Exhibit 99.1

Five Star Quality Care, Inc. Reports Fourth Quarter and Year End 2012 Results

Newton, MA (February 15, 2013).  Five Star Quality Care, Inc. (NYSE: FVE) today announced its financial results for the quarter and year ended December 31, 2012.

Fourth Quarter 2012 Financial Highlights:

·                  Total revenues for the fourth quarter of 2012 increased 14.4% to $359.1 million from $314.0 million for the same period in the previous year.

·                  Earnings before interest, taxes, depreciation and amortization, or EBITDA, for the fourth quarter of 2012 were $12.0 million compared to $8.4 million for the same period in the previous year.  EBITDA for the fourth quarter of 2011 included impairment of long-lived assets of $3.5 million and acquisition related costs of $229,000, partially offset by a gain on sale of available for sale securities of $3.5 million.  EBITDA excluding these and certain other items was $12.1 million and $8.7 million in the fourth quarters of 2012 and 2011, respectively. A reconciliation of income from continuing operations determined in accordance with U.S. generally accepted accounting principles, or GAAP, to EBITDA and EBITDA excluding certain items for the quarters ended December 31, 2012 and 2011 appears later in this press release.

·                  Income from continuing operations for the fourth quarter of 2012 was $3.5 million, or $0.07 per basic and diluted share, compared to $52.7 million, or $1.11 and $1.05 per share, basic and diluted, respectively, for the same period in the previous year. Income from continuing operations for the fourth quarter of 2011 included certain items that, in aggregate, increased our earnings by $51.8 million, or $1.09 and $1.03 per share, basic and diluted, respectively. These items were a $50.7 million income tax benefit related to the reversal of our valuation allowance, a $1.4 million income tax benefit related to impairment of long-lived assets and a $3.5 million gain on sale of available for sale securities, partially offset by impairment of long-lived assets of $3.5 million and acquisition related costs of $229,000.

·                  Net income for the fourth quarter of 2012 was $3.5 million, or $0.07 per basic and diluted share, compared to $55.4 million, or $1.16 and $1.10 per share, basic and diluted, respectively, for the same period in the previous year. Net income in the 2012 period included income from discontinued operations of $6,000 compared to $2.7 million of income from discontinued operations in the 2011 period.

Fourth Quarter 2012 Operating Highlights:

·                  Occupancy at our owned and leased senior living communities for the fourth quarter of 2012 was 85.7% compared to 86.2% for the same period in the previous year.

·                  The average monthly rate at our owned and leased senior living communities for the fourth quarter of 2012 increased by 2.5% to $4,516 from $4,408 for the same period in the previous year.

·                  The percentage of revenues derived from residents’ private resources for the fourth quarter of 2012 at our owned and leased senior living communities modestly decreased to 74.5% from 74.7% for the same period in the previous year.

·                  Our fee revenues from managed senior living communities in the fourth quarter of 2012 were $2.2 million compared to $515,000 in the fourth quarter of 2011.

Fiscal Year Financial Highlights:

·                  Total revenues for the year ended December 31, 2012 increased 12.1% to $1.4 billion from $1.2 billion for the year ended December 31, 2011.

·                  EBITDA for the year ended December 31, 2012 was $49.5 million compared to $39.3 million for the year ended December 31, 2011.  EBITDA for the year ended December 31, 2012 included a gain on settlement of our litigation with Sunrise Senior Living, Inc., or Sunrise, which increased EBITDA by $3.4 million. EBITDA for the year ended December 31, 2011 included impairment of long-lived assets of $3.5 million and acquisition related costs of $1.8 million, partially offset by a gain on sale of available for sale securities of $4.1 million.  EBITDA excluding these and certain other items was $46.2 million and $40.4 million for the year ended December 31, 2012 and 2011, respectively.  A reconciliation of income from continuing operations determined in accordance with GAAP to EBITDA and EBITDA excluding certain items for the years ended December 31, 2012 and 2011 appears later in this press release.

