• 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 Swett: DOGE, The Budget and Healthcare Spending

60 Seconds with Swett: DOGE, The Budget and Healthcare Spending

DOGE, or the Department of Government Efficiency, has been making the biggest splash in Washington, D.C. these days in terms of attention-grabbing headlines, and it appears it will try to target waste, fraud and abuse in Medicare and Medicaid spending as part of its efforts. Such a move could have a major impact on thousands of facilities’ bottom lines and could change how SNFs do business if reimbursement rates are affected.  That is a major dark cloud hanging over the industry, but there are way too many unknowns to even properly prepare for what’s to come. Because, what is to come? Would DOGE’s efforts go beyond just “waste, fraud and abuse,” which should be rooted out? Will the... Read More »
60ish Seconds with Steve Monroe: The Coming Seniors Housing Shortage?

60ish Seconds with Steve Monroe: The Coming Seniors Housing Shortage?

The Wall Street Journal just came out with a story about the coming seniors housing shortage. Unfortunately, it started with misinformation, when it stated that “seniors housing has been one of the biggest disappointments for commercial real estate investors.” In some periods yes, but in other periods not at all, when it has had outsized returns and beat the other sectors. It is all about context, and the writer should have known better. The story may, however, generate some investment interest. We are glad that occupancy has reached pre-pandemic levels, but we really need to get to 2017 levels to be happy. Remember, back in October 2020 we did the analysis and concluded it would take at... Read More »
60ish Seconds with Steve Monroe: The Coming Seniors Housing Shortage?

60-ish Seconds with Steve Monroe: Becoming a Statistic

I became an industry statistic last week, although not intentionally. While returning from the annual ASHA meeting in Phoenix last Wednesday, I developed a slight cough just before takeoff, which turned into a full-blown cough by landing. The next day I went to my PCP to get some drugs, and tested negative for flu, COVID and RSV.  By late Friday afternoon, I was miserable. My daughter happened to be home, and seeing me struggle up the stairs, then fall at the top, unable to get up or even roll over, and then drag me into my bedroom, she made a call to a health care provider. The provider videochatted with me for less than a minute and then told my daughter to call 911 immediately. The... Read More »
60 Seconds with Swett: DOGE, The Budget and Healthcare Spending

60 Seconds with Swett: Rising Treasuries and Senior Care M&A

Momentum in the M&A market has continued into 2025, and there is general optimism that the new Administration that descended on Washington this week will be good for the business environment. Although there is some uncertainty around what, if any, tariffs are enacted and whether their effect on prices would potentially be blunted by falling energy costs and efficiency efforts, assuming “drill baby drill” and “DOGE” have a near-immediate effect. And we don’t know about the scale of the deportations and its impact on wages. However, if M&A activity started to take off last year due to the expectation of lower interest rates, then what effect will the 10-Year Treasury rate shooting... Read More »

60 Seconds with Swett: 2025 Set for Healthcare M&A Growth

The word from the JP Morgan Healthcare Conference, which kicked off in San Francisco this week, is that M&A activity in the biopharma/life sciences space will likely grow in 2025 after a relative downturn in 2024. A more business-friendly administration in D.C. combined with an enormous amount of dry powder set to do deals, including some bigger billion-dollar-plus ones too. Indeed, our own M&A data from LevinPro HC, which tracks all the healthcare services and tech deals, showed the 2024 total decline to just under 2,000 deals for the year, a 10% decrease from 2023’s activity and a 19% decrease from 2022’s. Dollar volume also dropped below $200 billion in total disclosed purchase... Read More »
60ish Seconds with Steve Monroe: The Coming Seniors Housing Shortage?

60 Seconds with Steve Monroe: First off, Happy New Year Everyone.

I suspect many of you think I am going to talk about the record setting M&A year in 2024 for long-term care, but I believe Ben has fully covered that and will continue to do so in the coming weeks as the stats are finalized. Plus, he now knows more than I do on the topic. No. I am going to talk about a book I just read, called The Big 100 by William Kole. All we have heard about for years, even decades, is the growth in the 80+ and 85+ population and what it will do for the seniors housing industry. This book is about the 100+ population, called centenarians, and super-centenarians, those who have attained 110 years and older. The centenarian group is the fastest growing age cohort,... Read More »