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 COVID-19 pandemic, including the risk of additional surges of
COVID-19 infections due to the rate of public acceptance and efficacy of
COVID-19 vaccines or to new and more contagious and/or vaccine resistant
variants, and the measures taken to prevent the spread of COVID-19 and the
related impact on our business or the businesses of our tenants; (ii) the
ability and willingness of our tenants to meet and/or perform their obligations
under the triple-net leases we have entered into with them, including, without
limitation, their respective obligations to indemnify, defend and hold us
harmless from and against various claims, litigation and liabilities; (iii) the
ability of our tenants to comply with applicable laws, rules and regulations in
the operation of the properties we lease to them; (iv) 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; (v) the availability of
and the ability to identify (a) tenants who meet our credit and operating
standards, and (b) suitable acquisition opportunities, and the ability to
acquire and lease the respective properties to such tenants on favorable terms;
(vi) the ability to generate sufficient cash flows to service our outstanding
indebtedness; (vii) access to debt and equity capital markets; (viii)
fluctuating interest rates; (ix) the ability to retain our key management
personnel; (x) the ability to maintain our status as a real estate investment
trust ("REIT"); (xi) changes in the U.S. tax law and other state, federal or
local laws, whether or not specific to REITs; (xii) other risks inherent in the
real estate business, including potential liability relating to environmental
matters and illiquidity of real estate investments; and (xiii) any additional
factors included under "Risk Factors" in our Annual Report on Form 10-K for the
year ended December 31, 2020, 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 June 30, 2021, we owned and leased to
independent operators, 223 skilled nursing, multi-service campuses, assisted
living and independent living facilities consisting of 23,301 operational beds
and units located in 28 states with the highest concentration of properties by
rental revenues located in California, Texas, Louisiana, Idaho and Arizona. As
of June 30, 2021, we also had other real estate investments consisting of one
mezzanine loan receivable with a carrying value of $15.2 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, maintenance and repair costs and capital expenditures, subject
to certain exceptions in the case of properties leased to Ensign and Pennant).
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 new or existing skilled nursing operators, as well as seniors
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
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monitor the clinical, regulatory and financial operating results of our tenants,
and work to identify opportunities within their operations and markets that
could improve their operating results at our facilities. We communicate such
observations to our tenants; however, we have no contractual obligation to do
so. Moreover, our tenants have sole discretion with respect to the day-to-day
operation of the facilities they lease from us, and how and whether to implement
any observation we may share with them. We also actively monitor the overall
occupancy, skilled mix, and other operating metrics of our tenants on at least a
monthly basis including, beginning in the quarter ended June 30, 2020, any
stimulus funds received by each tenant. We have replaced tenants in the past,
and may elect to replace tenants in the future, if they fail to meet the terms
and conditions of their leases with us. The replacement tenants may include
tenants with whom we have had no prior landlord-tenant relationship as well as
current tenants with whom we are comfortable expanding our relationships. We
have also provided select tenants 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 continue to do so in the future. In addition,
we periodically reassess the investments we have made and the tenant
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 Developments



COVID-19 Update
Tenants of our properties operating pursuant to triple-net master leases have
been adversely impacted, and we expect that they will continue to be adversely
impacted, by the COVID-19 pandemic. Our tenants are experiencing increased
operating costs as a result of actions they are taking to prevent or mitigate
the outbreak or spread of COVID-19 at their facilities, including in connection
with their implementation of safety protocols and procedures and other
regulatory requirements. To help offset these costs as well as occupancy
declines, various relief programs have been enacted by federal and state
governments, including the Coronavirus Aid, Relief, and Economic Security Act
(the "CARES Act"), which have provided, and we expect will continue to provide
some benefits to our tenants subject to the programs' respective terms and
conditions (the "Provider Relief Funds"). The estimated federal and state relief
approved, received and retained to date by our operators, as reported by our
operators, is approximately $132.2 million. At June 30, 2021, two of our
operators who received Provider Relief Funds have disclosed that they have
returned all or a portion of the Provider Relief Funds issued to them.
At a portfolio wide level, occupancy levels at our seniors housing facilities
remained relatively stable from the onset of the COVID-19 pandemic until the
beginning of the fourth quarter of 2020, during which we began to see a decline,
and occupancy levels declined further in the second quarter of 2021. Occupancy
levels at our skilled nursing facilities ("SNFs"), which declined at the onset
of the COVID-19 pandemic and continued to decline through January 2021, have
been on a steady incline since February 2021 and continued to increase through
the second quarter of 2021. Beginning in early 2020, the federal government
temporarily suspended the three-day hospital stay requirement for a patient's
Medicare benefits to refresh. Providers can now "skill in place," eliminating
the risk of transferring the patient to the hospital. Because of this temporary
rule change, overall skilled mix remained slightly elevated in the three months
ended June 30, 2021 compared to the pre-pandemic skilled mix during the three
months ended March 31, 2020. An increase in skilled mix can, but may not
necessarily, offset some or all of the adverse financial impact to the operator
of the SNF from a decline in occupancy. However, the skilled mix in our SNFs
during the three months ended June 30, 2021 was lower than the peak level seen
in December 2020, and we anticipate that skilled mix in our SNFs will continue
to decline as cases of COVID-19 decline.
The higher operating costs affecting our tenants, and the impact of lower
occupancy levels, have adversely impacted and may continue to adversely impact
the ability of our tenants to satisfy their rental obligations to us in full or
on a timely basis. Provider Relief Funds not being made available to our seniors
housing facilities has also impacted some of our tenants' ability to continue to
meet some of their financial obligations, as they continue to experience lower
occupancy levels and higher operating costs. Subsequent to the quarter ended
June 30, 2021, one seniors housing operator failed to pay rent for July and
proposed a rent deferral for the months of July, August and a portion of
September under a plan that would bring all rent deferrals current by the end of
2021. We are currently considering their request. Approximately 100.0% of our
contractual rent obligations due for the second quarter of 2021, and
approximately 96.2% due for July 2021, have been collected from our tenants
before considering any cash deposits on-hand from which we may offset any
shortfalls in rent received.
A number of COVID-19 vaccines were issued emergency use authorization by the
United States Food and Drug Administration. As of August 5, 2021, based on
information provided by operators who have reported such information to us,
almost three-quarters of our operators' residents have been fully vaccinated,
while almost half of such operators' staff have received at least one dose.
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The duration and extent of the COVID-19 pandemic's effect on our operational and
financial performance, and the operational and financial performance of our
tenants, will depend on future developments, which are highly uncertain and
cannot be predicted at this time, including the rate of public acceptance and
usage of vaccines and the effectiveness of vaccines in limiting the spread of
COVID-19 and its variants, resurgences of COVID-19 and, in particular, new and
more contagious and/or vaccine resistant variants, actions taken to contain the
spread of COVID-19 and how quickly and to what extent normal economic and
operating conditions can resume. The adverse impact of the COVID-19 pandemic on
our business, results of operations and financial condition could be material.
Senior Notes Issuance and Redemption
On June 17, 2021, 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
private offering of $400.0 million aggregate principal amount of 3.875% Senior
Notes due 2028 (the "Notes") to persons reasonably believed to be qualified
institutional buyers pursuant to Rule 144A and to non-U.S. persons outside the
United States in reliance on Regulation S under the Securities Act of 1933, as
amended (the "Securities Act"). See Note 12, Subsequent Events, for additional
information. The aggregate net proceeds from the sale of the Notes were
approximately $393.8 million after deducting underwriting fees and other
offering expenses. We used a portion of the net proceeds from the sale of the
Notes to redeem all of the Issuers' outstanding 5.25% Senior Notes due 2025 (the
"2025 Notes") and the remaining proceeds to repay a portion of the borrowings
outstanding under our Revolving Facility (as defined below).
On July 1, 2021 (the "Redemption Date"), the Issuers redeemed all $300.0 million
aggregate principal amount of their outstanding 2025 Notes. The 2025 Notes were
redeemed at a redemption price equal to 102.625% of the principal amount of the
2025 Notes, plus accrued and unpaid interest thereon up to, but not including,
the Redemption Date.

Sale of Real Estate and Asset Held for Sale
On February 1, 2021, we closed on the sale of one skilled nursing facility
consisting of 90 beds located in Washington with a carrying value of $7.2
million, for net sales proceeds of $7.0 million. We recorded a loss of $0.2
million in connection with the sale. The facility was classified as held for
sale as of December 31, 2020.
In August 2021, we met the held for sale criteria on one assisted living
facility operated by affiliates of Noble Senior Services, and are in the process
of estimating its fair value, which is expected to be below the net carrying
value of $4.9 million. The associated impairment loss is expected to be recorded
in the quarter ending September 30, 2021.

Recent Investments
From January 1, 2021 through August 5, 2021, we acquired 4 skilled nursing
facilities and 4 multi-service campuses for approximately $183.6 million, which
includes capitalized acquisition costs. These acquisitions are expected to
generate initial annual cash revenues of approximately $13.1 million and an
initial blended yield of approximately 7.3%. See Note 3, Real Estate
Investments, Net and Note 12, Subsequent Events in the Notes to condensed
consolidated financial statements for additional information.

At-The-Market Offering of Common Stock
On March 10, 2020, we entered into a new equity distribution agreement to issue
and sell, from time to time, up to $500.0 million in aggregate offering price of
our common stock through an "at-the-market" equity offering program (the "ATM
Program"). In connection with the entry into the equity distribution agreement
and the commencement of the ATM Program, our "at-the-market" equity offering
program pursuant to our prior equity distribution agreement, dated as of March
4, 2019, was terminated (the "Prior ATM Program").
There was no Prior ATM Program or ATM Program activity for the three and six
months ended June 30, 2020. The following table summarizes the ATM Program
activity for the three and six months ended June 30, 2021 (in thousands, except
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per share amounts).
                                                         For the Three Months          For the Six Months
                                                                 Ended                       Ended
                                                             June 30, 2021               June 30, 2021
Number of shares                                                         288                        990
Average sales price per share                           $              24.05          $           23.74
Gross proceeds(1)                                       $              6,926          $          23,505


(1) Total gross proceeds is before $0.1 million and $0.3 million of commissions
paid to the sales agents during the three and six months ended June 30, 2021,
respectively, under the ATM Program.
As of June 30, 2021, we had $476.5 million available for future issuances under
the ATM Program.

Results of Operations
Operating Results
Three Months Ended June 30, 2021 Compared to Three Months Ended June 30, 2020:
                                                     Three Months Ended June 30,               Increase               Percentage
                                                      2021                  2020              (Decrease)              Difference
                                                                               (dollars in thousands)
Revenues:
Rental income                                   $       47,744          $   42,507          $     5,237                         12  %

Independent living facilities                                -                 615                 (615)                      (100) %
Interest and other income                                  514               1,046                 (532)                       (51) %
Expenses:
Depreciation and amortization                           13,843              13,239                  604                          5  %
Interest expense                                         6,534               5,849                  685                         12  %

Property taxes                                             766                 837                  (71)                        (8) %
Independent living facilities                                -                 546                 (546)                      (100) %

General and administrative                               5,798               4,762                1,036                         22  %



Rental income. The $5.2 million, or 12%, increase in rental income is primarily
due to a $4.4 million increase in rental income from real estate investments
made after April 1, 2020, $0.9 million from contractual increases in rental
rates for our existing tenants and $0.1 million in cash rents due to lease
amendments, partially offset by a $0.1 million decrease in rental income due to
the disposal of assets in February 2021 and a $0.1 million decrease in tenant
reimbursements.
Independent living facilities. The $0.6 million, or 100%, decrease in revenues
from our ILFs was due to the sale of our one remaining ILF to a third party in
November 2020. The $0.5 million, or 100%, decrease in expenses was for the same
reason indicated for the decrease in revenues.
Interest and other income. The $0.5 million, or 51%, decrease in interest and
other income was primarily due to a decrease in interest income of $0.9 million
due to the repayment of mortgage loans and other loans receivable primarily by
CommuniCare in May 2020 and Cascade in July 2020, partially offset by
approximately $0.4 million of interest income related to our mezzanine loan to
Next VA Star Realty Holdings, LLC originated in November 2020. See Note 4, Other
Real Estate Investments, Net.
Depreciation and amortization. The $0.6 million, or 5%, increase in depreciation
and amortization was primarily due to an increase in depreciation and
amortization of $1.4 million related to new real estate investments and capital
improvements made after April 1, 2020, partially offset by $0.7 million due to
assets becoming fully depreciated after April 1, 2020 and $0.1 million of
depreciation related to the disposal of assets.
Interest expense. The $0.7 million, or 12%, increase in interest expense was
primarily due to a higher weighted average debt balance of approximately $157.5
million for the three months ended June 30, 2021 compared to the three months
ended June 30, 2020 due to the issuance of the Notes on June 17, 2021 and the
redemption of the 2025 Notes on July 1, 2021, partially offset by lower weighted
average interest rates.
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Property taxes. The $0.1 million, or 8%, decrease in property taxes was
primarily due to a $0.2 million decrease due to reassessments and decreased
effective tax rates, partially offset by an increase of $0.1 million in property
taxes due to the transfer of certain properties to new operators in January 2021
that do not make direct tax payments.
General and administrative expense. The $1.0 million, or 22%, increase in
general and administrative expense was primarily related to higher stock
compensation expense of $0.8 million, higher cash wages of $0.3 million and $0.1
million of other general and administrative expense, partially offset by a
decrease of $0.2 million in state and business taxes compared to the prior
period.
Six Months Ended June 30, 2021 Compared to Six Months Ended June 30, 2020:
                                                     Six Months Ended June 30,                Increase               Percentage
                                                      2021                 2020              (Decrease)              Difference
                                                                               (dollars in thousands)
Revenues:
Rental income                                   $      92,990          $   84,971          $     8,019                          9  %

Independent living facilities                               -               1,240               (1,240)                      (100) %
Interest and other income                               1,019               2,297               (1,278)                       (56) %

Expenses:


Depreciation and amortization                          27,316              26,399                  917                          3  %
Interest expense                                       12,296              12,563                 (267)                        (2) %

Property taxes                                          1,462               1,322                  140                         11  %
Independent living facilities                               -               1,092               (1,092)                      (100) %

General and administrative                             10,940               8,816                2,124                         24  %
Other loss:
Loss on sale of real estate                              (192)                (56)                (136)                       243  %



Rental income. The $8.0 million, or 9%, increase in rental income is primarily
due to a $6.7 million increase in rental income from real estate investments
made after January 1, 2020, $1.6 million from contractual increases in rental
rates for our existing tenants and $0.4 million in cash rents due to lease
amendments, partially offset by a $0.6 million decrease in rental income due to
the disposal of assets in February 2020 and February 2021 and a $0.1 million
decrease in tenant reimbursements.
Independent living facilities. The $1.2 million, or 100%, decrease in revenues
from our ILFs was due to the sale of our one remaining ILF to a third party in
November 2020. The $1.1 million, or 100%, decrease in expenses was for the same
reason indicated for the decrease in revenues.
Interest and other income. The $1.3 million, or 56%, decrease in interest and
other income was primarily due to a decrease in interest income of $2.2 million
due to the repayment of mortgage loans and other loans receivable primarily by
Manteca in May 2020, CommuniCare in May 2020 and Cascade in July 2020, partially
offset by approximately $0.9 million of interest income related to our mezzanine
loan to Next VA Star Realty Holdings, LLC originated in November 2020. See Note
4, Other Real Estate Investments, Net.
Depreciation and amortization. The $0.9 million, or 3%, increase in depreciation
and amortization was primarily due to an increase in depreciation and
amortization of $2.3 million related to new real estate investments and capital
improvements made after January 1, 2020, partially offset by $1.2 million due to
assets becoming fully depreciated after January 1, 2020 and $0.2 million of
depreciation related to the disposal of assets.
Interest expense. The $0.3 million, or 2%, decrease in interest expense was
primarily due to lower weighted average interest rates, partially offset by a
higher weighted average debt balance of approximately $90.9 million for the six
months ended June 30, 2021 compared to the six months ended June 30, 2020.
Property taxes. The $0.1 million, or 11%, increase in property taxes was
primarily due to a $0.4 million increase in property taxes realized upon the
disposition of assets in February 2020 and the transfer of certain properties to
new operators in January 2021 that make direct tax payments, partially offset by
a decrease of $0.3 million of property taxes due to reassessments and decreased
effective tax rates.
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General and administrative expense. The $2.1 million, or 24%, increase in
general and administrative expense was primarily related to higher stock
compensation expense of $1.5 million, higher cash wages of $0.5 million,
increased professional service fees of $0.2 million and $0.1 million of other
general and administrative expense, partially offset by a decrease of $0.2
million in state and business taxes compared to the prior period.
Loss on sale of real estate. During the six months ended June 30, 2021, we
recorded a $0.2 million loss on sale of real estate related to the sale of one
skilled nursing facility. During the six months ended June 30, 2020, we recorded
a $0.1 million loss on sale of real estate related to the sale of six skilled
nursing facilities.
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 June 30, 2021, we had cash, cash equivalents and restricted cash of $311.0
million. The $309.2 million in restricted cash as of June 30, 2021 related to
the cash deposited with the trustee to pay the redemption price of the 2025
Notes. The 2025 Notes were redeemed on July 1, 2021. See above under "Recent
Developments" and Note 12, Subsequent Events, for additional information.
During the three and six months ended June 30, 2021, we sold 288,000 and 990,000
shares of common stock under our ATM Program for gross proceeds of $6.9 million
and $23.5 million, respectively. As of June 30, 2021, we had $476.5 million
available for future issuances under the ATM Program.
As of June 30, 2021, we also had $50.0 million in borrowings outstanding and
$550.0 million of availability remaining under the Revolving Facility (as
defined below). We believe that our available cash, expected operating cash
flows, and the availability under the ATM Program and Amended Credit Facility
(as defined below) will provide sufficient funds for our operations, anticipated
scheduled debt service payments and projected dividend payments 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 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 March 2023, 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.
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Cash Flows
The following table presents selected data from our condensed consolidated
statements of cash flows for the periods presented (dollars in thousands):
                                                                      For 

the Six Months Ended June 30,


                                                                         2021                      2020

Net cash provided by operating activities                        $           70,557          $      67,942
Net cash (used in) provided by investing activities                        (145,043)                25,325
Net cash provided by (used in) financing activities                         366,525               (107,796)

Net increase (decrease) in cash, cash equivalents, and restricted cash

                                                             292,039                (14,529)

Cash, cash equivalents, and restricted cash as of the beginning of period

                                                                    18,919                 20,327

Cash, cash equivalents, and restricted cash as of the end of period

                                                           $          

310,958 $ 5,798




Net cash provided by operating activities increased $2.6 million for the six
months ended June 30, 2021 compared to the six months ended June 30, 2020.
Operating cash inflows are derived primarily from the rental payments received
under our lease agreements, including as a result of new investments, and
interest payments on our other real estate investments. Operating cash outflows
consist primarily of interest expense on our borrowings and general and
administrative expenses. The net increase of $2.6 million in cash provided by
operating activities for the six months ended June 30, 2021 is primarily due to
increased rental payments as a result of new investments and a decrease in cash
paid for interest on outstanding indebtedness due to lower weighted average
interest rates, partially offset by a decrease in interest and other income due
to the repayments of our other real estate investments and an increase in cash
paid for general and administrative expenses.
Cash used in investing activities for the six months ended June 30, 2021 was
primarily comprised of $148.5 million in acquisitions of real estate and
investments in other loans and $3.5 million of purchases of equipment, furniture
and fixtures and improvements to real estate, partially offset by $6.8 million
in net proceeds from real estate sales and $0.1 million of payments received
from other loans receivable. Cash provided by investing activities for the six
months ended June 30, 2020 was primarily comprised of $69.3 million of payments
received from our preferred equity investment and mortgage and other loans
receivable and $2.1 million in net proceeds from real estate sales, partially
offset by $39.9 million in acquisitions of real estate and investments in real
estate mortgage loans and $6.2 million of purchases of furniture, fixtures and
equipment and improvements to real estate.
Our cash flows provided by financing activities for the six months ended June
30, 2021 were primarily comprised of $400.0 million of proceeds from the
issuance of the Notes, $22.9 million of net proceeds from the issuance of common
stock under the ATM Program, partially offset by $49.5 million in dividends
paid, $5.6 million in payments of deferred financing costs and a $1.3 million
net settlement adjustment on restricted stock. Our cash flows used in financing
activities for the six months ended June 30, 2020 were primarily comprised of
$45.4 million in dividends paid, a $2.0 million net settlement adjustment on
restricted stock, $0.4 million paid for common stock offering related costs and
$60.0 million in net repayments under our Amended Credit Facility.
Indebtedness
3.875% Senior Unsecured Notes due 2028
On June 17, 2021, the Issuers completed a private offering of $400.0 million
aggregate principal amount of 3.875% Senior Notes due 2028 to persons reasonably
believed to be qualified institutional buyers pursuant to Rule 144A and to
non-U.S. persons outside the United States in reliance on Regulation S under the
Securities Act. The Notes were issued at par, resulting in gross proceeds of
$400.0 million and net proceeds of approximately $393.8 million after deducting
underwriting fees and other offering expenses. The Notes mature on June 30,
2028. The Notes accrue interest at a rate of 3.875% per annum payable
semiannually in arrears on June 30 and December 30 of each year, commencing on
December 30, 2021.
The obligations under the Notes are fully and unconditionally guaranteed,
jointly and severally, on an unsecured basis, by the Company and all of
CareTrust's existing and future subsidiaries (other than the Issuers) that
guarantee obligations under the Amended Credit Facility (as defined below);
provided, however, that such guarantees are subject to automatic release under
certain customary circumstances. See above under "Recent Developments" and Note
6, Debt, for additional information.
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The indenture governing the Notes 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 June 30, 2021, we were in compliance with all applicable financial
covenants under the indenture governing the Notes.
5.25% Senior Unsecured Notes due 2025 and Issuer and Guarantor Financial
Information
On May 10, 2017, the Issuers completed a public offering of $300.0 million
aggregate principal amount of the 2025 Notes. The 2025 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 2025 Notes were scheduled to mature on June 1, 2025 and bore interest at a
rate of 5.25% per year. Interest on the 2025 Notes was payable on June 1 and
December 1 of each year, beginning on December 1, 2017. On July 1, 2021, the
Issuers redeemed all $300.0 million aggregate principal amount of the 2025
Notes. See above under "Recent Developments" and Note 12, Subsequent Events, for
additional information.
The obligations under the 2025 Notes were fully and unconditionally guaranteed,
jointly and severally, on an unsecured basis, by CareTrust REIT (the "Parent
Guarantor") and all of CareTrust REIT's existing and future subsidiaries (other
than the Issuers) that guaranteed obligations under the Amended Credit Facility;
