Seniors Housing And Dynamic Pricing
There may be a move to adopt the concept of dynamic pricing in seniors housing, but it comes with its own perils. I may be a bit of a contrarian on this one, but I have to admit I am not too wild about the concept of dynamic pricing for seniors housing. I know it works well with hotels, airlines and multifamily, but all three are very different from seniors housing. I am all for more transparency with pricing, such as posting prices online, but dynamic pricing with weekly price changes based on changing local dynamics doesn’t do it for me. Marketing the seniors housing product is a relationship sale over several months, not instantaneous like a plane ticket. This is a lifestyle decision... Read More »Market Turmoil And The Senior Care Market
With stock prices plunging, the impact on the senior care market will be mixed. Well, it’s been a rather interesting past week or so, with more volatility likely in the days ahead. But what does it all really mean, at least for the senior care market? Other than share prices tanking for the few remaining publicly traded providers, as well as the REITs which, at least until recently, were supposed to trade more like bonds, the one takeaway can be summed up in a word: caution. But we had sort of sensed this about two months ago, given the nature of the transactions in the market. But will a sense of caution curtail the vast development pipelines that we hear about? Too early to tell, and... Read More »Excessive Use Of Ultra-High Therapy in SNFs
A recent story highlighted the dramatic rise in ultra-high therapy use in SNFs, but are there legitimate reasons for it? Two days ago, The Wall Street Journal had a front page story about the sudden increase in the percentage of patient days in skilled nursing facilities using “ultra-high” therapy, which is a maximum of 720 minutes per week. Apparently, in 2002, nursing facilities gave ultra-high therapy to patients on 7% of the days they billed to Medicare, but this increased to 54% of patient days by 2013, with the percentage increasing every year. The gist of the story was that providers have been gaming the system to get the highest reimbursement. I had hoped we were getting beyond... Read More »SNF cap rates fall
The average price paid for skilled nursing facilities has largely leveled off at around $75,000 per bed, coming to rest at $74,100 per bed for the four quarters ending Q2:15, down from $76,600 per unit in 2014. But while prices have stayed largely the same, the average cap rate fell 40 basis points to 12.0%, a new record low. In the past 14 years (looking at calendar years), the previous record-low came at the top of the previous bull market in 2007 at 12.1%. And the rate at which the average cap rate has fallen is also stark, falling 100 basis points from 2013’s average. But if the overall trend this year has been that the market is cooling down from an especially frothy 2014, why are cap... Read More »The meaning of a move
So why does a successful CEO of a healthcare REIT leave to become the chief investment officer of a larger REIT? Since Justin Hutchens arrived at National Health Investors (NHI) in 2009, the REIT has posted positive returns in every year from 2010 on, including three years with total returns between 28.1% and 34.5%. And in 2010 it was the number one performing healthcare REIT. While we could joke that he yearned to return to the West Coast, the real reason had to be what his new employer, HCP, Inc., had to offer. He will be in charge of all the seniors housing and care portfolio, which is the majority of HCP and alone dwarfs the total NHI portfolio. Bottom line, it is a much bigger playing... Read More »Schedule a demo
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