UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)



x	QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended ~~September 30, 2018~~March 31, 2019



¨	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to

Commission File Number: 001-36181

CareTrust REIT, Inc.

(Exact name of registrant as specified in its charter)



Maryland		46-3999490
(State or other jurisdiction of incorporation or organization)		(I.R.S. Employer Identification No.)

905 Calle Amanecer, Suite 300, San Clemente, CA		92673
(Address of principal executive offices)		(Zip Code)

(949) 542-3130

(Registrant’s telephone number, including area code)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. x Yes ¨ No

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). x Yes ¨ No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act:



Large accelerated filer	x	Accelerated filer	¨

Non-accelerated filer	¨	Smaller reporting company	¨

		Emerging growth company	¨

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). ¨ Yes x No

As of ~~November 2, 2018,~~May 6, 2019, there were ~~83,883,818~~95,582,455 shares of common stock outstanding.

Securities registered pursuant to Section 12(b) of the Act:



Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Common Stock, par value $0.01 per share	CTRE	The Nasdaq Stock Market LLC (Nasdaq Global Select Market)

INDEX



PART I—FINANCIAL INFORMATION
Item 1.	Financial Statements (Unaudited)
	Condensed Consolidated Balance Sheets	1
	Condensed Consolidated Income Statements	2
	Condensed Consolidated Statements of Equity	3
	Condensed Consolidated Statements of Cash Flows	4
	Notes to Condensed Consolidated Financial Statements	5
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	2824
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	3631
Item 4.	Controls and Procedures	3631

PART II—OTHER INFORMATION

Item 1.	Legal Proceedings	3732
Item 1A.	Risk Factors	3732
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	32
Item 6.	Exhibits	3733
	Signatures	3834

PART I—FINANCIAL INFORMATION

Item 1. Financial Statements.

CARETRUST REIT, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share amounts)

(Unaudited)


	September 30, 2018			December 31, 2017
	(Unaudited)						March 31, 2019			December 31, 2018
Assets:
Real estate investments, net	$	1,189,449		$	1,152,261		$	1,259,336		$	1,216,237
Other real estate investments, net	18,083			17,949			29,419			18,045
Cash and cash equivalents	15,745			6,909			214,354			36,792
Accounts and other receivables, net	12,384			5,254			8,360			11,387
Prepaid expenses and other assets	3,792			895			8,759			8,668
Deferred financing costs, net	904			1,718			3,758			633
Total assets	$	1,240,357		$	1,184,986		$	1,523,986		$	1,291,762
Liabilities and Equity:
Senior unsecured notes payable, net	$	294,963		$	294,395		$	295,342		$	295,153
Senior unsecured term loan, net	99,588			99,517			198,555			99,612
Unsecured revolving credit facility	90,000			165,000			185,000			95,000
Accounts payable and accrued liabilities	18,510			17,413			13,972			15,967
Dividends payable	17,246			14,044			20,086			17,783
Total liabilities	520,307			590,369			712,955			523,515
Commitments and contingencies (Note 10)
Equity:
Preferred stock, $0.01 par value; 100,000,000 shares authorized, no shares issued and outstanding as of September 30, 2018 and December 31, 2017	—			—
Common stock, $0.01 par value; 500,000,000 shares authorized, 83,353,226 and 75,478,202 shares issued and outstanding as of September 30, 2018 and December 31, 2017, respectively	834			755
Preferred stock, $0.01 par value; 100,000,000 shares authorized, no shares issued and outstanding as of March 31, 2019 and December 31, 2018							—			—
Common stock, $0.01 par value; 500,000,000 shares authorized, 88,398,273 and 85,867,044 shares issued and outstanding as of March 31, 2019 and December 31, 2018, respectively							884			859
Additional paid-in capital	915,235			783,237			1,012,295			965,578
Cumulative distributions in excess of earnings	(196,019		)	(189,375		)	(202,148		)	(198,190		)
Total equity	720,050			594,617			811,031			768,247
Total liabilities and equity	$	1,240,357		$	1,184,986		$	1,523,986		$	1,291,762

See accompanying notes to condensed consolidated financial statements.

CARETRUST REIT, INC.

CONDENSED CONSOLIDATED INCOME STATEMENTS

(in thousands, except per share amounts)

(Unaudited)


	For the Three Months Ended September 30,				For the Nine Months Ended September 30,				For the Three Months Ended March 31,
	2018		2017		2018		2017		2019		2018
Revenues:
Rental income	$	35,332	$	29,404	$	103,856	$	85,254	$	38,347	$	33,816
Tenant reimbursements	2,990		2,543		8,974		7,253		—		2,968
Independent living facilities	871		825		2,515		2,407		860		799
Interest and other income	317		176		1,235		1,471		451		518
Total revenues	39,510		32,948		116,580		96,385		39,658		38,101
Expenses:
Depreciation and amortization	11,351		9,745		34,227		28,156		11,902		11,577
Interest expense	6,805		5,592		21,182		17,690		6,860		7,092
Loss on the extinguishment of debt	—		—		—		11,883
Property taxes	2,990		2,543		8,974		7,253		826		2,968
Independent living facilities	766		698		2,226		2,003		707		716
Impairment of real estate investment	—		—		—		890
General and administrative	3,088		3,059		9,638		8,426		3,310		3,192
Total expenses	25,000		21,637		76,247		76,301		23,605		25,545
Other income:
Gain on sale of real estate	—		—		2,051		—		—		2,051
Gain on disposition of other real estate investment	—		—		—		3,538
Net income	$	14,510	$	11,311	$	42,384	$	23,622	$	16,053	$	14,607
Earnings per common share:
Basic	$	0.18	$	0.15	$	0.54	$	0.33	$	0.18	$	0.19
Diluted	$	0.18	$	0.15	$	0.54	$	0.33	$	0.18	$	0.19
Weighted-average number of common shares:
Basic	81,490		75,471		77,811		71,693		88,010		75,504
Diluted	81,490		75,471		77,811		71,693		88,010		75,504
Dividends declared per common share	$	0.205	$	0.185	$	0.615	$	0.555

See accompanying notes to condensed consolidated financial statements.

CARETRUST REIT, INC.

CONDENSED CONSOLIDATED STATEMENTS OF EQUITY

(in thousands, except share and per share amounts)

(Unaudited)


	Common Stock			Additional Paid-in Capital			Cumulative Distributions in Excess of Earnings			Total Equity			Common Stock			Additional Paid-in Capital			Cumulative Distributions in Excess of Earnings			Total Equity
	Shares	Amount		Additional Paid-in Capital			Cumulative Distributions in Excess of Earnings			Total Equity			Shares	Amount		Additional Paid-in Capital			Cumulative Distributions in Excess of Earnings			Total Equity
Balance at December 31, 2016	64,816,350	$	648	$	611,475		$	(159,693	)	$	452,430
Balance at January 1, 2018													75,478,202	$	755	$	783,237		$	(189,375	)	$	594,617
Issuance of common stock, net	10,573,089	106		170,213			—			170,319			—	—		(27		)	—			(27		)
Vesting of restricted common stock, net of shares withheld for employee taxes	88,763	1		(867		)	—			(866		)	43,844	—		(605		)	—			(605		)
Amortization of stock-based compensation	—	—		2,416			—			2,416			—	—		904			—			904
Common dividends ($0.74 per share)	—	—		—			(55,556		)	(55,556		)
Common dividends ($0.205 per share)													—	—		—			(15,608		)	(15,608		)
Net income	��	—		—			25,874			25,874			—	—		—			14,607			14,607
Balance at December 31, 2017	75,478,202	755		783,237			(189,375		)	594,617
Issuance of common stock, net	7,760,723	78		130,472			—			130,550
Vesting of restricted common stock, net of shares withheld for employee taxes	114,301	1		(1,290		)	—			(1,289		)
Amortization of stock-based compensation	—	—		2,816			—			2,816
Common dividends ($0.615 per share)	—	—		—			(49,028		)	(49,028		)
Net income	—	—		—			42,384			42,384
Balance at September 30, 2018	83,353,226	$	834	$	915,235		$	(196,019	)	$	720,050
Balance at March 31, 2018													75,522,046	$	755	$	783,509		$	(190,376	)	$	593,888



	Common Stock			Additional Paid-in Capital			Cumulative Distributions in Excess of Earnings			Total Equity
	Shares	Amount		Additional Paid-in Capital			Cumulative Distributions in Excess of Earnings			Total Equity
Balance at January 1, 2019	85,867,044	859		965,578			(198,190		)	768,247
Issuance of common stock, net	2,459,000	24		47,219			—			47,243
Vesting of restricted common stock, net of shares withheld for employee taxes	72,229	1		(1,496		)	—			(1,495		)
Amortization of stock-based compensation	—	—		994			—			994
Common dividends ($0.225 per share)	—	—		—			(20,011		)	(20,011		)
Net income	—	—		—			16,053			16,053
Balance at March 31, 2019	88,398,273	$	884	$	1,012,295		$	(202,148	)	$	811,031

See accompanying notes to condensed consolidated financial statements.

CARETRUST REIT, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(Unaudited)

For the Nine Months Ended September 30,
2018 2017
Cash flows from operating activities:
Net income $ 42,384
$ 23,622
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization (including a below-market ground lease) 34,240
28,168
Amortization of deferred financing costs 1,453
1,615
Loss on the extinguishment of debt —
11,883
Amortization of stock-based compensation 2,816
1,792
Straight-line rental income (1,631 ) (117 )
Noncash interest income (228 ) (496 )
Gain on sale of real estate (2,051 ) —
Interest income distribution from other real estate investment —
1,500
Impairment of real estate investment —
890
Change in operating assets and liabilities:
Accounts and other receivables, net (5,499 ) (6,948 )
Prepaid expenses and other assets (159 ) (182 )
Accounts payable and accrued liabilities 1,065
5,206
Net cash provided by operating activities 72,390
66,933
Cash flows from investing activities:
Acquisitions of real estate (75,621 ) (222,463 )
Improvements to real estate (5,401 ) (621 )
Purchases of equipment, furniture and fixtures (1,262 ) (359 )
Investment in real estate mortgage and other loans receivable (2,598 ) —
Principal payments received on real estate mortgage and other loans receivable 893
—
Sale of other real estate investment —
7,500
Escrow deposits for acquisitions of real estate (1,000 ) (1,000 )
Net proceeds from the sale of real estate 13,004
—
Net cash used in investing activities (71,985 ) (216,943 )
Cash flows from financing activities:
Proceeds from the issuance of common stock, net 130,546
170,414
Proceeds from the issuance of senior unsecured notes payable —
300,000
Borrowings under unsecured revolving credit facility 60,000
158,000
Payments on senior unsecured notes payable —
(267,639 )
Payments on unsecured revolving credit facility (135,000 ) (158,000 )
Payments of deferred financing costs —
(6,047 )
Net-settle adjustment on restricted stock (1,288 ) (866 )
Dividends paid on common stock (45,827 ) (38,544 )
Net cash provided by financing activities 8,431
157,318
Net increase in cash and cash equivalents 8,836
7,308
Cash and cash equivalents, beginning of period 6,909
7,500
Cash and cash equivalents, end of period $ 15,745
$ 14,808
Supplemental disclosures of cash flow information:
Interest paid $ 15,772
$ 19,349
Supplemental schedule of noncash operating, investing and financing activities:
Increase in dividends payable $ 3,202
$ 2,971
Application of escrow deposit to acquisition of real estate $ —
$ 700



	For the Three Months Ended March 31,
	2019			2018
Cash flows from operating activities:
Net income	$	16,053		$	14,607
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization (including a below-market ground lease)	11,906			11,582
Amortization of deferred financing costs	541			484
Amortization of stock-based compensation	994			904
Straight-line rental income	(463		)	(591		)
Noncash interest income	(10		)	(106		)
Gain on sale of real estate	—			(2,051		)
Change in operating assets and liabilities:
Accounts and other receivables, net	(1,220		)	(155		)
Prepaid expenses and other assets	(116		)	(36		)
Accounts payable and accrued liabilities	2,389			(2,579		)
Net cash provided by operating activities	30,074			22,059
Cash flows from investing activities:
Acquisitions of real estate	(52,697		)	(47,103		)
Improvements to real estate	(452		)	(11		)
Purchases of equipment, furniture and fixtures	(1,806		)	(27		)
Investment in real estate mortgage and other loans receivable	(11,389		)	—
Principal payments received on real estate mortgage and other loans receivable	411			23
Escrow deposits for acquisitions of real estate	(375		)	(1,000		)
Net proceeds from the sale of real estate	131			13,004
Net cash used in investing activities	(66,177		)	(35,114		)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net	47,260			(10		)
Proceeds from the issuance of senior unsecured term loan	200,000			—
Borrowings under unsecured revolving credit facility	185,000			60,000
Payments on unsecured revolving credit facility	(95,000		)	(25,000		)
Payments on senior unsecured term loan	(100,000		)	—
Payments of deferred financing costs	(4,390		)	—
Net-settle adjustment on restricted stock	(1,495		)	(605		)
Dividends paid on common stock	(17,710		)	(14,044		)
Net cash provided by financing activities	213,665			20,341
Net increase in cash and cash equivalents	177,562			7,286
Cash and cash equivalents, beginning of period	36,792			6,909
Cash and cash equivalents, end of period	$	214,354		$	14,195
Supplemental disclosures of cash flow information:
Interest paid	$	2,242		$	2,675
Supplemental schedule of noncash investing and financing activities:
Increase in dividends payable	$	2,303		$	1,564
Increase in deferred financing costs payable	$	144		$	—

See accompanying notes to condensed consolidated financial statements.

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

1. ORGANIZATION

Description of Business—CareTrust REIT, Inc.’s (“CareTrust REIT” or the “Company”) primary business consists of acquiring, financing, developing and owning real property to be leased to third-party tenants in the healthcare sector. As of ~~September 30, 2018,~~March 31, 2019, the Company owned and leased to independent operators, including The Ensign Group, Inc. (“Ensign”), ~~190~~199 skilled nursing, multi-service campuses, assisted living and independent living facilities consisting of ~~18,693~~19,668 operational beds and units located in Arizona, California, Colorado, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Maryland, Michigan, Minnesota, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oregon, South Dakota, Texas, Utah, Virginia, Washington, West Virginia and Wisconsin. The Company also owns and operates three independent living facilities which have a total of 264 units located in Texas and Utah. As of ~~September 30, 2018,~~March 31, 2019, the Company also had other real estate investments consisting of two preferred equity investments totaling $5.7 million and atwo mortgage ~~loan~~loans receivable of ~~$12.3~~$23.7 million.

2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Basis of Presentation—The accompanying condensed consolidated financial statements of the Company reflect, for all periods presented, the historical financial position, results of operations and cash flows of the Company and its consolidated subsidiaries consisting of (i) the net-leased skilled nursing, multi-service campuses, assisted living and independent living facilities, (ii) the operations of the three independent living facilities that the Company owns and operates; and (iii) the preferred equity investments and the mortgage ~~loan~~loans receivable.

The accompanying condensed consolidated financial statements of the Company were prepared in accordance with accounting principles generally accepted in the United States (“GAAP”) for interim financial information and Article 10 of Regulation S-X. Accordingly, the condensed consolidated financial statements do not include all of the disclosures required by GAAP for a complete set of annual audited financial statements. The condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, ~~2017.~~2018. In the opinion of management, all adjustments which are of a normal and recurring nature and considered necessary for a fair presentation of the results of the interim periods presented have been included. The results of operations for the interim periods are not necessarily indicative of results for the full year. All intercompany transactions and account balances within the Company have been eliminated.

Recent Accounting Standards Adopted by the Company—On January 1, 2019, the Company adopted Accounting Standards Update (“ASU”) No. 2016-02, Leases (Topic 842) that sets out the principles for the recognition, measurement, presentation, and disclosure of leases for both parties to a lease agreement (i.e., lessees and lessors). Upon adoption of the lease ASU on January 1, 2019, the Company elected the following practical expedients provided by ASU No. 2018-11, Leases - Targeted Improvements and ASU No. 2018-20, Narrow Scope Improvements for Lessors (together with ASU 2016-02, the “new lease ASUs”):

Package of practical expedients – requires the Company not to reevaluate its existing or expired leases as of January 1, 2019, under the new lease ASUs.

Optional transition method practical expedient – requires the Company to apply the new lease ASUs prospectively from the adoption date of January 1, 2019.

Single component practical expedient – requires the Company to account for lease and nonlease components associated with that lease as a single component under the new lease ASUs, if certain criteria are met.

Short-term leases practical expedient – for the Company’s operating leases with a term of less than 12 months in which it is the lessee, this expedient requires the Company not to record on its balance sheet related lease liabilities and right-of-use assets.

Overview related to both lessee and lessor accounting—The lease ASUs set new criteria for determining the classification of finance leases for lessees and sales-type leases for lessors. The criteria to determine whether a lease should be accounted for as a finance (sales-type) lease include the following: (i) ownership is transferred from lessor to lessee by the end of the lease term, (ii) an option to purchase is reasonably certain to be exercised, (iii) the lease term is for the major part of the underlying asset’s remaining economic life, (iv) the present value of lease payments equals or exceeds substantially all of the fair value of the underlying asset, and (v) the underlying asset is specialized and is expected to have no alternative use at the end of the lease term. If any of these criteria is met, a lease is classified as a finance lease by the lessee and as a sales-type lease

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

by the lessor. If none of the criteria are met, a lease is classified as an operating lease by the lessee, but may still qualify as a direct financing lease or an operating lease for the lessor. The existence of a residual value guarantee from an unrelated third party other than the lessee may qualify the lease as a direct financing lease by the lessor. Otherwise, the lease is classified as an operating lease by the lessor.

The election of the package of practical expedients discussed above and the optional transition method allowed the Company not to reassess:

Whether any expired or existing contracts as of January 1, 2019, were leases or contained leases.


◦	This practical expedient is primarily applicable to entities that have contracts containing embedded leases. As of January 1, 2019, the Company had no such contracts, therefore this practical expedient had no effect on the Company.

The lease classification for any leases expired or existing as of January 1, 2019.

◦

The election of the package of practical expedients required the Company not to reassess the classification of its leases existing as of January 1, 2019. For example, all of the Company’s leases that were classified as operating leases in accordance with the lease accounting standards in effect prior to January 1, 2019, continue to be classified as operating leases after adoption of the new lease ASUs.

The Company applied the package of practical expedients consistently to all leases (i.e., in which the Company was the lessee or a lessor) that commenced before January 1, 2019. The election of this package permits the Company to “run off” its leases that commenced before January 1, 2019, for the remainder of their lease terms and to apply the new lease ASUs to leases commencing or modified after January 1, 2019.

Lessor Accounting—Under the new lease ASUs, each lease agreement is evaluated to identify the lease and nonlease components at lease inception. The total consideration in the lease agreement is allocated to the lease and nonlease components based on their relative stand-alone selling prices. The new lease ASUs govern the recognition of revenue for lease components, and revenue related to nonlease components is subject to the revenue recognition ASU. Tenant recoveries for utilities, repairs and maintenance, and common area expenses are considered nonlease components. The Company generates revenues primarily by leasing healthcare-related properties to healthcare operators in triple-net lease arrangements, under which the tenant is solely responsible for the costs related to the property. As such, the Company has concluded its leases do not contain material nonlease components. Tenant reimbursements related to property taxes and insurance are neither lease nor nonlease components under the new lease ASUs. If a lessee makes payments for taxes and insurance directly to a third party on behalf of a lessor, lessors are required to exclude them from variable payments and from recognition in the lessors’ income statements. Otherwise, tenant recoveries for taxes and insurance are classified as additional rental income recognized by the lessor on a gross basis in its income statements.

On January 1, 2019, the Company elected the single component practical expedient, which allows a lessor, by class of underlying asset, not to allocate the total consideration to the lease and nonlease components based on their relative stand-alone selling prices. This single component practical expedient requires the Company to account for the lease component and nonlease component(s) associated with that lease as a single component if (i) the timing and pattern of transfer of the lease component and the nonlease component(s) associated with it are the same and (ii) the lease component would be classified as an operating lease if it were accounted for separately. If the Company determines that the lease component is the predominant component, the Company accounts for the single component as an operating lease in accordance with the new lease ASUs. Conversely, the Company is required to account for the combined component under the new revenue recognition standard if the Company determines that the nonlease component is the predominant component. As a result of this assessment, rental revenues and tenant recoveries from the lease of real estate assets that qualify for this expedient are accounted for as a single component under the new lease ASUs, with tenant recoveries primarily as variable consideration. Tenant recoveries that do not qualify for the single component practical expedient and are considered nonlease components are accounted for under the revenue recognition standard. The components of the Company’s operating leases qualify for the single component presentation.

For the three months ended March 31, 2018, the Company recognized tenant recoveries for real estate taxes of $3.0 million, which were classified as tenant reimbursements on the Company’s condensed consolidated income statements. Prior to the adoption of Accounting Standard Codification (“ASC”) 842, the Company recognized tenant recoveries as tenant reimbursement revenues regardless of whether the third party was paid by the lessor or lessee. Effective January 1, 2019, such tenant recoveries are recognized to the extent that the Company pays the third party directly and classified as rental income on

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

the Company’s condensed consolidated income statements. Due to the application of the new lease ASUs, the Company recognized, on a gross basis, real estate taxes of $0.8 million for the three months ended March 31, 2019.

Under the new lease ASUs, the Company recognizes rental revenue, including rental abatements, lease incentives and contractual fixed increases attributable to operating leases, if any, from tenants under lease arrangements with minimum fixed and determinable increases on a straight-line basis over the non-cancellable term of the related leases when collectability is probable. For the three months ended March 31, 2019, the Company did not recognize any adjustments to rental income related to recognized rental income in the prior periods.

Lessee Accounting—Under the new lease ASUs, lessees are required to apply a dual approach by classifying leases as either finance or operating leases based on the principle of whether the lease is effectively a financed purchase of the leased asset by the lessee. This classification will determine whether the lease expense is recognized based on an effective interest method or on a straight-line basis over the term of the lease, which corresponds to a similar evaluation performed by lessors. In addition to this classification, a lessee is also required to recognize a right-of-use asset and a lease liability for all leases regardless of their classification, whereas a lessor is not required to recognize a right-of-use asset and a lease liability for any operating leases.

As of March 31, 2019, the remaining contractual payments under the Company’s ground and office lease arrangements for which it is the lessee aggregated approximately $0.1 million. While these leases are subject to this ASU application effective January 1, 2019, the lease liability and corresponding right-of-use asset do not have a material effect on the Company’s condensed consolidated financial statements.

Estimates and Assumptions—The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting periods. Management believes that the assumptions and estimates used in preparation of the underlying consolidated financial statements are reasonable. Actual results, however, could differ from those estimates and assumptions.

~~Real Estate Depreciation and Amortization~~—Real estate costs related to the acquisition and improvement of properties are capitalized and amortized over the expected useful life of the asset on a straight-line basis. Repair and maintenance costs are charged to expense as incurred and significant replacements and betterments are capitalized. Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. The Company considers the period of future benefit of an asset to determine its appropriate useful life. Expenditures for tenant improvements are capitalized and amortized over the shorter of the tenant’s lease term or expected useful life. The Company anticipates the estimated useful lives of its assets by class to be generally as follows:



~~Buildings~~		~~25-40 years~~
~~Building improvements~~		~~10-25 years~~
~~Tenant improvements~~		~~Shorter of lease term or expected useful life~~
~~Integral equipment, furniture and fixtures~~		~~5 years~~
~~Identified intangible assets~~		~~Shorter of lease term or expected useful life~~

Real Estate Acquisition Valuation— In accordance with ~~Accounting Standards Codification (“ASC”)~~ASC 805, Business Combinations, ~~the Company records the acquisition of~~acquisitions that are income-producing real estate are recorded as a business combination. If the acquisition does not meet the definition of a business, ~~the Company records the acquisition~~acquisitions are recorded as an asset acquisition. ~~Under both methods, all~~The assets acquired and liabilities assumed are measured at their acquisition date fair ~~values.~~values for a business combination and at relative fair values for an asset acquisition. For transactions that are

~~Table of Contents~~

~~CARETRUST REIT, INC.~~

~~NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —~~

~~(Unaudited)~~

business combinations, acquisition costs are expensed as incurred and restructuring costs that do not meet the definition of a liability at the acquisition date are expensed in periods subsequent to the acquisition date. For transactions that are asset acquisitions, acquisition costs are capitalized as incurred. The Company’s real estate acquisitions generally are classified as asset acquisitions.

In addition, for such asset acquisitions, no goodwill is recognized and third party transaction costs are capitalized. The Company allocates the acquisition costs to the tangible assets, identifiable intangible assets/liabilities and assumed liabilities on a relative fair value basis. The Company assesses ~~the acquisition date~~ fair ~~values of all tangible assets, identifiable intangibles~~value based on available market information, such as capitalization and ~~assumed liabilities using methods similar to those used by independent appraisers, generally~~discount rates, comparable sale transactions and relevant per square foot or unit cost information. A real estate asset’s fair value may be determined utilizing ~~a discounted~~ cash flow ~~analysis~~projections that ~~applies appropriate discount and/or capitalization rates and available~~incorporate such market information. Estimates of future cash flows are based on a number of factors including historical operating results, known and anticipated trends, ~~and~~as well as market and economic conditions. The fair value of tangible assets of an acquired property ~~considers~~is based on the value of the property as if it ~~were~~is vacant.

Estimates of the fair values of the tangible assets, identifiable intangibles and assumed liabilities require the Company’s management to make significant assumptions to estimate market lease rates, property-operating expenses, carrying costs during lease-up periods, discount rates, market absorption periods, and the number of years the property will be held for investment. The use of inappropriate assumptions would result in an incorrect valuation of the Company’s acquired tangible assets, identifiable intangibles and assumed liabilities, which would impact the amount of the Company’s net income.

As part of the Company’s real estate acquisitions, the Company may commit to provide contingent payments to a seller or lessee (e.g., an earn-out payable upon the applicable property achieving certain financial metrics). Typically, when the contingent payments are funded, cash rent is increased by the amount funded multiplied by a rate stipulated in the agreement. Generally, if the contingent payment is an earn-out provided to the seller, the payment is capitalized to the property’s basis. If the contingent payment is an earn-out provided to the lessee, the payment is recorded as a lease incentive and is amortized as a yield adjustment over the life of the lease.

Impairment of Long-Lived Assets—At each reporting period, management evaluates the Company’s real estate investments for impairment indicators, including the evaluation of the useful lives of the Company’s assets. Management also assesses the carrying value of the Company’s real estate investments whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable. The judgment regarding the existence of impairment indicators is

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

based on factors such as, but not limited to, market conditions, operator performance and legal structure. If indicators of impairment are present, management evaluates the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying facilities. Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows are determined to be less than the carrying values of the assets. An adjustment is made to the net carrying value of the real estate investments for the excess of carrying value over fair value. All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset.

If the Company decides to sell real estate properties, it evaluates the recoverability of the carrying amounts of the assets. If the evaluation indicates that the carrying value is not recoverable from estimated net sales proceeds, the property is written down to estimated fair value less costs to sell.

In the event of impairment, the fair value of the real estate investment is determined by market research, which includes valuing the property in its current use as well as other alternative uses, and involves significant judgment. Management’s estimates of cash flows and fair values of the properties are based on current market conditions and consider matters such as rental rates and occupancies for comparable properties, recent sales data for comparable properties, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers. The Company’s ability to accurately estimate future cash flows and estimate and allocate fair values impacts the timing and recognition of impairments. While the Company believes its assumptions are reasonable, changes in these assumptions may have a material impact on financial results.

~~Other Real Estate Investments, Net~~ — Included in Other Real Estate Investments, Net are two preferred equity investments and one mortgage loan receivable. Preferred equity investments are accounted for at unpaid principal balance, plus accrued return, net of reserves. The Company recognizes return income on a quarterly basis based on the outstanding investment including any accrued and unpaid return, to the extent there is outside contributed equity or cumulative earnings from operations. As the preferred member of the joint venture, the Company is not entitled to share in the joint venture’s earnings or losses. Rather, the Company is entitled to receive a preferred return, which is deferred if the cash flow of the joint venture is insufficient to pay all of the accrued preferred return. The unpaid accrued preferred return is added to the balance of the preferred equity investment up to the estimated economic outcome assuming a hypothetical liquidation of the book value of

~~Table of Contents~~

~~CARETRUST REIT, INC.~~

~~NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —~~

~~(Unaudited)~~

the joint venture. The Company anticipates any unpaid accrued preferred return, whether recorded or unrecorded by the Company, will be repaid upon redemption or as available cash flow is distributed from the joint venture.

The Company’s mortgage loan receivable is recorded at amortized cost, which consists of the outstanding unpaid principal balance, net of unamortized costs and fees directly associated with the origination of the loan.

Interest income on the Company’s mortgage loan receivable is recognized over the life of the investment using the interest method. Origination costs and fees directly related to mortgage loans receivable are amortized over the term of the loan as an adjustment to interest income.

The Company evaluates at each reporting period each of its other real estate investments for indicators of impairment. An investment is impaired when, based on current information and events, it is probable that the Company will be unable to collect all amounts due according to the existing contractual terms. A reserve is established for the excess of the carrying value of the investment over its fair value.

~~Cash and Cash Equivalents~~—Cash and cash equivalents consist of bank term deposits and money market funds with original maturities of three months or less at time of purchase and therefore approximate fair value. The fair value of these investments is determined based on “Level 1” inputs, which consist of unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets. The Company places its cash and short-term investments with high credit quality financial institutions.

The Company’s cash and cash equivalents balance periodically exceeds federally insurable limits. The Company monitors the cash balances in its operating accounts and adjusts the cash balances as appropriate; however, these cash balances could be impacted if the underlying financial institutions fail or are subject to other adverse conditions in the financial markets. To date, the Company has experienced no loss or lack of access to cash in its operating accounts.

~~Prepaid expenses and other assets~~—Prepaid expenses and other assets consist of prepaid expenses, deposits, pre-acquisition costs and other loans receivable. Included in other loans receivable at September 30, 2018 is a bridge loan to Eduro Healthcare, LLC, (“Eduro”) under which the Company agreed to fund up to $4.0 million until the earlier of (i) the date Eduro enters into a new credit facility, (ii) the date that Eduro terminates as to any facility, or (iii) November 30, 2018. Borrowings under the bridge loan accrue interest at a base rate of greater of prime rate or 4.75% plus margin of 2.5%. The borrowings under the bridge loan accrue interest and, as of September 30, 2018, approximately $1.8 million has been drawn and was outstanding.

~~Deferred Financing Costs~~—External costs incurred from placement of the Company’s debt are capitalized and amortized on a straight-line basis over the terms of the related borrowings, which approximates the effective interest method. Deferred financing costs on the Company’s Notes and Term Loan (each as defined in Note 6~~, Debt,~~ ~~below) are netted against the outstanding debt amounts on the Company’s balance sheet. Deferred financing costs on the Company’s Revolving Facility (as defined in Note~~ ~~6, Debt,~~ below) are included in assets on the Company’s balance sheet. Amortization of deferred financing costs is classified as interest expense in the Company’s condensed consolidated income statements. Accumulated amortization of deferred financing costs was $4.6 million and $3.2 million at September 30, 2018 and December 31, 2017, respectively.

When financings are terminated, unamortized deferred financing costs, as well as charges incurred for the termination, are expensed at the time the termination is made. Gains and losses from the extinguishment of debt are presented within income from continuing operations in the Company’s condensed consolidated income statements.

~~Revenue Recognition~~ —The Company recognizes rental revenue, including rental abatements, lease incentives and contractual fixed increases attributable to operating leases, if any, from tenants under lease arrangements with minimum fixed and determinable increases on a straight-line basis over the non-cancellable term of the related leases when collectability is reasonably assured. The Company evaluates the collectability of rents and other receivables on a regular basis based on factors including, among others, payment history, the operations, the asset type and current economic conditions. Tenant recoveries related to the reimbursement of real estate taxes, insurance, repairs and maintenance, and other operating expenses are recognized as revenue in the period the expenses are incurred and presented gross if the Company is the primary obligor and, with respect to purchasing goods and services from third-party suppliers, has discretion in selecting the supplier and bears the associated credit risk. For each of the three and nine months ended September 30, 2018 and 2017, such tenant reimbursement

~~Table of Contents~~

~~CARETRUST REIT, INC.~~

~~NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —~~

~~(Unaudited)~~

~~revenues consisted of real estate taxes. Contingent revenue, if any, is not recognized until all possible contingencies have been eliminated.~~

If the Company’s evaluation of applicable factors indicates it may not recover the full value of the receivable, the Company provides a reserve against the portion of the receivable that it estimates may not be recovered. This analysis requires the Company to determine whether there are factors indicating a receivable may not be fully collectible and to estimate the amount of the receivable that may not be collected. As of September 30, 2018 and December 31, 2017, Accounts and other receivables, net included $1.3 million and $0.8 million for unpaid cash rents and $11.6 million and $9.6 million for other tenant receivables, respectively, of which $10.4 million was reserved as of September 30, 2018 and December 31, 2017, related to the properties previously net leased to subsidiaries of Pristine Senior Living, LLC (“Pristine”). See Note 3, ~~Real Estate Investments, Net~~ ~~for further discussion.~~

The Company evaluates the collectability of straight-line rent receivable balances on an ongoing basis and provides reserves against receivables it determines may not be fully recoverable. The Company recorded straight-line rental income of $0.7 million and $2,000 during the three months ended September 30, 2018 and 2017, respectively. The Company recorded straight-line rental income of $1.6 million and $0.1 million during the nine months ended September 30, 2018 and 2017, respectively. Accounts and other receivables, net included $2.1 million and $0.5 million in straight-line rents receivable at September 30, 2018 and December 31, 2017, respectively.

Income Taxes—The Company has elected to be taxed as a real estate investment trust (“REIT”) under the Internal Revenue Code of 1986, as amended (the “Code”). The Company believes it has been organized and has operated, and the Company intends to continue to operate, in a manner to qualify for taxation as a REIT under the Code. To qualify as a REIT, the Company must meet certain organizational and operational requirements, including a requirement to distribute to its stockholders at least 90% of the Company’s annual REIT taxable income (computed without regard to the dividends paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP). As a REIT, the Company generally will not be subject to federal income tax to the extent it distributes as qualifying dividends all of its REIT taxable income to its stockholders. If the Company fails to qualify as a REIT in any taxable year, it will be subject to federal income tax on its taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost unless the Internal Revenue Service grants the Company relief under certain statutory provisions.

~~Stock-Based Compensation—The Company accounts for share-based payment awards in accordance with ASC Topic 718,~~ ~~Compensation – Stock Compensation~~ (“ASC 718”). ASC 718 requires that the cost resulting from all share-based payment transactions be recognized in the financial statements. ASC 718 requires all entities to apply a fair value-based measurement method in accounting for share-based payment transactions with directors, officers and employees except for equity instruments held by employee share ownership plans. See Note 8, ~~Stock-Based Compensation,~~ ~~for further discussion.~~

~~Concentration of Credit Risk—The Company is subject to concentrations of credit risk consisting primarily of operating leases on the Company’s owned properties. See Note 11,~~ ~~Concentration of Risk, for a discussion of major operator concentration.~~

~~Segment Disclosures~~ —The Financial Accounting Standards Board (“FASB”) accounting guidance regarding disclosures about segments of an enterprise and related information establishes standards for the manner in which public business enterprises report information about operating segments. The Company has one reportable segment consisting of investments in healthcare-related real estate assets.

~~Earnings (Loss) Per Share—The Company calculates earnings (loss) per share (“EPS”) in accordance with ASC Topic 260,~~ ~~Earnings Per Share~~. Basic EPS is computed by dividing net income applicable to common stock by the weighted-average number of common shares outstanding during the period. Diluted EPS reflects the additional dilution for all potentially-dilutive securities.

~~Beds, Units, Occupancy and Other Measures~~—Beds, units, occupancy and other non-financial measures used to describe real estate investments included in these Notes to the condensed consolidated financial statements are presented on an unaudited basis and are not subject to review by the Company’s independent auditors in accordance with the standards of the Public Company Accounting Oversight Board.

~~Table of Contents~~

~~CARETRUST REIT, INC.~~

~~NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —~~

~~(Unaudited)~~

Recent Accounting Pronouncements

~~In February 2016, the FASB issued Accounting Standards Update (“ASU”) No. 2016-02,~~ ~~Leases~~ (Topic 842) (“ASC 842”) that sets out the principles for the recognition, measurement, presentation, and disclosure of leases for both parties to a contract (i.e., lessees and lessors). ASC 842 requires lessees to apply a dual approach, classifying leases as either finance or operating leases based on the principle of whether or not the lease is effectively a financed purchase of the leased asset by the lessee. This classification will determine whether the lease expense is recognized based on an effective interest method or on a straight-line basis over the term of the lease. A lessee is also required to record a right-of-use asset and a lease liability for all leases with a term of greater than 12 months regardless of their classification. Leases with a term of 12 months or less will be accounted for similar to existing guidance for operating leases today. ASC 842 is expected to result in the recognition of a right-to-use asset and related liability to account for the Company’s future obligations for which it is the lessee. As of September 30, 2018, the remaining contractual payments under the Company’s lease agreements aggregated $0.2 million. Additionally, ASC 842 will require that lessees and lessors capitalize, as initial direct costs, only those costs that are incurred due to the execution of a lease. Under ASC 842, allocated payroll costs and other costs that are incurred regardless of whether the lease is obtained will no longer be capitalized as initial direct costs and instead will be expensed as incurred. During the nine months ended September 30, 2018, the Company did not capitalize any allocated payroll costs. Lessors will continue to account for leases using an approach that is substantially equivalent to existing guidance for sales-type leases, direct financing leases, and operating leases. ASC 842 is effective for reporting periods beginning after December 15, 2018, with early adoption permitted. Tenant recoveries that qualify as lease components, which relate to the right to use the leased asset (e.g., property taxes, insurance), will be accounted for under ASC 842. Tenant recoveries that qualify as non-lease components, which relate to payments for goods or services that are transferred separately from the right to use the underlying asset, including tenant recoveries related to payments for maintenance activities and common area expenses, will be accounted for under the new revenue recognition ASC 606 (as defined below) upon adoption of the new lease ASC 842 on January 1, 2019 for any new lease or any modified lease.

