Genesis healthcare, inc. (GEN)
CashFlow / Quarterly
Dec'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 (loss)

-17,359

58,898

-8,983

-25,082

-108,986

-91,901

-62,857

-108,673

-155,017

-615,024

-105,550

-83,613

41,314

-52,379

-35,958

-71,028

-312,640

-60,942

-34,936

-118,250

-131,715

-43,800

-32,032

-43,982

-

-

-

-

-

-

-

-

-

-

-

-

Net income (loss)

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

5,695

6,068

3,497

6,337

6,726

-232,814

10,201

11,844

Net income

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

3,070

-

-

-

-

-

-

-

-

Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Non-cash interest and leasing arrangements, net

6,117

7,376

8,596

5,222

17,065

16,112

16,138

22,878

26,925

18,827

15,835

16,387

19,999

22,589

22,650

24,989

24,275

21,920

24,192

23,413

21,392

21,379

20,846

22,456

-

-

-

-

-

-

-

-

-

-

-

-

Other non-cash gain, net

1,364

131,811

23,413

16,917

-29,440

20,208

22,220

-68

7,129

-2,378

-4,190

-9,034

153,986

5,173

42,923

-12

-6,283

1

-242

7,587

82

-1,002

-6,205

3,178

-

-

-

-

-

-

-

-

-

-

-

-

Share based compensation

1,596

1,878

1,748

2,087

2,088

2,175

2,130

2,427

2,415

2,439

2,481

2,286

1,655

3,579

1,590

1,590

620

1,949

530

25,373

-

-

-

-

-

601

331

1,303

1,183

1,196

1,208

1,163

1,174

247

1,189

998

Depreciation and amortization expense

21,764

34,932

28,268

38,195

52,860

53,038

63,495

51,503

71,800

59,390

60,227

64,369

63,637

61,104

67,953

61,765

61,576

62,494

53,616

60,077

48,394

48,851

49,796

49,151

173,083

6,130

6,130

6,136

-

-

-

-

-

-

-

-

Operating lease right-of-use asset amortization

-

26,721

29,955

29,574

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

(Recovery) provision for losses on accounts receivable

-3,464

-259

-61

-685

-3,625

7,792

-89

-1,524

23,709

25,187

23,985

23,528

26,039

25,602

29,681

26,493

31,692

23,320

22,117

23,392

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Change in fair value of contingent consideration

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

79

-2,244

83

-

-

-

-

-

-

-

-

Depreciation and amortization

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

6,173

5,961

6,275

-

6,459

6,432

6,145

Provision for losses on accounts receivable

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

18,870

-

2,661

3,114

2,983

2,107

1,740

1,787

1,775

2,035

1,037

1,938

2,457

Equity in net income of unconsolidated affiliates

534

93

24

61

206

152

-38

-220

-48

69

88

134

1,133

893

497

763

986

640

360

153

-555

-207

302

44

-

-

-

-

-

-

-

-

-

-

-

-

Benefit for deferred taxes

1,595

-660

-279

-835

-1,170

-1,362

-1,193

250

-15,786

1,997

728

933

29,099

-25,955

-417

4,415

201,464

-13,408

-13,813

-9,493

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Long-lived asset impairments

-

-

-

-

16,989

32,391

27,257

28,360

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Gain on early extinguishment of debt

-

-

-

-

9,394

0

0

-9,300

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Excess tax benefits from stock-based payment arrangements

