ENSIGN GROUP, INC ENSG Cash Flow

Ensign group, inc (ENSG)

CashFlow / TTM

Mar'20	Dec'19	Sep'19	Jun'19	Mar'19	Dec'18	Sep'18	Jun'18	Mar'18	Dec'17	Sep'17	Jun'17	Mar'17	Dec'16	Sep'16	Jun'16	Mar'16	Dec'15	Sep'15	Jun'15	Mar'15	Dec'14	Sep'14	Jun'14	Mar'14	Dec'13	Sep'13	Jun'13	Mar'13	Dec'12	Sep'12	Jun'12	Mar'12	Dec'11	Sep'11	Jun'11	Mar'11
Cash flows from operating activities:
Net income
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	0	-	-	-	-	-	-	-	-	-	0	0	0
Net income
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-
Net income
125,280	111,686	110,919	103,441	96,842	92,528	77,191	71,115	61,170	40,833	50,617	47,527	46,509	52,843	46,274	48,247	50,119	55,917	52,276	47,490	35,788	33,741	36,294	38,535	49,406	23,854	12,170	14,594	14,469	39,808	0	0	0	-	-	-	-
Net income from discontinued operations, net of tax
0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Adjustments to reconcile net income to net cash provided by operating activities:
Loss from sale of discontinued operations (Note 23)
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	2,837	2,837	2,837	2,824	0	0	0	0	-	-	-	-
Depreciation and amortization
52,845	51,054	49,820	47,403	45,171	44,864	44,701	44,247	43,376	42,268	42,413	41,877	40,898	38,682	36,907	33,284	29,892	28,111	25,272	22,660	24,085	26,430	30,056	34,176	35,040	33,942	32,548	30,930	29,304	28,464	27,647	26,647	25,151	23,286	0	0	0
Impairment of long-lived assets and goodwill (Note 9 and 11)
-	-	-	-	-	9,145	4,513	860	155	111	111	111	111	137	137	137	137	0	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
U.S. Government inquiry settlement (Note 17)
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	0	0	0	-	0	0	0	-	-	-	-
Amortization of deferred financing fees
1,007	1,090	1,169	1,170	1,169	1,175	1,154	1,118	1,084	1,039	1,021	1,021	925	825	719	608	597	591	591	592	630	687	744	801	820	821	822	826	829	826	819	801	752	717	0	0	0
Amortization of deferred gain on sale-leaseback (Note 17)
-	-	-	-	-	658	658	658	585	421	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Non-cash leasing arrangement (Note 17)
697	318	0	0	0	-	-	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Write-off of deferred financing fees
-	-	-	-	-	-	-	-	-	-	-	-	-	321	321	197	197	0	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Deferred income taxes
0	-	-	-	0	-	-	-	8,918	8,965	-976	-2,150	-2,168	-2,208	-184	1,238	1,250	1,251	-1,822	-2,551	-3,105	-3,110	3,264	2,558	3,144	3,006	-3,003	-1,609	-3,885	-2,111	877	167	269	-1,090	0	0	0
Provision for doubtful accounts
3,339	2,444	1,830	2,660	2,324	2,477	7,816	13,974	20,869	27,649	30,376	31,078	30,097	28,512	26,102	23,415	20,824	19,802	17,678	15,013	14,517	13,179	12,872	13,213	12,538	12,106	11,784	11,062	10,635	9,474	8,134	7,819	7,506	7,921	0	0	0
Stock-based compensation
12,101	11,322	9,961	9,793	8,514	8,367	8,639	7,984	7,840	7,755	8,949	9,036	9,440	9,101	8,636	8,116	7,069	6,677	6,325	6,033	5,504	5,190	5,280	4,837	4,587	4,399	5,187	5,069	4,899	4,739	3,226	3,294	3,356	3,356	0	0	0
Excess tax benefit from share-based compensation
-	-	-	-	-	-	-	-	-	-	-	-	-	3,079	3,139	3,314	3,724	3,680	4,652	4,232	4,217	4,264	3,756	3,878	3,045	2,854	2,224	2,158	1,967	1,868	1,634	1,566	1,437	1,480	0	0	0
Cash received from insurance proceeds related to replacement properties and business interruptions
-	-	-	-	-	2,568	0	0	0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Loss on insurance claims and disposal of assets
0	-	-	-	0	-	-	-	0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Gain on disposition of intangibles, property and equipment
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-1,379	-1,318	-1,338	-1,546	-412	-327	-394	-202	-190	0	0	0
Change in operating assets and liabilities
Accounts receivable
