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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Cash flows from operating activities:    
Net income $ 39,789us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic $ 38,580us-gaap_NetIncomeLossAvailableToCommonStockholdersBasic
Adjustments to reconcile net income to cash provided by operating activities:    
Depreciation 53,707us-gaap_Depreciation 38,355us-gaap_Depreciation
Net amortization of debt discounts, premiums and deferred financing fees 1,650us-gaap_AmortizationOfFinancingCostsAndDiscounts 1,456us-gaap_AmortizationOfFinancingCostsAndDiscounts
Straight line rental income (3,509)us-gaap_StraightLineRent (1,583)us-gaap_StraightLineRent
Amortization of acquired real estate leases and other intangible assets (1,198)snh_AmortizationOfIntangibleAssetsAndLiabilities 722snh_AmortizationOfIntangibleAssetsAndLiabilities
Impairment of assets   721snh_AssetImpairmentChargesCashFlowEffect
Lease termination fees (105)us-gaap_GainLossOnContractTermination  
Gain on sale of properties   (156)us-gaap_GainLossOnSaleOfProperties
Equity in earnings of an investee (72)us-gaap_IncomeLossFromEquityMethodInvestments 97us-gaap_IncomeLossFromEquityMethodInvestments
Change in assets and liabilities:    
Restricted cash 2,860us-gaap_IncreaseDecreaseInRestrictedCashForOperatingActivities 2,012us-gaap_IncreaseDecreaseInRestrictedCashForOperatingActivities
Other assets (7,751)us-gaap_IncreaseDecreaseInOtherOperatingAssets 3,082us-gaap_IncreaseDecreaseInOtherOperatingAssets
Accrued interest 11,938us-gaap_IncreaseDecreaseInInterestPayableNet 6,060us-gaap_IncreaseDecreaseInInterestPayableNet
Other liabilities 6,828us-gaap_IncreaseDecreaseInOtherOperatingLiabilities 771us-gaap_IncreaseDecreaseInOtherOperatingLiabilities
Cash provided by operating activities 104,137us-gaap_NetCashProvidedByUsedInOperatingActivities 90,117us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities:    
Real estate acquisitions and deposits (509,045)us-gaap_PaymentsToAcquireRealEstate (50,050)us-gaap_PaymentsToAcquireRealEstate
Real estate improvements (12,339)us-gaap_PaymentsForCapitalImprovements (17,101)us-gaap_PaymentsForCapitalImprovements
Proceeds from sale of properties 250us-gaap_ProceedsFromSaleOfRealEstateHeldforinvestment 2,400us-gaap_ProceedsFromSaleOfRealEstateHeldforinvestment
Cash used for investing activities (521,134)us-gaap_NetCashProvidedByUsedInInvestingActivities (64,751)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities:    
Net proceeds from issuance of common shares issued in public offering 659,750us-gaap_ProceedsFromIssuanceOfCommonStock  
Proceeds from borrowings on revolving credit facility 515,000us-gaap_ProceedsFromLinesOfCredit 90,000us-gaap_ProceedsFromLinesOfCredit
Repayments of borrowings on revolving credit facility (595,000)us-gaap_RepaymentsOfLinesOfCredit (45,000)us-gaap_RepaymentsOfLinesOfCredit
Repayment of other debt (32,440)us-gaap_RepaymentsOfOtherDebt (3,246)us-gaap_RepaymentsOfOtherDebt
Payment of deferred financing fees (583)us-gaap_PaymentsOfFinancingCosts  
Distributions to shareholders (79,530)us-gaap_PaymentsOfDividendsCommonStock (73,386)us-gaap_PaymentsOfDividendsCommonStock
Cash provided by (used for) financing activities 467,197us-gaap_NetCashProvidedByUsedInFinancingActivities (31,632)us-gaap_NetCashProvidedByUsedInFinancingActivities
Increase (decrease) in cash and cash equivalents 50,200us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (6,266)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents at beginning of period 27,594us-gaap_CashAndCashEquivalentsAtCarryingValue 27,594us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of period 77,794us-gaap_CashAndCashEquivalentsAtCarryingValue 32,967us-gaap_CashAndCashEquivalentsAtCarryingValue
Supplemental cash flow information:    
Interest paid 22,354us-gaap_InterestPaid 21,384us-gaap_InterestPaid
Income taxes paid   200us-gaap_IncomeTaxesPaid
Non-cash investing activities:    
Acquisitions funded by assumed debt (29,955)us-gaap_NoncashOrPartNoncashAcquisitionValueOfAssetsAcquired1  
Non-cash financing activities:    
Assumption of mortgage notes payable 29,955us-gaap_NoncashOrPartNoncashAcquisitionDebtAssumed1  
Issuance of common shares $ 808us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue $ 438us-gaap_AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue