
• | Ended the quarter with $600 million of liquidity, including $562 million of cash and cash equivalents and marketable securities. |
• | Subsequent to the quarter end, the Company entered into definitive agreements to restructure a portfolio of 120 communities leased from Ventas, Inc. ("Ventas") to improve cash flow through permanent rent reductions and eliminate financial covenants. |
• | Completed baseline testing of residents and associates at all 700-plus of the Company’s communities, across 44 states. |
• | Improvement within the quarter of both Senior Housing and Health Care Services as move-ins and census grew. |
Year-Over-Year Increase / (Decrease) | Change Attributable To: | |||||||||||||||||||||
($ in millions) | 2Q 2020 | 2Q 2019 | Amount | Percent | COVID-19 | Transactions | Lease Standard | |||||||||||||||
Resident fee revenue | $ | 731.6 | $ | 801.9 | $ | (70.3 | ) | (8.8 | )% | See note (1) | $ | (15.2 | ) | $ | (5.3 | ) | ||||||
Management fee revenue | $ | 6.1 | $ | 15.4 | $ | (9.3 | ) | (60.4 | )% | — | $ | (8.6 | ) | — | ||||||||
Other operating income | $ | 26.7 | — | $ | 26.7 | NM | $ | 26.7 | — | — | ||||||||||||
Facility operating expense | $ | 606.0 | $ | 590.2 | $ | 15.8 | 2.7 | % | $ | 60.6 | $ | (14.4 | ) | $ | (11.8 | ) | ||||||
General and administrative expense | $ | 52.5 | $ | 57.6 | $ | (5.1 | ) | (8.9 | )% | — | — | — | ||||||||||
Net income (loss) | $ | (118.4 | ) | $ | (56.1 | ) | $ | 62.3 | 111.1 | % | See note (1) | See note (1) | $ | 6.5 | (1) | |||||||
Adjusted EBITDA (2) | $ | 44.7 | $ | 104.0 | $ | (59.3 | ) | (57.0 | )% | See note (1) | $ | (12.4 | ) | $ | 6.5 | |||||||
(1) | Estimated lost resident fee revenue attributable to COVID-19 was $63.6 million for the second quarter of 2020. The change in net income (loss) attributable to COVID-19 and transactions and the change in Adjusted EBITDA attributable to COVID-19 are not presented as certain impacts are not available without unreasonable effort. The change attributable to the lease standard represents the 2019 impact of the timing of the revenue and cost recognition associated with residency agreements related to the adoption of ASC 842. |
(2) | Adjusted EBITDA is a financial measure that is not calculated in accordance with GAAP. See "Reconciliations of Non-GAAP Financial Measures" for the Company's definition of such measure, reconciliations to the most comparable GAAP financial measures, and other important information regarding the use of the Company's non-GAAP financial measures. |
• | Resident fee revenue. |
• | Excluding the impact of transactions and the lease accounting standard, consolidated resident fee revenue decreased 6.2% over the prior year quarter. |
• | Consolidated RevPAR decreased $143, or 3.5%, to $3,954 compared to the prior year second quarter as a result of a decrease in consolidated weighted average occupancy of 480 basis points, offset by an increase in consolidated RevPOR of $113, or 2.3%, to $5,022. |
• | Consolidated senior housing occupancy was 77.8% as of June 30, 2020 compared to 82.2% as of March 31, 2020. The Company estimates that the COVID-19 pandemic and the Company's response efforts resulted in $63.6 million |
• | The implementation of the Patient-Driven Grouping Model ("PDGM") resulted in an additional decrease to revenue for home health services. |
• | Management fee revenue. The decrease was primarily due to the transition of management arrangements on 87 net communities since April 1, 2019, generally for management arrangements on certain former unconsolidated ventures in which the Company sold its interest and interim management arrangements on formerly leased communities. |
• | Other operating income. |