·                  Income from continuing operations for the year ended December 31, 2012 was $13.4 million, or $0.28 per basic and diluted share, compared to $67.5 million, or $1.60 and $1.52 per share, basic and diluted, respectively, for the year ended December 31, 2011.  Income from continuing operations for the year ended December 31, 2012 included a gain on settlement of our litigation with Sunrise of $1.9 million (net of taxes), or $0.04 per basic and diluted share. Income from continuing operations for the year ended December 31, 2011 included certain items that, in aggregate, increased our earnings by $51.0 million, or $1.21 and $1.13 per share, basic and diluted, respectively. These items were a $50.7 million income tax benefit related to the reversal of our valuation allowance, a $1.4 million income tax benefit related to impairment of long-lived assets, a $4.1 million gain on sale of available for sale securities and a $1,000 gain on early extinguishment of debt, partially offset by impairment of long-lived assets of $3.5 million and acquisition related costs of $1.8 million.

·                  Net income for the year ended December 31, 2012 was $24.9 million, or $0.52 per basic and diluted share, compared to $64.2 million, or $1.52 and $1.45 per share, basic and diluted, respectively, for the year ended December 31, 2011.  Net income for the 2012 period included income from discontinued operations, including the sale of our pharmacy business, of $11.5 million.  Net income for the 2011 period included a loss from discontinued operations of $(3.3) million.

Other Highlights:

During the fourth quarter of 2012, we began to manage nine senior living communities with a combined 2,233 living units for Senior Housing Properties Trust (NYSE: SNH).  All of these communities are focused on providing independent and/or assisted living services and generate a large majority of their revenues from residents’ private resources, not from Medicare or Medicaid government funded programs.

·                  As previously reported, in May 2012 we reached agreement with SNH and Sunrise whereby Sunrise would terminate its leases for 10 senior living communities owned by SNH and we would begin to manage the 10 communities for SNH’s account.  These 10 communities include 2,472 living units and are located in six states.  Prior to the fourth quarter of 2012, we began to manage three of these senior living communities with a combined 407 living units. During the fourth quarter of 2012, we began to manage the remaining seven of these senior living communities with a combined 2,065 living units.

·                  In December 2012, we began to manage two senior living communities with a combined 168 living units located in Tennessee and Texas.

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In October 2012, we entered an agreement to sell two skilled nursing facilities, or SNFs, with a total of 271 living units that we own which are located in Michigan for $8.0 million, including the assumption by the buyer of $7.5 million of United States Department of Housing and Urban Development mortgage debt.  These SNFs receive the majority of their revenues from Medicare/Medicaid reimbursements.  The losses generated at these facilities are included in our discontinued operations.  We expect the sale of these SNFs to occur before the end of 2013, but completion of this sale is subject to customary closing conditions, including regulatory approvals, and we can provide no assurance that a sale of these SNFs will occur before the end of 2013 or will be completed at all.

Bruce Mackey, President & CEO, made the following statement regarding the fourth quarter results of operations and recent activities:

“Although our occupancy rate for our owned and leased senior living communities declined year over year, this was primarily because of declines in occupancy from high acuity residents at our continuing care retirement communities, or CCRC’s, and SNFs.  Occupancy rates at our owned and leased independent and assisted living communities, which combined represent the largest number of units we operate, improved on a year over year basis.  Furthermore, our average monthly rate increased in all property types on a year over year basis.

Through external growth, a focus on cost control and growth in our private pay senior living business, we achieved meaningful year over year EBITDA growth.  EBITDA excluding certain items for the fourth quarter of 2012 was 39% higher than the fourth quarter of 2011.

During the fourth quarter we completed the transition of 10 senior living communities with 2,472 living units into our management business that were formerly operated by Sunrise and leased from SNH.  In addition, during the fourth quarter we began to manage two other senior living communities for SNH with a total of 168 living units.  We are now managing a total of 39 senior living communities that we expect may generate annual management fee revenues in 2013 of approximately $9.0 million based on the current operating performance at the communities.  We continue to look for opportunities to grow our private pay senior living business through managing, owning and leasing communities and have ample capacity on our balance sheet with $184.4 million available under our revolving credit facilities.”

Conference Call:

Later today, February 15, 2013, at 10:00 a.m. Eastern Time, we will host a conference call to discuss the fourth quarter and year end financial results.  Following management’s presentation, there will be a question and answer period.

The conference call telephone number is (800) 553-0288.  Participants calling from outside the United States and Canada should dial (612) 332-0530. No pass code is necessary to access the call from either number. Participants should dial in about 15 minutes prior to the scheduled start of the call.  A replay of the conference call will be available through 11:59 p.m. Eastern Time, February 22, 2013.  To hear the replay, dial (320) 365-3844. The replay pass code is 279877.

