Genesis healthcare, inc. (GEN)
CashFlow / TTM
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)

7,474

-84,153

-234,952

-288,826

-372,417

-418,448

-941,571

-984,264

-959,204

-762,873

-200,228

-130,636

-118,051

-472,005

-480,568

-479,546

-526,768

-345,843

-328,701

-325,797

-251,529

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Net income (loss)

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

21,597

22,628

-216,254

-209,550

-204,043

0

0

0

Net income

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-

-

-

-

-

-

-

-

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

27,311

38,259

46,995

54,537

72,193

82,053

84,768

84,465

77,974

71,048

74,810

81,625

90,227

94,503

93,834

95,376

93,800

90,917

90,376

87,030

86,073

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Other non-cash gain, net

173,505

142,701

31,098

29,905

12,920

49,489

26,903

493

-8,473

138,384

145,935

193,048

202,070

41,801

36,629

-6,536

1,063

7,428

6,425

462

-3,947

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Share based compensation

7,309

7,801

8,098

8,480

8,820

9,147

9,411

9,762

9,621

8,861

10,001

9,110

8,414

7,379

5,749

4,689

28,472

0

0

0

-

-

-

-

-

3,418

4,013

4,890

4,750

4,741

3,792

3,773

3,608

0

0

0

Depreciation and amortization expense

123,159

154,255

172,361

207,588

220,896

239,836

246,188

242,920

255,786

247,623

249,337

257,063

254,459

252,398

253,788

239,451

237,763

224,581

210,938

207,118

196,192

320,881

278,160

234,494

191,479

0

0

0

-

-

-

-

-

-

-

-

Operating lease right-of-use asset amortization

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

(Recovery) provision for losses on accounts receivable

-4,469

-4,630

3,421

3,393

2,554

29,888

47,283

71,357

96,409

98,739

99,154

104,850

107,815

113,468

111,186

103,622

100,521

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Change in fair value of contingent consideration

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

-

-

-

-

-

-

-

-

Depreciation and amortization

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

-

0

0

0

Provision for losses on accounts receivable

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-

10,865

9,944

8,617

7,409

7,337

6,634

6,785

7,467

0

0

0

Equity in net income of unconsolidated affiliates

712

384

443

381

100

-154

-237

-111

243

1,424

2,248

2,657

3,286

3,139

2,886

2,749

2,139

598

-249

-307

-416

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Benefit for deferred taxes

-179

-2,944

-3,646

-4,560

-3,475

-18,091

-14,732

-12,811

-12,128

32,757

4,805

3,660

7,142

179,507

192,054

178,658

164,750

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Long-lived asset impairments

-

-

-

-

104,997

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Gain on early extinguishment of debt

-

-

-

-

94

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Excess tax benefits from stock-based payment arrangements