68,069	60,424	48,111	46,651	31,112	10,459	10,137	18,949	33,361	46,714	53,508	48,611	56,607	63,617	67,842	79,884	77,334	100,324	89,001	61,890	56,163	31,867	29,099	28,226	32,823	27,290	14,958	20,863	13,689	16,150	25,223	26,558	25,063	24,795	0	0	0
Prepaid income taxes
-267	-5,600	-4,471	-2,586	-1,646	-2,228	3,387	9,233	12,743	19,145	12,798	2,470	-3,204	-7,839	-5,469	3,153	3,254	5,149	1,715	-5,498	-2,639	-6,897	-6,330	-484	-5,734	6,129	8,203	8,113	8,154	-2,095	-625	1,189	246	4,549	0	0	0
Prepaid expenses and other assets
16,959	7,247	-5,136	-8,463	-3,926	-1,677	5,833	7,789	3,916	8,868	4,309	8,335	3,640	1,465	3,361	4,094	7,417	10,340	6,921	4,650	2,889	-864	635	473	311	501	-349	134	1,225	944	-302	-173	687	491	0	0	0
Charge related to class action lawsuit (Note 17)
-	-	-	-	-	-	-	-	-	-	0	0	0	-	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Liabilities related to operational closures (Note 7 and 17)
-	-	-	-	-	-	-	-	-	2,210	2,444	2,267	3,313	7,205	7,381	7,558	7,798	0	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Insurance subsidiary deposits
-	-	-	-	-	-	0	0	-6,691	-	-188	-5,021	-2,047	-467	-616	-9,913	-8,821	-10,785	-10,496	-2,476	-1,888	-1,533	-1,558	530	64	110	-93	-86	-5,146	-5,758	-5,798	-6,316	-1,417	-394	0	0	0
Operating lease obligations
0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Accounts payable
476	4,457	-4,480	2,198	9,307	1,768	2,429	7,202	126	2,897	921	-4,347	-1,976	577	3,397	2,979	-4,104	1,780	4,352	3,591	9,542	7,978	4,878	6,828	5,453	-2,236	-941	-1,278	4,687	3,152	-372	1,451	-4,930	2,701	0	0	0
Accrued wages and related liabilities
44,988	47,386	35,310	28,256	23,010	27,565	20,370	14,052	6,033	3,113	-6,846	-10,092	-3,065	-4,978	6,566	13,537	12,959	22,178	19,136	13,893	13,889	16,644	10,736	10,103	6,802	4,246	511	336	128	-6,360	-4,151	-1,133	374	4,581	0	0	0
Income taxes payable
0	-	-	-	0	-	-	-	-2,357	-1,182	-246	0	2,149	987	51	-195	-5,901	0	0	0	0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	0
Other accrued liabilities
12,988	11,353	8,330	453	-478	4,550	6,002	6,559	3,993	5,578	9,522	13,378	14,999	12,588	15,200	14,172	13,373	21,403	15,694	11,095	14,326	6,337	13,984	11,536	2,558	6,645	1,296	2,995	9,146	4,908	7,842	6,515	4,903	6,367	0	0	0
Accrued self-insurance liabilities
6,919	6,286	6,401	4,108	6,031	5,740	4,664	7,685	5,588	6,095	3,674	5,070	7,787	8,125	11,636	9,931	5,969	5,418	4,008	4,254	4,869	1,881	-832	-1,623	-5,156	-1,842	961	664	6,265	6,205	6,814	7,484	4,284	4,059	0	0	0
Other long-term liabilities
4,293	4,302	850	-336	-885	-1,232	-1,221	-696	-654	-751	1,402	1,150	1,116	956	-58	318	370	314	660	196	38	-2	-4	20	5	-179	-175	-194	-13	397	922	536	412	-89	0	0	0
Net cash provided by continuing operating activities
0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Net cash provided by discontinued operating activities (Note 3)
0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Net cash provided by operating activities
199,540	192,223	190,618	181,340	189,713	210,302	173,571	155,863	100,352	79,543	65,953	61,980	80,779	73,888	91,253	63,389	40,204	33,369	31,492	54,611	69,307	84,880	47,002	47,894	37,175	37,424	87,567	83,597	98,414	82,050	71,035	70,301	59,316	72,687	0	0	0
Cash flows from investing activities:
Purchase of property and equipment
0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Purchase of property and equipment
-	-	-	-	-	50,894	51,936	55,361	53,164	54,079	53,201	52,269	59,465	65,699	69,991	67,687	65,530	60,018	53,868	49,890	49,988	53,693	50,000	48,931	40,967	29,759	33,982	35,876	37,044	38,853	38,457	38,471	38,797	40,773	0	0	0
Cash payments for business acquisitions (Note 8)
-49	6,455	23,588	21,262	6,504	0	-4,813	35,862	68,814	77,507	84,445	49,874	72,513	64,310	94,738	105,876	72,583	110,802	129,575	115,234	122,230	92,669	42,705	44,233	43,603	45,101	54,365	52,823	35,161	31,558	42,765	79,763	76,716	106,747	0	0	0
Cash payments for asset acquisitions (Note 8)
149,886	141,595	102,188	72,351	86,037	84,721	57,744	55,431	4,332	195	120,468	120,468	121,245	120,935	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	23,385	0	0	0
Escrow deposits
0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Escrow deposits used to fund acquisitions
14,050	7,271	7,180	7,180	7,180	137	228	228	228	1,582	1,582	1,582	1,582	400	400	400	400	16,153	16,153	16,153	16,153	1,000	1,000	1,000	1,000	4,635	4,635	4,635	4,635	175	175	175	175	14,422	0	0	0
Cash proceeds from the sale of assets and insurance proceeds
5,651	8,051	9,636	5,737	7,229	4,772	3,072	3,240	2,103	2,647	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Escrow deposits
-	-	-	-	-	-	-	0	7,859	-	1,133	18,803	2,330	1,582	-612	3,760	-439	400	17,863	17,617	15,386	16,153	1,350	-1,626	-3,591	1,000	4,885	8,931	9,538	4,635	-9,543	-1,065	3,115	175	0	0	0
Use of restricted cash
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	5,082	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Purchases of investments
0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Maturities of investments
0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Other restricted assets
0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Net cash used in continuing investing activities
0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Net cash used in discontinued investing activities (Note 3)
0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Cash proceeds from the sale of property and equipment and insurance proceeds
-	-	-	-	-	-	-	-	-	-	-	-	-	-	0	0	207	-	0	0	0	-	-	-	-	929	903	766	228	155	152	472	744	766	0	0	0
Increase in restricted cash
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	0	-	-1,482	-1,398	-1,340	0	1,608	1,069	1,399	160	0	0	0
Investments and change in other assets
-	-	-	-	-	-	-	0	2,244	-	-1,059	-656	-506	-365	2,346	3,233	2,758	2,813	1,692	769	467	340	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-
Net cash used in investing activities
-242,200	-247,015	-205,330	-168,223	-146,105	-151,211	-125,387	-145,802	-117,250	-113,184	-181,278	-159,405	-211,929	-210,636	-160,386	-178,968	-152,187	-168,538	-194,019	-174,873	-181,220	-172,851	-107,597	-105,749	-74,176	-65,235	-79,701	-95,557	-85,320	-84,496	-91,023	-133,637	-135,154	-156,052	0	0	0
Cash flows from financing activities:
Proceeds from revolving credit facility and other debt (Note 15)
1,375,000	1,380,000	1,140,000	975,000	915,000	845,000	942,015	967,015	872,015	1,022,015	1,005,000	972,000	1,032,250	844,000	629,000	537,000	461,750	334,000	319,000	284,000	524,677	495,677	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-
Proceeds from issuance of debt
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	36,525	111,525	111,525	90,000	0	0	0
Payments on revolving credit facility and other debt (Note 15)
1,279,803	1,296,654	1,121,006	975,982	955,035	914,939	979,492	979,024	845,560	990,154	880,122	863,250	911,377	659,514	527,631	407,615	330,542	314,417	264,294	244,145	423,376	331,198	302,995	244,797	7,263	7,207	12,153	12,100	12,047	16,825	11,616	52,148	52,115	46,259	0	0	0
Proceeds from common stock offering (Note 3)
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	112,078	112,078	112,078	112,078	0	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-
Issuance costs in connection with common stock offering (Note 3)
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-5,961	-5,961	-5,751	-5,604	0	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-
Issuance of treasury stock upon exercise of options
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	87	211	215	282	370	554	554	479	419	288	523	548	634	1,004	1,283	1,258	1,241	0	0	0
Issuance of common stock upon exercise of options
