• 60 Seconds with Swett: The Republican Budget and Medicaid Cuts

    There will be significant political interest in what happens to Medicaid funding as Republicans work to pass a budget and tax bill with their very slim majority. Touching entitlements remains politically risky, and the party is divided on whether any Medicaid cuts would be acceptable heading into an election cycle. At this stage, per-capita caps... Read More »
  • Sonida Senior Living Continues Upward Trend

    We are at the end of the first quarter 2025 earning roll call, and Sonida Senior Living posted another solid quarter. Weighted average occupancy for its same-community portfolio (56 communities) increased by 100 basis points year over year to 86.8%, which is at the top end of many of its competitors. In addition, same-community RevPOR increased... Read More »
  • Regional Owner/Operator Purchases Turnaround SNF

    Evans Senior Investments was engaged by a regional owner in a partnership with the University of Michigan Health-West Hospital to facilitate the sale of a skilled nursing facility in Wyoming, Michigan. Opened nearly 10 years ago, Healthbridge Post Acute comprises 65 beds and was experiencing operational challenges, including an annual net... Read More »
  • Family Owner Divests CCRC to Not-For-Profit

    Senwell Senior Investment Advisors sold a family-owned/operated CCRC in Maumee, Ohio, to a not-for-profit organization. The community had been in the seller’s family for 75 years, but they are divesting to enter retirement. Established in 1949, Elizabeth Scott Community spans 51 acres and offers independent living, assisted living, memory care... Read More »
  • HUD-Backed Seniors Housing Community Opens on Long Island

    A HUD-financed seniors housing project has celebrated its grand opening in Bay Shore, New York. Netherbay at Bay Shore is a state-of-the-art assisted living/memory care community located at the historic Gulden family’s summer homestead on Long Island. It features 72 units and is operated by Meridian Senior Living. Greystone’s Lisa Fischman had... Read More »
60 Seconds With Swett: Assessing Industry Sentiment at ASHA and eCap

60 Seconds With Swett: Assessing Industry Sentiment at ASHA and eCap

It was great to see so many in the industry in Scottsdale last week at ASHA’s annual meeting, but we can’t say the mood was as positive. Some industry veterans didn’t sugarcoat it and commented to us that we are in the most difficult operating environment they have ever seen. Tough to argue with that. Then you had dealmakers fresh off of a myriad of deals postponed, terminated or re-traded, with only a tiny fraction of transactions closing without issues. Then you have other problems like soaring property insurance costs that can throw a wrench in a deal, to put it mildly, and will be a bigger issue when the time comes for hundreds of properties to renew their policies. We will dive deeper... Read More »
60 Seconds With Swett: Healthcare M&A Activity Broke a Record in 2022, Too

60 Seconds With Swett: Healthcare M&A Activity Broke a Record in 2022, Too

Last week, we confirmed that long-term care M&A activity hit a record in 2022, but what about for the healthcare market as a whole? Across all other healthcare sectors, from home health and hospitals to physician groups and biotech, our sister site LevinPro HC tracked nearly 2,400 deals in 2022, or 2,392 to be exact at this moment, but we expect that number to creep up in the coming days and weeks. That does not even include the over-500 long-term care deals, and represents an 8% increase over the previous record of 2,214 deals in 2021. For many investors, the long-term demographics, strong governmental support and attractive yields in the healthcare industry are too good to pass up,... Read More »
60 Seconds With Swett: Healthcare M&A Activity Broke a Record in 2022, Too

60 Seconds With Swett: M&A Market Limps to Record Annual Total

We’re in a new year but a number of brokers and lenders may wish we were still in 2022. That is because many of them really made hay when the sun was shining (that sun being the lower interest rates of the first half of the year) and propelled us to a record M&A year, by some margin. After the previous record of 455 transactions in 2021, we have so far tallied 527 deals announced in 2022, a 16% increase year over year. We expect a few more 2022 deals to trickle in, but we did not experience the normal end-of-December rush of closings, except from a couple of brokerages. In fact, only 36 deals were made public during the month. That’s a solid number to end 2022 and similar to the... Read More »
The Night Before Christmas 2022

The Night Before Christmas 2022

‘Twas the night before Christmas,And all through the community,Not a resident was stirring,As they took all their meds early.The offerings were hung by the chimney with care,In hopes that a PE firm or REIT would still dare,The lenders were nestled all snug in their bed,With visions of term sheets that would not leave them for dead,And Cindy Baier in her kerchief and I with my pen,Had just settled down to discuss, but when?When out on the lawn there arose such a clatter,She sprang from the board room to see what was the matter,Away to the window we flew like a flash,And tore open the shutters to see who brought the cash.The moon on the breast of the new-fallen snow,Gave a lustre of... Read More »

60 Seconds With Swett: The Rising Insurance Costs in Senior Care

Senior care facilities are not catching a break. Labor costs have soared, even when not accounting for staffing agency costs, and won’t come back down. Occupancy is slowly recovering, but a long winter and a bad flu season will set the sector back. Food and other supply costs are high. Plus, inflation, higher interest rates, a weaker housing market and potential recession all make it harder for seniors to afford senior care services and certainly to cover another year of 8-12% rental rate increases necessary for communities to even maintain their operating margins. But another thorn in the sector’s side has been insurance costs, both property and liability, which are rising and eating into... Read More »
60 Seconds With Swett: Healthcare M&A Market Losing Steam, Too

60 Seconds With Swett: Healthcare M&A Market Losing Steam, Too

Our sister platform LevinPro HC tracks the M&A market across 12 other healthcare sectors, from hospitals and home health to physician medical groups and MOBs, with our deal database also going back to the early 1990s. And the trend in dealmaking that we are seeing in senior care appears to mirror the rest of the healthcare industry. Like in the seniors housing and care market, we have already broken the annual record for healthcare transactions, and there is still one month to go. As of this filming, we have tracked over 2,230 publicly announced transactions, surpassing the 2,209 transactions from all of 2021, which was the previous annual record high. A private equity rush into buying... Read More »