• | During the second quarter of 2020, the Company accepted $33.5 million of cash for grants from the Public Health and Social Services Emergency Fund (the "Emergency Fund"). The grants are subject to the terms and conditions of the program, including that such funds may only be used to prevent, prepare for, and respond to COVID-19 and will reimburse only for healthcare related expenses or lost revenues that are attributable to COVID-19. |
• | The Company recognized $26.4 million of grants from the Emergency Fund and $0.3 million from other grants as other operating income during the second quarter of 2020. |
• | Facility operating expense. |
• | Excluding the impact of transactions, the lease accounting standard, and incremental direct COVID-19 costs, facility operating expense decreased $18.6 million, or 3.3%, primarily due to decreases in certain costs as the Company intentionally scaled back certain activities in response to the COVID-19 pandemic and a decrease in labor costs for home health services as the Company adjusted its home health services operational structure, to better align its facility operating expenses and business model with the new payment model. The decreases were offset by higher labor expenses from wage rate increases. |
• | The Company incurred $60.6 million of incremental direct costs during the second quarter of 2020 to address the COVID-19 pandemic, primarily consisting of the Company's acquisition of personal protective equipment ("PPE"), medical equipment, and cleaning and disposable food service supplies, enhanced cleaning and environmental sanitation costs, increased labor expense, increased workers compensation and health plan expense, increased insurance premiums and retention, consulting and professional services costs, and costs for COVID-19 testing of residents and associates where not otherwise covered by government payor or third-party insurance sources. |
• | General and administrative expense. The decrease in general and administrative expense was primarily attributable to a reduction in the Company's travel costs as it intentionally scaled back such activities, a reduction in the Company's incentive compensation costs, and a reduction in the Company's corporate headcount, as it scaled its general and administrative costs in connection with community dispositions. The decrease was partially offset by a $2.7 million increase in transactional and organizational restructuring costs compared to the prior year quarter. |
• | Net income (loss) and Adjusted EBITDA. The decrease in net income (loss) and Adjusted EBITDA compared to the prior year quarter was primarily attributable to the revenue and facility operating expense factors previously discussed. |
• | COVID-19 Impact. |
• | Measures taken by the Company, including restrictions on community visitors, were in place across the Company’s portfolio for the second quarter of 2020, and the pandemic and related infection prevention and control protocols significantly disrupted demand for senior living communities. In response to these developments, the Company has redesigned its sales process to include virtual tours, video engagement, and outdoor prospective resident meetings, enhanced and adapted its marketing programs to address the social distancing environment, and sought to strengthen its relationships with referral partners. The Company has adopted a framework for determining when to ease restrictions at each of its communities based on several criteria, including regulatory requirements and guidance, completion of baseline testing at the community, and the community having no current confirmed positive COVID-19 cases. As of July 31, 85% of the Company’s communities are accepting move-ins. |
• | The Company has completed proactive baseline testing of residents and associates at all of its communities. Less than 1% of the Company’s residents as of July 31, 2020 are currently confirmed positive for COVID-19. |