provided, however, that such guarantees were subject to automatic release under
certain customary circumstances, including if the Subsidiary Guarantor was sold
or sold all or substantially all of its assets, the Subsidiary Guarantor was
designated "unrestricted" for covenant purposes under the indenture governing
the 2025 Notes, the Subsidiary Guarantor's guarantee of other indebtedness which
resulted in the creation of the guarantee of the 2025 Notes was terminated or
released, or the requirements for legal defeasance or covenant defeasance or to
discharge the indenture had been satisfied.
The following provides information regarding the entity structure of the Parent
Guarantor, the Issuers and the Subsidiary Guarantors of the 2025 Notes:
CareTrust REIT, Inc. - The Parent Guarantor was formed on October 29, 2013 in
connection with the separation of Ensign's healthcare business and its real
estate business into two separate and independent publicly traded companies (the
"Spin-Off"). The Parent Guarantor was a wholly owned subsidiary of Ensign prior
to the effective date of the Spin-Off on June 1, 2014. The Parent Guarantor has
not conducted any operations or had any business since the Spin-Off.
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. The
Operating Partnership directly invests in real estate and real estate related
assets and therefore does not rely solely on the cash flow generated by the
Subsidiary Guarantors and their ability to make cash available to the Issuers,
by dividend or otherwise. However, in the event that the earnings or available
assets of the Issuers were insufficient, the Issuers' ability to pay principal
and interest on the 2025 Notes could have been dependent on the cash flow
generated by the Subsidiary Guarantors and their ability to make such cash
available to the Issuers. CareTrust Capital Corp., a co-issuer of the 2025
Notes, has no material assets and conducts no operations. Therefore, it had no
independent ability to service the interest and principal obligations under the
2025 Notes.
Subsidiary Guarantors - The Subsidiary Guarantors consisted of all of the
subsidiaries of the Parent Guarantor other than the Issuers. The Parent
Guarantor conducts a substantial portion of its business operations through the
Subsidiary Guarantors.
The assets and liabilities and results of operations of the combined guarantors
(the Parent Guarantor and the Subsidiary Guarantors) and the Issuers of the 2025
Notes are not materially different than the corresponding amounts presented in
our condensed consolidated financial statements.
The indenture governing the 2025 Notes contained 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;
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 pay dividends or distributions on, or redeem or
repurchase, capital stock, including a restriction on the ability of the Issuers
and their restricted subsidiaries to pay dividends or other amounts to the
Issuers, subject to certain other exceptions, unless: (i) there was no default
or event of default under the indenture; (ii) the
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Issuers were in compliance with specified limitations on indebtedness under the
indenture; and (iii) the payments did not exceed a specified restricted payment
basket. Dividends or distributions were also permitted if the Parent Guarantor's
board of directors believed in good faith they were necessary to maintain Parent
Guarantor's REIT status or to avoid any excise tax or income tax imposed on
Parent Guarantor, provided there was no default or event of default under the
indenture. Further, the Issuers and their restricted subsidiaries were not
permitted to create or cause to become effective any encumbrance or restriction
on the ability of the Issuers to, among other things, pay dividends or make
distributions, pay indebtedness, make loans or advances to the Issuers or their
restricted subsidiaries or transfer property or assets to the Issuers or their
restricted subsidiaries, other than in connection with certain customary
exceptions such as in respect of the indenture or the Amended Credit Facility.
As of June 30, 2021, we were in compliance with all applicable financial
covenants under the indenture governing the 2025 Notes.
Unsecured Revolving Credit Facility and Term Loan
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 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 no default or event of default under the Amended Credit Agreement
having occurred at the time of borrowing. The proceeds of the Term Loan were
used, in part, to repay in full all outstanding borrowings under our prior term
loan and revolving facility under our 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
Operating 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 Operating 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 Operating 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 Operating 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 June 30, 2021, we had $200.0 million
outstanding under the Term Loan and $50.0 million outstanding under the
Revolving Facility. Subsequent to June 30, 2021, we borrowed an additional $50.0
million under our Revolving Facility to fund the acquisition of two SNFs in
August 2021. See Note 12, 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 organizational 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, 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
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customary events of default, including the failure to make timely payments under
the Amended Credit Facility or other material indebtedness, the failure to
satisfy certain covenants (including the financial maintenance covenants), the
occurrence of change of control and specified events of bankruptcy and
insolvency.
As of June 30, 2021, we were 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
June 30, 2021 (in thousands):
                                                                        

Payments Due by Period


                                                                                 1 Year            3 Years
                                                                Less             to Less           to Less              More
                                                                than              than               than               than
                                           Total               1 Year            3 Years           5 Years            5 years
2028 Senior unsecured notes payable
(1)                                    $   509,103          $  16,103          $ 31,000          $  31,000          $ 431,000
2025 Senior unsecured notes payable
(2)                                        309,187            309,187                 -                  -                  -
Senior unsecured term loan (3)             214,930              3,243             6,477            205,210                  -
Unsecured revolving credit facility
(4)                                         52,453              1,525            50,928                  -                  -
Operating leases                             3,662                265               230                104              3,063
Total                                  $ 1,089,335          $ 330,323          $ 88,635          $ 236,314          $ 434,063



(1)Amounts include interest payments of $109.1 million.
(2)Amount includes the redemption price of the 2025 Notes. The 2025 Notes were
redeemed on July 1, 2021. See above under "Recent Developments" and Note 12,
Subsequent Events for additional information.
(3)Amounts include interest payments of $14.9 million.
(4)Amounts include payments related to the credit facility fee of $1.5 million
and interest payments of $1.0 million. Amounts do not include $50.0 million in
additional borrowings under the Revolving Facility made in August 2021. See Note
12, Subsequent Events for additional information.
Capital Expenditures
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 and Pennant, 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, subject
to approval by us, the tenants may request capital expenditure funding that
would generally be subject to a corresponding rent increase at the time of
funding and which are subject to tenant compliance with the conditions to our
approval and funding of their requests. As of June 30, 2021, we had committed to
fund certain capital improvements at certain triple-net leased facilities
totaling $13.1 million, of which $11.6 million is subject to rent increase at
the time of funding. We expect the majority of the funding of these commitments
to be completed over the next one to two years.
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'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, 2020, filed with the SEC
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on February 10, 2021, 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 six months ended June
30, 2021.

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