• 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 »
SNF Providers Are on a PDPM Learning Curve

SNF Providers Are on a PDPM Learning Curve

It’s been less than two months since the new Patient Driven Payment Model (PDPM) was implemented across all SNFs participating in Medicare Part A, and while no one can make definitive conclusions on the results and success of the program yet, some consistent themes have already emerged according to Zimmet Healthcare’s PDPM Reimbursement Analysis for the month of October. In the lead-up to October 1st, the consensus largely was that PDPM would be a windfall to some SNFs, particularly those caring for high-acuity, medically complex patients whose conditions, and the extra work that comes with them, would finally be recognized by CMS, and reimbursed. To them, the change was far better than... Read More »
Recent Congressional Testimony

Recent Congressional Testimony

Skilled nursing gets hammered, again, in Congressional hearings, but they avoid the biggest problem: lack of funding. So, did you think I was going to talk about the impeachment hearings? No way. That would be too easy. I’m talking about hearings on the cost of caring for the elderly. Of course, a few of the people testifying had very little positive to say of nursing facilities and the quality of care. But what struck me as odd was that there was not one representative of the skilled nursing industry there. You would think that a large chain CEO might have been invited, or perhaps Mark Parkinson of the American Health Care Association. Maybe they were, but I kind of doubt it.... Read More »
Recent Congressional Testimony

Capital Senior Living Stock Spreads

One day this week the spread between the bid and the ask for Capital Senior Living’s shares seemed way too wide, which got me thinking. I was a little surprised yesterday morning when I checked on the bid/ask spreads for Capital Senior Living, and saw a very wide discrepancy after the market opened. There was a bid for 4,000 shares at $3.48 per share, while a seller was asking for $3.98 per share for a smaller number of shares.  I had not seen such a large difference between what a buyer wanted and a seller. I checked Brookdale Senior Living, and the spread was two cents. So, I re-looked at Capital Senior Living’s third quarter earnings to see what shareholders might be concerned... Read More »
Evans Senior Investments Launches Senior Living Marketing Venture

Evans Senior Investments Launches Senior Living Marketing Venture

If the seniors housing industry is ever going to emerge from its current census slump, then rigorous and modern marketing efforts seem like a great way to start. However, many small regional operators and mom & pops have barely left the 20th century in their marketing strategies, and their websites show it. The truth is that they may have been operating just fine for years, but with a lot of new competition and a more tech-savvy clientele, that may not be an option anymore. And they will continue to lose out to the larger, national operators that can afford a comprehensive and state-of-the-art marketing strategy. Also, for the industry as a whole, better marketing can also improve... Read More »
Senior Living Residents Will Demand Choice

Senior Living Residents Will Demand Choice

As we near the end of this decade, we wonder what new trials will face the seniors housing industry in the next 10 years. In the past decade, the industry has emerged from the throes of the Great Recession, gone through a construction boom that led to intense competition for labor and residents, and seen the rise of both memory care and active adult communities complementing the more traditional senior living sectors. But, the 2020s will bring new challenges, one of which will be how the industry can attract a greater share of seniors, including the baby boomers. With home health care improving its care offerings and other technological advances making it easier for seniors to stay in... Read More »
Capital One Annual Survey Results

Capital One Annual Survey Results

We have been pretty gloomy about the state of the seniors housing market recently. It has not been without reason, with the industry still mired in low occupancy, persistent discounting and labor difficulties, both finding it and paying for it. On top of that, October’s low M&A count (just 24 publicly announced deals) did not make us feel any better. That was true in both the senior care sector and in health care M&A in general. At the same time, private equity capital keeps pouring into the healthcare services space (including home health care, behavioral health, physician medical groups, etc…), showing us that investors still view the industry incredibly favorably and may keep... Read More »