• | Lower than prior year occupancy and revenue trends continued through July 2020, resulting in the Company’s consolidated occupancy decreasing from 77.8% as of June 30, 2020 to 76.6% as of July 31, 2020. Consolidated weighted average occupancy was 82.7%, 80.4%, 78.4%, 77.4%, and 76.4% for March, April, May, June, and July 2020, respectively. The number of move-ins increased each month as the second quarter of 2020 progressed, lessening the decline in occupancy in sequential months. Lower move-in activity compared to the prior year periods was partially offset by lower than normal controllable move-out activity. |
• | The Company's home health average daily census also began to decrease in March 2020 due to lower occupancy in its communities and fewer elective medical procedures and hospital discharges, resulting in an 18.7% year-over-year decline in home health average daily census for the quarter ended June 30, 2020. Census began to show recovery in June 2020 returning to levels attained in January 2020. |
Year-Over-Year Increase / (Decrease) | Sequential Increase / (Decrease) | ||||||||||||||||
($ in millions, except RevPAR and RevPOR) | 2Q 2020 | 2Q 2019 | Amount | Percent | 1Q 2020 | Amount | Percent | ||||||||||
RevPAR | $ | 3,975 | $ | 4,120 | $ | (145 | ) | (3.5)% | $ | 4,237 | $ | (262 | ) | (6.2)% | |||
Weighted average occupancy | 79.2 | % | 84.0 | % | (480 | ) bps | n/a | 83.5 | % | (430 | ) bps | n/a | |||||
RevPOR | $ | 5,020 | $ | 4,905 | $ | 115 | 2.3% | $ | 5,073 | $ | (53 | ) | (1.0)% | ||||
Facility operating expense | $ | 468.0 | $ | 420.6 | $ | 47.4 | 11.3% | $ | 445.6 | $ | 22.4 | 5.0% | |||||
(3) | The same community portfolio includes operating results and data for 638 communities utilizing the Company's methodology for determining same store communities, which excludes communities acquired or disposed of since the beginning of the prior year, communities classified as assets held for sale, certain communities planned for disposition, certain communities that have undergone or are undergoing expansion, redevelopment, and repositioning projects, certain communities that have expansion, redevelopment, and repositioning projects that are anticipated to be under construction in the current year, and certain communities that have experienced a casualty event that significantly impacts their operations. To aid in comparability, same community operating results and data exclude (i) hurricane and natural disaster expense of $0.3 million for the second quarter of 2020 and related insurance recoveries of $1.4 million and $0.3 million for the first quarter of 2020 and the second quarter of 2019, respectively, and (ii) for the 2019 period the additional resident fee revenue and facility operating expense recognized as a result of the application of the lease accounting standard ASC 842 of approximately $4.9 million and $10.9 million, respectively. As presented herein, same community facility operating expense includes the direct costs incurred to prepare for and respond to the COVID-19 pandemic. These costs had been excluded from same community facility operating expense presented in the Company’s press release dated May 5, 2020 that announced results for the first quarter of 2020. |
• | Resident fees. |
• | Same community resident fees decreased $21.8 million to $597.5 million attributable to the decreases in RevPAR and occupancy, partially offset by the increase in RevPOR. |
• | The Company estimates that the COVID-19 pandemic and the Company's response efforts resulted in $43.1 million of lost resident fee revenue on a same community basis for the second quarter of 2020. |
• | Facility operating expense. |
• | The year-over-year increase was primarily due to $52.9 million of incremental direct costs incurred during the second quarter of 2020 to address the COVID-19 pandemic. |
