<?xml version="1.0"?>
<ownershipDocument>
    <schemaVersion>X0101</schemaVersion>

    <documentType>4</documentType><periodOfReport>2003-05-15</periodOfReport>
    <issuer>
        <issuerCik>0000740260</issuerCik>
        <issuerName>VENTAS INC</issuerName>
        <issuerTradingSymbol>VTR</issuerTradingSymbol></issuer><reportingOwner><reportingOwnerId>
            <rptOwnerCik>0001213928</rptOwnerCik>
            <rptOwnerName>GELLERT JAY M</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>  </rptOwnerStreet1>
            <rptOwnerStreet2>  </rptOwnerStreet2>
            <rptOwnerCity>  </rptOwnerCity>
            <rptOwnerState>  </rptOwnerState>
            <rptOwnerZipCode>  </rptOwnerZipCode>
        </reportingOwnerAddress>
            <reportingOwnerRelationship>
<isDirector>1</isDirector><isOfficer>0</isOfficer><isTenPercentOwner>0</isTenPercentOwner><isOther>0</isOther></reportingOwnerRelationship></reportingOwner><nonDerivativeSecurity><securityTitle><value>Common Stock</value></securityTitle><transactionDate><value>2003-05-15</value></transactionDate><transactionCoding><transactionFormType>4</transactionFormType><transactionCode>A</transactionCode><equitySwapInvolved>0</equitySwapInvolved></transactionCoding><transactionAmounts><transactionShares><value>109</value></transactionShares><transactionValue><value>13.75</value></transactionValue><transactionAcquiredDisposedCode><value>A</value></transactionAcquiredDisposedCode></transactionAmounts><postTransactionAmounts><sharesOwnedFollowingTransaction><value>6897.016</value><footnoteId id="F1"/></sharesOwnedFollowingTransaction></postTransactionAmounts><ownershipNature><directOrIndirectOwnership><value>D</value></directOrIndirectOwnership><natureOfOwnership><value></value></natureOfOwnership></ownershipNature></nonDerivativeSecurity><footnotes><footnote id="F1">As of May 15, 2003 Reporting Person also owns options to purchase 20,000 shares of the Issuer's common stock. </footnote></footnotes><ownerSignature><signatureName>Jay M. Gellert</signatureName><signatureDate>2003-05-19</signatureDate></ownerSignature></ownershipDocument>
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X0101
4
2003-05-15
0000740260
VENTAS INC
VTR
0001213928
GELLERT JAY M
1
0
0
0
Common Stock
2003-05-15
4
A
0
109
13.75
A
6897.016
D
As of May 15, 2003 Reporting Person also owns options to purchase 20,000 shares of the Issuer's common stock.
Jay M. Gellert
2003-05-19