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

-242

-54

0

604

-295

Loss (gain) on disposal of property and equipment

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-141

0

-3

-290

Amortization of debt issuance costs

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

779

685

638

640

530

818

825

851

826

825

826

Provision for deferred taxes

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-11,158

-4,366

-8,733

-

-6,364

3,603

477

2,475

1,384

-1,162

793

59

-21,262

40

10,077

Amortization of discount on debt

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

235

237

238

318

156

288

144

168

145

152

140

Changes in assets and liabilities:
Accounts receivable

18,869

-3,199

-40,441

-20,974

-17,841

-25,681

-23,856

870

33,684

35,671

12,178

4,723

33,743

33,305

42,212

60,866

42,398

23,531

34,835

43,860

-7,096

-291

23,396

17,559

101,316

-12,509

12,888

8,149

320

2,172

661

12,140

-2,509

428

-1,734

13,114

Payments on notes receivable

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

885

642

777

817

817

739

743

-798

2,226

927

959

Other current and non-current assets

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

1,394

31

1,611

2,037

-1,257

-284

1,456

-3,706

4,715

-8,980

1,007

Accounts payable and other accrued expenses and other

-13,725

-12,322

-32,105

-18,759

-9,861

-21,898

-30,131

-10,026

65,672

15,069

-3,000

16,563

4,287

4,372

-1,266

37,839

11,901

-5,277

-22,000

44,606

53,211

14,761

-4,035

-10,607

43,633

1,696

-1,207

1,973

-7,750

2,952

-4,027

-1,303

3,861

-435

1,132

-2,797

Operating lease obligations

-26,999

-24,586

-20,478

-21,567

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Total adjustments

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

56,800

-

-

-

-

-

-

-

-

-

-

-

-

Employee compensation and benefits

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-3,330

4,949

-5,277

4,060

-1,489

4,121

-5,609

4,781

329

1,604

-5,348

Insurance liability risks

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

2,678

2,065

2,206

-1,544

-90

-1,060

1,057

450

-884

-1,635

538

Other long-term liabilities

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-1,858

1,311

-366

-203

-1,983

-1,094

132

1,279

-248

-838

847

Net cash (used in) provided by operating activities

-22,924

-20,323

23,935

12,146

4,518

2,597

17,556

-6,087

53,097

-1,769

24,497

44,630

33,059

11,787

-931

24,446

13,567

2,780

-5,247

-2,482

22,288

49,003

23,543

12,818

45,317

23,043

9,308

4,481

11,740

16,816

15,142

-1,022

33,189

20,961

32,670

12,560

Cash flows from investing activities:
Capital expenditures

-

-

-

23,529

-

-

-

16,461

15,641

14,624

14,596

19,245

22,328

22,893

21,654

26,243

20,230

28,635

20,137

16,721

18,879

13,210

15,325

23,573

67,422

3,996

3,580

2,401

7,009

5,416

3,622

3,475

5,182

4,893

3,656

2,567

Purchases of marketable securities

22,420

20,627

12,569

14,700

16,116

23,491

24,034

16,009

25,394

6,353

8,789

8,059

13,709

3,853

21,070

13,922

56,397

5,683

6,517

15,319

3,254

6,434

13,033

7,728

-

-

-

-

-

-

-

-

-

-

-

-

Acquisitions

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

10,022

13,647

0

350

Proceeds from sale of property and equipment

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

400

Proceeds on maturity or sale of marketable securities

14,449

36,208

12,260

8,257

18,267

17,828

17,383

15,702

23,063

30,998

7,291

7,921

19,753

6,740

32,809

13,465

21,611

2,280

7,265

10,158

4,897

10,578

4,995

9,718

-

-

-

-

-

-

-

-

-

-

-

-

Net change in restricted cash and equivalents

-

-

-

-

-

-

-

-

-

-

-

-

-1,199

-20,596

8,190

-8,578

-22,572

6,828

5,114

361

11,804

9,021

-3,454

7,034

-

-

-

-

-

-

-

-

-

-

-

-

Sale of investment in joint venture

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

1,010

0

0

0

26,358

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Purchases of assets

0

339,185

0

252,475

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Sales of assets

20,174

103,259

55,373

79,000

-

-

-

-

-

-

-

-

1,277

1,051

71,974

76,373

2,475

0

0

1,263

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Other, net

485

-15

-392

-28

338

-38

-999

1,099

-881

354

-165

295

-7,607

6,131

-2,775

1,144

-484

-1,695

951

-912

-93

827

340

-12

-

-

-

-

-

-

-

-

-

-

-

-

Net cash (used in) provided by investing activities

6,031

-230,826

41,211

-203,419

66,753

-19,795

-17,215

-17,867

-5,815

9,631

63,414

-19,678

-13,750

-37,862

-19,293

58,117

-185,551

-39,066

-35,157

6,290

-28,040

-20,140

-18,890

-28,605

-81,725

-3,996

-3,580

-2,401

-7,009

-5,416

-3,625

-3,475

-15,204

-18,540

-3,656

-2,517

Cash flows from financing activities:
Borrowings under revolving credit facilities

1,139,000

1,150,000

1,209,000

1,163,000

1,604,439

1,239,716

1,307,284

440,000

121,000

127,000

175,000

176,000

155,000

195,000

243,000

224,000

275,000

223,000

220,000

146,500

137,500

172,000

155,000

139,000

611,917

89,083

76,000

89,000

72,500

72,000

149,000

13,500

0

21,500

11,000

55,500

Repayments under revolving credit facilities

1,112,199

1,135,531

1,188,258

1,194,676

1,588,940

1,233,420

1,280,706

445,749

169,000

139,350

170,300

200,000

176,150

152,000

205,000

254,000

227,000

201,000

177,000

151,000

117,000

158,000

162,000

112,000

540,417

126,583

77,000

84,000

73,000

82,000

103,500

13,500

0

21,500

25,000

67,500

Proceeds from issuance of long-term debt

57,632

310,341

0

170,565

10,424

1,361

492

561,894

-

-

-

-

62,024

171,151

115,114

67,872

134,100

1,101

0

360,000

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Proceeds from tenant improvement draws under lease arrangements

