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Leases
12 Months Ended
Dec. 31, 2015
Leases [Abstract]  
Leases

NOTE 11 – LEASES

The Company leases real estate and equipment under cancelable and non-cancelable arrangements. The following table sets forth rent expense by business segment (in thousands):  

 

Year ended December 31,

 

 

2015

 

  

2014

 

  

2013

 

Hospital division:

 

 

 

 

 

 

 

 

 

 

 

Buildings:

 

 

 

 

 

 

 

 

 

 

 

Ventas

$

118,511

 

 

$

118,130

 

 

$

107,431

 

Other landlords

 

56,186

 

 

 

56,210

 

 

 

55,481

 

Equipment

 

31,995

 

 

 

30,823

 

 

 

32,055

 

 

 

206,692

 

 

 

205,163

 

 

 

194,967

 

Kindred at Home:

 

 

 

 

 

 

 

 

 

 

 

Home health:

 

 

 

 

 

 

 

 

 

 

 

Buildings

 

33,118

 

 

 

7,027

 

 

 

3,621

 

Equipment

 

1,607

 

 

 

805

 

 

 

502

 

 

 

34,725

 

 

 

7,832

 

 

 

4,123

 

Hospice: 

 

 

 

 

 

 

 

 

 

 

 

Buildings

 

16,577

 

 

 

895

 

 

 

892

 

Equipment

 

420

 

 

 

55

 

 

 

86

 

 

 

16,997

 

 

 

950

 

 

 

978

 

Kindred Rehabilitation Services:

 

 

 

 

 

 

 

 

 

 

 

Kindred Hospital Rehabilitation Services:

 

 

 

 

 

 

 

 

 

 

 

Buildings

 

29,423

 

 

 

6,488

 

 

 

6,821

 

Equipment

 

1,357

 

 

 

553

 

 

 

505

 

 

 

30,780

 

 

 

7,041

 

 

 

7,326

 

RehabCare:

 

 

 

 

 

 

 

 

 

 

 

Buildings

 

1,236

 

 

 

1,314

 

 

 

1,311

 

Equipment

 

2,589

 

 

 

2,885

 

 

 

3,415

 

 

 

3,825

 

 

 

4,199

 

 

 

4,726

 

Nursing center division:

 

 

 

 

 

 

 

 

 

 

 

Buildings:

 

 

 

 

 

 

 

 

 

 

 

Ventas

 

43,948

 

 

 

43,809

 

 

 

40,667

 

Other landlords

 

34,398

 

 

 

33,412

 

 

 

38,628

 

Equipment

 

7,891

 

 

 

8,348

 

 

 

8,493

 

 

 

86,237

 

 

 

85,569

 

 

 

87,788

 

Support center:

 

 

 

 

 

 

 

 

 

 

 

Buildings

 

3,233

 

 

 

2,109

 

 

 

2,120

 

Equipment

 

120

 

 

 

176

 

 

 

164

 

 

 

3,353

 

 

 

2,285

 

 

 

2,284

 

 Totals:

 

 

 

 

 

 

 

 

 

 

 

 Buildings:

 

 

 

 

 

 

 

 

 

 

 

 Ventas

 

162,459

 

 

 

161,939

 

 

 

148,098

 

 Other landlords

 

174,171

 

 

 

107,455

 

 

 

108,874

 

Equipment

 

45,979

 

 

 

43,645

 

 

 

45,220

 

 

$

382,609

 

 

$

313,039

 

 

$

302,192

 

NOTE 11 – LEASES (Continued)

Various facility leases include contingent annual rent escalators based upon a change in the Consumer Price Index or other agreed upon terms such as a patient revenue test. These contingent rents are included in rent expense in the year incurred. The Company recorded contingent rent of $0.5 million, $0.8 million and $2.5 million for the years ended December 31, 2015, 2014 and 2013, respectively, including both continuing operations and discontinued operations.

Future minimum payments under non-cancelable operating leases are as follows (in thousands):  

 

 

Minimum payments

 

 

Ventas

 

  

Other

 

  

Total

 

2016

$

166,802

 

 

$

159,519

 

 

$

326,321

 

2017

 

168,290

 

 

 

131,676

 

 

 

299,966

 

2018

 

139,356

 

 

 

113,576

 

 

 

252,932

 

2019

 

125,030

 

 

 

100,686

 

 

 

225,716

 

2020

 

107,840

 

 

 

87,019

 

 

 

194,859

 

Thereafter

 

372,970

 

 

 

419,999

 

 

 

792,969

 

Ventas master lease agreements

At December 31, 2015, the Company leased from Ventas and its affiliates 38 nursing centers and 38 TC hospitals under four master lease agreements (as amended, the “Master Lease Agreements”).  Included in the 38 nursing centers leased at December 31, 2015 are the two remaining 2014 Expiring Facilities. For accounting purposes, the Company reflected the operating results of the 2014 Expiring Facilities as discontinued operations in the accompanying consolidated statement of operations for all historical periods.

