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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) (USD $)
In Thousands, unless otherwise specified
6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Cash Flows from Operating Activities    
Net loss $ (29,148) $ (46,264)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Loss on extinguishment of debt 221 18,148
Depreciation and amortization 135,964 147,073
Asset impairment 8,329 14,846
Equity in earnings of unconsolidated ventures (38) (412)
Distributions from unconsolidated ventures from cumulative share of net earnings 1,015 0
Amortization of deferred gain (2,186) (2,186)
Amortization of entrance fees (13,050) (12,366)
Proceeds from deferred entrance fee revenue 17,377 15,660
Deferred income tax benefit (41) 0
Change in deferred lease liability 3,206 3,182
Change in fair value of derivatives and amortization 511 2,643
Loss (gain) on sale of assets 172 (1,315)
Loss on acquisition 636 0
Gain on facility lease termination (2,780) 0
Non-cash stock-based compensation expense 13,164 9,095
Changes in operating assets and liabilities:    
Accounts receivable, net (8,801) 1,623
Prepaid expenses and other assets, net 4,446 1,937
Accounts payable and accrued expenses (7,800) 1,317
Tenant refundable fees and security deposits (1,117) 23
Deferred revenue 8,467 4,348
Net cash provided by operating activities 128,547 157,352
Cash Flows from Investing Activities    
Increase in lease security deposits and lease acquisition deposits, net (6,336) (372)
Decrease in cash and escrow deposits - restricted 5,404 58,296
Purchase of marketable securities - restricted (400) (32,724)
Sale of marketable securities - restricted 0 1,417
Additions to property, plant and equipment and leasehold intangibles, net of related payables (91,966) (67,929)
Acquisition of assets, net of related payables and cash received (109,959) (54,508)
(Issuance of) payment on notes receivable, net (439) 403
Investment in unconsolidated ventures (571) 0
Distributions received from unconsolidated ventures 184 116
Proceeds from sale of assets, net 325 29,032
Other (702) (468)
Net cash used in investing activities (204,460) (66,737)
Cash Flows from Financing Activities    
Proceeds from debt 193,016 30,417
Repayment of debt and capital lease obligations (118,653) (418,176)
Proceeds from line of credit 205,000 55,000
Repayment of line of credit (195,000) (55,000)
Proceeds from issuance of convertible notes, net 0 308,335
Issuance of warrants 0 45,066
Purchase of bond hedge 0 (77,007)
Payment of financing costs, net of related payables (2,714) (3,485)
Other (264) (332)
Refundable entrance fees:    
Proceeds from refundable entrance fees 17,306 11,390
Refunds of entrance fees (13,531) (11,411)
Cash portion of loss on extinguishment of debt (118) (17,014)
Recouponing and payment of swap termination (1,289) (99)
Net cash provided by (used in) financing activities 83,753 (132,316)
Net increase (decrease) in cash and cash equivalents 7,840 (41,701)
Cash and cash equivalents at beginning of period 30,836 81,827
Cash and cash equivalents at end of period $ 38,676 $ 40,126