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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Cash flows from operating activities:      
Net income $ 158,637us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic $ 151,164us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic $ 135,884us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic
Adjustments to reconcile net income to cash provided by operating activities:      
Depreciation 185,391us-gaap_Depreciation 153,825us-gaap_Depreciation 141,456us-gaap_Depreciation
Net amortization of debt discounts, premiums and deferred financing fees 6,319us-gaap_AmortizationOfFinancingCostsAndDiscounts 6,042us-gaap_AmortizationOfFinancingCostsAndDiscounts 5,327us-gaap_AmortizationOfFinancingCostsAndDiscounts
Straight line rental income (9,672)us-gaap_StraightLineRent (7,080)us-gaap_StraightLineRent (13,849)us-gaap_StraightLineRent
Amortization of acquired real estate leases and other intangible assets (2,322)snh_AmortizationOfIntangibleAssetsAndLiabilities 3,656snh_AmortizationOfIntangibleAssetsAndLiabilities 1,597snh_AmortizationOfIntangibleAssetsAndLiabilities
Loss on early extinguishment of debt 12us-gaap_GainsLossesOnExtinguishmentOfDebt 797us-gaap_GainsLossesOnExtinguishmentOfDebt 6,349us-gaap_GainsLossesOnExtinguishmentOfDebt
Impairment of assets 4,367snh_AssetImpairmentChargesCashFlowEffect 45,599snh_AssetImpairmentChargesCashFlowEffect 3,071snh_AssetImpairmentChargesCashFlowEffect
Gain on lease terminations     (375)us-gaap_GainLossOnContractTermination
Gain on sale of properties (5,453)us-gaap_GainLossOnSaleOfProperties (37,392)us-gaap_GainLossOnSaleOfProperties 101us-gaap_GainLossOnSaleOfProperties
Equity in earnings of an investee (87)us-gaap_IncomeLossFromEquityMethodInvestments (334)us-gaap_IncomeLossFromEquityMethodInvestments (316)us-gaap_IncomeLossFromEquityMethodInvestments
Change in assets and liabilities:      
Restricted cash 1,970us-gaap_IncreaseDecreaseInRestrictedCashForOperatingActivities (3,082)us-gaap_IncreaseDecreaseInRestrictedCashForOperatingActivities (2,304)us-gaap_IncreaseDecreaseInRestrictedCashForOperatingActivities
Other assets (1,102)us-gaap_IncreaseDecreaseInOtherOperatingAssets (11,051)us-gaap_IncreaseDecreaseInOtherOperatingAssets 991us-gaap_IncreaseDecreaseInOtherOperatingAssets
Accrued interest 4,207us-gaap_IncreaseDecreaseInInterestPayableNet 82us-gaap_IncreaseDecreaseInInterestPayableNet (6,524)us-gaap_IncreaseDecreaseInInterestPayableNet
Other liabilities 8,634us-gaap_IncreaseDecreaseInOtherOperatingLiabilities 4,477us-gaap_IncreaseDecreaseInOtherOperatingLiabilities 11,894us-gaap_IncreaseDecreaseInOtherOperatingLiabilities
Cash provided by operating activities 350,901us-gaap_NetCashProvidedByUsedInOperatingActivities 306,703us-gaap_NetCashProvidedByUsedInOperatingActivities 283,302us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities:      
Real estate acquisitions and deposits (1,225,770)us-gaap_PaymentsToAcquireRealEstate (193,303)us-gaap_PaymentsToAcquireRealEstate (316,769)us-gaap_PaymentsToAcquireRealEstate
Real estate improvements (64,754)us-gaap_PaymentsForCapitalImprovements (52,270)us-gaap_PaymentsForCapitalImprovements (50,131)us-gaap_PaymentsForCapitalImprovements
Principal payments on loan receivable     38,000us-gaap_ProceedsFromSaleAndCollectionOfLoansReceivable
Investment in Affiliates Insurance Company (825)us-gaap_PaymentsToAcquireBusinessesAndInterestInAffiliates    
Proceeds from sale of properties 27,325us-gaap_ProceedsFromSaleOfRealEstateHeldforinvestment 92,550us-gaap_ProceedsFromSaleOfRealEstateHeldforinvestment 1,041us-gaap_ProceedsFromSaleOfRealEstateHeldforinvestment
Cash used for investing activities (1,264,024)us-gaap_NetCashProvidedByUsedInInvestingActivities (153,023)us-gaap_NetCashProvidedByUsedInInvestingActivities (327,859)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities:      
Net proceeds from issuance of common shares issued in public offering 322,807us-gaap_ProceedsFromIssuanceOfCommonStock 261,813us-gaap_ProceedsFromIssuanceOfCommonStock 287,052us-gaap_ProceedsFromIssuanceOfCommonStock
Proceeds from issuance of unsecured senior notes, net of discount 648,915us-gaap_ProceedsFromIssuanceOfUnsecuredDebt   350,000us-gaap_ProceedsFromIssuanceOfUnsecuredDebt
Proceeds from unsecured term loan 350,000us-gaap_ProceedsFromIssuanceOfDebt    
Proceeds from borrowings on revolving credit facility 570,000us-gaap_ProceedsFromLinesOfCredit 275,000us-gaap_ProceedsFromLinesOfCredit 669,000us-gaap_ProceedsFromLinesOfCredit
Repayments of borrowings on revolving credit facility (590,000)us-gaap_RepaymentsOfLinesOfCredit (365,000)us-gaap_RepaymentsOfLinesOfCredit (479,000)us-gaap_RepaymentsOfLinesOfCredit
Redemption of senior notes     (225,000)us-gaap_RepaymentsOfUnsecuredDebt
Repayment of other debt (86,432)us-gaap_RepaymentsOfOtherDebt (36,371)us-gaap_RepaymentsOfOtherDebt (266,528)us-gaap_RepaymentsOfOtherDebt
Payment of deferred financing fees (8,039)us-gaap_PaymentsOfFinancingCosts (3,326)us-gaap_PaymentsOfFinancingCosts (12,608)us-gaap_PaymentsOfFinancingCosts
Distributions to shareholders (305,767)us-gaap_PaymentsOfDividendsCommonStock (288,945)us-gaap_PaymentsOfDividendsCommonStock (259,537)us-gaap_PaymentsOfDividendsCommonStock
Cash provided by (used for) financing activities 901,484us-gaap_NetCashProvidedByUsedInFinancingActivities (156,829)us-gaap_NetCashProvidedByUsedInFinancingActivities 63,379us-gaap_NetCashProvidedByUsedInFinancingActivities
(Decrease) increase in cash and cash equivalents (11,639)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (3,149)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 18,822us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of period 39,233us-gaap_CashAndCashEquivalentsAtCarryingValue 42,382us-gaap_CashAndCashEquivalentsAtCarryingValue 23,560us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of period 27,594us-gaap_CashAndCashEquivalentsAtCarryingValue 39,233us-gaap_CashAndCashEquivalentsAtCarryingValue 42,382us-gaap_CashAndCashEquivalentsAtCarryingValue
Supplemental cash flow information:      
Interest paid 124,588us-gaap_InterestPaid 111,695us-gaap_InterestPaid 118,437us-gaap_InterestPaid
Income taxes paid 155us-gaap_IncomeTaxesPaid 600us-gaap_IncomeTaxesPaid 389us-gaap_IncomeTaxesPaid
Non-cash investing activities:      
Acquisitions funded by assumed debt (15,630)us-gaap_NoncashOrPartNoncashAcquisitionValueOfAssetsAcquired1 (12,266)us-gaap_NoncashOrPartNoncashAcquisitionValueOfAssetsAcquired1 (121,793)us-gaap_NoncashOrPartNoncashAcquisitionValueOfAssetsAcquired1
Non-cash financing activities:      
Assumption of mortgage notes payable 15,630us-gaap_NoncashOrPartNoncashAcquisitionDebtAssumed1 12,266us-gaap_NoncashOrPartNoncashAcquisitionDebtAssumed1 121,793us-gaap_NoncashOrPartNoncashAcquisitionDebtAssumed1
Issuance of common shares $ 4,823us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue $ 2,541us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue $ 2,229us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue