction with net income as presented elsewhere in this
     Press Release.


     Pro forma Financial Results

     The following table illustrates the effect on net income and earnings per
     share if the Company had acquired the ElderTrust Properties and Brookdale
     Facilities and issued the 2.0 million shares on January 1 of the three
     month periods ended March 31, 2004 and 2003 (in thousands, except per
     share amounts):


                                                       2004          2003

    Revenues                                         $57,653        $54,209
    Net income before discontinued operations         24,299         38,483
    Net income                                       $24,299        $39,837

    Shares used:
      Basic                                           83,263         80,834
      Diluted                                         84,320         81,296

    Earnings per common share:
    Basic:
      Net income before discontinued operations        $0.29          $0.48
      Net income                                       $0.29          $0.49
    Diluted:
      Net income from continuing operations            $0.29          $0.47
      Net income                                       $0.29          $0.49


     Net Debt to EBITDA

     Earnings before interest, income taxes, depreciation and amortization
     ("EBITDA") and Normalized EBITDA for the three months ended March 31,
     2004 (dollars in thousands):


                                                 Quarter Ended
                                                 March 31, 2004
    Pro forma net income                             $24,299
    Add Back:
      Pro forma interest                              16,476
      Interest on United States Settlement                 -
      Pro forma depreciation                          11,860
      Swap ineffectiveness                                 -
      Amortization of restricted stock grants            271
    Pro forma EBITDA                                  52,906
    Pro forma annualized EBITDA                     $211,624

    Debt                                            $782,362
      Cash                                            (1,723)
      Restricted cash - deposits                      (6,934)
    Net debt                                        $773,705

    Net debt to pro forma annualized EBITDA              3.7x


     The Company considers EBITDA a profitability measure which indicates the
     Company's ability to service debt.  Normalized EBITDA excludes income and
     expense items that are nonrecurring in the Company's core business.  The
     Company considers the Net Debt to EBITDA ratio a useful measure to
     evaluate the Company's ability to pay its indebtedness. EBITDA presented
     herein is not necessarily comparable to EBITDA presented by other
     companies due to the fact that not all companies use the same definition.
     EBITDA should not be considered as an alternative to net income
     (determined in accordance with GAAP), as an indicator of the Company's
     financial performance, as an alternative to cash flow from operating
     activities (determined in accordance with GAAP), as a measure of the
     Company's liquidity, nor is EBITDA necessarily indicative of sufficient
     cash flow to fund all of the Company's needs.  The Company believes that
     in order to facilitate a clear understanding of the consolidated
     historical operating results of the Company, EBITDA should be examined in
     conjunction with net income as presented elsewhere in this Press Release.


     Portfolio of Properties

     The following information provides an overview of the Company's portfolio
     of healthcare properties as of and for three months ended March 31, 2004
     ($'s in thousands):


                        As of and for the First Quarter Ended March 31, 2004

    Portfolio by Type       # of       # of                Percent of   # of
                         Properties Beds/Units   Revenue    Revenue    States
    Healthcare Property:
    Skilled Nursing
     Facilities             199       25,150     $32,519     61.1%       31
    Hospitals                42        3,629      17,567     33.0%       19
    Senior Housing
     Facilities              25        3,022       2,464      4.6%       12
    Other Facilities         11          122         690      1.3%        3
      Total                 277       31,923     $53,240    100.0%       39
    Other Real Estate
     Investments:
    Loan Receivable          25        1,983        $756

     Kindred Coverage Ratios

     The following is based on data provided by Kindred to the Company or
     obtained from Kindred's public filings.  This information reflects
     Kindred's EBITDAR coverage by Master Lease after management fees:


          Master           TTM(1)
          Lease        EBITDAR Coverage(2)
            1               2.1
            2               1.9
            3               1.3
            4               1.5
            5               1.3
        Portfolio           1.7

    (1) Trailing Twelve Months EBITDAR ended December 31, 2003 (the latest
        available data provided by Kindred) to the sum of (a) the Company's
        Trailing Twelve Months cash rental revenue, plus (b) a portion of the
        $8.6 million in annual rental revenue added by the July 1, 2003 Master
        Lease amendments, as if it were in effect as of January 1, 2003.

    (2) Coverage reflects the ratio of Kindred's EBITDAR to rent.  EBITDAR is
        defined as earnings before interest, income taxes, depreciation,
        amortization and rent but after deducting a 5 percent management fee.
        EBITDAR is adjusted for the first quarter 2003 in order to allocate
        certain of Kindred's professional liability insurance expenses to
        appropriate periods.


     Scheduled Maturities of Borrowing Arrangements

     The Company's indebtedness has the following maturities (in thousands):

    2004             $7,293
    2005             45,367
    2006            216,324
    2007             59,154
    2008              1,987
    Thereafter      452,237
      Total        $782,362