• | Additionally, there was an increase in labor expense on a same community basis arising from wage rate increases. The increase in same community facility operating expense compared to the prior quarter period was partially offset by decreases in repairs and maintenance costs due to fewer move-ins and advertising costs as the Company intentionally scaled back such activities. |
Increase / (Decrease) | |||||||||||
($ in millions) | 2Q 2020 | 2Q 2019 | Amount | Percent | |||||||
Resident fee revenue | $ | 90.1 | $ | 114.4 | $ | (24.3 | ) | (21.2 | )% | ||
Other operating income | 17.0 | — | 17.0 | NM | |||||||
Facility operating expense | 97.5 | 105.3 | (7.8 | ) | (7.4 | )% | |||||
• | Resident fee revenue. |
• | Health Care Services revenue decreased primarily due to the decline in the Company's home health average daily census as a result of lower occupancy in the Company's communities and fewer elective medical procedures and hospital discharges. |
• | The implementation of the PDGM, an alternate home health case mix adjustment methodology with a 30-day unit of payment, beginning January 1, 2020, also resulted in a decrease in revenue for home health services. |
• | The decrease in resident fee revenue was partially offset by an increase in volume and related revenues for hospice services. |
• | Facility operating expense. |
• | The year-over-year decrease in facility operating expense was primarily attributable to a decrease in labor costs for home health services as the Company adjusted its home health services operational structure, to better align its facility operating expenses and business model with the new payment model. |
• | The decrease in facility operating expenses was partially offset by $3.1 million of incremental direct costs to prepare for and respond to the COVID-19 pandemic incurred during the second quarter of 2020 and an increase in labor costs |
Increase / (Decrease) | |||||||||||
($ in millions) | 2Q 2020 | 2Q 2019 | Amount | Percent | |||||||
Net cash provided by (used in) operating activities | $ | 151.8 | $ | 64.1 | $ | 87.7 | 136.8 | % | |||
Adjusted Free Cash Flow (4) | 113.5 | (16.4 | ) | 129.9 | NM | ||||||
Increase / (Decrease) | |||||||||||
($ in millions) | June 30, 2020 | March 31, 2020 | Amount | Percent | |||||||
Unrestricted cash and cash equivalents | $ | 452.4 | $ | 392.7 | $ | 59.7 | 15.2 | % | |||
Marketable securities | 109.9 | 108.0 | 1.9 | 1.8 | % | ||||||
Availability on secured credit facility | 37.9 | 35.3 | 2.6 | 7.4 | % | ||||||
Total Liquidity | $ | 600.2 | $ | 536.0 | $ | 64.2 | 12.0 | % | |||
(4) | Adjusted Free Cash Flow is a financial measure that is not calculated in accordance with GAAP. See "Reconciliations of Non-GAAP Financial Measures" for the Company's definition of such measure, reconciliations to the most comparable GAAP financial measure and other important information regarding the use of the Company's non-GAAP financial measures. |
• | Net cash provided by (used in) operating activities. |
• | The year-over-year increase in net cash provided by (used in) operating activities was primarily attributable to $85.0 million of cash received under the Medicare accelerated and advance payment program, $33.5 million of government grants accepted, and $26.5 million of social security payroll taxes deferred, each during the current year period. |
• | These changes were partially offset by an increase in same community facility operating expense, a decrease in same community revenue, and a decrease in home health revenue compared to the prior year second quarter. |
• | Adjusted Free Cash Flow. The increase in Adjusted Free Cash Flow compared to the prior year second quarter was attributable to the increase in net cash provided by (used in) operating activities and a $44.9 million decrease in non-development capital expenditures, net compared to the prior year period. |
