Table of Contents


     
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 


FORM 10-Q
 
(Mark One)
xQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended March 31,September 30, 2019
OR
¨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) (949) 542-3130
(Registrant’s telephone number, including area code)
 
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, par value $0.01 per shareCTREThe Nasdaq Stock Market LLC
(Nasdaq Global Select Market)
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 filerx 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 MayNovember 6, 2019, there were 95,582,45595,557,271 shares of common stock outstanding.
Securities registered pursuant to Section 12(b) of the Act:

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





INDEX
 
PART I—FINANCIAL INFORMATION
Item 1. 
 
 
 
 
Item 2.
Item 3.
Item 4.
  
PART II—OTHER INFORMATION
   
Item 1.
Item 1A.
Item 2.
Item 6.
 







PART I—FINANCIAL INFORMATION
Item 1. Financial Statements.
CARETRUST REIT, INC.


CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, except share and per share amounts)
(Unaudited)
 
March 31, 2019 December 31, 2018September 30, 2019 December 31, 2018
Assets:      
Real estate investments, net$1,259,336
 $1,216,237
$1,404,024
 $1,216,237
Other real estate investments, net29,419
 18,045
44,808
 18,045
Assets held for sale, net34,590
 
Cash and cash equivalents214,354
 36,792
5,749
 36,792
Accounts and other receivables, net8,360
 11,387
2,125
 11,387
Prepaid expenses and other assets8,759
 8,668
30,202
 8,668
Deferred financing costs, net3,758
 633
3,268
 633
Total assets$1,523,986
 $1,291,762
$1,524,766
 $1,291,762
Liabilities and Equity:      
Senior unsecured notes payable, net$295,342
 $295,153
$295,721
 $295,153
Senior unsecured term loan, net198,555
 99,612
198,661
 99,612
Unsecured revolving credit facility185,000
 95,000
65,000
 95,000
Accounts payable and accrued liabilities13,972
 15,967
16,251
 15,967
Dividends payable20,086
 17,783
21,647
 17,783
Total liabilities712,955
 523,515
597,280
 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 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, respectively884
 859
Preferred stock, $0.01 par value; 100,000,000 shares authorized, no shares issued and outstanding as of September 30, 2019 and December 31, 2018
 
Common stock, $0.01 par value; 500,000,000 shares authorized, 95,103,270 and 85,867,044 shares issued and outstanding as of September 30, 2019 and December 31, 2018, respectively951
 859
Additional paid-in capital1,012,295
 965,578
1,162,047
 965,578
Cumulative distributions in excess of earnings(202,148) (198,190)(235,512) (198,190)
Total equity811,031
 768,247
927,486
 768,247
Total liabilities and equity$1,523,986
 $1,291,762
$1,524,766
 $1,291,762
See accompanying notes to condensed consolidated financial statements.



CARETRUST REIT, INC.
CONDENSED CONSOLIDATED INCOME STATEMENTS OF OPERATIONS
(in thousands, except per share amounts)
(Unaudited)
 
For the Three Months Ended March 31,For the Three Months Ended September 30, For the Nine Months Ended September 30,
2019 20182019 2018 2019 2018
Revenues:          
Rental income$38,347
 $33,816
$31,577
 $35,332
 $114,047
 $103,856
Tenant reimbursements
 2,968

 2,990
 
 8,974
Independent living facilities860
 799
929
 871
 2,676
 2,515
Interest and other income451
 518
808
 317
 2,450
 1,235
Total revenues39,658
 38,101
33,314
 39,510
 119,173
 116,580
Expenses:          
Depreciation and amortization11,902
 11,577
13,420
 11,351
 38,759
 34,227
Interest expense6,860
 7,092
7,064
 6,805
 21,209
 21,182
Property taxes826
 2,968
1,025
 2,990
 2,307
 8,974
Independent living facilities707
 716
806
 766
 2,232
 2,226
Impairment of real estate investments16,692
 
 16,692
 
Provision for loan losses1,076
 
 1,076
 
General and administrative3,310
 3,192
3,502
 3,088
 11,418
 9,638
Total expenses23,605
 25,545
43,585
 25,000
 93,693
 76,247
Other income:          
Gain on sale of real estate
 2,051
217
 
 217
 2,051
Net income$16,053
 $14,607
Net (loss) income$(10,054) $14,510
 $25,697
 $42,384
Earnings per common share:          
Basic$0.18
 $0.19
$(0.11) $0.18
 $0.28
 $0.54
Diluted$0.18
 $0.19
$(0.11) $0.18
 $0.28
 $0.54
Weighted-average number of common shares:          
Basic88,010
 75,504
95,103
 81,490
 92,409
 77,811
Diluted88,010
 75,504
95,103
 81,490
 92,409
 77,811
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 Shares Amount 
Balance at January 1, 201875,478,202
 $755
 $783,237
 $(189,375) $594,617
Balance at January 1, 201985,867,044
 $859
 $965,578
 $(198,190) $768,247
Issuance of common stock, net
 
 (27) 
 (27)2,459,000
 24
 47,219
 
 47,243
Vesting of restricted common stock, net of shares withheld for employee taxes43,844
 
 (605) 
 (605)72,229
 1
 (1,496) 
 (1,495)
Amortization of stock-based compensation
 
 904
 
 904

 
 994
 
 994
Common dividends ($0.205 per share)
 
 
 (15,608) (15,608)
Common dividends ($0.225 per share)
 
 
 (20,011) (20,011)
Net income
 
 
 14,607
 14,607

 
 
 16,053
 16,053
Balance at March 31, 201875,522,046
 $755
 $783,509
 $(190,376) $593,888
Balance at March 31, 201988,398,273
 $884
 $1,012,295
 $(202,148) $811,031
Issuance of common stock, net6,641,250
 67
 148,731
 
 148,798
Vesting of restricted common stock, net of shares withheld for employee taxes33,700
 
 (1,029) 
 (1,029)
Amortization of stock-based compensation
 
 1,147
 
 1,147
Common dividends ($0.225 per share)
 
 
 (21,508) (21,508)
Net income
 
 
 19,698
 19,698
Balance at June 30, 201995,073,223
 $951
 $1,161,144
 $(203,958) $958,137
Issuance of common stock, net
 
 (78) 
 (78)
Vesting of restricted common stock, net of shares withheld for employee taxes30,047
 
 
 
 
Amortization of stock-based compensation
 
 981
 
 981
Common dividends ($0.225 per share)
 
 
 (21,500) (21,500)
Net loss
 
 
 (10,054) (10,054)
Balance at September 30, 201995,103,270
 $951
 $1,162,047
 $(235,512) $927,486





 Common Stock 
Additional
Paid-in
Capital
 
Cumulative
Distributions in Excess of Earnings
 
Total
Equity
Shares Amount 
Balance at January 1, 201985,867,044
 859
 965,578
 (198,190) 768,247
Issuance of common stock, net2,459,000
 24
 47,219
 
 47,243
Vesting of restricted common stock, net of shares withheld for employee taxes72,229
 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, 201988,398,273
 $884
 $1,012,295
 $(202,148) $811,031






















See accompanying notes to condensed consolidated financial statements.

CARETRUST REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF EQUITY
(in thousands, except share and per share amounts)
(Unaudited)

 Common Stock 
Additional
Paid-in
Capital
 
Cumulative
Distributions in Excess of Earnings
 
Total
Equity
Shares Amount 
Balance at January 1, 201875,478,202
 $755
 $783,237
 $(189,375) $594,617
Issuance of common stock, net
 
 (27) 
 (27)
Vesting of restricted common stock, net of shares withheld for employee taxes43,844
 
 (605) 
 (605)
Amortization of stock-based compensation
 
 904
 
 904
Common dividends ($0.205 per share)
 
 
 (15,608) (15,608)
Net income
 
 
 14,607
 14,607
Balance as of March 31, 201875,522,046
 $755
 $783,509
 $(190,376) $593,888
Issuance of common stock, net2,988,813
 30
 47,537
 
 47,567
Vesting of restricted common stock, net of shares withheld for employee taxes39,828
 
 (684) 
 (684)
Amortization of stock-based compensation
 
 924
 
 924
Common dividends ($0.205 per share)
 
 
 (16,224) (16,224)
Net income
 
 
 13,267
 13,267
Balance at June 30, 201878,550,687
 $785
 $831,286
 $(193,333) $638,738
Issuance of common stock, net4,771,910
 48
 82,962
 
 83,010
Vesting of restricted common stock, net of shares withheld for employee taxes30,629
 1
 (1) 
 
Amortization of stock-based compensation
 
 988
 
 988
Common dividends ($0.205 per share)
 
 
 (17,196) (17,196)
Net income
 
 
 14,510
 14,510
Balance at September 30, 201883,353,226
 $834
 $915,235
 $(196,019) $720,050














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,
 2019 2018
Cash flows from operating activities:   
Net income$25,697
 $42,384
Adjustments to reconcile net income to net cash provided by operating activities:   
Depreciation and amortization (including below-market ground leases)38,789
 34,240
Amortization of deferred financing costs1,516
 1,453
Amortization of stock-based compensation3,122
 2,816
Straight-line rental income(1,483) (1,631)
Adjustment for collectibility of rental income12,078
 
Noncash interest income(31) (228)
Gain on sale of real estate(217) (2,051)
Interest income distribution from other real estate investment463
 
Impairment of real estate investments16,692
 
Provision for loan losses1,076
 
Change in operating assets and liabilities:   
Accounts and other receivables, net(6,043) (5,499)
Prepaid expenses and other assets(348) (159)
Accounts payable and accrued liabilities3,847
 1,065
Net cash provided by operating activities95,158
 72,390
Cash flows from investing activities:   
Acquisitions of real estate, net of deposits applied(298,557) (75,621)
Improvements to real estate(1,230) (5,401)
Purchases of equipment, furniture and fixtures(2,926) (1,262)
Investment in real estate mortgage and other loans receivable(14,699) (2,598)
Principal payments received on real estate mortgage and other loans receivable11,959
 893
Repayment of other real estate investment2,204
 
Escrow deposits for acquisitions of real estate(22,920) (1,000)
Net proceeds from sales of real estate218
 13,004
Net cash used in investing activities(325,951) (71,985)
Cash flows from financing activities:   
Proceeds from the issuance of common stock, net195,963
 130,546
Proceeds from the issuance of senior unsecured term loan200,000
 
Borrowings under unsecured revolving credit facility235,000
 60,000
Payments on unsecured revolving credit facility(265,000) (135,000)
Payments on senior unsecured term loan(100,000) 
Payments of deferred financing costs(4,534) 
Net-settle adjustment on restricted stock(2,524) (1,288)
Dividends paid on common stock(59,155) (45,827)
Net cash provided by financing activities199,750
 8,431
Net (decrease) increase in cash and cash equivalents(31,043) 8,836
Cash and cash equivalents, beginning of period36,792
 6,909
Cash and cash equivalents, end of period$5,749
 $15,745
Supplemental disclosures of cash flow information:   
Interest paid$15,648
 $15,772
Supplemental schedule of noncash investing and financing activities:   
Increase in dividends payable$3,864
 $3,202
Right-of-use asset obtained in exchange for new operating lease obligation$1,010
 $
Transfer of pre-acquisition costs to acquired assets$242
 $
Increase in pre-acquisition costs payable$137
 $
Sale of real estate settled with notes receivable$27,500
 $
 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 costs541
 484
Amortization of stock-based compensation994
 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 liabilities2,389
 (2,579)
Net cash provided by operating activities30,074
 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 receivable411
 23
Escrow deposits for acquisitions of real estate(375) (1,000)
Net proceeds from the sale of real estate131
 13,004
Net cash used in investing activities(66,177) (35,114)
Cash flows from financing activities:   
Proceeds from the issuance of common stock, net47,260
 (10)
Proceeds from the issuance of senior unsecured term loan200,000
 
Borrowings under unsecured revolving credit facility185,000
 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 activities213,665
 20,341
Net increase in cash and cash equivalents177,562
 7,286
Cash and cash equivalents, beginning of period36,792
 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.


45

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 March 31,September 30, 2019, the Company owned and leased to independent operators, including The Ensign Group, Inc. (“Ensign”), 199211 skilled nursing, multi-service campuses, assisted living and independent living facilities consisting of 19,66821,583 operational beds and units located in 28 states with the highest concentration of properties located in California, Texas, Louisiana, 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.Idaho. The Company also owns and operates three3 independent living facilities which have a total of 264 units located in Texas and Utah. As of March 31,September 30, 2019, the Company also had other real estate investments consisting of two1 preferred equity investments totaling $5.7investment of $3.1 million and two3 mortgage loans receivable of $23.7$41.7 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 three3 independent living facilities that the Company owns and operates; and (iii) the preferred equity investmentsinvestment and the mortgage 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, 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), (“ASU 2016-02”) 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 2016-02 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 – requiresprovides that the Company is not required 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 nonleasenon-lease 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 new 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

5

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

6

CARETRUST REIT, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —
(Unaudited)


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,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 requiredprovides that the Company is not required to reassess the classification of its leases existing as of January 1, 2019. For example,This means that 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 whichregardless of whether 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 nonleasenon-lease components at lease inception. The total consideration in the lease agreement is allocated to the lease and nonleasenon-lease 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 nonleasenon-lease components is subject to the new revenue recognition ASU.standard. Tenant recoveries for utilities, repairs and maintenance, and common area expenses are considered nonleasenon-lease 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 nonleasenon-lease components. Tenant reimbursements related to property taxes and insurance are neither lease nor nonleasenon-lease 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.statements of operations. 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.statements of operations.
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 nonleasenon-lease components based on their relative stand-alone selling prices. This single component practical expedient requires the Company to account for the lease component and nonleasenon-lease component(s) associated with that lease as a single component if (i) the timing and pattern of transfer of the lease component and the nonleasenon-lease 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 nonleasenon-lease 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 nonleasenon-lease 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 and nine months ended March 31,September 30, 2018, the Company recognized tenant recoveries for real estate taxes of $3.0 million and $9.0 million, respectively, which were classified as tenant reimbursements on the Company’s condensed consolidated income statements.statements of operations. Prior to the adoption of Accounting StandardStandards 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 the Company’s condensed consolidated statements of operations. Due to the


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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 and $2.1 million, respectively, for the three and nine months ended March 31,September 30, 2019.
Under the new lease ASUs, the Company recognizes rentalCompany’s assessment of collectability of its tenant receivables includes a binary assessment of whether or not the amounts due under a tenant’s lease agreement are probable of collection. For such amounts that are deemed probable of collection, revenue including rental abatements, lease incentives and contractual fixed increases attributablecontinues to operating leases, if any, from tenants under lease arrangements with minimum fixed and determinable increasesbe recorded on a straight-line basis over the non-cancellable termlease term. For such amounts that are deemed not probable of collection, revenue is recorded as the lesser of (i) the amount which would be recognized on a straight-line basis or (ii) cash that has been received from the tenant, with any tenant and deferred rent receivable balances charged as a direct write-off against rental income in the period of the related leases whenchange in the collectability is probable.determination. Such write-offs are recorded as increases or decreases through rental income on the Company’s condensed consolidated statements of operations. For the three and nine months ended March 31,September 30, 2019, the Company did not recognize anyrecorded $12.1 million of adjustments to rental income related to recognized rental income in the current quarter and prior periods. See Note 3, Real Estate Investments, Net for further detail.
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,September 30, 2019, the remaining contractual payments under the Company’s lease liability related to its ground and office lease arrangements for which it is the lessee aggregatedtotaled approximately $0.1 million.$1.0 million with a weighted average remaining lease term of 73 years. While these ground leases arewere subject to this ASU applicationthe new lease ASUs effective January 1, 2019, the lease liability and corresponding right-of-use asset and lease expense do not have a material effect on the Company’s condensed consolidated financial statements.
The Company has not recognized a right-of-use asset and/or lease liability for leases with a term of 12 months or less and without an option to purchase the underlying asset.
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 Acquisition Valuation— In accordance with ASC 805, Business Combinations, the Company’s acquisitions that are income-producingof real estate are recorded as a business combination. If the acquisition doesinvestments generally do not meet the definition of a business, acquisitionsand are recordedtreated as an asset acquisition.acquisitions. The assets acquired and liabilities assumed are measured at their acquisition date fair values for a business combination and at relative fair values for an asset acquisition. For transactions that are 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, acquisitionvalues. 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 fair value based on available market information, such as capitalization and 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 cash flow projections that incorporate such market information. Estimates of future cash flows are based on a number of factors including historical operating results, known and anticipated trends, as well as market and economic conditions. The fair value of tangible assets of an acquired property is based on the value of the property as if it is vacant.


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

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the carrying amount of the assets may not be recoverable. The judgment regarding the existence of impairment indicators is

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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. If the Company meets the criteria to classify the real estate properties as held for sale, which entails a formal plan to sell the properties that is expected to be complete within one year, among other criteria, the Company writes down the excess of the carrying value over the estimated fair value less costs to sell. 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.
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 is a bridge loan to Priority Life Care, LLC (“Priority”) under which the Company agreed to fund up to $1.4 million until the earlier of (i) October 31, 2019, (ii) the date that a new credit facility is established such that the borrower may submit draw requests to the applicable lender, or (iii) the date on which Priority’s lease is terminated with respect to any facility. Borrowings under the bridge loan accrue interest at an annual base rate of 8.0%. During the quarter ended September 30, 2019, the Company determined that the remaining contractual obligations under the bridge loan agreement to Priority were not collectible and recorded a $1.1 million provision for loan losses in the Company’s condensed consolidated statements of operations. Also included in prepaid expenses and other assets at September 30, 2019 were $22.7 million in escrow deposits for acquisitions completed on October 1, 2019. See Note 13, Subsequent Events for additional information.
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. 
Recent Accounting Pronouncements—In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments - Credit Losses (Topic (Subtopic 326) (“ASU 2016-13”) that changes the impairment model for most financial instruments by requiring companies to recognize an allowance for expected credit 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 receivable, held-to-maturity debt securities, net investments in leases, and off-balance-sheet credit exposures (e.g., loan commitments). In November 2018, the FASB released ASU No. 2018-19, Codification Improvements to Topic 326 Financial Instruments - Credit Losses (“ASU 2018-19”). ASU2018-19 clarifies that receivables arising from operating leases are not within the scope of ASU 2016-13. Instead, impairment of receivables arising from operating leases should be accounted for under Subtopic 842-30 “Leases - Lessor.” 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 plans to adopt ASU 2016-13 on January 1, 2020. The Company is currently assessing the potential effect the adoption of ASU 2016-13 will have on the Company’s condensed consolidated financial statements.
















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3. REAL ESTATE INVESTMENTS, NET
The following table summarizes the Company’s investment in owned properties as of March 31,September 30, 2019 and December 31, 2018 (dollars in thousands):
 
 September 30, 2019 December 31, 2018
Land$198,028
 $166,948
Buildings and improvements1,385,223
 1,201,209
Integral equipment, furniture and fixtures92,588
 87,623
Identified intangible assets1,400
 2,382
Real estate investments1,677,239
 1,458,162
Accumulated depreciation and amortization(273,215) (241,925)
Real estate investments, net$1,404,024
 $1,216,237
 March 31, 2019 December 31, 2018
Land$176,798
 $166,948
Buildings and improvements1,243,331
 1,201,209
Integral equipment, furniture and fixtures90,656
 87,623
Identified intangible assets1,400
 2,382
Real estate investments1,512,185
 1,458,162
Accumulated depreciation and amortization(252,849) (241,925)
Real estate investments, net$1,259,336
 $1,216,237

As of March 31,September 30, 2019, 93 of the Company’s 202214 facilities were leased to subsidiaries of Ensign under eight8 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 March 31,September 30, 2019, annualized rental revenues from the Ensign Master Leases were $59.8$61.0 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)0) 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 March 31,September 30, 2019, 106118 of the Company’s 202214 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 three3 remaining properties as of March 31,September 30, 2019 are the independent living facilities that the Company owns and operates.
On October 1, 2019, Ensign completed its previously announced separation of its home health and hospice operations and substantially all of its senior living operations into a separate independent publicly traded company through the distribution of shares of common stock of The Company has only one identified intangible asset which relatesPennant Group, Inc. (“Pennant” and, such separation, the “Pennant Spin”). See Note 13, Subsequent Events for additional information regarding the Company’s facilities leased to a below-market ground lease. The ground lease has a remaining termsubsidiaries of 79 years.Ensign subsequent to the Pennant Spin.
As of March 31,September 30, 2019, the Company’s total future minimum rental revenues for all of its tenants, excluding operating expense reimbursements, were (dollars in thousands):
YearAmount
2019 (three months)$42,132
2020169,209
2021170,221
2022170,587
2023170,807
2024170,952
Thereafter1,111,769
 $2,005,677

YearAmount
2019 (nine months)$113,386
2020151,591
2021152,057
2022152,541
2023152,882
2024153,150
Thereafter988,982
 $1,864,589







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As of December 31, 2018, the Company’s total future minimum rental revenues for all of its tenants, excluding operating expense reimbursements, were (dollars in thousands):
YearAmount
2019$146,010
2020146,560
2021147,132
2022147,719
2023148,169
Thereafter1,055,012
 $1,790,602


The following table summarizes components of the Company’s rental income (dollars in thousands):
YearAmount
2019$146,010
2020146,560
2021147,132
2022147,719
2023148,169
Thereafter1,055,012
 $1,790,602
 For the Three Months Ended September 30, For the Nine Months Ended September 30,
 2019
Rental Income   
Contractual rent due(1)
$43,109
 $124,642
Straight-line rent546
 1,483
Adjustment for collectibility of rental income(2)
(12,078) (12,078)
Total$31,577
 $114,047


(1)Initial cash rent including operating expense reimbursements adjusted for rental escalators and increases due to landlord funded capital improvements.
(2)
In accordance with the new lease ASUs, the Company evaluated the collectibility of lease payments through maturity and determined that it was not probable that the Company would collect substantially all of the contractual obligations from five operators through maturity. As such, the Company reversed $7.8 million of contractual rent, $3.5 million of straight-line rent and $0.8 million of property taxes during the three months ended September 30, 2019. If lease payments are subsequently deemed probable of collection, the Company increases rental income for such recoveries.