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-242

-296

-296

308

255

0

0

0

Loss (gain) on disposal of property and equipment

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-434

0

0

0

Amortization of debt issuance costs

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

2,742

2,493

2,626

2,813

3,024

3,320

3,327

3,328

0

0

0

Provision for deferred taxes

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

-

191

7,939

3,174

3,490

1,074

-21,572

-20,370

-11,086

0

0

0

Amortization of discount on debt

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

1,028

949

1,000

906

756

745

609

605

0

0

0

Changes in assets and liabilities:
Accounts receivable

-45,745

-82,455

-104,937

-88,352

-66,508

-14,983

46,369

82,403

86,256

86,315

83,949

113,983

170,126

178,781

169,007

161,630

144,624

95,130

71,308

59,869

33,568

141,980

129,762

119,254

109,844

8,848

23,529

11,302

15,293

12,464

10,720

8,325

9,299

0

0

0

Payments on notes receivable

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

3,121

3,053

3,150

3,116

1,501

2,910

3,098

3,314

0

0

0

Other current and non-current assets

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

5,073

2,422

2,107

1,952

-3,791

2,181

-6,515

-6,964

0

0

0

Accounts payable and other accrued expenses and other

-76,911

-73,047

-82,623

-80,649

-71,916

3,617

40,584

67,715

94,304

32,919

22,222

23,956

45,232

52,846

43,197

22,463

29,230

70,540

90,578

108,543

53,330

43,752

30,687

33,515

46,095

-5,288

-4,032

-6,852

-10,128

1,483

-1,904

3,255

1,761

0

0

0

Operating lease obligations

-93,630

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Total adjustments

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

Employee compensation and benefits

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

402

2,243

1,415

1,083

1,804

3,622

1,105

1,366

0

0

0

Insurance liability risks

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

5,405

2,637

-488

-1,637

357

-437

-1,012

-1,531

0

0

0

Other long-term liabilities

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-1,116

-1,241

-3,646

-3,148

-1,666

69

325

1,040

0

0

0

Net cash (used in) provided by operating activities

-7,166

20,276

43,196

36,817

18,584

67,163

62,797

69,738

120,455

100,417

113,973

88,545

68,361

48,869

39,862

35,546

8,618

17,339

63,562

92,352

107,652

130,681

104,721

90,486

82,149

48,572

42,345

48,179

42,676

64,125

68,270

85,798

99,380

0

0

0

Cash flows from investing activities:
Capital expenditures

-

-

-

58,220

-

-

-

61,322

64,106

70,793

79,062

86,120

93,118

91,020

96,762

95,245

85,723

84,372

68,947

64,135

70,987

119,530

110,316

98,571

77,399

16,986

18,406

18,448

19,522

17,695

17,172

17,206

16,298

0

0

0

Purchases of marketable securities

70,316

64,012

66,876

78,341

79,650

88,928

71,790

56,545

48,595

36,910

34,410

46,691

52,554

95,242

97,072

82,519

83,916

30,773

31,524

38,040

30,449

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Acquisitions

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

24,019

0

0

0

Proceeds from sale of property and equipment

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

400

0

0

0

Proceeds on maturity or sale of marketable securities

71,174

74,992

56,612

61,735

69,180

73,976

87,146

77,054

69,273

65,963

41,705

67,223

72,767

74,625

70,165

44,621

41,314

24,600

32,898

30,628

30,188

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Net change in restricted cash and equivalents

-

-

-

-

-

-

-

-

-

-

-

-

-22,183

-43,556

-16,132

-19,208

-10,269

24,107

26,300

17,732

24,405

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Sale of investment in joint venture

-

-

-

-

-

-

-

-

-

-

-

-

-

-

1,010

1,010

26,358

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Purchases of assets

591,660

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Sales of assets

257,806

0

0

0

-

-

-

-

-

-

-

-

150,675

151,873

150,822

78,848

3,738

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Other, net

50

-97

-120

-727

400

-819

-427

407

-397

-7,123

-1,346

-3,956

-3,107

4,016

-3,810

-84

-2,140

-1,749

773

162

1,062

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Net cash (used in) provided by investing activities

-387,003

-326,281

-115,250

-173,676

11,876

-60,692

-31,266

49,363

47,552

39,617

-7,876

-90,583

-12,788

-184,589

-185,793

-201,657

-253,484

-95,973

-77,047

-60,780

-95,675

-149,360

-133,216

-117,906

-91,702

-16,986

-18,406

-18,451

-19,525

-27,720

-40,844

-40,875

-39,917

0

0

0

Cash flows from financing activities:
Borrowings under revolving credit facilities