• | Total Liquidity. Total liquidity as of June 30, 2020, increased $64.2 million from March 31, 2020, primarily attributable to temporary liquidity relief under the CARES Act. |
• | State Concentration: The Company operates senior living communities in 44 states, with 48% of the Company's senior housing units concentrated in Texas (15%), California (12%), Florida (10%), Colorado (6%), and North Carolina (5%). As the severity and breadth of the pandemic dissipates in key markets within these states, the Company expects gradual improvement in move-ins and occupancy. |
• | Facility Operating Expense: |
▪ | Communities transitioning to welcoming visitors and move-ins are likely to increase marketing investments to drive future resident awareness and referrals. As of July 31, 2020, 85% of communities were accepting move-ins. |
▪ | Communities impacted by COVID infections are likely to incur increased costs for the use of a higher volume of PPE and medical supplies and incur higher labor and other related expenses. In the second quarter 2020, the Company increased its supply of PPE, which is expected to last for multiple months. |
• | State Concentration: The Company's Health Care Services segment platform included networks in 26 states, with 66% of the Company's census concentrated in Florida (47%), Texas (12%), and North Carolina (7%) for the twelve months ended June 30, 2020. As the severity and breadth of the pandemic dissipates in key markets within these states, the Company expects gradual improvement in census. |
• | The Company's Adjusted Free Cash Flow for the second quarter of 2020 benefited from temporary liquidity relief provided under the CARES Act. During April 2020, the Company received $85.0 million under the Medicare Accelerated and Advance Payment Program. Recoupment of accelerated/advanced payments are required and the Company expects approximately $45 million and $40 million will be due in the third quarter and fourth quarter of 2020, respectively, and accordingly will reduce Adjusted Free Cash Flow in the second half of 2020. |
• | The Company's Adjusted Free Cash Flow in the third quarter 2020 will include a $119.2 million one-time cash payment to Ventas pursuant to the multi-part transaction with Ventas. |
• | During July 2020, the Company applied for additional grants pursuant to the Emergency Fund’s Medicaid and CHIP allocation. The amount of such grants are expected to be based on 2% of a portion of the Company's 2018 gross revenues from patient care, and the Company expects to receive up to approximately $50 million of grants from this allocation. There can be no assurance that the Company will qualify for, or receive, grants in the amount we expect. |
Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||
(in thousands, except per share data) | 2020 | 2019 | 2020 | 2019 | |||||||||||
Revenue and other operating income | |||||||||||||||
Resident fees | $ | 731,629 | $ | 801,863 | $ | 1,514,336 | $ | 1,611,342 | |||||||
Management fees | 6,076 | 15,449 | 114,791 | 31,192 | |||||||||||
Reimbursed costs incurred on behalf of managed communities | 101,511 | 202,145 | 224,228 | 418,967 | |||||||||||
Other operating income | 26,693 | — | 26,693 | — | |||||||||||
Total revenue and other operating income | 865,909 | 1,019,457 | 1,880,048 | 2,061,501 | |||||||||||
Expense | |||||||||||||||
Facility operating expense (excluding facility depreciation and amortization of $86,971, $86,070, $171,272, and $174,897, respectively) | 606,034 | 590,246 | 1,194,516 | 1,176,340 | |||||||||||
General and administrative expense (including non-cash stock-based compensation expense of $6,119, $6,030, $12,076, and $12,386, respectively) | 52,518 | 57,576 | 107,113 | 113,887 | |||||||||||