Recent Real Estate Acquisitions


The following table summarizes the Company’s acquisitions for the threenine months ended March 31,September 30, 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(2)
 Number of Properties 
Number of Beds/Units(3)
Skilled nursing$43,938
 $3,983
 4
 492
$246,099
 $22,129
 16
 2,029
Multi-service campuses8,940
 854
 1
 128
45,176
 4,088
 3
 542
Assisted living
 
 
 
12,596
 1,031
 1
 96
Total$52,878
 $4,837
 5
 620
$303,871
 $27,248
 20
 2,667
    
(1) Purchase price includes capitalized acquisition costs.
(2) Initial annual cash rent excludes ground lease income.
(3) The number of beds/units includes operating beds at acquisition date.








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Lease Amendments

Trillium Lease Termination and New Master Lease.On July 15, 2019, the Company terminated its existing master lease (the “Original Trillium Lease”) with affiliates of Trillium Healthcare Group, LLC (“Trillium”), which covered 10 properties in Iowa, 7 properties in Ohio and 1 property in Georgia.  On August 16, 2019, the Company entered into a new master lease (the “New Trillium Lease”) with Trillium’s Iowa and Georgia affiliates covering the 10 properties in Iowa and the 1 property in Georgia. The Company recorded an adjustment to reduce rental income for accounts and other receivables by approximately $3.8 million in the three months ended September 30, 2019.

On September 1, 2019, 4 of the 7 skilled nursing Ohio properties operated by Trillium under the Original Trillium Lease were transferred to affiliates of Providence Group, Inc. (“Providence”). In connection with the transfer, the Company amended its triple-net master lease with Providence. The amended lease has a remaining initial term of approximately 13 years, with 2 five-year renewal options and CPI-based rent escalators. Annual cash rent under the amended lease increased by approximately $2.1 million.
Impairment of Real Estate Investments and Assets Held for Sale

On September 1, 2019, the Company sold 3 of the 7 skilled nursing Ohio properties operated by Trillium under the Original Trillium Lease for a purchase price of $28.0 million. During the three months ended September 30, 2019 and prior to the disposition, the Company recorded an impairment expense of approximately $7.8 million. In connection with the sale, the Company provided affiliates of CommuniCare Family of Companies (“CommuniCare”), the purchaser of the 3 Ohio properties, with a mortgage loan secured by the 3 Ohio properties for approximately $26.5 million. See Note 13, Subsequent Events, 4, Other Real Estate Investments for information regardingadditional information.

As of September 30, 2019, the Company’s acquisitions since March 31, 2019.Company met the criteria to classify 6 skilled nursing facilities operated by affiliates of Metron Integrated Health Systems (“Metron”) as held for sale, which resulted in an impairment expense of approximately $8.8 million to reduce the carrying value to fair value less costs to sell the properties. The assets held for sale of $34.6 million are primarily comprised of real estate assets.


The fair value of the assets impaired during the three months ended September 30, 2019 was based on contractual sales prices, which are considered to be Level 2 measurements within the fair value hierarchy.



4. OTHER REAL ESTATE INVESTMENTS


Preferred Equity InvestmentsIn July 2016, the Company completed a $2.2 million preferred equity investment with an affiliate of Cascadia Development, LLC. The preferred equity investment yieldsyielded 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, the Company holdsheld 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 June 2019, the Company purchased the skilled nursing facility for approximately $16.2 million, inclusive of transaction costs. The Company paid $12.9 million after receiving back its initial investment of $2.2 million and cumulative contractual preferred return through June 18, 2019, the acquisition date, of $1.1 million, of which $0.6 million was recognized as interest income during the nine months ended September 30, 2019.


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, 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.


The Company recognized no0 interest income from its preferred equity investments in the three months ended March 31, 2019.September 30, 2019 and 2018. During the threenine months ended March 31, 2018,September 30, 2019, the Company recognized $0.1$0.6 million in interest income from its preferred equity investments.investments, including $0.4 million for unrecognized preferred return related to prior





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periods. During the nine months ended September 30, 2018, the Company recognized $0.2 million in interest income from its preferred equity investments.

Performing Mortgage Loans ReceivableIn October 2017, the Company provided 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, which requires Providence Group to make monthly principal and interest payments, and is set to mature on October 26, 2020 and has an option to be prepaid before the maturity date.


In February 2019, the Company provided affiliates of Covenant Care a mortgage loan secured by first mortgages on five5 skilled nursing facilities for approximately $11.4 million, at an annual interest rate of 9%. The loan requiresrequired monthly interest payments, and iswas set to mature on February 11, 2020, and includes two,included 2, six-month extension options. In the three months ended September 30, 2019, Covenant Care exercised its option to prepay the loan in full, and prepayment was received by the Company.


In July 2019, the Company provided MCRC, LLC a real estate loan secured by a 176 bed skilled nursing facility in Manteca, California for $3.0 million, which bears a fixed interest rate of 8% and requires monthly interest payments. Concurrently, the Company entered into a purchase and sale agreement to purchase the Manteca facility from MCRC, LLC for approximately $16.4 million subject to normal diligence and other contingencies. The loan documents provide for a maturity date of the earlier to occur of the closing date of the acquisition, or five business days following the termination of the purchase and sale agreement.  MCRC, LLC breached its obligation to sell the Manteca facility to the Company on the terms outlined in the purchase and sale agreement and, as a result, the Company has commenced non-judicial foreclosure proceedings with respect to the Manteca facility.  The Company expects the Manteca facility to go to auction in early 2020 at which point the Company expects to either purchase the facility or be repaid the loan and accrued interest.

In September 2019, the Company provided affiliates of CommuniCare a $26.5 million loan secured by mortgages on the 3 skilled nursing facilities sold to CommuniCare, as discussed in Note 3, Real Estate Investments, which bears a fixed interest rate of 10%. The mortgage loan, which requires CommuniCare to make monthly interest payments, is set to mature on February 29, 2020 and has an option to be prepaid before the maturity date. Given the structure of the arrangement the Company has concluded that the acquiring entities whom are joint and severally liable for the loan constitute variable interest entities.  The loan includes standard lender protective rights and does not allow the Company to control the entities.

During the three and nine months ended September 30, 2019, the Company recognized $0.3$0.8 million and $1.8 million, respectively, of interest income related to the mortgage loans during each ofloans. During the three and nine months ended March 31, 2019September 30, 2018, the Company recognized $0.3 million and 2018.$0.9 million, respectively, of interest income related to the mortgage loans.




5. FAIR VALUE MEASUREMENTS
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 March 31,September 30, 2019 and December 31, 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, 2019 December 31, 2018
 Face
Value
 Carrying
Amount
 Fair
Value
 Face
Value
 Carrying
Amount
 Fair
Value
Financial assets:           
Preferred equity investments$2,327
 $3,079
 $3,540
 $4,531
 $5,746
 $6,246
Mortgage loans receivable41,773
 41,728
 41,773
 12,375
 12,299
 12,375
Financial liabilities:           
Senior unsecured notes payable$300,000
 $295,721
 $309,750
 $300,000
 $295,153
 $289,500

 March 31, 2019 December 31, 2018
 Face
Value
 Carrying
Amount
 Fair
Value
 Face
Value
 Carrying
Amount
 Fair
Value
Financial assets:           
Preferred equity investments$4,531
 $5,746
 $6,477
 $4,531
 $5,746
 $6,246
Mortgage loans receivable23,739
 23,673
 23,739
 12,375
 12,299
 12,375
Financial liabilities:           
Senior unsecured notes payable$300,000
 $295,342
 $300,783
 $300,000
 $295,153
 $289,500
Cash and cash equivalents, accounts receivable,and other receivables, other loans receivable, and accounts payable and accrued liabilities: These balances approximate their fair values due to the short-term nature of these instruments.

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Preferred equity investments: 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, market interest rates and other credit enhancements.
Mortgage loans receivable: The fair values of the mortgage loans receivable were estimated using an internal valuation model that considered the expected future cash flows of the investments, the underlying collateral value, market interest rates 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.
 










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6. DEBT
The following table summarizes the balance of the Company’s indebtedness as of March 31,September 30, 2019 and December 31, 2018 (dollars in thousands):
 September 30, 2019 December 31, 2018
 Principal Amount
Deferred Loan Fees(1)
Carrying Value Principal Amount
Deferred Loan Fees(1)
Carrying Value
Senior unsecured notes payable$300,000
$(4,279)$295,721
 $300,000
$(4,847)$295,153
Senior unsecured term loan200,000
(1,339)198,661
 100,000
(388)99,612
Unsecured revolving credit facility65,000

65,000
 95,000

95,000
 $565,000
$(5,618)$559,382
 $495,000
$(5,235)$489,765

 March 31, 2019 December 31, 2018
 Principal AmountDeferred Loan FeesCarrying Value Principal AmountDeferred Loan FeesCarrying Value
Senior unsecured notes payable$300,000
$(4,658)$295,342
 $300,000
$(4,847)$295,153
Senior unsecured term loan200,000
(1,445)198,555
 100,000
(388)99,612
Unsecured revolving credit facility185,000

185,000
 95,000

95,000
 $685,000
$(6,103)$678,897
 $495,000
$(5,235)$489,765

(1) Deferred loan fees are not shown net for the unsecured revolving credit facility and are included in deferred financing costs, net on the accompanying condensed consolidated balance sheets.
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 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.
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

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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 March 31,September 30, 2019, the Company was 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 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 “Prior Credit Agreement”). As later amended on February 1, 2016, the Prior Credit Agreement provided the following: (i) a $400.0 million unsecured asset based revolving

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credit facility (the “Prior Revolving Facility”), (ii) a $100.0 million non-amortizing unsecured term loan (the “Prior Term Loan” and, together with the Prior Revolving Facility, the “Prior Credit Facility”), and (iii) a $250.0 million uncommitted incremental facility. The Prior Revolving Facility was scheduled to mature on August 5, 2019, subject to two,2, six-month extension options. The Prior Term Loan was scheduled to mature on February 1, 2023 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.
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 inno default or event of default under the Amended Credit Agreement governinghaving occurred at the Revolving Facility, including a consolidated leverage ratio that requires the Company’s ratiotime of Adjusted Consolidated Debt to Consolidated Total Asset Value (each as defined in the Amended Credit Agreement) be less than 60%.borrowing. The proceeds of the Term Loan were used, in part, to 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.
The interest rates applicable to loans under the Revolving Facility are, at the Company’sOperating Partnership’s option, equal to either a base rate plus a margin ranging from 0.10% to 0.55% per annum or LIBOR plus a margin ranging from 1.10% to 1.55% 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). The interest rates applicable to loans under the Term Loan are, at the Company’sOperating Partnership’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 CompanyOperating Partnership 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 CompanyOperating Partnership 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,September 30, 2019, the CompanyOperating Partnership had $200.0 million outstanding under the Term Loan and $185.0$65.0 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,Operating Partnership, 2, 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 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 agreementsorganizational documents and pay certain dividends and other restricted

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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, a maximum unsecured debt to unencumbered properties asset value ratio, a minimum unsecured interest coverage ratio and a minimum rent coverage ratio. The Amended Credit Agreement also contains certain customary events of default, including that the Company is requiredfailure to operate in conformity withmake timely payments under the requirements for qualificationAmended Credit Facility or other material indebtedness, the failure to satisfy certain covenants (including the financial maintenance covenants), the occurrence of change of control and taxation as a REIT.specified events of bankruptcy and insolvency.
As of March 31,September 30, 2019, the Company was in compliance with all applicable financial covenants under the Amended Credit Agreement.


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(Unaudited)


Interest Expense
During the three months ended March 31, 2019, the Company incurred $6.9 million of interest expense, which included $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 March 31, 2019 and December 31, 2018, the Company’s interest payable was $5.3 million and $1.3 million, respectively.



7. EQUITY
Common Stock
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 $149.0 million in net proceeds, after deducting the underwriting discount and offering expenses. The Company used the proceeds from the offering to repay a portion of the outstanding borrowings on its Revolving Facility, which had been used to fund a portion of the purchase price of acquisitions in the second quarter of 2019.
At-The-Market Offering—On March 4, 2019, the Company entered into a 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 “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 and nine months ended March 31,September 30, 2019. The following table summarizes the Prior ATM Program activity for the three months ended March 31, 2019 (in thousands, except per share amounts):
For the Three Months EndedFor the Three Months Ended
March 31, 2019March 31, 2019
Number of shares2,459
2,459
Average sales price per share$19.48
$19.48
Gross proceeds*$47,893
$47,893
*Total gross proceeds is before $0.6 million of commissions paid to the sales agents during the three months ended March 31, 2019 under the Prior ATM Program.

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

Dividends on Common Stock—The following table summarizes the cash dividends on the Company’s common stock declared by the Company’s Board of Directors for the first nine months of 2019 (dollars in thousands, except per share amounts):
 For the Three Months Ended
 March 31, 2019June 30, 2019September 30, 2019
Dividends declared per share$0.225
$0.225
$0.225
Dividends payment dateApril 15, 2019
July 15, 2019
October 15, 2019
Dividends payable as of record date$20,011
$21,508
$21,500
Dividends record dateMarch 29, 2019
June 28, 2019
September 30, 2019


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(Unaudited)

 For the Three Months Ended
 March 31, 2019
Dividends declared per share$0.225
Dividends payment dateApril 15, 2019
Dividends payable as of record date$20,012
Dividends record dateMarch 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 two2 separate and independently publicly traded companies (the “Spin-Off”), employees of Ensign who had unvested shares of restricted stock were given one1 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. As of March 31,September 30, 2019, there were 1,760 unvested restricted stock awards outstanding that were issued in connection with the Spin-Off.
In February 2019, the Compensation Committee of the Company’s Board of Directors granted 91,440 shares of restricted stock to officers and employees. Each share had a fair market value on the date of grant of $22.00 per share, based on the closing market price of the Company’s common stock on that date, and the shares vest in four4 equal annual installments beginning on the first anniversary of the grant date. Additionally, in February 2019, the Compensation Committee granted 71,440 performance stock awards to officers and employees.officers. Each share had a fair market value on the date of grant of $22.00 per

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share, based on the closing market price of the Company’s common stock on that 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 CompanyCompany’s Normalized Funds from Operations (“NFFO”) per share, as defined by the Compensation Committee, meeting or exceeding fiscal year over year Normalized Funds from Operations (“NFFO”), as defined by the Compensation Committee, per share growth of 5.0% or greater.
In May 2019, the Compensation Committee of the Company's Board of Directors granted 17,749 shares of restricted stock to members of the Board of Directors. Each share had a fair market value on the date of grant of $24.23 per share, based on the closing market price of the Company's common stock on that date, and the shares vest in full on the earlier to occur of April 30, 2020 or the Company’s 2020 Annual Meeting of Stockholders.
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,
 2019 2018 2019 2018
Stock-based compensation expense$981
 $988
 $3,122
 $2,816

 For the Three Months Ended March 31,
 2019 2018
Stock-based compensation expense$994
 $904
As of March 31,September 30, 2019, there was $6.9$5.2 million of unamortized stock-based compensation expense related to unvested awards and the weighted-average remaining vesting period of such awards was 2.42.3 years.



















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(Unaudited)


9. EARNINGS PER COMMON SHARE
The following table presents the calculation of basic and diluted EPSearnings per common share (“EPS”) for the Company’s common stock for the three and nine months ended March 31,September 30, 2019 and 2018, 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,
 2019 2018 2019 2018
Numerator:       
Net (loss) income$(10,054) $14,510
 $25,697
 $42,384
Less: Net income allocated to participating securities(66) (84) (231) (282)
Numerator for basic and diluted earnings available to common stockholders$(10,120) $14,426
 $25,466
 $42,102
Denominator:       
Weighted-average basic common shares outstanding95,103
 81,490
 92,409
 77,811
Weighted-average diluted common shares outstanding95,103
 81,490
 92,409
 77,811
        
Earnings per common share, basic$(0.11) $0.18
 $0.28
 $0.54
Earnings per common share, diluted$(0.11) $0.18
 $0.28
 $0.54
 For the Three Months Ended March 31,
 2019 2018
Numerator:   
Net income$16,053
 $14,607
Less: Net income allocated to participating securities(86) (126)
Numerator for basic and diluted earnings available to common stockholders$15,967
 $14,481
Denominator:   
Weighted-average basic common shares outstanding88,010
 75,504
Weighted-average diluted common shares outstanding88,010
 75,504
    
Earnings per common share, basic$0.18
 $0.19
Earnings per common share, diluted$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 March 31,September 30, 2019 and 2018, when their inclusion would have been anti-dilutive.


10. COMMITMENTS AND CONTINGENCIES
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.






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11. CONCENTRATION OF RISK
Major operator concentrations – As of March 31,September 30, 2019, Ensign leased 93 skilled nursing, multi-service campuses, assisted living and independent living facilities which had a total of 9,8609,975 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. AsArizona as of March 31,September 30, 2019. During each of the three and nine months ended September 30, 2019, Ensign represents $59.8 million, orrepresented 50% and 40%, respectively, of the Company’s rental income, exclusive of operating expense reimbursements, on an annualized run-rate basis.reimbursements. During each of the three and nine months ended September 30, 2018, Ensign represented 42% of the Company’s rental income, exclusive of operating expense reimbursements. On October 1, 2019, Ensign completed the Pennant Spin. See Note 13, Subsequent Events for additional information regarding the Company’s facilities leased to Ensign subsequent to the Pennant Spin.
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 http://www.sec.gov. The Company has not verified this information through an independent investigation or otherwise.
 






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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 separation of Ensign’s healthcare business and its real estate business into two2 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.


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CONDENSED CONSOLIDATING BALANCE SHEETS
MARCH 31,SEPTEMBER 30, 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$
 $935,419
 $323,917
 $
 $1,259,336
$
 $878,848
 $525,176
 $
 $1,404,024
Other real estate investments, net
 23,673
 5,746
 
 29,419

 41,728
 3,080
 
 44,808
Assets held for sale, net
 34,590
 
 
 34,590
Cash and cash equivalents
 214,354
 
 
 214,354

 5,749
 
 
 5,749
Accounts and other receivables, net
 8,350
 10
 
 8,360

 2,104
 21
 
 2,125
Prepaid expenses and other assets
 8,756
 3
 
 8,759

 30,198
 4
 
 30,202
Deferred financing costs, net
 3,758
 
 
 3,758

 3,268
 
 
 3,268
Investment in subsidiaries831,117
 495,487
 
 (1,326,604) 
949,133
 524,410
 
 (1,473,543) 
Intercompany
 
 166,008
 (166,008) 

 3,108
 
 (3,108) 
Total assets$831,117
 $1,689,797
 $495,684
 $(1,492,612) $1,523,986
$949,133
 $1,524,003
 $528,281
 $(1,476,651) $1,524,766
Liabilities and Equity:                  
Senior unsecured notes payable, net$
 $295,342
 $
 $
 $295,342
$
 $295,721
 $
 $
 $295,721
Senior unsecured term loan, net
 198,555
 
 
 198,555

 198,661
 
 
 198,661
Unsecured revolving credit facility
 185,000
 
 
 185,000

 65,000
 
 
 65,000
Accounts payable and accrued liabilities
 13,775
 197
 
 13,972

 15,488
 763
 
 16,251
Dividends payable20,086
 
��
 
 20,086
21,647
 
 
 
 21,647
Intercompany
 166,008
 
 (166,008) 

 
 3,108
 (3,108) 
Total liabilities20,086
 858,680
 197
 (166,008) 712,955
21,647
 574,870
 3,871
 (3,108) 597,280
Equity:                  
Common stock, $0.01 par value; 500,000,000 shares authorized, 88,398,273 shares issued and outstanding as of March 31, 2019884
 
 
 
 884
Common stock, $0.01 par value; 500,000,000 shares authorized, 95,103,270 shares issued and outstanding as of September 30, 2019951
 
 
 
 951
Additional paid-in capital1,012,295
 689,725
 321,761
 (1,011,486) 1,012,295
1,162,047
 795,857
 321,761
 (1,117,618) 1,162,047
Cumulative distributions in excess of earnings(202,148) 141,392
 173,726
 (315,118) (202,148)(235,512) 153,276
 202,649
 (355,925) (235,512)
Total equity811,031
 831,117
 495,487
 (1,326,604) 811,031
927,486
 949,133
 524,410
 (1,473,543) 927,486
Total liabilities and equity$831,117
 $1,689,797
 $495,684
 $(1,492,612) $1,523,986
$949,133
 $1,524,003
 $528,281
 $(1,476,651) $1,524,766


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CONDENSED CONSOLIDATING BALANCE SHEETS
DECEMBER 31, 2018
(in thousands, except share and per share amounts)
 
Parent
Guarantor
 Issuers 
Combined
Subsidiary
Guarantors
 Elimination Consolidated
Assets:         
Real estate investments, net$
 $887,921
 $328,316
 $
 $1,216,237
Other real estate investments, net
 12,299
 5,746
 
 18,045
Cash and cash equivalents
 36,792
 
 
 36,792
Accounts and other receivables, net
 9,359
 2,028
 
 11,387
Prepaid expenses and other assets
 8,666
 2
 
 8,668
Deferred financing costs, net
 633
 
 
 633
Investment in subsidiaries786,030
 484,955
 
 (1,270,985) 
Intercompany
 
 151,242
 (151,242) 
Total assets$786,030
 $1,440,625
 $487,334
 $(1,422,227) $1,291,762
Liabilities and Equity:         
Senior unsecured notes payable, net$
 $295,153
 $
 $
 $295,153
Senior unsecured term loan, net
 99,612
 