In July 2018, the FASB finalized an amendment to ASC 842 that allows lessors to elect, as a practical expedient, not to separate lease and non-lease components (such as services rendered) in a contract for the purpose of revenue recognition and disclosure. The practical expedient can only be applied to leasing arrangements for which (i) the timing and pattern of transfer are the same for the lease and non-lease components and (ii) the lease component, if accounted for separately, would be classified as an operating lease. Under this practical expedient, contracts that are predominantly lease-based would be accounted for under ASC 842, and contracts that are predominantly service-based would be accounted for under ASC 606. Further, this amendment also provides for an additional (and optional) transition method to adopt the new lease requirements by allowing entities to initially apply the requirements by recognizing a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. The Company plans to elect this practical expedient and apply the optional transition method for its operating leases, using the cumulative-effect adjustment to the opening balance sheet as of January 1, 2019. The Company is still evaluating the full impact of the adoption of ASC 842 on January 1, 2019 to its consolidated financial statements.

—In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments - Credit Losses (Topic 326) (“ASU 2016-13”) that changes the impairment model for most financial instruments by requiring companies to recognize an allowance for expected losses, rather than incurred losses as required currently by the other-than-temporary impairment model. ASU 2016-13 will apply to most financial assets measured at amortized cost and certain other instruments, including trade and other receivables, loans, held-to-maturity debt securities, net investments in leases, and off-balance-sheet credit exposures (e.g., loan commitments). ASU 2016-13 is effective for reporting periods beginning after December 15, 2019, with early adoption permitted, and will be applied as a cumulative adjustment to retained earnings as of the effective date. The Company is currently assessing the potential effect the adoption of ASU 2016-13 will have on the Company’s condensed consolidated financial statements.

~~Recent Accounting Standards Adopted by the Company~~

~~On January 1, 2018, the Company adopted ASU No. 2014-09,~~ ~~Revenue from Contracts with Customers~~ ~~(Topic 606) (“ASC 606”). ASC 606 requires an entity to recognize the revenue to depict the transfer of promised goods or services to~~

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

~~customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods and services. ASC 606 supersedes the revenue requirements in~~ ~~Revenue Recognition~~ ~~(Topic 605) and most industry-specific guidance throughout the Industry Topics of the ASC. ASC 606 does not apply to lease contracts within the scope of~~ ~~Leases~~ (Topic 840). Based on a review of the Company’s revenue streams from independent living facilities, the Company’s consolidated financial statements include revenues generated through services provided to residents of independent living facilities that are ancillary to the residents’ contractual rights to occupy living and common-area space at the communities, such as meals, transportation and activities. While these revenue streams are subject to the application of Topic 606, the revenues associated with these services are generally recognized on a monthly basis, the period in which the related services are performed. Therefore, the adoption of ASC 606 did not have a material effect on the Company’s condensed consolidated financial statements since the revenue recognition under ASC 606 is similar to the recognition pattern prior to the adoption of ASC 606.

3. REAL ESTATE INVESTMENTS, NET

The following ~~tables summarize~~table summarizes the Company’s investment in owned properties as of ~~September 30, 2018~~March 31, 2019 and December 31, ~~2017~~2018 (dollars in thousands):


	September 30, 2018			December 31, 2017			March 31, 2019			December 31, 2018
Land	$	163,665		$	151,879		$	176,798		$	166,948
Buildings and improvements	1,168,192			1,114,605			1,243,331			1,201,209
Integral equipment, furniture and fixtures	85,592			80,729			90,656			87,623
Identified intangible assets	2,382			2,382			1,400			2,382
Real estate investments	1,419,831			1,349,595			1,512,185			1,458,162
Accumulated depreciation and amortization	(230,382		)	(197,334		)	(252,849		)	(241,925		)
Real estate investments, net	$	1,189,449		$	1,152,261		$	1,259,336		$	1,216,237

As of ~~September 30, 2018, 92~~March 31, 2019, 93 of the Company’s ~~193~~202 facilities were leased to subsidiaries of Ensign under eight master leases (the “Ensign Master Leases”) which commenced on June 1, 2014. The obligations under the Ensign Master Leases are guaranteed by Ensign. A default by any subsidiary of Ensign with regard to any facility leased pursuant to an Ensign Master Lease will result in a default under all of the Ensign Master Leases. As of ~~September 30, 2018,~~March 31, 2019, annualized revenues from the Ensign Master Leases were ~~$59.1~~$59.8 million and are escalated annually by an amount equal to the product of (1) the lesser of the percentage change in the Consumer Price Index (“CPI”) (but not less than zero) or 2.5%, and (2) the prior year’s rent. In addition to rent, the subsidiaries of Ensign that are tenants under the Ensign Master Leases are solely responsible for the costs related to the leased properties (including property taxes, insurance, and maintenance and repair costs).

As of ~~September 30, 2018, 98~~March 31, 2019, 106 of the Company’s ~~193~~202 facilities were leased to various other operators under triple-net leases. All of these leases contain annual escalators based on CPI, some of which are subject to a cap, or fixed rent escalators.

The Company’s three remaining properties as of ~~September 30, 2018~~March 31, 2019 are the independent living facilities that the Company owns and operates.

The Company has only ~~two~~one identified intangible ~~assets~~asset which ~~relate~~relates to a below-market ground ~~lease and three acquired operating leases.~~lease. The ground lease has a remaining term of 8079 years.

As of March 31, 2019, the Company’s total future minimum rental revenues for all of its tenants, excluding operating expense reimbursements, were (dollars in thousands):



Year	Amount
2019 (nine months)	$	113,386
2020	151,591
2021	152,057
2022	152,541
2023	152,882
2024	153,150
Thereafter	988,982
	$	1,864,589

109

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

As of ~~September 30,~~December 31, 2018, the Company’s total future minimum rental revenues for all of its tenants, excluding operating expense reimbursements, were (dollars in thousands):


Year	Amount		Amount
Remaining 2018	$	35,223
2019	141,977		$	146,010
2020	142,525		146,560
2021	143,094		147,132
2022	143,678		147,719
2023			148,169
Thereafter	1,169,183		1,055,012
	$	1,775,680	$	1,790,602

Recent Real Estate Acquisitions

The following table summarizes the Company’s acquisitions for the ~~nine~~three months ended ~~September 30, 2018 (dollar amounts~~March 31, 2019 (dollars in thousands):


Type of Property	Purchase Price⁽¹⁾			Initial Annual Cash Rent		Number of Properties		Number of Beds/Units⁽²⁾	Purchase Price⁽¹⁾		Initial Annual Cash Rent		Number of Properties	Number of Beds/Units⁽²⁾
Skilled nursing	$	57,074		$	5,144	7		621	$	43,938	$	3,983	4	492
Multi-service campuses	20,277		⁽³⁾	1,564		1		122	8,940		854		1	128
Assisted living	—			—		—		—	—		—		—	—
Total	$	77,351		$	6,708	$	8	743	$	52,878	$	4,837	5	620

(1) Purchase price includes capitalized acquisition costs.

(2) The number of beds/units includes operating beds at acquisition date.

(3) The Company has committed to fund approximately $1.4 million in revenue-producing capital expenditures over the next 24 months based on the in-place lease yield, which is included in the purchase price.

~~Lease Amendments and Related Agreements~~

~~Pristine Lease Termination.~~See Note 13, ~~On February 27, 2018, the Company announced that it entered into a Lease Termination Agreement (the “LTA”) with Pristine~~Subsequent Events, for its nine remaining properties, with a target completion date of April 30, 2018. Under the LTA, Pristine agreed to continue to operate the facilities until possession could be surrendered, and the operations therein transitioned, to operator(s) designated by the Company. Among other things, Pristine also agreed to amend certain pending agreements to sell the rights to certain Ohio Medicaid beds (the “Bed Sales Agreements”) and cooperate with the Company to turn over any claim or control it might have had with respect to the sale process and the proceeds thereof, if any, to the Company. The transactions were timely completed, and on May 1, 2018, Trio Healthcare, Inc (“Trio”) took over operations in the seven facilities based primarily in the Dayton, Ohio area under a new 15-year master lease, while Hillstone Healthcare, Inc. (“Hillstone”) assumed the operation of the two facilities in Willard and Toledo, Ohio under a new 12-year master lease. In addition, amendments to the Bed Sales Agreements were subsequently executed, confirming the Company as the sole seller of the bed rights and the sole recipient of any proceeds therefrom. The aggregate annual base rent due under the new master leases with Trio and Hillstone is approximately $10.0 million, subject to CPI-based or fixed escalators.

Under the LTA, the Company agreed, upon Pristine’s full performance of the terms thereof, to terminate Pristine’s master lease and all future obligations of the tenant thereunder; however, under the terms of the master leaseinformation regarding the Company’s security interest in Pristine’s accounts receivable has survived any such termination. Such security interest was subject to the prior lien and security interest of Pristine’s working capital lender, Capital One, National Association (“CONA”), with whom the Company has an existing intercreditor agreement that defines the relative rights and responsibilities of CONA and with its respect to the loan and lease collateral represented by Pristine’s accounts receivable and the Company’s respective security interests therein.

~~Table of Contents~~

~~CARETRUST REIT, INC.~~

~~NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —~~

~~(Unaudited)~~

~~Sale of Real Estate Investments~~

During the nine months ended September 30, 2018, the Company sold three assisted living facilities consisting of 102 units located in Idaho with an aggregate carrying value of $10.9 million for an aggregate price of $13.0 million. In connection with the sale, the Company recognized a gain of $2.1 million.

~~Impairment of Real Estate Investment~~

During the nine months ended September 30, 2017, the Company recorded an impairment loss of $0.9 million related to its investment in La Villa Rehab & Healthcare Center (“La Villa”). In April 2017, the Company and Ensign mutually determined that La Villa had reached the natural end of its useful life as a skilled nursing facility and that the facility was no longer economically viable, the improvements thereon could not be economically repurposed to any other use, and the cost to remove the obsolete improvements and reclaim the underlying land for redevelopment was expected to exceed the market value of the land. Ensign agreed to wind up and terminate the operations of the facility and the Company transferred title to the property to Ensign. There was no adjustment to the contractual rent under the applicable master lease.acquisitions since March 31, 2019.

4. OTHER REAL ESTATE INVESTMENTS

In July 2016, the Company completed a $2.2 million preferred equity investment with an affiliate of Cascadia Development, LLC. The preferred equity investment yields a return equal to prime plus 9.5% but in no event less than 12.0% calculated on a quarterly basis on the outstanding carrying value of the investment. The investment was used to develop a 99-bed skilled nursing facility in Nampa, Idaho. In connection with its investment, ~~CareTrust REIT~~the Company holds an option to purchase the development at a fixed-formula price upon stabilization, with an initial lease yield of at least 9.0%. The project was completed in the fourth quarter 2017 and began lease-up during the first quarter of 2018.

In September 2016, the Company completed a $2.3 million preferred equity investment with an affiliate of Cascadia Development, LLC. The preferred equity investment yields a return equal to prime plus 9.5% but in no event less than 12.0% calculated on a quarterly basis on the outstanding carrying value of the investment. The investment was used to develop a 99-bed skilled nursing facility in Boise, Idaho. In connection with its investment, ~~CareTrust REIT~~the Company holds an option to purchase the development at a fixed-formula price upon stabilization, with an initial lease yield of at least 9.0%. The project was completed in the first quarter 2018 and began lease-up in the second quarter of 2018.

~~During the three months ended September 30, 2017, the Company recognized $0.2 million in interest income from its preferred equity investments.~~

The Company recognized no interest income from its preferred equity investments in the three months ended ~~September 30, 2018.~~March 31, 2019. During the ~~nine~~three months ended ~~September 30,~~March 31, 2018, ~~and 2017,~~ the Company recognized ~~$0.2~~$0.1 million ~~and $1.5 million, respectively,~~ in interest income from its preferred equity ~~investments,~~investments.

Table of ~~which $0 and $975,000, respectively, was received in cash. Any unpaid amounts were added to the outstanding carrying values of the preferred equity investments.~~Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

In October 2017, the Company provided ~~the~~an affiliate of Providence Group, Inc. (“Providence”) a mortgage loan secured by a skilled nursing facility for approximately $12.5 million inclusive of transaction costs, which bears a fixed interest rate of 9%. The mortgage loan requires Providence Group to make monthly principal and interest payments and is set to mature on October 26, ~~2020. During~~2020 and has an option to be prepaid before the ~~three~~maturity date.

In February 2019, the Company provided affiliates of Covenant Care a mortgage loan secured by first mortgages on five skilled nursing facilities for approximately $11.4 million, at an annual interest rate of 9%. The loan requires monthly interest payments and ~~nine months ended September 30, 2018, the~~is set to mature on February 11, 2020, and includes two, six-month extension options.

The Company recognized $0.3 million ~~and $0.9 million, respectively,~~ of interest income related to the mortgage ~~loan.~~loans during each of the three months ended March 31, 2019 and 2018.

5. FAIR VALUE MEASUREMENTS

Under GAAP, the Company is required to measure certain financial instruments at fair value on a recurring basis. In addition, the Company is required to measure other financial instruments and balances at fair value on a non-recurring basis (e.g., carrying value of impaired long-lived assets). Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. The GAAP fair value framework uses a three-tiered approach. Fair value measurements are classified and disclosed in one of the following three categories:

~~Table of Contents~~

~~CARETRUST REIT, INC.~~

~~NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —~~

~~(Unaudited)~~

~~Level 1: unadjusted quoted prices in active markets that are accessible at the measurement date for identical assets or liabilities;~~

Level 2: quoted prices for similar instruments in active markets, quoted prices for identical or similar instruments in markets that are not active, and model-derived valuations in which significant inputs and significant value drivers are observable in active markets; and

~~Level 3: prices or valuation techniques where little or no market data is available that requires inputs that are both significant to the fair value measurement and unobservable.~~

Financial Instruments: Considerable judgment is necessary to estimate the fair value of financial instruments. The estimates of fair value presented herein are not necessarily indicative of the amounts that could be realized upon disposition of the financial instruments. A summary of the face values, carrying amounts and fair values of the Company’s financial instruments as of ~~September 30, 2018~~March 31, 2019 and December 31, ~~2017~~2018 using Level 2 inputs for the Notes (as defined in Note 6, Debt, below), and Level 3 inputs, for all other financial instruments, is as follows (dollars in thousands):


	September 30, 2018						December 31, 2017						March 31, 2019						December 31, 2018
	Face Value		Carrying Amount		Fair Value		Face Value		Carrying Amount		Fair Value		Face Value		Carrying Amount		Fair Value		Face Value		Carrying Amount		Fair Value
Financial assets:
Preferred equity investments	$	4,531	$	5,746	$	6,022	$	4,531	$	5,550	$	5,423	$	4,531	$	5,746	$	6,477	$	4,531	$	5,746	$	6,246
Mortgage loan receivable	12,423		12,337		12,423		12,517		12,399		12,517
Mortgage loans receivable													23,739		23,673		23,739		12,375		12,299		12,375
Financial liabilities:
Senior unsecured notes payable	$	300,000	$	294,963	$	294,000	$	300,000	$	294,395	$	307,500	$	300,000	$	295,342	$	300,783	$	300,000	$	295,153	$	289,500

Cash and cash equivalents, accounts receivable, other loans receivable, and accounts payable and accrued liabilities: These balances approximate their fair values due to the short-term nature of these instruments.

~~Other loans receivable: The carrying amounts were accounted for at the unpaid loan balance. These balances approximate their fair values due to the short-term nature of these instruments.~~

Preferred equity investments: ~~The carrying amounts were accounted for at the unpaid principal balance, plus accrued return, net of reserves, assuming a hypothetical liquidation of the book values of the joint ventures.~~ The fair values of the preferred equity investments were estimated using an internal valuation model that considered the expected future cash flows of the investment, the underlying collateral value and other credit enhancements.

Mortgage ~~loan~~loans receivable: The mortgage loan receivable is recorded at amortized cost, which consists of the outstanding unpaid principal balance, net of unamortized costs and fees directly associated with the origination of the loan. The fair values of the mortgage ~~loan~~loans receivable were estimated using an internal valuation model that considered the expected future cash flows of the ~~investment,~~investments, the underlying collateral value and other credit enhancements.

Senior unsecured notes payable: The fair value of the Notes (as defined below) was determined using third-party quotes derived from orderly trades.

Unsecured revolving credit facility and senior unsecured term loan: The fair values approximate their carrying values as the interest rates are variable and approximate prevailing market interest rates for similar debt arrangements.

~~6. DEBT~~

~~The following table summarizes the balance of the Company’s indebtedness as of September 30, 2018 and December 31, 2017 (dollars in thousands):~~

1311

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

6. DEBT

The following table summarizes the balance of the Company’s indebtedness as of March 31, 2019 and December 31, 2018 (dollars in thousands):


	September 30, 2018							December 31, 2017							March 31, 2019							December 31, 2018
	Principal Amount		Deferred Loan Fees			Carrying Value		Principal Amount		Deferred Loan Fees			Carrying Value		Principal Amount		Deferred Loan Fees			Carrying Value		Principal Amount		Deferred Loan Fees			Carrying Value
Senior unsecured notes payable	$	300,000	$	(5,037	)	$	294,963	$	300,000	$	(5,605	)	$	294,395	$	300,000	$	(4,658	)	$	295,342	$	300,000	$	(4,847	)	$	295,153
Senior unsecured term loan	100,000		(412		)	99,588		100,000		(483		)	99,517		200,000		(1,445		)	198,555		100,000		(388		)	99,612
Unsecured revolving credit facility	90,000		—			90,000		165,000		—			165,000		185,000		—			185,000		95,000		—			95,000
	$	490,000	$	(5,449	)	$	484,551	$	565,000	$	(6,088	)	$	558,912	$	685,000	$	(6,103	)	$	678,897	$	495,000	$	(5,235	)	$	489,765

Senior Unsecured Notes Payable

On May 10, 2017, the Company’s wholly owned subsidiary, CTR Partnership, L.P. (the “Operating Partnership”), and its wholly owned subsidiary, CareTrust Capital Corp. (together with the Operating Partnership, the “Issuers”), completed an underwritten public offering of $300.0 million aggregate principal amount of 5.25% Senior Notes due 2025 (the “Notes”). The Notes were issued at par, resulting in gross proceeds of $300.0 million and net proceeds of approximately $294.0 million after deducting underwriting fees and other offering expenses. The Company used the net proceeds from the offering of the Notes to redeem all $260.0 million aggregate principal amount outstanding of its 5.875% Senior Notes due 2021, including payment of the redemption price at 102.938% and all accrued and unpaid interest thereon. The Company used the remaining portion of the net proceeds of the offering to pay borrowings outstanding under its senior unsecured revolving credit facility. The Notes mature on June 1, 2025 and bear interest at a rate of 5.25% per year. Interest on the Notes is payable on June 1 and December 1 of each ~~year, beginning on December 1, 2017.~~year.

