Ensign group, inc (ENSG)
CashFlow / Quarterly
Mar'20Dec'19Sep'19Jun'19Mar'19Dec'18Sep'18Jun'18Mar'18Dec'17Sep'17Jun'17Mar'17Dec'16Sep'16Jun'16Mar'16Dec'15Sep'15Jun'15Mar'15Dec'14Sep'14Jun'14Mar'14Dec'13Sep'13Jun'13Mar'13Dec'12Sep'12Jun'12Mar'12Dec'11Sep'11Jun'11Mar'11
Cash flows from operating activities:
Net income

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

13,526

-

-

-

-

-

-

-

-

-

11,598

12,976

12,746

Net income

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-485

-

-

-

-

-

-

-

-

-

-

-

-

Net income

41,201

27,326

27,828

28,925

27,607

26,559

20,350

22,326

23,293

11,222

14,274

12,381

2,956

21,006

11,184

11,363

9,290

14,437

13,157

13,235

15,088

10,796

8,371

1,533

13,041

13,349

10,612

12,404

-12,511

1,665

13,036

12,279

12,828

-

-

-

-

Net income from discontinued operations, net of tax

0

-

-

-

6,042

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Adjustments to reconcile net income to net cash provided by operating activities:
Loss from sale of discontinued operations (Note 23)

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

13

2,824

0

0

0

0

-

-

-

-

Depreciation and amortization

13,720

10,953

14,319

13,853

11,929

9,719

11,902

11,621

11,622

9,556

11,448

10,750

10,514

9,701

10,912

9,771

8,298

7,926

7,289

6,379

6,517

5,087

4,677

7,804

8,862

8,713

8,797

8,668

7,764

7,319

7,179

7,042

6,924

6,502

6,179

5,546

5,059

Impairment of long-lived assets and goodwill (Note 9 and 11)

-

-

-

-

-

4,632

3,653

705

155

0

0

0

111

0

0

0

137

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

U.S. Government inquiry settlement (Note 17)

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

33,000

-

0

0

0

-

-

-

-

Amortization of deferred financing fees

210

214

293

290

293

293

294

289

299

272

258

255

254

254

258

159

154

148

147

148

148

148

148

186

205

205

205

205

206

206

209

208

203

199

191

159

168

Amortization of deferred gain on sale-leaseback (Note 17)

-

-

-

-

-

165

164

165

164

165

164

92

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Non-cash leasing arrangement (Note 17)

125

9

-379

942

-254

-

-

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Write-off of deferred financing fees

-

-

-

-

-

-

-

-

-

-

-

-

-

0

124

0

197

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Deferred income taxes

1,003

-

-

-

0

-

-

-

14

8,390

514

0

61

-1,551

-660

-18

21

473

762

-6

22

-2,600

33

-560

17

3,774

-673

26

-121

-2,235

721

-2,250

1,653

753

11

-2,148

294

Provision for doubtful accounts

1,312

990

299

738

417

376

1,129

402

570

5,715

7,287

7,297

7,350

8,442

7,989

6,316

5,765

6,032

5,302

3,725

4,743

3,908

2,637

3,229

3,405

3,601

2,978

2,554

2,973

3,279

2,256

2,127

1,812

1,939

1,941

1,814

2,227

Stock-based compensation

3,235

2,089

2,978

3,799

2,456

728

2,810

2,520

2,309

1,000

2,155

2,376

2,224

2,194

2,242

2,780

1,885

1,729

1,722

1,733

1,493

1,377

1,430

1,204

1,179

1,467

987

954

991

2,255

869

784

831

742

937

846

831

Excess tax benefit from share-based compensation

-

-

-

-

-

-

-

-

-

-

-

-

-

829

716

849

685

889

891

1,259

641

1,861

471

1,244

688

1,353

593

411

497

723

527

220

398

489

459

91

441

Cash received from insurance proceeds related to replacement properties and business interruptions

-

-

-

-

-

785

1,783

-167

167

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Loss on insurance claims and disposal of assets

-101

-

-

-

-18

-

-

-

667

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Gain on disposition of intangibles, property and equipment