A live audio webcast of the conference call will also be available in a listen only mode on the Company’s website at www.fivestarseniorliving.com.  Participants wanting to access the webcast should visit the Company’s website about five minutes before the call.  The archived webcast will be available for replay on the Company’s website for about one week after the call. The recording and retransmission in any way of the Company’s fourth quarter 2012 conference call is strictly prohibited without the prior written consent of the Company.  The Company’s website is not incorporated as part of this press release.

About Five Star Quality Care, Inc.:

Five Star Quality Care, Inc. is a senior living and healthcare services company.  As of December 31, 2012, we operated 261 senior living communities with 30,454 living units located in 31 states, including 31 communities (2,952 living units) that we own and operate, 191 communities (20,812 living units) that we lease and operate, and 39 communities (6,690 living units) that we manage.  These communities include independent living, assisted living, continuing care and skilled nursing communities.  We also operate two leased rehabilitation hospitals.  We are headquartered in Newton, Massachusetts.

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WARNING CONCERNING FORWARD LOOKING STATEMENTS

THIS PRESS RELEASE CONTAINS STATEMENTS THAT CONSTITUTE FORWARD LOOKING STATEMENTS WITHIN THE MEANING OF THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995 AND OTHER SECURITIES LAWS.  ALSO, WHENEVER WE USE WORDS SUCH AS “BELIEVE”, “EXPECT”, “ANTICIPATE”, “INTEND”, “PLAN”, “ESTIMATE” OR SIMILAR EXPRESSIONS, WE ARE MAKING FORWARD LOOKING STATEMENTS.  THESE FORWARD LOOKING STATEMENTS ARE BASED UPON OUR PRESENT INTENT, BELIEFS OR EXPECTATIONS, BUT FORWARD LOOKING STATEMENTS ARE NOT GUARANTEED TO OCCUR AND MAY NOT OCCUR.  ACTUAL RESULTS MAY DIFFER MATERIALLY FROM THOSE CONTAINED IN OR IMPLIED BY THESE FORWARD LOOKING STATEMENTS AS A RESULT OF VARIOUS FACTORS.  FOR EXAMPLE:

·                  THIS PRESS RELEASE STATES THAT WE CONTINUE TO LOOK FOR OPPORTUNITIES TO GROW OUR PRIVATE PAY SENIOR LIVING BUSINESS THROUGH MANAGING, OWNING AND LEASING COMMUNITIES.  THERE CAN BE NO ASSURANCE THAT WE WILL BE SUCCESSFUL IN IDENTIFYING OR OBTAINING SUCH OPPORTUNITIES AND WE MAY DEPEND ON ENTITIES WITH WHICH WE CURRENTLY HAVE COMMERCIAL RELATIONS, INCLUDING AS A TENANT OR MANAGER, ACQUIRING ADDITIONAL SENIOR LIVING COMMUNITIES WITH SUBSTANTIAL PRIVATE PAY BUSINESS AND LEASING THOSE COMMUNITIES TO US OR CONTRACTING WITH US TO MANAGE THOSE COMMUNITIES.

·                  RESIDENTS AND PATIENTS WHO PAY FOR OUR SERVICES WITH THEIR PRIVATE RESOURCES MAY BECOME UNABLE TO AFFORD OUR SERVICES WHICH COULD RESULT IN DECREASED OCCUPANCY AND REVENUES AT OUR SENIOR LIVING COMMUNITIES AND REHABILITATION HOSPITALS AND INCREASED RELIANCE ON GOVERNMENT AND OTHER PAYERS.

·                  THIS PRESS RELEASE STATES THAT WE HAVE ENTERED AN AGREEMENT TO SELL TWO SNFS LOCATED IN MICHIGAN THAT WE OWN AND THAT WE EXPECT THE SALE TO OCCUR PRIOR TO THE END OF 2013.  THIS SALE IS SUBJECT TO VARIOUS TERMS AND CONDITIONS TYPICAL OF SUCH TRANSACTIONS, INCLUDING REGULATORY APPROVALS.  THESE TERMS AND CONDITIONS MAY NOT BE MET.  AS A RESULT, THIS TRANSACTION MAY BE DELAYED OR MAY NOT OCCUR OR ITS TERMS MAY CHANGE.