The Issuers may redeem the Notes any time before June 1, 2020 at a redemption price of 100% of the principal amount of the Notes redeemed plus accrued and unpaid interest on the Notes, if any, to, but not including, the redemption date, plus a “make-whole” premium described in the indenture governing the Notes and, at any time on or after June 1, 2020, at the redemption prices set forth in the indenture. At any time on or before June 1, 2020, up to 40% of the aggregate principal amount of the Notes may be redeemed with the net proceeds of certain equity offerings if at least 60% of the originally issued aggregate principal amount of the Notes remains outstanding. In such case, the redemption price will be equal to 105.25% of the aggregate principal amount of the Notes to be redeemed plus accrued and unpaid interest, if any, to, but not including, the redemption date. If certain changes of control of the Company occur, holders of the Notes will have the right to require the Issuers to repurchase their Notes at 101% of the principal amount plus accrued and unpaid interest, if any, to, but not including, the repurchase date.

The obligations under the Notes are fully and unconditionally guaranteed, jointly and severally, on an unsecured basis, by the Company and certain of the Company’s wholly owned existing and, subject to certain exceptions, future material subsidiaries (other than the Issuers); provided, however, that such guarantees are subject to automatic release under certain customary circumstances, as described in Note 12, Summarized Condensed Consolidating Information.

The indenture contains customary covenants such as limiting the ability of the Company and its restricted subsidiaries to: incur or guarantee additional indebtedness; incur or guarantee secured indebtedness; pay dividends or distributions on, or redeem or repurchase, capital stock; make certain investments or other restricted payments; sell assets; enter into transactions with affiliates; merge or consolidate or sell all or substantially all of their assets; and create restrictions on the ability of the Issuers and their restricted subsidiaries to pay dividends or other amounts to the Issuers. The indenture also requires the Company and its restricted subsidiaries to maintain a specified ratio of unencumbered assets to unsecured indebtedness. These covenants are subject to a number of important and significant limitations, qualifications and exceptions. The indenture also contains customary events of default.

As of ~~September 30, 2018,~~March 31, 2019, the Company was in compliance with all applicable financial covenants under the indenture.

Unsecured Revolving Credit Facility and Term Loan

1412

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

aggregate principal amount of $300.0 million from a syndicate of banks and other financial institutions, and an accordion feature that allowed the Operating Partnership to increase the borrowing availability by up to an additional $200.0 million. A portion of the proceeds of the Revolving Facility were used to pay off and terminate the Company’s existing secured asset-based revolving credit facility ~~under a credit agreement dated May 30, 2014, with SunTrust Bank, as administrative agent, and the lenders party thereto.~~

~~On February 1, 2016, the Company, CareTrust GP, LLC, the Operating Partnership, as the borrower, and certain of its wholly owned subsidiaries entered into the First Amendment~~ (the ~~“Amendment”) to the Credit Agreement. Pursuant to the Amendment, (i) commitments in respect of the~~“Prior Revolving ~~Facility were increased by $100.0 million to $400.0 million total,~~Facility”), (ii) a ~~new~~ $100.0 million non-amortizing unsecured term loan (the ~~“Term~~“Prior Term Loan” and, together with the Prior Revolving Facility, the ~~“Credit~~“Prior Credit Facility”) ~~was funded,~~, and (iii) ~~the~~a $250.0 million uncommitted incremental ~~facility was increased by $50.0 million to $250.0 million.~~facility. The Prior Revolving Facility ~~continues~~was scheduled to mature on August 5, 2019, subject to two, six-month extension options. The Prior Term Loan ~~which matures~~was scheduled to mature on February 1, 2023 ~~may~~and could be prepaid at any time subject to a 2% premium in the first year after issuance and a 1% premium in the second year after issuance. ~~Approximately $95.0~~

On February 8, 2019, the Operating Partnership, as the borrower, the Company, as guarantor, CareTrust GP, LLC, and certain of the Operating Partnership’s wholly owned subsidiaries entered into an amended and restated credit and guaranty agreement with KeyBank National Association, as administrative agent, an issuing bank and swingline lender, and the lenders party thereto (the “Amended Credit Agreement”). The Amended Credit Agreement, which amended and restated the Prior Credit Agreement, provides for: (i) an unsecured revolving credit facility (the “Revolving Facility”) with revolving commitments in an aggregate principal amount of $600.0 million, including a letter of credit subfacility for 10% of the then available revolving commitments and a swingline loan subfacility for 10% of the then available revolving commitments and (ii) an unsecured term loan credit facility (the “Term Loan” and, together with the Revolving Facility, the “Amended Credit Facility”) in an aggregate principal amount of $200.0 million. Borrowing availability under the Revolving Facility is subject to the Company’s compliance with certain financial covenants set forth in the Amended Credit Agreement governing the Revolving Facility, including a consolidated leverage ratio that requires the Company’s ratio of Adjusted Consolidated Debt to Consolidated Total Asset Value (each as defined in the Amended Credit Agreement) be less than 60%. The proceeds of the Term Loan were used, in part, to pay off and terminate the Company’s existing secured mortgage indebtedness under the Fifth Amended and Restated Loan Agreement, dated May 30, 2014 with General Electric Capital Corporation, as agent and lender, and the other lenders party thereto. The Company expects to userepay in full all outstanding borrowings under the Prior Term Loan and Prior Revolving Facility under the Prior Credit Agreement. Future borrowings under the Amended Credit Facility will be used for working capital purposes, for capital expenditures, to fund acquisitions and for general corporate purposes.

~~As of September 30, 2018, there was $90.0 million outstanding under the Revolving Facility.~~

The interest rates applicable to loans under the Revolving Facility are, at the Company’s option, equal to either a base rate plus a margin ranging from ~~0.75%~~0.10% to ~~1.40%~~0.55% per annum or ~~applicable~~ LIBOR plus a margin ranging from ~~1.75%~~1.10% to ~~2.40%~~1.55% per annum based on the debt to asset value ratio of the Company and its consolidated subsidiaries (subject to decrease at the ~~Company’s~~Operating Partnership’s election if the Company obtains certain specified investment grade ratings on its senior ~~long term~~long-term unsecured debt). In addition, the Company pays a commitment fee on the unused portion of the commitments under the Revolving Facility of 0.15% or 0.25% per annum, based upon usage of the Revolving Facility (unless the Company obtains certain specified investment grade ratings on its senior long term unsecured debt and elects to decrease the applicable margin as described above, in which case the Company will pay a facility fee on the revolving commitments ranging from 0.125% to 0.30% per annum based upon the credit ratings of its senior long term unsecured debt).

~~Pursuant to the Amendment, the~~The interest rates applicable to loans under the Term Loan are, at the Company’s option, equal to either a base rate plus a margin ranging from ~~0.95%~~0.50% to ~~1.60%~~1.20% per annum or ~~applicable~~ LIBOR plus a margin ranging from ~~1.95%~~1.50% to ~~2.60%~~2.20% per annum based on the debt to asset value ratio of the Company and its consolidated subsidiaries (subject to decrease at the ~~Company’s~~Operating Partnership’s election if the Company obtains certain specified investment grade ratings on its senior ~~long term~~long-term unsecured debt). In addition, the Company will pay a facility fee on the revolving commitments under the Revolving Facility ranging from 0.15% to 0.35% per annum, based on the debt to asset value ratio of the Company and its consolidated subsidiaries (unless the Company obtains certain specified investment grade ratings on its senior long-term unsecured debt and the Company elects to decrease the applicable margin as described above, in which case the Operating Partnership will pay a facility fee on the revolving commitments ranging from 0.125% to 0.30% per annum based on the credit ratings of the Company’s senior long-term unsecured debt). As of March 31, 2019, the Company had $200.0 million outstanding under the Term Loan and $185.0 million outstanding under the Revolving Facility. See Note 13, Subsequent Events, for additional information.

The Revolving Facility has a maturity date of February 8, 2023, and includes, at the sole discretion of the Company, two, six-month extension options. The Term Loan has a maturity date of February 8, 2026.

The Amended Credit Facility is guaranteed, jointly and severally, by the Company and its ~~wholly-owned~~wholly owned subsidiaries that are party to the Amended Credit Agreement (other than the Operating Partnership). The Amended Credit Agreement contains customary covenants that, among other things, restrict, subject to certain exceptions, the ability of the Company and its subsidiaries to grant liens on their assets, incur indebtedness, sell assets, make investments, engage in acquisitions, mergers or consolidations, amend certain material agreements and pay certain dividends and other restricted payments. The Amended Credit Agreement requires the Company to comply with financial maintenance covenants to be tested quarterly, consisting of a maximum debt to asset value ratio, a minimum fixed charge coverage ratio, a minimum tangible net worth, a maximum cash distributions to operating income ratio, a maximum secured debt to asset value ratio and a maximum secured recourse debt to asset value ratio. The Amended Credit Agreement also contains certain customary events of default, including that the Company is required to operate in conformity with the requirements for qualification and taxation as a REIT.

As of ~~September 30, 2018,~~March 31, 2019, the Company was in compliance with all applicable financial covenants under the Amended Credit Agreement.

~~Interest Expense~~

During the three months ended September 30, 2018, the Company incurred $6.8 million of interest expense, which included $0.5 million of amortization of deferred financing costs. During the three months ended September 30, 2017, the Company incurred $5.6 million of interest expense, which included $0.5 million of amortization of deferred financing costs. During the nine months ended September 30, 2018, the Company incurred $21.2 million of interest expense, which included $1.5 million of amortization of deferred financing costs. During the nine months ended September 30, 2017, the Company

1513

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

Interest Expense

During the three months ended March 31, 2019, the Company incurred ~~$17.7~~$6.9 million of interest expense, which included ~~$1.6~~$0.5 million of amortization of deferred financing costs. During the three months ended March 31, 2018, the Company incurred $7.1 million of interest expense, which included $0.5 million of amortization of deferred financing costs. As of ~~September 30, 2018~~March 31, 2019 and December 31, ~~2017,~~2018, the Company’s interest payable was $5.3 million and ~~$1.4~~$1.3 million, respectively.

~~Loss on the Extinguishment of Debt~~

During the nine months ended September 30, 2017, the loss on the extinguishment of debt included the redemption price, stated at 102.938%, of $7.6 million and a $4.2 million write-off of deferred financing costs associated with the redemption of the Company’s 5.875% Senior Notes due 2021.

7. EQUITY

Common Stock

At-The-Market Offering—~~During the second quarter of 2017,~~On March 4, 2019, the Company entered into ana new equity distribution agreement to issue and sell, from time to time, up to $300.0 million in aggregate offering price of its common stock through an “at-the-market” equity offering program (the ~~“ATM~~“New ATM Program”). In connection with the entry into the equity distribution agreement and the commencement of the New ATM Program, the Company’s “at-the-market” equity offering program pursuant to the Company’s prior equity distribution agreement, dated as of May 17, 2017, was terminated (the “Prior ATM Program”).

There was no New ATM Program activity for the three months ended March 31, 2019. The following table summarizes the ~~quarterly~~Prior ATM Program activity for ~~2018~~the three months ended March 31, 2019 (in thousands, except per share amounts):


	For the Three Months Ended								For the Three Months Ended
	March 31, 2018		June 30, 2018		September 30, 2018		Total		March 31, 2019
Number of shares	—		2,989		4,772		7,761		2,459
Average sales price per share	$	—	$	16.13	$	17.62	$	17.04	$	19.48
Gross proceeds*	$	—	$	48,198	$	84,077	$	132,275	$	47,893

*Total gross proceeds is before $0.6 ~~million and $1.1~~ million of commissions paid to the sales agents during the three months ended ~~June 30, 2018 and September 30, 2018, respectively.~~March 31, 2019 under the Prior ATM Program.

As of ~~September 30, 2018,~~March 31, 2019, the Company had ~~approximately $103.8~~$300.0 million available for future issuances under the New ATM Program.

Dividends on Common Stock—The following table summarizes the cash dividends ~~per share of~~on the Company’s common stock declared by the Company’s Board of Directors for ~~2018:~~2019 (dollars in thousands, except per share amounts):

For the Three Months Ended

March 31, 2018

June 30, 2018

September 30, 2018

March 31, 2019

Dividends declared

0.205

Dividends declared per share

0.225

Dividends payment date

April 13, 2018

July 13, 2018

October 15, 2018

April 15, 2019

Dividends payable as of record date

20,012

Dividends record date

March 29, 2019

8. STOCK-BASED COMPENSATION

All stock-based awards are subject to the terms of the CareTrust REIT, Inc. and CTR Partnership, L.P. Incentive Award Plan (the “Plan”). The Plan provides for the granting of stock-based compensation, including stock options, restricted stock, performance awards, restricted stock units and other incentive awards to officers, employees and directors in connection with their employment with or services provided to the Company.

Restricted Stock Awards — In connection with the separation of Ensign’s healthcare business and its real estate business into two separate and independently publicly traded companies (the “Spin-Off”), employees of Ensign who had unvested shares of restricted stock were given one share of CareTrust REIT unvested restricted stock totaling 207,580 shares at the Spin-Off. These restricted shares are subject to a time vesting provision only and the Company does not recognize any stock compensation expense associated with these awards. ~~During the nine months ended September 30, 2018, 10,960 shares vested or were forfeited.~~ As of ~~September 30, 2018,~~March 31, 2019, there were ~~4,020~~1,760 unvested restricted stock awards outstanding that were issued in connection with the Spin-Off.

In February ~~2018,~~2019, the Compensation Committee of the Company’s Board of Directors granted ~~141,060~~91,440 shares of restricted stock to officers and employees. Each share had a fair market value on the date of grant of ~~$15.13~~$22.00 per share, based on the market price of the Company’s common stock on that date, and the shares vest in four equal annual installments beginning on the first anniversary of the grant date. Additionally, in February 2019, the Compensation Committee granted ~~120,460~~71,440 performance stock awards to officers and employees. Each share had a fair market value on the date of grant of ~~$15.13~~$22.00 per

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

share, based on the market price of the Company’s common stock on that ~~date,~~date. Performance stock awards are subject to both time and performance based conditions and vest over a one- to four-year period. The amount of performance awards that will ultimately vest is dependent on the ~~shares may vest if the threshold performance criterion is met.~~

~~In May 2018,~~Company meeting or exceeding fiscal year over year Normalized Funds from Operations (“NFFO”), as defined by the Compensation Committee, ~~of the Company's Board of Directors granted 26,462 shares of restricted stock to members of the Board of Directors. Each share had a fair market value on the date of grant of $16.44~~ per share ~~based on the market price~~growth of ~~the Company's common stock on that date, and the shares vest in full on the earlier to occur of May 30, 2019~~5.0% or ~~when the Company holds its 2019 Annual Meeting.~~greater.

The following table summarizes the stock-based compensation expense recognized (dollars in thousands):

For the Three Months Ended September 30, For the Nine Months Ended September 30,
2018 2017 2018 2017
Stock-based compensation expense $ 988
$ 656
$ 2,816
$ 1,792



	For the Three Months Ended March 31,
	2019		2018
Stock-based compensation expense	$	994	$	904

As of ~~September 30, 2018,~~March 31, 2019, there was ~~$5.4~~$6.9 million of unamortized stock-based compensation expense related to unvested awards and the weighted-average remaining vesting period of such awards was ~~2.2~~2.4 years.

~~Table of Contents~~

~~CARETRUST REIT, INC.~~

~~NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —~~

~~(Unaudited)~~

9. EARNINGS PER COMMON SHARE

The following table presents the calculation of basic and diluted EPS for the Company’s common stock for the three ~~and nine~~ months ended ~~September 30,~~March 31, 2019 and 2018, ~~and 2017,~~ and reconciles the weighted-average common shares outstanding used in the calculation of basic EPS to the weighted-average common shares outstanding used in the calculation of diluted EPS (amounts in thousands, except per share amounts):


	For the Three Months Ended September 30,						For the Nine Months Ended September 30,						For the Three Months Ended March 31,
	2018			2017			2018			2017			2019			2018
Numerator:
Net income	$	14,510		$	11,311		$	42,384		$	23,622		$	16,053		$	14,607
Less: Net income allocated to participating securities	(84		)	(83		)	(282		)	(277		)	(86		)	(126		)
Numerator for basic and diluted earnings available to common stockholders	$	14,426		$	11,228		$	42,102		$	23,345		$	15,967		$	14,481
Denominator:
Weighted-average basic common shares outstanding	81,490			75,471			77,811			71,693			88,010			75,504
Weighted-average diluted common shares outstanding	81,490			75,471			77,811			71,693			88,010			75,504

Earnings per common share, basic	$	0.18		$	0.15		$	0.54		$	0.33		$	0.18		$	0.19
Earnings per common share, diluted	$	0.18		$	0.15		$	0.54		$	0.33		$	0.18		$	0.19

The Company’s unvested restricted shares associated with its incentive award plan and unvested restricted shares issued to employees of Ensign at the Spin-Off have been excluded from the above calculation of earnings per diluted share for the three ~~and nine~~ months ended ~~September 30,~~March 31, 2019 and 2018, ~~and 2017, as~~when their inclusion would have been anti-dilutive.

10. COMMITMENTS AND CONTINGENCIES

~~U.S. Government Settlement~~—In October 2013, Ensign completed and executed a settlement agreement (the “Settlement Agreement”) with the U.S. Department of Justice (“DOJ”). This settlement agreement fully and finally resolved a DOJ investigation of Ensign related primarily to claims submitted to the Medicare program for rehabilitation services provided at skilled nursing facilities in California and certain ancillary claims. Pursuant to the Settlement Agreement, Ensign made a single lump-sum remittance to the government in the amount of $48.0 million in October 2013. Ensign denied engaging in any illegal conduct and agreed to the settlement amount without any admission of wrongdoing in order to resolve the allegations and avoid the uncertainty and expense of protracted litigation.

In connection with the settlement and effective as of October 1, 2013, Ensign entered into a five-year corporate integrity agreement (the “CIA”) with the Office of Inspector General-Health and Human Services. The CIA acknowledges the existence of Ensign’s current compliance program, and requires that Ensign continue, during the term of the CIA, to maintain a compliance program designed to promote compliance with the statutes, regulations, and written directives of Medicare, Medicaid, and all other Federal health care programs. Ensign is also required to maintain several elements of its existing program during the term of the CIA, including maintaining a compliance officer, a compliance committee of the board of directors, and a code of conduct. The CIA requires that Ensign conduct certain additional compliance-related activities during the term of the CIA, including various training and monitoring procedures, and maintaining a disciplinary process for compliance obligations.

Participation in federal healthcare programs by Ensign is not affected by the Settlement Agreement or the CIA. In the event of an uncured material breach of the CIA, Ensign could be excluded from participation in federal healthcare programs and/or subject to prosecution. The Company is subject to certain continuing operational obligations as part of Ensign’s compliance program pursuant to the CIA, but otherwise has no liability related to the DOJ investigation.

