Operating margins fell rather sharply overall during the fall, according to a report from health management consultants Kaufman Hall, primarily because of rising labor costs. One presents a particularly strong case for a buy and hold, while the other merits some consideration, too, based on its own long history of steady performance. Stability is served by the long-term nature of its portfolio's net leases – 10 to 20 years with multiple 5-year extensions – nearly all of which have inflation-based or fixed annual rent escalators.