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Consolidated Statements Of Cash Flows (USD $)
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Cash flows from operating activities:      
Net income $ 103,052,000us-gaap_ProfitLoss $ 107,182,000us-gaap_ProfitLoss $ 90,898,000us-gaap_ProfitLoss
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation 38,078,000us-gaap_DepreciationNonproduction 20,658,000us-gaap_DepreciationNonproduction 16,981,000us-gaap_DepreciationNonproduction
Amortization 2,611,000us-gaap_AmortizationOfFinancingCosts 247,000us-gaap_AmortizationOfFinancingCosts 320,000us-gaap_AmortizationOfFinancingCosts
Amortization 2,580,000nhi_AmortizationOfFinancingCostsExclusiveOfAmountsWrittenOff 247,000nhi_AmortizationOfFinancingCostsExclusiveOfAmountsWrittenOff 320,000nhi_AmortizationOfFinancingCostsExclusiveOfAmountsWrittenOff
Straight-line rental income (16,463,000)us-gaap_StraightLineRent (6,560,000)us-gaap_StraightLineRent (3,664,000)us-gaap_StraightLineRent
Unamortized debt premium written off (1,655,000)us-gaap_OtherNoncashIncomeExpense 0us-gaap_OtherNoncashIncomeExpense 0us-gaap_OtherNoncashIncomeExpense
Write-off of debt issuance costs 2,145,000us-gaap_WriteOffOfDeferredDebtIssuanceCost 416,000us-gaap_WriteOffOfDeferredDebtIssuanceCost 0us-gaap_WriteOffOfDeferredDebtIssuanceCost
Loan and realty losses (recoveries), net 0nhi_LoanandLeaseLossesandRecoveriesNet 1,976,000nhi_LoanandLeaseLossesandRecoveriesNet (2,195,000)nhi_LoanandLeaseLossesandRecoveriesNet
Gain on sale of real estate 0us-gaap_GainLossOnSaleOfProperties (22,258,000)us-gaap_GainLossOnSaleOfProperties (11,966,000)us-gaap_GainLossOnSaleOfProperties
Gain on payoff of mortgage note 0us-gaap_GainLossOnSalesOfLoansNet 0us-gaap_GainLossOnSalesOfLoansNet (4,605,000)us-gaap_GainLossOnSalesOfLoansNet
Gain on purchase liability settlement 0us-gaap_BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1 (3,256,000)us-gaap_BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1 0us-gaap_BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1
Net realized gains on sales of marketable securities 0us-gaap_MarketableSecuritiesRealizedGainLoss 0us-gaap_MarketableSecuritiesRealizedGainLoss (30,000)us-gaap_MarketableSecuritiesRealizedGainLoss
Share-based compensation 2,020,000us-gaap_AllocatedShareBasedCompensationExpense 2,339,000us-gaap_AllocatedShareBasedCompensationExpense 2,168,000us-gaap_AllocatedShareBasedCompensationExpense
Income from equity-method investee 71,000us-gaap_IncomeLossFromEquityMethodInvestments (324,000)us-gaap_IncomeLossFromEquityMethodInvestments (45,000)us-gaap_IncomeLossFromEquityMethodInvestments
Change in operating assets and liabilities:      
Equity-method investment and other assets (2,334,000)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets (659,000)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets (745,000)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Accounts payable and accrued expenses 1,448,000us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities 2,495,000us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities (512,000)us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
Deferred income (2,830,000)us-gaap_IncreaseDecreaseInDeferredRevenue 1,937,000us-gaap_IncreaseDecreaseInDeferredRevenue (339,000)us-gaap_IncreaseDecreaseInDeferredRevenue
Net cash provided by operating activities 126,143,000us-gaap_NetCashProvidedByUsedInOperatingActivities 104,193,000us-gaap_NetCashProvidedByUsedInOperatingActivities 86,266,000us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities:      