7,721	8,503	10,610	10,138	8,783	9,369	7,197	7,803	7,237	5,274	5,238	4,688	4,143	6,563	6,046	5,117	5,304	4,337	4,793	4,622	4,887	3,475	2,979	3,459	2,867	3,163	2,765	2,973	3,294	4,067	4,321	3,653	2,899	1,607	0	0	0
Repurchase of shares of common stock (Note 19)
31,406	6,406	0	0	0	-	-	-	-	7,288	7,288	7,288	6,068	30,000	30,000	30,000	30,000	0	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Dividends paid
10,370	10,190	10,003	9,792	9,616	9,419	9,231	9,062	8,866	8,717	8,570	8,426	8,280	8,173	8,066	7,962	7,858	7,494	7,103	6,760	6,441	6,297	6,197	6,048	5,882	4,318	5,605	5,464	5,321	6,604	5,042	4,905	4,770	4,637	0	0	0
Excess tax benefit from share-based compensation (Note 2)
-	-	-	-	-	-	-	-	-	-	-	-	-	3,181	3,230	3,355	3,751	3,700	4,666	4,245	4,233	4,280	3,769	3,887	3,045	2,854	2,224	2,158	1,967	1,868	1,634	1,566	1,437	1,480	0	0	0
Non-controlling interest distribution
0	-	-	0	0	-	-	-292	-292	0	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Purchase of non-controlling interest
-	-	-	-	-	-	-	-	-	83	83	83	83	0	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Payments of deferred financing costs
-	-	-	-	-	18	2,735	2,793	2,866	2,775	58	1,893	1,893	3,278	3,278	1,385	1,385	0	0	0	0	-	-	-	-	730	716	716	743	244	286	2,790	2,751	2,571	0	0	0
Net cash (used in)/provided by continuing financing activities
0	-	-	-	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Net cash (used in)/provided by financing activities
68,053	82,884	13,451	-1,259	-40,841	-70,345	-42,582	-16,353	20,448	18,272	114,966	97,382	111,287	152,885	69,478	98,463	100,744	126,330	163,390	148,504	117,053	72,624	53,804	52,749	51,934	52,881	6,103	6,674	-3,176	13,547	26,366	58,010	57,483	40,861	0	0	0
Net increase in cash and cash equivalents
25,393	28,092	-1,261	11,858	2,767	-11,254	5,602	-6,292	3,550	-15,369	-359	-43	-19,863	16,137	345	-17,116	-11,239	-8,839	863	28,242	5,140	-15,347	-6,791	-5,106	14,933	25,070	13,969	-5,286	9,918	11,101	6,378	-5,326	-18,355	-42,504	0	0	0
Supplemental disclosures of cash flow information:
Cash paid during the period for:
Interest
16,194	14,275	15,813	16,171	15,099	15,992	14,895	13,445	13,017	13,284	11,388	10,889	9,355	6,428	5,860	4,192	3,177	2,773	2,376	7,815	10,887	13,511	16,447	13,518	13,084	12,809	12,638	12,532	12,392	12,394	12,478	14,388	14,067	13,871	0	0	0
Income taxes
-	-	-	-	-	-	-	-	-	38,382	42,391	31,154	22,896	23,163	21,040	29,276	35,750	35,490	33,341	26,112	21,886	22,029	16,775	23,116	19,321	19,323	22,964	22,517	25,002	24,842	23,366	25,652	23,732	31,602	0	0	0
Lease liabilities
137,839	141,541	0	0	0	-	-	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Non-cash financing and investing activity:
Acquisition of redeemable noncontrolling interest
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	0	0	0	-	0	0	0
Accrued capital expenditures
4,100	4,100	3,200	3,500	3,500	3,500	2,570	2,020	1,142	3,550	7,440	6,276	7,207	6,828	4,255	5,609	5,452	4,171	5,673	6,677	5,364	3,109	2,387	1,792	1,489	1,693	1,661	1,502	1,902	1,734	849	172	1,505	571	0	0	0
Dividends
-	-	-	-	-	-	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Note receivable from sale of ancillary business
-	-	-	-	-	126	129	282	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
205,185	203,163	0	0	0	-	-	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Refundable deposits assumed as part of business acquisition
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	3,488	3,488	3,488	3,488	0	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-
Debt assumed as part of asset acquisition
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	11,699	11,699	9,665	3,717	3,417	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-
Cash paid for acquisitions
-49	6,455	23,588	21,262	6,504	0	-4,813	35,862	68,814	77,507	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-