• Genesis HealthCare’s Legacy Liabilities Lead to Bankruptcy Filing

    Genesis HealthCare has filed for Chapter 11 bankruptcy protection, listing its 298 affiliated holding companies, ancillary businesses and insurance vehicles in its submission to the U.S. Bankruptcy Court for the Northern District of Texas Dallas Division. It is one of the largest skilled nursing operators in the country and operates 218... Read More »
  • Cindat Capital Management Invests in Colorado Community

    Cindat Capital Management, a middle-market real estate private equity platform focused on seniors housing and opportunistic investments, announced its first investment from its Senior Housing Credit Platform. It was a unitranche debt investment in The Pearl at Boulder Creak, a 116-unit, Class-A independent living and assisted living community... Read More »
  • MedCore Divests to Publicly Traded Healthcare REIT

    Ziegler announced its role as exclusive sell-side financial advisor to MedCore on the sale of Parkview on Hollybrook, a 189-unit rental CCRC in Longview, Texas. The property has been on a long road to stabilization. It was originally bought in a bankruptcy auction in 2016 for $20.7 million by Thrive FP when it was in the middle of development. 12... Read More »
  • Forbright Bank’s H1 Activity

    Forbright Bank reported its activity for the first half of the year from its healthcare and HUD lending teams, announcing more than $500 million in loans closed for acquisitions, recapitalizations, working capital, and HUD financings for healthcare providers across the country. One of the largest transactions was a $60 million revolving loan to... Read More »
  • Large SNF Portfolio Secures Financing

    MONTICELLOAM, LLC announced the closing of $218.3 million in combined bridge, mezzanine, and working capital financing for 18 skilled nursing facilities across Kentucky. The transaction includes a $179.3 million senior bridge loan and a $29 million mezzanine loan, which the sponsor plans to use to restructure and upsize the existing debt on the... Read More »
What To Do About Medicaid Payments

What To Do About Medicaid Payments

The games that states and skilled nursing providers have to play to try to get appropriate Medicaid funding has got to change. There has been a lot of talk about what may happen to supplemental Medicaid payments, most of which come under the guise of “provider bed taxes” and UPL payments, short for upper payment limits. As far as I am concerned, these are all little games that skilled nursing providers, and the states they are located in, play in order to get more federal funding for Medicaid. They are all absurd and should be abolished. Now, before you tar and feather me, here me out. Skilled facilities with a high Medicare and private pay census do not like provider taxes because they... Read More »
What To Do About Medicaid Payments

Values Surge Despite Persistent Worries

The 25th Edition of The Senior Care Acquisition Report is almost ready, but get your sneak preview and analysis in our upcoming webcast. We are diligently working on the 2020 edition of the Senior Care Acquisition Report, which we hope to have ready for publication by the end of the month. It will be the 25th edition of this market-leading report, and it has valuable M&A statistics that you will not find anywhere else, including trends over multi-year periods. Well, that is not exactly true. Next week we will be releasing some of those statistics in our annual webcast on the state of the seniors housing and care M&A market. Our panel will include brokers from Cushman &... Read More »
What To Do About Medicaid Payments

ASHA and Stifel Nicolaus Meetings

What we heard about industry trends 3,000 miles from home. After spending three days at the American Seniors Housing Association meeting and the Stifel Nicolaus “2020 Seniors Housing & Healthcare Real Estate Conference, other than jet lag, there were a few takeaways. First off, on a few panels stand-alone memory care communities came up, and not in a good way. Because they tend to be small, a few resident deaths can have an outsized impact, the former over-development has still left a bad taste, and stand-alone anything is viewed by many as too risky. Speakers believed cap rates were at least 100 basis points higher than for assisted living.  One thing we did hear is that... Read More »
What To Do About Medicaid Payments

Jump Starting Your Occupancy

As occupancy rates begin to rise, make sure you have all the necessary tools to ensure your occupancy rises faster than the competition. Isn’t it about time to take a fresh look at how you are marketing your seniors housing community, and turn those leads to move-ins so you can finally get your occupancy above 90%, and maybe even 100% with a wait list? A pipe dream, you might say. But without the proper tools, it will be a pipe dream. And without knowing what new techniques are available, especially in this increasingly digital age, you will never reach that goal of a wait list.  According to NIC MAP, occupancy may have bottomed out last quarter. That’s great news, but you also don’t want... Read More »
What To Do About Medicaid Payments

Five Star Senior Living Soars

Shares of Five Star Senior Living have soared by more than 60% this year, leaving everyone guessing. Right after all the restructuring was completed at year end between Five Star Senior Living and its landlord, now recently re-named Diversified Healthcare Trust, Five Star’s shares have taken off.  Two points to remember, though. Five Star just doled out about 26.5 million shares to Diversified and its shareholders to remove working capital liabilities. And, last October 1 they completed a 1-10 reverse stock split. That is important because now that the shares are trading at over $6.00 per share, for comparison purposes, that would be 60 cents per share four months ago. It just shows... Read More »
What To Do About Medicaid Payments

Is Ageism Dead?

Young people flock to see septuagenarians perform because they are rock stars. But aren’t all 70-somethings rock stars in some one’s mind? Asking if Ageism is dead might seem like a funny question. We see ageism every day. But last week I was fortunate enough to go to a sold-out Billy Joel concert at Madison Square Garden. I was expecting to see an average age close to 60, since most of Billy Joel’s hits were from the 1970s, back when I was a teenager. And I remember them well. But I was shocked to see so many people in their 20’s, 30’s and 40’s. For one 20-something I met, it was his fifth time seeing Billy Joel. He played all his hits, from the 1970s, and when they finally... Read More »