 
 99,612
Unsecured revolving credit facility
 95,000
 
 
 95,000
Accounts payable and accrued liabilities
 13,588
 2,379
 
 15,967
Dividends payable17,783
 
 
 
 17,783
Intercompany
 151,242
 
 (151,242) 
Total liabilities17,783
 654,595
 2,379
 (151,242) 523,515
Equity:         
Common stock, $0.01 par value; 500,000,000 shares authorized, 85,867,044 shares issued and outstanding as of December 31, 2018859
 
 
 
 859
Additional paid-in capital965,578
 661,686
 321,761
 (983,447) 965,578
Cumulative distributions in excess of earnings(198,190) 124,344
 163,194
 (287,538) (198,190)
Total equity768,247
 786,030
 484,955
 (1,270,985) 768,247
Total liabilities and equity$786,030
 $1,440,625
 $487,334
 $(1,422,227) $1,291,762

 
Parent
Guarantor
 Issuers 
Combined
Subsidiary
Guarantors
 Elimination Consolidated
Assets:         
Real estate investments, net$
 $887,921
 $328,316
 $
 $1,216,237
Other real estate investments, net
 12,299
 5,746
 
 18,045
Cash and cash equivalents
 36,792
 
 
 36,792
Accounts and other receivables, net
 9,359
 2,028
 
 11,387
Prepaid expenses and other assets
 8,666
 2
 
 8,668
Deferred financing costs, net
 633
 
 
 633
Investment in subsidiaries786,030
 484,955
 
 (1,270,985) 
Intercompany
 
 151,242
 (151,242) 
Total assets$786,030
 $1,440,625
 $487,334
 $(1,422,227) $1,291,762
Liabilities and Equity:         
Senior unsecured notes payable, net$
 $295,153
 $
 $
 $295,153
Senior unsecured term loan, net
 99,612
 
 
 99,612
Unsecured revolving credit facility
 95,000
 
 
 95,000
Accounts payable and accrued liabilities
 13,588
 2,379
 
 15,967
Dividends payable17,783
 
 
 
 17,783
Intercompany
 151,242
 
 (151,242) 
Total liabilities17,783
 654,595
 2,379
 (151,242) 523,515
Equity:         
Common stock, $0.01 par value; 500,000,000 shares authorized, 85,867,044 shares issued and outstanding as of December 31, 2018859
 
 
 
 859
Additional paid-in capital965,578
 661,686
 321,761
 (983,447) 965,578
Cumulative distributions in excess of earnings(198,190) 124,344
 163,194
 (287,538) (198,190)
Total equity768,247
 786,030
 484,955
 (1,270,985) 768,247
Total liabilities and equity$786,030
 $1,440,625
 $487,334
 $(1,422,227) $1,291,762


 
 


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CARETRUST REIT, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —
(Unaudited)




CONDENSED CONSOLIDATING INCOME STATEMENTS OF OPERATIONS
FOR THE THREE MONTHS ENDED MARCH 31,SEPTEMBER 30, 2019
(in thousands)
Parent
Guarantor
 Issuers 
Combined
Subsidiary
Guarantors
 Elimination Consolidated
Parent
Guarantor
 Issuers 
Combined
Subsidiary
Guarantors
 Elimination Consolidated
Revenues:                  
Rental income$
 $23,569
 $14,778
 $
 $38,347
$
 $11,702
 $19,875
 $
 $31,577
Independent living facilities
 
 860
 
 860

 
 929
 
 929
Interest and other income
 451
 
 
 451

 808
 
 
 808
Total revenues
 24,020
 15,638
 
 39,658

 12,510
 20,804
 
 33,314
Expenses:                  
Depreciation and amortization
 7,503
 4,399
 
 11,902

 7,756
 5,664
 
 13,420
Interest expense
 6,860
 
 
 6,860

 7,064
 
 
 7,064
Property taxes
 826
 
 
 826

 972
 53
 
 1,025
Independent living facilities
 
 707
 
 707

 
 806
 
 806
Impairment of real estate investments
 16,692
 
 
 16,692
Provision for loan losses
 1,076
 
 
 1,076
General and administrative994
 2,316
 
 
 3,310
1,095
 2,407
 
 
 3,502
Total expenses994
 17,505
 5,106
 
 23,605
1,095
 35,967
 6,523
 
 43,585
Income in Subsidiary17,047
 10,532
 
 (27,579) 
Net income$16,053
 $17,047
 $10,532
 $(27,579) $16,053
Gain on sale of real estate
 217
 
 
 217
(Loss) income in Subsidiary(8,959) 14,281
 
 (5,322) 
Net (loss) income$(10,054) $(8,959) $14,281
 $(5,322) $(10,054)


1922

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CARETRUST REIT, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —
(Unaudited)




CONDENSED CONSOLIDATING INCOME STATEMENTS
FOR THE THREE MONTHS ENDED MARCH 31,SEPTEMBER 30, 2018
(in thousands)
 
Parent
Guarantor
 Issuers 
Combined
Subsidiary
Guarantors
 Elimination Consolidated
Revenues:         
Rental income$
 $20,554
 $14,778
 $
 $35,332
Tenant reimbursements
 1,804
 1,186
 
 2,990
Independent living facilities
 
 871
 
 871
Interest and other income
 317
 
 
 317
Total revenues
 22,675
 16,835
 
 39,510
Expenses:         
Depreciation and amortization
 6,833
 4,518
 
 11,351
Interest expense
 6,805
 
 
 6,805
Property taxes
 1,804
 1,186
 
 2,990
Independent living facilities
 
 766
 
 766
General and administrative987
 2,101
 
 
 3,088
Total expenses987
 17,543
 6,470
 
 25,000
Income in Subsidiary15,497
 10,365
 
 (25,862) 
Net income$14,510
 $15,497
 $10,365
 $(25,862) $14,510

 
Parent
Guarantor
 Issuers 
Combined
Subsidiary
Guarantors
 Elimination Consolidated
Revenues:         
Rental income$
 $19,398
 $14,418
 $
 $33,816
Tenant reimbursements
 1,764
 1,204
 
 2,968
Independent living facilities
 
 799
 
 799
Interest and other income
 423
 95
 
 518
Total revenues
 21,585
 16,516
 
 38,101
Expenses:         
Depreciation and amortization
 6,937
 4,640
 
 11,577
Interest expense
 7,092
 
 
 7,092
Property taxes
 1,764
 1,204
 
 2,968
Independent living facilities
 
 716
 
 716
General and administrative904
 2,288
 
 
 3,192
Total expenses904
 18,081
 6,560
 
 25,545
Gain on sale of real estate
 2,051
 
 
 2,051
Income in Subsidiary15,511
 9,956
 
 (25,467) 
Net income$14,607
 $15,511
 $9,956
 $(25,467) $14,607
















2023

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CARETRUST REIT, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —
(Unaudited)




CONDENSED CONSOLIDATING INCOME STATEMENTS OF CASH FLOWS
FOR THE THREENINE MONTHS ENDED MARCH 31,SEPTEMBER 30, 2019
(in thousands)
 
Parent
Guarantor
 Issuers 
Combined
Subsidiary
Guarantors
 Elimination Consolidated
Cash flows from operating activities:         
Net cash provided by operating activities$
 $15,308
 $14,766
 $
 $30,074
Cash flows from investing activities:         
Acquisitions of real estate
 (52,697) 
 
 (52,697)
Improvements to real estate
 (452) 
 
 (452)
Purchases of equipment, furniture and fixtures
 (1,806) 
 
 (1,806)
Investment in real estate mortgage and other loans receivable
 (11,389) 
 
 (11,389)
Principal payments received on real estate mortgage and other loans receivable
 411
 
 
 411
Escrow deposits for acquisitions of real estate
 (375) 
 
 (375)
Net proceeds from the sale of real estate
 131
 
 
 131
Distribution from subsidiary17,710
 
 
 (17,710) 
Intercompany financing(45,765) 14,766
 
 30,999
 
Net cash used in investing activities(28,055) (51,411) 
 13,289
 (66,177)
Cash flows from financing activities:         
Proceeds from the issuance of common stock, net47,260
 
 
 
 47,260
Proceeds from the issuance of senior unsecured term loan
 200,000
 
 
 200,000
Borrowings under unsecured revolving credit facility
 185,000
 
 
 185,000
Payments on senior unsecured term loan
 (100,000) 
 
 (100,000)
Payments on unsecured revolving credit facility
 (95,000) 
 
 (95,000)
Payments of deferred financing costs
 (4,390) 
 
 (4,390)
Net-settle adjustment on restricted stock(1,495) 
 
 
 (1,495)
Dividends paid on common stock(17,710) 
 
 
 (17,710)
Distribution to Parent
 (17,710) 
 17,710
 
Intercompany financing
 45,765
 (14,766) (30,999) 
Net cash provided by (used in) financing activities28,055
 213,665
 (14,766) (13,289) 213,665
Net increase in cash and cash equivalents
 177,562
 
 
 177,562
Cash and cash equivalents, beginning of period
 36,792
 
 
 36,792
Cash and cash equivalents, end of period$
 $214,354
 $
 $
 $214,354
 
Parent
Guarantor
 Issuers 
Combined
Subsidiary
Guarantors
 Elimination Consolidated
Revenues:         
Rental income$
 $59,709
 $54,338
 $
 $114,047
Independent living facilities
 
 2,676
 
 2,676
Interest and other income
 1,828
 622
 
 2,450
Total revenues
 61,537
 57,636
 
 119,173
Expenses:         
Depreciation and amortization
 22,989
 15,770
 
 38,759
Interest expense
 21,209
 
 
 21,209
Property taxes
 2,200
 107
 
 2,307
Independent living facilities
 
 2,232
 
 2,232
Impairment of real estate investments
 16,692
 
 
 16,692
Provision for loan losses
 1,076
 
 
 1,076
General and administrative3,236
 8,110
 72
 
 11,418
Total expenses3,236
 72,276
 18,181
 
 93,693
Gain on sale of real estate
 217
 
 
 217
Income in Subsidiary28,933
 39,455
 
 (68,388) 
Net income$25,697
 $28,933
 $39,455
 $(68,388) $25,697




2124

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CARETRUST REIT, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —
(Unaudited)




CONDENSED CONSOLIDATING INCOME STATEMENTS OF CASH FLOWS
FOR THE THREENINE MONTHS ENDED MARCH 31,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 administrative2,822
 6,740
 76
 
 9,638
Total expenses2,822
 53,770
 19,655
 
 76,247
Gain on sale of real estate
 2,051
 
 
 2,051
Income in Subsidiary45,206
 30,404
 
 (75,610) 
Net income$42,384
 $45,206
 $30,404
 $(75,610) $42,384

































 
Parent
Guarantor
 Issuers 
Combined
Subsidiary
Guarantors
 Elimination Consolidated
Cash flows from operating activities:         
Net cash provided by operating activities:$
 $7,295
 $14,764
 $
 $22,059
Cash flows from investing activities:         
Acquisitions of real estate
 (47,103) 
 