Facility operating lease expense | 62,379 | 67,689 | 126,860 | 136,357 | |||||||||||
Depreciation and amortization | 93,154 | 94,024 | 183,892 | 190,912 | |||||||||||
Asset impairment | 10,290 | 3,769 | 88,516 | 4,160 | |||||||||||
Loss (gain) on facility lease termination and modification, net | — | 1,797 | — | 2,006 | |||||||||||
Costs incurred on behalf of managed communities | 101,511 | 202,145 | 224,228 | 418,967 | |||||||||||
Total operating expense | 925,886 | 1,017,246 | 1,925,125 | 2,042,629 | |||||||||||
Income (loss) from operations | (59,977 | ) | 2,211 | (45,077 | ) | 18,872 | |||||||||
Interest income | 2,243 | 2,813 | 3,698 | 5,897 | |||||||||||
Interest expense: | |||||||||||||||
Debt | (38,974 | ) | (45,193 | ) | (80,737 | ) | (90,836 | ) | |||||||
Financing lease obligations | (11,892 | ) | (16,649 | ) | (25,174 | ) | (33,392 | ) | |||||||
Amortization of deferred financing costs and debt discount | (1,556 | ) | (986 | ) | (2,871 | ) | (1,965 | ) | |||||||
Gain (loss) on debt modification and extinguishment, net | (157 | ) | (2,672 | ) | 19,024 | (2,739 | ) | ||||||||
Equity in earnings (loss) of unconsolidated ventures | 438 | (991 | ) | (570 | ) | (1,517 | ) | ||||||||
Gain (loss) on sale of assets, net | (1,029 | ) | 2,846 | 371,810 | 2,144 | ||||||||||
Other non-operating income (loss) | 988 | 3,199 | 3,650 | 6,187 | |||||||||||
Income (loss) before income taxes | (109,916 | ) | (55,422 | ) | 243,753 | (97,349 | ) | ||||||||
Benefit (provision) for income taxes | (8,504 | ) | (633 | ) | 7,324 | (1,312 | ) | ||||||||
Net income (loss) | (118,420 | ) | (56,055 | ) | 251,077 | (98,661 | ) | ||||||||
Net (income) loss attributable to noncontrolling interest | 19 | 585 | 37 | 596 | |||||||||||
Net income (loss) attributable to Brookdale Senior Living Inc. common stockholders | $ | (118,401 | ) | $ | (55,470 | ) | $ | 251,114 | $ | (98,065 | ) | ||||
Net income (loss) per share attributable to Brookdale Senior Living Inc. common stockholders: | |||||||||||||||
Basic | $ | (0.65 | ) | $ | (0.30 | ) | $ | 1.37 | $ | (0.53 | ) | ||||
Diluted | $ | (0.65 | ) | $ | (0.30 | ) | $ | 1.37 | $ | (0.53 | ) | ||||
Weighted average common shares outstanding: | |||||||||||||||
Basic | 183,178 | 186,140 | 183,682 | 186,442 | |||||||||||
Diluted | 183,178 | 186,140 | 183,862 | 186,442 | |||||||||||
(in thousands) | June 30, 2020 | December 31, 2019 | |||||
Cash and cash equivalents | $ | 452,441 | $ | 240,227 | |||
Marketable securities | 109,873 | 68,567 | |||||
Restricted cash | 28,397 | 26,856 | |||||
Accounts receivable, net | 120,503 | 133,613 | |||||
Assets held for sale | 37,397 | 42,671 | |||||
Prepaid expenses and other current assets, net | 89,416 | 84,241 | |||||
Total current assets | 838,027 | 596,175 | |||||
Property, plant and equipment and leasehold intangibles, net | 5,256,368 | 5,109,834 | |||||
Operating lease right-of-use assets | 1,030,505 | 1,159,738 | |||||
Other assets, net | 299,643 | 328,686 | |||||
Total assets | $ | 7,424,543 | $ | 7,194,433 | |||
Current liabilities | $ | 930,426 | $ | 1,046,972 | |||
Long-term debt, less current portion | 3,469,793 | 3,215,710 | |||||
Financing lease obligations, less current portion | 558,307 | 771,434 | |||||
Operating lease obligations, less current portion | 1,226,242 | 1,277,178 | |||||
Line of credit | 166,381 | — | |||||
Other liabilities | 133,505 | 184,414 | |||||
Total liabilities | 6,484,654 | 6,495,708 | |||||
Total Brookdale Senior Living Inc. stockholders' equity | 937,557 | 696,356 | |||||
Noncontrolling interest | 2,332 | 2,369 | |||||
Total equity | 939,889 | 698,725 | |||||
Total liabilities and equity | $ | 7,424,543 | $ | 7,194,433 | |||
Six Months Ended June 30, | |||||||
(in thousands) | 2020 | 2019 | |||||
Cash Flows from Operating Activities | |||||||
Net income (loss) | $ | 251,077 | $ | (98,661 | ) | ||
