


60 Seconds with Steve Monroe: 2021: Goodbye and Good Riddance
I thought about doing my usual year-end, cutesy Christmas poem where I roast a few industry leaders and friends, but somehow I just didn’t think it was appropriate this year. Maybe next year. Even though census and operating performance improved this year compared with 2020, it is still not enough. And then we had to end the year with the rising Omicron variant. No shutdowns here yet, and I don’t really see that happening since those who have been vaccinated have had mild symptoms to date. But it is just one more strain on an already over-worked health system that we did not need. In the aftermath of the Great Recession, all we heard was how resilient our industry was during that financial... Read More »60 Seconds with Ben Swett: Dissecting the Strong Skilled Nursing M&A Market
For a sector that has taken as many punches as it has in the last couple of years, the ever-resilient SNF market is still generating significant interest from investors that is pushing valuations to near-record highs. We still wonder who these buyers are, whether any are new to the sector and what their future expectations are surrounding census, payor mix, rates and labor costs to ensure these investments remain profitable in the years ahead. It also appears that values are up for both stabilized and non-stabilized facilities, so owners large and small could be tempted off the M&A sidelines in 2022 leading to a boom in transaction activity. A lot would have to depend on what happens... Read More »60 Seconds with Steve Monroe: Venting About Medicare
Okay, I know it is the season to be jolly, but it has been a while since I have had something to vent about. When I signed up for Medicare two years ago (I know, hard to believe) I signed up for everything except Part D drug coverage. I had no prescriptions so why get coverage I didn’t need. Two years in, for a variety of reasons, I decided to sign up even though I still have no prescriptions. Just being conservative. A week after receiving my approval letter from United Healthcare, I received another letter saying I would be charged a “Late Enrollment Penalty” fee on my monthly premium. Because I had two years of no coverage, they use that period to calculate the monthly penalty. This... Read More »