Investment in mortgage and other notes receivable (4,447,000)us-gaap_PaymentsToAcquireMortgageNotesReceivable (11,082,000)us-gaap_PaymentsToAcquireMortgageNotesReceivable (16,241,000)us-gaap_PaymentsToAcquireMortgageNotesReceivable
Collection of mortgage and other notes receivable 1,456,000us-gaap_ProceedsFromSaleAndCollectionOfMortgageNotesReceivable 18,976,000us-gaap_ProceedsFromSaleAndCollectionOfMortgageNotesReceivable 17,463,000us-gaap_ProceedsFromSaleAndCollectionOfMortgageNotesReceivable
Investment in real estate (520,505,000)us-gaap_PaymentsToAcquireRealEstate (635,971,000)us-gaap_PaymentsToAcquireRealEstate (110,601,000)us-gaap_PaymentsToAcquireRealEstate
Investment in real estate development (8,455,000)us-gaap_PaymentsToDevelopRealEstateAssets (11,926,000)us-gaap_PaymentsToDevelopRealEstateAssets 0us-gaap_PaymentsToDevelopRealEstateAssets
Investment in renovations of existing real estate (4,211,000)us-gaap_PaymentsForCapitalImprovements (6,773,000)us-gaap_PaymentsForCapitalImprovements 0us-gaap_PaymentsForCapitalImprovements
Payments into facility repair escrows (1,554,000)nhi_Paymentsintofacilityrepairescrows 0nhi_Paymentsintofacilityrepairescrows 0nhi_Paymentsintofacilityrepairescrows
Investment in equity-method investment 0us-gaap_PaymentsToAcquireEquityMethodInvestments 0us-gaap_PaymentsToAcquireEquityMethodInvestments 8,309,000us-gaap_PaymentsToAcquireEquityMethodInvestments
Payment of real estate purchase liability (2,600,000)nhi_CashPaidInSettlementOfContingentPurchaseConsiderationLiability 0nhi_CashPaidInSettlementOfContingentPurchaseConsiderationLiability (5,222,000)nhi_CashPaidInSettlementOfContingentPurchaseConsiderationLiability
Proceeds from disposition of real estate properties 0us-gaap_ProceedsFromSaleOfOtherRealEstate 20,952,000us-gaap_ProceedsFromSaleOfOtherRealEstate 22,975,000us-gaap_ProceedsFromSaleOfOtherRealEstate
Proceeds from sales of marketable securities 0us-gaap_ProceedsFromSaleAndMaturityOfMarketableSecurities 0us-gaap_ProceedsFromSaleAndMaturityOfMarketableSecurities 125,000us-gaap_ProceedsFromSaleAndMaturityOfMarketableSecurities
Net cash used in investing activities (540,316,000)us-gaap_NetCashProvidedByUsedInInvestingActivities (625,824,000)us-gaap_NetCashProvidedByUsedInInvestingActivities (99,810,000)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities:      
Net change in borrowings under revolving credit facilities 207,000,000us-gaap_LineOfCreditFacilityIncreaseDecreaseForPeriodNet 103,000,000us-gaap_LineOfCreditFacilityIncreaseDecreaseForPeriodNet (33,300,000)us-gaap_LineOfCreditFacilityIncreaseDecreaseForPeriodNet
Proceeds from convertible senior notes 200,000,000us-gaap_ProceedsFromConvertibleDebt 0us-gaap_ProceedsFromConvertibleDebt 0us-gaap_ProceedsFromConvertibleDebt
Proceeds from issuance of secured debt 38,007,000us-gaap_ProceedsFromIssuanceOfSecuredDebt 0us-gaap_ProceedsFromIssuanceOfSecuredDebt 0us-gaap_ProceedsFromIssuanceOfSecuredDebt
Borrowings on term loan 130,000,000us-gaap_ProceedsFromBankDebt 330,000,000us-gaap_ProceedsFromBankDebt 120,000,000us-gaap_ProceedsFromBankDebt
Payments of term loans (328,515,000)us-gaap_RepaymentsOfLongTermDebt (99,655,000)us-gaap_RepaymentsOfLongTermDebt 0us-gaap_RepaymentsOfLongTermDebt
Debt issuance costs (8,443,000)us-gaap_PaymentsOfDebtIssuanceCosts (5,867,000)us-gaap_PaymentsOfDebtIssuanceCosts (766,000)us-gaap_PaymentsOfDebtIssuanceCosts
Proceeds from equity offering, net 270,798,000us-gaap_ProceedsFromIssuanceOfCommonStock 282,542,000us-gaap_ProceedsFromIssuanceOfCommonStock 0us-gaap_ProceedsFromIssuanceOfCommonStock