·                  THIS PRESS RELEASE STATES THAT WE EXPECT THAT THE 39 SENIOR LIVING COMMUNITIES WE NOW MANAGE WILL GENERATE APPROXIMATELY $9.0 MILLION ANNUALLY IN MANAGEMENT FEE REVENUES IN 2013, BASED ON CURRENT OPERATING PERFORMANCE.  HOWEVER, ACTUAL ANNUAL MANAGEMENT FEE REVENUES MAY BE LESS THAN $9.0 MILLION IN 2013 IF OPERATING PERFORMANCE AT THE COMMUNITIES DECLINES OR FOR OTHER REASONS.

·                  THIS PRESS RELEASE STATES THAT WE HAVE AMPLE CAPACITY ON OUR BALANCE SHEET WITH $184.4 MILLION AVAILABLE UNDER OUR REVOLVING CREDIT FACILITIES.  HOWEVER, OUR $35.0 MILLION REVOLVING CREDIT FACILITY EXPIRES ON MARCH 18, 2013, AND WE MAY NOT BE SUCCESSFUL IN RENEWING OR REFINANCING THAT FACILITY ON TERMS ACCEPTABLE TO US OR OTHERWISE.  IN ADDITION, WE MUST SATISFY CERTAIN CONDITIONS, INCLUDING FINANCIAL COVENANTS, IN ORDER TO BORROW UNDER OUR REVOLVING CREDIT FACILITIES.  FURTHER, OUR OPERATIONS AND BUSINESS REQUIRE SIGNIFICANT AMOUNTS OF WORKING CASH AND REQUIRE US TO MAKE SIGNIFICANT CAPITAL EXPENDITURES TO MAINTAIN OUR COMPETITIVENESS.  ACCORDINGLY, WE MAY NOT HAVE SUFFICIENT CASH LIQUIDITY.

THE INFORMATION CONTAINED IN OUR FILINGS WITH THE SECURITIES AND EXCHANGE COMMISSION, OR SEC, INCLUDING UNDER THE CAPTION “RISK FACTORS” IN OUR PERIODIC REPORTS, OR INCORPORATED THEREIN, IDENTIFIES OTHER IMPORTANT FACTORS THAT COULD CAUSE DIFFERENCES FROM OUR FORWARD LOOKING STATEMENTS.  OUR FILINGS WITH THE SEC ARE AVAILABLE ON THE SEC’S WEBSITE AT WWW.SEC.GOV.

FOR THESE REASONS, AMONG OTHERS, INVESTORS ARE CAUTIONED NOT TO PLACE UNDUE RELIANCE UPON FORWARD LOOKING STATEMENTS IN THIS PRESS RELEASE.

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Supplemental Information, page 1 of 8

FIVE STAR QUALITY CARE, INC.

CONSOLIDATED STATEMENTS OF INCOME

 (in thousands, except per share data)

(unaudited)

Supplemental Information, page 2 of 8

FIVE STAR QUALITY CARE, INC.

CONSOLIDATED BALANCE SHEETS DATA

(in thousands)

(unaudited)

Supplemental Information, page 3 of 8

FIVE STAR QUALITY CARE, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(unaudited)

Supplemental Information, page 4 of 8

FIVE STAR QUALITY CARE, INC.

SENIOR LIVING COMMUNITY FINANCIAL DATA(1)

(dollars in thousands, except average monthly rate)

Supplemental Information, page 5 of 8

FIVE STAR QUALITY CARE, INC.

COMPARABLE SENIOR LIVING COMMUNITY FINANCIAL DATA(1)

(dollars in thousands, except average monthly rate)

(1)       Excludes data for managed communities, rehabilitation hospitals and discontinued senior living operations.

(2)       Communities that we have operated continuously since October 1, 2011.

(3)       Communities that we have operated continuously since January 1, 2011.

(4)       Other senior living relates primarily to rehabilitation and other specialty service revenues and expenses provided at our residential facilities and does not include revenues and expenses from our rehabilitation hospital operations.

Supplemental Information, page 6 of 8

FIVE STAR QUALITY CARE, INC.

PERCENT BREAKDOWN OF SENIOR LIVING COMMUNITY REVENUES(1)

(1)        Excludes data for managed communities, rehabilitation hospitals and discontinued senior living operations.

Supplemental Information, page 7 of 8

FIVE STAR QUALITY CARE, INC.

SENIOR LIVING OTHER OPERATING DATA(1)

(dollars in thousands, except average monthly rate)