• CIBC Completes Several Financings

    CIBC Bank USA announced a handful of senior care financings across multiple states. First, the company closed a $17.5 million cash-out refinancing for a regional operator’s portfolio of three skilled nursing facilities with 235 total beds in northeast and southeast Massachusetts, and southern New Hampshire. The facilities have an effective age of... Read More »
  • Blueprint Adding HUD Lending Platform

    Fresh off another record-setting year for investment sales activity, Blueprint announced a major expansion of its capital markets services to now include FHA/HUD lending and servicing capabilities. The firm is acquiring the existing FHA/HUD lending platform of MidCap Financial Services, and hiring Tony Marino, formerly of Cambridge Realty Capital... Read More »
  • More New Capital Enters Seniors Housing

    A fully-integrated real estate firm that is well known in the student housing world announced its foray into the seniors housing industry. Landmark Properties focuses on the development, construction, acquisition, investment management, and operation of high-quality residential communities, but the company’s intent is to invest in ground-up... Read More »
  • Berkadia’s Recent Financing Activity

    In the past 30 days, Berkadia’s Jay Healy and Andrew Lanzaro have closed $111.5 million across four financings for four separate sponsors, encompassing eleven properties in six states. The activity included three bridge financings totaling $69.6 million from Berkadia’s proprietary balance sheet and a $41.9 million HUD refinance. The first... Read More »
  • Inspirit Senior Living Appoints New President

    Torey Riso is heading back to the operating world, joining Inspirit Senior Living as President as of March 16. He joins Dave McHarg, who is the CEO of Inspirit and Founding Partner of the company. Since its founding in 2015, Inspirit has grown to 37 properties under management, with Inspirit holding an equity interest in around half of those. ... Read More »
SCOTUS and POTUS

SCOTUS and POTUS

We have to assume that during the remaining three years of President Biden’s term, there will be more battles between POTUS and SCOTUS. But it is getting increasingly difficult to determine who is winning. Take the recent SCOTUS decision upholding the vaccine mandate for healthcare workers in facilities that receive Medicare and Medicaid payments. We all want healthcare workers to be safe, as well as the patients that they serve. But the timeline given for these healthcare workers to be 80%, then 90%, then 100% vaccinated, or else they lose their jobs, well, is it really going to do anyone any good if the staff at hospitals and nursing homes gets reduced further? The simple answer is, no.... Read More »
Brookdale: Time for a Reverse Split?

Brookdale: Time for a Reverse Split?

Perhaps it is because of the new Omicron variant spreading like wildfire, perhaps occupancy growth has stalled, or perhaps investors are just losing patience for a recovery that would boost the share price. Whatever the reasons, Brookdale Senior Living’s share price has dropped by 30% since mid-November, and it is now below $5.00 per share for the first time since last February. And, the 52-week high was $8.95 per share. Many investors do not like stocks that are below $10 per share, with some funds even prohibited from owning them. A $4 stock, or lower, implies current weakness or poor future performance expectations. To remedy this perception, some companies complete a reverse stock... Read More »
Sonida Senior Living Census Gains Stalled

Sonida Senior Living Census Gains Stalled

After the March to September outsized occupancy gains (but to July for some companies), it does seem that census growth is stalling before the Holiday season and the dreaded first quarter.  Sonida Senior Living, the rebranded name for the former Capital Senior Living, just announced its most recent monthly occupancy statistics, and while “average” occupancy held “steady” in November at 81.2%, one would hope for a bit more growth as we enter the winter months. In addition, it appears to be at the lowest occupancy level since July, a four-month time period where average occupancy has not really moved.    End-of-month occupancy slipped by 60 basis points in November to 81.7%, which is also... Read More »
CareTrust REIT CEO Greg Stapley Steps Down

CareTrust REIT CEO Greg Stapley Steps Down

Amid rumors that CareTrust REIT was looking to make some changes, which may have included a sale or merger of the company into another REIT, the company announced that the CEO, Greg Stapley, will be stepping down at the end of the year, and sometime next year he will commence a three-year, full-time volunteer assignment with The Church of Latter-Day Saints with his wife.  CareTrust was spun out from The Ensign Group in 2014 and Greg has been the only CEO since then. He will become the Executive Chairman at CareTrust.  Taking over will be David Sedgewick, who has been President and COO and will now add the CEO title. He was with Ensign from 2001... Read More »

Residents of Washington State Getting Bamboozled

In just five short weeks, the residents of Washington State will begin paying a new payroll tax to fund a “long-term care” benefit, called the WA Cares Fund. It is the first state-wide mandated LTC tax, and we have previously voiced our concerns about it. But it will be a reality for residents soon.  Years ago, we went very public against the Class Act that was part of the Affordable Care Act, basically calling it a financial fraud that was never going to pay out for anyone. Even the authors of the ACA finally admitted it would not work, and eventually withdrew it. Like in Washington State, the federal program was well-intentioned (well, sort of) to try to fund some long-term care... Read More »

Private Equity-Owned SNFs

Here we go again. According to a new study published by JAMA Health Forum, private equity-owned nursing homes are not cutting it compared to those nursing homes owned by other for-profits. In addition, PE-owned homes were more likely to have an acute coronary syndrome ER visit and more likely to have a resulting hospitalization. In addition, total Medicare costs (revenues) were higher. This needs some context.  First of all, the size of the PE-owned group was just over 3% (300+ facilities) of the size of the larger for-profit group, so a pretty small group. Second, most PE firms, after a skilled nursing acquisition (and usually a portfolio) do try to change things to increase the... Read More »