~~Table of Contents~~

~~CARETRUST REIT, INC.~~

~~NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —~~

~~(Unaudited)~~

~~Legal Matters~~—The Company and its subsidiaries are and may become from time to time a party to various claims and lawsuits arising in the ordinary course of business, which are not individually or in the aggregate anticipated to have a material adverse effect on the Company’s results of operations, financial condition or cash flows. Claims and lawsuits may include matters involving general or professional liability asserted against the Company’s tenants, which are the responsibility of the Company’s tenants and for which the Company is entitled to be indemnified by its tenants under the insurance and indemnification provisions in the applicable leases.

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

11. CONCENTRATION OF RISK

Major operator concentrations – As of ~~September 30, 2018,~~March 31, 2019, Ensign leased 9293 skilled nursing, multi-service campuses, assisted living and independent living facilities which had a total of ~~9,805~~9,860 operational beds and are located in Arizona, California, Colorado, Idaho, Iowa, Nebraska, Nevada, Texas, Utah and Washington. The four states in which Ensign leases the highest concentration of properties are California, Texas, Utah and Arizona. As of ~~September 30, 2018,~~March 31, 2019, Ensign represents ~~$59.1~~$59.8 million, or ~~42%~~40%, of the Company’s rental income, exclusive of operating expense reimbursements, on an annualized run-rate basis.

Ensign is subject to the registration and reporting requirements of the SEC and is required to file with the SEC annual reports containing audited financial information and quarterly reports containing unaudited financial information. Ensign’s financial statements, as filed with the SEC, can be found at ~~Ensign’s website~~ http://~~www.ensigngroup.net.~~www.sec.gov. The Company has not verified this information through an independent investigation or otherwise.

12. SUMMARIZED CONDENSED CONSOLIDATING INFORMATION

The Notes issued by the Operating Partnership and CareTrust Capital Corp. on May 10, 2017 are jointly and severally, fully and unconditionally, guaranteed by CareTrust REIT, Inc., as the parent guarantor (the “Parent Guarantor”), and the wholly owned subsidiaries of the Parent Guarantor other than the Issuers (collectively, the “Subsidiary Guarantors” and, together with the Parent Guarantor, the “Guarantors”), subject to automatic release under certain customary circumstances, including if the Subsidiary Guarantor is sold or sells all or substantially all of its assets, the Subsidiary Guarantor is designated “unrestricted” for covenant purposes under the indenture governing the Notes, the Subsidiary Guarantor’s guarantee of other indebtedness which resulted in the creation of the guarantee of the Notes is terminated or released, or the requirements for legal defeasance or covenant defeasance or to discharge the indenture have been satisfied.

The following provides information regarding the entity structure of the Parent Guarantor, the Issuers and the Subsidiary Guarantors:

CareTrust REIT, Inc. – The Parent Guarantor was formed on October 29, 2013 in anticipation of the ~~Spin-Off~~separation of Ensign’s healthcare business and ~~the related transactions~~its real estate business into two separate and independently publicly traded companies (the “Spin-Off”) and was a wholly owned subsidiary of Ensign prior to the effective date of the Spin-Off on June 1, 2014. The Parent Guarantor did not conduct any operations or have any business prior to the date of the consummation of the Spin-Off related transactions.

CTR Partnership, L.P. and CareTrust Capital Corp. – The Issuers, each of which is a wholly owned subsidiary of the Parent Guarantor, were formed on May 8, 2014 and May 9, 2014, respectively, in anticipation of the Spin-Off and the related transactions. The Issuers did not conduct any operations or have any business prior to the date of the consummation of the Spin-Off related transactions.

Subsidiary Guarantors – The Subsidiary Guarantors consist of all of the subsidiaries of the Parent Guarantor other than the Issuers.

Pursuant to Rule 3-10 of Regulation S-X, the following summarized consolidating information is provided for the Parent Guarantor, the Issuers, and the Subsidiary Guarantors. There are no subsidiaries of the Company other than the Issuers and the Subsidiary Guarantors. This summarized financial information has been prepared from the financial statements of the Company and the books and records maintained by the Company.

1816

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

CONDENSED CONSOLIDATING BALANCE SHEETS

~~SEPTEMBER 30, 2018~~MARCH 31, 2019

(in thousands, except share and per share amounts)


	Parent Guarantor			Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated			Parent Guarantor			Issuers			Combined Subsidiary Guarantors		Elimination			Consolidated
Assets:
Real estate investments, net	$	—		$	856,659	$	332,790	$	—		$	1,189,449		$	—		$	935,419		$	323,917	$	—		$	1,259,336
Other real estate investments, net	—			12,337		5,746		—			18,083			—			23,673			5,746		—			29,419
Cash and cash equivalents	—			15,745		—		—			15,745			—			214,354			—		—			214,354
Accounts and other receivables, net	—			9,567		2,817		—			12,384			—			8,350			10		—			8,360
Prepaid expenses and other assets	—			3,789		3		—			3,792			—			8,756			3		—			8,759
Deferred financing costs, net	—			904		—		—			904			—			3,758			—		—			3,758
Investment in subsidiaries	737,296			474,524		—		(1,211,820		)	—			831,117			495,487			—		(1,326,604		)	—
Intercompany	—			—		136,277		(136,277		)	—			—			—			166,008		(166,008		)	—
Total assets	$	737,296		$	1,373,525	$	477,633	$	(1,348,097	)	$	1,240,357		$	831,117		$	1,689,797		$	495,684	$	(1,492,612	)	$	1,523,986
Liabilities and Equity:
Senior unsecured notes payable, net	$	—		$	294,963	$	—	$	—		$	294,963		$	—		$	295,342		$	—	$	—		$	295,342
Senior unsecured term loan, net	—			99,588		—		—			99,588			—			198,555			—		—			198,555
Unsecured revolving credit facility	—			90,000		—		—			90,000			—			185,000			—		—			185,000
Accounts payable and accrued liabilities	—			15,401		3,109		—			18,510			—			13,775			197		—			13,972
Dividends payable	17,246			—		—		—			17,246			20,086			—		��	—		—			20,086
Intercompany	—			136,277		—		(136,277		)	—			—			166,008			—		(166,008		)	—
Total liabilities	17,246			636,229		3,109		(136,277		)	520,307			20,086			858,680			197		(166,008		)	712,955
Equity:
Common stock, $0.01 par value; 500,000,000 shares authorized, 83,353,226 shares issued and outstanding as of September 30, 2018	834			—		—		—			834
Common stock, $0.01 par value; 500,000,000 shares authorized, 88,398,273 shares issued and outstanding as of March 31, 2019														884			—			—		—			884
Additional paid-in capital	915,235			629,525		321,761		(951,286		)	915,235			1,012,295			689,725			321,761		(1,011,486		)	1,012,295
Cumulative distributions in excess of earnings	(196,019		)	107,771		152,763		(260,534		)	(196,019		)	(202,148		)	141,392			173,726		(315,118		)	(202,148		)
Total equity	720,050			737,296		474,524		(1,211,820		)	720,050			811,031			831,117			495,487		(1,326,604		)	811,031
Total liabilities and equity	$	737,296		$	1,373,525	$	477,633	$	(1,348,097	)	$	1,240,357		$	831,117		$	1,689,797		$	495,684	$	(1,492,612	)	$	1,523,986

1917

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

CONDENSED CONSOLIDATING BALANCE SHEETS

DECEMBER 31, ~~2017~~2018

(in thousands, except share and per share amounts)


	Parent Guarantor			Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated			Parent Guarantor			Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated
Assets:
Real estate investments, net	$	—		$	805,826	$	346,435	$	—		$	1,152,261		$	—		$	887,921	$	328,316	$	—		$	1,216,237
Other real estate investments, net	—			12,399		5,550		—			17,949			—			12,299		5,746		—			18,045
Cash and cash equivalents	—			6,909		—		—			6,909			—			36,792		—		—			36,792
Accounts and other receivables, net	—			2,945		2,309		—			5,254			—			9,359		2,028		—			11,387
Prepaid expenses and other assets	—			893		2		—			895			—			8,666		2		—			8,668
Deferred financing costs, net	—			1,718		—		—			1,718			—			633		—		—			633
Investment in subsidiaries	619,075			444,120		—		(1,063,195		)	—			786,030			484,955		—		(1,270,985		)	—
Intercompany	—			—		92,061		(92,061		)	—			—			—		151,242		(151,242		)	—
Total assets	$	619,075		$	1,274,810	$	446,357	$	(1,155,256	)	$	1,184,986		$	786,030		$	1,440,625	$	487,334	$	(1,422,227	)	$	1,291,762
Liabilities and Equity:
Senior unsecured notes payable, net	$	—		$	294,395	$	—	$	—		$	294,395		$	—		$	295,153	$	—	$	—		$	295,153
Senior unsecured term loan, net	—			99,517		—		—			99,517			—			99,612		—		—			99,612
Unsecured revolving credit facility	—			165,000		—		—			165,000			—			95,000		—		—			95,000
Accounts payable and accrued liabilities	—			15,176		2,237		—			17,413			—			13,588		2,379		—			15,967
Dividends payable	14,044			—		—		—			14,044			17,783			—		—		—			17,783
Intercompany	—			92,061		—		(92,061		)	—			—			151,242		—		(151,242		)	—
Total liabilities	14,044			666,149		2,237		(92,061		)	590,369			17,783			654,595		2,379		(151,242		)	523,515
Equity:
Common stock, $0.01 par value; 500,000,000 shares authorized, 75,478,202 shares issued and outstanding as of December 31, 2017	755			—		—		—			755
Common stock, $0.01 par value; 500,000,000 shares authorized, 85,867,044 shares issued and outstanding as of December 31, 2018														859			—		—		—			859
Additional paid-in capital	783,237			546,097		321,761		(867,858		)	783,237			965,578			661,686		321,761		(983,447		)	965,578
Cumulative distributions in excess of earnings	(178,961		)	62,564		122,359		(195,337		)	(189,375		)	(198,190		)	124,344		163,194		(287,538		)	(198,190		)
Total equity	605,031			608,661		444,120		(1,063,195		)	594,617			768,247			786,030		484,955		(1,270,985		)	768,247
Total liabilities and equity	$	619,075		$	1,274,810	$	446,357	$	(1,155,256	)	$	1,184,986		$	786,030		$	1,440,625	$	487,334	$	(1,422,227	)	$	1,291,762

2018

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

CONDENSED CONSOLIDATING INCOME STATEMENTS

FOR THE THREE MONTHS ENDED ~~SEPTEMBER 30, 2018~~MARCH 31, 2019

(in thousands)


	Parent Guarantor		Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated		Parent Guarantor		Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated
Revenues:
Rental income	$	—	$	20,554	$	14,778	$	—		$	35,332	$	—	$	23,569	$	14,778	$	—		$	38,347
Tenant reimbursements	—		1,804		1,186		—			2,990
Independent living facilities	—		—		871		—			871		—		—		860		—			860
Interest and other income	—		317		—		—			317		—		451		—		—			451
Total revenues	—		22,675		16,835		—			39,510		—		24,020		15,638		—			39,658
Expenses:
Depreciation and amortization	—		6,833		4,518		—			11,351		—		7,503		4,399		—			11,902
Interest expense	—		6,805		—		—			6,805		—		6,860		—		—			6,860
Property taxes	—		1,804		1,186		—			2,990		—		826		—		—			826
Independent living facilities	—		—		766		—			766		—		—		707		—			707
General and administrative	987		2,101		—		—			3,088		994		2,316		—		—			3,310
Total expenses	987		17,543		6,470		—			25,000		994		17,505		5,106		—			23,605
Income in Subsidiary	15,497		10,365		—		(25,862		)	—		17,047		10,532		—		(27,579		)	—
Net income	$	14,510	$	15,497	$	10,365	$	(25,862	)	$	14,510	$	16,053	$	17,047	$	10,532	$	(27,579	)	$	16,053

2119

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

CONDENSED CONSOLIDATING INCOME STATEMENTS

FOR THE THREE MONTHS ENDED ~~SEPTEMBER 30, 2017~~MARCH 31, 2018

(in thousands)


	Parent Guarantor		Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated		Parent Guarantor		Issuers		Combined Subsidiary Guarantors		Elimination			Consolidated
Revenues:
Rental income	$	—	$	14,987	$	14,417	$	—		$	29,404	$	—	$	19,398	$	14,418	$	—		$	33,816
Tenant reimbursements	—		1,341		1,202		—			2,543		—		1,764		1,204		—			2,968
Independent living facilities	—		—		825		—			825		—		—		799		—			799
Interest and other income	—		—		176		—			176		—		423		95		—			518
Total revenues	—		16,328		16,620		—			32,948		—		21,585		16,516		—			38,101
Expenses:
Depreciation and amortization	—		5,014		4,731		—			9,745		—		6,937		4,640		—			11,577
Interest expense	—		5,592		—		—			5,592		—		7,092		—		—			7,092
Property taxes	—		1,341		1,202		—			2,543		—		1,764		1,204		—			2,968
Independent living facilities	—		—		698		—			698		—		—		716		—			716
General and administrative	671		2,388		—		—			3,059		904		2,288		—		—			3,192
Total expenses	671		14,335		6,631		—			21,637		904		18,081		6,560		—			25,545
Gain on sale of real estate												—		2,051		—		—			2,051
Income in Subsidiary	11,982		9,989		—		(21,971		)	—		15,511		9,956		—		(25,467		)	—
Net income	$	11,311	$	11,982	$	9,989	$	(21,971	)	$	11,311	$	14,607	$	15,511	$	9,956	$	(25,467	)	$	14,607

~~Table of Contents~~

~~CARETRUST REIT, INC.~~

~~NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —~~

~~(Unaudited)~~

~~CONDENSED CONSOLIDATING INCOME STATEMENTS~~

~~FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2018~~

~~(in thousands)~~

Parent
Guarantor
Issuers
Combined
Subsidiary
Guarantors
Elimination Consolidated
Revenues:
Rental income $ —
$ 60,122
$ 43,734
$ —
$ 103,856
Tenant reimbursements —
5,360
3,614
—
8,974
Independent living facilities —
—
2,515
—
2,515
Interest and other income —
1,039
196
—
1,235
Total revenues —
66,521
50,059
—
116,580
Expenses:
Depreciation and amortization —
20,488
13,739
—
34,227
Interest expense —
21,182
—
—
21,182
Property taxes —
5,360
3,614
—
8,974
Independent living facilities —
—
2,226
—
2,226
General and administrative 2,822
6,740
76
—
9,638
Total expenses 2,822
53,770
19,655
—
76,247
Gain on sale of real estate —
2,051
—
—
2,051
Income in Subsidiary 45,206
30,404
—
(75,610 ) —
Net income $ 42,384
$ 45,206
$ 30,404
$ (75,610 ) $ 42,384

~~Table of Contents~~

~~CARETRUST REIT, INC.~~

~~NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —~~

~~(Unaudited)~~

~~CONDENSED CONSOLIDATING INCOME STATEMENTS~~

~~FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2017~~

~~(in thousands)~~

Parent
Guarantor
Issuers
Combined
Subsidiary
Guarantors
Elimination Consolidated
Revenues:
Rental income $ —
$ 42,503
$ 42,751
$ —
$ 85,254
Tenant reimbursements —
3,577
3,676
—
7,253
Independent living facilities —
—
2,407
—
2,407
Interest and other income —
—
1,471
—
1,471
Total revenues —
46,080
50,305
—
96,385
Expenses:
Depreciation and amortization —
13,730
14,426
—
28,156
Interest expense —
17,690
—
—
17,690
Loss on the extinguishment of debt —
11,883
—
—
11,883
Property taxes —
3,577
3,676
—
7,253
Independent living facilities —
—
2,003
—
2,003
Impairment of real estate investment —
—
890
—
890
General and administrative 1,948
6,416
62
—
8,426
Total expenses 1,948
53,296
21,057
—
76,301
Gain on disposition of other real estate investment —
—
3,538
—
3,538
Income in Subsidiary 25,570
32,786
—
(58,356 ) —
Net income $ 23,622
$ 25,570
$ 32,786
$ (58,356 ) $ 23,622

2420

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS

FOR THE ~~NINE~~THREE MONTHS ENDED ~~SEPTEMBER 30, 2018~~MARCH 31, 2019

(in thousands)


	Parent Guarantor			Issuers			Combined Subsidiary Guarantors			Elimination			Consolidated			Parent Guarantor			Issuers			Combined Subsidiary Guarantors			Elimination			Consolidated
Cash flows from operating activities:
Net cash (used in) provided by operating activities	$	(7	)	$	28,087		$	44,310		$	—		$	72,390
Net cash provided by operating activities																$	—		$	15,308		$	14,766		$	—		$	30,074
Cash flows from investing activities:
Acquisitions of real estate	—			(75,621		)	—			—			(75,621		)	—			(52,697		)	—			—			(52,697		)
Improvements to real estate	—			(5,376		)	(25		)	—			(5,401		)	—			(452		)	—			—			(452		)
Purchases of equipment, furniture and fixtures	—			(1,193		)	(69		)	—			(1,262		)	—			(1,806		)	—			—			(1,806		)
Investment in real estate mortgage and other loans receivable	—			(2,598		)	—			—			(2,598		)	—			(11,389		)	—			—			(11,389		)
Principal payments received on real estate mortgage and other loans receivable	—			893			—			—			893			—			411			—			—			411
Escrow deposit for acquisitions of real estate	—			(1,000		)	—			—			(1,000		)
Escrow deposits for acquisitions of real estate																—			(375		)	—			—			(375		)
Net proceeds from the sale of real estate	—			13,004			—			—			13,004			—			131			—			—			131
Distribution from subsidiary	45,827			—			—			(45,827		)	—			17,710			—			—			(17,710		)	—
Intercompany financing	(129,251		)	44,216			—			85,035			—			(45,765		)	14,766			—			30,999			—
Net cash used in investing activities	(83,424		)	(27,675		)	(94		)	39,208			(71,985		)	(28,055		)	(51,411		)	—			13,289			(66,177		)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net	130,546			—			—			—			130,546			47,260			—			—			—			47,260
Proceeds from the issuance of senior unsecured term loan																—			200,000			—			—			200,000
Borrowings under unsecured revolving credit facility	—			60,000			—			—			60,000			—			185,000			—			—			185,000
Payments on senior unsecured term loan																—			(100,000		)	—			—			(100,000		)
Payments on unsecured revolving credit facility	—			(135,000		)	—			—			(135,000		)	—			(95,000		)	—			—			(95,000		)
Payments of deferred financing costs																—			(4,390		)	—			—			(4,390		)
Net-settle adjustment on restricted stock	(1,288		)	—			—			—			(1,288		)	(1,495		)	—			—			—			(1,495		)
Dividends paid on common stock	(45,827		)	—			—			—			(45,827		)	(17,710		)	—			—			—			(17,710		)
Distribution to Parent	—			(45,827		)	—			45,827			—			—			(17,710		)	—			17,710			—
Intercompany financing	—			129,251			(44,216		)	(85,035		)	—			—			45,765			(14,766		)	(30,999		)	—
Net cash provided by (used in) financing activities	83,431			8,424			(44,216		)	(39,208		)	8,431			28,055			213,665			(14,766		)	(13,289		)	213,665
Net increase in cash and cash equivalents	—			8,836			—			—			8,836			—			177,562			—			—			177,562
Cash and cash equivalents beginning of period	—			6,909			—			—			6,909
Cash and cash equivalents end of period	$	—		$	15,745		$	—		$	—		$	15,745
Cash and cash equivalents, beginning of period																—			36,792			—			—			36,792
Cash and cash equivalents, end of period																$	—		$	214,354		$	—		$	—		$	214,354