 (47,103)
Improvements to real estate
 
 (11) 
 (11)
Purchases of equipment, furniture and fixtures
 (23) (4) 
 (27)
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 subsidiary14,044
 
 
 (14,044) 
Intercompany financing615
 14,749
 
 (15,364) 
Net cash provided by (used in) investing activities14,659
 (20,350) (15) (29,408) (35,114)
Cash flows from financing activities:        

Proceeds from the issuance of common stock, net(10) 
 
 
 (10)
Borrowings under unsecured revolving credit facility
 60,000
 
 
 60,000
Payments on unsecured revolving credit facility
 (25,000) 
 
 (25,000)
Net-settle adjustment on restricted stock(605) 
 
 
 (605)
Dividends paid on common stock(14,044) 
 
 
 (14,044)
Distribution to Parent
 (14,044) 
 14,044
 
Intercompany financing
 (615) (14,749) 15,364
 
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
 7,286
 
 
 7,286
Cash and cash equivalents, beginning of period
 6,909
 
 
 6,909
Cash and cash equivalents, end of period$
 $14,195
 $
 $
 $14,195

2225

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CARETRUST REIT, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —
(Unaudited)




CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2019
(in thousands)
 
Parent
Guarantor
 Issuers 
Combined
Subsidiary
Guarantors
 Elimination Consolidated
Cash flows from operating activities:         
Net cash (used in) provided by operating activities$(114) $39,195
 $56,077
 $
 $95,158
Cash flows from investing activities:         
Acquisitions of real estate
 (86,393) (212,164) 
 (298,557)
Improvements to real estate
 (767) (463) 
 (1,230)
Purchases of equipment, furniture and fixtures
 (2,922) (4) 
 (2,926)
Investment in real estate mortgage and other loans receivable
 (14,699) 
 
 (14,699)
Principal payments received on real estate mortgage and other loans receivable
 11,959
 
 
 11,959
Repayment of other real estate investment
 
 2,204
 
 2,204
Escrow deposits for acquisitions of real estate
 (22,920) 
 
 (22,920)
Net proceeds from sales of real estate
 218
 
 
 218
Distribution from subsidiary59,155
 
 
 (59,155) 
Intercompany financing(193,325) (154,350) 
 347,675
 
Net cash used in investing activities(134,170) (269,874) (210,427) 288,520
 (325,951)
Cash flows from financing activities:         
Proceeds from the issuance of common stock, net195,963
 
 
 
 195,963
Proceeds from the issuance of senior unsecured term loan
 200,000
 
 
 200,000
Borrowings under unsecured revolving credit facility
 235,000
 
 
 235,000
Payments on unsecured revolving credit facility
 (265,000) 
 
 (265,000)
Payments on senior unsecured term loan
 (100,000) 
 
 (100,000)
Payments of deferred financing costs
 (4,534) 
 
 (4,534)
Net-settle adjustment on restricted stock(2,524) 
 
 
 (2,524)
Dividends paid on common stock(59,155) 
 
 
 (59,155)
Distribution to Parent
 (59,155) 
 59,155
 
Intercompany financing
 193,325
 154,350
 (347,675) 
Net cash provided by (used in) financing activities134,284
 199,636
 154,350
 (288,520) 199,750
Net decrease in cash and cash equivalents
 (31,043) 
 
 (31,043)
Cash and cash equivalents, beginning of period
 36,792
 
 
 36,792
Cash and cash equivalents, end of period$
 $5,749
 $
 $
 $5,749



26

Table of Contents
CARETRUST REIT, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —
(Unaudited)


CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS
FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2018
(in thousands)

 
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
Cash flows from investing activities:         
Acquisitions of real estate
 (75,621) 
 
 (75,621)
Improvements to real estate
 (5,376) (25) 
 (5,401)
Purchases of equipment, furniture and fixtures
 (1,193) (69) 
 (1,262)
Investment in real estate mortgage and other loans receivable
 (2,598) 
 
 (2,598)
Principal payments received on real estate mortgage and other loans receivable
 893
 
 
 893
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 subsidiary45,827
 
 
 (45,827) 
Intercompany financing(129,251) 44,216
 
 85,035
 
Net cash used in investing activities(83,424) (27,675) (94) 39,208
 (71,985)
Cash flows from financing activities:        

Proceeds from the issuance of common stock, net130,546
 
 
 
 130,546
Borrowings under unsecured revolving credit facility
 60,000
 
 
 60,000
Payments on unsecured revolving credit facility
 (135,000) 
 
 (135,000)
Net-settle adjustment on restricted stock(1,288) 
 
 
 (1,288)
Dividends paid on common stock(45,827) 
 
 
 (45,827)
Distribution to Parent
 (45,827) 
 45,827
 
Intercompany financing
 129,251
 (44,216) (85,035) 
Net cash provided by (used in) financing activities83,431
 8,424
 (44,216) (39,208) 8,431
Net increase in cash and cash equivalents
 8,836
 
 
 8,836
Cash and cash equivalents, beginning of period
 6,909
 
 
 6,909
Cash and cash equivalents, end of period$
 $15,745
 $
 $
 $15,745


27

Table of Contents
CARETRUST REIT, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS —
(Unaudited)


13. SUBSEQUENT EVENTS


Recent Acquisitions
In AprilOctober 2019, in 2 separate transactions, the Company completedacquired 1 skilled nursing facility and 1 multi-service campus with the Company’s existing tenant Kalesta Healthcare, LLC (“Kalesta”). The amended lease with Kalesta has a previously-disclosed $211.0remaining term of approximately 14 years. The aggregate purchase price for the facilities was approximately $22.8 million, multi-asset acquisition.which includes estimated capitalized acquisition costs, and was funded using cash on hand and borrowings under the Company’s Revolving Facility. The contractual initial annual cash rents from the acquisitionacquisitions are approximately $19.0 million. The two-state transaction included seven skilled nursing$1.9 million subject to fixed escalators in the first twelve months.

Lease Amendments
Pennant Spin. On October 1, 2019, Ensign completed its previously announced separation of its home health and hospice operations and substantially all of its senior living operations into a separate independent publicly traded company through the distribution of shares of common stock of Pennant. As a result of the Pennant Spin, as of October 1, 2019, the Company amended the Ensign Master Leases to lease 84 facilities to subsidiaries of Ensign, which have a total of 8,531 operational beds, 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. underentered into a new triple-net master lease with the Company.subsidiaries of Pennant (the “Pennant Master Lease”) to lease 11 facilities, which have a total of 1,444 operational beds. The amended lease with Priority Management Group, LLC has a remaining term ofcontractual initial annual cash rent under the Pennant Master Lease is approximately 12.5 years.$7.8 million. The lease with Southwest LTC, Ltd.Pennant Master Lease carries an initial term of 15 years, with two2 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 for approximately $10.0 million, which includes estimated capitalized acquisition costs. The contractual initial annual cash rent fromunder the acquisition isamended Ensign Master Leases was reduced by approximately $0.9 million$7.8 million. Ensign continues to guarantee each of the facilities leased to Ensign and was funded using cash on hand.Pennant. If Pennant achieves and maintains a specified portfolio coverage ratio, Ensign’s obligations under the guaranty with respect to the Pennant facilities would be released. As of October 1, 2019, Ensign and Pennant represented 33.2% and 4.9%, respectively, of the Company’s contractual rental income, exclusive of operating expense reimbursements.







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 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 its Revolving Credit Facility, which had been used to fund a portion of the purchase price of the April 2019 acquisition disclosed above under “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 and willingness of our tenants to meet and/or perform their obligations under the triple-net leases we have entered into with them, including, without limitation, their respective obligations to indemnify, defend and hold us harmless from and against various claims, litigation and liabilities; (ii) the ability of our tenants to comply with applicable laws, rules and regulations in the operation of the properties we lease to them; (iii) the ability and willingness of our tenants 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, as well as any obligations, including indemnification obligations, we may incur in connection with the replacement of an existing tenant; (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; (v) the ability to generate sufficient cash flows to service our outstanding indebtedness; (vi) access to debt and equity capital markets; (vii) fluctuating interest rates; (viii) the ability to retain our key management personnel; (ix) the ability to maintain our status as a real estate investment trust (“REIT”); (x) changes in the U.S. tax law and other state, federal or local laws, whether or not specific to REITs; (xi) other risks inherent in the real estate business, including potential liability relating to environmental matters and illiquidity of real estate investments; and (xii) any additional factors included in our Annual Report on Form 10-K for the year ended December 31, 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 March 31,September 30, 2019, we owned and leased to independent operators, including The Ensign 199Group, Inc. (“Ensign”), 211 skilled nursing, multi-service campuses, assisted living and independent living facilities consisting of 19,66821,583 operational beds and units located in 28 states with the highest concentration of properties located in California, Texas, Louisiana, 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.Idaho. As of March 31,September 30, 2019, the 93 facilities leased to Ensign had a total of 9,8609,975 operational beds and units which are located in Arizona, California, Colorado, Idaho, Iowa, Nebraska, Nevada, Texas, Utah and Washington and the 106118 remaining leased properties had a total of 9,80811,608 operational beds and units and are located in California, Colorado, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Louisiana, 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 March 31,September 30, 2019, we also had other real estate investments consisting of twoone preferred equity investmentsinvestment totaling $5.7$3.1 million and twothree mortgage loans receivable of $23.7$41.7 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

Trillium Lease Termination and New Master Lease

On July 15, 2019, we terminated our existing master lease (the “Original Trillium Lease”) with affiliates of Trillium Healthcare Group, LLC (“Trillium”), which covered ten properties in Iowa, seven properties in Ohio and one property in Georgia.  On August 16, 2019, we entered into a new master lease (the “New Trillium Lease”) with Trillium’s Iowa and Georgia affiliates covering the ten properties in Iowa and the one property in Georgia. We recorded an adjustment to reduce rental income for accounts and other receivables by approximately $3.8 million in the three months ended September 30, 2019.

On September 1, 2019, four of the seven skilled nursing Ohio properties operated by Trillium under the Original Trillium Lease were transferred to affiliates of Providence Group, Inc. (“Providence”). In connection with the transfer, we amended our triple-net master lease with Providence. The amended lease has a remaining initial term of approximately 13 years, with two five-year renewal options and CPI-based rent escalators. Annual cash rent under the amended lease increased by approximately $2.1 million.

Impairment of Real Estate Investment and Assets Held for Sale

On September 1, 2019, we sold three of the seven skilled nursing Ohio properties operated by Trillium under the Original Trillium Lease for a purchase price of $28.0 million. During the three months ended September 30, 2019 and prior to the disposition, we recorded an impairment expense of approximately $7.8 million. In connection with the sale, we provided affiliates of CommuniCare Family of Companies (“CommuniCare”), the purchaser of the three Ohio properties, with a mortgage loan secured by the three Ohio properties for approximately $26.5 million. See Note 4, Other Real Estate Investments for additional information.

As of September 30, 2019, we met the criteria to classify six skilled nursing facilities operated by affiliates of Metron Integrated Health Systems (“Metron”) as held for sale, which resulted in an impairment expense of approximately $8.8 million to reduce the carrying value to fair value less costs to sell the properties. The assets held for sale of $34.6 million are primarily comprised of real estate assets.

Pennant Spin

On October 1, 2019, Ensign completed its previously announced separation of its home health and hospice operations and substantially all of its senior living operations into a separate independent publicly traded company through the distribution of shares of common stock of The Pennant Group, Inc. (“Pennant” and, such separation, the “Pennant Spin”). As a result of the Pennant Spin, as of October 1, 2019, we amended the master lease entered into with subsidiaries of Ensign (the “Ensign Master Leases”) to lease 84 facilities to subsidiaries of Ensign, which have a total of 8,531 operational beds, and entered into a new triple-net master lease with the subsidiaries of Pennant (the “Pennant Master Lease”) to lease 11 facilities, which have a total of 1,444 operational beds. The contractual initial annual cash rent under the Pennant Master Lease is approximately $7.8 million.

The Pennant Master Lease carries an initial term of 15 years, with two five-year renewal options and CPI-based rent escalators. The contractual annual cash rent under the amended Ensign Master Leases was reduced by approximately $7.8 million. Ensign continues to guarantee each of the facilities leased to Ensign and Pennant. If Pennant achieves and maintains a specified portfolio coverage ratio, Ensign’s obligations under the guaranty with respect to the Pennant facilities would be released. As of October 1, 2019, Ensign and Pennant represented 33.2% and 4.9%, respectively, of our contractual rental income, exclusive of operating expense reimbursements.

Recent Investments

From January 1, 2019 through MayNovember 7, 2019, we acquired fifteenseventeen skilled nursing facilities, and threefour multi-service campuses and one assisted living facility for approximately $277.9$326.7 million, which includes capitalized acquisition costs. These acquisitions are expected to generate initial annual cash revenues of approximately $24.8$29.1 million and an initial blended yield of approximately 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 andNote 13, Subsequent Events in the Notes to condensed consolidated financial statements for additional information.

At-The-Market Offering of Common Stock

On March 4, 2019, we entered into a 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 “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 Prior ATM Program activity for 2019 (shares and dollars in thousands, except per share amounts):
 For the Three Months Ended
 March 31, 2019
Number of shares2,459
Average sales price per share$19.48
Gross proceeds*$47,893
*Total gross proceeds is before $0.6 million of commissions paid to the sales agents during the three months ended March 31, 2019 under the Prior ATM Program.

As of March 31, 2019, we had $300.0 million available for future issuances under the New ATM Program.





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 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$149.0 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(defined below), which had been used to fund a portion of the purchase price forof acquisitions in the April 2019 acquisition disclosed above under “Recent Investments.”second quarter of 2019.


Results of Operations


Operating Results
Three Months Ended March 31,September 30, 2019 Compared to Three Months Ended March 31,September 30, 2018:
Three Months Ended March 31, 
Increase
(Decrease)
 
Percentage
Difference
Three Months Ended September 30, 
Increase
(Decrease)
 
Percentage
Difference
2019 2018 2019 2018 
(dollars in thousands)(dollars in thousands)
Revenues:              
Rental income$38,347
 $33,816
 $4,531
 13 %$31,577
 $35,332
 $(3,755) (11)%
Tenant reimbursements
 2,968
 (2,968) (100)%
 2,990
 (2,990) (100)%
Independent living facilities860
 799
 61
 8 %929
 871
 58
 7 %
Interest and other income451
 518
 (67) (13)%808
 317
 491
 155 %
Expenses:              
Depreciation and amortization11,902
 11,577
 325
 3 %13,420
 11,351
 2,069
 18 %
Interest expense6,860
 7,092
 (232) (3)%7,064
 6,805
 259
 4 %
Property taxes826
 2,968
 (2,142) (72)%1,025
 2,990
 (1,965) (66)%
Independent living facilities707
 716
 (9) (1)%806
 766
 40
 5 %
Impairment of real estate investments16,692
 
 16,692
 100 %
Provision for loan losses1,076
 
 1,076
 100 %
General and administrative3,310
 3,192
 118
 4 %3,502
 3,088
 414
 13 %

Rental income. Rental income was $38.3$31.6 million for the three months ended March 31,September 30, 2019 compared to $33.8$35.3 million for the three months ended March 31,September 30, 2018. The $4.5$3.8 million or 13% increase11% decrease in rental income is primarily due to $2.8a $12.1 million adjustment for collectibility of rental income, a $0.5 million decrease in rental income due to the sale of three skilled nursing facilities in September 2019 and a $0.2 million decrease in straight-line rent, partially offset by $7.3 million in rental income from real estate investments made after AprilJuly 1, 2018, $0.9 million from increases in rental rates for our existing tenants, and $0.8 million of tenant reimbursement revenue recognized and classified as rental income due to the adoption of Topic 842the new lease ASUs (discussed below) and a $0.4 million increase in cash rents, 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,September 30, 2019 compared to the three months ended March 31,September 30, 2018. Property taxes decreased $2.1$2.0 million or72%

66%for the three months ended March 31,September 30, 2019 compared to the three months ended March 31,September 30, 2018. On January 1, 2019, we adopted Accounting Standards Update (“ASU”) No. 2016-02, Leases (Topic 842) (the “new lease ASUs”). Tenant reimbursements related to property taxes and insurance are neither lease nor nonleasenon-lease 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.statements of operations. 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.statements of operations. Prior to the adoption of the new ASU,lease ASUs, we recognized tenant recoveries as tenant reimbursement revenues regardless of whether the third party was paid by the lessor or lessee. InDuring the three months ended March 31,September 30, 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.statements of operations.
Independent living facilities. Revenues and expenses from our three ILFs that we own and operate were flat for the three months ended March 31,September 30, 2019 compared to the three months ended March 31,September 30, 2018.
Interest and other income. Interest and other income was flat atincreased $0.5 million for the three months ended March 31, 2019 compared to the three months ended March 31, 2018.

Depreciation and amortization. Depreciation and amortization expense increased $0.3 million or 3% for the three months ended March 31,September 30, 2019 to $11.9$0.8 million compared to $11.6$0.3 million for the three months ended March 31,September 30, 2018. The increase was primarily due to $0.5 million of interest income related to our mortgage loan receivables that we provided to Covenant Care in February 2019 and to CommuniCare in September 2019.
Depreciation and amortization. Depreciation and amortization expense increased $2.1 million or 18% for the three months ended September 30, 2019 to $13.4 million compared to $11.4 million for the three months ended September 30, 2018, primarily due to new real estate investments made after AprilJuly 1, 2018.
Interest expense. Interest expense decreased $0.2increased $0.3 million or 3%4% for the three months ended March 31,September 30, 2019 to $6.9 million compared to $7.1 million for the three months ended March 31, 2018. The decrease wasSeptember 30, 2018, primarily due to lowera higher weighted average debt balance, partially offset by higherlower weighted average interest rates for the three months ended March 31,September 30, 2019 compared to the three months ended March 31,September 30, 2018.
Impairment of real estate. On September 1, 2019, we sold three of the seven skilled nursing Ohio properties operated by Trillium under the Original Trillium Lease for a purchase price of $28.0 million. Prior to the disposition, we recorded an impairment of approximately $7.8 million during the three months ended September 30, 2019. Additionally, during the three months ended September 30, 2019, we met the criteria to classify six skilled nursing facilities operated by Metron as held for sale, which resulted in an impairment expense of approximately $8.8 million to reduce the carrying value to fair value less costs to sell the facilities. The assets held for sale of $34.6 million are primarily comprised of real estate assets.
Provision for loan losses. During the three months ended September 30, 2019, we determined the remaining contractual obligations under the bridge loan agreement to Priority Life Care, LLC (“Priority”) were not collectible and recorded a $1.1 million provision for loan losses.
General and administrative expense. General and administrative expense increased $0.1$0.4 million or 4%13% for the three months ended March 31,September 30, 2019 to $3.3$3.5 million compared to $3.2$3.1 million for the three months ended September 30, 2018. The increase is primarily related to higher cash wages of $0.2 million and $0.2 million of other corporate expenses.












Nine Months Ended September 30, 2019 Compared to Nine Months Ended September 30, 2018:
 Nine Months Ended September 30, 
Increase
(Decrease)
 
Percentage
Difference
 2019 2018 
 (dollars in thousands)
Revenues:       
Rental income$114,047
 $103,856
 $10,191
 10 %
Tenant reimbursements
 8,974
 (8,974) (100)%
Independent living facilities2,676
 2,515
 161
 6 %
Interest and other income2,450
 1,235
 1,215
 98 %
Expenses:       
Depreciation and amortization38,759
 34,227
 4,532
 13 %
Interest expense21,209
 21,182
 27
  %
Property taxes2,307
 8,974
 (6,667) (74)%
Independent living facilities2,232
 2,226
 6
  %
Impairment of real estate investments16,692
 
 16,692
 100 %
Provision for loan losses1,076
 
 1,076
 100 %
General and administrative11,418
 9,638
 1,780
 18 %
Rental income. Rental income was $114.0 million for the nine months ended September 30, 2019 compared to $103.9 million for the nine months ended September 30, 2018. The $10.2 million or 10% increase in rental income is primarily due to $17.6 million from real estate investments made after January 1, 2018, $3.0 million from increases in rental rates for our existing tenants, $2.1 million of tenant reimbursement revenue recognized and classified as rental income due to the adoption of the new lease ASUs and a $0.4 million increase in cash rents, partially offset by a $12.1 million adjustment for collectibility of rental income, a $0.6 million decrease in rental income due to the sale of three assisted living facilities in March 31,2018 and three skilled nursing facilities in September 2019 and $0.2 million decrease in straight-line rent.
Tenant reimbursements and property taxes. Tenant reimbursements decreased $9.0 million for the nine months ended September 30, 2019 compared to the nine months ended September 30, 2018. Property taxes decreased $6.7 million or74%for the nine months ended September 30, 2019 compared to the nine months ended September 30, 2018. On January 1, 2019, we adopted the new lease ASUs. Tenant reimbursements related to property taxes and insurance are neither lease nor non-lease 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’ statements of operations. Otherwise, tenant recoveries for taxes and insurance are classified as additional lease revenue recognized by the lessor on a gross basis in its statements of operations. Prior to the adoption of the new lease ASUs, we recognized tenant recoveries as tenant reimbursement revenues regardless of whether the third party was paid by the lessor or lessee. During the nine months ended September 30, 2019, we recognized real estate taxes of $2.1 million, which were paid by us directly to third parties and classified as rental income on our condensed consolidated statements of operations.
Independent living facilities. Revenues from our three ILFs that we own and operate were $2.7 million for the nine months ended September 30, 2019 compared to $2.5 million for the nine months ended September 30, 2018. The $0.2 million or 6% increase was primarily due to a slight increase in occupancy at these facilities. Expenses for our three ILFs were flat for the nine months ended September 30, 2019 compared to the nine months ended September 30, 2018.
Interest and other income. Interest and other income increased $1.2 million for the nine months ended September 30, 2019 to $2.5 million compared to $1.2 million for the nine months ended September 30, 2018. The increase was primarily due to $0.6 million of interest income, including $0.4 million for unrecognized preferred return related to prior periods, due to the repayment of a preferred equity investment in June 2019 and $0.8 million of interest income related to our mortgage loan receivables that we provided to Covenant Care in February 2019 and to CommuniCare in September 2019, partially offset by a $0.2 million decrease of interest income related to our remaining preferred equity investment.
Depreciation and amortization. Depreciation and amortization expense increased $4.5 million or 13% for the nine months ended September 30, 2019 to $38.8 million compared to $34.2 million for the nine months ended September 30, 2018, primarily due to new real estate investments made after January 1, 2018.

