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Consolidated and Combined Statements of Cash Flows - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Cash flows from operating activities:      
Net income (loss) $ 10,034 $ (8,143) $ (395)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:      
Depreciation and amortization 24,133 23,000 23,418
Amortization of deferred financing costs and debt discount 2,200 1,603 821
Write-off of deferred financing costs 1,208 0 0
Amortization of stock-based compensation 1,522 154 0
Noncash interest income (945) (32) 0
Loss on extinguishment of debt 0 1,998 0
Loss on settlement of interest rate swap 0 1,661 0
Loss on disposition of equipment, furniture and fixtures 0 0 206
Change in operating assets and liabilities:      
Accounts receivable (2,326) 4 5
Accounts receivable due from related party 2,275 (2,275) 0
Prepaid expenses and other assets (86) 445 266
Interest rate swap 0 (1,661) 0
Accounts payable and accrued liabilities 2,239 5,152 2,311
Net cash provided by operating activities 40,254 21,906 26,632
Cash flows from investing activities:      
Acquisition of real estate (232,466) (25,742) (35,656)
Improvements to real estate (187) (579) 0
Purchases of equipment, furniture and fixtures (276) (19,275) (19,931)
Preferred equity investment 0 (7,500) 0
Escrow deposits for acquisition of real estate (1,750) (500) 0
Net proceeds from the sale of vacant land 30 0 0
Cash proceeds from sale of equipment, furniture and fixtures 0 0 854
Net cash used in investing activities (234,649) (53,596) (54,733)
Cash flows from financing activities:      
Proceeds from the issuance of common stock, net 162,963 0 0
Proceeds from the issuance of senior unsecured notes payable 0 260,000 0
Borrowings under unsecured credit facility 45,000 0 0
Borrowings under senior secured revolving credit facility 35,000 10,000 58,700
Proceeds from the issuance of mortgage notes payable 0 50,676 0
Repayments of borrowings under senior secured revolving credit facility (35,000) (88,701) 0
Payments on the mortgage notes payable (3,183) (68,155) (3,457)
Payments on senior secured term loan 0 (65,624) (3,750)
Payments of deferred financing costs (2,303) (13,436) (730)
Net-settle adjustment on restricted stock (145) 0 0
Dividends paid on common stock (21,790) (33,001) 0
Net contribution from (distribution to) Ensign (Note 6) 0 4,356 (22,502)
Net cash provided by financing activities 180,542 56,115 28,261
Net (decrease) increase in cash and cash equivalents (13,853) 24,425 160
Cash and cash equivalents, beginning of period 25,320 895 735
Cash and cash equivalents, end of period 11,467 25,320 895
Supplemental disclosures of cash flow information:      
Interest paid 21,687 17,243 12,657
Income taxes paid 0 104 100
Supplemental schedule of noncash operating, investing and financing activities:      
Increase in dividends payable 3,758 3,946 0
Application of escrow deposit to acquisition of real estate 500 0 0
Distributions paid to common stockholders through common stock issuances 0 98,998 0
Holdback of purchase price to acquire real estate 0 300 0
Operating assets and liabilities that were not transferred to CareTrust 0 1,042 0
Equipment, furniture and fixtures that were not transferred to CareTrust 0 (11,684) 0
Net capital distribution to Ensign $ 0 $ 10,475 $ 0