Proceeds from exercise of stock options 0us-gaap_ProceedsFromStockOptionsExercised (146,000)us-gaap_ProceedsFromStockOptionsExercised 2,000us-gaap_ProceedsFromStockOptionsExercised
Distributions to noncontrolling interest (2,049,000)us-gaap_PaymentsToMinorityShareholders (1,250,000)us-gaap_PaymentsToMinorityShareholders (177,000)us-gaap_PaymentsToMinorityShareholders
Dividends paid to stockholders (100,650,000)us-gaap_PaymentsOfDividends (85,145,000)us-gaap_PaymentsOfDividends (78,925,000)us-gaap_PaymentsOfDividends
Net cash provided by (used in) financing activities 406,148,000us-gaap_NetCashProvidedByUsedInFinancingActivities 523,771,000us-gaap_NetCashProvidedByUsedInFinancingActivities 6,830,000us-gaap_NetCashProvidedByUsedInFinancingActivities
(Decrease) increase in cash and cash equivalents (8,025,000)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 2,140,000us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (6,714,000)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents, beginning of year 11,312,000us-gaap_CashAndCashEquivalentsAtCarryingValue 9,172,000us-gaap_CashAndCashEquivalentsAtCarryingValue 15,886,000us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents, end of year 3,287,000us-gaap_CashAndCashEquivalentsAtCarryingValue 11,312,000us-gaap_CashAndCashEquivalentsAtCarryingValue 9,172,000us-gaap_CashAndCashEquivalentsAtCarryingValue
Supplemental disclosure of cash flow information:      
Interest Paid 22,172,000us-gaap_InterestPaid 7,964,000us-gaap_InterestPaid 3,240,000us-gaap_InterestPaid
Supplemental schedule of non-cash investing and financing activities:      
Settlement of mortgage note by real estate acquisition 0nhi_SettlementOfMortgageNoteByRealEstateAcquisition 13,741,000nhi_SettlementOfMortgageNoteByRealEstateAcquisition 0nhi_SettlementOfMortgageNoteByRealEstateAcquisition
Lease escrow deposits 0us-gaap_EscrowDepositsRelatedToPropertySales 22,775,000us-gaap_EscrowDepositsRelatedToPropertySales 0us-gaap_EscrowDepositsRelatedToPropertySales
Escrow deposit for tax deferred exchange 0us-gaap_EscrowDepositDisbursementsRelatedToPropertyAcquisition1 23,813,000us-gaap_EscrowDepositDisbursementsRelatedToPropertyAcquisition1 0us-gaap_EscrowDepositDisbursementsRelatedToPropertyAcquisition1
Conditional consideration in asset acquisition 3,000,000us-gaap_OtherSignificantNoncashTransactionValueOfConsiderationGiven1 1,600,000us-gaap_OtherSignificantNoncashTransactionValueOfConsiderationGiven1 0us-gaap_OtherSignificantNoncashTransactionValueOfConsiderationGiven1
Accounts payable increase due to investments in real estate 2,091,000us-gaap_NoncashOrPartNoncashAcquisitionValueOfLiabilitiesAssumed1 3,086,000us-gaap_NoncashOrPartNoncashAcquisitionValueOfLiabilitiesAssumed1 0us-gaap_NoncashOrPartNoncashAcquisitionValueOfLiabilitiesAssumed1
Discount on mortgage note receivable purchased 2,062,000us-gaap_IncreaseDecreaseInDepositOtherAssets 0us-gaap_IncreaseDecreaseInDepositOtherAssets  
Assumption of debt in real estate acquisition 7,858,000nhi_AdditionsThroughAssumptionOfDebt 80,528,000nhi_AdditionsThroughAssumptionOfDebt 19,250,000nhi_AdditionsThroughAssumptionOfDebt
Noncontrolling interest conveyed in acquisition 0us-gaap_NoncontrollingInterestIncreaseFromSaleOfParentEquityInterest 0us-gaap_NoncontrollingInterestIncreaseFromSaleOfParentEquityInterest 10,964,000us-gaap_NoncontrollingInterestIncreaseFromSaleOfParentEquityInterest
Assignment of net assets in equity-method investee $ 0nhi_NetAssetsReceivedInAcquisitionofEquityMethodInvestee $ 817,000nhi_NetAssetsReceivedInAcquisitionofEquityMethodInvestee $ 0nhi_NetAssetsReceivedInAcquisitionofEquityMethodInvestee