There are one or more bundles of leased properties under each Master Lease Agreement, with each bundle containing leased nursing centers and/or TC hospitals.

2014 lease expirations

On December 27, 2014, the Company entered into an agreement with Ventas to transition the operations for the 2014 Expiring Facilities. Each lease terminates when the operation of such nursing center is transferred to a new operator. Through December 31, 2015, the Company transferred the operations of seven of the 2014 Expiring Facilities and recorded a gain on divestiture of $2.0 million ($1.2 million net of income taxes). The lease term for eight of these nursing centers was scheduled to expire on April 30, 2018. The lease term for the ninth of these nursing centers was scheduled to expire on April 30, 2020. At December 31, 2015, the Company continued to operate the two remaining facilities and will continue to do so until the operations are transferred. For accounting purposes, the 2014 Expiring Facilities qualified as assets held for sale, and the Company reflected the operating results as discontinued operations in the accompanying consolidated statement of operations for all historical periods. Under the terms of the agreement to transition operations of the 2014 Expiring Facilities, the Company incurred a $40 million termination fee in exchange for the early termination of the leases, which was paid to Ventas in January 2015. The early termination fee was accrued as rent expense in discontinued operations in 2014.


NOTE 11 – LEASES (Continued)

Renewals

Following the exit of the two remaining 2014 Expiring Facilities, the Company will lease 36 nursing centers and 38 TC hospitals from Ventas within eight separate renewal bundles. Each bundle may be renewed for at least one five-year renewal term, provided notice of renewal is provided between 12 and 18 months prior to the expiration of the lease term. The following chart sets forth the remaining lease renewals under the Master Lease Agreements:

 

 

 

 

 

 

 

 

 

 

 

Facility renewals

Master Lease

  

Renewal
bundle name

 

  

Expiration date

 

  

Renewal date

 

  

Nursing centers

 

  

TC
hospitals

1

 

 

3

 

 

 

April 30, 2018

 

 

 

October 31, 2016 – April 29, 2017

 

 

 

4

 

 

 

1

1

 

 

8

 

 

 

April 30, 2020

 

 

 

October 31, 2018 – April 29, 2019

 

 

 

7

 

 

 

2

2

 

 

1

 

 

 

April 30, 2018

 

 

 

October 31, 2016 – April 29, 2017

 

 

 

3

 

 

 

3

2

 

 

4

 

 

 

April 30, 2020

 

 

 

October 31, 2018 – April 29, 2019

 

 

 

7

 

 

 

1

4

 

 

1

 

 

 

April 30, 2018

 

 

 

October 31, 2016 – April 29, 2017

 

 

 

4

 

 

 

2

5

 

 

1

 

 

 

April 30, 2023

 

 

 

October 31, 2021 – April 29, 2022

 

 

 

 

 

 

10

5

 

 

2

 

 

 

April 30, 2025

 

 

 

October 31, 2023 – April 29, 2024

 

 

 

 

 

 

19

5

 

 

3

 

 

 

April 30, 2025

 

 

 

October 31, 2023 – April 29, 2024

 

 

 

11

 

 

 

 

Conditions to effectiveness of renewals

The Company may not extend the Master Lease Agreements beyond any previously exercised renewal term if, at the time the Company seeks such extension and at the time such extension takes effect: (1) an event of default has occurred and is continuing or (2) a Medicare/Medicaid event of default and/or a licensed bed event of default has occurred and is continuing with respect to one, two or three leased properties, depending on the number of leased properties under a particular Master Lease Agreement. The renewal term of each Master Lease Agreement is subject to termination upon default by the Company and certain other conditions described in the Master Lease Agreements.

Rent appraisal process and the Company’s right to revoke such renewals

Under the Master Lease Agreements, if the Company provides Ventas with notice that it intends to renew one or more renewal bundles following the initial renewal term, Ventas may then initiate an appraisal process to establish a new fair market rental (as defined in the Master Lease Agreements) (“FMR”) for any or all of the bundles being renewed.

Under the appraisal process, an independent appraiser determines the FMR for each renewal bundle and each property within such renewal bundle. Ventas, in its sole discretion, then determines whether: (1) to accept the appraised FMR for the renewal bundle in the aggregate or (2) make no changes to the current base rent and contingent annual rent escalator for the renewal bundle. If Ventas selects the new FMR for a renewal bundle, then the new FMR would become effective at the start of the renewal term unless the Company elects to revoke its renewal by the applicable deadline set forth in the Master Lease Agreements.

The determination of FMR requires certain levels of subjectivity and judgment related to the many variables that may be considered under the circumstances. As a result, it is important for investors to consider the possibility of a wide range of outcomes with respect to the appraisal process.