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: | |||||||
Loss (gain) on debt modification and extinguishment, net | (19,024 | ) | 2,739 | ||||
Depreciation and amortization, net | 186,763 | 192,877 | |||||
Asset impairment | 88,516 | 4,160 | |||||
Equity in (earnings) loss of unconsolidated ventures | 570 | 1,517 | |||||
Distributions from unconsolidated ventures from cumulative share of net earnings | — | 1,530 | |||||
Amortization of entrance fees | (925 | ) | (772 | ) | |||
Proceeds from deferred entrance fee revenue | 85 | 1,739 | |||||
Deferred income tax (benefit) provision | (15,253 | ) | 470 | ||||
Operating lease expense adjustment | (14,954 | ) | (8,812 | ) | |||
Loss (gain) on sale of assets, net | (371,810 | ) | (2,144 | ) | |||
Loss (gain) on facility lease termination and modification, net | — | 2,006 | |||||
Non-cash stock-based compensation expense | 12,076 | 12,386 | |||||
Non-cash management contract termination gain | — | (640 | ) | ||||
Other | (1,800 | ) | (4,401 | ) | |||
Changes in operating assets and liabilities: | |||||||
Accounts receivable, net | 12,995 | (3,997 | ) | ||||
Prepaid expenses and other assets, net | 20,162 | 30,823 | |||||
Prepaid insurance premiums financed with notes payable | (11,664 | ) | (12,090 | ) | |||
Trade accounts payable and accrued expenses | (18,692 | ) | (43,385 | ) | |||
Refundable fees and deferred revenue | 80,688 | (17,226 | ) | ||||
Operating lease assets and liabilities for lessor capital expenditure reimbursements | 10,509 | 1,000 | |||||
Net cash provided by (used in) operating activities | 209,319 | 59,119 | |||||
Cash Flows from Investing Activities | |||||||
Change in lease security deposits and lease acquisition deposits, net | 3,304 | (83 | ) | ||||
Purchase of marketable securities | (149,236 | ) | (98,059 | ) | |||
Sale and maturities of marketable securities | 108,750 | 55,000 | |||||
Capital expenditures, net of related payables | (112,863 | ) | (122,297 | ) | |||
Acquisition of assets, net of related payables and cash received | (446,688 | ) | — | ||||
Investment in unconsolidated ventures | (356 | ) | (4,204 | ) | |||
Distributions received from unconsolidated ventures | — | 5,305 | |||||
Proceeds from sale of assets, net | 300,539 | 52,430 | |||||
Proceeds from notes receivable | 1,140 | 31,609 | |||||
Net cash provided by (used in) investing activities | (295,410 | ) | (80,299 | ) | |||
Cash Flows from Financing Activities | |||||||
Proceeds from debt | 473,460 | 158,231 | |||||
Repayment of debt and financing lease obligations | (303,920 | ) | (238,036 | ) | |||
Proceeds from line of credit | 166,381 | — | |||||
Purchase of treasury stock, net of related payables | (18,123 | ) | (18,401 | ) | |||
Payment of financing costs, net of related payables | (7,469 | ) | (3,342 | ) | |||
Payments of employee taxes for withheld shares | (3,951 | ) | (3,105 | ) | |||
Other | 146 | 574 | |||||
Net cash provided by (used in) financing activities | 306,524 | (104,079 | ) | ||||
Net increase (decrease) in cash, cash equivalents, and restricted cash | 220,433 | (125,259 | ) | ||||
Cash, cash equivalents, and restricted cash at beginning of period | 301,697 | 450,218 | |||||
Cash, cash equivalents, and restricted cash at end of period | $ | 522,130 | $ | 324,959 | |||
Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||
(in thousands) | 2020 | 2019 | 2020 | 2019 | |||||||||||
Net income (loss) | $ | (118,420 | ) | $ | (56,055 | ) | $ | 251,077 | $ | (98,661 | ) | ||||
Provision (benefit) for income taxes | 8,504 | 633 | (7,324 | ) | 1,312 | ||||||||||
Equity in (earnings) loss of unconsolidated ventures | (438 | ) | 991 | 570 | 1,517 | ||||||||||
Loss (gain) on debt modification and extinguishment, net | 157 | 2,672 | (19,024 | ) | 2,739 | ||||||||||
Loss (gain) on sale of assets, net | 1,029 | (2,846 | ) | (371,810 | ) | (2,144 | ) | ||||||||
Other non-operating (income) loss | (988 | ) | (3,199 | ) | (3,650 | ) | (6,187 | ) | |||||||
Interest expense | 52,422 | 62,828 | 108,782 | 126,193 | |||||||||||
Interest income | (2,243 | ) | (2,813 | ) | (3,698 | ) | (5,897 | ) | |||||||
Income (loss) from operations | (59,977 | ) | 2,211 | (45,077 | ) | 18,872 | |||||||||
Depreciation and amortization | 93,154 | 94,024 | 183,892 | 190,912 | |||||||||||
Asset impairment | 10,290 | 3,769 | 88,516 | 4,160 | |||||||||||
Loss (gain) on facility lease termination and modification, net | — | 1,797 | — | 2,006 | |||||||||||
Operating lease expense adjustment | (8,221 | ) | (4,429 | ) | (14,954 | ) | (8,812 | ) | |||||||
Non-cash stock-based compensation expense | 6,119 | 6,030 | 12,076 | 12,386 | |||||||||||
Transaction and organizational restructuring costs | 3,368 | 634 | 5,349 | 1,095 | |||||||||||
Adjusted EBITDA(1) | $ | 44,733 | $ | 104,036 | $ | 229,802 | $ | 220,619 | |||||||
$100.0 million management termination fee | — | — | (100,000 | ) | — | ||||||||||
Adjusted EBITDA, excluding $100.0 million management termination fee | $ | 44,733 | $ | 104,036 | $ | 129,802 | $ | 220,619 | |||||||
(1) | Adjusted EBITDA for the three and six months ended June 30, 2019 includes a negative non-recurring net impact of $6.5 million and $13.0 million, respectively, from the application of the lease accounting standard effective January 1, 2019, for the six months ended June 30, 2020 includes the $100.0 million management agreement termination fee payment received from Healthpeak Properties, Inc. ("Healthpeak"), and for the three months ended June 30, 2020 includes $26.7 million of government grants recognized in other operating income during the period. |
Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||
(in thousands) | 2020 | 2019 | 2020 | 2019 | |||||||||||
Net cash provided by (used in) operating activities | $ | 151,840 | $ | 64,128 | $ | 209,319 | $ | 59,119 | |||||||
Net cash provided by (used in) investing activities | (47,483 | ) | 19,774 | (295,410 | ) | (80,299 | ) | ||||||||
Net cash provided by (used in) financing activities | (40,726 | ) | (87,443 | ) | 306,524 | (104,079 | ) | ||||||||
Net increase (decrease) in cash, cash equivalents, and restricted cash | $ | 63,631 | $ | (3,541 | ) | $ | 220,433 | $ | (125,259 | ) | |||||
Net cash provided by (used in) operating activities | $ | 151,840 | $ | 64,128 | $ | 209,319 | $ | 59,119 | |||||||
Distributions from unconsolidated ventures from cumulative share of net earnings | — | (781 | ) | — | (1,530 | ) | |||||||||
Changes in prepaid insurance premiums financed with notes payable | (5,770 | ) | (6,752 | ) | 11,664 | 12,090 | |||||||||
Changes in assets and liabilities for lessor capital expenditure reimbursements under operating leases | (6,421 | ) | (1,000 | ) | (10,509 | ) | (1,000 | ) | |||||||
Non-development capital expenditures, net | (21,521 | ) | (66,464 | ) | (82,077 | ) | (121,066 | ) | |||||||
Payment of financing lease obligations | (4,677 | ) | (5,500 | ) | (9,764 | ) | (10,953 | ) | |||||||
Adjusted Free Cash Flow (1) | $ | 113,451 | $ | (16,369 | ) | $ | 118,633 | $ | (63,340 | ) | |||||
(1) | Adjusted Free Cash Flow includes transaction and organizational restructuring costs of $3.4 million and $0.6 million for the three months ended June 30, 2020 and 2019, respectively, and $5.3 million and $1.1 million for the six months ended June 30, 2020 and 2019, respectively; includes the $100.0 million management agreement termination fee payment received from Healthpeak for the six months ended June 30, 2020; and includes $85.0 million of accelerated/advanced Medicare payments, $33.5 million of Emergency Fund government grants accepted, and $26.5 million of payroll taxes deferred during the three months ended June 30, 2020. |