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-215

-35

14

-1,143

-154

-55

-194

-9

-69

-122

-2

3

Change in operating assets and liabilities
Accounts receivable

21,845

26,251

11,457

8,516

14,200

13,938

9,997

-7,023

-6,453

13,616

18,809

7,389

6,900

20,410

13,912

15,385

13,910

24,635

25,954

12,835

36,900

13,312

-1,157

7,108

12,604

10,544

-2,030

11,705

7,071

-1,788

3,875

4,531

9,532

7,285

5,210

3,036

9,264

Prepaid income taxes

-739

-1,419

-3,952

5,843

-6,072

-290

-2,067

6,783

-6,654

5,325

3,779

10,293

-252

-1,022

-6,549

4,619

-4,887

1,348

2,073

4,720

-2,992

-2,086

-5,140

7,579

-7,250

-1,519

706

2,329

4,613

555

616

2,370

-5,636

2,025

2,430

1,427

-1,333

Prepaid expenses and other assets

5,301

10,944

-365

1,079

-4,411

-1,439

-3,692

5,616

-2,162

6,071

-1,736

1,743

2,790

1,512

2,290

-2,952

615

3,408

3,023

371

3,538

-11

752

-1,390

-215

1,488

590

-1,552

-25

638

1,073

-461

-306

-608

1,202

399

-502

Charge related to class action lawsuit (Note 17)

-

-

-

-

-

-

-

-

-

-

0

0

11,000

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Liabilities related to operational closures (Note 7 and 17)

-

-

-

-

-

-

-

-

-

-410

0

-1,286

3,906

-176

-177

-240

7,798

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Insurance subsidiary deposits

-

-

-

-

-

-

2,172

-2,651

80

-

4,189

-4,537

179

-19

-644

-1,563

1,759

-168

-9,941

-471

-205

121

-1,921

117

150

96

167

-349

196

-107

174

-5,409

-416

-147

-344

-510

607

Operating lease obligations

-181

-

-

-

-3,985

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Accounts payable

-3,257

8,674

-4,573

-368

724

-263

2,105

6,741

-6,815

398

6,878

-335

-4,044

-1,578

1,610

2,036

-1,491

1,242

1,192

-5,047

4,393

3,814

431

904

2,829

714

2,381

-471

-4,860

2,009

2,044

5,494

-6,395

-1,515

3,867

-887

1,236

Accrued wages and related liabilities

-13,443

31,101

16,640

10,690

-11,045

19,025

9,586

5,444

-6,490

11,830

3,268

-2,575

-9,410

1,871

22

4,452

-11,323

13,415

6,993

3,874

-2,104

10,373

1,750

3,870

651

4,465

1,117

569

-1,905

730

942

361

-8,393

2,939

3,960

1,868

-4,186

Income taxes payable

10,882

-

-

-

990

-

-

-

0

0

0

-2,357

1,175

936

246

-208

13

0

0

-5,914

5,914

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

6,592

Other accrued liabilities

-4,040

-1,519

14,438

4,109

-5,675

-4,542

6,561

3,178

-647

-3,090

7,118

612

938

854

10,974

2,233

-1,473

3,466

9,946

1,434

6,557

-2,243

5,347

4,665

-1,432

5,404

2,899

-4,313

2,655

55

4,598

1,838

-1,583

2,989

3,271

226

-119

Accrued self-insurance liabilities

1,985

1,600

969

2,365

1,352

1,715

-1,324

4,288

1,061

639

1,697

2,191

1,568

-1,782

3,093

4,908

1,906

1,729

1,388

946

1,355

319

1,634

1,561

-1,633

-2,394

843

-1,972

1,681

409

546

3,629

1,621

1,018

1,216

429

1,396

Other long-term liabilities

677

2,039

991

586

686

-1,413

-195

37

339

-1,402

330

79

242

751

78

45

82

-263

454

97

26

83

-10

-61

-14

81

14

-76

-198

85

-5

105

212

610

-391

-19

-289

Net cash provided by continuing operating activities

27,123

-

-

-

15,754

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Net cash provided by discontinued operating activities (Note 3)

0

-

-

-

4,052

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Net cash provided by operating activities

27,123

54,630

65,315

52,472

19,806

53,025

56,037

60,845

40,395

16,294

38,329

5,334

19,586

2,704

34,356

24,133

12,695

20,069

6,492

948

5,860

18,192

29,611

15,644

21,433

-19,686

30,503

4,925

21,682

30,457

26,533

19,742

5,318

19,442

25,799

8,757

18,689

Cash flows from investing activities:
Purchase of property and equipment

15,810

-

-

-

12,801

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Purchase of property and equipment

-

-

-

-

-

13,262

13,337

13,213

11,082

14,304

16,762

11,016

11,997

13,426

15,830

18,212

18,231

17,718

13,526

16,055

12,719

11,568

9,548

16,153

16,424

7,875

8,479

8,189

5,216

12,098

10,373

9,357

7,025

11,702

10,387

9,683

9,001

Cash payments for business acquisitions (Note 8)

0

-18,758

3,951

14,758

6,504

-1,625

1,625

0

0

-6,438

42,300

32,952

8,693

500

7,729

55,591

490

30,928

18,867

22,298

38,709

49,701

4,526

29,294

9,148

-263

6,054

28,664

10,646

9,001

4,512

11,002

7,043

20,208

41,510

7,955

37,074

Cash payments for asset acquisitions (Note 8)

14,054

66,269

32,150

37,413

5,763

26,862

2,313

51,099

4,447

-115

0

0

310

120,158

0

777

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

6,802

9,244

0

7,339

Escrow deposits

0

-

-

-

300

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Escrow deposits used to fund acquisitions

14,050

0

0

0

7,271

-91

0

0

228

0

0

0

1,582

0

0

0

400

0

0

0

16,153

0

0

0

1,000

0

0

0

4,635

0

0

0

175

0

0

0

14,422

Cash proceeds from the sale of assets and insurance proceeds

121

216

5,260

54

2,521

1,801

1,361

1,546

64

101

1,529

409

608

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Escrow deposits

-

-

-

-

-

-

-

-7,373

10,025

-

-23,076

21,531

2,394

284

-5,406

5,058

1,646

-1,910

-1,034

859

2,485

15,553

-1,280

-1,372

3,252

750

-4,256

-3,337

7,843

4,635

-210

-2,730

2,940

-9,543

8,268

1,450

0

Use of restricted cash

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

1,481

1,907

1,694

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Purchases of investments

1,008

-

-

-

8,169

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Maturities of investments

1,396

-

-

-

6,046

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Other restricted assets

237

-

-

-

149

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Net cash used in continuing investing activities

-15,542

-

-

-

-17,848

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Net cash used in discontinued investing activities (Note 3)

0

-

-

-

-2,509

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Cash proceeds from the sale of property and equipment and insurance proceeds

-

-

-

-

-

-

-

-

-

-

-

-

-

-

20

174

197

-

0

0

0

-

-

-

-

142

146

539

102

116

9

1

29

113

329

273

51

Increase in restricted cash

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-

0

-177

177

-1,482

84

-119

1,517

126

-455

211

278

Investments and change in other assets

-

-

-

-

-

-

-

388

201

-

-17

139

193

-1,374

386

289

334

1,337

1,273

-186

389

216

350

-488

262

-

-

-

-

-

-

-

-

-

-

-

-

Net cash used in investing activities

-15,542

-97,627

-51,132

-77,899

-20,357

-55,942

-14,025

-55,781

-25,463

-30,118

-34,440

-27,229

-21,397

-98,212

-12,567

-79,753

-20,104

-47,962

-31,149

-52,972

-36,455

-73,443

-12,003

-59,319

-28,086

-8,189

-10,155

-27,746

-19,145

-22,655

-26,011

-17,509

-18,321

-29,182

-68,625

-19,026

-39,219

Cash flows from financing activities:
Proceeds from revolving credit facility and other debt (Note 15)

260,000

485,000

360,000

270,000

265,000

245,000

195,000

210,000

195,000

342,015

220,000

115,000

345,000

325,000

187,000

175,250

156,750

110,000

95,000

100,000

29,000

95,000

60,000

340,677

0

-

-

-

-

-

-

-

-

-

-

-

-

Proceeds from issuance of debt

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

21,525

15,000

75,000

0

0

Payments on revolving credit facility and other debt (Note 15)

240,666

433,160

362,529

243,448

257,517

257,512

217,505

222,501

217,421

322,065

217,037

89,037

362,015

212,033

200,165

137,164

110,152

80,150

80,149

60,091

94,027

30,027

60,000

239,322

1,849

1,824

1,802

1,788

1,793

6,770

1,749

1,735

6,571

1,561

42,281

1,702

715

Proceeds from common stock offering (Note 3)

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

112,078

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Issuance costs in connection with common stock offering (Note 3)

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-210

-147

-5,604

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Issuance of treasury stock upon exercise of options

