Ensign Group Shares Plunge
The Ensign Group was the first of the operating companies to report fourth quarter earnings, and the company took a stumble. Earnings were significantly below estimates because of some difficulties transitioning acquisitions, and were also impacted by labor costs and increasing healthcare costs. As a result, management lowered its guidance for 2017 for both revenues and earnings. In addition, occupancy was lower at 74.6% and same-facility occupancy was down nearly 150 basis points year over year. Occupancy at Ensign has historically been lower than its peers because it acquires so many underperforming properties with low occupancy rates that it expects to turn around. We have often... Read More »
Record Skilled Nursing Facility and Assisted Living Facility Prices in 2016
The average skilled nursing facility price per bed set a record for the fourth year in a row, and the average assisted living facility price per unit set a record for the third straight year. What can I say, other than I am a bit astounded? We have tallied the results of the seniors housing and care M&A market for 2016, and there were a few records set, again. First of all, as I alluded to last week, the skilled nursing facility market set a record for the fourth straight year, with the average price reaching $99,200 per bed, a 15% increase over the previous record set in 2015. Why such an increase? A record number of skilled nursing facilities that sold for more than $100,000 per bed.... Read More »
Another Record Year for Skilled Nursing Facility Prices
At the ASHA annual meeting, where they are not talking about record skilled nursing facility prices. Ok, so here I am at the conclusion of the annual ASHA meeting in California, where we are not talking about record skilled nursing facility prices. This is a forum where all the major leaders in the seniors housing sector get together in a more informal setting and see what is going on in the their industry. But I am not going to talk about seniors housing today. I am going to talk about skilled nursing. We are wrapping up our analysis on the 2016 M&A market, and we may have a few surprises for people, but mostly in the skilled nursing side of the business. As you may know, skilled... Read More »
Home Health Care vs. Seniors Housing
We are faced with a question that affects, and will affect, a senior’s choice in care. When is care at home both appropriate and cost effective, and at what point is it time to move into seniors housing? On January 19th, we hosted a webinar called “Home Health vs. Seniors Housing,” where a panel including moderator Steve Monroe of The SeniorCare Investor, Rita Altman of Sunrise Senior Living, William Dombi of The National Association of Home Care & Hospice and Debbie Reilly of Belmont Village Senior Living discussed the competing and complementary roles these two levels of care provide in the health care continuum. If you are interested in hearing the conversation, here’s the 90-minute... Read More »
Medicaid Block Grants Coming Soon
Many skilled nursing operators will not like the aspect of repeal and replace that could introduce Medicaid block grants. The prospect of Medicaid block grants has been lurking in the background for many years, a few decades perhaps. With the new Trump administration now installed, block grants of Medicaid funds to each state seem to be on the front burner as part of the repeal and replace of the ACA. Block grants would be just that, a fixed pool of money from the federal government that each state would decide how to spend on its Medicaid beneficiaries. Many skilled nursing operators have feared that prospect, because they fear they will be the last ones to be paid. And they may be right,... Read More »Schedule a demo
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