• Healthcare REIT Divests SNF to In-Place Operating Partner

    Senior Living Investment Brokerage returned to West Des Moines, Iowa, to sell a skilled nursing facility that it had previously sold in 2019. A healthcare REIT was the buyer back then and is now selling the facility to its in-place regional operating partner. Built in 2004, Arbor Springs features 56 beds on an attractive four-acre campus about 10... Read More »
  • Near-Stabilized AL/MC Community Lands Refinance

    Carnegie Capital closed a bridge refinance for a 50-unit assisted living/memory care community in the Houston, Texas MSA. Four years ago, the property was bought by a California-based operator with a growing footprint in Texas. Performance was approximately two to three months from stabilization, but with the acquisition loan maturity looming, a... Read More »
  • Record-Setting HUD Express Lane Application to Commitment

    Cambridge Realty Capital provided a $6.15 million loan to refinance Avalon Memory Care Keller, a 50-bed stand-alone memory care community in Keller, Texas (Dallas-Fort Worth MSA). The fully amortized, 35-year HUD loan was provided for the owner, a Texas limited liability company, that wished to recast bank debt into a long-term non-recourse... Read More »
  • Large Healthcare Owner Receives Financing

    An owner of more than 80 healthcare properties spanning nine states secured bridge and working capital financing for its skilled nursing portfolio in Washington. The financing includes a $40 million bridge loan and a $6 million working capital line of credit, with a 36-month initial term. MONTICELLOAM provided the funding. Read More »
  • Out-of-State Owner Divests to Investor

    A couple of assisted living and memory care communities in Eastern Tennessee recently traded hands. The two properties comprise more than 100 units. A Chicago-based investor aligned with the seller’s long-term vision for the communities acquired the assets, and partnered with a regional operator that was looking to grow their presence in the... Read More »
Genesis HealthCare, Kindred and Brookdale Working With REITs

Genesis HealthCare, Kindred and Brookdale Working With REITs

It was not easy, but Genesis HealthCare, Kindred Healthcare and Brookdale Senior Living have worked with their REITs to strengthen all concerned. In reviewing the events of the year, I think perhaps the most important ones involve Genesis HealthCare, Kindred Healthcare and Brookdale Senior Living. And, of course, the REITs with close ties to them. With regard to Genesis, I know it took some brass ones for Welltower to work through their various leases with Genesis and sell a large number of the properties. But the important aspect was the reduction of the rents and the smaller annual escalators that will keep Genesis on an upward track. Investors liked it, boosting the share price by 37%... Read More »
Genesis HealthCare, Kindred and Brookdale Working With REITs

HHS and CMS Appointments

It could be a turbulent year for SNF valuations in 2017. After the election….that one….we thought we might be in for a wild ride with the unpredictable Donald Trump taking over. Healthcare M&A, which had slowed down a bit this year, seemed to be picking up, and interest in our products spiked after the election, which is always a telltale sign. But with yesterday’s announcements of the new heads of HHS and CMS, the ride could get a little wilder. By naming Tom Price to run Health and Human Services, one of the more anti-ObamaCare members of Congress and a physician to boot, you know what is going to happen. And apparently, he has been opposed to the rush to value-based Medicare... Read More »
Genesis HealthCare, Kindred and Brookdale Working With REITs

Being Thankful For What I Do

Happy Thanksgiving to all! So here we are, on Thanksgiving Eve. And what do I have to be thankful for? Besides my family, friends and co-workers, I am very thankful that I made the decision 30 years ago to get involved in the seniors housing and care business. It has been quite the ride, and for those of you who have been around a long time and remember, I am glad I took my last skilled nursing facility listing more than 22 years ago. I never sold it, but Mark Davis of Healthcare Transactions Group took over the sale for us when we exited the brokerage business in the early 1990s, and got the deal done. Since then, I have really enjoyed what I do, writing about what is happening with... Read More »
Genesis HealthCare, Kindred and Brookdale Working With REITs

Cap Rates and Interest Rates

With the recent jump in interest rates, cap rates have no where to go but up. Since the end of September, the 10-year Treasury note has increased by 60 basis points, or 38%, to 2.22% yesterday. More than half of that increase occurred after the results of the presidential election. It seems that Trump’s pro-business reputation is making investors believe that increased infrastructure spending and economic growth will soon be upon us, followed by inflation. It doesn’t usually happen that fast. That said, with the recent jump in rates, it is almost a certainty that the Fed will increase short-term rates within a month. And there is now talk of further rate increases next year. So what does... Read More »
Kindred Healthcare Plunges

Kindred Healthcare Plunges

Exiting the SNF business, Kindred’s decision is just part of a national transformation of the sector that started a year ago. And I thought last week was a tough one. When Kindred Healthcare released its third quarter earnings on Monday night, I knew it would open significantly down, but 33% down? The company has decided to exit the skilled nursing sector – sound familiar? This was a bit surprising because even though they had already gone from 300 SNFs to around 92 today, I assumed the remaining facilities were the best ones, and in the markets close to its LTACs, rehab hospitals and home health services. That was the entire theory around being the post-acute provider of choice in... Read More »
Brookdale Senior Living Disappoints Again

Brookdale Senior Living Disappoints Again

Brookdale Senior Living’s stock price plunged 20% on disappointing third quarter news….and forecasts. My, my, my. Brookdale Senior Living just doesn’t seem to be able to get a break. Despite having a 40 basis point increase in same-community occupancy from the second quarter, which beat the market as a whole, problems continue. They are seeing new properties having a big impact on their secondary market properties, they revised downward full year 2016 forecasts, former employees are soliciting staff and customer leads, and Dan Decker has decided to become even more involved, becoming Executive Chairman as opposed to Chairman of the Board. On top of all of this, they are forming... Read More »