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

71

0

10

6

195

4

77

94

379

4

2

34

248

239

27

120

618

518

2

103

Issuance of common stock upon exercise of options

1,552

1,127

1,829

3,213

2,334

3,234

1,357

1,858

2,920

1,062

1,963

1,292

957

1,026

1,413

747

3,377

509

484

934

2,410

965

313

1,199

998

469

793

607

1,294

71

1,001

928

2,067

325

333

174

775

Repurchase of shares of common stock (Note 19)

25,000

-1,281

5,394

2,293

0

-

-

-

-

0

0

1,220

6,068

0

0

0

30,000

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Dividends paid

2,705

2,564

2,558

2,543

2,525

2,377

2,347

2,367

2,328

2,189

2,178

2,171

2,179

2,042

2,034

2,025

2,072

1,935

1,930

1,921

1,708

1,544

1,587

1,602

1,564

1,444

1,438

1,436

0

2,731

1,297

1,293

1,283

1,169

1,160

1,158

1,150

Excess tax benefit from share-based compensation (Note 2)

-

-

-

-

-

-

-

-

-

-

-

-

-

849

771

869

692

898

896

1,265

641

1,864

475

1,253

688

1,353

593

411

497

723

527

220

398

489

459

91

441

Non-controlling interest distribution

-720

-

-

-92

0

-

-

0

-292

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Purchase of non-controlling interest

-

-

-

-

-

-

-

-

-

0

0

0

83

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Payments of deferred financing costs

-

-

-

-

-

0

0

-73

91

2,717

58

0

0

0

1,893

0

1,385

0

0

0

0

-

-

-

-

0

0

12

718

-14

0

39

219

28

2,504

0

39

Net cash (used in)/provided by continuing financing activities

-7,539

-

-

-

7,292

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Net cash (used in)/provided by financing activities

-7,539

57,776

-8,829

26,645

7,292

-11,657

-23,539

-12,937

-22,212

16,106

2,690

23,864

-24,388

112,800

-14,894

37,769

17,210

29,393

14,091

40,050

42,796

66,453

-795

8,599

-1,633

47,633

-1,850

7,784

-686

855

-1,279

-2,066

16,037

13,674

30,365

-2,593

-585

Net increase in cash and cash equivalents

4,042

14,779

5,354

1,218

6,741

-14,574

18,473

-7,873

-7,280

2,282

6,579

1,969

-26,199

17,292

6,895

-17,851

9,801

1,500

-10,566

-11,974

12,201

11,202

16,813

-35,076

-8,286

19,758

18,498

-15,037

1,851

8,657

-757

167

3,034

3,934

-12,461

-12,862

-21,115

Supplemental disclosures of cash flow information:
Cash paid during the period for:
Interest

4,835

2,829

3,946

4,584

2,916

4,367

4,304

3,512

3,809

3,270

2,854

3,084

4,076

1,374

2,355

1,550

1,149

806

687

535

745

409

6,126

3,607

3,369

3,345

3,197

3,173

3,094

3,174

3,091

3,033

3,096

3,258

5,001

2,712

2,900

Income taxes

-

-

-

-

-

-

-

-

-

7,602

11,237

19,535

8

11,611

0

11,277

275

9,488

8,236

17,751

15

7,339

1,007

13,525

158

2,085

7,348

9,730

160

5,726

6,901

12,215

0

4,250

9,187

10,295

7,870

Lease liabilities

32,481

30,150

37,643

37,565

36,183

-

-

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Non-cash financing and investing activity:
Acquisition of redeemable noncontrolling interest

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

11,600

-

0

0

0

Accrued capital expenditures

3,300

600

-100

300

3,300

-300

200

300

3,300

-1,230

-350

-578

5,708

2,660

-1,514

353

5,329

87

-160

196

4,048

1,589

844

-1,117

1,793

867

249

-1,420

1,997

835

90

-1,020

1,829

-50

-587

313

895

Dividends

-

-

-

-

-

-

10

21

2,346

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Note receivable from sale of ancillary business

-

-

-

-

-

-3

-153

143

139

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Note payable due to seller from business acquisition

-

-

-

-

-

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Right-of-use assets obtained in exchange for new and modified operating lease obligations

8,370

150,557

4,858

41,400

6,348

-

-

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Refundable deposits assumed as part of business acquisition

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

3,488

0

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Debt assumed as part of asset acquisition

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

5,451

5,948

300

0

3,417

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Cash paid for acquisitions

0

-18,758

3,951

14,758

6,504

-1,625

1,625

0

0

-6,438

42,300

32,952

8,693

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-