2521

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS

FOR THE ~~NINE~~THREE MONTHS ENDED ~~SEPTEMBER 30, 2017~~MARCH 31, 2018

(in thousands)


	Parent Guarantor			Issuers			Combined Subsidiary Guarantors			Elimination			Consolidated			Parent Guarantor			Issuers			Combined Subsidiary Guarantors			Elimination			Consolidated
Cash flows from operating activities:
Net cash (used in) provided by operating activities:	$	(157	)	$	17,946		$	49,144		$	—		$	66,933
Net cash provided by operating activities:																$	—		$	7,295		$	14,764		$	—		$	22,059
Cash flows from investing activities:
Acquisitions of real estate	—			(222,463		)	—			—			(222,463		)	—			(47,103		)	—			—			(47,103		)
Improvements to real estate	—			(571		)	(50		)	—			(621		)	—			—			(11		)	—			(11		)
Purchases of equipment, furniture and fixtures	—			(292		)	(67		)	—			(359		)	—			(23		)	(4		)	—			(27		)
Escrow deposit for acquisitions of real estate	—			(1,000		)	—			—			(1,000		)
Sale of other real estate investment	—			—			7,500			—			7,500
Principal payments received on mortgage loan receivable																—			23			—			—			23
Escrow deposit for acquisition of real estate																—			(1,000		)	—			—			(1,000		)
Net proceeds from the sale of real estate																—			13,004			—			—			13,004
Distribution from subsidiary	38,544			—			—			(38,544		)	—			14,044			—			—			(14,044		)	—
Intercompany financing	(169,391		)	56,527			—			112,864			—			615			14,749			—			(15,364		)	—
Net cash (used in) provided by investing activities	(130,847		)	(167,799		)	7,383			74,320			(216,943		)
Net cash provided by (used in) investing activities																14,659			(20,350		)	(15		)	(29,408		)	(35,114		)
Cash flows from financing activities:
Proceeds from the issuance of common stock, net	170,414			—			—			—			170,414			(10		)	—			—			—			(10		)
Proceeds from the issuance of senior unsecured notes payable	—			300,000			—			—			300,000
Borrowings under unsecured revolving credit facility	—			158,000			—			—			158,000			—			60,000			—			—			60,000
Payments on senior unsecured notes payable	—			(267,639		)	—			—			(267,639		)
Payments on unsecured revolving credit facility	—			(158,000		)	—			—			(158,000		)	—			(25,000		)	—			—			(25,000		)
Payments of deferred financing costs	—			(6,047		)	—			—			(6,047		)
Net-settle adjustment on restricted stock	(866		)	—			—			—			(866		)	(605		)	—			—			—			(605		)
Dividends paid on common stock	(38,544		)	—			—			—			(38,544		)	(14,044		)	—			—			—			(14,044		)
Distribution to Parent	—			(38,544		)	—			38,544			—			—			(14,044		)	—			14,044			—
Intercompany financing	—			169,391			(56,527		)	(112,864		)	—			—			(615		)	(14,749		)	15,364			—
Net cash provided by (used in) financing activities	131,004			157,161			(56,527		)	(74,320		)	157,318
Net cash (used in) provided by financing activities																(14,659		)	20,341			(14,749		)	29,408			20,341
Net increase in cash and cash equivalents	—			7,308			—			—			7,308			—			7,286			—			—			7,286
Cash and cash equivalents beginning of period	—			7,500			—			—			7,500
Cash and cash equivalents end of period	$	—		$	14,808		$	—		$	—		$	14,808
Cash and cash equivalents, beginning of period																—			6,909			—			—			6,909
Cash and cash equivalents, end of period																$	—		$	14,195		$	—		$	—		$	14,195

2622

Table of Contents

CARETRUST REIT, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —

(Unaudited)

13. SUBSEQUENT EVENTS

~~The Company evaluates subsequent events in accordance with ASC Topic 855,~~ ~~Subsequent Events. The Company evaluates subsequent events up until the date the condensed consolidated financial statements are issued.~~

Recent Acquisitions

In ~~October 2018,~~April 2019, the Company, completed a previously-disclosed $211.0 million multi-asset acquisition. The contractual initial annual cash rents from the acquisition are approximately $19.0 million. The two-state transaction included seven skilled nursing facilities and one multi-service campus in Louisiana, which were re-tenanted at closing with the Company’s existing tenant Priority Management Group, LLC. The acquisition also included three skilled nursing facilities and one multi-service campus in Texas, which were re-tenanted with Texas-based Southwest LTC, Ltd. under a new triple-net master lease with the Company. The amended lease with Priority Management Group, LLC has a remaining term of approximately 12.5 years. The lease with Southwest LTC, Ltd. carries an initial term of 15 years, with two ~~separate transactions,~~five-year renewal options and CPI-based rent escalators.

The aggregate purchase price for the acquisition was approximately $215.0 million, inclusive of capital expenditure commitments and estimated acquisition costs, and was funded using approximately $185.0 million in borrowings under the Company’s Revolving Credit Facility, with the remainder funded with cash on hand.

In May 2019, the Company acquired one skilled nursing facility ~~and one multi-service campus. The aggregate purchase price was~~for approximately ~~$12.0~~$10.0 million, which includes estimated capitalized acquisition costs. ~~These two acquisitions will generate~~The contractual initial annual cash ~~rents of~~rent from the acquisition is approximately ~~$1.1~~$0.9 million and ~~were~~was funded using ~~$7.0~~cash on hand.

Public Offering of Common Stock

On April 15, 2019, the Company completed an underwritten public offering of 6,641,250 shares of its common stock, par value $0.01 per share, at an initial price to the public of $23.35, including 866,250 shares of common stock sold pursuant to the full exercise of an option to purchase additional shares of common stock granted to the underwriters, resulting in approximately $148.4 million in ~~cash~~net proceeds, after deducting the underwriting discount and estimated gross offering expenses. The Company used the proceeds from the offering to repay a portion of the outstanding borrowings on ~~hand and $5.0 million in borrowings~~its Revolving Credit Facility, which had been used to fund a portion of the purchase price of the April 2019 acquisition disclosed above under ~~the Company’s senior unsecured revolving credit facility.~~“Recent Acquisitions.”

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.

Forward-Looking Statements

Certain statements in this report may constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Those forward-looking statements include all statements that are not historical statements of fact and those regarding our intent, belief or expectations, including, but not limited to, statements regarding: future financing plans, business strategies, growth prospects and operating and financial performance; expectations regarding the making of distributions and the payment of dividends; and compliance with and changes in governmental regulations.

Words such as “anticipate(s),” “expect(s),” “intend(s),” “plan(s),” “believe(s),” “may,” “will,” “would,” “could,” “should,” “seek(s)” and similar expressions, or the negative of these terms, are intended to identify such forward-looking statements. These statements are based on management’s current expectations and beliefs and are subject to a number of risks and uncertainties that could lead to actual results differing materially from those projected, forecasted or expected. Although we believe that the assumptions underlying the forward-looking statements are reasonable, we can give no assurance that our expectations will be attained. Factors which could have a material adverse effect on our operations and future prospects or which could cause actual results to differ materially from our expectations include, but are not limited to: (i) the ability to achieve some or all of the benefits that we expect to achieve from the separation of the real estate business of Ensign Group, Inc. (“Ensign”) into a separate and independent publicly-traded company upon the distribution of all of the outstanding shares of common stock of the Company to Ensign stockholders on a pro rata basis (the “Spin-Off”); (ii) the ability and willingness of our tenants to meet and/or perform their obligations under the triple-net leases we have entered into with them, ~~and the ability and willingness of Ensign to meet and/or perform its other contractual arrangements that it entered into with us in connection with the Spin-Off, and any of its~~including, without limitation, their respective obligations to indemnify, defend and hold us harmless from and against various claims, litigation and liabilities; ~~(iii)~~(ii) the ability of our tenants to comply with applicable laws, rules and regulations in the operation of the properties we lease to them; ~~(iv)~~(iii) the ability and willingness of our tenants ~~including Ensign,~~ to renew their leases with us upon their expiration, and the ability to reposition our properties on the same or better terms in the event of nonrenewal or in the event we replace an existing tenant, ~~and~~as well as any obligations, including indemnification obligations, we may incur in connection with the replacement of an existing tenant; ~~(v)~~(iv) the availability of and the ability to identify (a) tenants who meet our credit and operating standards, and (b) suitable acquisition opportunities, and the ability to acquire and lease the respective properties to such tenants on favorable terms; ~~(vi)~~(v) the ability to generate sufficient cash flows to service our outstanding indebtedness; ~~(vii)~~(vi) access to debt and equity capital markets; ~~(viii)~~(vii) fluctuating interest rates; ~~(ix)~~(viii) the ability to retain our key management personnel; ~~(x)~~(ix) the ability to maintain our status as a real estate investment trust (“REIT”); ~~(xi)~~(x) changes in the U.S. tax law and other state, federal or local laws, whether or not specific to REITs; ~~(xii)~~(xi) other risks inherent in the real estate business, including potential liability relating to environmental matters and illiquidity of real estate investments; and ~~(xiii)~~(xii) any additional factors included in our Annual Report on Form 10-K for the year ended December 31, ~~2017,~~2018, including in the section entitled “Risk Factors” in Item 1A of Part I of such report, as such risk factors may be amended, supplemented or superseded from time to time by other reports we file with the Securities and Exchange Commission (the “SEC”).

Forward-looking statements speak only as of the date of this report. Except in the normal course of our public disclosure obligations, we expressly disclaim any obligation to release publicly any updates or revisions to any forward-looking statements to reflect any change in our expectations or any change in events, conditions or circumstances on which any statement is based.

Overview

CareTrust REIT is a self-administered, publicly-traded REIT engaged in the ownership, acquisition, development and leasing of seniors housing and healthcare-related properties. As of ~~September 30, 2018,~~March 31, 2019, we owned and leased to independent operators, including Ensign, 199 skilled nursing, multi-service campuses, assisted living and independent living facilities consisting of 19,668 operational beds and units located in Arizona, California, Colorado, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Maryland, Michigan, Minnesota, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oregon, South Dakota, Texas, Utah, Virginia, Washington, West Virginia and Wisconsin. As of March 31, 2019, the 9293 facilities leased to Ensign had a total of ~~9,805~~9,860 operational beds and units which are located in Arizona, California, Colorado, Idaho, Iowa, Nebraska, Nevada, Texas, Utah and Washington and the 98106 remaining leased properties had a total of ~~8,888~~9,808 operational beds and units and are located in California, Colorado, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Maryland, Michigan, Minnesota, Montana, New Mexico, North Carolina, North Dakota, Ohio, Oregon, South Dakota, Texas, Virginia, Washington, West Virginia and Wisconsin. We also own and operate three independent living facilities (“ILFs”), which had a total of 264 units located in Texas and Utah. As of ~~September 30, 2018,~~March 31, 2019, we also had other real estate investments consisting of two preferred equity investments totaling $5.7 million and atwo mortgage ~~loan~~loans receivable of ~~$12.3~~$23.7 million.

We generate revenues primarily by leasing healthcare-related properties to healthcare operators in triple-net lease arrangements, under which the tenant is solely responsible for the costs related to the property (including property taxes, insurance, and maintenance and repair costs). We conduct and manage our business as one operating segment for internal reporting and internal decision-making purposes. We expect to grow our portfolio by pursuing opportunities to acquire additional properties that will be leased to a diverse group of local, regional and national healthcare providers, which may include Ensign, as well as senior housing operators and related businesses. We also anticipate diversifying our portfolio over time, including by acquiring properties in different geographic markets, and in different asset classes. In addition, we actively monitor the clinical, regulatory and financial operating results of our tenants, and work to identify opportunities within their operations and markets to improve their operating results at our facilities. We may periodically communicate such observations to our tenants; however, the tenants have sole discretion with respect to the day-to-day operation of the facilities they lease from us, and whether to implement any change or otherwise respond to any observation or issue we may share with them. We also periodically monitor the overall financial and operating strength of our operators. We have replaced tenants in the past, and may elect to replace tenants in the future, with new operators, including operators with whom we have had no prior landlord-tenant relationship as well as current tenants with whom we are comfortable expanding our relationship. We have also provided operators with strategic capital for facility upkeep and modernization, as well as short-term working capital loans when they are awaiting licensure and certification or conducting turnaround work in one or more of our properties, and we may selectively do so in the future. In addition, we periodically reassess the investments we have made and the operator relationships we have entered into, and have selectively disposed of facilities or investments, or terminated such relationships, and we expect to continue making such reassessments and, where appropriate, taking such actions.

Recent Transactions

Recent Investments

From January 1, ~~2018~~2019 through ~~November 5, 2018,~~May 7, 2019, we acquired ~~eight~~fifteen skilled nursing facilities and ~~two~~three multi-service campuses for approximately ~~$89.4~~$277.9 million, which includes ~~actual and estimated~~ capitalized acquisition ~~costs and a $1.4 million commitment to fund revenue-producing capital expenditures over the next 24 months on one newly acquired multi-service campus.~~costs. These acquisitions are expected to generate initial annual cash revenues of approximately ~~$7.8~~$24.8 million and an initial blended yield of approximately ~~8.7%~~8.9%. These acquisitions include our $215.0 million multi-asset, two-state transaction completed in April 2019 pursuant to which we acquired seven skilled nursing facilities and one skilled nursing and assisted living campus in Louisiana and three skilled nursing facilities and one continuing care retirement community in Texas. See Note 3, Real Estate Investments, Net and Note 13, Subsequent Events in the Notes to condensed consolidated financial statements for additional information.

~~Lease Amendments and Related Agreements~~

~~Pristine Lease Termination.~~ On February 27, 2018 (the “LTA Effective Date”) we entered into a Lease Termination Agreement (the “LTA”) with affiliates of Pristine Senior Living, LLC (“Pristine”) under which Pristine agreed to surrender the nine remaining facilities operated by Pristine, with a completion date of April 30, 2018. Under the LTA, Pristine agreed to continue to operate the facilities until possession could be surrendered, and the operations therein transitioned, to operator(s) designated by us. Among other things, Pristine also agreed to amend certain pending agreements to sell the rights to certain Ohio Medicaid beds (the “Bed Sales Agreements”) and cooperate with us to turn over any claim or control it might have had with respect to the sale process and the proceeds thereof, if any, to us. The transactions were timely completed, and on May 1, 2018, Trio Healthcare, Inc (“Trio”) took over operations in the seven facilities based primarily in the Dayton, Ohio area under a new 15-year master lease, while Hillstone Healthcare, Inc. (“Hillstone”) assumed the operation of the two facilities in Willard and Toledo, Ohio under a new 12-year master lease. In addition, amendments to the Bed Sales Agreements were subsequently executed, confirming us as the sole seller of the bed rights and the sole recipient of any proceeds therefrom. The aggregate annual base rent due under the new master leases with Trio and Hillstone is approximately $10.0 million, subject to CPI-based or fixed escalators.

Under the LTA we agreed, upon Pristine’s full performance of the terms thereof, to terminate Pristine’s master lease and all future obligations of the tenant thereunder; however, under the terms of the master lease the Company’s security interest in Pristine’s accounts receivable has survived any such termination. Such security interest was subject to the prior lien and security interest of Pristine’s working capital lender, Capital One, National Association (“CONA”), with whom the Company has an existing intercreditor agreement that defines the relative rights and responsibilities of CONA and with its respect to the loan and lease collateral represented by Pristine’s accounts receivable and the Company’s respective security interests therein.

~~OnPointe Lease Terminations.~~ On March 12, 2018, we terminated two separate facility leases between us and affiliates of OnPointe Health (“OnPointe”), which covered two properties located in Albuquerque, New Mexico and Brownsville, Texas. The Brownsville lease termination also terminated an option agreement which would have granted the tenant the right, under certain circumstances, to purchase the Brownsville property. OnPointe continued to operate the facilities following the lease terminations, and worked cooperatively with us to effectuate an orderly transfer of the operations in the two properties to two existing CareTrust tenants.

On May 1, 2018, OnPointe completed the operational transfers of both facilities. An affiliate of Eduro Healthcare, LLC (“Eduro”) assumed operational responsibility for the Albuquerque property, and we entered into a lease amendment with Eduro amending their existing master lease with us to add the Albuquerque property thereto. An affiliate of Providence Group, Inc. (“Providence”) assumed operational responsibility for the Brownsville property, and we entered into a lease amendment with Providence amending their existing master lease with us to add the Brownsville property thereto. The aggregate annual base rent increase under the Eduro and Providence master leases, as amended, is approximately equivalent to the aggregate annual base rent we were receiving under the two OnPointe leases.

At-The-Market Offering of Common Stock

~~In May 2017,~~On March 4, 2019, we entered into ana new equity distribution agreement to issue and sell, from time to time, up to $300.0 million in aggregate offering price of our common stock through an “at-the-market” equity offering program (the ~~“ATM~~“New ATM Program”). In connection with the entry into the equity distribution agreement and the commencement of the New ATM Program, our “at-the-market” equity offering program pursuant to our prior equity distribution agreement, dated as of May 17, 2017, was terminated (the “Prior ATM Program”).

There was no New ATM Program activity for the three months ended March 31, 2019. The following table summarizes the ~~quarterly~~Prior ATM Program activity for ~~2018~~2019 (shares and dollars in thousands, except per share amounts):


	For the Three Months Ended								For the Three Months Ended
	March 31, 2018		June 30, 2018		September 30, 2018		Total		March 31, 2019
Number of shares	—		2,989		4,772		7,761		2,459
Average sales price per share	$	—	$	16.13	$	17.62	$	17.04	$	19.48
Gross proceeds*	$	—	$	48,198	$	84,077	$	132,275	$	47,893

As of ~~September 30, 2018,~~March 31, 2019, we had ~~approximately $103.8~~$300.0 million available for future issuances under the New ATM Program. ~~From October 1, 2018~~

Public Offering of Common Stock

On April 15, 2019, we completed an underwritten public offering of 6,641,250 shares of our common stock, par value $0.01 per share, at an initial price to ~~November 5, 2018, there has~~the public of $23.35, including 866,250 shares of common stock sold pursuant to the full exercise of an option to purchase additional shares of common stock granted to the underwriters, resulting in approximately $148.4 million in net proceeds, after deducting the underwriting discount and estimated gross offering expenses. We used the proceeds from the offering to repay a portion of the outstanding borrowings on our Revolving Facility (as defined below), which had been ~~no activity~~used to fund a portion of the purchase price for the April 2019 acquisition disclosed above under ~~our ATM program.~~“Recent Investments.”