4,661,000

5,126,439

5,216,155

5,314,439

4,591,439

3,108,000

1,995,284

863,000

599,000

633,000

701,000

769,000

817,000

937,000

965,000

942,000

864,500

727,000

676,000

611,000

603,500

1,077,917

995,000

916,000

866,000

326,583

309,500

382,500

307,000

234,500

184,000

46,000

88,000

0

0

0

Repayments under revolving credit facilities

4,630,664

5,107,405

5,205,294

5,297,742

4,548,815

3,128,875

2,034,805

924,399

678,650

685,800

698,450

733,150

787,150

838,000

887,000

859,000

756,000

646,000

603,000

588,000

549,000

972,417

941,000

856,000

828,000

360,583

316,000

342,500

272,000

199,000

138,500

60,000

114,000

0

0

0

Proceeds from issuance of long-term debt

538,538

491,330

182,350

182,842

574,171

0

0

0

-

-

-

-

416,161

488,237

318,187

203,073

495,201

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Proceeds from tenant improvement draws under lease arrangements

-

-

-

-

-

-

-

-

-6,084

-10,577

-10,625

-10,332

-5,651

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Proceeds from tenant improvement draws under lease arrangements

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Repayment of long-term debt

199,626

215,927

176,619

97,375

544,077

480,572

486,332

575,382

128,307

172,976

335,567

376,478

500,101

443,219

279,756

154,806

357,716

355,567

353,143

345,318

17,946

-18,171

32,660

34,610

35,085

71,470

17,050

167,966

165,423

179,404

176,825

21,457

21,201

0

0

0

Repayment of finance lease obligations

2,645

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Debt issuance costs

10,182

8,677

4,060

4,186

17,030

0

0

0

-

-

-

-

14,524

13,858

6,244

3,733

19,193

11,365

21,837

21,839

7,916

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Debt settlement costs

-

-

-

-

485

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Contributions from noncontrolling interests

27,031

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Distributions to noncontrolling interests and stockholders

5,753

4,844

3,988

3,148

2,025

2,607

3,037

2,899

2,914

0

0

0

-

0

0

0

-

0

0

0

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Proceeds from exercise of stock options

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

26

0

0

0

Excess tax benefits from stock-based payment arrangements

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-242

-296

-296

-282

255

0

0

0

Taxes paid related to net share settlement of equity awards

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

191

227

228

234

191

248

243

718

0

0

0

Payment of financing costs

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

0

0

-

-

-

-

-

-

-

-

Net cash provided by financing activities

377,699

305,974

25,773

113,256

53,178

55,019

33,479

-62,462

-172,829

-139,316

-86,765

3,250

-65,708

129,889

109,646

122,607

218,861

64,738

44,821

4,900

14,158

41,436

29,888

33,292

20,748

-32,190

-27,492

-34,460

-37,165

-49,648

-36,869

-35,982

-47,638

0

0

0

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

-16,470

-31

-46,281

-23,603

83,638

61,490

65,010

56,639

-4,822

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

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

-

-

-

-

-

-

-

-

-

-

-

-

-

-

0

-43,504

-

-13,896

31,336

36,472

26,135

22,757

1,393

5,872

11,195

-604

-3,553

-4,732

-14,014

-13,243

-9,443

8,941

11,825

0

0

0

Supplemental cash flow information:
Interest paid

153,589

219,844

292,344

347,859

393,632

402,826

410,440

419,530

435,510

437,679

439,788

441,876

445,959

441,643

440,148

432,671

416,163

400,998

387,537

371,157

369,124

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

Net taxes paid

1,496

4,080

1,933

2,424

4,427

3,968

5,114

4,026

-861

-2,303

1,843

2,107

-10,270

-7,867

-6,760

796

20,893

15,807

11,034

5,630

2,408

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

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

-

-

-

-

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

13,096

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

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

-

0

0

0

-

-

-

0

-

-

-

0

-

85,422

65,438

84,168

83,989

41,404

43,890

45,101

80,284

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

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

-

-

-

-

-

-

-

-

-

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

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

-

-

-

-130,027

-50,321

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

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

2,916,017

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

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

-2,523,708

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

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

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

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

1,718,507

0

0

0

-

-

-

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Assumption of long-term debt, net of reclass

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

436,887

0

0

0

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-