• 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: Seniors Housing & Care Market Nears 500 Transactions for 2022

60 Seconds With Swett: Seniors Housing & Care Market Nears 500 Transactions for 2022

With one month to go until 2023, we are just a handful of deals away from breaking the 500-deal mark for 2022. You’ve heard us say before that the previous record for publicly announced deals was 456, set in 2019 when the biggest issues facing the senior care industry were overdevelopment and a potential PDPM-induced rate readjustment. So, for seniors housing and care buyers and sellers to come together on what we assume will be well more than 500 deals (more when you include the scores of deals confidentially disclosed to us) despite a lingering pandemic, a staffing crisis, inflation and rising interest rates throughout much of the year is impressive. Late last year, we did think there... Read More »
60 Seconds With Swett: Seniors Housing & Care Market Nears 500 Transactions for 2022

60 Seconds with Swett: Giving Thanks in 2022

It’s been yet another difficult year for the senior care industry with new curveballs coming from inflation and soaring interest rates and staffing woes continuing to hammer communities’ bottom lines. But on the eve of Thanksgiving, we can still find things to be thankful for in our industry. First and foremost, after more than two years of dealing with the pandemic and in most cases working while masked for their entire shifts, we are thankful to the senior care staff that showed up to work every day and provided great care for seniors. Our industry offers a good career path for millions of people, and thanks to most providers (and inflation), wages also increased in 2022 across the... Read More »
60 Seconds With Steve Monroe: Sonida Senior Living, One Step Forward, But…

60 Seconds With Steve Monroe: Sonida Senior Living, One Step Forward, But…

In the November issue of The SeniorCare Investor, we raised the question of how long Sonida Senior Living could go with its cash burn rate. Well, the burn rate has decreased, which is good, but they are still not out of the woods.  In a case of one step forward, two steps back, weighted average occupancy increased year over year by 270 basis points and by 50 basis points sequentially to 83.7% in the third quarter. Slower than we would want to see, but decent.  The problem is that the same-community net operating margin declined by 140 basis points year over year and 100 basis points sequentially to 19.6%. And, RevPOR was up only 2.9% year over year to $3,682. That is not good enough.... Read More »

60 Seconds With Steve Monroe: ProMedica Exits Welltower’s SNF Joint Venture

Well, well, well. Three months ago, after reviewing Welltower’s second quarter earnings call, we questioned how long ProMedica Health’s board would continue to subsidize huge operating losses suffered by its subsidiary, ProMedica Senior Care, under its joint venture with Welltower. It turns out, not much longer. Both companies just announced that the 147 nursing facilities, formerly known as the HCR ManorCare portfolio, were being sold to a new joint venture between Welltower and Integra Health (or possibly Integra Healthcare Properties). Not to be confused with California-based Integral Senior Living with more than 100 communities, orIntegraCare with 18 communities in three states, or a... Read More »
60 Seconds With Swett: ​​PE Firms Scrutinize Labor-Intensive Healthcare Deals

60 Seconds With Swett: ​​PE Firms Scrutinize Labor-Intensive Healthcare Deals

I attended the McDermott Will & Emery HPE New York event last week and learned a lot about private equity firms’ healthcare M&A strategies, and how valuations, deal processes, terms and their targeted sectors are changing in a rising interest rate world and in a recession. Healthcare companies are going through many of the same woes as senior care: fraught sponsor/lender relationships, wide bid-ask spreads, increased deal scrutiny from buyers and capital providers. That last one doesn’t sound bad. And there were always the optimistic comments around demographics and healthcare’s recession-resistance. But the general observation was that the party has ended, and the M&A boom of... Read More »
60 Seconds with Steve Monroe: Change Is In The Air

60 Seconds with Steve Monroe: Change Is In The Air

I have to admit, I was a bit surprised about the announcement that Brian Jurutka is leaving National Investment Center for Seniors Housing and Care (NIC). I think he was surprised as well. I thought I had a pretty good relationship with him, he was always open and always promptly responded if I had any questions. I also thought he did a good job leading NIC through the COVID crisis when its major revenue stream, the conferences, were forced to go virtual. And in one case, moving the conference to another city at the last minute where it was hoped the warmer climate would help attendance. All without breaking into a sweat. I will miss him. And Brian, if you want to stay in seniors housing,... Read More »