-

-

-

-

-

-

-

-

-1

0

-903

-5,180

-4,494

-48

-610

-499

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Proceeds from tenant improvement draws under lease arrangements

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

95

-

1,207

2,624

1,290

-

-

-

-

-

-

-

-

-

-

-

-

Repayment of long-term debt

65,713

43,947

85,499

4,467

82,014

4,639

6,255

451,169

18,509

10,399

95,305

4,094

63,178

172,990

136,216

127,717

6,296

9,527

11,266

330,627

4,147

7,103

3,441

3,255

-31,970

57,934

5,391

3,730

4,415

3,514

156,307

1,187

18,396

935

939

931

Repayment of finance lease obligations

672

702

696

575

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Debt issuance costs

1,857

4,617

0

3,708

352

0

126

16,552

-

-

-

-

2,083

7,615

2,510

2,316

1,417

1

-1

17,776

-6,411

10,473

1

3,853

-

-

-

-

-

-

-

-

-

-

-

-

Debt settlement costs

-

-

-

-

0

0

-501

986

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Contributions from noncontrolling interests

0

8,531

0

18,500

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Distributions to noncontrolling interests and stockholders

1,561

1,648

1,406

1,138

652

792

566

15

1,234

1,222

428

30

-

357

300

240

-

2,517

4,076

2,840

-

5,514

4,444

7,572

-

-

-

-

-

-

-

-

-

-

-

-

Proceeds from exercise of stock options

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

26

Excess tax benefits from stock-based payment arrangements

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

-242

-54

0

14

295

Taxes paid related to net share settlement of equity awards

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-34

18

204

3

2

19

210

-40

59

14

685

Payment of financing costs

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

2,877

2,449

0

-

-

-

-

-

-

-

-

Net cash provided by financing activities

14,630

282,427

-66,859

147,501

-57,095

2,226

20,624

87,423

-55,254

-19,314

-75,317

-22,944

-21,741

33,237

14,698

-91,902

173,856

12,994

27,659

4,352

19,733

-6,923

-12,262

13,610

47,011

-18,471

-8,858

1,066

-5,927

-13,773

-15,826

-1,639

-18,410

-994

-14,939

-13,295

Net (decrease) increase in cash, cash equivalents and restricted cash and equivalents

-2,263

31,278

-1,713

-43,772

14,176

-14,972

20,965

63,469

-7,972

-11,452

12,594

2,008

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Cash, cash equivalents and restricted cash and equivalents:
Net increase (decrease) in cash and cash equivalents

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-5,526

-9,339

-

-23,292

-12,745

8,160

13,981

21,940

-7,609

-2,177

10,603

576

-3,130

3,146

-1,196

-2,373

-4,309

-6,136

-425

1,427

14,075

-3,252

Supplemental cash flow information:
Interest paid

34,832

27,214

45,923

45,620

101,087

99,714

101,438

91,393

110,281

107,328

110,528

107,373

112,450

109,437

112,616

111,456

108,134

107,942

105,139

94,948

92,969

94,481

88,759

92,915

-

-

-

-

-

-

-

-

-

-

-

-

Net taxes paid

-1,176

1,062

529

1,081

1,408

-1,085

1,020

3,084

949

61

-68

-1,803

-493

4,207

196

-14,180

1,910

5,314

7,752

5,917

-3,176

541

2,348

2,695

-

-

-

-

-

-

-

-

-

-

-

-

Non-cash investing and financing activities:
Finance lease obligations, net write-down due to lease activity

-

-

-

-

-

-

-

18,194

-

-

-

-

-

-

-

-

-

-

-

-

0

-309

309

13,096

-

-

-

-

-

-

-

-

-

-

-

-

Finance lease obligations, net write-down due to lease activity

-

-798,740

-263,684

131,842

-

-

-

5,152

-

-

-

8,733

-

21,005

4,067

3,861

56,489

1,021

22,797

3,682

13,904

3,507

24,008

38,865

-

-

-

-

-

-

-

-

-

-

-

-

Finance lease obligations, net write-down due to lease activity under ASC 840

-

-

-

-

-

-

-

-

-

0

0

14,909

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Assets subject to capital lease obligations, net (gross-up) write-down due to lease activity, under ASC 840

-

-

-

-61,512

14,135

-29,476

-53,174

18,194

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Operating lease obligations, net gross-up due to lease activity

14,218

493,242

0

2,408,557

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Assets subject to operating leases, net (gross-up) due to lease activity

-9,294

-249,712

0

-2,264,702

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Financing obligations, net (write-down) gross-up due to lease activity

-

-

-

2,734,940

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Assets subject to financing obligations, net write-down due to lease activity

0

0

0

1,718,507

-

-

-

-5,152

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Assumption of long-term debt, net of reclass

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

111

110,166

326,610

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-