Results of Operations

Operating Results

Three Months Ended ~~September 30, 2018~~March 31, 2019 Compared to Three Months Ended ~~September 30, 2017:~~March 31, 2018:


	Three Months Ended September 30,				Increase (Decrease)		Percentage Difference		Three Months Ended March 31,				Increase (Decrease)			Percentage Difference
	2018		2017		Increase (Decrease)		Percentage Difference		2019		2018		Increase (Decrease)			Percentage Difference
	(dollars in thousands)								(dollars in thousands)
Revenues:
Rental income	$	35,332	$	29,404	$	5,928	20	%	$	38,347	$	33,816	$	4,531		13	%
Tenant reimbursements	2,990		2,543		447		18	%	—		2,968		(2,968		)	(100	)%
Independent living facilities	871		825		46		6	%	860		799		61			8	%
Interest and other income	317		176		141		80	%	451		518		(67		)	(13	)%
Expenses:
Depreciation and amortization	11,351		9,745		1,606		16	%	11,902		11,577		325			3	%
Interest expense	6,805		5,592		1,213		22	%	6,860		7,092		(232		)	(3	)%
Property taxes	2,990		2,543		447		18	%	826		2,968		(2,142		)	(72	)%
Independent living facilities	766		698		68		10	%	707		716		(9		)	(1	)%
General and administrative	3,088		3,059		29		*		3,310		3,192		118			4	%

* - Not Meaningful

Rental income. Rental income was ~~$35.3~~$38.3 million for the three months ended ~~September 30, 2018~~March 31, 2019 compared to ~~$29.4~~$33.8 million for the three months ended ~~September 30, 2017.~~March 31, 2018. The ~~$5.9~~$4.5 million or ~~20%~~13% increase in rental income is primarily due to ~~$5.3~~$2.8 million from real estate investments made after ~~July~~April 1, ~~2017, $0.6~~2018, $0.9 million from increases in rental rates for our existing tenants, ~~and $0.7~~$0.8 million of ~~straight-line rent, partially offset by~~tenant reimbursement revenue recognized and classified as rental income due to the adoption of Topic 842 (discussed below) and a $0.4 million ~~decrease~~increase in cash rents, ~~as of September 30, 2018 and~~partially offset by a $0.3 million decrease in rental income due to the sale of three assisted living facilities in March 2018 and a $0.1 million decrease in straight-line rent.

Tenant reimbursements and property taxes. Tenant reimbursements decreased $3.0 million or100%for the three months ended March 31, 2019 compared to the three months ended March 31, 2018. Property taxes decreased $2.1 million or72%for the three months ended March 31, 2019 compared to the three months ended March 31, 2018. On January 1, 2019, we adopted Accounting Standards Update (“ASU”) No. 2016-02, Leases (Topic 842). Tenant reimbursements related to property taxes and insurance are neither lease nor nonlease components under the new lease ASUs. If a lessee makes payments for taxes and insurance directly to a third party on behalf of a lessor, lessors are required to exclude them from variable payments and from recognition in the lessors’ income statements. Otherwise, tenant recoveries for taxes and insurance are classified as additional lease revenue recognized by the lessor on a gross basis in its income statements. Prior to the adoption of the new ASU, we recognized tenant recoveries as tenant reimbursement revenues regardless of whether the third party was paid by the lessor or lessee. In the three months ended March 31, 2019, we recognized real estate taxes of $0.8 million, which were paid by us directly to third parties and classified as rental income on our condensed consolidated income statement.

Independent living facilities. Revenues and expenses from our three ILFs that we own and operate ~~increased less than $0.1 million~~were flat for the three months ended ~~September 30, 2018~~March 31, 2019 compared to the three months ended ~~September 30, 2017.~~March 31, 2018.

Interest and other income. Interest and other income ~~increased $0.1 million or 80% for the three months ended September 30, 2018 to $0.3 million compared to $0.2~~was flat at $0.5 million for the three months ended ~~September 30, 2017. The increase was primarily due to $0.3 million of interest income associated with the mortgage loan receivable that we provided~~March 31, 2019 compared to the ~~Providence Group in October 2017, offset by a decrease of interest income of $0.2 million due to the cessation of preferred equity investment for GAAP purposes.~~three months ended March 31, 2018.

Depreciation and amortization. Depreciation and amortization expense increased ~~$1.6~~$0.3 million or ~~16%~~3% for the three months ended ~~September 30, 2018~~March 31, 2019 to ~~$11.4~~$11.9 million compared to ~~$9.7~~$11.6 million for the three months ended ~~September 30, 2017,~~March 31, 2018, primarily due to new real estate investments made after ~~July~~April 1, ~~2017.~~2018.

Interest expense. Interest expense ~~increased $1.2~~decreased $0.2 million or ~~22%~~3% for the three months ended ~~September 30, 2018~~March 31, 2019 to ~~$6.8~~$6.9 million compared to ~~$5.6~~$7.1 million for the three months ended ~~September 30, 2017.~~March 31, 2018. The ~~increase~~decrease was primarily due to a

lower weighted average debt balance, partially offset by higher weighted average ~~outstanding balance on our unsecured revolving credit facility and higher LIBOR~~ interest rates for the three months ended ~~September 30, 2018~~March 31, 2019 compared to the three months ended ~~September 30, 2017.~~

~~General and administrative expense.~~ ~~General and administrative expense remained consistent at $3.1 million for both the three months ended September 30, 2018 and 2017.~~

~~Nine Months Ended September 30, 2018 Compared to Nine Months Ended September 30, 2017:~~

Nine Months Ended September 30,
Increase
(Decrease)

Percentage
Difference
2018 2017
(dollars in thousands)
Revenues:
Rental income $ 103,856
$ 85,254
$ 18,602
22 %
Tenant reimbursements 8,974
7,253
1,721
24 %
Independent living facilities 2,515
2,407
108
4 %
Interest and other income 1,235
1,471
(236 ) (16 )%
Expenses:
Depreciation and amortization 34,227
28,156
6,071
22 %
Interest expense 21,182
17,690
3,492
20 %
Loss on the extinguishment of debt —
11,883
(11,883 ) *
Property taxes 8,974
7,253
1,721
24 %
Independent living facilities 2,226
2,003
223
11 %
Impairment of real estate investment —
890
(890 ) *
General and administrative 9,638
8,426
1,212
14 %

* - Not Meaningful

~~Rental income~~. Rental income was $103.9 million for the nine months ended September 30, 2018 compared to $85.3 million for the nine months ended September 30, 2017. The $18.6 million or 22% increase in rental income is primarily due to $16.6 million from real estate investments made after January 1, 2017, $2.1 million from increases in rental rates for our existing tenants and $1.5 million of straight-line rent, partially offset by a $1.1 million decrease in cash rents as of September 30, 2018 and a $0.5 million decrease in rental income due to the sale of three assisted living facilities in March 31, 2018.

~~Independent living facilities.~~ Revenues from our three ILFs that we own and operate increased $0.1 million or 4% for the nine months ended September 30, 2018 compared to the nine months ended September 30, 2017. The expenses from our three ILFs increased $0.2 million or 11% for the nine months ended September 30, 2018 compared to the nine months ended September 30, 2017.

~~Interest and other income.~~ Interest and other income decreased $0.2 million for the nine months ended September 30, 2018 to $1.2 million compared to $1.5 million for the nine months ended September 30, 2017. The decrease was primarily due to the interest income associated with the disposition in May 2017 of one preferred equity investment, partially offset by an increase of interest income related to the mortgage loan receivable that we provided to the Providence Group in October 2017.

~~Depreciation and amortization.~~ Depreciation and amortization expense increased $6.1 million or 22% for the nine months ended September 30, 2018 to $34.2 million compared to $28.2 million for the nine months ended September 30, 2017, primarily due to new real estate investments made after January 1, 2017.

~~Interest expense.~~ Interest expense increased $3.5 million or 20% for the nine months ended September 30, 2018 to $21.2 million compared to $17.7 million for the nine months ended September 30, 2017. The increase was primarily due to a higher weighted average outstanding balance on our unsecured revolving credit facility and higher LIBOR interest rates for the nine months ended September 30, 2018 compared to the nine months ended September 30, 2017.

~~Loss on the extinguishment of debt~~. Loss on the extinguishment of debt for the nine months ended September 30, 2017 consisted of $7.6 million related to the redemption of our 5.875% Senior Notes due 2021 at a redemption price of 102.938%, and a $4.2 million write-off of deferred financing costs associated with such redemption that was completed during the nine months ended September 30, 2017.

~~Impairment of real estate investments.~~ In April 2017, we and Ensign mutually determined that La Villa Rehab & Healthcare Center (“La Villa”) had reached the natural end of its useful life as a skilled nursing facility and that the facility was no longer economically viable, the improvements thereon could not be economically repurposed to any other use, and the cost to remove the obsolete improvements and reclaim the underlying land for redevelopment was expected to exceed the market value of the land. Ensign agreed to wind up and terminate the operations of the facility and we transferred title to the property to Ensign. There was no adjustment to the contractual rent under the applicable master lease. As a result of the transfer, we wrote-off the net book value of La Villa during the nine months ended September 30, 2017.

General and administrative expense. General and administrative expense increased ~~$1.2~~$0.1 million or ~~14%~~4% for the ~~nine~~three months ended ~~September 30, 2018~~March 31, 2019 to ~~$9.6~~$3.3 million compared to ~~$8.4~~$3.2 million for the ~~nine~~three months ended ~~September 30, 2017. The increase is~~March 31, 2018, primarily ~~related~~due to an increase ~~in the~~related to amortization of stock-based ~~compensation of $1.0 million and higher cash wages of $0.2 million.~~compensation.

Liquidity and Capital Resources

To qualify as a REIT for federal income tax purposes, we are required to distribute at least 90% of our REIT taxable income, determined without regard to the dividends paid deduction and excluding any net capital gains, to our stockholders on an annual basis. Accordingly, we intend to make, but are not contractually bound to make, regular quarterly dividends to common stockholders from cash flow from operating activities. All such dividends are at the discretion of our board of directors.

As of March 31, 2019, we had cash and cash equivalents of $214.4 million.

During the ~~nine~~three months ended ~~September 30, 2018,~~March 31, 2019, we sold ~~7.8~~2.5 million shares of common stock under our Prior ATM Program for gross proceeds of ~~$132.3~~$47.9 million. AsThe Prior ATM Program was terminated during the three months ended March 31, 2019 and, as of ~~September 30, 2018,~~March 31, 2019, we had ~~approximately $103.8~~$300.0 million available for future issuances under the New ATM Program. See “Recent Transactions—At-The-Market Offering of Common Stock.” In ~~addtion,~~addition, as of ~~September 30, 2018,~~March 31, 2019, there was ~~$90.0~~$185.0 million outstanding under the Revolving Facility (as defined below). ~~See Note 6,~~ ~~Debt, and Note 7,~~ ~~Equity~~,Subsequent to March 31, 2019, we repaid approximately $150.0 million in ~~the Notes to condensed consolidated financial statements for additional information on~~borrowings under the Revolving Facility ~~and ATM Program, respectively.~~primarily using the net proceeds from our public offering of common stock in April 2019. See above under Recent Transactions—“Public Offering of Common Stock” for additional information. We believe that our available cash, expected operating cash flows, and the ~~remaining~~ availability under our New ATM Program and Amended Credit Facility (as defined below) will provide sufficient funds for our operations, anticipated scheduled debt service payments and dividend plans for at least the next twelve months.

We intend to invest in and/or develop additional healthcare properties as suitable opportunities arise and adequate sources of financing are available. We expect that future investments in and/or development of properties, including any improvements or renovations of current or newly-acquired properties, will depend on and will be financed by, in whole or in part, our existing cash, borrowings available to us under the Amended Credit Facility, future borrowings or the proceeds from sales of shares of our common stock pursuant to our New ATM Program or additional issuances of common stock or other securities. In addition, we may seek financing from U.S. government agencies, including through Fannie Mae and the U.S. Department of Housing and Urban Development, in appropriate circumstances in connection with acquisitions and refinancing of existing mortgage loans.

We have filed an automatic shelf registration statement with the U.S. Securities and Exchange Commission that expires in May 2020, which will allow us or certain of our subsidiaries, as applicable, to offer and sell shares of common stock, preferred stock, warrants, rights, units and debt securities through underwriters, dealers or agents or directly to purchasers, in one or more offerings on a continuous or delayed basis, in amounts, at prices and on terms we determine at the time of the offering.

Although we are subject to restrictions on our ability to incur indebtedness, we expect that we will be able to refinance existing indebtedness or incur additional indebtedness for acquisitions or other purposes, if needed. However, there can be no assurance that we will be able to refinance our indebtedness, incur additional indebtedness or access additional sources of capital, such as by issuing common stock or other debt or equity securities, on terms that are acceptable to us or at all.

Cash Flows

The following table presents selected data from our condensed consolidated statements of cash flows for the periods presented:


	For the Nine Months Ended September 30,						For the Three Months Ended March 31,
	2018			2017			2019			2018
	(dollars in thousands)						(dollars in thousands)
Net cash provided by operating activities	$	72,390		$	66,933		$	30,074		$	22,059
Net cash used in investing activities	(71,985		)	(216,943		)	(66,177		)	(35,114		)
Net cash provided by financing activities	8,431			157,318			213,665			20,341
Net increase in cash and cash equivalents	8,836			7,308			177,562			7,286
Cash and cash equivalents, beginning of period	6,909			7,500			36,792			6,909
Cash and cash equivalents, end of period	$	15,745		$	14,808		$	214,354		$	14,195

~~Nine~~Three Months Ended ~~September 30, 2018~~March 31, 2019 Compared to ~~Nine~~Three Months Ended ~~September 30, 2017~~March 31, 2018

Net cash provided by operating activities for the ~~nine~~three months ended ~~September 30, 2018~~March 31, 2019 was ~~$72.4~~$30.1 million compared to ~~$66.9~~$22.1 million for the ~~nine~~three months ended ~~September 30, 2017,~~March 31, 2018, an increase of ~~$5.5~~$8.0 million. The increase was primarily due to an increase of ~~$18.8 million~~collections of rental income due to acquisitions, increases in ~~net income, partially offset~~rental rates for existing tenants subsequent to March 31, 2018, and timing of payments to our vendors in settling accounts payable, and a ~~$10.6 million~~ decrease in ~~noncash income and expenses and a $2.7 million change in operating assets and liabilities.~~interest paid on outstanding indebtedness.

~~Net cash~~Cash used in investing activities for the ~~nine~~three months ended ~~September 30, 2018 was $72.0 million compared to $216.9 million for the nine months ended September 30, 2017, a decrease of $145.0 million. The decrease~~March 31, 2019 was primarily ~~the result~~comprised of ~~a $146.8~~$64.5 million ~~decrease~~ in ~~cash used to acquire real estate, $13.0 million increase in net proceeds from the sale~~acquisitions of real estate and ~~$0.9 million increase from principal payments received on~~investments in real estate mortgage ~~and other loans receivable,~~loans. Cash used in investing activities for the three months ended March 31, 2018 consisted of $48.1 million related to acquisitions of real estate, partially offset by ~~prior period cash~~$13.0 million of net proceeds ~~of $7.5 million related to the sale of other~~from real estate investments, an increase of $4.7 million in improvements to real estate, $2.6 million of investments in other loan receivables and an increase of $0.9 million of purchases of furniture, fixtures and equipment.sales.

~~Net~~Our cash flows provided by financing activities for the ~~nine~~three months ended ~~September 30, 2018 was $8.4 million compared to $157.3 million for the nine months ended September 30, 2017, a decrease of $148.9 million. This decrease~~March 31, 2019 was primarily ~~due to a decrease~~comprised of ~~$107.3~~$190.0 million in net borrowings ~~a $39.9~~under our Amended Credit Facility and Prior Credit Facility and $47.3 million ~~decrease~~ in net proceeds from common stock sales under our Prior ATM Program, ~~an increase~~partially offset by $17.7 million in dividends paid ~~of $7.3~~and $4.4 million ~~and $0.4 million of net-settle adjustments on restricted stock, partially offset by a $6.0 million decrease~~ in payments of deferred financing costs. Our cash flows provided by financing activities for the three months ended March 31, 2018 was primarily comprised of $35.0 million in net borrowings under our Prior Credit Facility, partially offset by $14.0 million in dividends paid.

Indebtedness

Senior Unsecured Notes

On May 10, 2017, our wholly owned subsidiary, CTR Partnership, L.P. (the “Operating Partnership”), and its wholly owned subsidiary, CareTrust Capital Corp. (together with the Operating Partnership, the “Issuers”), completed a public offering of $300.0 million aggregate principal amount of 5.25% Senior Notes due 2025 (the “Notes”). The Notes were issued at par, resulting in gross proceeds of $300.0 million and net proceeds of approximately $294.0 million after deducting underwriting fees and other offering expenses. We used the net proceeds from the offering of the Notes to redeem all $260.0 million aggregate principal amount outstanding of our 5.875% Senior Notes due 2021, including payment of the redemption price of 102.938% and all accrued and unpaid interest thereon. We used the remaining portion of the net proceeds of the offering to pay borrowings outstanding under our senior unsecured revolving credit facility. The Notes mature on June 1, 2025 and bear interest at a rate of 5.25% per year. Interest on the Notes is payable on June 1 and December 1 of each year, beginning on December 1, 2017.

The Issuers may redeem the Notes any time before June 1, 2020 at a redemption price of 100% of the principal amount of the Notes redeemed plus accrued and unpaid interest on the Notes, if any, to, but not including, the redemption date, plus a “make-whole” premium described in the indenture governing the Notes and, at any time on or after June 1, 2020, at the redemption prices set forth in the indenture. At any time on or before June 1, 2020, up to 40% of the aggregate principal amount of the Notes may be redeemed with the net proceeds of certain equity offerings if at least 60% of the originally issued aggregate principal amount of the Notes remains outstanding. In such case, the redemption price will be equal to 105.25% of the aggregate principal amount of the Notes to be redeemed plus accrued and unpaid interest, if any, to, but not including the redemption date. If certain changes of control of CareTrust REIT occur, holders of the Notes will have the right to require the Issuers to repurchase their Notes at 101% of the principal amount plus accrued and unpaid interest, if any, to, but not including, the repurchase date.

The obligations under the Notes are fully and unconditionally guaranteed, jointly and severally, on an unsecured basis, by CareTrust REIT and certain of CareTrust REIT’s wholly owned existing and, subject to certain exceptions, future

material subsidiaries (other than the Issuers); provided, however, that such guarantees are subject to automatic release under certain customary circumstances, including if the subsidiary guarantor is sold or sells all or substantially all of its assets, the subsidiary guarantor is designated “unrestricted” for covenant purposes under the indenture, the subsidiary guarantor’s guarantee of other indebtedness which resulted in the creation of the guarantee of the Notes is terminated or released, or the requirements for legal defeasance or covenant defeasance or to discharge the indenture have been satisfied. See Note 12, Summarized Condensed Consolidating Information.

The indenture contains customary covenants such as limiting the ability of CareTrust REIT and its restricted subsidiaries to: incur or guarantee additional indebtedness; incur or guarantee secured indebtedness; pay dividends or distributions on, or redeem or repurchase, capital stock; make certain investments or other restricted payments; sell assets; enter into transactions with affiliates; merge or consolidate or sell all or substantially all of their assets; and create restrictions on the ability of the Issuers and their restricted subsidiaries to pay dividends or other amounts to the Issuers. The indenture also requires CareTrust REIT and its restricted subsidiaries to maintain a specified ratio of unencumbered assets to unsecured indebtedness. These covenants are subject to a number of important and significant limitations, qualifications and exceptions. The indenture also contains customary events of default.

