• Brookdale Boosts Short Term Stability

    Brookdale Senior Living completed a series of financing transactions totaling approximately $600 million that refinanced all of its remaining 2026 mortgage debt and maturities, around $350 million, and a portion of 2027 mortgage debt maturities, approximately $200 million. The company also secured more fixed-rate debt, helping to cut rate risk.... Read More »
  • Ikaria Announces $1 Billion in Q4 Volume

    Ikaria Capital Group closed out a successful 2025, announcing several significant transactions in the fourth quarter that exceeded $1 billion in volume. The activity comprises financings in the seniors housing, skilled nursing and behavioral health sectors across multiple states and borrowers.  The largest deal was a $595.5 million senior... Read More »
  • PE Group Enters Oklahoma after Medicaid Rate Bump

    A skilled nursing facility in Oklahoma that recently benefited from the state’s Medicaid rate bump sold to a national private equity firm looking to enter the state. Built in 1967, Maplewood Care Center features 180 beds on over three acres in Tulsa. It is located close to several major hospitals and healthcare campuses, but occupancy was sitting... Read More »
  • Community Purchased through HUD Assumption

    Chad Mundy of the Knapp-Stahler Group of Marcus & Millichap sold an 82-unit assisted living/memory care community in Lewiston, Idaho. Built in phases in the early 2000s, the community featured five separate buildings, one of which was vacant after sustaining damage from a flood. As a result, occupancy was lower, based on the 89 licensed beds,... Read More »
  • The Zett Group Rounds Out Q4

    The Zett Group closed out Q4 with several closings in the Pacific Northwest. First was the sale of Fox Hollow, a 58-unit seniors housing community in Eugene, Oregon. Built in 1988 and renovated in 2003, the community features 51 assisted living units and seven independent living “cottage-style” units. Set in a nice area of Eugene, it was owned by... Read More »
60 Seconds with Steve Monroe: 2021: Goodbye and Good Riddance

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 »
60 Seconds with Ben Swett: Strong Census Gains Continue at NHI

60 Seconds with Ben Swett: Strong Census Gains Continue at NHI

As we head into the holidays, flu season and the snowy winter, when census gains will be much harder won and as our inboxes fill with news on the omicron variant, we want to point out some really positive occupancy news from National Health Investors’ latest business update. In October, average occupancy across its 42 Bickford Senior Living properties rose by 60 basis points to 81.3%, from 80.7% in September. That is up 670 basis points from the low in March of this year. In its smaller (SLC) Senior Living Communities portfolio of nine properties, average occupancy also rose by 60 basis points to 81.5%, or a 530-basis point increase from the low of last December. The Holiday Retirement... Read More »

Another Year to be Thankful

It has been another difficult year for the senior care industry, but there are certainly things to be thankful for and reasons to be optimistic for 2022. First, that the vaccines, booster shots and therapeutics are so successful at treating COVID, and that 98.5% of seniors aged 65 and older have received at least one shot, according to the CDC. A year ago, when the vaccine was only just announced as effective but how it would be distributed was still not known, that sort of figure seemed like a dream.  Amid all the labor issues facing the country, we are also thankful for all the senior care workers that are showing up every day to do a difficult, unglamorous and often thankless job. They... Read More »

60 Seconds with Steve Monroe: Big-Time CCRC Development

For those of you who know me, you know I have been a big fan of the CCRC model, and have been for decades. And for those of you who still think the entrance-fee CCRC model is dead, well, think again when you hear this. HJ Sims recently closed on what may be one of the largest tax-exempt bond financings for a single-site CCRC new development, if not the largest. The total bond issuance comes to $398 million, or just over $1.5 million per unit, with maturities ranging from four years to 35 years. The interest rates range from 2.875% to 4.625%. It is located in Westchester County, New York. The community will be situated on the campus of Purchase College, State University of New York. There... Read More »