Interest expense. Interest expense remained consistent at $21.2 million for the nine months ended September 30, 2019 compared to the nine months ended September 30, 2018, primarily due to a lower weighted average debt balance and lower weighted average interest rates for the nine months ended September 30, 2019 compared to the nine months ended September 30, 2018.
Impairment of real estate. On September 1, 2019, we sold three of the seven skilled nursing Ohio properties operated by Trillium under the Original Trillium Lease for a purchase price of $28.0 million. Prior to the disposition, we recorded an impairment of approximately $7.8 million during the nine months ended September 30, 2019. Additionally, during the nine months ended September 30, 2019, we met the criteria to classify six skilled nursing facilities operated by Metron as held for sale, which resulted in an impairment expense of approximately $8.8 million to reduce the carrying value to fair value less costs to sell the facilities. The assets held for sale of $34.6 million are primarily comprised of real estate assets.
Provision for loan losses. During the nine months ended September 30, 2019, we determined the remaining contractual obligations under the bridge loan agreement to Priority were not collectible and recorded a $1.1 million provision for loan losses.
General and administrative expense. General and administrative expense increased $1.8 million or 18% for the nine months ended September 30, 2019 to $11.4 million compared to $9.6 million for the nine months ended September 30, 2018. The increase is primarily related to higher cash wages of $0.6 million, increased amortization of stock-based compensation.compensation of $0.3 million, increased professional services of $0.2 million and $0.7 million of other corporate expenses.



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,September 30, 2019, we had cash and cash equivalents of $214.4$5.7 million.
On March 4, 2019, we entered into a 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 “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”). During the threenine months ended March 31,September 30, 2019, we sold 2.5 million shares of common stock under our Prior ATM Program for gross proceeds of $47.9 million. The Prior ATM Program was terminated during the three months ended March 31, 2019 and, asAs of March 31,September 30, 2019, we had $300.0 million available for future issuances under the New ATM Program. See “Recent Transactions—At-The-Market OfferingNo shares of Common Stock.” In addition, ascommon stock were sold under the New ATM Program during the nine months ended September 30, 2019.
As of March 31,September 30, 2019, there was $185.0we also had $65.0 million outstanding under the Revolving Facility (as defined below). 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 above under Recent Transactions—“Public Offering of Common Stock” for additional information. We believe that our available cash, expected operating cash flows, and the availability under ourthe 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 Three Months Ended March 31,For the Nine Months Ended September 30,
2019 20182019 2018
(dollars in thousands)(dollars in thousands)
Net cash provided by operating activities$30,074
 $22,059
$95,158
 $72,390
Net cash used in investing activities(66,177) (35,114)(325,951) (71,985)
Net cash provided by financing activities213,665
 20,341
199,750
 8,431
Net increase in cash and cash equivalents177,562
 7,286
Net (decrease) increase in cash and cash equivalents(31,043) 8,836
Cash and cash equivalents, beginning of period36,792
 6,909
36,792
 6,909
Cash and cash equivalents, end of period$214,354
 $14,195
$5,749
 $15,745
ThreeNine Months Ended March 31,September 30, 2019 Compared to ThreeNine Months Ended March 31,September 30, 2018
Net cash provided by operating activities for the threenine months ended March 31,September 30, 2019 was $30.1$95.2 million compared to $22.1$72.4 million for the threenine months ended March 31,September 30, 2018, an increase of $8.0$22.8 million. The increase was primarily due to an increase of collections of rental income due to acquisitions, increases in rental rates for existing tenants subsequent to March 31,September 30, 2018, and timing of payments to our vendors in settling accounts payable, and a decrease in interest paid on outstanding indebtedness.indebtedness, partially offset by a decrease in collectibility of base cash rental income.
Cash used in investing activities for the threenine months ended March 31,September 30, 2019 was primarily comprised of $64.5$336.2 million in acquisitions of real estate and investments in real estate mortgage loans.loans and $4.2 million of improvement in real estate and purchases of furniture, fixtures and equipment partially offset by $14.2 million of payments received from our preferred equity investment and mortgage and other loans receivable and $0.2 million in net proceeds from real estate sales. Cash used in investing activities for the threenine months ended March 31,September 30, 2018 consistedwas primarily comprised of $48.1$79.2 million related to acquisitions of real estate and investments in other loans receivable and $6.7 million of improvement in real estate and purchases of furniture, fixtures and equipment, partially offset by $13.0 million of net proceeds from real estate sales.sales and $0.9 million of payments received from our mortgage and other loans receivable.
Our cash flows provided by financing activities for the threenine months ended March 31,September 30, 2019 was primarily comprised of $190.0$70.0 million in net borrowings under our Amended Credit Facility and Prior Credit Facility and $47.3$196.0 million in net proceeds from common stock sales under our Prior ATM Program and April 2019 equity offering, partially offset by $59.2 million in dividends paid, $4.5 million in payments of deferred financing costs and $2.5 million net settlement adjustment on restricted stock. Our cash flows provided by financing activities for the nine months ended September 30, 2018 was primarily comprised of $130.5 million in net proceeds from common stock sales under our Prior ATM Program, partially offset by $17.7$45.8 million in dividends paid, and $4.4 million 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$75.0 million in net borrowingspay downs under our Prior Credit Facility partially offset by $14.0and $1.3 million in dividends paid.net settlement adjustment on restricted stock.


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. 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 March 31,September 30, 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 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 “Prior Credit Agreement”). As later amended on February 1, 2016, the Prior Credit Agreement provided the following: (i) a $400.0 million unsecured asset based revolving credit facility (the “Prior Revolving Facility”), (ii) a $100.0 million non-amortizing unsecured term loan (the “Prior Term Loan” and, together with the Prior Revolving Facility, the “Prior Credit Facility”), and (iii) a $250.0 million uncommitted incremental facility. The Prior Revolving Facility was scheduled to mature on August 5, 2019, subject to two, six-month extension options. The Prior Term Loan was scheduled to mature on February 1, 2023, 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.
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 inno default or event of default under the Amended Credit Agreement governinghaving occurred at the Revolving Facility, including a consolidated leverage ratio that requires our ratiotime of Adjusted Consolidated Debt to Consolidated Total Asset Value (each as defined in the Amended Credit Agreement) be less than 60%.borrowing. The proceeds of the Term Loan were used, in part, to 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.

The interest rates applicable to loans under the Revolving Facility are, at the Company’sOperating Partnership’s option, equal to either a base rate plus a margin ranging from 0.10% to 0.55% per annum or LIBOR plus a margin ranging from 1.10% to 1.55% 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). The interest rates applicable to loans under the Term Loan are, at the Company’sOperating Partnership’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 CompanyOperating Partnership 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 CompanyOperating Partnership 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 off the credit ratings of the

Company’s senior long-term unsecured debt). As of March 31,September 30, 2019, we had $200.0 million outstanding under the Term Loan and there were $185.0$65.0 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 our sole discretion, 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 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 agreementsorganizational documents 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, a maximum unsecured debt to unencumbered properties asset value ratio, a minimum unsecured interest coverage ratio and a minimum rent coverage ratio. The Amended Credit Agreement also contains certain customary events of default, including that the Company is requiredfailure to operate in conformity withmake timely payments under the requirements for qualificationAmended Credit Facility or other material indebtedness, the failure to satisfy certain covenants (including the financial maintenance covenants), the occurrence of change of control and taxation as a REIT.specified events of bankruptcy and insolvency.
As of March 31,September 30, 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 March 31,September 30, 2019 (in thousands):
 
Payments Due by PeriodPayments 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)$402,375
 $15,750
 $31,500
 $31,500
 $323,625
$394,500
 $15,750
 $31,500
 $31,500
 $315,750
Senior unsecured term loan (2)255,561
 8,134
 16,178
 16,200
 215,049
245,699
 7,200
 14,361
 14,381
 209,757
Unsecured revolving credit facility (3)214,991
 7,704
 15,325
 191,962
 
75,145
 2,992
 5,968
 66,185
 
Operating lease125
 125
 
 
 
Operating leases3,469
 106
 104
 104
 3,155
Total$873,052
 $31,713
 $63,003
 $239,662
 $538,674
$718,813
 $26,048
 $51,933
 $112,170
 $528,662
 
(1)Amounts include interest payments of $102.4$94.5 million.
(2)Amounts include interest payments of $55.6$45.7 million.
(3)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, 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“Management’s 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, 2018, filed with the SEC on February 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 threenine months ended March 31, 2019.September 30, 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 $600.0 million from a syndicate of banks and other financial institutions. 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 0.10% to 0.55% per annum or LIBOR plus a margin ranging from 1.10% to 1.55% 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). 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). As of March 31,September 30, 2019, we had a $200.0 million Term Loan outstanding and there was $185.0$65.0 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. AssumingIn addition, there is currently uncertainty around whether LIBOR will continue to exist after 2021. If LIBOR ceases to exist, we will need to enter into an amendment to the Amended Credit Agreement and we cannot predict what alternative index would be negotiated with our lenders. If our lenders have increased costs due to changes in LIBOR, we may experience potential increases in interest rates on our variable rate debt, which could adversely impact our interest expense, results of operations and cash flows. Based on our outstanding debt balance as of September 30, 2019 described above and the interest rates applicable to our outstanding debt at September 30, 2019, assuming a 100 basis point increase in the interest rates related to our variable rate debt, and assuming the outstanding debt balance as of March 31, 2019 described above, interest expense would have increased approximately $1.0$2.0 million for the threenine months ended March 31,September 30, 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, 2018. As of March 31,September 30, 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 March 31,September 30, 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 March 31,September 30, 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 March 31,September 30, 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 ourits tenants, which are the responsibility of ourits 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, 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
  
 
   
 
   
 




  
 
   
 
  
 
  
 
  
 
  
*101.INS Inline XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL 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
  
*104
Cover Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101)

* 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.
MayNovember 7, 2019 By:/s/ Gregory K. Stapley
   Gregory K. Stapley
   
President and Chief Executive Officer
(duly authorized officer)
   
MayNovember 7, 2019 By:/s/ William M. Wagner
   William M. Wagner
   
Chief Financial Officer, Treasurer and Secretary
(principal financial officer and
principal accounting officer)




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