As of ~~September 30, 2018,~~March 31, 2019, we were in compliance with all applicable financial covenants under the indenture.

Unsecured Revolving Credit Facility and Term Loan

On August 5, 2015, the Company, CareTrust GP, LLC, the Operating Partnership, as the borrower, and certain of its ~~wholly-owned~~wholly owned subsidiaries entered into a credit and guaranty agreement with KeyBank National Association, as administrative agent, an issuing bank and swingline lender, and the lenders party thereto (the ~~“Credit~~“Prior Credit Agreement”). ~~The~~As later amended on February 1, 2016, the Prior Credit Agreement ~~initially~~ provided ~~for an~~the following: (i) a $400.0 million unsecured ~~asset-based~~asset based revolving credit facility (the ~~“Revolving~~“Prior Revolving Facility”) with commitments in an aggregate principal amount of $300.0 million from a syndicate of banks and other financial institutions, and an accordion feature that allowed the Operating Partnership to increase the borrowing availability by up to an additional $200.0 million. A portion of the proceeds of the Revolving Facility were used to pay off and terminate the Company’s existing secured asset-based revolving credit facility under a credit agreement dated May 30, 2014, with SunTrust Bank, as administrative agent, and the lenders party thereto.

On February 1, 2016, the Company, CareTrust GP, LLC, the Operating Partnership, as the borrower, and certain of its wholly owned subsidiaries entered into the First Amendment (the “Amendment”) to the Credit Agreement. Pursuant to the Amendment, (i) commitments in respect of the Revolving Facility were increased by $100.0 million to $400.0 million total,, (ii) a ~~new~~ $100.0 million non-amortizing unsecured term loan (the ~~“Term~~“Prior Term Loan” and, together with the Prior Revolving Facility, the ~~“Credit~~“Prior Credit Facility”) ~~was funded~~, and (iii) ~~the uncommitted incremental facility was increased by $50.0~~a $250.0 million ~~to $250.0 million. We do not currently have any commitments for increased loans under the~~ uncommitted incremental facility. The Prior Revolving Facility ~~continues~~was scheduled to mature on August 5, 2019, subject to two, six-month extension options. The Prior Term Loan ~~which matures~~was scheduled to mature on February 1, 2023, ~~may~~and could be prepaid at any time subject to a 2% premium in the first year after issuance and a 1% premium in the second year after issuance.

~~Approximately $95.0~~On February 8, 2019, the Operating Partnership, as the borrower, the Company, as guarantor, CareTrust GP, LLC, and certain of the Operating Partnership’s wholly owned subsidiaries entered into an amended and restated credit and guaranty agreement with KeyBank National Association, as administrative agent, an issuing bank and swingline lender, and the lenders party thereto (the “Amended Credit Agreement”). The Amended Credit Agreement, which amended and restated the Prior Credit Agreement, provides for: (i) an unsecured revolving credit facility (the “Revolving Facility”) with revolving commitments in an aggregate principal amount of $600.0 million, including a letter of credit subfacility for 10% of the then available revolving commitments and a swingline loan subfacility for 10% of the then available revolving commitments and (ii) an unsecured term loan credit facility (the “Term Loan” and together with the Revolving Facility, the “Amended Credit Facility”) in an aggregate principal amount of $200.0 million. Borrowing availability under the Revolving Facility is subject to our compliance with certain financial covenants set forth in the Amended Credit Agreement governing the Revolving Facility, including a consolidated leverage ratio that requires our ratio of Adjusted Consolidated Debt to Consolidated Total Asset Value (each as defined in the Amended Credit Agreement) be less than 60%. The proceeds of the Term Loan were used, in part, to ~~pay off and terminate our existing secured mortgage indebtedness under the Fifth Amended and Restated Loan Agreement, dated May 30, 2014. We expect to use~~repay in full all outstanding borrowings under the Prior Term Loan and Prior Revolving Facility under the Prior Credit Agreement. Future borrowings under the Amended Credit Facility will be used for working capital purposes, for capital expenditures, to fund acquisitions and for general corporate purposes.

~~As of September 30, 2018, there was $90.0 million outstanding under the Revolving Facility.~~

The interest rates applicable to loans under the Term Loan are, at the Company’s option, equal to either a base rate plus a margin ranging from 0.50% to 1.20% per annum or LIBOR plus a margin ranging from 1.50% to 2.20% per annum based on the debt to asset value ratio of the Company and its consolidated subsidiaries (subject to decrease at the Operating Partnership’s election if the Company obtains certain specified investment grade ratings on its senior long-term unsecured debt). In addition, the Company ~~pays~~will pay a ~~commitment~~facility fee on the ~~unused portion of the~~revolving commitments under the Revolving Facility ofranging from 0.15% ~~or 0.25%~~to 0.35% per annum, based ~~upon usage~~on the debt to asset value ratio of the ~~Revolving Facility~~Company and its consolidated subsidiaries (unless the Company obtains certain specified investment grade ratings on its senior ~~long term~~long-term unsecured debt and the Company elects to decrease the applicable margin as described above, in which case the ~~Company~~Operating Partnership will pay a facility fee on the revolving commitments ranging from 0.125% to 0.30% per annum based ~~upon~~off the credit ratings of ~~its~~the

Company’s senior ~~long term~~long-term unsecured debt).

~~Pursuant to the Amendment, the interest rates applicable to~~ As of March 31, 2019, we had $200.0 million outstanding under the Term Loan ~~are,~~and there were $185.0 million outstanding borrowings under the Revolving Facility. See Note 13, Subsequent Events, for additional information.

The Revolving Facility has a maturity date of February 8, 2023, and includes, at ~~the Company’s option, equal to~~our sole discretion, two, six-month extension options. The Term Loan has a ~~base rate plus a margin ranging from 0.95% to 1.60% per annum or applicable LIBOR plus a margin ranging from 1.95% to 2.60% per annum based on the debt to asset value ratio~~maturity date of ~~the Company and its subsidiaries (subject to decrease at the Company’s election if the Company obtains certain specified investment grade ratings on its senior long term unsecured debt).~~February 8, 2026.

The Amended Credit Facility is guaranteed, jointly and severally, by the Company and its ~~wholly owned~~wholly-owned subsidiaries that are party to the Amended Credit Agreement (other than the Operating Partnership). The Amended Credit Agreement contains customary covenants that, among other things, restrict, subject to certain exceptions, the ability of the Company and its subsidiaries to grant liens on their assets, incur indebtedness, sell assets, make investments, engage in acquisitions, mergers or consolidations, amend certain material agreements and pay certain dividends and other restricted payments. The Amended Credit Agreement requires the Company to comply with financial maintenance covenants to be tested quarterly, consisting of a maximum debt to asset value ratio, a minimum fixed charge coverage ratio, a minimum tangible net worth, a maximum cash distributions to operating income ratio, a maximum secured debt to asset value ratio and a maximum secured recourse debt to asset value ratio. The Amended Credit Agreement also contains certain customary events of default, including that the Company is required to operate in conformity with the requirements for qualification and taxation as a REIT.

As of ~~September 30, 2018,~~March 31, 2019, the Company was in compliance with all applicable financial covenants under the Amended Credit Agreement.

Obligations and Commitments

The following table summarizes our contractual obligations and commitments as of ~~September 30, 2018~~March 31, 2019 (in thousands):


	Payments Due by Period										Payments Due by Period
	Total		Less than 1 Year		1 Year to Less than 3 Years		3 Years to Less than 5 Years		More than 5 years		Total		Less than 1 Year		1 Year to Less than 3 Years		3 Years to Less than 5 Years		More than 5 years
Senior unsecured notes payable (1)	$	410,250	$	15,750	$	31,500	$	31,500	$	331,500	$	402,375	$	15,750	$	31,500	$	31,500	$	323,625
Senior unsecured term loan (2)	118,446		4,250		8,513		105,683		—		255,561		8,134		16,178		16,200		215,049
Unsecured revolving credit facility (3)	93,737		93,737		—		—		—		214,991		7,704		15,325		191,962		—
Operating lease	195		140		55		—		—		125		125		—		—		—
Total	$	622,628	$	113,877	$	40,068	$	137,183	$	331,500	$	873,052	$	31,713	$	63,003	$	239,662	$	538,674


(1)	Amounts include interest payments of ~~$110.3~~$102.4 million.


(2)	Amounts include interest payments of ~~$18.4~~$55.6 million.


(3)	~~The unsecured revolving credit facility includes~~Amounts include payments related to the unused credit facility fee.

Capital Expenditures

We anticipate incurring average annual capital expenditures of $400 to $500 per unit in connection with the operations of our three ILFs. Capital expenditures for each property leased under our triple-net leases are generally the responsibility of the tenant, except that, for the facilities leased to subsidiaries of Ensign under eight master leases, ~~(“Ensign Master Leases”),~~ the tenant will have an option to require us to finance certain capital expenditures up to an aggregate of 20% of our initial investment in such property, subject to a corresponding rent increase at the time of funding. For our other triple-net master leases, the tenants also have the option to request capital expenditure funding that would also be subject to a corresponding rent increase at the time of funding.

Critical Accounting Policies and Estimates

Our condensed consolidated financial statements included in Item 1 of this Quarterly Report on Form 10-Q have been prepared in accordance with GAAP for interim financial information set forth in the Accounting Standards Codification, as published by the Financial Accounting Standards Board. GAAP requires us to make estimates and assumptions regarding future events that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting periods. We base these estimates on our experience and assumptions we believe to be reasonable under the circumstances. However, if our judgment or interpretation of the facts and circumstances relating to various transactions or other matters had been different, we may have

applied a different accounting treatment, resulting in a different presentation of our financial statements. We periodically

reevaluate our estimates and assumptions, and in the event they prove to be different from actual results, we make adjustments in subsequent periods to reflect more current estimates and assumptions about matters that are inherently uncertain. Please refer to “Critical Accounting Policies and Estimates” in the “Management Discussion and Analysis of Financial Condition and Results of Operations” section of our Annual Report on Form 10-K for the year ended December 31, ~~2017,~~2018, filed with the SEC on February ~~27, 2018,~~13, 2019, for further information regarding the critical accounting policies that affect our more significant estimates and judgments used in the preparation of our condensed consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q. There have been no material changes in such critical accounting policies during the ~~nine~~three months ended ~~September 30, 2018.~~March 31, 2019.

Item 3. Quantitative and Qualitative Disclosures About Market Risk.

Our primary market risk exposure is interest rate risk with respect to our variable rate indebtedness.

Our Amended Credit Agreement provides for revolving commitments in an aggregate principal amount of ~~$400.0~~$600.0 million from a syndicate of banks and other financial institutions. The interest rates ~~per annum~~ applicable to loans under the Revolving Facility are, at the Company’s option, equal to either a base rate plus a margin ranging from ~~0.75%~~0.10% to ~~1.40%~~0.55% per annum or ~~applicable~~ LIBOR plus a margin ranging from ~~1.75%~~1.10% to ~~2.40%~~1.55% per annum based on the debt to asset value ratio of the Company and its consolidated subsidiaries (subject to decrease at the ~~Company’s~~Operating Partnership’s election if the Company obtains certain specified investment grade ratings on its senior ~~long term~~long-term unsecured debt). ~~Pursuant to the Amendment, the~~The interest rates applicable to loans under the Term Loan are, at the Company’s option, equal to either a base rate plus a margin ranging from ~~0.95%~~0.50% to ~~1.60%~~1.20% per annum or ~~applicable~~ LIBOR plus a margin ranging from ~~1.95%~~1.50% to ~~2.60%~~2.20% per annum based on the debt to asset value ratio of the Company and its consolidated subsidiaries (subject to decrease at the ~~Company’s~~Operating Partnership’s election if the Company obtains certain specified investment grade ratings on its senior ~~long term~~long-term unsecured debt). As of ~~September 30, 2018,~~March 31, 2019, we had a ~~$100.0~~$200.0 million Term Loan outstanding and there was ~~$90.0~~$185.0 million outstanding under the Revolving Facility. Subsequent to March 31, 2019, we repaid approximately $150.0 million in borrowings under the Revolving Facility primarily using the net proceeds from our public offering of common stock in April 2019. See Note 13, Subsequent Events, for additional information.

An increase in interest rates could make the financing of any acquisition by us more costly as well as increase the costs of our variable rate debt obligations. Rising interest rates could also limit our ability to refinance our debt when it matures or cause us to pay higher interest rates upon refinancing and increase interest expense on refinanced indebtedness. Assuming a 100 basis point increase in the interest rates related to our variable rate debt, and assuming ~~no change in our~~the outstanding debt balance as of March 31, 2019 described above, interest expense would have increased approximately ~~$1.4~~$1.0 million for the ~~nine~~three months ended ~~September 30, 2018.~~March 31, 2019.

We may, in the future, manage, or hedge, interest rate risks related to our borrowings by means of interest rate swap agreements. However, the REIT provisions of the Internal Revenue Code of 1986, as amended, substantially limit our ability to hedge our assets and liabilities. See “Risk Factors — Risks Related to Our Status as a REIT — Complying with REIT requirements may limit our ability to hedge effectively and may cause us to incur tax liabilities,” which is included in our Annual Report on Form 10-K for the year ended December 31, ~~2017.~~2018. As of ~~September 30, 2018,~~March 31, 2019, we had no swap agreements to hedge our interest rate risks. We also expect to manage our exposure to interest rate risk by maintaining a mix of fixed and variable rates for our indebtedness.

Item 4. Controls and Procedures.

Disclosure Controls and Procedures

We maintain disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (“Exchange Act”)) that are designed to ensure that information required to be disclosed in our reports under the Exchange Act is processed, recorded, summarized and reported within the time periods specified in the SEC’s rules and regulations and that such information is accumulated and communicated to management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow for timely decisions regarding

required disclosure. In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and management is required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures.

As of ~~September 30, 2018,~~March 31, 2019, we carried out an evaluation, under the supervision and with the participation of management, including our Chief Executive Officer and Chief Financial Officer, regarding the effectiveness of our disclosure controls and procedures. Based on the foregoing, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective, at the reasonable assurance level, as of ~~September 30, 2018.~~March 31, 2019.

Changes in Internal Control over Financial Reporting

There has been no change in our internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that occurred during the quarter ended ~~September 30, 2018,~~March 31, 2019, that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PART II—OTHER INFORMATION

Item 1. Legal Proceedings.

The Company and its subsidiaries are and may become from time to time a party to various claims and lawsuits arising in the ordinary course of business, but none of the Company or any of its subsidiaries is, and none of their respective properties are, the subject of any material legal proceedings. Claims and lawsuits may include matters involving general or professional liability asserted against our tenants, which are the responsibility of our tenants and for which the Company is entitled to be indemnified by its tenants under the insurance and indemnification provisions in the applicable leases.

Item 1A. Risk Factors.

We have disclosed under the heading “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, ~~2017~~2018 risk factors which materially affect our business, financial condition, or results of operations. There have been no material changes from the risk factors previously disclosed.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds.

During the three months ended March 31, 2019, we acquired shares of our common stock held by employees who tendered shares to satisfy tax withholding obligations upon the vesting of previously issued restricted stock awards. Specifically, the number of shares of common stock acquired from employees and the average prices paid per share for each month in the first quarter ended March 31, 2019 are as follows:



	Total Number of	Average Price Paid
Period	Shares Purchased	per Share
January 1 - January 31, 2019	—	$	—
February 1 - February 28, 2019	68,617	$	21.78
March 1 - March 31, 2019	—	$	—
Total	68,617	$	21.78

Item 6. Exhibits.



Exhibit Number		Description of the Document

2.1		Separation and Distribution Agreement, dated as of May 23, 2014, by and between The Ensign Group, Inc. and CareTrust REIT, Inc. (Exhibit 2.1 to the Company’s Current Report on Form 8-K, filed on June 5, 2014, is incorporated herein by reference).

2.2		Membership Interest Purchase Agreement, dated as of January 27, 2019, by and between BME Texas Holdings LLC and CTR Partnership, L.P. (Exhibit 2.1 to the Company’s Current Report on Form 8-K filed on April 2, 2019 is incorporated herein by reference).

3.1		Articles of Amendment and Restatement of CareTrust REIT, Inc. (Exhibit 3.1 to the Company’s Registration Statement on Form 10, filed on May 13, 2014, is incorporated herein by reference).

3.2		Articles of Amendment, dated May 30, 2018, to the Articles of Amendment and Restatement of CareTrust REIT, Inc. (Exhibit 3.1 to the Company’s Current Report on Form 8-K, filed on May 31, 2018, is incorporated herein by reference).

3.3		Amended and Restated Bylaws of CareTrust REIT, Inc. (Exhibit 3.1 to the Company’s Current Report on Form 8-K, filed on ~~April 5, 2018,~~March 7, 2019, is incorporated herein by reference).

10.1		Amended and Restated Credit and Guaranty Agreement, dated as of February 8, 2019 by and among CTR Partnership, L.P., as borrower, CareTrust REIT, Inc., as guarantor, CareTrust GP, LLC and other guarantors named therein KeyBank National Association, as administrative agent, an issuing lender and swingline lender and other parties thereto (Exhibit 10.1 to the Company’s Current Report on Form 8-K, filed on February 11, 2019, is incorporated herein by reference).

*31.1		Certification of Chief Executive Officer, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

*31.2		Certification of Chief Financial Officer, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

**32		Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

*101.INS		XBRL Instance Document

*101.SCH		XBRL Taxonomy Extension Schema Document

*101.CAL		XBRL Taxonomy Extension Calculation Linkbase Document

*101.DEF		XBRL Taxonomy Extension Definition Linkbase Document

*101.LAB		XBRL Taxonomy Extension Label Linkbase Document

*101.PRE		XBRL Taxonomy Extension Presentation Linkbase Document

* Filed herewith

** Furnished herewith

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.



	CareTrust REIT, Inc.
~~November 5, 2018~~May 7, 2019	By:	/s/ Gregory K. Stapley
		Gregory K. Stapley
		President and Chief Executive Officer (duly authorized officer)

~~November 5, 2018~~May 7, 2019	By:	/s/ William M. Wagner
		William M. Wagner
		Chief Financial Officer, Treasurer and ~~Treasurer~~Secretary (principal financial officer and principal accounting officer)

3834



	Nine Months Ended September 30,				Increase (Decrease)			Percentage Difference
	2018		2017		Increase (Decrease)			Percentage Difference
	(dollars in thousands)
Revenues:
Rental income	$	103,856	$	85,254	$	18,602		22	%
Tenant reimbursements	8,974		7,253		1,721			24	%
Independent living facilities	2,515		2,407		108			4	%
Interest and other income	1,235		1,471		(236		)	(16	)%
Expenses:
Depreciation and amortization	34,227		28,156		6,071			22	%
Interest expense	21,182		17,690		3,492			20	%
Loss on the extinguishment of debt	—		11,883		(11,883		)	*
Property taxes	8,974		7,253		1,721			24	%
Independent living facilities	2,226		2,003		223			11	%
Impairment of real estate investment	—		890		(890		)	*
General and administrative	9,638		8,426		1,212			14	%